**[LEAD COMMUNITY WEBCAST STORYBOARD]{.underline}**

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| SCRIPT                                            | GRAPHICS         |
+---------------------------------------------------+------------------+
| None                                              | SLIDE 1 (Lead -- |
|                                                   | Information for  |
|                                                   | Community        |
|                                                   | Members)         |
|                                                   |                  |
|                                                   | ![](me           |
|                                                   | dia/image1.wmf){ |
|                                                   | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| Welcome to the lead web cast for community        | CAMERA           |
| members. I\'m Dr. Jewel Crawford from the Centers |                  |
| for Disease Control and Prevention, Agency for    |                  |
| Toxic Substances and Disease Registry, Division   |                  |
| of Toxicology and Environmental Medicine. My      |                  |
| specialty is family practice.                     |                  |
|                                                   |                  |
| The goal of this web cast is to increase your     |                  |
| knowledge about lead, its effects on health, and  |                  |
| how to reduce the risk of lead exposures.         |                  |
+---------------------------------------------------+------------------+
| I'll begin with an overview and talk about what   | SLIDE 2 (Web     |
| lead is, where it\'s found, and how people might  | Cast Objectives) |
| be exposed to it. This will be followed by a more | ![](me           |
| detailed discussion of these issues. I'll also    | dia/image2.wmf){ |
| talk about what the health risks are from         | width="1.6625in" |
| exposure to lead, how to prevent exposure, and    | height="1.3270   |
| what to do if you or someone you know might have  | 833333333334in"} |
| been exposed.                                     |                  |
|                                                   |                  |
| There will also be resources listed at the end of |                  |
| this web cast so you can get more information     |                  |
| about lead.                                       |                  |
+---------------------------------------------------+------------------+
| Okay, so what is lead?                            | SLIDE 3 (What is |
|                                                   | lead?)           |
| Lead is a soft gray metal that is a naturally     | ![](me           |
| occurring element in the earth. Lead is toxic to  | dia/image3.wmf){ |
| people and levels of lead that were once          | width="1.6625in" |
| considered safe are now considered hazardous.     | height="1.3270   |
| Lead poisoning can be prevented. Much of lead\'s  | 833333333334in"} |
| presence in the environment comes from its past   |                  |
| use in paint, gasoline, ongoing or historic       |                  |
| mining, and from commercial and industrial        |                  |
| operations.                                       |                  |
+---------------------------------------------------+------------------+
| People have used lead almost since the beginning  | CAMERA           |
| of civilization. Human activities have spread     |                  |
| lead widely throughout the environment including  |                  |
| in air, water, soil, plants, animals, and         |                  |
| man-made constructions. Because lead is spread so |                  |
| widely throughout the environment, it's common    |                  |
| for people to have some amounts of lead in their  |                  |
| bodies. Both children and adults are susceptible  |                  |
| to the health effects of lead from higher levels  |                  |
| of exposure.                                      |                  |
|                                                   |                  |
| What products can cause lead exposure?            |                  |
+---------------------------------------------------+------------------+
| People in the United States were once exposed     | SLIDE 4 (What    |
| from leaded gasoline, but that's no longer        | products may     |
| happening because lead has been removed from      | cause lead       |
| gasoline in this country. Some products such as   | exposure?)       |
| imported canned food and jewelry, along with some |                  |
| home remedies, may still contain lead.            | ![](me           |
|                                                   | dia/image4.wmf){ |
|                                                   | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| What are the sources of lead in the environment?  | CAMERA           |
|                                                   |                  |
| The sources vary from place to place. In many     |                  |
| older, urban communities, old paint and gasoline  |                  |
| are the primary sources for lead in the           |                  |
| environment.                                      |                  |
|                                                   |                  |
| Paint produced before nineteen seventy-eight      |                  |
