Preventing Lead Poisoning in Young Children | Health Trends in Early Childhood Education (ECE) – May 2026

Trend

  • Lead is highly toxic to neural development in infants and young children. Exposure to lead in older housing, water infrastructure, and air pollution continues to adversely affect families, especially in low-income communities.

Explanation

There is no safe level of lead exposure. The EPAU.S. Centers for Disease Control and PreventionAmerican Academy of PediatricsWorld Health Organization, all agree on this. 

Lead exposure can cause permanent damage to the developing brains of fetuses and children, as well as:

  • Low birth weight and related complications
  • Slowed growth and development
  • A loss of IQ points
  • Learning and behavior problems
  • Hearing and speech problems
  • Attention deficit hyperactivity disorder
  • In adults, it can adversely affect the kidneys and reproductive systems, cause heart disease, and lead to fatal heart attacks, among other harms.   

Lead-based paint hazards are found in homes built before 1978.

Children ingest lead dust by putting objects such as toys and dirt in their mouths. Children can be poisoned when they swallow or breathe in lead dust. Windowsills and wells can also contain high levels of lead dust, so they should also be kept free of dust.

Some toys and jewelry imported from other countries can contain lead. Some imported ceramics and glazed dishes made in the U.S. prior to the 1990s also contain lead.  

Young child sitting on the floor, holding a pink toy in the mouth, with wooden toys scattered nearby in a playroom.

Lead is sometimes in candies imported from other countries or traditional home remedies.

Ground cinnamon alert:  Alerts, Advisories & Safety Information | FDA

In March 2024, the U.S. Food & Drug Administration issued an alert about ground cinnamon sold by a number of brands at six different retail chains. Samples of these products were tested by the FDA and were found to contain elevated levels of lead.

Should I worry about lead in my child’s cinnamon applesauce pouch? – HealthyChildren.org

Never Miss a Recall; sign up at the Consumer Product Safety Commission’s website: CPSC.gov

Public water infrastructure

Water can absorb lead from pipes, fixtures, and solder found in the plumbing.  Under the Federal Lead and Copper Rule, public water is regulated to ensure that it is lead-free when it is delivered to you. Tens of millions of people nationwide drink tap water served by lead pipes.

A new map by NRDC (the Natural Resources Defense Council) shows that lead pipes occur in every U.S. state, and that many states and utilities do not know what the majority of their pipes are made of.

Small child standing at a kitchen sink, drinking water from a clear cup while leaning on the counter.

Impact

Pennsylvania ranks 5th nationally for housing built before 1950, when lead-based paint was common.

In Pennsylvania, these primary lead exposure sources remain:

  • Lead-based paint and dust
  • Older plumbing and drinking water infrastructure
  • Some consumer products and imported goods.

New Pennsylvania Report Published

The Pennsylvania Department of Health released the 2023 Childhood Lead Surveillance Data:  2023 Childhood Lead Surveillance Annual Report (PDF)

Key highlights from the report:

  • Elevated Blood Lead Levels
    • The number and percentage of confirmed Elevated Blood Lead Levels (EBLL) ≥3.5 µg/dL increased from 2022 to 2023, largely due to the lower CDC reference value:
    • Elevated Blood Lead Level (EBLL):3.5 µg/dL, reflecting the CDC’s updated Blood Lead Reference Value (BLRV), implemented in PA on January 1, 2022.
    • Confirmed EBLL: A venous test ≥3.5 µg/dL or two capillary tests ≥3.5 µg/dL within 12 weeks.
  • 10,592 children had an initial capillary test >3.5 µg/dL.
  • Children <2 years:
    • 3,177 children (3.49% of those tested) had confirmed EBLLs ≥3.5 µg/dL.
  • Children <6 years:
    • 7,840 children (4.7% of those tested) had confirmed EBLLs ≥3.5 µg/dL.
  • Only 58.9% received appropriate follow-up testing within 12 weeks.
  • Follow-up was less complete at lower lead levels, indicating ongoing gaps in adherence to CDC recommendations.

