The objective of ths study was o determine the validity of a hair‐root lead level for the screening of elevated blood lead levels. Children who required a screening blood lead level were eligible for enrollment. After consent, a venipuncture blood sample was obtained from each child and, concurrently, three to five hair samples were plucked from the scalp. All telogen hairs and samples without a hair‐root sheath were discarded. Two samples were assayed using X‐ray fluorescence spectrometry: one was from a child with a blood lead level of 1 μg/dL and the second was from a child with a blood lead level of 54 μg/dL. A total of 148 hair‐root samples were obtained. Only 59 (40%) had a hair‐root sheath. The average elemental count, which is a measure of the amount of lead at the position of the hair‐root being measured, was 313 for a child with a blood lead level of 1 μg/dL and 266 for a child with a blood lead level of 54 μg/dL. These counts are very low, essentially the same, and very close to the background counts. The findings of this study do not support the use of hair‐root samples for the screening of elevated blood lead levels. J. Trace Elem. Exp. Med. 14:69–72, 2001. © 2001 Wiley‐Liss, Inc.