A comparison of costs of universal versus targeted lead screening for young children.

Abstract:

:The purposes of this study were to compare universal blood lead screening for young children versus targeting by a risk assessment questionnaire and to examine the cost implications of each approach. Costs reflect the total number of blood tests required and cost of specimen collection, handling, and testing per elevated case. The setting included the metropolitan areas of Minneapolis and St. Paul, Minnesota. Children (N=9603) from 17 community organizations had blood tests. In addition, each child's parent or guardian completed a questionnaire assessing potential risk for lead poisoning. Four different screening approaches are presented. Each screening approach is presented with associated costs of overall screening and cost per child identified at blood levels of >/=10 microg/dl (N=1140) and >/=15 microg/dl (N=317). Based on the screening strategy selected and an estimate of $17 per blood test, total screening costs ranged from $91,596 to $165,945. The cost per child identified with elevated lead levels ranged from $361 to $523 at >/=15 and $105 to $146 at >/=10. Nine to 13% of children would not have been detected by policies other than universal screening. A geographically based approach was able to detect 90% of children with elevated blood levels at two-thirds the cost of universal screening. Blood tests would be taken for all children living within city limits. Those residing elsewhere would be tested only if answers to questionnaire items pertaining to age of housing, prior history of lead poisoning, or eating paint chips indicated risk. The new CDC guidelines suggest that screening be based on an assessment of housing, population demographics, and community risk and resources. This paper presents such an assessment.

journal_name

Environ Res

journal_title

Environmental research

authors

Rolnick SJ,Nordin J,Cherney LM

doi

10.1006/enrs.1998.3879

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

84-91

issue

1

eissn

0013-9351

issn

1096-0953

pii

S0013-9351(98)93879-8

journal_volume

80

pub_type

杂志文章,多中心研究
  • Air pollution exposures from multiple point sources and risk of incident chronic obstructive pulmonary disease (COPD) and asthma.

    abstract:BACKGROUND:Exposure to environmental air pollutants exacerbates respiratory illness, but prospective studies of disease incidence are uncommon. Further, attempts to estimate effects from multiple point sources have rarely been undertaken. The current study examined risk of incident chronic obstructive pulmonary disease...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2019.108783

    authors: Hendryx M,Luo J,Chojenta C,Byles JE

    更新日期:2019-12-01 00:00:00

  • Polycyclic aromatic hydrocarbon (PAH) contamination in San Francisco Bay: a 10-year retrospective of monitoring in an urbanized estuary.

    abstract::Polycyclic aromatic hydrocarbons (PAH) are widespread contaminants in the San Francisco Bay. Several exceedances of water quality criteria raise the possibility that PAH may be impacting aquatic biota. The Regional Monitoring Program for Water Quality in the San Francisco Estuary (RMP) has collected annual monitoring ...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2006.10.007

    authors: Oros DR,Ross JR,Spies RB,Mumley T

    更新日期:2007-09-01 00:00:00

  • Occurrence of Listeria spp. in mattress dust of farm children in Bavaria.

    abstract::Several epidemiological studies have shown that the farm environment impacts allergy protection mechanisms in children. These associations are not well understood, but it is thought that contact to microorganisms may mediate this effect. For example, heat-inactivated Listeria (L.) monocytogenes have been successfully ...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2008.02.007

    authors: Korthals M,Ege M,Lick S,von Mutius E,Bauer J

    更新日期:2008-07-01 00:00:00

  • Association between the exposure to phthalates and adiposity: A meta-analysis in children and adults.

    abstract:BACKGROUND:Exposure to environmental chemicals has become one of the major concerns in the past decades. Phthalates are a family of synthetic organic chemicals used in the manufacture of plastics, solvents, and personal care products. These compounds are considered as endocrine-disrupting compounds (EDCs) since they ma...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2019.108780

    authors: Ribeiro C,Mendes V,Peleteiro B,Delgado I,Araújo J,Aggerbeck M,Annesi-Maesano I,Sarigiannis D,Ramos E

    更新日期:2019-12-01 00:00:00

  • Changes in airway permeability and responsiveness after exposure to ozone.

    abstract::The purpose of this investigation was to examine the relationship between airway responsiveness and the permeability of histamine through the airways in conscious sheep after exposure to ozone (O3). Airway responsiveness was assessed by measuring the change from baseline in mean pulmonary flow resistance following a c...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/0013-9351(84)90080-x

    authors: Abraham WM,Delehunt JC,Yerger L,Marchette B,Oliver W Jr

    更新日期:1984-06-01 00:00:00

  • Diversity of bacteria and archaea in the groundwater contaminated by chlorinated solvents undergoing natural attenuation.

