Ethical Issues in Using Children's Blood Lead Levels as a Remedial Action Objective
Moodie, Sue M
Evans, Emily Lorraine
American journal of public health 2011 Dec; 101 Suppl 1: S156-60
The Environmental Protection Agency measures the success or failure of Superfund site remediation efforts against remedial action objectives (RAOs). RAOs are frequently based on environmental contaminant concentrations, but with lead exposure, blood lead levels from the population at risk are often used. Although childhood lead screening is an important public health tool, an RAO based on child blood lead levels raises ethical concerns: public health efforts that are more reactive than preventive, a blood lead standard (10 ?g/dL) that may not be fully protective, the use of a measure whose validity and reliability may be easily compromised, and exacerbation of environmental injustice and systematic disadvantages. The example of Bunker Hill mine, Kellogg, Idaho, allowed an examination of these ethical concerns.
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Sugarman, Jeremy; Kaalund, Valerie; Kodish, Eric; Marshall, Mary Faith; Reisner, Emily G.; Wilfond, Benjamin S.; Wolpe, Paul Root (Working Group on Ethical Issues in Umbilical Cord Blood Banking, 1997-09-17)OBJECTIVE: Banking umbilical cord blood (UCB) to be used as a source of stem cells for transplantation is associated with a set of ethical issues. An examination of these issues is needed to inform public policy and to ...
Sugarman, Jeremy; Kaalund, Valerie; Kodish, Eric; Marshall, Mary Faith; Reisner, Emily G.; Wilfond, Benjamin S.; Wolpe, Paul Root (Working Group on Ethical Issues in Umbilical Cord Blood Banking [supported by Duke University, Kenan Program in Ethics and the Cannon Foundation], 1997-09-17)