Test All Tots for Lead

Girls playing with chalkLead is a highly toxic metal that has been commonly used in many household, industrial and automobile products; including paint, solder, batteries, brass, car radiators, bullets, and pottery. Lead can cause serious health problems, especially for infants, children and pregnant women. Too much lead in the body can cause damage to the brain, kidneys, nervous system and red blood cells.

In 2007, Vermont state law established benchmarks for child lead texting. It then became a state requirement that 85% of one year-olds and 75% of two year-olds be tested for blood lead levels and that parents are informed of the availability and advisability of lead testing. Current lead testing rates fall short of these goals for two year-olds.


The lead project involved working with participating primary care practices to improve office systems related to lead testing and provide information and training about best practices.


Lead screening using filter paper was piloted and found to be an effective and efficient option for the office setting. This experience helped inform state policies and procedures for collecting blood lead samples.