In reply
I read with interest the comments by Dr Ross and am in agreement with his concerns about delayed immunizations in young children. As both he and the authors1 point out, children at greater risk for lead poisoning may also be at greater risk for other medical conditions or concerns. Myriad psychosocial variables, such as limited literacy, poverty, and lack of transportation, may conspire to result in delayed or less optimal health care. Myerset al1 remind us that all patient contacts should be used to update immunizations and conduct blood lead screening.
Dr Ross has echoed my points about using limited health care resources more efficiently to provide the best possible medical care for children. Each time that we provide important screening and preventive medical interventions, there is an opportunity available to offer education and anticipatory guidance to patients and parents. Collectively, these small efforts will ultimately result in . . . [Full Text of this Article]
