Lead Poisoning Prevention

Baby crawling

Even prior to the Flint water crisis, the annual cost of lead exposure in Michigan children is approximately was $330 million, $145 million of which is being paid each year by taxpayers. Learn more about the pre-Flint crisis costs of lead exposure in Michigan here. 

70% of lead poisoned children in Ingham County live in rental housing, yet no local units of government in Ingham County, including City of Lansing, require lead clearance as part of their rental inspection or licensing programs. This is a preventative measure that could prevent hundreds of lead poisoning cases in Ingham County each year. Click here to learn about how other cities are making sure rental properties are lead-safe in affordable and responsible ways.

Testing Your Water for Lead
ICHD has water collection kits available for residents and offers technical assistance on how to collect and get the sample analyzed. The lab fee for the test is between $18 and $26. For more information, call 517-887-4312. You may also read "Actions You Can Take to Reduce Lead in Drinking Water." The #1 source of lead poisoning in Michigan is lead paint in older homes. Please read the rest of the information on this page to learn more about steps to reduce lead hazards in your home.  Lansing Board of Water & Light has replaced lead service lines in their system. 
Testing Your House for Lead
If you have a child under six or pregnant woman living in your home and you are low-to-moderate income, you are eligible to receive up to $10,000 to test and make your home lead-safe. Rental property owners can receive up to $8,000 (vacant properties can qualify as long as you agree to promote the home to families with children). To learn more call 1-866-691-5323 or visit www.michigan.gov/leadsafe. Here is the application, also in Spanish and Arabic

If you do not qualify for the free program, you can still get your house tested by hiring a certified Lead Inspector/Risk Assessor. Getting your house tested will help you prioritize which areas need work and how to prevent exposure to those areas. See additional details below.
Healthy Homes Basics
Sesame Street Lead Link
Check out a new presentation and guidebook that summarizes steps for preventing lead poisoning and reducing other home-based hazards:

Lead Safe Cleaning
Great instructional video at https://www.youtube.com/watch?v=rwyt744iX7Y. If your child has a lead-level of 5 µg/DL or above, you can receive a free lead-safe cleaning supply kit with EPA lead quick-check swabs for your home (kit and swabs valued at $200), provided you participate in a 45 minute informational session. 

Get Kids Tested

ALL CHILDREN WHO LIVE IN HOMES BUILT BEFORE 1978 NEED TO BE TESTED FOR LEAD, especially between the ages of 0 and 6. Younger children should be tested every 3-6 months, with all well-child visits. If your doctor does not order a lead test with your well-child visit, feel free to bring the them a copy of the testing frequency recommendations supported by the Ingham County Health Department. 

Ingham healthcare providers can also use the Rx for Lead to help patients understand follow up steps after a lead result in the 3.5-14 µg/DL range. 

For help getting health insurance or a doctor, call 517-887-4306.