    abstract::Chlorinated solvents (CS)-contaminated groundwater poses serious risks to the environment and public health. Microorganisms play a vital role in efficient remediation of CS. In this study, the microbial community (bacterial and archaeal) composition of three CS-contaminated groundwater wells located at an abandoned ch...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2020.109457

    authors: Jin D,Zhang F,Shi Y,Kong X,Xie Y,Du X,Li Y,Zhang R

    更新日期:2020-06-01 00:00:00

  • Phytobeds with Fimbristylis dichotoma and Ammannia baccifera for treatment of real textile effluent: An in situ treatment, anatomical studies and toxicity evaluation.

    abstract::Fimbristylis dichotoma, Ammannia baccifera and their co-plantation consortium FA independently degraded Methyl Orange, simulated dye mixture and real textile effluent. Wild plants of F. dichotoma and A. baccifera with equal biomass showed 91% and 89% decolorization of Methyl Orange within 60h at a concentration of 50p...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2017.09.009

    authors: Kadam SK,Chandanshive VV,Rane NR,Patil SM,Gholave AR,Khandare RV,Bhosale AR,Jeon BH,Govindwar SP

    更新日期:2018-01-01 00:00:00

  • Pulmonary tissue and cigarette smoke. 2. Parenchymal response.

    abstract::Cigarette smoke and hydrocortisone acetate (HCA) induce marked abnormalities in lungs of C57BL/6J male mice. In many pulmonary regions of smoke-exposed, HCA-treated animals, alveoli were highly congested with surfactant and flocculent material. In addition, prominent alveolar collapse and septal hypertrophy were commo...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/0013-9351(83)90074-9

    authors: Matulionis DH

    更新日期:1983-06-01 00:00:00

  • Radiofrequency exposure in the Neonatal Medium Care Unit.

    abstract::The aims of this study were to characterize electromagnetic fields of radiofrequency (RF-EMF) levels generated in a Neonatal Medium Care Unit and to analyze RF-EMF levels inside unit's incubators. Spot and long-term measurements were made with a dosimeter. The spot measurement mean was 1.51±0.48V/m. Higher values were...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2016.09.019

    authors: Calvente I,Vázquez-Pérez A,Fernández MF,Núñez MI,Múñoz-Hoyos A

    更新日期:2017-01-01 00:00:00

  • Vasospastic tendency and Raynaud's phenomenon in smelter workers exposed to arsenic.

    abstract::The long-term drinking of water with a high content of inorganic arsenic can lead to Raynaud's phenomenon, acrocyanosis, and gangrene of the lower legs ("black foot disease"). We have measured the systolic blood pressure in the finger after local cooling in 47 workers from a copper smelter who were habitually exposed ...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/s0013-9351(86)80070-6

    authors: Lagerkvist B,Linderholm H,Nordberg GF

    更新日期:1986-04-01 00:00:00

  • A systematic literature review and critical appraisal of epidemiological studies on outdoor air pollution and tuberculosis outcomes.

    abstract::Ambient air pollution is the leading environmental risk factor for disease globally. Air pollutants can increase the risk of some respiratory infections, but their effects on tuberculosis (TB) are unclear. In this systematic literature review, we aimed to assess epidemiological studies on the association between outdo...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2018.12.011

    authors: Popovic I,Soares Magalhaes RJ,Ge E,Marks GB,Dong GH,Wei X,Knibbs LD

    更新日期:2019-03-01 00:00:00

  • The association of PM(2.5) with full term low birth weight at different spatial scales.

    abstract::There is interest in determining the relationship between fine particulate matter air pollution and various health outcomes, including birth outcomes such as term low birth weight. Previous studies have come to different conclusions. In this study we consider whether the effect may vary by location and gestational per...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2014.05.034

    authors: Harris G,Thompson WD,Fitzgerald E,Wartenberg D

    更新日期:2014-10-01 00:00:00

  • Spatiotemporal or temporal index to assess the association between temperature variability and mortality in China?

    abstract::Epidemiological studies increasingly provide evidence about the adverse health effects of temperature variability (TV), which reflects short-term intra- and inter-day temperature change. However, calculation of TV only considers the temporal variability and lacks spatial variability. This study intends to investigate ...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2018.12.037

    authors: Hu K,Li S,Zhong J,Yang X,Fei F,Chen F,Zhao Q,Zhang Y,Chen G,Chen Q,Ye T,Guo Y,Qi J

    更新日期:2019-03-01 00:00:00

  • Study on landscape ecological risk assessment of Hooded Crane breeding and overwintering habitat.