| contained lead.                                   |                  |
+---------------------------------------------------+------------------+
| The biggest concern about lead in the United      | SLIDE 5 (What    |
| States today is in houses where this paint was    | are the sources  |
| used, which are now in poor condition, with       | of lead in the   |
| cracked, peeling paint. This lead can enter the   | environment?)    |
| household dust from friction, such as the normal  | ![               |
| rubbing of windows and doors as they open and     | ](media/image5.w |
| close. In addition, home renovations that disturb | mf){width="1.732 |
| old paint can easily spread invisible lead dust   | 6388888888888in" |
| throughout the home.                              | height="1.382    |
|                                                   | 638888888889in"} |
| Outside these houses, lead may enter soil from    |                  |
| paint chips that are ground into surrounding dirt |                  |
| over time.                                        |                  |
+---------------------------------------------------+------------------+
| In addition, soil may also have been contaminated | SLIDE 6 (What    |
| by the lead that was in gasoline before that      | are the sources  |
| practice was stopped in nineteen seventy-six.     | of lead in the   |
| This lead does not go away and remains in the     | environment?     |
| soil. If this happened, soil can pose a hazard.   | Continued)       |
|                                                   |                  |
| Some workplaces that use lead also have higher    | ![](me           |
| levels because the lead used in various           | dia/image6.wmf){ |
| production processes may enter the dust or air in | width="1.6625in" |
| these work environments.                          | height="1.3270   |
|                                                   | 833333333334in"} |
| Finally, lead from mining or smelting areas can   |                  |
| get into the air and this lead can settle into    |                  |
| the soil, resulting in high soil lead levels.     |                  |
+---------------------------------------------------+------------------+
| Now let\'s return to our discussion about how     | CAMERA           |
| people are exposed to lead.                       |                  |
|                                                   |                  |
| Exposure to lead and lead chemicals occurs        |                  |
| through breathing or eating it, through skin      |                  |
| contact, drinking water contaminated with lead,   |                  |
| and swallowing or touching dust or dirt that      |                  |
| contains lead. Most human exposure to lead occurs |                  |
| through eating or breathing it.                   |                  |
+---------------------------------------------------+------------------+
| Ingestion of lead through food, water or alcohol  | SLIDE 7 (How are |
| may be significant for certain populations. For   | people exposed   |
| example, lead exposure in the general population, | to lead?)        |
| including children, occurs primarily through      |                  |
| eating it. Breathing it also contributes to a     | ![](me           |
| build up in the body and                          | dia/image7.wmf){ |
|                                                   | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| Inhalation may be the major route for lead        | SLIDE 8 (How are |
| exposure for workers in lead-related occupations. | people exposed   |
|                                                   | to lead?         |
| In addition, ingesting certain home remedies may  | Continued)       |
| expose people to lead or lead compounds.          |                  |
|                                                   | ![](me           |
| Lead paint, however, is the major source of lead  | dia/image8.wmf){ |
| exposure for children in the United States. As    | width="1.6625in" |
| lead paint deteriorates, peels, chips, or is      | height="1.3270   |
| removed by renovation, house dust and surrounding | 833333333334in"} |
| soil may become contaminated. We're all aware of  |                  |
| the practice of young children putting almost     |                  |
| anything and everything in their mouths. Lead can |                  |
| enter a child's body through this normal          |                  |
| hand-to-mouth activity, as well as through        |                  |
| inhalation.                                       |                  |
+---------------------------------------------------+------------------+
| What happens when lead enters the body?           | CAMERA           |
|                                                   |                  |
| It's important to remember that once lead is      |                  |
| absorbed by the body,                             |                  |
+---------------------------------------------------+------------------+
| it may be stored for long periods in mineralizing | SLIDE 9 (What    |
| tissue such as teeth and bones and then released  | happens when     |
| again into the bloodstream, especially in times   | lead enters the  |
| of bodily stress, such as pregnancy, breast       | body?)           |
| feeding, calcium deficiency, or osteoporosis,     |                  |
| which is thinning of the bones.                   | ![](me           |
|                                                   | dia/image9.wmf){ |
