Title: MMWR Vol. 58 / No. RR-9
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Recommendations and Reports
Volume 58, No. RR-9
August 7, 2009
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| Recommendations for Blood Lead Screening of Medicaid-Eligible Children Aged 1–5 Years: an Updated Approach to Targeting a Group at High Risk
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| Historically, children in low-income families served by public assistance programs have been considered to be at greater risk for elevated blood lead levels (EBLLs) than other children. However, data from the National Health and Nutrition Examination Survey indicates that children in low-income families are experiencing decreases in blood lead levels (BLLs), suggesting that the EBLL
disparity between Medicaid-eligible children and non–Medicaid-eligible children is diminishing. In response to these findings, the CDC Advisory Committee on Childhood Lead Poisoning Prevention is updating recommendations for blood lead screening among children eligible for Medicaid. Because state and local officials are more familiar than federal agencies with local risk for EBLLs, CDC recommends that these officials have the flexibility to develop blood lead screening strategies that
reflect local risk for EBLLs. Rather than provide universal screening to all Medicaid children, which was previously recommended, state and local officials should target screening toward specific groups of children in their area at higher risk for EBLLs.
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Department of Health and Human Services
Centers for Disease Control and Prevention
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