    abstract::Xinqing Wetland and Shengjin Lake Wetland are the main habitats of Hooded Crane in China. However, in recent years, the irrational land use situation of occupied wetlands has occurred frequently, resulting in the destruction of the breeding of the Hooded Crane population and the destruction of the wintering habitat. T...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2020.109649

    authors: Chen J,Dong B,Li H,Zhang S,Peng L,Fang L,Zhang C,Li S

    更新日期:2020-08-01 00:00:00

  • Percutaneous absorption, disposition, and excretion of 4,4'-methylenebis(2-chloroaniline) in dogs.

    abstract::Percutaneous (pc) absorption, disposition, and excretion of 14C-MBOCA (4,4'-methylenebis(2-chloroaniline) ) were investigated in male beagle-type dogs by HPLC and compared to intravenously (iv) administered controls. Following application of 115 muCi MBOCA to a 25 cm2 area of the skin, no measurable radioactivity was ...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/0013-9351(84)90020-3

    authors: Manis MO,Williams DE,McCormack KM,Schock RJ,Lepper LF,Ng YC,Braselton WE

    更新日期:1984-02-01 00:00:00

  • Intake of acrylamide at the dietary relevant concentration causes splenic toxicity in adult zebrafish.

    abstract::Acrylamide (AA) has recently been recognized as an immediate hazardous chemical compound owing to its various toxicities and unavoidable contamination of certain daily foods prepared at a high temperature. AA in foods is thus a worldwide concern; however, its toxicity at the dietary relevant concentration has yet to b...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2020.109977

    authors: Komoike Y,Nomura-Komoike K,Matsuoka M

    更新日期:2020-10-01 00:00:00

  • Prenatal exposure to polycyclic aromatic hydrocarbons/aromatics, BDNF and child development.

    abstract:OBJECTIVES:Within a New York City (NYC) birth cohort, we assessed the associations between polycyclic aromatic hydrocarbon (PAH) and other aromatic DNA adducts and brain derived neurotrophic factor (BDNF) concentrations in umbilical cord blood, and neurodevelopment at age 2 years and whether BDNF is a mediator of the a...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2015.08.011

    authors: Perera F,Phillips DH,Wang Y,Roen E,Herbstman J,Rauh V,Wang S,Tang D

    更新日期:2015-10-01 00:00:00

  • Local determinants of road traffic noise levels versus determinants of air pollution levels in a Mediterranean city.

    abstract:BACKGROUND:Both traffic-related noise and air pollution have been associated with cardiovascular disease (CVD). Spatial correlations between these environmental stressors may entail mutual confounding in epidemiological studies investigating their long-term effects. Few studies have investigated their correlation - non...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2010.10.013

    authors: Foraster M,Deltell A,Basagaña X,Medina-Ramón M,Aguilera I,Bouso L,Grau M,Phuleria HC,Rivera M,Slama R,Sunyer J,Targa J,Künzli N

    更新日期:2011-01-01 00:00:00

  • The influence of extreme river discharge conditions on the quality of suspended particulate matter in Rivers Meuse and Rhine (The Netherlands).

    abstract::As a consequence of climate change, increased precipitation in winter and longer periods of decreased precipitation in summer are expected to cause more frequent episodes of very high or very low river discharge in the Netherlands. To study the impact of such extreme river discharge conditions on water quality, toxici...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2015.10.019

    authors: Hamers T,Kamstra JH,van Gils J,Kotte MC,van Hattum AG

    更新日期:2015-11-01 00:00:00

  • The effects of environmental conditions on the enrichment of antibiotics on microplastics in simulated natural water column.

    abstract::Concerns regarding the release of microplastics (MPs) into the environment led us to explore the relationship between the different environmental factors and physicochemical properties of MPs, as well as the change of interaction between MPs and organic pollutants. In this study, the effects of environmental factors (...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2018.06.034

    authors: Shen XC,Li DC,Sima XF,Cheng HY,Jiang H

    更新日期:2018-10-01 00:00:00

  • Temperature, nitrogen dioxide, circulating respiratory viruses and acute upper respiratory infections among children in Taipei, Taiwan: a population-based study.

    abstract:OBJECTIVE:This study investigated whether outpatient visits of acute upper respiratory infections for children aged less than 15 years are associated with temperature, air pollutants and circulating respiratory viruses in Taipei, Taiwan, from 2003 to 2007. METHODS:Outpatient records for acute upper respiratory infecti...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2012.09.002

    authors: Lin YK,Chang CK,Chang SC,Chen PS,Lin C,Wang YC

    更新日期:2013-01-01 00:00:00

  • Polychlorinated biphenyl exposure delays metamorphosis and alters thyroid hormone system gene expression in developing Xenopus laevis.

    abstract::Polychlorinated biphenyls (PCBs) are ubiquitous environmental contaminants that disrupt thyroid hormone (TH) system function in numerous species. Previous studies have shown delayed metamorphosis in developing Xenopus laevis frogs exposed to PCBs, but the underlying molecular mechanisms have not been thoroughly invest...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2006.04.001

    authors: Lehigh Shirey EA,Jelaso Langerveld A,Mihalko D,Ide CF

    更新日期:2006-10-01 00:00:00

  • Incidence of non-lung solid cancers in Czech uranium miners: a case-cohort study.

