Schirmer J, Anderson H, Peterson D E
Section of Environmental and Chronic Disease Epidemiology, Wisconsin Division of Health, Madison 53701-0309.
Wis Med J. 1991 Jan;90(1):31, 33-5.
It will take the cooperation of many people to address the issue of lead poisoning. The recent death has dramatized the problem of high dose exposures. But a larger challenge is posed by the fact that most preschool children in Wisconsin are not screened for lead and as a result many asymptomatic children without signs of pica behavior will experience subtle neurological damage as a result of low to moderate elevations of lead in blood. Because many of these cases occur in children without recognized pica behavior, doctors need to expand screening, especially during well child visits, to identify children with elevated blood lead levels. Additionally, the public health community and property owners need to evaluate and control sources of lead. Major efforts are needed to address the lead hazards which now impair hundreds of Wisconsin children each year.
解决铅中毒问题需要许多人的合作。最近的死亡事件使高剂量接触铅的问题变得更加引人注目。但更大的挑战在于，威斯康星州的大多数学龄前儿童没有接受铅筛查，因此，许多没有异食癖行为迹象的无症状儿童，会因血液中铅含量低至中度升高而遭受轻微的神经损伤。由于许多此类病例发生在没有公认异食癖行为的儿童身上，医生需要扩大筛查范围，尤其是在儿童健康检查期间，以识别血铅水平升高的儿童。此外，公共卫生界和业主需要评估并控制铅源。需要做出重大努力来解决目前每年危害数百名威斯康星州儿童的铅危害问题。
