The contribution of lead-contaminated house dust and residential soil to children's blood lead levels. A pooled analysis of 12 epidemiologic studies.

In 1992, the U.S. Congress passed the Residential Lead-Based Paint Hazard Reduction Act, which requires the promulgation of health-based dust lead and soil lead standards for residential dwellings to prevent undue lead exposure in children. Unfortunately, the levels of lead in house dust and soil that are associated with elevated blood lead levels among U.S. children remain poorly defined. This pooled analysis was done to estimate the contributions of lead-contaminated house dust and soil to children's blood lead levels. The results of this pooled analysis, the most comprehensive existing epidemiologic analysis of childhood lead exposure, confirm that lead-contaminated house dust is the major source of lead exposure for children. These analyses further demonstrate that a strong relationship between interior dust lead loading and children's blood lead levels persists at dust lead levels considerably below the U.S. Department of Housing and Urban Development's current postabatement standards and the Environmental Protection Agency's guidance levels. Finally, these analyses demonstrate that a child's age, race, mouthing behaviors, and study-site specific factors influence the predicted blood lead level at a given level of exposure. These data can be used to estimate the potential health impact of alternative health-based lead standards for residential sources of lead exposure.

Overview of important design issues for a National Human Exposure Assessment Survey.

Exposure issues have important consequences for regulatory decisions. Reliable answers to exposure questions are critical for site cleanup, model validation, and cumulative risk issues, as well as giving perspective on our risk estimates. This paper discusses some of the important issues in designing the National Human Exposure Assessment Survey (NHEXAS) and, by implication, other exposure-monitoring-based studies as well. Sampling design issues are discussed in terms useful to exposure assessors. These issues include simple random sample designs versus more complex multistage designs, design efficiency, how to determine the sample size for the desired precision of the estimate, and the effects of stratification and oversampling on the needed sample size. This paper also discusses several important nonsampling issues such as population definition, response rates, and several potential sources of error in interpreting the monitoring results.