All children, 1 and 2 years of age, that are insured by state funded health insurance are required to have
blood lead screening done. Ionia County Health Department offers capillary testing (finger pokes) to all
WIC children. If the capillary blood lead level is above the Centers for Disease control upper threshold of
acceptable blood lead levels (4.9 mcg/dL), the child may be rechecked by drawing blood from a vein at
the hospital. A child’s elevated lead level is managed by trained nursing staff at Ionia County Health
Department in collaboration with the child’s primary care provider. Nursing management includes such
activities as a home visit to conduct a health, developmental, social and dietary history and to develop a
plan of care. The nurse will also provide the family with home assessment information and lead
prevention strategies for children. The nurse may refer a family to community and state resources, e.g
the Michigan Childhood Lead Poisoning and Prevention Program, Michigan Safe Home Program and/or
Ionia County Early On for child development assessment. Exposure to lead contamination constitutes a
serious health hazard to children and therefore a coordinated and systematic follow-up is necessary.
If you have questions please call the Ionia County Health Department at 616-527-5341 and ask to speak
with or leave a message for a call back from Chris Simon, RN.