    abstract:OBJECTIVES:Uranium miners are chronically exposed to radon and its progeny, which are known to cause lung cancer and may be associated with leukemia. This study was undertaken to evaluate risk of non-lung solid cancers among uranium miners in Příbram region, Czech Republic. METHODS:A retrospective stratified case-coho...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2011.01.008

    authors: Kulich M,Reřicha V,Reřicha R,Shore DL,Sandler DP

    更新日期:2011-04-01 00:00:00

  • Scalp hair as a biomarker in environmental and occupational mercury exposed populations: suitable or not?

    abstract::Hair is a well-established and widely used matrix for measuring mercury exposure of an individual. Although a variety of washing procedures to remove external mercury contamination have been proposed, no standardized procedures are available yet. In this study, different washing reagents like l-cysteine (Cys), 2-merca...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2007.07.003

    authors: Li YF,Chen C,Li B,Wang J,Gao Y,Zhao Y,Chai Z

    更新日期:2008-05-01 00:00:00

  • Environmental toxins and risk of narcolepsy among people with HLA DQB1*0602.

    abstract::One etiologic model for narcolepsy suggests that some environmental toxin selectively and irreversibly destroys hypocretin-producing cells in individuals with human leukocyte antigen (HLA) DQB1(*)0602. Between 2001 and 2005, the authors conducted a population-based case-control study in King County, Washington to exam...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2010.05.002

    authors: Ton TG,Longstreth WT Jr,Koepsell TD

    更新日期:2010-08-01 00:00:00

  • Numerical study of hydrodynamic characteristics in a moving bed biofilm reactor.

    abstract::The moving bed biofilm reactor (MBBR) has certain advantages, such as high wastewater treatment efficiency, low maintenance and operating costs, and simple operation. It has emerged as a valuable option for small decentralized facilities. The filling ratio, aeration mode and aeration intensity are the main factors tha...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2020.110614

    authors: Wang J,Ying X,Huang Y,Chen Y,Shen D,Zhang X,Feng HJ

    更新日期:2020-12-17 00:00:00

  • Clearance of refractory ceramic fibers (RCF) from the rat lung: development of a model.

    abstract::Chronic exposure and postexposure experiments have been recently performed in rats to evaluate the biological responses of inhaled refractory ceramic fibers (RCF) at different concentration levels. The lung burden data in the accessory lobe of the rat lung were collected during and after different exposure and postexp...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1006/enrs.1994.1035

    authors: Yu CP,Zhang L,Oberdörster G,Mast RW,Glass LR,Utell MJ

    更新日期:1994-05-01 00:00:00

  • A geographic information assessment of birth weight and crop production patterns around mother's residence.

    abstract::A landscape approach using remote sensing (RS) and geographic information system (GIS) technologies was developed to identify the proximity of maternal residence to agricultural areas, and the association between crop production patterns around mothers residences and low birth weight was evaluated. Satellite data obta...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1006/enrs.1999.4009

    authors: Xiang H,Nuckols JR,Stallones L

    更新日期:2000-02-01 00:00:00

  • Low-level exposure to ambient particulate matter is associated with systemic inflammation in ischemic heart disease patients.

    abstract::Short-term exposure to ambient air pollution is associated with increased cardiovascular mortality and morbidity. This adverse health effect is suggested to be mediated by inflammatory processes. The purpose of this study was to determine if low levels of particulate matter, typical for smaller cities, are associated ...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2012.04.004

    authors: Huttunen K,Siponen T,Salonen I,Yli-Tuomi T,Aurela M,Dufva H,Hillamo R,Linkola E,Pekkanen J,Pennanen A,Peters A,Salonen RO,Schneider A,Tiittanen P,Hirvonen MR,Lanki T

    更新日期:2012-07-01 00:00:00

  • Prenatal exposure to organophosphorus pesticides and childhood neurodevelopmental phenotypes.

    abstract::Prenatal exposure to organophosphorus pesticides (OPs) has been associated with different neurodevelopmental outcomes across different cohorts. A phenotypic approach may address some of these differences by incorporating information across scales and accounting for the complex correlational structure of neurodevelopme...

    journal_title:Environmental research

    pub_type: 杂志文章

    doi:10.1016/j.envres.2017.07.023

    authors: Furlong MA,Herring A,Buckley JP,Goldman BD,Daniels JL,Engel LS,Wolff MS,Chen J,Wetmur J,Barr DB,Engel SM

    更新日期:2017-10-01 00:00:00