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Table 2 Council of State and Territorial Epidemiologists Management Recommendations for Adult Blood Lead Levels

From: Lead exposure at firing ranges—a review

Blood Lead Level (μg/dL) Management Recommendations
<5 No action needed
Monitor BLL if ongoing exposure
5–9 Discuss health risks
Minimize exposure
Consider removal for pregnancy and certain medical conditions
Monitor BLL
10–19 Decrease exposure
Remove from exposure for pregnancy
Consider removal for certain medical conditions or BLL >
10 for an extended period of time
Monitor BLL
20–29 Remove from exposure for pregnancy
Remove from exposure if repeat BLL in 4 weeks remains > 20
Annual lead medical exam recommended
30–49 Remove from exposure
Prompt medical evaluation
50–79 Remove from exposure
Prompt medical evaluation
Consider chelation with significant symptoms
≥80 Remove from exposure
Urgent medical evaluation
Chelation may be indicated