{"id":410,"date":"2020-04-23T09:18:23","date_gmt":"2020-04-23T13:18:23","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/leadsafe\/?page_id=410"},"modified":"2026-04-02T16:32:10","modified_gmt":"2026-04-02T20:32:10","slug":"health-care-providers","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/leadsafe\/health-care-providers\/","title":{"rendered":"Health Care Providers"},"content":{"rendered":"<div id=\"pl-410\"  class=\"panel-layout\" ><div id=\"pg-410-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-410-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-410-0-0-0\" class=\"so-panel widget widget_sow-image panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-dbf295114b96-410\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/child-at-doctor-scaled.jpg\" width=\"2560\" height=\"1707\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/child-at-doctor-scaled.jpg 2560w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/child-at-doctor-300x200.jpg 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/child-at-doctor-1024x683.jpg 1024w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/child-at-doctor-768x512.jpg 768w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/child-at-doctor-1536x1024.jpg 1536w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/child-at-doctor-2048x1365.jpg 2048w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/child-at-doctor-272x182.jpg 272w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" title=\"Doctor in surgery examining little girl\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><div id=\"pgc-410-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-410-0-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><span class=\"TextRun SCXW132722491 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW132722491 BCX0\">Health care providers play\u00a0<\/span><span class=\"NormalTextRun SCXW132722491 BCX0\">an important role<\/span><span class=\"NormalTextRun SCXW132722491 BCX0\">\u00a0in\u00a0<\/span><span class=\"NormalTextRun SCXW132722491 BCX0\">identifying<\/span><span class=\"NormalTextRun SCXW132722491 BCX0\">\u00a0children at risk for lead poisoning<\/span><span class=\"NormalTextRun SCXW132722491 BCX0\">. <\/span><span class=\"NormalTextRun SCXW132722491 BCX0\">Children who are at\u00a0<\/span><span class=\"NormalTextRun SCXW132722491 BCX0\">high risk<\/span><span class=\"NormalTextRun SCXW132722491 BCX0\"> for lead exposure should be screened at 12 and 24 months, per Virginia policy. Pregnant people should be educated about sources of lead, and they should be screened if they are at an increased risk for lead exposure. VDH is committed to supporting health care providers prevent childhood lead poisoning across the Commonwealth.<\/span><\/span><span class=\"EOP SCXW132722491 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-410-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-410-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-410-1-0-0\" class=\"so-panel widget widget_sow-accordion panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-62c1bd7c547e-410\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Important Updates<\/h3><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"risk-of-false-positive-results-with-certain-capillary-blood-collection-tubes-april-2025\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-risk-of-false-positive-results-with-certain-capillary-blood-collection-tubes-april-2025\" aria-controls=\"accordion-content-risk-of-false-positive-results-with-certain-capillary-blood-collection-tubes-april-2025\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tRisk of False Positive Results with Certain Capillary Blood Collection Tubes - April 2025\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-risk-of-false-positive-results-with-certain-capillary-blood-collection-tubes-april-2025\"\n\t\t\t\tid=\"accordion-content-risk-of-false-positive-results-with-certain-capillary-blood-collection-tubes-april-2025\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p class=\"content-title text-center\"><span style=\"color: #13294b;\"><strong>Risk of False Positive Results with Certain Capillary Blood Collection Tubes Used with Magellan Diagnostics LeadCare Testing Systems<\/strong><\/span><\/p>\n<p><strong>Date Issued: April 24, 2025<\/strong><\/p>\n<p><span data-teams=\"true\">\u00a0<\/span>The U.S. Food and Drug Administration (FDA) is alerting health care providers and laboratory staff of reports that falsely elevated (false positive) results have occurred when using ASP Global\u2019s RAM Scientific SAFE-T-FILL Micro Capillary Blood Collection tubes with the LeadCare Testing Systems. These tests may overestimate blood lead levels and give inaccurate results when processing capillary blood samples collected in these ASP Global\u2019s RAM Scientific SAFE-T-FILL tubes. The root cause of these false results is not yet known. The FDA is recommending that ASP Global RAM Scientific SAFE-T-FILL tubes not be used with the LeadCare Testing Systems while this issue is being investigated.