Should the Centers for Disease Control and Prevention's Childhood Lead Poisoning Intervention Level Be Lowered?

American Journal of Public Health

Volumn 93, Issue 8, 2003, Pages 1253-1260

  Bernard, Susan M ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

LEAD; GASOLINE; PAINT;

DATA ANALYSIS; DISEASE CONTROL; EDUCATION; ENVIRONMENTAL EXPOSURE; FOLLOW UP; HEALTH CENTER; HUMAN; LEAD BLOOD LEVEL; LEAD POISONING; OUTCOMES RESEARCH; PATIENT COMPLIANCE; PROPHYLAXIS; QUESTIONNAIRE; REVIEW; RISK ASSESSMENT; VALIDATION PROCESS; ARTICLE; BLOOD; CHILD; DEMOGRAPHY; GOVERNMENT; GOVERNMENT REGULATION; HOUSING; INFANT; LEGAL ASPECT; MASS SCREENING; MAXIMUM ALLOWABLE CONCENTRATION; MEDICAID; NEWBORN; PRACTICE GUIDELINE; PRESCHOOL CHILD; PUBLIC HEALTH SERVICE; RISK FACTOR; STANDARD; UNITED STATES;

CENTERS FOR DISEASE CONTROL AND PREVENTION (U.S.); CHILD; CHILD, PRESCHOOL; ENVIRONMENTAL EXPOSURE; GASOLINE; GOVERNMENT REGULATION; GUIDELINES; HOUSING; HUMANS; INFANT; INFANT, NEWBORN; LEAD; LEAD POISONING; MASS SCREENING; MAXIMUM ALLOWABLE CONCENTRATION; MEDICAID; PAINT; QUESTIONNAIRES; RESIDENCE CHARACTERISTICS; RISK FACTORS; UNITED STATES; UNITED STATES GOVERNMENT AGENCIES;

EID: 0042885834     PISSN: 00900036     EISSN: None     Source Type: Journal    
DOI: 10.2105/AJPH.93.8.1253     Document Type: Review

References (105)