|                                                   | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| This type of exposure can be significant,         | CAMERA           |
| especially for individuals who have been exposed  |                  |
| to lead over a long period of time.               |                  |
|                                                   |                  |
| Now let\'s return to our discussion about lead in |                  |
| the home environment.                             |                  |
+---------------------------------------------------+------------------+
| Even though leaded paint was banned in the United | SLIDE 10 (Lead   |
| States in nineteen seventy-eight, it may have     | in home          |
| been used and then covered with non-leaded paint. | environments)    |
| If this occurred, it may still be released into   |                  |
| the home environment by peeling, chipping,        | ![](med          |
| friction, impacts, or by home renovation.         | ia/image10.wmf){ |
|                                                   | width="1.6625in" |
| In fact, between eighty-three percent and         | height="1.3270   |
| eighty-six percent of all homes built in the      | 833333333334in"} |
| United States before nineteen seventy-eight, have |                  |
| lead-based paint in them. The older the house,    |                  |
| the more likely it is to contain lead-based paint |                  |
| and have a higher concentration of lead in the    |                  |
| paint. Before Nineteen fifty-five, much of the    |                  |
| white house paint sold contained up to fifty      |                  |
| percent lead.                                     |                  |
|                                                   |                  |
| Many people think that children will be safe if   |                  |
| they are prevented from eating paint chips, but   |                  |
| children are exposed to lead mainly by lead in    |                  |
| dust and not by eating paint chips.               |                  |
+---------------------------------------------------+------------------+
| Now, some children who exhibit repeated ingestion | CAMERA           |
| of nonfood items - a condition known as pica -    |                  |
| are at higher risk for lead poisoning.            |                  |
|                                                   |                  |
| However, significant blood lead elevations can    |                  |
| result from invisible lead contaminated dust or   |                  |
| soil ingested through normal hand-to-mouth        |                  |
| behaviors.                                        |                  |
+---------------------------------------------------+------------------+
| Children may ingest leaded paint, dust, or soil   | SLIDE 11 (Lead   |
| from many sources in their homes. Windows,        | in home          |
| porches, and doors are usually the most           | environments.    |
| significant contributors of lead dust in the home | Continued)       |
| environment. Playing in contaminated soil can     |                  |
| also be a major source of lead.                   | ![](med          |
|                                                   | ia/image11.wmf){ |
| Any home renovation that disturbs lead paint can  | width="1.6625in" |
| create hazardous levels of lead in dust that may  | height="1.3270   |
| not be visible to the eye.                        | 833333333334in"} |
+---------------------------------------------------+------------------+
| Finally smoking cigarettes or breathing           | CAMERA           |
| second-hand smoke increases exposure to lead      |                  |
| because tobacco smoke contains small amounts of   |                  |
| lead.                                             |                  |
+---------------------------------------------------+------------------+
| The amount of lead found in dust in the home      | SLIDE 12 (Lead   |
| environment is important because lead dust levels | in home dust)    |
| have been directly correlated with children's     | ![](med          |
| blood lead levels. And, there is really no safe   | ia/image12.wmf){ |
| blood lead level.                                 | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| Now, let's turn to a discussion of lead in the    | CAMERA           |
| work environment.                                 |                  |
|                                                   |                  |
| Most adult exposures are occupational and occur   |                  |
| in lead-related industries, workers in the lead   |                  |
| smelting, refining, and manufacturing industries  |                  |
| have the highest and most prolonged occupational  |                  |
| exposures to lead.                                |                  |
+---------------------------------------------------+------------------+
| Other jobs that may involve lead include jobs in: | SLIDE 13 (Lead   |
| construction, automobile repair, lead mining,     | in work          |
| plumbing, printing, and military and police work  | environments)    |
| involving fire arms.                              | ![](med          |
|                                                   | ia/image13.wmf){ |
| Workers doing home renovations that involve       | width="1.6625in" |
| scraping, remodeling, or otherwise disturbing     | height="1.3270   |
