Guidelines
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
US Preventive Services Task Force
Screening for Elevated Blood Lead Levels in Childhood and Pregnancy
2019
USPSTF updated evidence report and systematic review on screening asymptomatic children and pregnant women for elevated blood lead levels, published in JAMA.
US Preventive Services Task Force
Screening for Elevated Blood Lead Levels in Children: A Systematic Review for the USPSTF
2019
AHRQ Evidence Synthesis No. 174 — the underlying systematic review supporting the USPSTF recommendation statement. More detailed than the JAMA publication.