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November 1992, Vol 146, No. 11 >
Article | November 1992

Lead Poisoning in Young Children in Washington, DC: A Crisis That Remains to Be Addressed FREE

NADER RIFAI, PHD; CHRISTINE FASER, MD; GEORGE COHEN, MD; MURIEL WOLF, MD; Louis DEPALMA, MD
Am J Dis Child. 1992;146(11):1259-1260. doi:10.1001/archpedi.1992.02160230017004.
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Sir.—The Centers for Disease Control, Atlanta, Ga, have recently lowered the acceptable blood lead concentration in young children from 1.20 μmol/Lor less to 0.50 μmol/L or less.1 Lead values of 0.50 to 1.20 μmol/L have been shown to be associated with decreased intelligence and impaired neurobehavioral development.2,3 Specific social and medical interventions are now deemed necessary in this lead concentration range for exposed children.1 Although the incidence of toxic levels of lead in young children, using the new criteria, is not well established, it is expected to have a significant impact on the medical community. In addition, federal, state, and local health care resources will be adversely affected. In this report, we describe the incidence of lead poisoning in 2837 young inner-city children from the General Pediatric Ambulatory Clinic at Children's Hospital in Washington, DC.

Materials and Methods.—Intravenous blood specimens were randomly studied for lead

REFERENCES

1 +
Centers for Disease Control. Preventing Lead Poisoning in Young Children . Atlanta, Ga: Department of Health and Human Services, Centers for Disease Control; 1991;.
2 +
Davis JM, Svendsgaard DJ.  Lead and child development . Nature . 1987;;329:297-300.
3 +
Mushak P, Davis JM, Crochetti AF, Grant LD.  Prenatal and postnatal effects of low level lead exposure: integrated summary of a report to the US Congress on childhood lead poisoning . Environ Res. 1989;;50:11-36.
4 +
Truk DS, Schonfeld DJ, Cullen M, Rainey P.  Sensitivity of erythrocyte protoporphyrin as a screening test for lead poisoning . N Engl J Med . 1992;;326:137-138.
5 +
Mahaffey KR, Annest JL.  Association of erythrocyte protoporphyrin with blood lead level and iron status: National Health and Nutrition Examination Survey, 1976-1980 . Environ Res. 1986;;41:327-338.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Centers for Disease Control. Preventing Lead Poisoning in Young Children . Atlanta, Ga: Department of Health and Human Services, Centers for Disease Control; 1991;.
2 +
Davis JM, Svendsgaard DJ.  Lead and child development . Nature . 1987;;329:297-300.
3 +
Mushak P, Davis JM, Crochetti AF, Grant LD.  Prenatal and postnatal effects of low level lead exposure: integrated summary of a report to the US Congress on childhood lead poisoning . Environ Res. 1989;;50:11-36.
4 +
Truk DS, Schonfeld DJ, Cullen M, Rainey P.  Sensitivity of erythrocyte protoporphyrin as a screening test for lead poisoning . N Engl J Med . 1992;;326:137-138.
5 +
Mahaffey KR, Annest JL.  Association of erythrocyte protoporphyrin with blood lead level and iron status: National Health and Nutrition Examination Survey, 1976-1980 . Environ Res. 1986;;41:327-338.

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