| lead-based paint are at increased risk of         | 833333333334in"} |
| exposure. Renovations involving lead-based paint  |                  |
| should only be undertaken after proper training.  |                  |
+---------------------------------------------------+------------------+
| In addition to direct ingestion of lead dust      | CAMERA           |
| during their work, workers may inhale lead dust   |                  |
| and fumes, as well as eat, drink, and smoke in or |                  |
| near contaminated areas, thereby increasing their |                  |
| probability of lead ingestion. Between point five |                  |
| and one point five million workers are exposed to |                  |
| lead in the workplace.                            |                  |
|                                                   |                  |
| If showers and a change of clothing are not       |                  |
| provided, workers can bring lead dust home on     |                  |
| their skin, hair, shoes, and clothing,            |                  |
| inadvertently exposing family members. These      |                  |
| small daily exposures can become significant      |                  |
| overtime.                                         |                  |
+---------------------------------------------------+------------------+
| Adults can also be exposed during hobbies and     | SLIDE 14 (Lead   |
| activities where lead is used. Certain types of   | in hobby         |
| auto repair work, such as repairing the car       | activities)      |
| radiator can contribute to lead exposure. Some of |                  |
| the more common hobbies that involve lead include | ![](med          |
| artistic painting; glazed pottery making;         | ia/image14.wmf){ |
| stained-glass making; glass, metal or electronics | width="1.6625in" |
| soldering; target shooting; and molding of        | height="1.3270   |
| bullets, slugs, or fishing sinkers.               | 833333333334in"} |
+---------------------------------------------------+------------------+
| What are other sources of lead in the home?       | SLIDE 15 (Lead   |
|                                                   | in drinking      |
| Lead occurs in drinking water through leaching    | water)           |
| from lead-containing pipes, faucets, and solder,  |                  |
| which can be found in plumbing in older           | ![](med          |
| buildings. Other potential sources of lead        | ia/image15.wmf){ |
| contamination include brass fixtures, old         | width="1.6625in" |
| drinking water coolers, and old coffee urns.      | height="1.3270   |
|                                                   | 833333333334in"} |
| Leaching rates accelerate when water is acidic or |                  |
| hot, or when it's been standing in the pipes for  |                  |
| extended periods, like overnight. Boiling water   |                  |
| will not get rid of lead. Flushing the standing   |                  |
| water from the lines and faucet for a few minutes |                  |
| before use and using cold water for drinking may  |                  |
| reduce exposure. Commercially available water     |                  |
| filters may also reduce lead levels in drinking   |                  |
| water.                                            |                  |
+---------------------------------------------------+------------------+
| Lead is still used in commercial products, such   | SLIDE 16 (Lead   |
| as bridge paint, computers, pewter, some ceramic  | in commercial    |
| glazes, and costume jewelry.                      | products)        |
|                                                   |                  |
|                                                   | ![](med          |
|                                                   | ia/image16.wmf){ |
|                                                   | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| While lead may be prohibited from many of these   | CAMERA           |
| products in the United States, imported products  |                  |
| or products produced prior to regulations being   |                  |
| established may still pose a risk.                |                  |
+---------------------------------------------------+------------------+
| Lead may also contaminate food and beverages      | SLIDE 17 (Lead   |
| through production, packaging, or storage.        | in contaminated  |
|                                                   | products)        |
| For example, produce, such as root vegetables,    |                  |
| can take up lead from contaminated soil. Another  | ![](med          |
| example is homemade alcohol or "moonshine" that   | ia/image17.wmf){ |
| was distilled or stored in leaded containers.     | width="1.6625in" |
|                                                   | height="1.3270   |
| Packaging may also pose a risk. Until the         | 833333333334in"} |
| phase-out in the United States of lead-soldered   |                  |
| food cans during the nineteen eighties, canned    |                  |
| food was a major source of lead in our diet.      |                  |
| Although some plastic food wrappers may be        |                  |
| printed with lead-containing pigments, and some   |                  |
| food cans produced and sold in foreign countries  |                  |
| may be lead-soldered, the amount of lead in the   |                  |
| United States diet has declined substantially.    |                  |
