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Childhood Lead Poisoning in Wisconsin.
WMJ. 2019 Apr; 118(1):16-20.WMJ

Abstract

INTRODUCTION

In 2016, 4,353 Wisconsin children under 6 years of age were identified with elevated blood lead levels (≥ 5 μg/dL). There is no safe level of lead in the human body; extensive research shows that children with blood lead levels < 5 μg/dL may still be at risk for adverse health effects including developmental delays.

DISCUSSION

Physicians should follow current guidelines and consider factors such as the child's age, socioeconomic status, and housing situation when determining need for testing. In addition to Wisconsin's screening recommendations, federal requirements exist for testing Medicaidenrolled children. Under state statute, all blood lead test results and specified demographic information must be reported to the Wisconsin Childhood Lead Poisoning Prevention Program. To eliminate elevated blood lead levels, primary prevention is key. Physicians play an important role by educating parents, prospective parents, and caregivers about lead poisoning risks and prevention measures. Physicians are also vital in secondary prevention-mitigating the adverse effects in children already exposed to lead. Secondary prevention requires first identifying children with elevated blood lead levels through appropriate testing. Use of the Wisconsin Blood Lead Registry can alert providers about children with elevated blood lead levels and reduce duplicate testing. Recent surveillance data show current screening is inadequate; in 2015, only 32% of Medicaid-enrolled children received appropriate testing. Physicians should provide clinical management for children with elevated blood levels and their families.

CONCLUSIONS

Physicians are a vital partner in preventing, identifying, and mitigating the effects of elevated blood lead levels for Wisconsin's children.

Authors+Show Affiliations

Wisconsin Childhood Lead Poisoning Prevention Program, Wisconsin Department of Health Services, Division of Public Health, Bureau of Environmental and Occupational Health, Madison, Wisconsin.Wisconsin Childhood Lead Poisoning Prevention Program, Wisconsin Department of Health Services, Division of Public Health, Bureau of Environmental and Occupational Health, Madison, Wisconsin.Wisconsin Childhood Lead Poisoning Prevention Program, Wisconsin Department of Health Services, Division of Public Health, Bureau of Environmental and Occupational Health, Madison, Wisconsin.Wisconsin Childhood Lead Poisoning Prevention Program, Wisconsin Department of Health Services, Division of Public Health, Bureau of Environmental and Occupational Health, Madison, Wisconsin, jonathan.meiman@dhs.wisconsin.gov.University of Wisconsin Hospital, Madison, Wisconsin.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31083828

Citation

Christensen, Krista, et al. "Childhood Lead Poisoning in Wisconsin." WMJ : Official Publication of the State Medical Society of Wisconsin, vol. 118, no. 1, 2019, pp. 16-20.
Christensen K, Coons MJ, Walsh RO, et al. Childhood Lead Poisoning in Wisconsin. WMJ. 2019;118(1):16-20.
Christensen, K., Coons, M. J., Walsh, R. O., Meiman, J. G., & Neary, E. (2019). Childhood Lead Poisoning in Wisconsin. WMJ : Official Publication of the State Medical Society of Wisconsin, 118(1), 16-20.
Christensen K, et al. Childhood Lead Poisoning in Wisconsin. WMJ. 2019;118(1):16-20. PubMed PMID: 31083828.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Childhood Lead Poisoning in Wisconsin. AU - Christensen,Krista, AU - Coons,Marjorie J, AU - Walsh,Reghan O, AU - Meiman,Jon G, AU - Neary,Elizabeth, PY - 2019/5/15/entrez PY - 2019/5/15/pubmed PY - 2019/12/18/medline SP - 16 EP - 20 JF - WMJ : official publication of the State Medical Society of Wisconsin JO - WMJ VL - 118 IS - 1 N2 - INTRODUCTION: In 2016, 4,353 Wisconsin children under 6 years of age were identified with elevated blood lead levels (≥ 5 μg/dL). There is no safe level of lead in the human body; extensive research shows that children with blood lead levels < 5 μg/dL may still be at risk for adverse health effects including developmental delays. DISCUSSION: Physicians should follow current guidelines and consider factors such as the child's age, socioeconomic status, and housing situation when determining need for testing. In addition to Wisconsin's screening recommendations, federal requirements exist for testing Medicaidenrolled children. Under state statute, all blood lead test results and specified demographic information must be reported to the Wisconsin Childhood Lead Poisoning Prevention Program. To eliminate elevated blood lead levels, primary prevention is key. Physicians play an important role by educating parents, prospective parents, and caregivers about lead poisoning risks and prevention measures. Physicians are also vital in secondary prevention-mitigating the adverse effects in children already exposed to lead. Secondary prevention requires first identifying children with elevated blood lead levels through appropriate testing. Use of the Wisconsin Blood Lead Registry can alert providers about children with elevated blood lead levels and reduce duplicate testing. Recent surveillance data show current screening is inadequate; in 2015, only 32% of Medicaid-enrolled children received appropriate testing. Physicians should provide clinical management for children with elevated blood levels and their families. CONCLUSIONS: Physicians are a vital partner in preventing, identifying, and mitigating the effects of elevated blood lead levels for Wisconsin's children. SN - 2379-3961 UR - https://www.unboundmedicine.com/medline/citation/31083828/Childhood_Lead_Poisoning_in_Wisconsin_ L2 - https://wmjonline.org/wp-content/uploads/2019/118/1/16.pdf DB - PRIME DP - Unbound Medicine ER -