Breysse, Cascio, Geller, Choiniere, Ammon 2022 — Targeting coordinated federal efforts to address persistent hazardous lead exposures
This American Journal of Public Health Supplement 7 commentary by senior leadership of the CDC National Center for Environmental Health (Breysse, NCEH director), the EPA Office of Research and Development (Cascio and Geller), the FDA Office of Analytics and Outreach (Choiniere), and the HUD Office of Lead Hazard Control and Healthy Homes (Ammon) frames the U.S. federal coordination approach to persistent lead exposures across the Pb-in-paint, Pb-in-water, Pb-in-food, and Pb-in-dust pathways. The commentary is the inter-agency consensus statement of how the four primary federal Pb-relevant agencies coordinate their authorities, programs, and surveillance to drive cumulative blood-lead reduction in U.S. populations. The commentary is policy-frame rather than empirical and is the highest-profile recent statement of inter-agency Pb policy alignment.
Key conclusions
The four federal agencies share a common goal of eliminating preventable Pb exposure but operate under distinct statutory authorities (CDC public-health surveillance and recommendations; EPA environmental and drinking-water standards; FDA food and pharmaceutical regulation; HUD housing-related lead-hazard reduction). The commentary documents the operational coordination via the President’s Task Force on Environmental Health Risks and Safety Risks to Children, the Federal Lead Action Plan, and the FDA Closer-to-Zero initiative. The statement underscores that food-Pb exposure (the FDA’s authority space) is one of multiple converging pathways and that food-Pb action levels are derived in coordination with the broader Pb-burden reduction strategy.
Implications
- Certification: Background context for HMTc thresholds, locating food-Pb work within the broader U.S. federal Pb policy frame. The commentary supports the case for HMTc certification operating in alignment with the FDA Closer-to-Zero baby-food and juice work as part of cumulative-exposure reduction.
- Courses: Standard high-level reference for U.S. federal Pb policy coordination.