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Childhood Lead Poisoning in 1994

Robert D. Cunningham Jr, MD
JAMA. 1995;273(6):458. doi:10.1001/jama.1995.03520300028023.
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To the Editor.  —According to Drs Goldman and Carra,1 "The US strategy [to prevent childhood lead poisoning] must begin to focus more than ever on poor, nonwhite, and inner-city children." Perhaps, instead of universal screening, "recent data... indicate the need for a more targeted approach."But, compelled by the Centers for Disease Control and Prevention (CDC) 1991 recommendation for universal blood screening of all young children for lead poisoning, one state after another has passed laws requiring universal childhood blood lead testing. Delaware is the most recent state to pass such a law, requiring all children to have blood lead screening performed at least once, preferably around the age of 1 year. Without lead screening, the child would not be admitted to day care; or if the child has reached 5 years of age without having a blood lead level checked, he or she would not be admitted to


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