Lead Poisoning Prevention Program

800 NE Oregon St., Suite 608

Portland, OR 97232
(971) 673-0440

Frequently Asked Questions

GENERAL INFORMATION

What is lead?

Lead is a naturally occurring metal found in the earth’s crust. Lead has been mined, processed, and
used in commercial and household products for thousands of years. In the past lead was used in
paint, gasoline, pottery, water pipes and other products. When lead gets into the body it is a poison
and harms people. Once lead enters the human environment, there is no way to destroy it or make it
harmless. Therefore, we must control exposure to lead.

What is lead poisoning?

Lead poisoning occurs when lead builds up in the body. Children and adults can get lead poisoning
by breathing or swallowing dust that contains lead. Your body does not have a use for lead. When it
is absorbed, it affects almost every body system. Even small amounts can be harmful. No one
knows exactly how much lead it takes to cause health problems.

A piece of lead as small as a grain of sand is enough to poison a child.

(Centers for Disease Control, 1991)

Who can get lead poisoning?

Anyone can get lead poisoning. Lead is most dangerous to young and unborn children because their
bodies and brains are still growing and developing. Lead can interfere with normal brain
development, resulting in permanently reduced IQ and behavioral problems. Young children are
more at risk for exposure to lead because children explore their environment by putting their toys,
hand and other objects in their mouths. Any of these objects could have lead dust on them. If
children put objects with lead dust in their mouths, they can become lead poisoned. In addition, they
spend a lot of time on the floor where sources of lead are likely to be found. Young children also
absorb lead more easily than adults. Lead poisoned children may suffer life-long problems as a
result of their exposure at a young age.

Where do lead hazards come from?

Paint
Lead was used in paint until 1978 when its use was limited in household paint. Many buildings built
before 1978 have lead-based paint inside and outside. Nationwide, lead remains in approximately
74 % of all housing built before 1978 (Housing and Urban Development). Housing built before
1950 is more likely to contain lead-based paint. Lead paint in good condition is not usually a
problem except in places where painted surfaces rub against each other and create dust, such as
where windows open and close. Chipping, peeling or chalking lead paint is a common source of
lead dust and may be a hazard. Lead-based paint may also be found on older toys, furniture and
playground equipment.
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Dust
Lead dust is the main cause of lead poisoning in children. Windows, doors, steps and porches are
areas where surfaces rub together and create lead dust. Lead dust can gather on floors, in carpets, on
toys and other objects that children may put into their mouths. Lead dust is increased during
remodeling or repainting. Home renovations and remodeling contribute to nearly half of the
childhood lead poisonings in Oregon.

Lead dust, which you can't always see can be a serious

health hazard to young children.

Soil
Soil and dirt around homes and apartment buildings may contain lead. Soil may contain lead from
lead-based paint or from exhaust fumes from cars. Children may come into contact with lead by
playing in bare dirt. Lead in the soil may enter vegetables planted in the garden. Outside play areas
and food gardens should be located away from houses and buildings and away from areas that could
be contaminated by heavy car traffic.

Pottery
Imported, old, handmade or poorly glazed ceramic dishes and pottery may have lead in the glaze.
Lead may also be found in leaded crystal, pewter and brass dishware. Acidic foods stored in
improperly glazed containers are the most dangerous. Acidic foods or drinks (such as orange,
tomato and other fruit juices, tomato sauces, wines, and vinegar) may cause an increase in the
release of lead from these types of tableware. You cannot always tell by looking at a dish whether it
contains lead. The only way to know for sure is to test or have the tableware tested for lead. If it is
not known whether or not a particular tableware item contains lead, the item should not be used to
store, cook or serve food or beverages. If any tableware starts to show a dusty or chalky gray
residue after washing, discontinue using the item. Purchase dishes with labels that state the item is
lead-free or suitable for food use.

Workplaces & Hobbies

Lead can also be brought into the home from the workplace or hobbies. Welding, auto or boat
repair, the making of ceramics, stained glass, bullets, and fishing weights are hobbies that may use
lead. Other hobbies that carry a potential for exposure to lead include furniture refinishing, home
remodeling, painting and target shooting at firing ranges. By following a few simple precautions,
hobbyists can reduce the risk of exposure to lead and protect themselves and their families. People
who work in a lead environment may bring lead dust into their car or home on their clothes and
bodies exposing family members. Good hygiene needs to be observed to avoid bringing lead dust
into the home from the work place.