1. US Centers for Disease Control and Prevention. Preventing Lead Poisoning in Young Children. Atlanta, Ga: US Dept of Health and Human Services; 1991.
2. Landrigan PJ. Pediatric lead poisoning: is there a threshold? Public Health Rep. 2000;115:530-531.
3. Lanphear BP, Dietrich K, Auinger P, Cox C. Cognitive deficits associated with blood lead concentrations <10 microg/dL in US children and adolescents. Public Health Rep. 2000;115:521-529.
4. Bernard SM, McGeehin MA. Prevalence of blood lead levels ≥ 5 μg/dL among US children 1-5 years of age, Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994. Pediatrics. In press 2003.
5. National Research Council. Measuring Lead Exposure in Infants, Children, and Other Sensitive Populations. Washington, DC: National Academy Press; 1993.
6. Analytic and Reporting Guidelines: The Third National Health and Nutrition Examination Survey, NHANES III (1988-94). Hyattsville, Md: National Center for Health Statistics; 1996.
7. US Agency for Toxic Substances and Disease Registry. Toxicological Profile for Lead (Update). Atlanta, Ga: US Dept of Health and Human Services; 1999.
8. US Environmental Protection Agency. Prohibition on Gasoline Containing Lead or Lead Additives for Highway Use. Final rule. 61 Federal Register 3832-38 (1996) (codified at 40 CFR §80).
9. Lead-Based Paint Poisoning Prevention Act of 1971, as amended by the National Consumer Information and Health Promotion Act of 1976. 42 USCA §4821 et seq.
10. Residential Lead-Based Paint Hazard Reduction Act, 42 USCA chap 63A (1992).
11. Children with elevated blood lead levels attributed to home renovation and remodeling activities - New York, 1993-1994. MMWR Morb Mortal Wkly Rep. 1997;45:1120-1123.
12. Lanphear BP, Matte TD, Rogers J, et al. The contribution of lead-contaminated house dust and residential soil to children's blood lead levels: a pooled analysis of 12 epidemiologic studies. Environ Res. 1998;79: 51-68.
13. Manton WI, Angle CR, Stanek KL, Reese YR, Kuehnemann TJ. Acquisition and retention of lead by young children. Environ Res. 2000;82:60-80.
14. Eliminating Childhood Lead Poisoning: A Federal Strategy Targeting Lead Paint Hazards. Washington, DC: President's Task Force on Environmental Health Risks and Safety Risks to Children; 2000.
15. Lin-Fu JS. Modern history of lead poisoning: a century of discovery and rediscovery. In: Needleman H, ed. Human Lead Exposure. Boca Raton, Fla: CRC Press; 1991:23-43.
16. Pirkle JL, Brody DJ, Gunter EW, et al. The decline in blood lead levels in the United States: The National Health and Nutrition Examination Surveys (NHANES) [see comments]. JAMA. 1994;272: 284-291.
17. Brody DJ, Pirkle JL, Kramer RA, et al. Blood lead levels in the US population: Phase 1 of the Third National Health and Nutrition Examination Survey (NHANES III, 1988 to 1991) [see comments] [published erratum appears in JAMA. 1995;274:130]. JAMA. 1994;272:277-283.
18. Brody DJ, Pirkle JL, Kramer RA, et al. Blood lead levels in the US population: Phase 1 of the Third National Health and Nutrition Examination Survey (NHANES III, 1988 to 1991) [see comments] [published erratum appears in JAMA. 1995;274:130]. JAMA. 1994;272:277-283.
19. Update: blood lead levels - United States, 1991-1994 [published erratum appears in MMWR Morb Mortal Wkly Rep. 1997;46:607]. MMWR Morb Mortal Wkly Rep. 1997;46:141-146.
20. Update: blood lead levels - United States, 1991-1994 [published erratum appears in MMWR Morb Mortal Wkly Rep. 1997;46:607]. MMWR Morb Mortal Wkly Rep. 1997;46:141-146.
21. Blood lead levels in young children - United States and selected states, 1996-1999. MMWR Morb Mortal Wkly Rep. 2000;49:1133-1137.
22. Centers for Disease Control and Prevention. Elevated blood lead levels among internationally adopted children - United States, 1998. JAMA. 2000;283: 1416-1418.
23. Centers for Disease Control and Prevention. Update: blood leads levels - United States, 1991-1994. JAMA. 1997;277:1031-1032.
24. Medicaid: Elevated Blood Lead Levels in Children. Washington, DC: US General Accounting Office; 1998. Publication GAO-HEHS-98-78.
25. Lead Poisoning: Federal Health Care Programs Are Not Effectively Reaching At-Risk Children. Washington, DC: US General Accounting Office; 1999. Publication GAO-HEHS-99-18.
26. Brown MJ, Shenassa E, Matte TD, Catlin SN. Children in Illinois with elevated blood lead levels, 1993-1998, and lead-related pediatric hospital admissions in Illinois, 1993-1997. Public Health Rep. 2000; 115:532-536.