<\/p>\n<p><strong>Recommendations for Health Care Providers and Facilities, Laboratory Staff, and Patients and Caregivers<\/strong><\/p>\n<ul>\n<li>Avoid using ASP Global\u2019s RAM Scientific SAFE-T-FILL Micro Capillary Blood Collection tubes with the LeadCare Testing Systems.<\/li>\n<li>The capillary collection devices that are provided with the LeadCare Test Systems as well as other third-party capillary blood collection tubes, as described in the instructions for use of LeadCare Testing Systems, can still be used.<\/li>\n<li>If no alternate capillary blood collection devices are available other than the ASP Global\u2019s RAM Scientific SAFE-T-FILL Micro Capillary Blood Collection tubes, interpret results with caution and consider retesting with a different method or specimen type.<\/li>\n<li>Follow <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.cdc.gov\/lead-prevention\/testing\/index.html\" target=\"_blank\" rel=\"noopener\">CDC\u2019s recommendations<\/a><\/span> for confirmatory venous blood testing based on blood lead levels observed in capillary blood lead tests.<\/li>\n<\/ul>\n<p><strong>Reporting Problems with Your Device<\/strong><\/p>\n<p>Health professionals and patients are encouraged to report adverse events or side effects related to the use of ASP Global\u2019s RAM Scientific SAFE-T-FILL Micro Capillary Blood Collection tubes, Magellan Diagnostics LeadCare Testing Systems, or other devices to the FDA's MedWatch Safety Information and Adverse Event Reporting Program:<\/p>\n<ul>\n<li>Complete and\u00a0<span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.accessdata.fda.gov\/scripts\/medwatch\/index.cfm?utm_medium=email&amp;utm_source=govdelivery\">submit the report online<\/a><\/span>.<\/li>\n<li><span style=\"text-decoration: underline;\"><a title=\"MedWatch Forms for FDA Safety Reporting\" href=\"https:\/\/www.fda.gov\/safety\/medical-product-safety-information\/medwatch-forms-fda-safety-reporting\" data-entity-type=\"node\" data-entity-uuid=\"cbd5f29e-012d-4a51-b896-ee98e5cbac62\" data-entity-substitution=\"canonical\">Download form<\/a><\/span>\u00a0or call 1-800-332-1088 to request a reporting form, then complete and return to the address on form, or submit by fax to 1-800-FDA-0178.<\/li>\n<li>You can submit voluntary reports through\u202f<span style=\"text-decoration: underline;\"><a title=\"Reporting Serious Problems to FDA\" href=\"https:\/\/www.fda.gov\/safety\/medwatch-fda-safety-information-and-adverse-event-reporting-program\/reporting-serious-problems-fda\" data-entity-type=\"node\" data-entity-uuid=\"30cfb1be-3244-4fd7-a804-9647e3551562\" data-entity-substitution=\"canonical\">MedWatch, the FDA Safety Information and Adverse Event Reporting program<\/a><\/span>.<\/li>\n<li>Device manufacturers and user facilities must comply with the applicable<span style=\"text-decoration: underline;\">\u202f<a title=\"Mandatory Reporting Requirements: Manufacturers, Importers and Device User Facilities\" href=\"https:\/\/www.fda.gov\/medical-devices\/postmarket-requirements-devices\/mandatory-reporting-requirements-manufacturers-importers-and-device-user-facilities\" data-entity-type=\"node\" data-entity-uuid=\"78929446-2575-4e0d-bd72-b680b26f9a9e\" data-entity-substitution=\"canonical\">Medical Device Reporting (MDR) regulations<\/a><\/span>.<\/li>\n<li>Health care personnel and clinical laboratory staff employed by facilities that are subject to the FDA's\u00a0<span style=\"text-decoration: underline;\"><a title=\"Mandatory Reporting Requirements: Manufacturers, Importers and Device User Facilities\" href=\"https:\/\/www.fda.gov\/medical-devices\/postmarket-requirements-devices\/mandatory-reporting-requirements-manufacturers-importers-and-device-user-facilities\" data-entity-type=\"node\" data-entity-uuid=\"78929446-2575-4e0d-bd72-b680b26f9a9e\" data-entity-substitution=\"canonical\">user facility reporting requirements<\/a><\/span>\u00a0should follow the reporting procedures established by their facilities.<\/li>\n<\/ul>\n<p>For more information, visit the <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.fda.gov\/medical-devices\/safety-communications\/risk-false-positive-results-certain-capillary-blood-collection-tubes-used-magellan-diagnostics\" target=\"_blank\" rel=\"noopener\">FDA Safety Communication<\/a><\/span>.