Water Pipes & Solder

Most well or city water does not naturally contain lead. Lead in drinking water is not a common
source of lead poisoning in Oregon. Lead may get into drinking water from household plumbing.
Lead solder that connects the pipes or brass faucets may contain lead. Lead from solder is most
commonly found in homes built between 1970 and 1985. Lead may get into the water when water
sits in pipes. If this happens, the water you use for drinking, cooking or mixing baby formula can
cause lead poisoning. If lead in plumbing is suspected, water from a hot water tap should not be
used for drinking or food preparation. The cold-water tap should be flushed for several minutes
each morning or after sitting until there is a noticeable change in temperature of the water before
any water is consumed.
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Food
In recent years, lead has been found in candy imported from Mexico. Laboratory testing done in
California found lead in some Mexican candy, the wrappers and the clay pots that some of the
candy comes in.

Home Remedies & Cosmetics

Some families may use home remedies to cure sick people. Many home remedies may contain up to
100% lead and are very dangerous to children. Azarcon, a bright orange powder, and Greta, a
yellow powder, may be used in the Hispanic community for indigestion or upset stomach. Similar
remedies are known as Liga, Alarcon, Rueda, Maria Luisa, Coral, and Albayalde. Pay-loo-ah,
Ghasard, Bali Goli, and Kandu are remedies containing lead that may be used in some Asian
communities. Certain cosmetics, especially those from the Middle East, India, and Asia, may also
contain high levels of lead. Cosmetics known to contain lead are Kohl, Suma, and Cerise. These are
commonly used as eyeliner. Kohl (or alkohl), which is used in Middle Eastern and East Indian
cultures, is also applied to skin infections. Manufactured cosmetics generally do not contain lead.

LEAD POISONING AND CHILDREN

How can my child be exposed to lead?

Most children are exposed to lead from household dust containing lead from lead-based paint.
Prior to 1978, and especially before 1950, lead was a common additive to house paint. Homes
painted with lead-based paint are an ongoing risk as painted surfaces break down over time and
when paint is disturbed in remodeling by sanding and scraping. Windows, doors, steps and porches
are areas where surfaces may rub together and make lead dust.

Lead-based paint can also be found in soil around homes as a result of peeling and chipping paint
and remodeling activities, such as sanding and scraping of paint. Soils near roads may contain lead
dust from automobile exhaust deposited before leaded gasoline was phased out. People track this
soil into homes where children play on the floor, and sometimes children play in bare soil
contaminated with lead.

Lead can also be found in lead pipes or solder, imported or older ceramics and pottery, certain
hobbies, and folk medicines. Parents who work in lead-related industries can bring lead home on
their clothing, exposing children to the hazard.

Home renovations and remodeling contribute to nearly

half of the childhood lead poisonings in Oregon

What are symptoms of lead poisoning in children?

Signs of lead poisoning are not always easy to see. Children can be poisoned by lead and
may not look or act sick. Many children who are lead poisoned look and act healthy.
Sometimes the vague symptoms may be mistaken for other illnesses such as stomach upset
or flu. Because of this, lead poisoning may go unrecognized. A blood lead test is the only
way to find out if a child has lead poisoning.

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Some possible signs and symptoms of lead poisoning in children are:

• Tiredness or loss of energy

• Hyperactivity
• Reduced attention span
• Irritability or crankiness
• Poor appetite
• Weight loss
• Trouble sleeping
• Constipation
• Aches or pains in stomach

How can lead poisoning affect my child?

Children can get lead in their bodies by swallowing or breathing in dust that contains lead. Lead is a
poison that affects every organ and system in the body. There is no function or need for lead. Very
high levels of lead exposure can cause coma, seizures and death. Even a little lead can make
children slower learners. Exposure to lead can cause:
• Brain damage and lower intelligence
• Behavior and learning problems
• Impaired speech and language
• Slowed growth
• Kidney and liver damage
• Hearing damage

The effects of lead on a child can be permanent and irreversible.

How can I find out if my child has been exposed to lead?

Your health care provider will ask you some questions to see if your child is at risk for lead
poisoning. The only way to know for sure if your child has been exposed to lead is to have their
blood tested. Blood tests are used to find out how much lead is in a child’s blood. The test is simple.
A health care provider takes blood from your child and a lab will test the blood.

