Lead exposure at firing ranges—a review

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Published online 2017 Apr 4. doi: 10.1186/s12940-017-0246-0

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Table 2

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

Blood Lead Level (μg/dL)	Management Recommendations
<5	No action needed
<5	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
30–49	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