from the Michigan
Department of Community Health, Childhood Lead Poisoning Prevention
Documents (PDF, 1 page
Poisoning High-Risk ZIP Code Areas in Michigan:
Alcona County through Lenawee County
Childhood Lead Poisoning High-Risk ZIP Code Areas in Michigan:
Livingston County through Wexford County
I. There are four criteria for testing a child for lead
A. Medicaid--all Medicaid-enrolled children, regardless of place of
residence in Michigan, must be tested. No exceptions or waivers exist.
Authority: Health Care Financing Agency (HCFA), through their agent
Medical Services Administration (MSA). MIChild-enrolled children
should be tested if any risk factors exist (or at health care
B. Geography--all non-Medicaid children living within certain areas
(see list of high risk ZIP codes above) should be tested.
C. Questionnaire--the parents or guardians of children not in one of
the previous two categories should be asked specific questions to
determine each child’s risk. If the answer is “Yes” or “Don’t know” to
any of the questions, that child should be tested.
D. Provider’s discretion--if a child does not meet any of the above
criteria, the health care provider always has the option of testing if
he/she believes that it is warranted.
II. Specifics of each criterion:
A. Medicaid: Michigan’s Medical Services Administration states that a
blood lead test is REQUIRED for any Medicaid-eligible child at 12 and
24 months, or between 36 and 72 months if not tested previously. A
venous sample is considered confirmatory; an elevated capillary sample
will require confirmation with a venous sample.
B. Geographical specifics for evaluating ZIP codes:
1. ZIP codes in Michigan where testing is recommended for all
children: Any ZIP code with 12% or greater incidence of lead poisoning
among children ages 12 to 36 months, in 2000.
Any ZIP code where a combination of percentage of pre-1950 housing,
number of children under age six, and percentage of children under age
six living in poverty ranks high.
Any ZIP code with 27% or greater pre-1950 housing.
2. ZIP codes are re-evaluated annually, based on the prevalence of
childhood poisoning in that ZIP code for the prior year, and the
Screening/Testing Plan adjusted where appropriate.
C. Specifics of questionnaire (subject to change annually):
1. Does the child live in (or often visit) a house built before 1950
with peeling or chipping paint? This could include a day care,
preschool, or home of a relative.
2. Does the child live in (or often visit) a house built before 1978
that has been remodeled within the last year?
3. Does the child have a brother or sister (or playmate) with lead
4. Does the child live with an adult whose job or hobby involves lead?
(See corresponding documents above)
5. Does the child’s family use any home remedies that may contain
lead? (See corresponding documents above)