Lead exposure in children: Prevention, detection, and management

Michael W. Shannon, Dana Best, Helen Jane Binns, Janice Joy Kim, Lynnette Joan Mazur, William B. Weil, Christine Leigh Johnson, David W. Reynolds, James R. Roberts, Elizabeth Blackburn, Robert H. Johnson, Martha Linet, Walter J. Rogan, Paul Spire

Research output: Contribution to journalReview article

202 Scopus citations

Abstract

Fatal lead encephalopathy has disappeared and blood lead concentrations have decreased in US children, but approximately 25% still live in housing with deteriorated lead-based paint and are at risk of lead exposure with resulting cognitive impairment and other sequelae. Evidence continues to accrue that commonly encountered blood lead concentrations, even those less than 10 μg/dL, may impair cognition, and there is no threshold yet identified for this effect. Most US children are at sufficient risk that they should have their blood lead concentration measured at least once. There is now evidence-based guidance available for managing children with increased lead exposure. Housing stabilization and repair can interrupt exposure in most cases. The focus in childhood lead-poisoning policy, however, should shift from case identification and management to primary prevention, with a goal of safe housing for all children.

Original languageEnglish (US)
Pages (from-to)1036-1046
Number of pages11
JournalPediatrics
Volume116
Issue number4
DOIs
StatePublished - Dec 2005

Keywords

  • Behavior
  • Chelation therapy
  • Child
  • Clinical trials
  • Cognition
  • Environmental exposure
  • Housing
  • Lead
  • Prevention
  • Succimer

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Shannon, M. W., Best, D., Binns, H. J., Kim, J. J., Mazur, L. J., Weil, W. B., Johnson, C. L., Reynolds, D. W., Roberts, J. R., Blackburn, E., Johnson, R. H., Linet, M., Rogan, W. J., & Spire, P. (2005). Lead exposure in children: Prevention, detection, and management. Pediatrics, 116(4), 1036-1046. https://doi.org/10.1542/peds.2005-1947