Children and lead poisoning
Chapter 1 of the book 'Silent Scourge: Children, pollution and why scientists
disagree' covers children's lead poisoning
Excerpt from the chapter on Lead, Copyright Oxford University Press, all
rights reserved:
"The Social Injustice of Lead Exposure in Children
The latest national survey of blood lead shows dramatic
income and racial/ethnic differences. Figure 1.3 shows the percentages of
African American, white, and Mexican American children with different income
levels who have blood lead exceeding 10 mg/dl (the current cutoff for “undue
lead exposure”). These racial, ethnic, and income differences were also true
in an earlier national survey in 1976. This is shocking and a shame to America.
The graph shows that children living in poverty have much higher lead exposure
than those who are more well-to-do, and that the most likely recipients of
high lead exposure are poor African American children (Brody et al., 1994).
I want to be perfectly clear that excessive lead exposure does occur in white
children from well-to-do families, but it is less likely. And, of course,
excessive lead exposure does not occur universally among African American
children living on incomes below the poverty level, but it is almost 7 times
more likely than for well-to-do white children.
What are the sources of the racial/ethnic and income disparities
in lead exposure? Remember that the Rochester researchers (Lanphear &
Roghmann, 1997) found that African Americans in their sample were more likely
to have lower incomes and be living in rental housing with lead paint than
non-blacks in their sample. Renters with low income have little control over
the condition of the paint in their homes. And I will pose another question:
Is there still housing discrimination in parts of America such that African
Americans do not have as much choice in housing as people from a European
heritage? Two other influential factors are poor nutrition and health care.
<2>Lead Paint Abatement Controversy
Research shows that strict enforcement of regulations
for lead paint in housing protects residents from lead exposure. Researchers
at the Massachusetts Department of Public Health and Harvard University studied
two adjoining states where the enforcement policies differed. In the area
with strict enforcement, when a child was lead poisoned, the authorities
automatically did three things: a) notified the state lead poisoning prevention
program, b) notified the property owner that there were unsafe levels of
lead in the building, that abatement was required or that penalties would
be imposed, and c) notified all tenants in the building that a child had
been lead poisoned, and informed them of the process for obtaining a lead
inspection of their own units. In the area with limited enforcement, the
only inspection was of the particular living unit in which the poisoned child
lived, no penalties were assessed against property owners, and other tenants
were not notified of the presence of lead hazards.
Over a 5-year period, the researchers studied the lead
exposure of children 6 years or younger who were living in the same addresses
in which a child had previously been identified as lead poisoned (blood lead
greater than 25 mg/dL). The results showed that in the limited enforcement
state, addresses with a previously lead poisoned child were 4.6 times more
likely to house a child with high lead exposure (> 10 mg/dL) and 6.6 times
more likely to have a child with blood lead 25 mg/dL or greater compared
to the strict enforcement state (Brown et al., 2001).
The authors concluded that, “Public policy is the result
of a complex interplay of laws, regulations, and custom. Although policies
are implemented across communities, they are designed to influence the lives
of individuals. Thus residents are ‘exposed’ to the public policies in force
in their communities. For lead poisoning, these policies include abatement
of lead ..."
(to read more, including reviews of the book, go to my web page on Children
and Pollution)
The book "Silent Scourge: Children, pollution, and why scientists disagree"
covers the behavioral and psychological effects of pollutants that we commonly
encounter in the environment. The book is written by Colleen Moore (Professor
of Psychology, University of Wisconsin-Madison, and covers these topics.
Chapter 1 covers lead
Chapter 2 covers mercury.
Chapter 3 covers PCBs
Chapter 4 covers certain pesticides
Chapter 5 covers the effects of noise on children's development
Chapter 6 covers community pollution disasters including Chernobyl, Three
Mile Island, Love Canal
Chapter 7 The Precautionary Principle
click here
to be redirected to my web page on children and pollution