. 2011 Dec;101(Suppl 1):S176–S187. doi: 10.2105/AJPH.2011.300185

TABLE 2.

Recommendations From Various Canadian Authorities for the Remediation of Childhood Lead Poisoning in Canada

Recommendation	Outcome and Whether Decision Was Implemented
National blood lead surveillance^{25,58,76,110–113}	Canada's 2nd national blood lead survey, 2007-2010, for ages 6–79 y (excluded children < 6 y).
Targeted blood lead screening of high risk groups^{16,58,76,91,111,113–116}	Targeted blood lead screening only available in 2 smelter communities in Canada: Trail, BC and Rouyn, QC.
Investigate the extent of lead poisoning associated with residential sources^25,76,58	Canadian House Dust Survey initiated in 2007; preliminary results for 3 cities presented as conference proceedings.¹³
Case finding^{16,58,112,117}	Recent case reports: 9 children from Quebec, exposure source khôl¹²²; 1 child from Quebec, exposure source not identified¹²³; 1 child from Montreal, exposure source “lead-free” paint.¹²⁴
Further research into sources of lead^58,112	Health Canada periodically conducts market surveys of lead in jewelry/consumer products and food.
Proficiency testing for laboratories analyzing blood lead¹¹⁵	Proficiency testing is not mandatory in Canada although some laboratories subscribe voluntarily to quality assurance programs.
Awareness training for physicians and other health care providers⁵⁸	None to date.
Public education^{34,112,114,118}	Pamphlets^54,125; booklets²¹; animated film¹²⁶; Internet pages^127,128
Training of contractors, tradespersons, home renovators⁴⁹	None to date.
Mandatory reporting of blood lead levels^{16,58,119,120}	Quebec only province in Canada with mandatory reporting of elevated blood lead levels; 42 cases ages 0-4 y reported between 2006 and 2009 (BPb ≥ 10 μg/dL).
Federal funding to assist/establish remediation programs (C. Balram and S. C. Giffin, unpublished data, 1993)	Canadian Mortgage and Housing Corp Homeowner Residential Rehabilitation Assistance Program — Homeowner.