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Lead may be damaging the intelligence of millions of children worldwide

THERE may be no safe level of lead for children. Even blood levels below the international safe limit damage children’s intelligence – and lead does proportionately more damage at these lower levels than at higher ones.

Researchers studied 172 young children in Rochester, New York state. They regularly monitored lead levels in the children’s blood and gave them intelligence tests when they were 3 and 5 years old.

After allowing for factors known to affect IQ, such as household income and education, the team found that children with blood lead levels up to the World Health Organization’s safe limit of 10 micrograms per decilitre had IQs that were 7.4 points lower on average than children with 1 μg/dl (The New England Journal of Medicine, vol 348, p 1517). But in children with blood lead levels of between 10 and 30 μg/dl, there was only a small additional decline, by another 2.4 IQ points.

“It is an excellent study. I don’t think we can say there is a safe level of exposure,” says neurologist David Bellinger, a member of the US Centers for Disease Control’s Advisory Committee on Childhood Lead Poisoning Prevention.

The study is small, but if its conclusions are correct, lead is impairing the intelligence of millions of children worldwide. While only 1 in 50 children under 5 years old in the US have blood lead levels over 10 μg/dl, for instance, 1 in 10 have levels over 5 μg/dl. Levels are falling in most developed countries, but many children are still exposed to major sources such as old lead paint and water pipes.

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