27. Screening Young Children for Lead Poisoning: Guidance for State and Local Public Health Officials. Atlanta, Ga: Centers for Disease Control and Prevention; 1997.
28. Strategic Plan for the Elimination of Childhood Lead Poisoning. Atlanta, Ga: Centers for Disease Control and Prevention; 1991.
29. Briss PA, Matte TD, Schwartz J, Rosenblum LS, Binder S. Costs and benefits of a universal screening program for elevated blood lead levels in 1-year-old children. In: Screening Young Children for Lead Poisoning: Guidance for State and Local Public Health Officials. Atlanta, Ga: Centers for Disease Control and Prevention; 1997:appendix B.4.
30. Recommendations for blood lead screening of young children enrolled in Medicaid: targeting a group at high risk. MMWR Morb Mortal Wkly Rep. 2000; 49(RR-14):1-13.
31. Peraza MA, Ayala-Fierro F, Barber DA, Casarez E, Hatlelid K. Effects of micronutrients on metal toxicity. Environ Health Perspect 1998;106(suppl 1):203-216.
32. Lynch RA, Boatright T, Moss SK. Lead-contaminated imported tamarind candy and children's blood lead levels. Public Health Rep. 2000; 115:537-543.
33. Lagerkvist BJ, Ekesrydh S, Englyst V, Nordberg GF, Soderberg HA, Kildund DE. Increased blood lead and decreased calcium levels during pregnancy: a prospective study of Swedish women living near a smelter. Am J Public Health. 1996;86:1247-1252.
34. Gulson BL, Mahaffey KR, Jameson CW, et al. Impact of diet on lead in blood and urine in female adults and relevance to mobilization of lead from bone stores. Environ Health Perspect. 1999;107:257-263.
35. Markowitz ME, Shen XM. Assessment of bone lead during pregnancy: a pilot study. Environ Res. 2001;85:83-89.
36. Tong S, Baghurst PA, McMichael A, Sawyer M, Mudge J. Lifetime exposure to environmental lead and children's intelligence at 11-13 years: the Port Pirie Cohort Study [see comments] [published erratum appears in BMJ. 1996;313:198]. BMJ. 1996;312: 1569-1575.
37. Tong S, Baghurst PA, McMichael A, Sawyer M, Mudge J. Lifetime exposure to environmental lead and children's intelligence at 11-13 years: the Port Pirie Cohort Study [see comments] [published erratum appears in BMJ. 1996;313:198]. BMJ. 1996;312: 1569-1575.
38. Tong S, Baghurst PA, Sawyer MG, Burns J, McMichael AJ. Declining blood lead levels and changes in cognitive function during childhood: the Port Pirie Cohort Study. JAMA. 1998;280:1915-1919.
39. Wasserman GA, Staghezza-Jaramillo B, Shrout P, Popovac D, Graziano J. The effect of lead exposure on behavior problems in preschool children. Am J Public Health. 1998;88:481-486.
40. Schnaas L, Rothenberg SJ, Perroni E, Martinez S, Hernandez C, Hernandez R. Temporal pattern in the effect of postnatal blood lead level on intellectual development of young children. Neurotoxicol Teratol. 2000;22:805-810.
41. Wolf AW, Jimenez E, Lozoff B. No evidence of developmental ill effects of low-level lead exposure in a developing country. J Dev Behav Pediatr. 1994;15: 224-231.
42. Ballew C, Khan LK, Kaufmann R, Mokdad A, Miller DT, Gunter EW. Blood lead concentration and children's anthropometric dimensions in the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994. J Pediatr. 1999;134: 623-630.
43. Azcona-Cruz MI, Rothenberg SJ, Schnaas L, Zamora-Munoz JS, Romero-Placeres M. Lead-glazed ceramic ware and blood lead levels of children in the city of Oaxaca, Mexico. Arch Environ Health. 2000;55: 217-222.
44. Rothenberg SJ, Schnaas L, Perroni E, Hernandez RM, Ortega JF. Blood lead secular trend in a cohort of children in Mexico City, II: 1990-1995. Arch Environ Health. 2000;55:245-249.
45. Jacob B, Ritz B, Heinrick J, Hoelscher B, Wichmann H-E. The effect of low-level blood lead on hematologic parameters in children. Environ Res. 2000;82: 150-159.
46. Kafourou A, Touloumi G, Makropoulos V, Loutradi A, Panagiotou A, Hatzakis A. Effects of lead on the somatic growth of children. Arch Environ Health. 1997;52:377-383.
47. International Programme on Chemical Safety. Environmental Health Criteria 165: Inorganic Lead. Geneva, Switzerland: World Health Organization; 1995.
48. Needleman HL, Gatsonis CA. Low-level lead exposure and the IQ of children: a meta-analysis of modern studies. JAMA. 1990;263:673-678.
49. Pocock S, Smith M, Baghurst P. Environmental lead and children's intelligence: a systematic review of the epidemiological evidence. BMJ. 1994;309: 1189-1197.
50. Schwartz J. Low-level lead exposure and children's IQ: a meta-analysis and search for a threshold. Environ Res. 1994;65:42-55.
51. Bellinger D. Response to commentaries. Neurotoxicol Teratol. 1995;17:249-251.
