To the Editor: Attention deficit hyperactivity disorder (ADHD) is one of the most common neurobehavioral disorders.1 Children with ADHD are inattentive and/or hyperactive/impulsive in more than one setting, such as at home, school, and work.2 Some environmental factors, such as maternal smoking during pregnancy, delivery complications, and air pollution increase the rates of ADHD.1 Among air pollutants, high lead exposure has a significant association with ADHD performance.3