1. Biological Factors That Impact Variability of Lead Absorption and Blood Lead Level Estimation in Children: Implications for Child Blood Lead Level Testing Practices
- Author
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Del Rio, Michelle, Sobin, Christina, and Hettiarachchi, Ganga
- Subjects
Lead poisoning -- Demographic aspects -- Analysis ,Lead in the body -- Analysis ,Blood -- Analysis and chemistry ,Children -- Health aspects ,Environmental issues ,Health - Abstract
Childhood lead poisoning in the U.S. continues to be a major unresolved child public health issue. One barrier to solving the problem of lead poisoning concerns current child blood lead level (BLL) monitoring practices. In most states, one or two BLL tests administered in early childhood are used to rule out lead exposure. Current knowledge, however, regarding the multiple, complex biological mechanisms that underlie lead absorption and distribution during development suggests that child BLLs should be assumed to be an informative but necessarily fluctuating metric of current child lead exposure. We review some key mechanisms and pathways that influence lead absorption, lead distribution, and the stability of lead in red blood cells. We also consider how each of these factors and their development are likely to drive fluctuations in child BLLs over time. The goal of this special report is to provide a starting point for change in current child BLL testing practices. Solving the problem of child lead exposure will require new approaches to child BLL testing that take into account likely fluctuations in child BLLs., Introduction Lead poisoning in U.S. children continues at staggering rates in selected sectors, particularly among those living in under-resourced communities where older unrenovated housing and lead paint are still major [...]
- Published
- 2022