52. Tong S, Lu Y. Identification of confounders in the assessment of the relationship between lead exposure and child development. Ann Epidemiol. 2001;11: 38-45.
53. Bellinger DC, Stiles KM, Needleman HL. Low-level lead exposure, intelligence and academic achievement: a long-term follow-up study [see comments]. Pediatrics. 1992;90:855-861.
54. Baghurst PA, McMichael AJ, Tong S, Wigg NR, Vimpani GV, Robertson EF. Exposure to environmental lead and visual-motor integration at age 7 years: the Port Pirie Cohort Study [see comments]. Epidemiology. 1995;6:104-109.
55. Bellinger DC, Matthews JA. Social and economic dimensions of environmental policy: lead poisoning as a case study. Perspect Biol Med. 1998;41:307-326.
56. Last JM. A Dictionary of Epidemiology. 3rd ed. New York, NY: Oxford University Press; 1995.
57. Campbell C, Osterhoudt KC. Prevention of childhood lead poisoning. Curr Opin Pediatr. 2000;12: 428-437.
58. Sargent JD, Dalton M, Klein RZ. Diagnostic testing unwarranted for children with blood lead 10 to 14 microg/dL. Pediatrics. 1999;103:e51.
59. American Academy of Pediatrics Committee on Environmental Health. Screening for elevated blood lead levels. Pediatrics. 1998;101:1072-1078.
60. Haynes E, Lanphear BP, Tohn E, Farr N, Rhoads GG. The effect of interior lead hazard controls on children's blood lead concentrations: a systematic evaluation. Environ Health Perspect. 2002;110:103-107.
61. Harvey B. Should blood lead screening recommendations be revised? Pediatrics. 1994;93:201-204.
62. Lanphear BP. The paradox of lead poisoning prevention [published erratum appears in Science. 1998; 282:51] [see comments]. Science. 1998;281: 1617-1618.
63. Lanphear BP. The paradox of lead poisoning prevention [published erratum appears in Science. 1998; 282:51] [see comments]. Science. 1998;281: 1617-1618.
64. France EK, Gitterman BA, Melinkovich P, Wright RA. The accuracy of a lead questionnaire in predicting elevated pediatric blood lead levels. Arch Pediatr Adolesc Med. 1996;150:958-963.
65. Gellert GA, Wagner GA, Maxwell RM, Moore D, Foster L. Lead poisoning among low-income children in Orange County, California: a need for regionally differentiated policy. JAMA. 1993;270:69-71.
66. Ferguson SC, Lieu TA. Blood lead testing by pediatricians: practice, attitudes, and demographics. Am J Public Health. 1997;87:1349-1351.
67. Campbell JR, Schaffer SJ, Szilagyi PG, O'Connor KG, Briss P, Weitzman M. Blood lead screening practices among US pediatricians. Pediatrics. 1996; 98(3 Pt 1):372-377.
68. Binder S, Matte TD, Kresnow M, Houston B, Sacks JJ. Lead testing of children and homes: results of a national telephone survey. Public Health Rep. 1996; 111:342-346.
69. Benjamin JT, Platt C. Is universal screening for lead in children indicated? An analysis of lead results in Augusta, Georgia in 1997. J Med Assoc Ga. 1999; 88:24-26.
70. Clinton W. Executive Order 12898: Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations. 59 Federal Register 7629, February 16, 1994 (amended by: Executive Order 12948, 60 Federal Register 6381, February 1, 1995).
71. Clinton W. Executive Order 12898: Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations. 59 Federal Register 7629, February 16, 1994 (amended by: Executive Order 12948, 60 Federal Register 6381, February 1, 1995).
72. Clinton W. Executive Order 13045: Protection of Children From Environmental Health Risks and Safety Risks. 62 Federal Register 19885, April 23, 1997 (amended by: Executive Order 13229, 66 Federal Register 52013, October 11, 2001; Executive Order 13296, 68 Federal Register 19931, April 23, 2003).
73. Clinton W. Executive Order 13045: Protection of Children From Environmental Health Risks and Safety Risks. 62 Federal Register 19885, April 23, 1997 (amended by: Executive Order 13229, 66 Federal Register 52013, October 11, 2001; Executive Order 13296, 68 Federal Register 19931, April 23, 2003).
74. Clinton W. Executive Order 13045: Protection of Children From Environmental Health Risks and Safety Risks. 62 Federal Register 19885, April 23, 1997 (amended by: Executive Order 13229, 66 Federal Register 52013, October 11, 2001; Executive Order 13296, 68 Federal Register 19931, April 23, 2003).
75. Healthy People 2010: Understanding and Improving Health. Washington, DC: US Dept of Health and Human Services; 2000.
76. Brown MJ, Gardner J, Sargent JD, Swartz K, Hu H, Timperi R. The effectiveness of housing policies in reducing children's lead exposure. Am J Public Health. 2001;91:621-624.
