TY - JOUR T1 - Pica, lead poisoning and public health JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 31 LP - 33 DO - 10.1136/archdischild-2018-315217 VL - 105 IS - 1 AU - Kirsty McManus AU - Hazel Henderson Y1 - 2020/02/01 UR - http://ep.bmj.com/content/105/1/31.abstract N2 - A boy aged 2 years and 10 months was referred to the paediatric clinic by his general practitioner with pallor and pica. He predominantly consumed cow’s milk. Non-food items eaten included paint, plaster and wood. He lived with his parents and sibling in a 1970s housing association house.Haemoglobin 80 g/L (100–140 g/L)Mean corpuscular volume 49 fL (73–86 fL)Ferritin 2.1 µg/L (12–300 µg/L)Lead level 1.67 μmol/L (threshold 0.24 μmol/L for <5 years old)The regional haematology team did not recommend chelation as the child was asymptomatic. Ferrous fumarate was commenced. The public health team was contacted; they have a role in identifying and addressing the source of lead exposure.What is the most likely source of lead exposure?PaintPlasterSoilWoodWaterWhat is a safe paint lead level (total lead weight content % by weight)?≤0.25%≤0.15%≤0.05%Which commonly contributes to iron deficiency … ER -