Is my child at risk for lead poisoning?

A “yes” or “I don’t know” answer to any of the eight following questions means that your
child could be at risk for lead poisoning and should have a blood lead test.

• Does your child live in or regularly visit a home, child care, or other building built before 1950?
(Call your county tax assessor if you do not know when your home was built).

• During the past 6 months has your child lived in or regularly visited a home, child care, or other
building built before 1980 with recent or ongoing painting, repair, remodeling, or damage?

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 • Does your child have a brother, sister, other relative, housemate or playmate with lead
poisoning?

• Does your child spend time with an adult that has a job or hobby where they may work with
lead (such as painting, remodeling, auto radiators, batteries, auto repair, soldering, making
sinkers, bullets, stained glass, pottery, going to shooting ranges, hunting or fishing)?

• Do you have pottery or ceramics made in other countries or lead crystal or pewter that are used
for cooking, storing or serving food or drink?

• Has your child ever used any traditional, imported or home remedies or cosmetics such as
Azarcon, Alarcon, Greta, Rueda, Pay-loo-ah, or Kohl?

• Has your child been adopted from, lived in or visited a foreign country in the last 6 months?

• Do you have concerns about your child’s development?

What does my child’s lead test mean?

The amount of lead found in a child’s blood is called a blood lead level. Blood lead tests tell how
many micrograms (millionth of a gram) of lead are in each deciliter (tenth of a liter) of a child’s
blood (µg/dl). A blood lead level will tell if a child has been exposed to lead in the last 3-4 months.

To find out how much lead is in a child’s blood, a small amount of blood is taken from a child’s
arm, finger or heel. Taking blood from a child’s finger or heel is called a finger or heel-stick or a
capillary test. Sometimes the blood from a capillary test may be contaminated by a small amount of
lead on the child’s hand or foot. This may cause an inaccurate or false elevated test result. Blood
taken from an arm vein (venous blood test) is a more reliable test.

Is lead poisoning preventable?

Lead poisoning is preventable if hazards are detected and removed. The warning signs of lead
poisoning are not always noticeable, so parents need to carefully check their child’s environment for
possible sources of lead. Parents can help protect their children from lead poisoning by reducing
exposure to lead in the environment, and by promoting good nutrition and healthy habits.

How can I protect my child?

• Find out when your home was built. Homes built before 1978 may have been painted with lead-
based paint.

• Frequently inspect your home for signs of chipping, peeling or deteriorating paint. Clean up
paint chips immediately and keep paint in good condition. Look for painted areas where surfaces
may rub together and create lead dust.

• Use lead-safe work practices or hire a lead-safe professional for maintenance, renovations,
painting and repair.

• Clean areas where children play. Regularly wet-wipe floors, windowsills, porches and other
surfaces to remove lead dust. Carefully clean friction or impact surfaces such as windows, doors,
and cabinets.
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• Wash children’s hands often, especially before meals and after playing outside.

• Wash toys, stuffed animals, bottles and pacifiers often to remove lead dust.

• Clean or remove shoes before entering the home to avoid tracking in soil that may contain lead.

• Have children play on grass instead of bare soil. Provide a sandbox with lead-free sand.

• Inspect painted playground equipment for peeling or chipping paint.

• Only use non-toxic art supplies.

• Use cold water for drinking, cooking, or making baby formula. Run the water for 15-30 seconds
until it feels noticeably colder.

• Do not use imported, old or handmade pottery to cook, store or serve food or drinks.

• Do not use home remedies or cosmetics that may contain lead.

• Don’t bring lead dust from hobbies or work places into the home. If you work with lead in your
job or hobby, change clothes and shower before you go home or into your vehicle. If possible
wash work clothes at work. If you must wash the clothes at home, carry them in a plastic bag
and then wash them separately from those of other family members.

• Provide regular healthy meals and snacks. Meals or snacks high in iron, vitamin C, and calcium
may help children absorb less lead.

• If your child is at risk, have their blood tested for lead exposure.

How can a healthy diet fight lead poisoning?

A well-balanced diet is very important. Children with empty stomachs absorb more lead than
children with full stomachs. Provide your child with four to six small healthy meals during the day.
A diet rich in calcium and iron can reduce the amount of lead a child absorbs. Eating foods with
vitamin C helps increase the amount of iron in the blood. Eating a variety of foods as part of a well-
balanced diet helps a child grow up healthy and strong.

