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Preventing Childhood Lead Poisoning
What
is lead poisoning?
Too
much lead in the body can cause serious damage to the brain, kidneys, nervous
system and red blood cells. High levels can cause retardation, convulsions, coma
and sometimes death. Low levels can slow a child's normal development and cause
learning and behavioral problems.
Children
are more sensitive to lead poisoning than adults because their nervous systems
and body organs are growing and changing rapidly. Also, children are more
efficient at absorbing lead into their bodies than adults and have more
hand-to-mouth activity.
How
do children become lead poisoned?
Many
exterior and interior house paints sold before 1978 contained lead. Many older
homes have surfaces painted with lead-based paint. Lead poisoning can be caused
when children eat, chew, or suck on lead painted objects such as windowsills,
railings, toys, or furniture. Lead poisoning can also be caused by young
children's normal hand-to-mouth activity if there is lead in the household dust
or soil. Lead dust may be created as paint ages and breaks down into powdery
dust. Renovation activity such as stripping, scraping, sanding, grinding, torch
burning, or sandblasting old paint can also create lead dust. Dirt near busy
streets may contain lead dust from cars that used leaded gasoline.
What
are the symptoms of lead poisoning?
Most
children have no symptoms. When children do have symptoms, the symptoms are
often similar to common childhood complaints such as headaches, irritability,
tiredness, lack of appetite and stomach aches. Because these symptoms are not
specific, parents and physicians may not suspect lead poisoning. A blood test is
the only sure way to detect lead poisoning.
Who
should be tested and how often?
Screening
for lead poisoning should be part of a normal health program, and children 6
years and under, should be tested at least once a year. Children ages 6 months
to 3 years should be tested every 1-12 months, depending on the blood lead
level, and whether they are at high or low risk for lead poisoning. Steps to
prevent lead exposure in an individual child should be taken when a child's
blood lead level is 15 micrograms of lead per deciliter of blood (µg/dL). If a
child's blood level is 20 µg/dL or higher, the child should receive medical
follow-up and a home inspection.
HOUSEHOLD
SOURCES OF LEAD
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Painted
Surfaces
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Water
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Food
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Grown
in contaminated soil
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Stored
in lead-glazed pottery
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Contaminated
by dust and residue from the air or hands
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From
cans with sealed lead solder seams
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Some
ceramics, leaded crystal glassware
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Soil
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Air-borne
Sources
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Dust
and fumes from lead painted materials that have been burned,
sandblasted, or heated
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Fumes
from auto and industrial emissions
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Dust
spread by people who work with lead
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Dust
created by removing lead paint during home renovation projects
TIPS
TO PREVENT LEAD POISONING
-
Have
your home inspected or send paint samples to a laboratory for analysis (a
list of laboratories follows).
-
Have
your child tested regularly.
-
Get
your soil tested if you suspect it may be contaminated.
-
Get
your water tested. If you suspect that you may have lead in your water, run
the water for 2 or 3 minutes each morning before using it for cooking or
drinking. Don't use hot water for cooking or drinking.
-
Wash
dusty surfaces, especially floors, windowsills and wells with tri-sodium
phosphate (TSP) available in hardware stores. Be sure to rinse after
washing.
-
Wash
your own and your child's hands frequently.
-
Cover
lead-based paint on chewable surfaces.
-
If
your job exposes you to lead, shower and change clothes before you come
home.
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Provide
well-balanced meals, low in fat and high in iron and calcium.
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Remove
or cover contaminated soil with clean soil and grass.
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Notify
neighbors with children before beginning exterior renovations.
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Remember
the risk factors and sources of lead poisoning covered in this brochure.
Legal
Issues
WISCONSIN
CHAPTER 151
According
to Wisconsin law Chapter 151, "Prevention of Lead Poisoning or Lead
Exposure,” all health professionals and laboratory directors must
report blood lead test results of 25 micrograms per deciliter of blood or
greater to the Wisconsin Department of Health and Social Services (DUSS). The
U.S. Centers for Disease Control in October 1991 stated that "blood lead
levels at least as low as 10 µg/dL are associated with adverse health
effects." Under Wisconsin law, DHSS is required to ado the definition of
lead poisoning or lead exposure that corresponds to the specification of the
Centers for Disease Control. DHSS will issue rules to adopt 10 µg/dL as the
definition of lead poisoned or lead exposed.
Under
Chapter 151, Wisconsin DHSS or local public health officials may inspect
dwellings for the presence, location and condition of lead-bearing paints. If
the DHSS (or local health agency) determines that lead-bearing paints are
present in or upon any dwelling, the department may notify the owner and
"issue instructions remove, replace or cover securely and permanently these
paints within 30 days, in a manner the department prescribes."
