POISONING LEAD PREVENTION CODE (77 ILL. ADM. CODE 845)
SECTION 845.15 LEAD SCREENING a. Every physician licensed to practice medicine in all its branches or health care provider shall screen children 6 months through 6 years of age for lead poisoning (Section 6.2 of the Act), using a blood lead measurement for children residing in high risk areas. Children residing in low risk areas shall be assessed for their risk for lead exposure by providing the information contained in the Childhood Lead Risk Assessment Questionnaire (Appendix F). 1. Children determined to be at high risk based upon an assessment shall have a blood lead measurement. 2. Children who reside in a high risk area shall have a blood lead measurement. 3. Children who have elevated screening results shall have follow-up testing consistent with the algorithm attached (Appendix H). 4. Elevated capillary results 10 mcg-dL and above shall be confirmed by a venous sample. b. Each licensed, registered, or approved health care facility serving children from 6 months through 6 years of age, including but not limited to, health departments, hospitals, clinics, and health maintenance organizations approved, registered or licensed by the Department shall take the appropriate steps (referral of children with identified risk factors as defined in Appendix F to a physician or health care provider) to ensure that patients receive lead poisoning screening, where medically indicated or appropriate, consistent with the risks factors in the Childhood Lead Risk Assessment Questionnaire (see Appendix F). (Section 6.2 of the Act) Patients are those children receiving complete health care provided by the approved health care facility. c. Physicians and health care providers may assess children 7 years of age and older in accordance with the Risk Assessment Questionnaire (see Appendix F). d. By January 1, 1993, each day care center, day care home, preschool, nursery school, kindergarten, or other child-care facility, licensed or approved by the State, including such programs operated by a public school district, shall include a requirement that each parent or legal guardian of a child between the ages of 6 months through 6 years provide a statement from a physician or health care provider that the child has been screened or assessed for lead poisoning. This statement shall be provided prior to admission and subsequently in conjunction with physical examinations required by Section 665.140 of the Department's rules entitled Child Health Examination Code (77 Ill. Adm. Code 665). (Section 7.1 of the Act)
e. Nothing in this Part shall be construed to require any child to undergo a lead blood level screening or test whose parent or guardian objects to such screening on the grounds that the screening or test conflicts with his or her religious beliefs. (Section 7.1 of the Act) (Source: Amended at 21 Ill. Reg. 7444, effective May 31, 1997) SECTION 845.20 REPORTING a. The Department requires the following persons and facilities to report to the Department all blood lead levels (PbB): 1. Every who physician diagnoses, or health care provider, nurse, hospital administrator, or public health officer who has verified information of any person who has a level of lead in the blood in excess of the permissible limits, as defined in Section 845.10, is required to report pursuant to this Section, starting with a confirmed lead level of 10 micrograms-per deciliter (mcg/dL). (Section 7 of the Act) If the analysis has been performed at the State laboratory, or the provider has ascertained that the clinical laboratory where specimens are processed electronically reports all blood lead level results to the Department, then duplicate reporting of elevated levels is not required. 2. Directors of clinical laboratories who have verified information of any positive blood lead test results, as defined in Section 845.10, are required to report the results to the Department within 48 hours after receipt of verification. Negative blood lead test results, as defined in Section 845.10, shall be reported to the Department no later than 30 days following the last day of the month in which the test results are obtained by the laboratory. The information included in the clinical laboratory report on positive and negative blood lead test results shall include the blood lead level; the child's name, address, date of birth, sex and race; date of test; test type; date of report; physician and/or clinic with address; and the reporting agency. Verification and test information on positive blood lead test results must be submitted as a distinct report separate from the cumulated negative blood lead test information. All reports submitted must identify the report content as being either negative or positive blood lead test results. b. Reports required pursuant to this Section shall be made to the Department and all reported information...