× The federal government has shut down due to the failures of the President and Congress to continue government funding. Millions of Californians receiving benefits from state programs may be impacted. For now, California’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) will continue to provide services and enroll eligible families as long as funding is available. No new federal funding to California WIC will be provided until the President and Congress take action. Families should continue to use their WIC benefits and attend their WIC appointments. This information is subject to change, so please monitor the California WIC website for updates.

Please be wary of potential highly partisan political messaging while visiting federal government websites for information related to the federal government shutdown.

Skip Navigation LinksHealth_Care_Professionals

Occupational Lead Poisoning Prevention Program

Medical​ Management of Lead-Exposed Adults

​​​​​​​A blood lead lead level greater than 10 micrograms per deciliter (µg/dL) is consider elevated in adults.

People exposed to lead at work are required to be protected and have their blood lead levels monitored per the ​​Cal/OSHA lead standar​ds.

Management Guidelines for Adults and Working Adolescents with Blood Lead Levels above 3.5  µg/dL​

Guidelines for Lead-Exposed Workers​

​​​​​​​​Lead Poiso​ning from Ayurvedic Remedies​​​​

Frequently Asked Questions

What are the health effects of lead?

See page 9 of Medical Guidelines for the Lead-Exposed Worker (PDF).

For health effects information written for lead-exposed workers, see Lead and Your Health.

How do I know a patient was exposed to lead at work?​

Taking an occupational history is vital in the assessment of lead exposed workers. Asking what workers do for their job(s) will help in making management decisions. This list of jobs, hobbies, and other sources of lead exposure may be helpful.​

What is an “average” blood lead level?

The average blood lead level for adults in the United States is currently less than 1 microgram per deciliter (µg/dL). This is significantly lower than in the 1970s, when the average BLL for adults was 13 µg/dL. The decrease is due in large part to the removal of lead from gasoline, residential paint, and canned food.

How has our understanding about the health effects of lead changed?

Recent research shows that lead is harmful to the body at levels lower than previously recognized. While having a single BLL ≥3.5 µg/dL may not necessarily cause health damage, chronic exposure at even low levels puts adults at an increased risk for effects such as hypertension and reduced kidney and cognitive function.

See source: National Toxicology Program Monograph of Health Effects of Low-​Level L​ead 2012 (PDF, 12.9MB)​​

​​​​​What are the laws about sharing patient BLL information with employers and with CDPH OLPPP? How does HIPAA apply?

HIPAA allows the health care provider to report the results of a BLL test to an employer under the following conditions:

  • The blood lead test was performed at the request of the employer as part of an employer-sponsored employee blood lead testing program, AND

  • Before the test was performed, the health care provider notified the employee in writing that the results of the test would be released to the employer.

HIPAA also allows health care providers to disclose, without individual authorization, protected health information to public health authorities authorized by law to receive such information for the purposes of preventing or controlling disease, injury, or disability. CDPH is legally mandated to maintain the California Occupational Blood Lead Registry and to investigate cases of occupational lead poisoning or cases of children poisoned as a result of lead brought home from the workplace. Laboratories are required to electronically report all blood lead test results to CDPH.​​

Health Care Provider letter: HIPAA and​ Sharing of BLL Results (PDF) – guidance on Health Insurance Portability and Accountability Act and sharing of employee blood lead test results

Are there similar guidelines for medical management of lead-poisoned children?

Yes, CDPH’s Childhood Lead Poisoning Prevention Branch provides guidelines for the medical management of lead-poisoned children.

The Centers for Disease Control and Prevention also developed guidelines for health professionals that care for lead-exposed children.

Consult With Our Public Health Physician

​For more information regarding medical management of lead-exposed workers please contact our public health physician at AdultLead@cdph.ca.gov​​​

Page Last Updated :