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. 1990 Oct;80(10):1240–1245. doi: 10.2105/ajph.80.10.1240

Health and environmental outcomes of traditional and modified practices for abatement of residential lead-based paint.

M R Farfel 1, J J Chisolm Jr 1
PMCID: PMC1404837  PMID: 2136329

Abstract

We evaluated traditional and modified practices for abating lead-based paint in homes of children with blood-lead concentrations (PbB) greater than 1.4 mumol/L (greater than 29 micrograms/dl). Traditional abatement resulted in acute increases in: 1) lead contaminated house dust (generally 3 to 6-fold over pre-abatement levels, but at abated sites typically 10 to 100-fold); and 2) the PbBs of nearly half of the occupant children. Modified practices represented modest short-term improvement compared to traditional practices but were also inadequate. By six months, it was clear that neither form of abatement resulted in long-term reductions of PbB or house dust lead levels, leaving children at continued risk of excessive exposure to lead and permanent adverse neurobehavioral effects. Windows were found to be high sources of lead contaminated house dust. Recommendations are made for improved abatement practices including more complete abatement of window units and more effective clean-up to remove lead-bearing dust. Thirteen million US children live in lead-painted dwellings. Research is needed to identify abatement strategies that will be practical and well suited to the current understanding of low-level lead toxicity.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Amitai Y., Graef J. W., Brown M. J., Gerstle R. S., Kahn N., Cochrane P. E. Hazards of 'deleading' homes of children with lead poisoning. Am J Dis Child. 1987 Jul;141(7):758–760. doi: 10.1001/archpedi.1987.04460070060024. [DOI] [PubMed] [Google Scholar]
  2. Barltrop D., Meek F. Effect of particle size on lead absorption from the gut. Arch Environ Health. 1979 Jul-Aug;34(4):280–285. doi: 10.1080/00039896.1979.10667414. [DOI] [PubMed] [Google Scholar]
  3. Bellinger D., Leviton A., Waternaux C., Needleman H., Rabinowitz M. Longitudinal analyses of prenatal and postnatal lead exposure and early cognitive development. N Engl J Med. 1987 Apr 23;316(17):1037–1043. doi: 10.1056/NEJM198704233161701. [DOI] [PubMed] [Google Scholar]
  4. Bornschein R. L., Succop P., Dietrich K. N., Clark C. S., Que Hee S., Hammond P. B. The influence of social and environmental factors on dust lead, hand lead, and blood lead levels in young children. Environ Res. 1985 Oct;38(1):108–118. doi: 10.1016/0013-9351(85)90076-3. [DOI] [PubMed] [Google Scholar]
  5. Charney E., Kessler B., Farfel M., Jackson D. Childhood lead poisoning. A controlled trial of the effect of dust-control measures on blood lead levels. N Engl J Med. 1983 Nov 3;309(18):1089–1093. doi: 10.1056/NEJM198311033091804. [DOI] [PubMed] [Google Scholar]
  6. Chisolm J. J., Jr, Mellits E. D., Quaskey S. A. The relationship between the level of lead absorption in children and the age, type, and condition of housing. Environ Res. 1985 Oct;38(1):31–45. doi: 10.1016/0013-9351(85)90070-2. [DOI] [PubMed] [Google Scholar]
  7. Chisolm J. J., Jr Removal of lead paint from old housing: the need for a new approach. Am J Public Health. 1986 Mar;76(3):236–237. doi: 10.2105/ajph.76.3.236. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Clark C. S., Bornschein R. L., Succop P., Que Hee S. S., Hammond P. B., Peace B. Condition and type of housing as an indicator of potential environmental lead exposure and pediatric blood lead levels. Environ Res. 1985 Oct;38(1):46–53. doi: 10.1016/0013-9351(85)90071-4. [DOI] [PubMed] [Google Scholar]
  9. Davis J. M., Svendsgaard D. J. Lead and child development. Nature. 1987 Sep 24;329(6137):297–300. doi: 10.1038/329297a0. [DOI] [PubMed] [Google Scholar]
