OBJECTIVES:

This prospective study describes the impact of residential lead-based-paint hazard remediations on children with mildly elevated blood lead levels.

METHODS:

Changes in blood lead levels were observed following paint hazard remediation alone and in combination with soil abatement.

RESULTS:

After adjustment for the confounding variables paint hazard remediation alone was associated with a blood lead increase of 6.5 micrograms/dL (P = 0.5), and paint hazard remediation combined with soil abatement was associated with an increase of 0.9 microgram/dL (P = 36).

CONCLUSIONS:

Lead-based-paint hazard remediation as performed in this study, is not an effective secondary prevention strategy among children with mildly elevated blood lead levels.