{"id":10860,"date":"2022-03-16T11:12:36","date_gmt":"2022-03-16T16:12:36","guid":{"rendered":"http:\/\/blogs.edf.org\/health\/?p=10860"},"modified":"2022-03-16T11:12:52","modified_gmt":"2022-03-16T16:12:52","slug":"good-news-blood-lead-levels-in-children-resume-their-downward-trend","status":"publish","type":"post","link":"https:\/\/blogs.edf.org\/health\/2022\/03\/16\/good-news-blood-lead-levels-in-children-resume-their-downward-trend\/","title":{"rendered":"Good news: Blood lead levels in children resume their downward trend"},"content":{"rendered":"<p><a href=\"https:\/\/www.edf.org\/people\/tom-neltner\"><em>Tom Neltner<\/em><\/a><em>, Senior Director, Safer Chemicals<\/em><\/p>\n<p>It is always worth keeping an eye on the latest U.S. data on blood lead levels in children. While no amount of lead is safe, it is nice to see lower levels reported in findings released by the Centers for Disease Control and Prevention (CDC) late last year.<\/p>\n<p>In case you missed it, blood lead levels decreased among the children most exposed to the heavy metal during the most recent two-year cycle, according to a <a href=\"https:\/\/www.cdc.gov\/exposurereport\/pdf\/FourthReport_UpdatedTables_Volume1_Jan2019-508.pdf\">biomonitoring data report<\/a> released by CDC.<\/p>\n<p>The 2017-18 data comes from the CDC\u2019s National Health and Nutrition Evaluation System (NHANES), and it is a key measure of overall progress towards reducing children\u2019s exposure to lead from all sources.<\/p>\n<p>In April 2019, we <a href=\"https:\/\/blogs.edf.org\/health\/2019\/04\/15\/recent-data-concerning-lead-exposure-lessons\/#_ftn1\">reported<\/a> disturbing news that after six years of sustained and significant progress, the NHANES 2015-16 cycle showed blood lead levels (BLLs) of the most exposed children 1 to 5 years of age increased compared to the previous two years. We saw a similar trend for children 6 to 11 years of age in the 2015-16 data. At the time, we cautioned that the increase was not statistically significant because of the relatively small sample sizes \u2013 between 600 and 800 children in each age range \u2013 but was still worth watching.<!--more--><\/p>\n<p><a href=\"https:\/\/blogs.edf.org\/health\/wp-content\/blogs.dir\/11\/files\/2022\/03\/NHANES-BLL-12-2021.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-10863 aligncenter\" src=\"https:\/\/blogs.edf.org\/health\/wp-content\/blogs.dir\/11\/files\/2022\/03\/NHANES-BLL-12-2021-300x189.png\" alt=\"\" width=\"549\" height=\"346\" srcset=\"https:\/\/blogs.edf.org\/health\/wp-content\/blogs.dir\/11\/files\/2022\/03\/NHANES-BLL-12-2021-300x189.png 300w, https:\/\/blogs.edf.org\/health\/wp-content\/blogs.dir\/11\/files\/2022\/03\/NHANES-BLL-12-2021-1024x645.png 1024w, https:\/\/blogs.edf.org\/health\/wp-content\/blogs.dir\/11\/files\/2022\/03\/NHANES-BLL-12-2021-768x484.png 768w, https:\/\/blogs.edf.org\/health\/wp-content\/blogs.dir\/11\/files\/2022\/03\/NHANES-BLL-12-2021-1536x968.png 1536w, https:\/\/blogs.edf.org\/health\/wp-content\/blogs.dir\/11\/files\/2022\/03\/NHANES-BLL-12-2021-2048x1291.png 2048w\" sizes=\"auto, (max-width: 549px) 100vw, 549px\" \/><\/a><\/p>\n<p>As the figure above shows, the 20% and greater BLL reductions we saw for the most exposed young children in the two-year cycles from 2007-08 to 2013-14 resumed in 2017-18, the latest two-year period for which there is data. The reductions were 27% for children in the 95<sup>th<\/sup> percentile, 20% for the 90<sup>th<\/sup>, 11% for the 75<sup>th<\/sup>, and 10% for the 50<sup>th<\/sup>.<\/p>\n<p>The progress is only statistically significant when looking across many cycles, but any improvement like this is a promising reminder that our collective investments in reducing children\u2019s lead exposure from all sources \u2013 whether from paint, pipes, food, soil, or air \u2013 make a positive difference.\u00a0 However, as long as lead is in our environment, our water, and our homes, it remains a significant health risk in communities across the country.