Children's Environmental Health

• Cleaning Guides/Resources
  • Cleaning to Remove Lead Dust (PDF, 60 KB)
  • Cleaning Up Take-Home Lead Dust in Your Home and Car (PDF, 2.5 MB) | Limpiando su hogar y automóvil del polvo de plomo que se lleva a casa (PDF, 19.2 MB)
  • Green Cleaning (PDF, 272 KB): N.C. Healthy Homes: How to "Green Clean" your entire house and save money with basic ingredients.
  • Keeping Lead At Work and Preventing Take-Home Lead Exposure (PDF, 1 MB) | Manteniendo el plomo en el trabajo y previniendo la exposición al plomo que se lleva a casa (PDF, 6.4 MB)
• 11/05/24: Follow-Up Schedule: Blood Lead Levels for Children Under the Age of Six (PDF, 627 KB)
• Lead and Your Occupation (PDF, 123 KB) | El Plomo y su Trabajo (PDF, 117 KB)
• Lead: The Original Artificial Sweetener: Educational video from SciShow on YouTube.
• Lead in Jewelry (DOC, 7.3 MB): Developed by the Mecklenburg County Health Department. Agencies are welcome to use the brochure and to change the contact information on it, so that constituents will call their own local agencies serving them. The brochure is available in Microsoft Word (thanks to Nicole Graysmith at NC Legal Aid!).
• Lead in Spices, Herbal Remedies, Ceremonial Powders, and Cosmetics Flyer | Plomo en especias, remedios herbales, polvos ceremoniales y cosmeticós | मसाल और अन्य सांस्कृ􀇓तक वस्तुओं म सीसा | ခ ဟင္းခတ္ အေမႊးအၾကိဳင္မ်ားႏွင့္ အၿခားရိုးရာ | رسب در مصالحه جات و سایر اجناس فرهنگی | 存在于香料和其它文化用品中 | په مصالحو او نورو کلتوري توکو کې رسپ
• The Lead Paint Safety Field Guide (HUD) (Note: Internet Explorer users may experience file-loading problems if attempting to view this PDF file directly in the browser. As a work-around, try saving the file locally and then opening with a PDF reader.)
• N.C. Healthy Homes: Lead
  • Lead Poisoning Facts
  • Information on Lead-Safe Toys, Lead and Pregnancy, and Lead Poisoning and Eating Habits
• 05/20/20: Short-term Actions to Prevent Exposure to Lead (PDF, 327 KB)
• 05/20/20: Medidas a corto plazo para prevenir la exposición al plomo (PDF, 373 KB)

• Environmental Follow-Up Business Rules (PDF, 4.4 MB) Updated 07/17/26
• Childhood Lead Poisoning Prevention Statutes and 15A NCAC 18A .3100 Rules Governing Childhood Lead Poisoning Prevention Program (PDF, 304 KB)

The presentations below are provided to help people understand more about North Carolina’s Preventive Maintenance Program. Please change contact people, phone numbers and addresses accordingly.

• Cleaning to Remove Lead Dust (PDF, 60 KB)
• Examples of Lead-Safe Work Practices (PDF, 49 KB)
• Introduction to the PMP (PPT, 168 KB)
• Introduction to the PMP (Beverly Baldinger’s version-Edgecombe/Nash Co.) (PPT, 107 KB)
• PMP Presentation for use with Contractors (PPT, 390 KB)

• 03/18/22: Policy Memo Regarding New CDC Blood Lead Reference Value: Revised Follow-Up Schedule for Blood Lead Testing
• (Revised) Childhood Lead Poisoning Prevention Program Expansion Implementation Plan (PDF, 297 KB)
• 07/05/12: Policy Memo Regarding CDC Recommendations: Revised Follow-Up Schedule for Blood Lead Testing (PDF, 112 KB)
• 03/09/06: Procedure to address exceedances and administrative penalties reported for public water supply systems (PDF, 134 KB)
• 05/16/03: Vacuums to Collect Lead Dust (PDF, 235 KB)
• 01/10/01: Preventive Maintenance Program (PDF, 23 KB)
• 02/18/99: Response to LHD Concerns (PDF, 775 KB)

• CDC Childhood Lead Poisoning Prevention Program
  • Screening Young Children for Lead Poisoning: Guidance for State and Local Public Health Officials
  • Role of Child Healthcare Providers in Childhood Lead Poisoning Prevention
  • Conditions Required for a Source of Lead to be a Hazard
  • Capillary Blood Sampling Protocol
• Coverage of Blood Lead Testing for Children Enrolled in Medicaid and the Children’s Health Insurance Program
• The Choosing Safe Places Program
• EPA’s Office of Pollution Prevention and Toxics: Lead Programs
• MEDLINE: Health Information about Lead Poisoning
• N.C. Healthy Homes: Lead
• Orange County Register Special Investigation: Toxic Treats-Lead in Candy

• Blood Lead Testing and Follow-Up
• Follow-Up Schedule: Blood Lead Levels for Children Under the Age of Six (PDF, 376 KB)
• Quick Reference Guide to Diagnostic Testing and 3651 form (Exposure History) (PDF, 85 KB)
• Quick Reference Guide to Surveillance Reports (PDF, 78 KB)
• LeadCare
• Instructions for File Upload to Lead Care FTP Site (PDF, 441 KB)
• NCLEAD
  • Quick Reference Guide to Reports (PDF, 105 KB)
  • Quick Reference Guide to Workflows (PDF, 118 KB)

CDC

• CDC Guidelines for Collecting and Handling Blood Lead Samples

NC LEAD Training

• Environmental Follow-Up Business Rules (PDF, 4.4 MB) Updated 07/17/26
• NC LEAD Surveillance System Training Webinars - Updated 01/23/23

N.C. Accredited Lead Training Providers

• AAA Environmental, Inc.
• UNC Occupational Safety and Health Education Research Center

North Carolina Childhood Lead Training Manuals

• 06/02/25: NC Childhood Lead Testing and Follow-Up Manual
• Indexed Version of the N.C. Childhood Lead Testing and Follow-Up Manual
• NC LEAD User Manual

• CDC HAN 457 (11/05/2021) - Update: Expansion of Recall of LeadCare Blood Lead Tests Due to Risk of Falsely Low Results
• CDC LOC (10/18/2021) - Lab Alert: Magellan Diagnostics Expands Recall of LeadCare Blood Lead Tests Due to Risk of Falsely Low Results
• Consumer Product Safety Commission website (Search “lead”)
• Lead in Balguti Kesaria and Other Ayurvedic Medications (PDF, 110 KB)
• Orange County Register Special Investigation: Toxic Treats-Lead in Candy
• Vinyl Mini-Blinds