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PEDIATRICS Vol. 101 No. 6 June 1998, pp. 1072-1078
Although recent data continue to demonstrate a
decline in the prevalence of elevated blood lead levels (BLLs) in
children, lead remains a common, preventable, environmental health
threat. Because recent epidemiologic data have shown that lead exposure is still common in certain communities in the United States, the Centers for Disease Control and Prevention recently issued new guidelines endorsing universal screening in areas with 
27% of housing built before 1950 and in populations in which the percentage of
1- and 2-year-olds with elevated BLLs is 12%. For children living in
other areas, the Centers for Disease Control and Prevention recommends
targeted screening based on risk-assessment during specified pediatric
visits. In this statement, The American Academy of Pediatrics supports
these new guidelines and provides an update on screening for elevated
BLLs. The American Academy of Pediatrics recommends that pediatricians
continue to provide anticipatory guidance to parents in an effort to
prevent lead exposure (primary prevention). Additionally, pediatricians
should increase their efforts to screen children at risk for lead
exposure to find those with elevated BLLs (secondary prevention).
The following policy statement is a revision:
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