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Guidelines

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Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Increased Lead Absorption and Lead Poisoning in Young Children

1975

CDC statement on increased lead absorption in young children, establishing early screening and intervention guidance.

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Increased Lead Absorption and Lead Poisoning in Young Children, 1975

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Childhood Lead Poisoning Prevention Guidelines

1978

CDC guidelines on childhood lead poisoning prevention, updating screening thresholds and intervention recommendations.

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Childhood Lead Poisoning Prevention Guidelines, 1978

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Childhood Lead Poisoning Prevention Guidelines

1985

Revised CDC guidelines for preventing childhood lead poisoning, lowering the blood lead level of concern and broadening screening criteria.

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Childhood Lead Poisoning Prevention Guidelines, 1985

American Academy of Pediatrics

Statement on Childhood Lead Poisoning

1987

American Academy of Pediatrics policy statement on childhood lead poisoning, addressing screening, diagnosis, and treatment recommendations.

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Statement on Childhood Lead Poisoning, 1987

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

The Nature and Extent of Lead Poisoning in Children in the United States: A Report to Congress

1988

ATSDR report to Congress documenting the scope of childhood lead poisoning in the United States and recommending federal action.

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The Nature and Extent of Lead Poisoning in Children, Report to Congress, 1988

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Strategic Plan for the Elimination of Childhood Lead Poisoning

February 1991

The 1991 ACCLPP strategic plan outlining a national framework for eliminating childhood lead poisoning through prevention, screening, and policy.

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Strategic Plan for the Elimination of Childhood Lead Poisoning, February 1991

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Preventing Lead Poisoning in Young Children

October 1991

The October 1991 ACCLPP statement lowering the blood lead level of concern to 10 µg/dL and recommending universal screening for young children.

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Preventing Lead Poisoning in Young Children, October 1991

Illinois Department of Public Health

Guidelines for the Detection and Management of Lead Poisoning for Physicians and Health Care Providers

April 1992

Illinois state guidelines adapting the 1991 federal CDC framework to clinical practice: screening criteria, diagnostic workup, medical management, and community intervention. Produced by the Illinois Childhood Lead Poisoning Prevention Program.

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Illinois Guidelines for the Detection and Management of Lead Poisoning, April 1992

American Academy of Pediatrics

Should Blood Lead Screening Recommendations Be Revised?

1994

AAP committee report evaluating whether universal blood lead screening recommendations should be revised in light of declining prevalence.

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Should Blood Lead Screening Recommendations Be Revised?, 1994

Texas Department of Health

Guidelines for the Detection and Management of Childhood Lead Poisoning for Physicians and Health Care Providers

August 1994

Texas state guidelines for physicians and health care providers on screening, diagnosing, and managing childhood lead poisoning, contemporaneous with the TLC trial enrollment period.

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Texas Guidelines for the Detection and Management of Childhood Lead Poisoning, August 1994

American Academy of Pediatrics

Treatment Guidelines for Lead Exposure in Children

1995

AAP clinical guidelines for the treatment of lead exposure in children, including chelation therapy thresholds and management protocols.

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Treatment Guidelines for Lead Exposure in Children, 1995

American Academy of Pediatrics

Screening for Elevated Blood Lead Levels

1998

AAP Committee on Environmental Health policy statement updating screening recommendations for elevated blood lead levels in children.

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Screening for Elevated Blood Lead Levels, AAP, 1998

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Managing Elevated Blood Lead Levels Among Young Children

2002

ACCLPP recommendations for the management of elevated blood lead levels in young children, including clinical and environmental interventions.

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Managing Elevated Blood Lead Levels Among Young Children, 2002

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Preventing Lead Exposure in Young Children: A Housing-Based Approach

2004

ACCLPP guidance on housing-focused primary prevention strategies for reducing lead exposure in children before poisoning occurs.

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Preventing Lead Exposure in Young Children: A Housing-Based Approach, 2004

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Using GIS to Assess and Direct Childhood Lead Poisoning Prevention Programs

2004

ACCLPP report on using geographic information systems to target and improve childhood lead poisoning prevention efforts.

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Using GIS to Assess and Direct Childhood Lead Poisoning Prevention Programs, 2004

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Preventing Lead Poisoning in Young Children

2005

ACCLPP guidance on preventing childhood lead poisoning, including screening recommendations and intervention thresholds.

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Preventing Lead Poisoning in Young Children, 2005

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Building Blocks for Primary Prevention: Protecting Children from Lead-Based Paint Hazards

2005

ACCLPP report on strategies for protecting children from lead-based paint hazards through primary prevention and housing policy.

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Building Blocks for Primary Prevention, 2005

American Academy of Pediatrics

Lead Exposure in Children: Prevention, Detection, and Management

2005

AAP clinical report on the prevention, detection, and management of lead exposure in children, updating pediatric practice recommendations.

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Lead Exposure in Children: Prevention, Detection, and Management, 2005

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Interpreting and Managing Blood Lead Levels Below 10 µg/dL

2007

ACCLPP recommendations on interpreting and managing blood lead levels below the then-current level of concern of 10 µg/dL.

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Interpreting and Managing Blood Lead Levels Below 10 µg/dL, 2007

Advisory Committee for Childhood Lead Poisoning Prevention (ACCLPP)

Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention

2012

ACCLPP summary report recommending elimination of the 10 µg/dL level of concern and adoption of a reference value based on population data.

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Low Level Lead Exposure Harms Children, ACCLPP Summary Statement, 2012

CDC Response

CDC Response to ACCLPP Recommendations

2012

CDC's official response to the 2012 ACCLPP recommendations, adopting the blood lead reference value and updating national guidance.

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CDC Response to ACCLPP Recommendations, 2012

American Academy of Pediatrics

Prevention of Childhood Lead Toxicity

2016

AAP policy statement on preventing childhood lead toxicity, endorsing the CDC reference value and calling for stronger regulatory and public health action.

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Prevention of Childhood Lead Toxicity, AAP, 2016

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Danny Schwartz
University of Arizona College of Medicine—Phoenix