Lead Poisoning 1. What are t

 
 
 
 
1. What are the major problems Administrator Chase will confront as he attempts to solve the problem of lead poisoning in New York City?

The problems that will confront the administrator in this task are many and varied. They are as follows:

a. The level of lead in the blood, which is a measurable factor, is not a reliable predictor of damage from lead poisoning. Thus, the identification of at risk persons, particularly children, is a difficult and a contentious process.

b. Lead poisoning occurs primarily in children who dwell in urban slums who also eat chips of leadbased paint from the dwelling walls and sills. Not all children who live in such dwellings chew on paint chips. Thus, the problem is not pervasive, and corrective actions must address the entire population of children residing in slum dwellings, and not just the segment of that population that is apt to chew on paint chips.

c. Improved treatment procedures have reduced the mortality rate associated with lead poisoning stemming from the consumption of leadbased paint chips by children to such an extent that it is difficult to persuade people of the need to take substantial additional action.

d. The public health establishment in New York City has not in the past treated lead poisoning stemming from the ingestion of leadbased paint by children as a high priority item. This approach will be difficult to overcome.

e. Technological problems associated with


     
 
 
 
    

 

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ng problem should place human welfare and human responsibility ahead of fiscal considerations, although fiscal considerations also must be considered. First, the solution alternative selected should be the one that holds the potential to make the most complete and accurate identification of children whose bodily lead levels are sufficiently high to indicate a potential for the development of acute lead poisoning. Second, the solution alternative selected should be the one that holds the greatest potential to minimize further lead contamination of humans from the ingestion of leadbased paint. Third, the solution alternative selected should be the one that holds the potential to make the most complete and accurate identification of dwellings characterized by paint with above allowable levels of lead. Fourth, the solution alternative selected should be the one that holds the potential to best educate and motivate parents to assure that children do not chew on chips of leadbased paint. Fifth, the solution alternative selected should be the one that holds the greatest potential to identify those children with a susceptibility to the development of pica. Sixth, the solution alternative selected should be the one with the lowest

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