Sir.—The article "Childhood Lead Poisoning and Inadequate Child Care" by Hunt et al (Journal 1982;136:538-542) draws attention to the possibility that children who experience lead poisoning may share similar and inadequate child care. These findings are consistent with those reported by Milar et al1 who found that children with an increased lead burden experienced deficits in the quality of their care environment, as determined by the Caldwell HOME Inventory.
The findings of Hunt and colleagues, together with those of Milar et al,1 focus on early child care and provide for the first time some insight on resolving the discrepant findings that are evident in the literature regarding the long-term sequelae of asymptomatic lead exposure in children. For example, Needleman et al2 reported that a group of first- and second-grade schoolchildren in Boston who experienced low-level lead exposure, determined by dentin lead levels, demonstrated impairments of psychologic
McCABE EB. Childhood Lead Poisoning. Am J Dis Child. 1983;137(3):305. doi:10.1001/archpedi.1983.02140290085032