High-intensity targeted screening for elevated blood lead levels among children in 2 inner-city Chicago communities
Dignam, T. A., Evens, A., Eduardo, E., Ramirez, S. M., Caldwell, K. L., Kilpatrick, N., ... McGeehin, M. (2004). High-intensity targeted screening for elevated blood lead levels among children in 2 inner-city Chicago communities. American Journal of Public Health, 94(11), 1945-1951.
OBJECTIVES: We assessed the prevalence of elevated blood lead levels (+AD4- or +AD0- 10 micrograms of lead per deciliter of blood), risk factors, and previous blood lead testing among children in 2 high-risk Chicago, Ill, communities. METHODS: Through high-intensity targeted screening, blood lead levels were tested and risks were assessed among a representative sample of children aged 1 to 5 years who were at risk for lead exposure. RESULTS: Of the 539 children who were tested, 27+ACU- had elevated blood lead levels, and 61+ACU- had never been tested previously. Elevated blood lead levels were associated with chipped exterior house paint. CONCLUSIONS: Most of the children who lived in these communities--where the prevalence for elevated blood lead levels among children was 12 times higher than the national prevalence--were not tested for lead poisoning. Our findings highlight the need for targeted community outreach that includes testing blood lead levels in accordance with the American Academy of Pediatrics' recommendations