<\/p>\n<p><em>Reference: Food and Drug Administration<\/em><\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-410-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-410-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-410-2-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Policies<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3><span style=\"text-decoration: underline;\"><a href=\"https:\/\/law.lis.virginia.gov\/admincode\/title12\/agency5\/chapter90\/section215\/\" target=\"_blank\" rel=\"noopener\">Blood Lead Testing Criteria:<\/a><\/span><\/h3>\n<p><strong>Children in any of the following risk categories should have their blood tested at 12 and 24 months:<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>\u00a0The child is eligible for or receiving benefits from Medicaid or the Special Supplemental Nutrition Program for Women, Infants and Children (WIC);<\/li>\n<li>The child is living in or regularly visiting a house, apartment, dwelling, structure, or child care facility built before 1960;<\/li>\n<li>The child is living in or regularly visiting a house, apartment, dwelling, structure, or child care facility built before 1978 that has (i) peeling or chipping paint or (ii) recent (within the last six months) ongoing or planned renovations;<\/li>\n<li>\u00a0The child is living in or regularly visiting a house, apartment, dwelling, or other structure in which one or more persons have blood lead testing yielding evidence of lead exposure;<\/li>\n<li>The child is living with an adult whose job, hobby, or other activity involves exposure to lead;<\/li>\n<li>The child is living near an active lead smelter, battery recycling plant, or other industry likely to release lead;<\/li>\n<li>The child's parent, guardian, or other person standing<em> in loco parentis<\/em> requests the child's blood be tested due to any suspected exposure; or<\/li>\n<li>The child is a recent refugee or immigrant or is adopted from outside of the United States.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>A child up to 72 months in those categories who hasn't previously been tested (or who has experienced a change that has resulted in an increased risk of exposure to lead), or the sibling of a child who has an elevated blood lead level should also be tested.<\/p>\n<hr \/>\n<h3><span style=\"text-decoration: underline;\"><a href=\"https:\/\/law.lis.virginia.gov\/admincode\/title12\/agency5\/chapter90\/section80\/\" target=\"_blank\" rel=\"noopener\">Virginia Blood Lead Testing Reporting Guidelines:<\/a><\/span><\/h3>\n<p>On October 20, 2016, the Virginia Department of Health modified its <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/13\/2016\/03\/Regulations-for-Disease-Reporting-and-Control-October-2016.pdf\" target=\"_blank\" rel=\"noopener\">disease reporting requirements<\/a>:<\/span><\/p>\n<p><i>\u201cLead, reportable levels\u201d means any detectable blood lead level in children 15 years of age and younger and levels greater than or equal to 5 \u03bcg\/dL in persons older than 15 years of age.<\/i><\/p>\n<p><strong>There are two primary ways to report a blood lead level to the Department of Health: <\/strong><\/p>\n<ol>\n<li>Visit <span style=\"text-decoration: underline;\"><a href=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=NYKYR7W47M\" target=\"_blank\" rel=\"noopener\">Virginia\u2019s Confidential Morbidity Report Portal<\/a><\/span><\/li>\n<li>Fax the report to <strong>804-864-8102<\/strong><\/li>\n<\/ol>\n<hr \/>\n<h3><span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2023\/05\/Virginia-Blood-Lead-Testing-and-Case-Management-Guidelines.pdf\">Case Management and Follow-Up:<\/a><\/span><\/h3>\n<p>Health care providers and Local Health Department staff should please refer to the <strong><em>Virginia Blood Lead Testing and Case Management Guidelines<\/em><\/strong> for recommended case management and follow-up actions.<\/p>\n<p><strong>Supplemental Information<\/strong><\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2023\/08\/Medical-Case-Management_Childhood-BLL.pdf\" target=\"_blank\" rel=\"noopener\">Medical Case Management of Childhood Blood Lead Levels<\/a><\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-410-2-1\"  class=\"panel-grid-cell\" ><div id=\"panel-410-2-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Quick Links<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h4>Continuing Education:<\/h4>\n<p><span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.pathlms.com\/msv\/courses\/108702\" target=\"_blank\" rel=\"noopener\">CME Module with Medical Society of Virginia<\/a><\/span> <span style=\"color: #ff0000;\"><em>- NEW Oct. 