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Disease Name: Blood Lead Level

Quick Links

Please review the Idaho Reportable Disease Rules (IDAPA 16.02.10) for the most up-to-date information.

Blood Lead- http://www.cdc.gov/nceh/lead/

Overview / Case Definition

Blood lead concentration on a venous blood specimen, as determined by a Clinical Laboratory Improvement Amendments (CLIA)-certified facility, of




Within 3 working days

Reportable by Healthcare and Labs:

Reportable by Food Service Facility:

Suspect Reportable:

Reporting Timeframe: Within 3 working days

Diagnosis / Testing

The Idaho Bureau of Laboratories (IBL) requires a referral from the BCDP Epidemiology Program (208-334-5939) or public health districts (208-737-5971) for testing.  IBL offers a test for lead, mercury, and cadmium in whole blood. This test is not suitable for pediatric patients.

Optimal amount of specimen is 1-2 mL; minimum is 0.25 mL. Specimens must be collected in trace element vacutainers (certified for use in metals determinations) containing anticoagulant agent. The blood must be drawn through a stainless steel needle. If more than one evacuated tube of blood is to be drawn from an individual, the trace metals tube should be drawn second or later.

Two blank (empty) containers should be submitted per lot of specimen containers. Handle and store blank containers in an identical manner to specimen containers for testing. Specimens should be stored and transported at ≤ 4°C. See IATA regulations for shipping specimens.


OSHA employee standards:  https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10032

OSHA medical guidelines:  https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10644

Guidelines for management of lead exposure in pregnant & lactating women:  http://www.cdc.gov/nceh/lead/publications/LeadandPregnancy2010.pdf

Additional Information

Blood Lead- http://www.cdc.gov/nceh/lead/

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