HEALTHY FOODS TO FIGHT LEAD

Foods High in Foods High in Foods High in

Calcium Iron Vitamin C

• Milk • Lean red meat • Oranges/or juice

• Yogurt • Fish and chicken • Grapefruit/or juice
• Cheese • Dried beans and peas • Tomatoes/ or juice
• Tofu • Tofu • Strawberries
• Green leafy vegetables • Raisins, prunes • Broccoli
(spinach, kale, broccoli) • Iron fortified cereal • Brussels sprouts

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LEAD POISONING AND ADULTS

How are adults exposed to lead?

Adult lead poisoning commonly occurs from exposure to lead used in the workplace. Workers may
inhale lead dust and fumes directly, or swallow lead dust while eating, drinking, or smoking on-the-
job. Adults can also be exposed during certain hobbies and activities where lead is used.

Adults can be exposed to lead if they work in:

• Painting, remodeling or renovation

• Radiator, battery or automotive repair
• Ceramics making and glaze mixing
• Soldering or cutting metal
• Bridge construction and repair
• Jewelry making
• Demolition of old buildings
• Foundries and scrap metal operations

Adults can be exposed to lead if they have the following hobbies:

• Using and making/melting fishing sinkers

• Making bullets or shooting in indoor firing ranges
• Welding, auto or boat repair
• Making of ceramics, stained glass, or jewelry
• Furniture refinishing, home remodeling or painting

People who work in lead related industries or have hobbies involving lead may bring lead dust into
the home on their clothes and bodies exposing family members. Good hygiene needs to be observed
to avoid bringing lead dust into the home from the work place. By following a few simple
precautions, hobbyists can also reduce the risk of exposure to lead and protect themselves and their
families.

What are the symptoms of lead poisoning in adults?

People with high levels of lead in their bodies often do not seem sick. The symptoms that
occur are very general and can happen for many reasons. Overexposure to lead can cause
serious damage even if the person has no symptoms. A blood lead test is the only way to
find out if an adult has lead poisoning. Lead is a powerful poison that stays in your body a
long time. It can build up in your body to dangerous levels even if you are exposed only to
small amounts of lead over a long period. An elevated blood lead level shows that lead is
building up in your body faster than it can be eliminated.

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Signs or symptoms that may be related to over-exposure to lead:

• Tiredness or weakness
• Irritability
• Trouble sleeping
• Headache
• Difficulty concentrating
• Aches or pains in stomach
• Loss of appetite
• Constipation
• Nausea
• Weight loss

How does lead affect adults?

• Impotency
• Brain and nervous system damage
• High blood pressure
• Digestive problems
• Kidney problems
• Anemia
• Reproductive system problems
• Hearing, vision and muscle coordination problems

How can I protect my family and myself?

• Do not eat, smoke or drink when you are working. Before breaks or eating, wash your
hands and face to avoid swallowing lead dust.
• Keep your work area clean using wet cleaning methods or a vacuum with a high
efficiency (HEPA) filter. Do not dry sweep or use compressed air to remove lead dust.
• Store your street clothes in your locker. Change out of your work clothes and shoes
before going home.
• Shower and change into clean clothes and shoes before you leave your workplace or
hobby area.
• If you wash your own work clothes, wash them separately from those of other family
members.
• Keep your car or vehicle free of lead dust and contamination.
• Keep children out of work and hobby areas.
• If you work with lead, follow the health and safety instructions given in your workplace.
• If you are provided with a respirator, use it and clean it after use. Make sure you
understand how to check to see that it fits correctly and is working properly.
• If you work with lead in your job or hobby, get a blood lead test.

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How can I learn more about lead in the workplace?

Oregon office of Occupational Health and Safety Administration (OR-OSHA) rules require
that employers protect workers on the job from the hazards of lead. These requirements
cover not only workers directly engaged in lead-related jobs, but also any workers allied
with or supporting them (e.g., office staff) or who may be affected by the activities of the
workers, such as employees working in a building being renovated.

For more information about lead in the workplace and OSHA’s lead standards and regulations
contact Oregon Occupational Health and Safety Administration (OR-OSHA) tollfree at (800) 922-
2689 or on their website at www.orosha.org

MAINTAINING A LEAD-SAFE HOME

I live in an older home are my children at risk?