+---------------------------------------------------+------------------+
| Storage or serving of food or beverages in        | SLIDE 18 (Lead   |
| lead-containing vessels can cause contamination.  | in contaminated  |
| This includes some ceramic tableware, especially  | products.        |
| tableware that's imported, as well as             | Continued)       |
| leaded-crystal glassware.                         |                  |
|                                                   | ![](med          |
| Lead-glazed pottery, particularly if it's         | ia/image18.wmf){ |
| imported, is a potential source of exposure       | width="1.6625in" |
| that's often overlooked.                          | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| Even \"safe\" pottery and ceramic-ware can pose a | CAMERA           |
| risk. If for example, a dish is chipped or the    |                  |
| protective glaze wears off, people can be exposed |                  |
| to lead-containing pigments.                      |                  |
|                                                   |                  |
| Now, let's discuss another potential source of    |                  |
| exposure to lead and that is exposures which are  |                  |
| related to various cultural practices.            |                  |
|                                                   |                  |
| Some members of certain ethnic groups may engage  |                  |
| in practices that might increase their exposure   |                  |
| to lead. Examples include some folk treatments    |                  |
| and cosmetics of Mexican, Asian, and Middle       |                  |
| Eastern origin.                                   |                  |
+---------------------------------------------------+------------------+
| Azarcon and greta, which are Mexican folk         | SLIDE 19 (Ethnic |
| treatments used to treat the colic-like illness   | products)        |
| \"empacho,\" may contain lead. Azarcon and greta  |                  |
| are also known as: liga, Maria Luisa, alarcon,    | ![](med          |
| coral, and rueda.                                 | ia/image19.wmf){ |
|                                                   | width="1.6625in" |
| Folk treatments containing lead used by some      | height="1.3270   |
| Asian communities are: chuifong, tokuwan,         | 833333333334in"} |
| ghasard, bali goli, and kandu.                    |                  |
|                                                   |                  |
| Middle Eastern treatments and cosmetics include:  |                  |
| alkohl, saoott, and cebagin.                      |                  |
+---------------------------------------------------+------------------+
| Now let's summarize what we've learned about lead | SLIDE 20 (Lead   |
| in the environment.                               | in the           |
|                                                   | environment)     |
| Because of widespread human use, lead is found    |                  |
| throughout our environment. The background levels | ![](med          |
| vary, depending on the historic uses in a given   | ia/image20.wmf){ |
| area.                                             | width="1.6625in" |
|                                                   | height="1.3270   |
| The past use of lead in gasoline has contaminated | 833333333334in"} |
| soils, especially along roadways.                 |                  |
|                                                   |                  |
| Industries, such as mining and lead smelting have |                  |
| also contributed to high levels of lead in the    |                  |
| soil, water, and air around such facilities.      |                  |
|                                                   |                  |
| Small businesses, such as auto repair shops, can  |                  |
| contribute to elevations of lead in adjacent      |                  |
| areas.                                            |                  |
+---------------------------------------------------+------------------+
| Now, who are the people that are most susceptible | CAMERA           |
| to lead exposure?                                 |                  |
|                                                   |                  |
| Children are more affected by exposure than       |                  |
| adults for several reasons. Children generally    |                  |
| come into contact with lead because of mouthing   |                  |
| and hand-to-mouth behaviors. As mentioned         |                  |
| earlier, certain children demonstrate a           |                  |
| compulsive hand-to-mouth behavior and repeated    |                  |
| eating of nonfood items, called pica. These       |                  |
| children are at greater risk for exposure.        |                  |
|                                                   |                  |
| Children are smaller. They're closer to the       |                  |
| ground and play in and roll around on the dirt    |                  |
| where there may be contaminated soil. Children    |                  |
| also breathe at higher rates than adults, so they |                  |
| breathe in more lead-contaminated dust and soil   |                  |
| fumes.                                            |                  |
+---------------------------------------------------+------------------+
| Children who live in housing built before         | SLIDE 21 (Who is |
