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

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  • Moodie, S.M.
  • Evans, E.L.

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, butwith 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 lg/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.

Suggested Citation

  • Moodie, S.M. & Evans, E.L., 2011. "Ethical issues in using children's blood lead levels as a remedial action objective," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 156-160.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300226_7
    DOI: 10.2105/AJPH.2011.300226
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    Cited by:

    1. Ekaterine Ruadze & Giovanni S. Leonardi & Ayoub Saei & Irma Khonelidze & Lela Sturua & Vladimer Getia & Helen Crabbe & Tim Marczylo & Paolo Lauriola & Amiran Gamkrelidze, 2021. "Reduction in Blood Lead Concentration in Children across the Republic of Georgia following Interventions to Address Widespread Exceedance of Reference Value in 2019," IJERPH, MDPI, vol. 18(22), pages 1-11, November.

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