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.
Davoli CT. More Attention to Children's Real Health Risks—Reply. Arch Pediatr Adolesc Med. 2003;157(5):487. doi:10.1001/archpedi.157.5.487-a