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Your Child Is Poisoned: Reflections on the New Lead Guidelines-Reply

John F. Rosen, MD
Arch Pediatr Adolesc Med. 1994;148(1):109. doi:10.1001/archpedi.1994.02170010109029.
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The letter by Gellerstedt, while focusing on childhood lead poisoning, is relevant to a pediatrician's role in communicating with and educating parents about any disease in a current text of pediatrics. The need for sensitivity and compassion in translating important medical information to parents is not unique to childhood lead poisoning. Appropriate context, perspectives, and future implications of all pediatric disorders should be handled with care in terms of words, thoughts, deeds, and indication of necessary initiatives to parents. Such information concerning lead poisoning is delineated in chapter 7 of the Centers for Disease Control statement.1 The tone and sensitivity of each pediatrician will likely vary.

The tone of this letter, however, is to deemphasize the importance of an elevated blood lead value, ie, childhood lead poisoning. The recent publication by Bellinger et al2 does not permit such a conclusion. In the affluent Boston, Mass, cohort,


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