2025<\/em><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><a href=\"https:\/\/education.acmt.net\/pehsu\" target=\"_blank\" rel=\"noopener\">Pediatric Environmental Health Specialty Unit (PEHSU)<\/a><\/span><\/p>\n<h4>Professional Resources:<\/h4>\n<p><span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.aap.org\/en-us\/advocacy-and-policy\/aap-health-initiatives\/lead-exposure\/Pages\/default.aspx\" target=\"_blank\" rel=\"noopener\">American Academy of Pediatrics<\/a><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.pehsu.net\/Lead_Resources.html\" target=\"_blank\" rel=\"noopener\">Pediatric Environmental Health Specialty Unit (PEHSU)<\/a><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.atsdr.cdc.gov\/substances\/toxsubstance.asp?toxid=22#10\" target=\"_blank\" rel=\"noopener\">Agency for Toxic Substances and Disease Registry (ATSDR)<\/a><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.cdc.gov\/nceh\/lead\/\" target=\"_blank\" rel=\"noopener\">Centers for Disease Control and Prevention (CDC)<\/a><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><a href=\"https:\/\/stacks.cdc.gov\/view\/cdc\/53206\" target=\"_blank\" rel=\"noopener\">Improving the Collection and Management of Human Samples<\/a><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.aphl.org\/aboutAPHL\/publications\/Documents\/EH-Blood-Lead-Best-Practices.pdf\" target=\"_blank\" rel=\"noopener\">APHL | Quality Practices for Testing Whole Blood for Lead<\/a><\/span><\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-410-2-1-1\" class=\"so-panel widget widget_sow-image panel-last-child\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-a258e6bfa2d8-410\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/doctor-exam-scaled.jpg\" width=\"2560\" height=\"2560\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/doctor-exam-scaled.jpg 2560w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/doctor-exam-300x300.jpg 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/doctor-exam-1024x1024.jpg 1024w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/doctor-exam-150x150.jpg 150w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/doctor-exam-768x768.jpg 768w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/doctor-exam-1536x1536.jpg 1536w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2020\/04\/doctor-exam-2048x2048.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" title=\"AA042260\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><\/div><div id=\"pg-410-3\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-410-3-0\"  class=\"panel-grid-cell\" ><div id=\"panel-410-3-0-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-atom-20bb183bfb75-410\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/154\/2023\/05\/Virginia-Blood-Lead-Testing-and-Case-Management-Guidelines.pdf\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-fontawesome sow-far\" data-sow-icon=\"&#xf328;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tVirginia Blood Lead Testing and Case Management Guidelines\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-410-3-1\"  class=\"panel-grid-cell panel-grid-cell-mobile-last\" ><div id=\"panel-410-3-1-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-atom-5b07087c4a53-410\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=NYKYR7W47M\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-fontawesome sow-far\" data-sow-icon=\"&#xf044;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tReport a Blood Lead Level to the Department of Health                                                                                     \t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-410-3-2\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><\/div><div id=\"pg-410-4\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-410-4-0\"  class=\"panel-grid-cell\" ><div id=\"panel-410-4-0-0\" class=\"so-panel widget widget_sow-tabs panel-first-child panel-last-child\" data-index=\"8\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-tabs so-widget-sow-tabs-default-2900f311da3c-410\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Guidance for Special Populations<\/h3><div class=\"sow-tabs\">\n\t<div class=\"sow-tabs-tab-container\" role=\"tablist\">\n\t\t\t<div\n\t\t\tclass=\"sow-tabs-tab\n\t\t\t sow-tabs-tab-selected\t\t\t\"\n\t\t\trole=\"tab\"\n\t\t\tdata-anchor-id=\"pregnant-and-lactating-people\"\n\t\t\taria-selected=\"true\"\n\t\t\ttabindex=\"0\"\n\t\t>\n\t\t\t<div class=\"sow-tabs-title sow-tabs-title-icon-left\">\n\t\t\t\t\t\t\t\tPregnant and Lactating