What is the rationale for requiring reporting of blood lead levels at school entry, particularly as it relates to testing of 5-6 year olds?
Testing of older children who are at-risk and have not been tested at the appropriate time is benefitial since intervention is not totally dependent on children’s age, particularly as it relates to prevention of ongoing exposure. The requirement encourages the testing of children at the appropriate time rather than waiting until children are ready to enter school. This is particularly important for high risk populations where testing rates are still not optimal. National standards all recommend testing 3-6 years olds who are at-risk and have not previously been tested. Maryland is not alone in a requirement to report blood lead testing status at time of school entry. Also, there is increasing evidence regarding the impact of lead levels less than 10mg/dl on cognitive and behavioral function. Due to this evidence, it is possible that the CDC will lower the blood lead level of concern (currently 10mg/dl) This will increase the number of older children whose levels exceed the cutoff and r
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