In March 2004, the U.S. Environmental Protection Agency requested information on efforts to monitor and protect children from exposure to lead in drinking water at schools. The Arizona Department of Health Services reviewed the state lead poisoning registry, and analyzed drinking water samples from 45 randomly selected schools. The Office of Environmental Health provided this consultation to help document our findings and supplement our response to the EPA. This work was also undertaken to help provide useful information should hazardous waste sites be discovered in the future near these schools. We also wanted to apply the ATSDR health assessment process in support of state and federal efforts to protect the health of children.