PEDIATRICS Vol. 95 No. 1 January 1995, pp. 157-158
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Universal Versus Selective Screening for Lead in Children

David Kawatu MD, MSc1, Howard L. Weinberger MD1, and Steven D. Blatt MD1

1 Department of Pediatrics, SUNY Health Science Center, Syracuse, NY

In his commentary in the February 1994 issue of Pediatrics, Dr Harvey recommends selective screening for lead in children based on the lack of evidence that a blood lead (BPb) level <20 µg/dL leads to important consequences if not remediated and that the prevalence of BPb > 10 µg is too low to justify universal screening.1 We agree that all screening programs should be continually evaluated so that timely refinements can be made. Such evaluations should be based on a fair representation of all available evidence.