Practice ReportsChildhood Lead Poisoning: A Perpetual Environmental Justice Issue?Whitehead, LaToria S. PhD, MPH; Buchanan, Sharunda D. PhD, MSAuthor Information Lead Poisoning Prevention and Environmental Health Tracking Branch, Division of Environmental Health Science and Practice (Dr Whitehead) and Office of Priority Projects and Innovation (Dr Buchanan), National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia. Correspondence: LaToria S. Whitehead, PhD, MPH, Lead Poisoning Prevention and Environmental Health Tracking Branch, Division of Environmental Health Science and Practice, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mail Stop F-58, Atlanta, GA 30341 ([email protected]). The authors acknowledge Dr. Ginger Chew, CDC epidemiologist, for her contribution to the manuscript; Karna LLC contractors, Qaiyim J. Harris (senior business analyst) and Frederick Renshaw (project lead), for assisting with creation of the table included in the manuscript, and Dr. Vance Gray, Dean of the Division of Social Sciences at Atlanta Metropolitan State College, for assisting with the creation of the figure included in the manuscript.The findings and conclusions in this report are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry.The authors declare no conflicts of interest.Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (http://www.JPHMP.com). Journal of Public Health Management and Practice: January/February 2019 - Volume 25 - Issue - p S115-S120 doi: 10.1097/PHH.0000000000000891 Buy SDC Metrics Abstract As the amount of lead in the environment has significantly decreased with the removal of lead in gasoline and paint, the United States has made great strides in preventing lead poisoning or reducing levels of lead in young children's blood. Even so, lead exposure is not equal for all children—low-income and minority children continue to bear a disproportionate burden of exposure primarily through contact with deteriorating lead-based paint from older housing and potentially through drinking contaminated water resulting from failing leaded pipes, as evidenced by the recent events in Flint, Michigan. These facts suggest that childhood lead poisoning is an environmental justice issue worthy of public health consideration and action; “environmental justice” is focused on identifying and addressing disproportionately high and adverse effects of environmental hazards on low-income and minority communities. The question remains, however, as to whether addressing the quality-of-life “risk” factors associated with lead poisoning might eventually lead to reduction in exposure, as well as potentially resulting in adverse health effects. Utilizing an environmental justice framework and examining this issue through a multidimensional environmental justice lens, we contemplated the quality-of-life factors that may essentially predispose minority children and their families to lead poisoning. Specifically, we examined American Community Survey data (2012-2016) focused on comparing race/ethnicity with other sociodemographic variables known to be associated with risks for childhood lead poisoning. The results provide thought-provoking context for making progress toward eliminating lead poisoning as a major environmental justice concern. © 2019 Wolters Kluwer Health, Inc. All rights reserved.