Managing Elevated Blood Lead Levels Among Young Children : Recommendations from the Advisory Committee on Childhood Lead Poisoning Prevention

By Harvey, Birt, M. D.

Book Id: WPLBN0000114251
Format Type: PDF eBook:
File Size: 0.2 MB
Reproduction Date: 2005

Title:	Managing Elevated Blood Lead Levels Among Young Children : Recommendations from the Advisory Committee on Childhood Lead Poisoning Prevention
Author:	Harvey, Birt, M. D.
Volume:
Language:	English
Subject:	Health., Medical research, Medical reports
Collections:	Medical Library Collection
Historic Publication Date:
Publisher:	Centers for Disease Control and Prevention


Citation APA MLA Chicago Harvey, M. D, B. B. (n.d.). Managing Elevated Blood Lead Levels Among Young Children : Recommendations from the Advisory Committee on Childhood Lead Poisoning Prevention. Retrieved from http://gutenberg.cc/

Excerpt
Foreword: The overall reduction in childhood lead levels over the last three decades has been one of the great environmental health success stories in this country. However, our goal has not yet been reached. There are still far too many lower-income children living in older housing who are being hurt by elevated blood lead levels. The public health, housing, and environmental communities must continue to work together to eliminate the threat of lead poisoning for our future...

Table of Contents
Table of Contents List of Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii List of Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Members of the Advisory Committee on Childhood Lead Poisoning Prevention . . . . . . . . . . . xi Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xix Chapter 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Development of the Case Management Recommendations . . . . . . . . . . . . . . . . . . . . . . . 3 Overview of Comprehensive Case Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 General Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Chapter 2. Assessment and Remediation of Residential Lead Exposure . . . . . . . . . . . . . . . . . . 13 Summary of Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Sources and pathways of residential lead exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Effectiveness and Safety of Lead Hazard Control Measures . . . . . . . . . . . . . . . . . . . . . 19 Recommendations for Assessment and Remediation . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Enforcement of Laws and Regulations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Financial Resources for Lead Hazard Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Recommendations for Future Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Chapter 3. Medical Assessment and Interventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Summary of Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 General Principles of Medical Case Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Medical History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Physical Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Laboratory and Imaging Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Chelation Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49