| nineteen seventy-eight, especially those in the   | most at risk of  |
| inner cities and adults who are occupationally    | lead exposure?)  |
| exposed, are at the greatest risk.                |                  |
|                                                   | ![](med          |
| While the level of lead in children's blood has   | ia/image21.wmf){ |
| declined in recent decades, there are still many  | width="1.6625in" |
| children that are at significant risk of lead     | height="1.3270   |
| poisoning. These children are more likely to be   | 833333333334in"} |
| living in poverty and/or from racial or ethnic    |                  |
| minority groups.                                  |                  |
|                                                   |                  |
| Pregnant women and developing fetuses are also at |                  |
| risk. The mother\'s blood lead level is an        |                  |
| important indication of the risk to her unborn    |                  |
| child. In addition, mothers who had exposure to   |                  |
| lead in the past may store lead in their bones.   |                  |
| Lead may be released from bones during times of   |                  |
| higher calcium requirement, such as pregnancy and |                  |
| breastfeeding.                                    |                  |
|                                                   |                  |
| Although children are at greater risk from lead   |                  |
| exposure, adult exposures can also result in      |                  |
| harmful health effects.                           |                  |
|                                                   |                  |
| As mentioned earlier, most adult exposures are    |                  |
| occupational and occur in lead-related            |                  |
| industries, such as lead smelting, refining, and  |                  |
| manufacturing. Adults can also be exposed while   |                  |
| engaging in certain hobbies and activities where  |                  |
| lead is used.                                     |                  |
+---------------------------------------------------+------------------+
| What parts of the body are affected by lead and   | CAMERA           |
| what are the adverse health effects?              |                  |
+---------------------------------------------------+------------------+
| The brain and the nervous system are the most     | SLIDE 22 (What   |
| sensitive to lead.                                | parts of the     |
|                                                   | body does lead   |
| Exposure to high levels of lead can permanently   | affect?)         |
| affect the brain, bones, kidneys, and the heart.  |                  |
|                                                   | ![](med          |
|                                                   | ia/image22.wmf){ |
|                                                   | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| Lead at any level can cause health effects, and   | SLIDE 23 (What   |
| even at low exposure doses may adversely affect a | levels of Lead   |
| child's development. A high level of lead in the  | cause health     |
| blood of children may produce brain damage, coma, | effects?)        |
| or death.                                         |                  |
|                                                   | ![](med          |
| While the major health concern in children is     | ia/image23.wmf){ |
| typically neurologic, lead toxicity can affect    | width="1.6625in" |
| almost every organ system. It's important to      | height="1.3270   |
| remember that childhood lead poisoning can lead   | 833333333334in"} |
| to health effects later in life, including kidney |                  |
| damage, high blood pressure, and other problems   |                  |
| such as learning disabilities.                    |                  |
|                                                   |                  |
| Adults with current lead exposure may have        |                  |
| neurologic effects similar to children, but       |                  |
| normally these occur at higher levels of          |                  |
| exposure.                                         |                  |
+---------------------------------------------------+------------------+
| In adults, slowed nerve conduction, wrist drop,   | CAMERA           |
| and weakness in the arms show up as late signs of |                  |
| lead intoxication and are more classic signs in   |                  |
| workers chronically exposed to high lead levels.  |                  |
|                                                   |                  |
| In young children, the nervous system is the most |                  |
| sensitive to lead exposure. The main effects are  |                  |
+---------------------------------------------------+------------------+
| lowered IQ, learning disabilities, attention      | SLIDE 24 (What   |
| deficit and hyperactive disorder, behavioral      | are the effects  |
| issues and impaired hearing, which can hinder a   | of lead exposure |
| child's opportunities for obtaining an education  | on young         |
| and better opportunities for work. In addition,   | children?)       |
| anemia and developmental problems can also be     |                  |
| seen.                                             | ![](med          |
|                                                   | ia/image24.wmf){ |
