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North Carolina Kids Find Lead in Applesauce: A Closer Look

In Hickory, North Carolina, the lead-poisoning-from-applesauce case started with two little kids showing concerning blood test results. In June 2023, a state inspector, along with local health officials, set out to uncover the source of the lead poisoning. Using an X-ray fluorescence analyzer, which sounds like a mix between a laser gun and a power tool, the inspector scanned various surfaces in the children’s home. Doors, walls, couches, toys, and more were all checked for traces of lead. Despite finding some lead paint and a lead-containing figurine out of reach of the children, the source of the high blood lead levels remained a mystery.

The inspector suspected the children’s diets as the culprit, leading to the discovery of daily applesauce packets consumed by the kids. This revelation sparked an investigation that eventually uncovered 566 lead-poisoned children across 44 states, Puerto Rico, and Washington, D.C. However, a key detail was left out of the U.S. Centers for Disease Control and Prevention’s report on the case. Earlier that month, six CDC authors involved in the investigation had been laid off due to budget cuts by the Trump administration. This loss of expertise raised concerns about the ability to handle similar situations in the future.

The impact of the CDC layoffs extended beyond the applesauce case, affecting other critical research areas. Reports on HIV treatment guidelines and smoking cessation programs were also authored by CDC experts who had been let go. The Morbidity and Mortality Weekly Report, considered the voice of the CDC, highlighted the importance of these studies in shaping public health interventions. The loss of this expertise raised questions about the future of disease prevention efforts and data collection at the federal level. Without the necessary resources and personnel, responding to public health threats could become increasingly challenging.

Despite reassurances from the Department of Health and Human Services about continuing lead poisoning prevention efforts, the absence of key CDC personnel poses a significant obstacle. The lead-in-applesauce incident served as a stark reminder of the vital role played by federal agencies in identifying and addressing public health risks. With ongoing uncertainties surrounding funding and staffing, the ability to respond effectively to future outbreaks remains in question. The repercussions of the CDC layoffs are felt not just in North Carolina but across the country, raising concerns about the readiness of public health systems to tackle emerging challenges.