Prevention and Intervention for Lead Exposure

Abandoned house with chipped lead paint

Promoting environmental health in Wisconsin means protecting residents from toxic substances, such as lead.

Lead can affect a child’s growth, brain development, lifelong health, and future potential. Preventing lead exposure is critical because there is no safe level of lead in the human body.

Early detection through blood lead screening programs that are accessible to children and adults at high risk for lead exposure is important. Early intervention and comprehensive follow-up when lead poisoning is detected also protects the child or adult from prolonged exposure.

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About Lead

Childhood lead poisoning is a significant problem in Wisconsin. Wisconsin consistently ranks in the top 10 states in the nation for number of lead-poisoned children. These resources provide an overview of the damaging effects of lead on children throughout their lives.

Nutrition and Lead

Family preparing a mealRegular well-balanced meals are important for adequate growth and development in all children.

While recent research indicates that adding nutritional supplements to an age-appropriate diet may not help lower blood lead levels, there is evidence that adequate iron intake can decrease lead absorption.

Iron deficiency, like lead, can also have effects on children's development.

Families of children with lead poisoning that are income eligible can receive nutritional support from the Women, Infants and Children (WIC) Supplemental Nutrition Program.


Additional Resources
  • Nutrition and Childhood Lead Poisoning, P-00660-9 - Chapter 9 of the Wisconsin Childhood Lead Poisoning Prevention and Control Handbook for Local Public Health Departments (PDF).
  • WIC Nutrition Program Clinic Locations - Children at risk for a poor diet and whose family is income eligible can receive education and support for improving or maintaining nutritional status.
  • Eating Right: Preventing Childhood Lead Poisoning - information card number 13 in the series, Feeding Your Child, from the WIC program in English, P-44698 (PDF) | en Español, P-44698s (PDF).
  • Fight Lead Poisoning with a Healthy Diet – an EPA information pamphlet on healthy eating with recipes, in English (PDF) | en Español (PDF).
  • 5 Things You Can Do – a Centers for Disease Control and Prevention (CDC) fact sheet with information on how to help lower blood lead levels, in English (PDF) | en Español (PDF).
Reliable Sources for More Information

Blood Lead Testing

Children are at risk for lead poisoning when they are exposed to lead hazards. Find out what the risks of exposure are in Wisconsin and at what ages children should be tested.

Blood Lead Reporting

State law Wis. Stat. 254.13 (PDF) requires that all blood lead test results on Wisconsin residents be reported to the Department of Health Services (DHS). The specific requirements for reporting blood lead results, such as timetable, content, form, etc., are described in Wis. Admin. Rule 181 (PDF). The WCLPPP implements the reporting rule through a laboratory-based reporting system and works directly with laboratories to assure all blood lead results are reported. Health care providers are responsible for sending complete demographic information as required by Wis. Admin. Rule 181 (PDF) to the analytical laboratory with each blood lead sample. This allows the laboratory to include the demographics in the blood lead report.

DHS Blood Lead Lab Reporting F-00017 (Word) - Health care providers that conduct on-site blood lead testing using the LeadCare II are responsible for reporting these test results to the WCLPPP. These sites should use this form or, a comparable form for reporting blood lead results.

Developing Brains and Lead

Young children are most vulnerable to the effects of lead and other environmental toxins on the brain. The results can be seen as delays in growth, behavior, and learning, which in turn can have an impact on school success. Information on the structure and growth of the brain, the impact of environmental toxins, how to nurture brain development, and screening to identify delays can be found on these publications.

Lead and Pregnancy

Lead has long been recognized as a reproductive toxin in both men and women. A history of maternal lead exposure, prenatal and postpartum lead exposures, and blood-lead levels can be a concern. Concern about all possible pathways of lead exposure has raised questions about reproductive health, prenatal exposure, and breastfeeding. These resources explain the risks and provide recommendations.

Sources of Lead

Lead in Paint

Exposure to lead-based paint (LBP) is the major source of lead poisoning for children in Wisconsin. When lead paint is intact, it is unlikely to cause exposure. The risk of exposure increases as the paint breaks down into smaller particles. The smaller the particles, the more easily they are dispersed, become accessible to children, and are absorbed by the body. If lead paint is allowed to deteriorate due to normal wear (moisture damage, temperature changes, friction, or impact), or when paint or varnish are deliberately disturbed by renovation activity, house dust and soil become contaminated. The resulting lead-tainted dust enters a child’s body through normal hand-to-mouth activity.

Routes of Exposure
  • The most common route of exposure is from the lead dust created by deteriorating LBP or renovation activities which can stick to fingers, toys, soil, food, and other accessible surfaces. Young children are then likely to ingest the lead dust through normal hand-to-mouth activity.
  • Another route of lead exposure is when children chew on things, such as windows and window sills, doors and door frames, stairs, railings and banisters, porches, fences, and/or furniture.
  • Even surfaces that are covered with a new layer of paint, can be a source of exposure is they are a friction surface or consistently rub together, exposing underlying layers of LBP.
  • Lead in varnish is typically found on floors, stairs, doors, windows and wood trim and even old baby cribs. Even if intact if a child chews on varnished surfaces, the child can ingest lead.
Disturbing LPB and Varnish is Regulated

LBP or varnish that is intact, undisturbed, and inaccessible to young children may not pose a lead hazard and should be left alone. If it is going to be disturbed, by state and federal laws the person doing the work must be a certified lead-safe renovation contractor.