In general, the older the home the more likely both the interior and the exterior were painted with
lead paint.. This is especially true for homes built prior to1950, but lead-based paints were widely
used up to the time they were banned for residential purposes in 1978. Also, the presence of lead
paint does not necessarily mean that it presents a hazard. To present a health threat, it must
somehow enter the body. Paint that is well cared for generally does not pose a danger. However,
even in well-maintained homes, friction and impact surfaces, such as door jambs or sliding widows,
can create fine lead dust that can be inhaled or swallowed.

How can I tell if lead is a hazard in my home?

The surest method is to use the services of a certified lead-based paint inspector or a risk assessor.
An inspector can tell you if there is lead in the home; a risk assessor can tell you the extent of the
hazard. Home test kits for lead are available, but may not always be accurate. Consumers should not
rely on these kits to determine if lead is a hazard in their home. The home test kit can only tell you
if lead is present on a surface. It cannot tell you how much lead there is, if there is a lead paint
hazard, or what needs to be done to repair the hazard.

How can I safely remodel or paint my home?

Handle with care. Once released into the environment, lead doesn't break down, and its dust
can be invisible to the eye and still cause lead poisoning. Whether you are planning to do the
work yourself, or to hire a professional, it is important that you educate yourself about how
'lead-safe' remodeling can be done. The LBPP has several publications on lead-safe
remodeling for do-it-yourselfers, property owners, property managers, and professionals. If
you are going to hire a professional painter or remodeler, ask the contractor before the work
starts what he or she knows about lead-safe work practices and the steps that he or she plan
to take to reduce or eliminate lead-based paint hazards during the job. The Lead-Based Paint
Program can supply you with a brochure that lists the questions you need to ask a remodeler
or painter to ensure that they have the proper training to protect your family and home. Any
person removing or stabilizing paint on housing or child care settings built before 1978 must
also have a Lead-Based Paint Permit from the Lead-Based Paint Program (LBPP).

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What kind of professional lead paint services are available in Oregon?

There are several types of services available. The Lead-Based Paint Program (LBPP) certifies lead-
based paint Inspectors, Risk Assessors, Supervisors, Project Managers, and Workers. LBPP can
provide you with a List of Certified Lead-Based Paint Professionals. These professionals are trained
in abatement, which means they can permanently remove lead hazards from a property.

What if my neighbor’s home is being professionally painted and paint

chips and dust are getting in my yard and home?

Any professional removing or stabilizing (painting/remodeling) lead-based paint must:

(1) Obtain a Lead-Based Paint Permit;
(2) Use lead-safe work practices and
(3) Post a sign visible from 30 feet, warning the public of possible lead-based paint hazards.

The Lead-Based Paint Program regulates these professionals and actively enforces violations of
unsafe work practices. Program staff follow up on all tips and complaints. To file a complaint call
the Lead-Based Paint Program at (971) 673-0440 or the LeadLine a toll-free phone service at
1-800-368-5060. You can also submit a compliant on our website at www.healthoregon.org/lead.

The Lead-Based Paint Program can provide a list of certified lead inspectors and risk assessors, if
you need to test for lead contamination in your home or in the soil. A list of certified specialists in
cleaning up lead contamination is also available.

What if I live in an older rental property?

When you rent a property built before 1978 the landlord is required to have you sign a standard
Disclosure form, as required under Federal law. The landlord is also required to give you a
pamphlet entitled "Protect Your Family from Lead in Your Home". According to the Federal law,
the landlord is only required to disclose to you any knowledge that he or she has of lead-based paint
(LBP) in the house. If he/she has no knowledge of LBP, he/she is not required to conduct an
inspection or make a special effort to find out if lead based paint is present. The only obligation is to
disclose current knowledge.

Lead-based paint is usually not a hazard if it is in good condition and is not on a window, door, or
other area where the surfaces may rub together and create lead dust. Chipping, peeling, cracking or
damaged paint is a hazard and needs attention. If you see any chipping paint or other lead paint
hazards, notify your landlord.

Where can I get more information?

For more information about lead poisoning prevention and lead-safe work practices contact the
Lead Poisoning Prevention Program:

Phone: 971-673-0440
Toll free: 1-800-368-5060
Website: www.healthoregon.org/lead

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