People\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div\n\t\t\tclass=\"sow-tabs-tab\n\t\t\t\t\t\t\"\n\t\t\trole=\"tab\"\n\t\t\tdata-anchor-id=\"refugees-and-newcomers\"\n\t\t\taria-selected=\"false\"\n\t\t\ttabindex=\"0\"\n\t\t>\n\t\t\t<div class=\"sow-tabs-title sow-tabs-title-icon-left\">\n\t\t\t\t\t\t\t\tRefugees and Newcomers\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\n\t<div class=\"sow-tabs-panel-container\">\n\t\t\t<div class=\"sow-tabs-panel\">\n\t\t\t<div\n\t\t\t\tclass=\"sow-tabs-panel-content\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\taria-hidden=\"false\"\n\t\t\t>\n\t\t\t\t<h3 data-block-id=\"86e77bee-bdc9-4526-8fa9-946317edabdd\" data-pm-slice=\"1 3 []\">Pregnant and Lactating People<\/h3>\n<p data-block-id=\"97d5b18d-577f-4f32-a3f6-dbffe8dfb658\">Lead exposure during pregnancy has been associated with adverse outcomes for both maternal and fetal health. It can cause:<\/p>\n<ul>\n<li data-block-id=\"b6efacd0-4598-4963-a23f-b341885385d4\">Increased risk of stillbirth and miscarriage<\/li>\n<li data-block-id=\"d801131c-4811-48a7-88a8-928f714196fb\">Increased risk of the baby being born preterm<\/li>\n<li data-block-id=\"a858371a-4ce9-481b-808c-cb0b607c879c\">Increased risk of the baby having a low birthweight<\/li>\n<li data-block-id=\"2c42cc4c-8b2d-4b50-9f23-87c5fc01ff60\">Damage to the baby\u2019s brain, kidneys, and nervous system<\/li>\n<li data-block-id=\"003b5074-f166-4c3c-9812-f7998cc47737\">Future developmental and learning problems in the baby<\/li>\n<\/ul>\n<p data-block-id=\"3816ed57-25e0-4c74-bf06-1891424c888b\"><strong>Pregnant individuals who are at increased risk for lead exposure should be screened for lead.<\/strong><\/p>\n<p data-block-id=\"4f2fb7fb-7d53-4e76-9067-759f03f108cb\">Pregnant individuals are at an increased risk of being exposed to lead if they:<\/p>\n<ul>\n<li data-block-id=\"01cf06a2-5e8a-4e0c-9eab-88af534b1a58\">Live in a home built before 1978.<\/li>\n<li data-block-id=\"41ba24e2-1014-483d-b080-c2c20068c102\">Are a recent immigrant or refugee.<\/li>\n<li data-block-id=\"d5b5c4ed-9078-4b37-a139-e17dde49fd3a\">Use imported pottery or ceramics to prepare and store food.<\/li>\n<li data-block-id=\"cf5df2c2-3bb1-4d52-9d75-e792900b77c5\">Have old plumbing and pipes in their home.<\/li>\n<li data-block-id=\"cbb515ff-2f46-499f-a080-5f050ee2782a\">Live with someone who has a job or hobby that may expose them to lead, such as welding, metalwork, building renovation, stained glass, casting, or soldering.<\/li>\n<li data-block-id=\"32f918e9-cf70-42ff-a73b-4cc236fd4a32\">Developed pica during their pregnancy.<\/li>\n<li data-block-id=\"9b4fad4d-41fa-47f0-b533-5cd65eea8c4c\">Use traditional folk remedies or cosmetics.<\/li>\n<\/ul>\n<p data-block-id=\"ac4aa751-d49b-473d-8b0a-c17fdedaf2df\"><strong>Pregnant people should follow these simple steps to protect themselves and their baby from the harmful effects of lead:<\/strong><\/p>\n<ul>\n<li data-block-id=\"51ca63ea-9f99-41f1-adb0-92aed132f309\">Wet-wipe and wet-mop around window sills and home entrances.<\/li>\n<li data-block-id=\"2d7767ad-a43f-4cda-a6ab-cc28eaaed77b\">Wash their hands hands often.<\/li>\n<li data-block-id=\"26b91d7b-e9ad-4f4a-a5f1-cb23869e9a83\">Remove their shoes before entering their home.<\/li>\n<li data-block-id=\"388a76f2-f5e1-4f0e-9ae0-dd819f16d4bf\">If a family member has a job or hobby that exposes them to lead, ask them to take off their shoes before coming inside and change their clothes immediately after coming home.<\/li>\n<li data-block-id=\"45559669-361a-42ce-888b-a6517153d258\">Avoid remodeling their home, sanding paint, or removing paint with a heat gun while pregnant.<\/li>\n<\/ul>\n<h3 data-block-id=\"b0919be5-3027-431a-bcf8-e564768df14c\">Breastfeeding and Lead Exposure<\/h3>\n<p data-block-id=\"d06d9407-c161-49e2-9940-21f252211f2a\">Pregnant and breastfeeding people that have been exposed to lead can pass the lead on to their fetus or infant through blood and breast milk. This can have long-term effects on the neurodevelopment of their child.<\/p>\n<p data-block-id=\"941b9e29-94a8-40dc-9022-bdae72eb64a8\">Please use the resources linked below for guidance on medical management of an elevated blood lead level during lactation.