Lead
What is Lead?
Lead is a heavy metal. It was used in many materials and products before the risk to young children was known. Certain products such as paints used in older houses before 1978, lead solder used in plumbing, and leaded gasoline were used before their harmful health effects were recognized. Although laws now prevent lead from being used in many products, there can still be lead hazards in and around many homes. Lead can get into the air, water, food, soil, and even dust and then can be breathed or swallowed leading to serious health problems, especially for young children.
Lead is a toxin (poison) that can harm young children. Children 6 years old and under are most at risk because their bodies are still developing. A young child's exposure to lead can cause learning and behavioral problems and possibly damage their brains, kidneys, and other organs.
Lead enters the body when children breathe lead dust or lead fumes, or swallow something with lead in it. Young children often put things in their mouth creating a way for lead to enter the body. The main way most young children are exposed to harmful levels of lead is through contact with lead contaminated paint and dust. In nearly all cases, lead dust is either breathed in, or taken in as dust licked off surfaces or in swallowed paint chips that contain lead.
Less often, water is contaminated when it flows through lead pipes or brass fixtures, or food is contaminated by contact with lead-glazed ceramic dishes. Certain ethnic spices, foods and cosmetics also have lead. In certain jobs and hobbies, adults may work with leaded materials and can possibly expose their child to lead if proper cleaning is not done.
People can also be exposed to lead by eating venison and small game harvested with lead shot and lead bullets.
What is New York State doing to end childhood lead poisoning?
Great progress has been made, but lead is still a threat to many children. The Department of Health has strong programs working to prevent childhood lead poisoning statewide. These programs also help those children who have lead poisoning. New York State's three main statewide programs are:
- Childhood Lead Primary Prevention Program
- Lead Poisoning Prevention Programs in Local Health Departments
- Regional Lead Resource Centers
What can health care providers do?
New York State Public Health Regulations require all health care providers to test all children for blood lead levels at age 1 and again at age 2. In addition, health care providers are also required to evaluate all children 6 months to 6 years of age for risk of lead exposure each year as part of routine care. Children found to be at risk for lead exposure should have a lead test. If a child has an elevated lead level, the health care provider must make certain the child has follow- up testing. Providers must also provide guidance on lead poisoning prevention, risk reduction and nutritional counseling to the parent or caregiver of children age 6 and younger.
Where does lead come from?
- Paint
- Dust
- Soil
- Drinking Water
- Imported candies or foods
- The workplace and hobbies
- Imported food in cans
- Lead-glazed ceramics, china, leaded crystal glassware
- Metal Jewelry
- Mini-blinds
- Folk medicines, ayurvedics and cosmetics
- Other common sources of lead (car batteries, radiators, some inks, etc.)
- Venison and small game harvested with lead shot and lead bullets
General Information
- New York State Task Force on the Prevention of Childhood Lead Poisoning Preliminary Report 2009
- Eliminating Childhood Lead Poisoning in New York State: 2006-2007 Surveillance Report
- NYS's Primary Prevention of Childhood Lead Poisoning Pilot Program
- Eliminating Childhood Lead Poisoning in New York State by 2010
- Lead Data and Statistics
- Where Does Lead Come From?
NYS Public Health Law and Regulations
- What Child Care Providers Need to Know About Lead
- Deputy Commissioner's Letter to Laboratory Directors Regarding Changes in New York State's Public Health Law Pertaining to Blood Lead Testing, Reporting and Follow-Up (July 2009)
- Deputy Commissioner's Letter to Health Care Providers Advising of Changes to New York State Public Health Law and Regulations for Blood Lead Testing, Reporting and Follow-up (June 2009) (PDF, 104KB, 1pg.)
- NYS Regulations for Lead Poisoning Prevention and Control - NYCRR Title X, Part 67 (Amended June 2009)
- Control of Lead Poisoning - NYS Public Health Law, Title 10 of Article 13 (Amended April 2009)
- Public Health Law Section 2168 - Statewide Immunization Registry
Information for Health Care Providers
- NYS Medicaid Update Special Edition - NY Medicaid Expands Reimbursement for Blood Testing in Children and Pregnant Women
- Lead Exposure Risk Assessment Questionnaire
- Regional Lead Resource Centers - Childhood Lead Poisoning Prevention Program
- Interpreting and Managing Blood Lead Levels <10 µg/dL in Children and Reducing Childhood Exposures to Lead - CDC
- Lead Exposure in Children: Prevention, Detection and Management - Statement by the American Academy of Pediatrics on Lead Toxicity (Fall 2005)
- Lead Exposure in Adults: A Guide for Health Care Providers
- Commissioner's Letter To Physician Regarding Lead Screening, August 2005
- Lead Poisoning Prevention Guidelines for Prenatal Care Providers
- Commissioner's Letter to Health Care Providers Regarding Low Level Lead Exposure, June 2009
Information for Parents/Families
- What Your Child's Blood Lead Test Means
- Lead Hazard Product Recalls
- Lead Poisoning is a Danger for Every Baby and Child. Here's What you Should Know
- Are you Pregnant? Learn how to Protect Yourself and your Baby from Lead Poisoning
- Get Ahead of Lead Factsheet - This factsheet is also available in the following languages:
- Get Ahead of Lead! Encapsulants: A Technique to Control Lead Paint Hazards
- Drinking Water Protection Program - Lead in Drinking Water Page
- Lead on the Job: A Guide for Workers
(This factsheet is also available in the following languages: Spanish (PDF, 345KB, 6pg), Polish (PDF,404KB, 7pg), Greek (PDF, 303KB, 7pg), Portuguese (PDF, 500KB, 5pg) - The Trouble With LEAD - Keeping Your Home and Family Safe
- True/False Questions on Lead Paint
- What Home Owners Need to Know About Removing Lead-Based Paint
- Lead Poisoning Prevention Curriculum for Preschool Children and their Families
- Leo the Little Lion Learns How to Get Ahead of Lead!
- At One and Two, Testing for Lead is What to do (Poster) (PDF, 409KB, 1pg.)
- Spanish (PDF, 409KB, 1pg.)
- At One and Two, Testing for Lead is What to do (Sticker) (PDF, 443KB, 1pg.)
- Spanish (PDF, 375KB, 1pg.)
Information for Schools and Employers
- Lead on the Job: A Guide for Employers
- Lead Poisoning Prevention Curriculum for Preschool Children and their Families
- Preventing Lead Exposure during Metal Recycling
- Reducing Lead at Indoor Firing Ranges
- Tips for Contractors
Local Health Departments - Guidance Documents
- Guidelines for Follow-up of Children with Elevated Blood Lead Levels for Local Health Department Lead Poisoning Prevention Programs (PDF, 2.93MB, 64pg.)
Order Educational Materials
- Childhood Lead Poisoning Prevention Education Materials Order Form (PDF, 42KB, 2pg.)
For More Information
- Alliance for Healthy Homes
- Centers for Disease Control and Prevention
- Environmental Protection Agency (EPA) Office of Pollution Prevention and Toxics - Lead Page
- EPA Office of Ground Water and Drinking Water - Lead in Drinking Water Page
- National Institutes of Health
- U.S. Consumer Product Safety Commission