Protecting children from the dangers of lead exposure is a team effort. The Maryland departments of health and environment work hand-in-hand to keep children safe, especially in communities most at risk.

How the System Works

1. Testing and Reporting

Pediatric healthcare providers in Maryland are required to test all children for lead at ages 12 and 24 months. These test results are sent directly to the state’s health department. It uses this data to track where lead exposure is happening and to start support services for affected children. Lab Reporting Form​​

2. Case Management for Children with High Lead Levels

If a child’s blood lead level is elevated, the state alerts local health departments. They step in to provide support for the child and their family. A case manager will reach out to explain the test results. The family will receive help identifying and removing sources of lead in the home. Families are guided through medical and developmental follow-ups to support the child’s health.

3. Environmental Investigation and Action

Our department is notified when a child has a confirmed elevated lead level. That’s when the environmental side of the system steps in. We or contractors inspect the child’s home and other places they spend time looking for lead hazards—especially in older buildings where lead-based paint may be present. If lead is found, we direct the property owner to clean it up safely and quickly.

Stronger Together: A Coordinated Approach

Our departments of health and environment work closely at every step:

• Data Sharing: Test results flow from healthcare providers to us to ensure quick action.

• Joint Case Reviews: Health and environmental teams work together to support families.

• Community Outreach: Both agencies engage with communities to raise awareness and promote prevention.
  
  

This collaboration ensures that no child falls through the cracks—and that Maryland families get the support they need to keep their homes safe and healthy.

What You Can Do

• Get Your Child Tested: Make sure your child is tested for lead at their 1-year and 2-year checkups.

• Ask About Your Home: If your home was built before 1978, ask your landlord or property manager about lead safety.

• Call for Help: If you’re concerned about lead in your home, contact your local health department.

For more information, call (410) 537-3825.