<\/p>\n<ul>\n<li data-block-id=\"ebb5a192-f49e-4006-8ea9-6eabf3d8d64b\"><span style=\"text-decoration: underline\"><a href=\"https:\/\/deohs.washington.edu\/pehsu\/sites\/deohs.washington.edu.pehsu\/files\/Lead%20Exposure%20in%20Pregnant%20and%20Breastfeeding%20Women_updated%20June%202020.pdf\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Clinical Management of Lead Exposure in Pregnant and Lactating Women and the Breastfed Infant<\/a><\/span><\/li>\n<li data-block-id=\"c348e962-84fb-4034-ab25-ba9a869ff3bc\"><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.cdc.gov\/breastfeeding\/breastfeeding-special-circumstances\/environmental-exposures\/lead.html\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">CDC: Breastfeeding and Special Circumstances<\/a><\/span><\/li>\n<\/ul>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-tabs-panel\">\n\t\t\t<div\n\t\t\t\tclass=\"sow-tabs-panel-content\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t>\n\t\t\t\t<h3><b>Refugee and Newcomers\u00a0<\/b><\/h3>\n<p><span data-contrast=\"auto\">Refugees and newcomers to the United States are at high risk of lead exposure. Lead hazards are common in countries where many refugees and asylum seekers currently originate. These exposures can be <\/span><b><span data-contrast=\"auto\">environmental<\/span><\/b><span data-contrast=\"auto\">\u00a0or\u00a0<\/span><b><span data-contrast=\"auto\">occupational<\/span><\/b><span data-contrast=\"auto\">, or\u00a0<\/span><b><span data-contrast=\"auto\">household\u00a0<\/span><\/b><span data-contrast=\"auto\">and\/or\u00a0<\/span><b><span data-contrast=\"auto\">personal items<\/span><\/b><span data-contrast=\"auto\">.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Environmental exposures<\/span><\/b><span data-contrast=\"auto\">\u00a0include:\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Leaded gasoline<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Lead-based paint<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Burning waste that\u00a0contains\u00a0lead\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Occupational exposures<\/span><\/b><span data-contrast=\"auto\">\u00a0include working in:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Mines<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Smelting<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Battery recycling facilities<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Ammunition manufacturing\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Household and personal item exposures<\/span><\/b><span data-contrast=\"auto\">\u00a0include:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Lead-glazed pottery<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Cookware and dining utensils\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Spices<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Cosmetics (such as kajal or kohl)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Traditional medicines and remedies (such as Ba-baw-san, Greta,\u00a0Paylooah)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Please visit our\u00a0<\/span><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.vdh.virginia.gov\/leadsafe\/information-for-parents\/\">Information for Parents<\/a><\/span><span data-contrast=\"auto\">\u00a0page or the\u00a0<\/span><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.cdc.gov\/immigrant-refugee-health\/hcp\/domestic-guidance\/lead.html?CDC_AAref_Val=https:\/\/www.cdc.gov\/immigrantrefugeehealth\/guidelines\/lead-guidelines.html#references\">CDC Immigrant, Refugee, and Migrant Health<\/a><\/span><span data-contrast=\"auto\">\u00a0page for more information on spices and cosmetics known to\u00a0contain\u00a0lead.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">Exposure After Entering the United States &amp; Federal Screening Guidelines<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Refugees and asylum seekers in the United States are also at risk for lead exposure <strong>after<\/strong> entering the United States. Members of this population may be placed into older homes that are more likely to\u00a0contain\u00a0lead hazards, including:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Lead-based paint.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Lead in the soil.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Lead from old plumbing and water fixtures. <\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Because of their risk of exposure to lead both before and after entering the United States, it is critical that refugees and asylum seekers receive initial and follow up blood lead screens.\u00a0<\/span><\/p>\n<p><strong>When completing blood lead screens for refugees or asylum seekers new to the United States, it is important to:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Collect complete and accurate personal and contact information<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Establish a standardizable follow up plan\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Without these two components, follow-up blood lead screening cannot be completed in compliance with federal guidelines for refugees and newcomers. Chronic or acute lead exposure after entering the United States cannot be adequately assessed without a follow-up blood lead test.