Ethical issues in using children's blood lead levels as a remedial action objective.

Abstract:

:The Environmental Protection Agency measures the success or failure of Superfund site remediation efforts against remedial action objectives (RAOs). RAOs are frequently based on environmental contaminant concentrations, but with lead exposure, blood lead levels from the population at risk are often used. Although childhood lead screening is an important public health tool, an RAO based on child blood lead levels raises ethical concerns: public health efforts that are more reactive than preventive, a blood lead standard (10 μg/dL) that may not be fully protective, the use of a measure whose validity and reliability may be easily compromised, and exacerbation of environmental injustice and systematic disadvantages. The example of Bunker Hill mine, Kellogg, Idaho, allowed an examination of these ethical concerns.

journal_name

Am J Public Health

authors

Moodie SM,Evans EL

doi

10.2105/AJPH.2011.300226

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

S156-60

eissn

0090-0036

issn

1541-0048

pii

AJPH.2011.300226

journal_volume

101 Suppl 1

pub_type

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