  10. Dietrich K. N., Krafft K. M., Bornschein R. L., Hammond P. B., Berger O., Succop P. A., Bier M. Low-level fetal lead exposure effect on neurobehavioral development in early infancy. Pediatrics. 1987 Nov;80(5):721–730. [PubMed] [Google Scholar]
  11. Feldman R. G. Urban lead mining: lead intoxication among deleaders. N Engl J Med. 1978 May 18;298(20):1143–1145. doi: 10.1056/NEJM197805182982012. [DOI] [PubMed] [Google Scholar]
  12. McMichael A. J., Baghurst P. A., Wigg N. R., Vimpani G. V., Robertson E. F., Roberts R. J. Port Pirie Cohort Study: environmental exposure to lead and children's abilities at the age of four years. N Engl J Med. 1988 Aug 25;319(8):468–475. doi: 10.1056/NEJM198808253190803. [DOI] [PubMed] [Google Scholar]
  13. Morrell G., Giridhar G. Rapid micromethod for blood lead analysis by anodic stripping voltammetry. Clin Chem. 1976 Feb;22(2):221–223. [PubMed] [Google Scholar]
  14. Needleman H. L., Gunnoe C., Leviton A., Reed R., Peresie H., Maher C., Barrett P. Deficits in psychologic and classroom performance of children with elevated dentine lead levels. N Engl J Med. 1979 Mar 29;300(13):689–695. doi: 10.1056/NEJM197903293001301. [DOI] [PubMed] [Google Scholar]
  15. Needleman H. L., Schell A., Bellinger D., Leviton A., Allred E. N. The long-term effects of exposure to low doses of lead in childhood. An 11-year follow-up report. N Engl J Med. 1990 Jan 11;322(2):83–88. doi: 10.1056/NEJM199001113220203. [DOI] [PubMed] [Google Scholar]
  16. Que Hee S. S., Peace B., Clark C. S., Boyle J. R., Bornschein R. L., Hammond P. B. Evolution of efficient methods to sample lead sources, such as house dust and hand dust, in the homes of children. Environ Res. 1985 Oct;38(1):77–95. doi: 10.1016/0013-9351(85)90074-x. [DOI] [PubMed] [Google Scholar]
  17. Rabinowitz M., Leviton A., Bellinger D. Home refinishing, lead paint, and infant blood lead levels. Am J Public Health. 1985 Apr;75(4):403–404. doi: 10.2105/ajph.75.4.403. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Rabinowitz M., Leviton A., Needleman H., Bellinger D., Waternaux C. Environmental correlates of infant blood lead levels in Boston. Environ Res. 1985 Oct;38(1):96–107. doi: 10.1016/0013-9351(85)90075-1. [DOI] [PubMed] [Google Scholar]
  19. Rey-Alvarez S., Menke-Hargrave T. Deleading dilemma: pitfall in the management of childhood lead poisoning. Pediatrics. 1987 Feb;79(2):214–217. [PubMed] [Google Scholar]
  20. Roels H. A., Buchet J. P., Lauwerys R. R., Bruaux P., Claeys-Thoreau F., Lafontaine A., Verduyn G. Exposure to lead by the oral and the pulmonary routes of children living in the vicinity of a primary lead smelter. Environ Res. 1980 Jun;22(1):81–94. doi: 10.1016/0013-9351(80)90121-8. [DOI] [PubMed] [Google Scholar]
  21. Sayre J. W., Charney E., Vostal J., Pless I. B. House and hand dust as a potential source of childhood lead exposure. Am J Dis Child. 1974 Feb;127(2):167–170. doi: 10.1001/archpedi.1974.02110210017002. [DOI] [PubMed] [Google Scholar]
  22. Sayre J. W., Katzel M. D. Household surface lead dust: its accumulation in vacant homes. Environ Health Perspect. 1979 Apr;29:179–182. doi: 10.1289/ehp.7929179. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Vostal J. J., Taves F., Sayre J. W., Charney E. Lead analysis of house dust: a method for the detection of another source of lead exposure in inner city children. Environ Health Perspect. 1974 May;7:91–97. doi: 10.1289/ehp.74791. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. de la Burdé B., Choate M. L. Early asymptomatic lead exposure and development at school age. J Pediatr. 1975 Oct;87(4):638–642. doi: 10.1016/s0022-3476(75)80845-6. [DOI] [PubMed] [Google Scholar]

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