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">See the table below for CDC\u2019s recommended screening measures for children and pregnant women after arrival in the United States.\u00a0<\/span><\/p>\n<table border=\"1\" cellpadding=\"10px\">\n<caption>\u00a0<\/caption>\n<thead>\n<tr style=\"background-color: #d9d9d9\">\n<th style=\"padding: 10px\">Recommended Screening Measure<\/th>\n<th style=\"padding: 10px\">Population<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding: 10px\">Initial lead exposure screening with blood test<\/td>\n<td style=\"padding: 10px\">\n<ul>\n<li>\n<p dir=\"ltr\" role=\"presentation\">All refugee infants and children \u2264 16 years of age<\/p>\n<\/li>\n<li>\n<p dir=\"ltr\" role=\"presentation\">Refugee adolescents &gt; 16 years of age if there is a high index of suspicion, or clinical signs\/symptoms of lead exposure<\/p>\n<\/li>\n<li>\n<p dir=\"ltr\" role=\"presentation\">All pregnant and lactating women and girls*<\/p>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px\">Follow-up testing with blood test, 3-6 months after initial testing<\/td>\n<td style=\"padding: 10px\">\n<ul>\n<li>\n<p dir=\"ltr\" role=\"presentation\">All refugee infants and children \u2264 6 years, regardless of initial screening result<\/p>\n<\/li>\n<li>\n<p dir=\"ltr\" role=\"presentation\">Children and adolescents 7-16 years with EBLL at initial screening<\/p>\n<\/li>\n<li>\n<p dir=\"ltr\" role=\"presentation\">Consider repeat testing in adolescents &gt; 16 years of age with risk factors<\/p>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px\" colspan=\"2\">*All newly arrived pregnant or breastfeeding women should be prescribed a prenatal or multivitamin with adequate iron and calcium. Referral to a healthcare provider with expertise in high-risk lead exposure treatment and management may be indicated for EBLLs.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em><span style=\"font-weight: 400\">Reference: CDC <\/span><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.cdc.gov\/immigrant-refugee-health\/hcp\/domestic-guidance\/lead.html?CDC_AAref_Val=https:\/\/www.cdc.gov\/immigrantrefugeehealth\/guidelines\/lead-guidelines.html#references\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Lead Screening Guidelines: Domestic Guidelines<\/span><\/a><\/span><\/em><\/p>\n<p><strong>More Information:<\/strong><\/p>\n<ul>\n<li><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.cdc.gov\/immigrant-refugee-health\/hcp\/domestic-guidance\/lead.html?CDC_AAref_Val=https:\/\/www.cdc.gov\/immigrantrefugeehealth\/guidelines\/lead-guidelines.html#references\">CDC Blood\u00a0Lead\u00a0Screening Guidelines in Refugee populations<\/a>\u00a0\u00a0<\/span><\/li>\n<li><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.vdh.virginia.gov\/newcomer-health\/services-and-resources-for-health-providers\/\">VDH Newcomer Health Program<\/a>\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Health education in languages other than English:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span>\n<ul>\n<li><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.cdc.gov\/other\/other-languages\/index.html\">CDC<\/a>\u00a0<\/span><\/li>\n<li><span style=\"text-decoration: underline\"><a href=\"https:\/\/www.vdh.virginia.gov\/leadsafe\/educational-materials\/\">VDH CLPPP<\/a>\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Health care providers play\u00a0an important role\u00a0in\u00a0identifying\u00a0children at risk for lead poisoning. Children who are at\u00a0high risk for lead exposure should be screened at 12 and 24 months, per Virginia policy. Pregnant people should be educated about sources of lead, and they should be screened if they are at an increased risk for lead exposure. VDH [&hellip;]<\/p>\n","protected":false},"author":178,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-410","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Health Care Providers - Lead Safe<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/leadsafe\/health-care-providers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Health Care Providers - Lead Safe\" \/>\n<meta property=\"og:description\" content=\"Health care providers play\u00a0an important role\u00a0in\u00a0identifying\u00a0children at risk for lead poisoning. Children who are at\u00a0high risk for lead exposure should be screened at 12 and 24 months, per Virginia policy. Pregnant people should be educated about sources of lead, and they should be screened if they are at an increased risk for lead exposure. 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