|                                                   | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| ##### Children who are exposed to lead are more   | CAMERA           |
|  likely to have these health problems as adults.  |                  |
+---------------------------------------------------+------------------+
| As I mentioned earlier, the effects of lead on    | SLIDE 25 (What   |
| adults are similar to children, but require       | are the effects  |
| higher levels of exposure. Long-term exposure may | of lead on       |
| also affect the thyroid. In women, lead can       | adults?)         |
| adversely affect pregnancy and the unborn child.  |                  |
| Prenatal exposure to lead may increase the risk   | ![](med          |
| of low birth weight babies and premature birth.   | ia/image25.wmf){ |
| In males, lead may impair their ability to have   | width="1.6625in" |
| children.                                         | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| The symptoms of lead poisoning are not always     | CAMERA           |
| obvious. In fact, sometimes the family doesn't    |                  |
| notice any symptoms. If you or your family have   |                  |
| been exposed to lead, not having symptoms doesn't |                  |
| mean that you won't develop health problems       |                  |
| later.                                            |                  |
+---------------------------------------------------+------------------+
| There are often no visible effects of lead        | SLIDE 26 (When   |
| exposure, even at levels that can cause damage    | do symptoms      |
| over time.                                        | appear?)         |
|                                                   |                  |
| If you or your child are exposed to lead, only a  | ![](med          |
| blood test can tell if you have a high lead       | ia/image26.wmf){ |
| level. The more lead you are exposed to over      | width="1.6625in" |
| time, the greater your risk of disease.           | height="1.3270   |
|                                                   | 833333333334in"} |
| The most important thing is to see a doctor.      |                  |
+---------------------------------------------------+------------------+
| So once again, the population groups most         | SLIDE 27 (Are    |
| sensitive to lead are young children and pregnant | certain people   |
| mothers. Remember, lead can pass from the mother  | more sensitive   |
| to the unborn child.                              | to lead          |
|                                                   | exposure?)       |
|                                                   |                  |
|                                                   | ![](med          |
|                                                   | ia/image27.wmf){ |
|                                                   | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| A blood test can tell if you or your child has    | CAMERA           |
| high blood lead levels.                           |                  |
|                                                   |                  |
| Okay, now who should be tested?                   |                  |
+---------------------------------------------------+------------------+
| -   Children should have their blood tested at    | SLIDE 28 (Is     |
|     ages one and two; older children at risk of   | there a medical  |
|     lead poisoning should also be tested.         | test to find out |
|                                                   | if I was exposed |
| -   Adults who may be exposed to lead at work or  | to lead?)        |
|     through hobbies or activities, such as home   |                  |
|     remodeling or the other activities mentioned  | ![](med          |
|     earlier, should be tested.                    | ia/image28.wmf){ |
|                                                   | width="1.6625in" |
|                                                   | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| What are some things you can do to prevent        | SLIDE 29 (How    |
| exposure to lead?                                 | can I prevent    |
|                                                   | exposure to lead |
| -   If your home was built before nineteen        | in my home?)     |
|     seventy-eight, you should have it tested for  |                  |
|     lead,                                         | ![](med          |
|                                                   | ia/image29.wmf){ |
| -   Make sure all paint is in good condition,     | width="1.6625in" |
|                                                   | height="1.3270   |
| -   Wet-clean all surfaces, especially window     | 833333333334in"} |
|     sills, at least every week,                   |                  |
|                                                   |                  |
| -   Wash children's hands frequently,             |                  |
|                                                   |                  |
| -   Cover bare soil in the yard, and              |                  |
|                                                   |                  |
| -   Learn about lead-safe work practices when     |                  |
|     doing work on your home that disturbs paint.  |                  |
+---------------------------------------------------+------------------+
| How can you prevent exposure to lead in your      | CAMERA           |