<\/p>\n<p>It is clear we must strengthen our investments \u2013 we recently saw a good step in that direction with the $15 billion for lead pipe replacement in the <a href=\"https:\/\/www.whitehouse.gov\/briefing-room\/statements-releases\/2021\/12\/16\/fact-sheet-the-biden-harris-lead-pipe-and-paint-action-plan\/\">Biden Administration\u2019s<\/a> successful infrastructure law. We also must strengthen our standards, including addressing the\u00a0<a href=\"https:\/\/nam11.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.edf.org%2Fmedia%2Ffinal-lead-drinking-water-rule-will-worsen-disparities-lead-exposure&amp;data=04%7C01%7Cbschneider%40edf.org%7C753fcda6a86548aecac308d9c0e026e9%7Cfe4574edbcfd4bf0bde843713c3f434f%7C0%7C0%7C637752891214394392%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&amp;sdata=TD8Tmiu6UiGqCQtc3CV6HJhoGUDdw7aSr1QawyIKtHc%3D&amp;reserved=0\">shortcomings<\/a>\u00a0of the <a href=\"https:\/\/blogs.edf.org\/health\/tag\/final-lcr\/\">Lead and Copper Rule<\/a> and <a href=\"https:\/\/blogs.edf.org\/health\/2019\/06\/24\/lead-based-paint-hazard-standard-epa-takes-step-forward-then-fumbles\/\">hazard standards<\/a> for lead in paint, dust, and soil, and ensure compliance with these requirements as well as the Lead-Based Paint Renovation, Repair, and Painting Rule to avoid backsliding of the kind we saw in the 2015-16 cycle.<\/p>\n<p><strong>Why is the NHANES data important?<\/strong><\/p>\n<p><a href=\"https:\/\/www.cdc.gov\/nchs\/nhanes\/index.htm\">NHANES<\/a> is an ongoing survey assessing the health and nutritional status of a nationally representative sample of about 8,000 children and adults in the United States. The survey includes a <a href=\"https:\/\/www.cdc.gov\/biomonitoring\/about.html\">biomonitoring study<\/a> of blood and urine samples to provide national estimates of the population\u2019s exposure to more than 300 chemicals that may result from environmental exposures.<\/p>\n<p>CDC uses the blood lead levels from about 1,000 one-to-five year old children tested every two years to <a href=\"https:\/\/health.gov\/healthypeople\/objectives-and-data\/browse-objectives\/environmental-health\/reduce-exposure-lead-eh-08\">track progress<\/a> in reducing blood lead levels. The agency\u2019s childhood lead poisoning prevention program (<a href=\"https:\/\/www.cdc.gov\/nceh\/lead\/about\/program.htm\">CLPPP<\/a>) uses the data to adjust federal priorities and identify potential problems. The data also serves as a benchmark that CDC and other federal agencies use to measure progress toward their shared goal of eliminating elevated blood lead levels in children.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tom Neltner, Senior Director, Safer Chemicals It is always worth keeping an eye on the latest U.S. data on blood lead levels in children. While no amount of lead is safe, it is nice to see lower levels reported in findings released by the Centers for Disease Control and Prevention (CDC) late last year. In &#8230;<\/p>\n","protected":false},"author":69548,"featured_media":10867,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[114106,39263],"tags":[107221,91644],"coauthors":[],"class_list":["post-10860","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lead","category-public-health","tag-childrens-lead-exposure","tag-lead-exposure"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/posts\/10860","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/users\/69548"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/comments?post=10860"}],"version-history":[{"count":1,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/posts\/10860\/revisions"}],"predecessor-version":[{"id":12983,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/posts\/10860\/revisions\/12983"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/media\/10867"}],"wp:attachment":[{"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/media?parent=10860"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/categories?post=10860"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/tags?post=10860"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/blogs.edf.org\/health\/wp-json\/wp\/v2\/coauthors?post=10860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}