PA Department of Health – Prevention and Response Strategies: Lead Poisoning | Department of Health | Commonwealth of Pennsylvania

  • Toll-free Lead Hotline (1-800-440-LEAD) serving families statewide.
  • Childhood Lead Poisoning Prevention Program (CLPPP) partnerships in 6 counties
  • Lead Hazard Control Program (LHCP)
  • Community Health Nurse (CHN) case management: 8,851 lead follow-ups in 2023
  • Lead-Free PA Initiative (since 2019) to expand testing, remediation capacity, and workforce development

Action

Free Lead Testing and Reduction Grants for Schools and Child Care Facilities

The Shapiro Administration is launching a free, no-cost water sampling program for eligible schools and child care facilities across Pennsylvania to test for lead in drinking water. This initiative, through the Pennsylvania Department of Environmental Protection (DEP), is funded by the Water Infrastructure Improvements for the Nation (WIIN) Act’s Voluntary School and Child Care Lead Testing and Reduction Grant Program.

In partnership with Terraphase Engineering, the program offers no-cost water testing and, for those with elevated lead levels, grant funding to support lead-reduction activities, such as installing hydration stations. Eligible applicants could receive up to $3,000 per installed hydration station. It’s an easy, no-cost way to protect children’s health and make sure they’re drinking safe water.

Schools and child care centers that meet the criteria are encouraged to apply. Applications must be submitted online through the Commonwealth’s Electronic Application: Grant Details | Commonwealth of Pennsylvania. Enrollment is currently open and will remain so until funds are exhausted.

For more information, visit DEP’s webpage: Lead Information for Schools and Child Care Facilities

Participate in the Lead-Free Promise Project

Lead‑Free Promise Project logo showing a paintbrush icon with the text “LEAD‑FREE PROMISE PROJECT” and the tagline “Protecting Kids by Ending Lead Paint Poisoning.”

Homepage – Lead Free Promise Project

QR Code for Lead Free Promise Project

Parent Resource Toolkit – Lead Free Promise Project

Screenshot of a “Parent Resource Toolkit” webpage from the Lead‑Free Promise Project outlining six steps to help a child who tested positive for lead, with icons, a Pennsylvania county map, and links to screening, benefits, and early education resources.

How to Protect Children from Lead Poisoning

  • The only way to find lead in children is with a blood test. Most children with high lead levels won’t appear sick.
  • The American Academy of Pediatrics (AAP) recommends that all children be screened for lead exposure at one and two years of age through a blood test.
  • Request Blood Lead Level (BLL) Testing:
  • The most important “treatment” for a child is to prevent further exposure to lead.

Refer Lead Poisoned Children to Early Intervention:

Share this brochure: Help Me Grow     Also available in Spanish.

This Early Intervention child find brochure is a statewide public awareness document that can be utilized by all Infant/Toddler programs. It includes information describing Early Intervention tracking services. The brochure can be used with early care and education providers, physicians, and other child referral agencies. More information: Early Intervention Technical Assistance (EITA) at eita@pattan.net.

Parent Resources

Happy, Healthy, Lead-Free Me! – Cribs for Kids

Cover of a “Protect Your Family From Lead in Your Home” brochure featuring photos of children and a family, an image of residential row houses, and logos of the U.S. Environmental Protection Agency, Consumer Product Safety Commission, and Department of Housing and Urban Development.

Note: The 2026 version of the Protect Your Family from Lead in Your Home pamphlet is available in English and Spanish.

  • A healthy diet causes the body to absorb less lead.Eat a healthy diet that includes iron, calcium, and foods low in fat. Foods rich in iron include eggs, nuts, and beans.

About Child Trends in Early Childhood

Welcome to Health Trends in Early Childhood, the monthly release from The Pennsylvania Key, focused on trending health issues related to children birth to age five and their families and caregivers.

Each month, find information about a recent health trend, learn why it is important, discover the impact it has on children, their families and caregivers, and the community, as well as actions we all can take to ensure the health and well-being of children in our communities. Also, find reliable resources to learn more about the issue.

Visit The Pennsylvania Key's Health Trends in Early Childhood Education (ECE) Page

Disclaimer: This is the most updated information at release time. The information in Health Trends is not a Pennsylvania regulatory requirement for early childhood providers. Pennsylvania early childhood providers with regulatory requirements should contact their Cert rep or the Bureau of Certification.