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[Correspondence] How gaps in policy implementation cause public health malpractice

The Lancet Commission1 on pollution and health (Feb 3, p 462) highlights the global health and economic costs of pollution. The acute and chronic lead intoxication seen in Flint, MI, USA, where inadequate monitoring and abatement of lead in the water supply resulted in lead toxicity in more than 27 000 children, was a prime example of such costly pollution-related disease.2 The contamination of Flint’s water placed these children at risk for neurological injury, severe behaviour problems, reading disabilities, and decreased educational attainment.