If
the property owner fails to correct the hazards within days, this shall be
evidence of negligence in any legal action for damages or injuries. Violations
are enforced by county district attorneys and subject to fines of $1,000 per
day, with each day of continued violation considered as a separate offense.
WISCONSIN
CHAPTER 709
As
of September 1, 1992, persons who sell one-to-four family residential real
estate must disclose if they are aware of unsafe concentrations of, or unsafe
conditions relating to lead in paint, lead in soil or lead in water supplies or
plumbing system.
WISCONSIN
CHAPTER 704.07 (4)
This
chapter provides tenants with rights if a property becomes untenantable because
of health hazards.
Lead
Paint Removal
Removing
lead paint is dangerous and can cause increased lead exposure to workers and to
children. You may want to find experienced and trained professionals to do the
work. You must take precautions to prevent lead paint dust and debris from
contaminating the air, the inside of the home or the soil outside. Capture all
lead dust and debris and be sure it gets to a secure landfill. Children and
pregnant women should be kept out of the work area until the work is done and
the area has been thoroughly cleaned.
Preferred
Lead Removal Methods
These
8 methods create less lead dust than other methods:
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Replace
windows, windowsills, doors, porch or stair railings, banisters or other
woodwork or trim with new unpainted products.
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Remove
woodwork and send it to a business that chemically strips off the old paint.
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Cover
interior walls or ceilings with wallboard or paneling.
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Cover
exterior walls with vinyl or aluminum siding.
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Install
vinyl or aluminum window sash tracks.
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Cover
window wells with durable products (sheet metal or fiberglass cloth and
adhesive).
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Cover
floors with plywood or linoleum and stairs with rubber tread and metal
edges.
-
Cover
lead painted non-friction surfaces with durable products such as fiberglass
tape.
A
simple low cost option is to wet down leaded paint and wet scrape it off in
large pieces. This is safer than methods that generate small dust particles.
Chemical paint removers create less dust in air, but the dissolved paint is hard
to clean up.
Clean
Up is Crucial to the Success of Any Lead Abatement Project
-
After
you have scraped and removed the loose paint, wash the surfaces with a
phosphate solution (mix 1 cup automatic dishwasher detergent that contains
at least 5% phosphate into a gallon of water) and then rinse with clean
water before repainting (use gloves).
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Use
a HEPA (high efficiency particulate air) vacuum to remove lead dust and
debris. These may be available from your local health department.
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Take
dust wipe samples before re-occupancy to determine if cleanup has been
effective.
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Wash
hands before eating or drinking.
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Change
work clothes and shoes before entering your car or any occupied area.
Avoid
Unsafe Methods of Lead Paint Removal
Any method that
attempts to remove lead paint from the underlying surface is dangerous. The
following methods generate hazardous amounts of lead in the air, and are NOT
recommended:
Children
in homes where lead is improperly removed often experience increased lead
exposure.
Where
Can I Get Help if My Child Is Poisoned?
If
your child has high blood lead levels, your physician will choose a treatment
based on the blood test results. An important part of any treatment is to
prevent future exposure to lead. Your home should be inspected inside and
outside to identify the sources. If lead is found, the law requires lead hazards
in paint, plaster or other material to be removed or covered.
Wisconsin
Lead Information
Wisconsin
Division of Health's Childhood Lead Poisoning Prevention Program will provide
information about lead screening for children. Call 608-266-1826 for this
information. For environmental lead information call 608-266-5885 or
608-266-7897.
WISCONSIN
LEAD TESTING RESOURCES
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Blood
Blood
samples can be taken at your doctor's office or in some local public health
agencies or WIC clinics. The following labs are certified by the Centers for
Disease Control and will provide advice on blood lead testing procedures.
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State
Lab of Hygiene 608-262-1146
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West
Allis Hospital Lab 414-546-6313
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City
Milwaukee Health Department 414-278-3526
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Marshfield
Clinics 715-387-5317
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Paint
Testing and Environmental Evaluation:
-
The
Wisconsin Division of Health's Childhood Lead Poisoning Prevention
Program will help coordinate testing for lead in homes of children whose
blood lead is high. Call 608-266-5885 or 608-266-7897 for information.
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The
State Lab 608-263-6550 can test air, paint, and dust samples for
lead.
-
Contact
your local public health department that should have access to paint
testing equipment.
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Water
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Soil
Written
By: Division of Health
Printed
By: Wisconsin Council on Developmental Disabilities
POH
4535
10/92
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