New studies reveal lead in drinking water is still a problem, and clinicians may want to screen children for lead exposure.
Experts say pediatricians and primary care clinicians should do more to prevent the toxic effects of lead in their young patients following a 2023 outbreak of elevated levels of lead in children associated with consumption of contaminated applesauce.
Many other water systems still contain lead pipes, despite a 1986 ban by the US Environmental Protection Agency on using them for installing or repairing public water systems.to start replacing lead service lines in 2020; however, 400,000 households are still served by these pipes, the most in the nation.Benjamin Huynh, a native of Chicago, was curious about the impact of all those lead service lines.
Meanwhile, a little over one third of Chicago residents reported drinking bottled water as their main source of drinking water.. The US Food and Drug Administration has set a limit for lead in bottled water to five parts per billion. The FDA threshold for taking action in public drinking water systems is 15 parts per billion.
Osterhoudt's message to families who think their child might have been exposed to a contaminated product is to dispose of it as directed Buncher starts with a basic environmental history that covers items like the age, condition, zip code of home, parental occupations, or hobbies that might result in exposing family members to lead, and if another child in the home has a history of elevated BLLs."There's a lot to cover in a routine well child visit," Buncher said. "We have maybe 15-20 minutes to cover a lot.
Buncher also pointed to the patchwork of local and state requirements that can lead to confusion among providers. Massachusetts, where he formerly practiced, has a universal requirement to test all children at ages 1, 2, and 3 years. But in Pennsylvania, screening laws vary from county to county.
SDOH Social Determinants Of Health (SDOH) Children Child Childhood Pediatrics Kids Toxicology Toxicity Poisoning Toxins Environmental Exposure Pollutant Pollution Preventive Screening Screening Childhood Screening Clinical Guidelines Guidelines Pennsylvania Electronic Health Records Electronic Health Record EHR Blood Hospitals Lead Toxicity
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High Lead Exposure in Children from Home Tap WaterNearly 70% of young children are exposed to lead from their home tap water, with higher exposure rates in Black and Hispanic neighborhoods. Lead testing is less likely to be conducted in these areas. The city of Chicago has the highest number of lead service lines in the U.S., contributing to high lead exposure. Despite free lead testing kits being offered, less than 10% of households have tested their water.
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