Run by

The LEAD Group Inc
The Lead Education and Abatement Design Group
Working to eliminate lead poisoning globally and to protect the
environment from lead in all its uses: past, current and new uses
ABN 25 819 463 114
Australians! Take action
today. Is lead harming
you & your kids? Buy low
cost, NATA accredited
laboratory lead test kits
here. Sample your dust,
soil, water, paint, toys,
jewellery, ceramics
what's new 

Water Lead test Kits

Proceeds from our DIY Home Lead Assessment kit sales go towards the
Keeping Australian Lead Out of Leaded Petrol Initiative.

Search this site
Search tips 
What's New

About Us
bell system lead poisoning
Contact Us
Council Lead Project
Library-Fact Sheets
Home Page
Media Releases
Referral Lists
Site Map
Slide Shows-Films
Useful Links

Visitor Number

  QUESTION: Guidelines for treating children with lead poisoning. 04 May 2003, Victoria Australia

Are there any federal government guidelines for health professionals treating children with lead poisoning?

"Lead Alert" produced by the CEPA in 1994 seems out of date


ANSWER: 29 Jul 2003

Dear Mike,

Sorry for the delay in responding to your email but we are simply understaffed and underfunded. (Update 2009: The Lead Alert Guide for Health Professionals) has never been updated although I can give you the contact details of all three authors for advice on what might have changed (eg chelating agents approved for children):

  1. Dr Garth Alperstein, Community Paediatrician, CSAHS (Central Sydney Area Health Service), ph 0295153270, alpersteing[at];
  2. Dr Roscoe Taylor, Director of Public Health, Tasmania, ph 0362333768, roscoe.taylor[at]; and
  3. Prof Graham Vimpani, Child And Youth Health Network, Newcastle, ph 0249246222, graham.vimpani[at]

Update 2009: (" The Lead Alert Guide for Health Professionals" now web published by The LEAD group Inc. see above) 

Unfortunately, neither Environment Australia (new name for CEPA) nor any of the authors appears to have an electronic copy of the original booklet and EA will not web-publish it or update it because they no longer feel responsible or lead poisoning has been eliminated (by magic because they finally banned leaded petrol and this took away all the remaining lead sources and the reservoirs of lead in soil and dust from vehicle emissions), or some other lame excuse. The last time we received a request [from Greece] for an emailable or web-published treatment protocol, Dr Alperstein advised that we refer the doctor to the "Policy Statement - Treatment Guidelines for Lead Exposure in Children (RE9529)" by the AMERICAN ACADEMY OF PEDIATRICS (AAP) - Committee on Drugs, July 1995.

Update 2011: POLICY STATEMENT (Reaffirmed January 2009) Lead Exposure in Children: Prevention, Detection, and Management, Committee on Environmental Health PEDIATRICS Vol. 116 No. 4 October 2005, pp. 1036-1046 (doi:10.1542/peds.2005-1947

Following the publication of research on early death from lead poisoning, I emailed (on 7th January 2003 - see attachment) the American Academy of Pediatrics as well as the Poisons Info Line in Australia to ask whether the blood lead level at which chelation was carried out, would be lowered.

I have not received an answer that I'm aware of (there are over 1,000 unread emails in our inbox that we don't have time to read) from AAP but I did receive the following email from the federal health department:

Elizabeth, you might be interested to know that, at the request of the CMO, Dick Smallwood, the Australian paediatricians are reviewing their recommendations for treatment of lead poisoning.

Best wishes


Although I have emailed Helen since February, I have not received any more information on the review eg who is doing it and when it is expected to be finished.

Following the publication of "Intellectual Impairment in Children with Blood Lead Concentrations below 10 g per Deciliter" by Canfield et al in the New England Journal of Medicine Volume 348:1527-1536 April 17, 2003 Number 16, I would think that the review is even more urgent, as the study found an average of 7 IQ points lost even at a blood lead level of 10 g/dL as compared to a blood lead level of 1 g/dL.

Sorry I can't be more helpful. If you find out any more on this by your own further enquiry, I'd be very pleased to hear from you again.

Yours sincerely
Elizabeth O'Brien

About Us | bell system lead poisoning | Contact Us | Council LEAD Project | egroups | Library - Fact Sheets | Home Page | Media Releases
| Q & A | Referral lists | Reports | Site Map | Slide Shows - Films | Subscription | Useful Links |  Search this Site
Privacy Policy | Disclaimer
Last Updated 21 April 2012
Copyright The LEAD Group Inc. 1991- 2012
PO Box 161 Summer Hill NSW 2130 Australia
Phone: +61 2 9716 0014