Frequently Asked Questions
  1. What is the Public Advocate doing to protect children?
  2. What is lead poisoning?
  3. What are the effects of lead poisoning?
  4. Who is at risk?
  5. Can lead poisoning be treated?
  6. Can lead poisoning be prevented?
  7. Where is lead typically found in housing?
  8. Where else is lead found?
  9. How many children are lead poisoned in New Jersey each year?

  1. What is the Public Advocate doing to protect children?
    Lead-based paint in New Jersey housing is one of the principal causes of lead exposure among the state’s children. Because lead-based paint was not banned from residential use nationwide until 1978 and because New Jersey has some of the oldest housing stock in the nation, at least 2 million New Jersey housing units contain lead-based paint, threatening any children who live inside them.

    In 2006, the Department filed a friend-of-the court brief in the New Jersey Supreme Court to support municipalities in their suits against paint manufacturers to recover some of the costs of removing or encapsulating lead paint in older buildings. Although the state Supreme Court rejected the legal theory under which the municipalities had pressed their case, the court recognized the magnitude of the problem of lead poisoning in New Jersey. The decision leaves the door open for other kinds of legal actions against landlords who do not make their buildings safe and manufacturers who sell products containing lead.

    Read the Public Advocate's statement on the lead paint Supreme Court decision, 6/15/07

    Read the Supreme Court's Ruling, 6/15/07

    Read the Public Advocate's brief on lead paint, 4/20/06
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  2. What is lead poisoning?
    Lead is a highly poisonous metal, present naturally in the environment, which was used for many years in products found in and around our homes.

    Lead poisoning occurs when lead enters the bloodstream by ingestion or inhalation of lead particles, its dusts, or its fumes. Vital organs absorb this toxic metal that causes adverse effects on the brain and bone marrow. 
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  3. What are the effects of lead poisoning?
    Children harmed by lead exposure often need special health and educational services.  The permanent health effects from lead poisoning and lead exposure include:

    • Developmental delays  
    • Mental retardation  
    • Reduced IQ
    • Reading and learning disabilities  
    • Behavioral problems
    • Deficits in language (e.g., speech delay)  
    • Reduced Cognitive function
    • Hearing impairments  
    • Hyperactivity

    Lead poisoning can also affect adults:

    • Hypertension
    • Anemia
    • Decreased fertility
    • Muscle development problems
    • Early-onset dementia
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  4. Who is at risk?
    Every child is at risk, especially in New Jersey with its old housing stock and industrial heritage.  Therefore, New Jersey law mandates that every child be blood lead tested before age 6. 

    Children under six years old are at greatest risk of suffering the harmful health effects of lead poisoning:


    • Their brains and nervous systems are still forming.
    • They frequently crawl on floors or furniture contaminated with lead dust and put their hands or other objects in their mouths.
    • More of the lead that gets into their mouth is taken up into their bodies.
    • Lead remains in their bodies for a long time.
    • Much of the lead is stored in their bones.

    Pregnant women exposed to lead should ask their doctor about a blood test. An infant born to a mother with an elevated level of lead in her blood would be at risk for lead poisoning.

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  5. Can lead poisoning be treated?
    While lead poisoning is treatable, the effects of lead poisoning are irreversible. Changes to a child's diet, washing hands, and removing shoes before entering the home can help reduce the exposure to lead. Children with high enough levels of lead in their blood require a chelation treatment, a treatment that attempts to remove lead from the body. The most common way to respond to lead poisoning in children is to find the lead source and remove it from their environment, a process called abatement.
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  6. Can lead poisoning be prevented?
    Lead poisoning is entirely preventable. The key is stopping children from coming into contact with lead. Methods to help protect your children from lead poisoning include:

    • Damp-mop floors and damp-wipe surfaces often; frequently wash a child's hands, pacifiers, and toys to reduce exposure to lead; and take off shoes before going inside your home.
    • Use only cold water from the tap for drinking, cooking, and for making baby formula. Run water for 1 minute each time before drinking it, especially if you have not used your water for a few hours.  Hot water is more likely to contain higher levels of lead.  Most of the lead in household water usually comes from the plumbing in your house, not from the local water supply. Boiling water will not reduce lead.
    • Avoid using home remedies for illness as well as cosmetics (for example kohl, alkohl) that contain lead.
    • If your work or hobbies involve working with lead-based products take basic steps to decrease your exposure to lead (for example, by showering and changing clothes after finishing the task).  If you plan to remodel a building built before 1978, it is best to hire a professional with training on lead-safe practices to do the work.
    • Don't let children chew on anything covered with lead paint.
    • Eat healthy, well-balanced meals regularly.  Diets high in iron and calcium can help reduce the amount of lead that is absorbed by the body. 
    • Don't store food in pottery or cans as they may contain lead. 
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  7. Where is lead typically found in housing?
    Paint - Many homes built before 1978 have paint with lead in it.  Lead made colors intense and helped paint stay on walls longer. The federal government banned lead-based paint from housing in 1978. Lead can be found:

    • In homes in the city, country, or suburbs
    • In apartments, single-family homes, and both private and public housing
    • Inside and outside of the house

    Soil - In soil around a home. Soil can pick up lead from exterior paint or other sources such as past use of leaded gas in cars.

    Dust - In household dust. Dust can pick up lead from deteriorating lead-based paint or from soil tracked into a home.
     
    Water - In drinking water. Your home might have plumbing that contains lead. Call your local health department or water supplier to find out about testing your water for lead. You cannot see, smell, or taste lead, and boiling your water will not get rid of lead.

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  8. Where else is lead found?

     

    • On the job (e.g. home renovators, police who use weapons, battery manufacturers). If you work with lead, you could bring it home on your hands or clothes. Shower and change clothes before coming home. Wash your work clothes separately from the rest of your family's clothes.
    • On painted toys and furniture.
    • In food and liquids stored in lead crystal or lead-glazed pottery or porcelain.
    • In industries that release lead into the air such as battery manufacturers.
    • From hobbies that use lead, such as making pottery or stained glass, or refinishing furniture.
    • In folk remedies that contain lead, such as "farouk" (Middle Eastern remedy for teething), "pay-loo-ah" (fever and rash treatment in Southeast Asia) and "azarcon." (Mexican treatment for intestinal blockage).
    • In imported candies/food. 

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  9. How many children are lead poisoned in New Jersey each year?
    According to the most recent report from the New Jersey Department of Health and Senior Services, 4,048 (2.4%) of children younger than six tested in New Jersey in fiscal year 2005 (July 1, 2004, to June 30, 2005) had a blood lead test result at or above the Centers for Disease Control and Prevention (CDC) poisoning level of 10 micrograms per deciliter of blood (µg/dL). Many more children may be lead poisoned, but simply are not tested.

    The lead problem in New Jersey is severe; however, the problem is not uniform across the state. In FY 2005, Irvington (7.85%); East Orange (7.29%); Newark (6.45%); Trenton (6.10%); Paterson (5.05%); and Camden (3.63%) had large percentages of children under six years old with blood lead levels above 10 µg/dL, the CDC level of concern for lead poisoning.

    The numbers must also be understood in the context of evolving standards of what constitutes “lead poisoning.” While New Jersey regulations currently require medical follow-up for all children with blood lead levels at or above 20 µg/dL (except in 12 high-risk areas where the standard is 15g/dL), the Centers for Disease Control acknowledge that there is no known safe level of lead toxicity.
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