Lead screening and blood testing for lead is based on a child’s risk for lead poisoning. Since children rarely display symptoms of lead poisoning, a blood test is the only way to know for sure whether a child has been exposed. Children ages 1 and 2 are especially at risk for lead exposure.
All children enrolled in MaineCare should have:
• Blood lead tests at 1 year (9-17 months of age).
• Blood lead tests at 2 years (18-35 months of age).
• Blood lead tests if the child is 3-6 years old and has not been tested.
All other children should have a blood lead test at 1 year and 2 years of age unless the provider determines that the child is not at risk for lead exposure using a questionnaire.
Test all children 3-6 years of age if:
• Their risk for lead exposure has changed.
• They have changed their residence since their previous blood lead test.
Testing for lead should also be considered in:
• Children diagnosed with pica, developmental delays, behavioral problems or ADHD.
• Children presenting with unexplained illness such as severe anemia, lethargy or abdominal pain.
Source: Maine Childhood Lead Poisoning Prevention Program