Lead Contamination

Winner of the Arthur Viseltear Award for Outstanding Book in the History of Public Health from the American Public Health AssociationSelected by Choice Magazine as an Outstanding Academic Title During the twentieth century, lead poisoning killed thousands of workers and children in the United States. Thousands who survived lead poisoning were left physically crippled or were robbed of mental faculties and years of life. In Brush with Death, social historian Christian Warren offers the first comprehensive history of lead poisoning in the United States. Focusing on lead paint and leaded gasoline, Warren distinguishes three primary modes of exposure—occupational, pediatric, and environmental. This threefold perspective permits a nuanced exploration of the regulatory mechanisms, medical technologies, and epidemiological tools that arose in response to lead poisoning. Today, many children undergo aggressive "deleading" treatments when their blood-lead levels are well below the average blood-lead levels found in urban children in the 1950s. Warren links the repeated redefinition of lead poisoning to changing attitudes toward health, safety, and risk. The same changes that transformed the social construction of lead poisoning also transformed medicine and health care, giving rise to modern environmentalism and fundamentally altered jurisprudence.

Lead is a ubiquitous toxic agent that is especially damaging to the young child and the developing fetus. Unlike many environmental health risks, the risks associated with lead are no longer theoretical but have been observed for many years. Indeed, the first regulation of lead in paint was enacted in the 1920s. Currently, because of growing evidence of lead toxicity at lower concentrations, the U.S. Centers for Disease Control and Prevention recently lowered its lead-exposure guideline to 10 ug/dl lead in blood from 25 ug/dl. Measuring Lead Exposure in Infants, Children, and Other Sensitive Populations addresses the public health concern about the logistics and feasibility of lead screening in infants and children at such low concentrations. This book will serve as the basis for all U.S. Public Health Service activities and for all state and local programs in monitoring lead.

Life without Lead examines the social, political, and environmental dimensions of a devastating lead poisoning epidemic. Drawing from a political ecology of health perspective, the book situates the Uruguayan lead contamination crisis in relation to neoliberal reform, globalization, and the resurgence of the political Left in Latin America. The author traces the rise of an environmental social justice movement, and the local and transnational circulation of environmental ideologies and contested science. Through fine-grained ethnographic analysis, this book shows how combating contamination intersected with class politics, explores the relationship of lead poisoning to poverty, and debates the best way to identify and manage an unprecedented local environmental health problem.