For More Information on Lead in Paint and Varnish
  • The Lead-Safe Housing Rule - The U.S. Housing and Urban Development (HUD) Lead Safe Housing Rule applies to all target housing that is federally owned and target housing receiving Federal assistance.
  • Residential Lead-Based Paint Hazard Reduction Act of 1992 (Title X) (PDF) - The primary purpose of this Act is to develop a national strategy to build the infrastructure necessary to eliminate lead-based paint hazards in all housing as expeditiously as possible and to reorient the national approach to the presence of lead- based paint in housing to implement, on a priority basis, a broad program to evaluate and reduce lead-based paint hazards in the Nation's housing stock.

Lead in Air, Soil, and Water


Lead in the air is a problem because people can breathe it in, and also because people can end up swallowing the lead dust found in soil and water. It is particularly bad because the lead in the dust and soil does not decompose or decay.

Lead dust particles in the household result from indoor sources such as old lead paint on surfaces that are frequently in motion or bump or rub together (such as window frames), deteriorating old lead paint on any surface, home repair activities, tracking lead-contaminated soil from the outdoors into the indoor environment, or even from lead dust on clothing worn at a job site. Lead paint chips and dust can get on surfaces and objects that people touch. Settled lead dust can re-enter the air when the home is vacuumed or swept, or when people walk through.

For More Information on Lead in Air

The U.S. Environmental Protection Agency (EPA) has a national database that shows you what types of lead sources make up the total amount of lead in the air.


Lead has made its way into the soil around homes through several different routes:

  • Paint
  • Leaded gasoline
  • Environmental emissions

Lead is naturally occurring, and can be found in high concentrations in some areas. In addition, soil, yards, and playgrounds can become contaminated when exterior lead-based paint from houses or buildings flakes or peels and gets into the soil. Lead in soil can be ingested as a result of hand-to-mouth activity that is common for young children and from eating vegetables that may have taken up lead from soil in the garden. Lead in soil may also be inhaled if re-suspended in the air, or tracked into your house thereby spreading the contamination.

The EPA defines soil lead hazard as 400 parts per million (ppm) in play areas and a 1,200 ppm average for bare soil in the rest of the yard.

For More Information on Lead in Soil

If your soil has lead, or if you are not sure, please view the publication, Human Health Hazards: Lead in soil from exterior lead paint P-45015 (PDF), to get advice for homeowners.


Lead is typically not found in drinking water at its source. However, lead can enter drinking water through corrosion of plumbing materials, especially where the water has high acidity or low mineral content that corrodes pipes and fixtures. The EPA estimates that drinking water accounts for 10-20 percent of human exposure to lead.

Homes built before 1986 are more likely to have lead pipes, fixtures, and solder. Beginning January 2014, changes to the Safe Drinking Water Act reduced the maximum allowable lead content of pipes, pipe fittings, plumbing fittings, and fixtures from 8 percent to 0.25 percent.

The only way to find out if a home has high levels of lead in the drinking water is to test the water. If it has not been tested, there are several things that can be done to reduce ingestion of lead from drinking water:

  • Do not drink, cook, or make baby formula with water from the hot water tap.
  • Purchase a filter certified for lead removal, or purchase bottled water.
  • Replace the plumbing or service line, or lead-containing faucets.

NOTE: Boiling the water WILL NOT reduce the amount of lead; it will concentrate the lead in water.

NOTE: Bathing IS NOT TYPICALLY A PROBLEM, unless the one bathing swallows the bath water; lead does not enter the body through your skin.

For More Information on Lead in Water

If you have questions about lead in water, call the Wisconsin Division of Public Health, Bureau of Environmental and Occupational Health, at 608-266-1120. For more information on lead contamination in water, visit the Centers for Disease Control and Prevention (CDC) website on Lead and Water.

Lead in Products

Toys/Products for Children
  • Warning: Sindoor Contains Lead - A product called "SINDOOR" is often added to food as a food coloring. The Food and Drug Administration (FDA) issued an alert on Dec. 17, 2007, warning consumers not to use the Swad brand Sindoor product because testing conducted by the Illinois Department of Public Health indicated this product contained very high levels of lead, sometimes as high as 87%.
  • Toxic Treats (poster in English or in Spanish) - California and U.S. health officials have detected dangerous levels of lead in 112 distinct brands of candy – most of them made in Mexico. One in four candy and wrapper samples have tested high since 1993, records show.
  • California Department of Public Health tests candies annually that are suspected to contain lead and posts the detected levels on this website.
  • Read more about lead in chocolates.
Lead in Other Products
Additional Resources

Lead Poisoning: Emerging Sources of Lead (English only) P-01887A (PDF)

For Workers and All Adults

Public Health Intervention

Treatment of lead poisoning involves a team of professionals to manage the medical, environmental, and social care required by the child and family. Public health plays a specific role in determining the source of lead exposure by evaluating the child in environments where they spend a lot of time and conducting lead hazard investigations of those places.