77. Dietrich KN, Berger OG, Succop PA, Hammond PB, Bornshein RL. The developmental consequences of low to moderate prenatal and postnatal lead exposure: intellectual attainment in the Cincinnati Lead Study Cohort following school entry. Neurotoxicol Teratol. 1993;15:37-44.
78. Bellinger D, Dietrich KN. Low-level lead exposure and cognitive function in children. Pediatr Ann. 1994; 23:600-605.
79. Manheimer EW, Silbergeld EK. Critique of CDC's retreat from recommending universal lead screening for children [see comments]. Public Health Rep. 1998; 113:38-46.
80. Roberts JR, Reigart JR, Ebeling M, Hulsey TC. Time required for blood lead levels to decline in nonchelated children. J Toxicol Clin Toxicol. 2001;39: 153-160.
81. Casey R, Wiley C, Rutstein R, Pinto-Martin J. Prevalence of lead poisoning in an urban cohort of infants with high socioeconomic status. Clin Pediatr (Phila). 1994;33:480-484.
82. Blood lead levels among children in a managed-care organization - California, October 1992-March 1993. MMWR Morb Mortal Wkly Rep. 1995;44: 627-629, 635.
83. Kazal LA Jr. The failure of CDC screening questionnaire to efficiently detect elevated lead levels in a rural population of children. J Fam Pract. 1997;45: 515-518.
84. Fatal pediatric lead poisoning - New Hampshire, 2000. MMWR Morb Mortal Wkly Rep. 2001;50: 457-459.
85. Elevated blood lead levels among internationally adopted children - United States, 1998. MMWR Morb Mortal Wkly Rep. 2000;49:97-100.
86. Binns HJ, Kim D, Campbell C. Targeted screening for elevated blood lead levels: populations at high risk. Pediatrics. 2001;108:1364-1366.
87. Rolnick SJ, Nordin JJ, Cherney LM. A comparison of costs of universal versus targeted lead screening for young children. Environ Res. 1999;80:84-91.
88. Duclos C, Johnson T, Thompson T. Development of childhood blood lead screening guidelines, Duval County, Florida, 1998. J Public Health Manag Pract. 1999;5:9-10.
89. Reissman DB, Staley F, Curtis GB, Kaufmann RB. Use of geographic information system technology to aid Health Department decision making about childhood lead poisoning prevention activities. Environ Health Perspect. 2001;109:89-94.
90. Vine MF, Degnan D, Hanchette C. Geographic information systems: their use in environmental epidemiologic research. Environ Health Perspect. 1997;105: 598-605.
91. Gonzalez EJ, Pham PG, Ericson JE, Baker DB. Tijuana childhood lead risk assessment revisited: validating a GIS model with environmental data. Environ Manage. 2002;29:559-565.
92. Lambrecht B. US weighs lowering acceptable lead level in children. St. Louis Post-Dispatch. July 8, 2002:A1.
93. Air Quality Criteria for Lead. Research Triangle Park, NC: US Environmental Protection Agency, Office of Health and Environmental Assessment; 1986. Publication EPA/600/8-83/028F.
94. Air Quality Criteria for Lead: Supplement to the 1986 Addendum. Research Triangle Park, NC: US Environmental Protection Agency, Office of Research and Development; 1990. Publication EPA/600/8-89/ 049F.
95. Requirements for Notification, Evaluation, and Reduction of Lead-Based Paint Hazards in Federally Owned Residential Property and Housing Receiving Federal Assistance. Final rule. 64 Federal Register 50139-50231 (1999).
96. Air Pollution Prevention and Control Act. 42 USCA §7401 et seq. (1970).
97. US Environmental Protection Agency. Integrated Risk Information System (IRIS). Last updated February 1, 1997. Available at: http://www.epa.gov/iris. Accessed February 18, 2002.
98. Crump K, Allen B, Faustman E. The Use of the Benchmark Dose Approach in Health Risk Assessment. Washington, DC: US Environmental Protection Agency; February 1995. Publication EPA/630/R-94/007.
99. Toxicological Effects of Methylmercury. Washington, DC: National Academy of Sciences; 2001.
100. Schwartz J, Angle C, Pitcher H. Relationship between childhood blood lead levels and stature. Pediatrics. 1986;77:281-288.
101. Schwartz J, Otto D. Blood lead, hearing thresholds, and neurobehavioral development in children and youth. Arch Environ Health. 1987;42:153-160.
102. Schwartz J, Otto D. Lead and minor hearing impairment. Arch Environ Health. 1991;46:300-305.
103. Needleman HL, Riess JA, Tobin MJ, Biesecker GE, Greenhouse JB. Bone lead levels and delinquent behavior [see comments]. JAMA. 1996;275:363-369.
104. Schwartz BS, Stewart WF, Simon PD, et al. Past adult lead exposure is associated with longitudinal decline in cognitive function. Neurology. 2000;55: 1144-1150.
105. Perera FP, Illman SM, Kinney PL, et al. The challenge of preventing environmentally related disease in young children: community-based research in New York City. Environ Health Perspect. 2002;110:197-204.