High-Intensity Targeted Screening for Elevated Blood Lead Levels Among Children in 2 Inner-City Chicago Communities
High-Intensity Targeted Screening for Elevated Blood Lead Levels Among Children in 2 Inner-City Chicago Communities
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Date
2004
Authors
Dignam, Timothy A
Evens, Anne
Eduardo, Eduard
Ramirez, Shokufeh M
Caldwell, Kathleen L
Kilpatrick, Nikki
Noonan, Gary P
Flanders, Dana
Meyer, Pamela A
McGeehin, Michael A
Advisor
Citation
Dignam, Timothy A and Evens, Anne and Eduardo, Eduard and Ramirez, Shokufeh M and Caldwell, Kathleen L and Kilpatrick, Nikki and Noonan, Gary P and Flanders, Dana and Meyer, Pamela A and McGeehin, Michael A (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). pp. 1945-1951.
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Abstract
Objectives. We assessed the prevalence of elevated blood lead levels (>/= 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% had elevated blood lead levels, and 61% had never been tested previously. Elevated blood lead levels were associated with chipped exterior house paint. Conclusions. Most 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.