The standards of practice of the Wisconsin Childhood Lead Poisoning Prevention Program and its agents, i.e., local health departments, are delineated in this handbook, Wisconsin Childhood Lead Poisoning Prevention and Control Handbook for Local Public Health Departments, P-00660 (PDF).


These links go to webpages where the forms are available as either a Word-fillable document or a PDF.

  • Blood Lead Lab Reporting, F-00017 (PDF)
  • Nursing Case Management Report/Case Management of Children with Elevated Blood Lead Levels, F-44771A
  • Medicaid Targeted Case Management Face Sheet - Childhood Lead Poisoning, F-44771AA (PDF)
  • Nursing Case Closure Report/Case Management of Children with Elevated Blood Lead Levels, F-44771B
  • Property Investigation Report/Case Management of Children with Elevated Blood Lead Levels, F-4471C
  • Property Investigation Closure Report/Case Management of Children with Elevated Blood Lead Levels, F-44771D
Templates for Environmental Risk Assessment
Toolkits and Other Resources

Use this webpage for toolkits and other resources.

Lead-Free Kids for a Healthy Future: Tools and Resources for Community Awareness - a toolkit with strategies and resources for community outreach for lead poisoning awareness building.

For More Information

Wisconsin Local Health Departments - Children with lead exposure are followed by Wisconsin local health departments. Health care providers and parents can locate the health department serving their community at this site.

Wisconsin Statutes and Administrative Rules - Wisconsin has a number of statutes and administrative rules with respect to childhood lead poisoning prevention, such as for local health departments, in child care centers and other facilities and in other departments.

Lead Poisoning Treatment

Preventing disease and promoting healthy life styles is an important role for primary health care providers. Educating families with young children about lead hazards and the effects of lead poisoning can be part of routine pediatric well-child visits. Knowing when to test, how risk is determined, and how to treat lead poisoning are the next steps. The following resources provide standards of care for lead poisoning.

Additional Resources
Reliable Sources for More Information

Developmental Surveillance and Screening of Infants and Young Children (PDF) - Provides recommendations for screening infants and young children and intervening with families to identify developmental delays and disabilities in the primary care setting to assure access to early intervention services.

Wisconsin Local Health Departments - Local health departments follow up on children with elevated blood lead levels. The link provides contact information for local health department personnel.

Lead in Occupations/Hobbies

Lead is one of the most common exposures found in industry and is a primary cause of workplace illness. If you work around products or materials that contain lead, there a chance you could be exposed. Certain jobs have been known to put workers at risk of lead exposure:

  • Artists/ Painters
  • Construction Workers
  • Auto Repairers
  • Glass Manufacturers
  • Lead Manufacturers/ Miners/ Refiners/ Smelters
  • Plumbers/ Pipe Fitters
  • Welders
Routes of Exposure

Lead-emitting industries such as smelters and battery manufacturing plants can cause lead contamination of air, soil, and food grown in contaminated soil. Adults working in these industries or other hobbies or occupations involving exposure to lead may be directly exposed and/or may carry lead-contaminated dust home to their families on their hair, clothing, and shoes. Adults may contaminate their vehicle if they do not shower and change their clothes, including their shoes, before entering the vehicle. Tools or other items used on the worksite should be kept in the trunk of the car.

A CASE IN POINT: A child in Wisconsin was unknowingly poisoned due to the parent's occupation. Each day, the parent who is a contractor would throw his lunchbox that he used on the worksite into the back seat where the child's car seat was located. Consequently the car seat was found to have high levels of lead dust and the child was poisoned from sitting in it.

Keep Yourself and Your Family Safe from Lead
  • Eat and drink in areas where lead-containing products are not being handled or processed.
  • Wear proper Personal Protective Equipment.
  • Use effective lead removal products to clean your hands (washing your hands with soap and water WILL NOT be enough to remove lead residues).
  • Shower and change your clothing and shoes after working around lead hazards.
  • Store any equipment from your worksite (e.g., lunchbox, tools) in the trunk of the car.
  • Wash your work clothing separately from the family's laundry.
  • Work in well-ventilated areas.
  • Talk to your employer about other lead-safe practices.
Additional Resources
  • Lead Poisoning: Emerging Sources of Lead (English only) P-01887A (PDF)
  • Lead Testing: Also Important in Adults (English only) P-01293 (PDF)
  • Keep Your Family Safe--Don't Bring Home Lead From Your Job (English and Spanish) P-01737 (PDF)
  • Lead and Your Health: No Amount of Lead is Safe, Even for Adults (English and Spanish) P-01738 (PDF)
Reliable Sources for More Information
Last Revised: November 10, 2021