Childhood lead poisoning: the torturous path from science to policy
Open Access
- 23 March 2006
- journal article
- review article
- Published by American Society for Clinical Investigation in JCI Insight
- Vol. 116 (4), 853-857
- https://doi.org/10.1172/JCI28232
Abstract
The long history of lead poisoning provides many lessons about the process by which scientific knowledge is translated into public health policy. In the United States, lead was added to paint and to gasoline in enormous quantities long after medical evidence clearly showed that excessive lead exposure caused considerable morbidity in the population. This article discusses some of the factors that contributed to the slow pace of efforts to address this problem, including the ubiquity and magnitude of lead exposure during much of the twentieth century, which produced a distorted notion about the blood lead level that can be considered "normal"; the prevailing model of disease during this period, notably the novelty of the concept of subclinical disease; the fact that childhood lead poisoning affected mostly families that were politically and economically disenfranchised, fostering a "blame the victim" attitude; and that controlling lead exposure would have impeded efforts to achieve other desirable goals, illustrating the role that value trade-offs often play in policy decisions.Keywords
This publication has 26 references indexed in Scilit:
- Low-Level Environmental Lead Exposure and Children’s Intellectual Function: An International Pooled AnalysisEnvironmental Health Perspectives, 2005
- Lead PoisoningAnnual Review of Medicine, 2004
- What is an adverse effect? A possible resolution of clinical and epidemiological perspectives on neurobehavioral toxicityEnvironmental Research, 2003
- The Effect of Chelation Therapy with Succimer on Neuropsychological Development in Children Exposed to LeadNew England Journal of Medicine, 2001
- Chronological Trend in Blood Lead Levels between 1976 and 1980New England Journal of Medicine, 1983
- National Estimates of Blood Lead Levels: United States, 1976–1980New England Journal of Medicine, 1982
- The Relationship between Blood Lead Concentrations, Intelligence and Attainment in a School Population: a Pilot StudyDevelopmental Medicine and Child Neurology, 1981
- Deficits in Psychologic and Classroom Performance of Children with Elevated Dentine Lead LevelsNew England Journal of Medicine, 1979
- Development of children with elevated blood lead levels: A controlled studyThe Journal of Pediatrics, 1972
- Lead Poisoning: A Preventable Childhood Disease of the SlumsScience, 1969