Lead is a ubiquitous toxic agent that is especially damaging to the young child and the developing fetus. Unlike many environmental health risks, the risks associated with lead are no longer theoretical but have been observed for many years. Indeed, the first regulation of lead in paint was enacted in the 1920s. Currently, because of growing evidence of lead toxicity at lower concentrations, the U.S. Centers for Disease Control and Prevention recently lowered its lead-exposure guideline to 10 ug/dl lead in blood from 25 ug/dl. Measuring Lead Exposure in Infants, Children, and Other Sensitive Populations addresses the public health concern about the logistics and feasibility of lead screening in infants and children at such low concentrations. This book will serve as the basis for all U.S. Public Health Service activities and for all state and local programs in monitoring lead.

Winner of the Arthur Viseltear Award for Outstanding Book in the History of Public Health from the American Public Health AssociationSelected by Choice Magazine as an Outstanding Academic Title During the twentieth century, lead poisoning killed thousands of workers and children in the United States. Thousands who survived lead poisoning were left physically crippled or were robbed of mental faculties and years of life. In Brush with Death, social historian Christian Warren offers the first comprehensive history of lead poisoning in the United States. Focusing on lead paint and leaded gasoline, Warren distinguishes three primary modes of exposure—occupational, pediatric, and environmental. This threefold perspective permits a nuanced exploration of the regulatory mechanisms, medical technologies, and epidemiological tools that arose in response to lead poisoning. Today, many children undergo aggressive "deleading" treatments when their blood-lead levels are well below the average blood-lead levels found in urban children in the 1950s. Warren links the repeated redefinition of lead poisoning to changing attitudes toward health, safety, and risk. The same changes that transformed the social construction of lead poisoning also transformed medicine and health care, giving rise to modern environmentalism and fundamentally altered jurisprudence.

This resource examines the causes and consequences of childhood lead poisoning, offers cost-effective prevention strategies, and explores crucial legislation that can and should protect children at risk. Information on screening tests, nutrition, treatment guidelines, and safe environmental abatement techniques will help pediatricians, physicians, social workers, and nurses understand, treat, and eliminate lead poisoning in children.

Every child should have a lead-safe home. That's why HUD is working to create lead-safe affordable housing through outreach and public education, a lead hazard control grant program, worker training, and the enforcement of regulations. This guide is one part of HUD's comprehensive approach to lead safety in the home. If you perform routine maintenance on homes or apartments built before 1978, this guide will help you plan and carry out your work safely. Step-by-step instructions and illustrations explain and show what you need to do to protect yourself and your clients if you are working in older housing that could contain lead paint. This Field Guide is a valuable tool that thousands of workers and contractors across the country are using as part of a national effort to eliminate childhood lead poisoning.

"America's Children and the Environment (ACE)" is EPA's report presenting data on children's environmental health. ACE brings together information from a variety of sources to provide national indicators in the following areas: Environments and Contaminants, Biomonitoring, and Health. Environments and Contaminants indicators describe conditions in the environment, such as levels of air pollution. Biomonitoring indicators include contaminants measured in the bodies of children and women of child-bearing age, such as children's blood lead levels. Health indicators report the rates at which selected health outcomes occur among U.S. children, such as the annual percentage of children who currently have asthma. Accompanying each indicator is text discussing the relevance of the issue to children's environmental health and describing the data used in preparing the indicator. Wherever possible, the indicators are based on data sources that are updated in a consistent manner, so that indicator values may be compared over time.

In this incisive examination of lead poisoning during the past half century, Gerald Markowitz and David Rosner focus on one of the most contentious and bitter battles in the history of public health. Lead Wars details how the nature of the epidemic has changed and highlights the dilemmas public health agencies face today in terms of prevention strategies and chronic illness linked to low levels of toxic exposure. The authors use the opinion by Maryland’s Court of Appeals—which considered whether researchers at Johns Hopkins University’s prestigious Kennedy Krieger Institute (KKI) engaged in unethical research on 108 African-American children—as a springboard to ask fundamental questions about the practice and future of public health. Lead Wars chronicles the obstacles faced by public health workers in the conservative, pro-business, anti-regulatory climate that took off in the Reagan years and that stymied efforts to eliminate lead from the environments and the bodies of American children.

Lead Poisoning discusses one of the most critical and preventable environmentally induced illnesses. The actual toll lead poisoning takes on society cannot be measured fully due to the "silent" nature of health effects, such as subtle intellectual deficits and neurological damage, caused by chronic low-level exposures. This book covers every major topic on the subject, including lead poisoning in children, sources of contamination, state-of-the-art sampling and analytical measurement methods, the newest studies on low-cost abatement methods, and much more. This reference is the most comprehensive presentation of issues currently available under one cover. The text is divided into three major parts. Part I provides insights from studies assessing lead exposures from paint, dust, soil, and lead battery recycling operations. The second part is a unique collection of strategic federal policy statements from the U.S. EPA, HUD, and HEW-CDC. It details the National Implementation Plan as well as a local government's efforts to provide low-cost effective risk communication and public outreach to the community. The next part offers seven chapters on analytical issues in the measurement of lead in blood, paint, dust, and soils. Part IV, Sampling Methods and Statistical Issues, rounds out the technical portion of the volume. The relationships among lead levels in biological and environmental media are investigated and the interpretive problems discussed. The use of multi-element analysis of environmental samples as an approach to investigate sources is described. The book finishes with its most unique feature-OPPT's Check Our Kids for Lead Program, one organization's effort to empower its employees to make a personal difference in confronting the problem of lead poisoning in children. The Program serves as a model for other government organizations (federal, state, and local), university and community organizations, and corporations to educate them and take personal and corporate responsibility for addressing this important and environmental health problem.