| workplace?                                        |                  |
|                                                   |                  |
| If you work around lead paint, solder, or other   |                  |
| products that contain lead, you may want to:      |                  |
+---------------------------------------------------+------------------+
| -   Ask your doctor to test your blood for lead,  | SLIDE 30 (How    |
|                                                   | can I prevent    |
| -   Talk to your workplace health and safety      | exposure to lead |
|     officer about what precautions have been put  | in my            |
|     in place,                                     | workplace?)      |
|                                                   |                  |
| -   Wear protective clothing and use a respirator | ![](med          |
|     as appropriate, and                           | ia/image30.wmf){ |
|                                                   | width="1.6625in" |
| -   Wash your hands carefully and change your     | height="1.3270   |
|     clothes before going home.                    | 833333333334in"} |
+---------------------------------------------------+------------------+
| If you're concerned about possible lead exposure  | CAMERA           |
| at work, you can contact:                         |                  |
+---------------------------------------------------+------------------+
| -   Your workplace health and safety officer;     | SLIDE 31 (Lead   |
|                                                   | in workplaces)   |
| -   The Occupational Safety and Health            |                  |
|     Administration, or                            | ![](med          |
|                                                   | ia/image31.wmf){ |
| -   The National Institute for Occupational       | width="1.6625in" |
|     Safety and Health.                            | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| If you are concerned about possible lead exposure | CAMERA           |
| in your home, you can contact:                    |                  |
+---------------------------------------------------+------------------+
| -   Your local health department,                 | SLIDE 32 (Lead   |
|                                                   | in home          |
| -   The National Lead Information Center,         | environments)    |
|                                                   |                  |
| -   The Alliance for Healthy homes, or            | ![](med          |
|                                                   | ia/image32.wmf){ |
| -   The Environmental Protection Agency's web     | width="1.6625in" |
|     site for publications on lead and remodeling. | height="1.3270   |
|                                                   | 833333333334in"} |
+---------------------------------------------------+------------------+
| Now let's review what I have discussed about lead | ##### SLIDE 3    |
| in this web cast:                                 | 3 (Lead Summary) |
|                                                   |                  |
| -   Lead is found in older paint, contaminated    | ![](med          |
|     soil, and contaminated products.              | ia/image33.wmf){ |
|                                                   | width="1.6625in" |
| -   Leaded dust in older homes comes from normal  | height="1.3270   |
|     friction, deterioration, or repair work,      | 833333333334in"} |
|                                                   |                  |
| -   Lead poisoning can cause brain damage, kidney |                  |
|     disease, and hypertension, and                |                  |
|                                                   |                  |
| -   Lead is [very]{.underline} dangerous to young |                  |
|     children and the developing unborn child.     |                  |
+---------------------------------------------------+------------------+
| If you would like more information on lead and    | CAMERA           |
| it's health effects, you may contact any of the   |                  |
| resources listed on the next SLIDE. Thank you!    |                  |
+---------------------------------------------------+------------------+
| -   Agency for Toxic Substances and Disease       | SLIDE 34 (How    |
|     Registry (ATSDR)                              | can I get more   |
|                                                   | information?)    |
|     -   Referrals to occupational and             |                  |
|         environmental health clinics.             | ![](med          |
|                                                   | ia/image34.wmf){ |
|     -   Their specialists can recognize,          | width="1.6625in" |
|         evaluate, and treat illnesses resulting   | height="1.3270   |
|         from exposure to hazardous substances.    | 833333333334in"} |
|                                                   |                  |
|     -                                             |                  |
|   [www.atsdr.cdc.gov](http://www.atsdr.cdc.gov/); |                  |
|         1-800-CDC-INFO                            |                  |
|                                                   |                  |
| -   Regional poison control center.               |                  |
|                                                   |                  |
| -   State, county, or local health department.    |                  |
+---------------------------------------------------+------------------+