PEDIATRICS Vol. 94 No. 3 September 1994, pp. 408
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Lead Questionnaire Not Always Efficient

Louis A. Kazal Jr MD1 and Patricia W. Bullock BSN, RN1

1 Sage Memorial Hospital, Ganado, AZ 86505

Tejeda et al found the lead risk assessment questionnaire to be an effective screening method for identifying increased lead levels in their population.1 However, as Drs Gellert and Wagner pointed out in the same issue of Pediatrics,2 depending on the prevalence of elevated lead levels, screening may not even be necessary. Therefore, using this questionnaire may be inappropriate in certain populations.

In Arizona, Medicaid requires that physicians screen with these questions at 6, 9 to 12, 15 to 18, 24 to 36, and 48 to 60 months of age.