  • Pediatrics cover regarding leadIf your child receives a capillary (finger prick) test result at or above 3.5µg/DL, it is recommended that they receive a veinous (blood draw) test to verify their level. If they continue to test at 3.5 µg/DL and above, follow the guidelines below regarding nutrition, cleaning, removing sources of lead exposure from the child's environment.
  • Additionally, follow nutritional and cleaning guidelines to help reduce lead levels in your child's blood. 
  • No level of lead in the human body is safe or healthy, especially for children whose brains are developing and can be affected by  lead.
  • Striving for the lowest level possible is advised.
Lead Poisoning in Ingham County
  • Summary Fact Sheet
  • While significant progress has been made, lead poisoning is still a problem in Ingham County 
  • Of the 17% of kids tested in Ingham County from 2008-2012, an average of 283 kids/year were lead poisoned
  • In 2007-2009 the national rate of poisoned kids was around 2.6%
  • During that timeframe, the rate in Ingham County was at 10% among kids tested
  • While Ingham overall is now down to a 5% rate among kids tested, over half of Lansing census tracts still have rate of 10-13%
  • The #1 source of lead hazards is dust from lead paint in homes built before 1978.
  • It only takes a teaspoon of lead dust in a 1200 square foot house to harm a child, and over 60% of homes in Ingham County were built before lead paint was banned in 1978. 
  • Click here for a map showing "hot spot" areas for childhood lead poisoning from 2008-2012, and homes made safe through the Lead Safe Lansing program. The "Snapshot of Lead Poisoning in Ingham County" also summarizes the latest data about testing, impacts and prevention efforts. 
  • Ingham County Health Department works closely with Michigan Department of Community Health, City of Lansing, and Michigan Alliance for Lead Safe Housing across the "spectrum of prevention" to reduce childhood lead poisoning. 
  • In 2010, the Centers for Disease Control changed the "level of concern" regarding Elevated Blood Lead Levels. Previously, interventions were recommended at a level of 10 µg/DL. However, due to impacts on evidence of impairments in learning and behavior at even lower levels, the intervention level was changed to 5 µg/DL. Read more here about these changes from the CDC.
Man using XRF machine to test for lead
Get a Lead Inspection/Risk Assessment of your home, or an EBLL investigation and remove lead hazards:
  • These are slightly different kinds of inspections. LI/RA is only looking at the home. EBLL investigation is looking at all possible sources of lead exposure in a child's daily activities in and outside of the home. A Lead Inspection/Risk Assessment typically costs less than a full EBLL investigation. Because the #1 cause of lead poisoning in Michigan is dust from lead paint, a LI/RA will often, though not always, reveal the sources of exposure to hazards. 
  • Michigan Department of Community Health offers grants of up to $10,000 to provide inspections and abatement resources. These grants are available for both owner and renter-occupied properties. Income restrictions apply to residents of the property. 
  • If your child has an EBLL at or above 10 µg/DL, an Ingham County Public Health Nurse and/or EBLL staff from Michigan Department of Community Health will contact you to conduct an EBLL assessment of your home (at no charge to you). Depending on the level, other medical interventions may be immediately necessary. 
  • State law requires owners of rental property to make property lead-safe if a child occupying the property is found to have an EBLL of 10µg/DL as a result of hazards in the property. State and county officials enforce this rule and will assist in cases to ensure compliance. Enforcement of the Michigan Public Act 434 of 2004 is handled by Michigan Department of Community Health and Ingham County Prosecutor. To report a case, contact Wes Priem, priemw@michigan.gov; 517-335-9390. 
  • If you do not meet the income requirements for the state grant program and you want to get your house tested, please check the list of certified Lead Inspector/Risk Assessors is at http://www.michigan.gov/documents/mdch/Assessors_494359_7.pdf. Some of companies will work with families who do not qualify for grants to make sure they can get their home tested. 
  • If you are unable to test for or remove lead hazards from your home, you may wish to check Michigan's Lead Safe Housing Registry at www.michigan.gov/ismyhomeleadsafe, or contact Barb Kimmel at 517-483-4040 or barb.kimmel@lansingmi.gov

    to find out more about apartments that have been made-safe through the City of Lansing lead abatement grants
Lead abatement
Follow Lead-Safe Renovation and Repair Practices:
  • If renovation or repair work is being done on your home that disturbs lead-based paint (likely if your home was built before 1978), this work should be done by a EPA certified lead-safe renovator. Find a lead-safe certified firm at www.epa.gov/lead 
  • Contractors, property managers and landlords who disturb lead-based paint in the process of painting, renovating or repairing homes, schools or daycare centers built before 1978 MUST be "RRP certified" and follow "RRP lead safe work practices". 
  • "Renovator Certification" involves a one-day class and application every five years and compliance with required steps to contain the work area, minimize dust and thoroughly clean up every day. To get training visit www.epa.gov/lead and select "Locate an RRP Training Class or Provider". 
  • Landlords or contractors working without certification or compliance with approved practices can be punished with fines of up to $37,500 per incident, per day and lawsuits initiated by consumers and/or EPA.
  • Basics of working Lead Safe: 
  • PDF Flyer of information for contractors, property managers, landlords and homeowners. 
  • To report a landlord for failing to hire Lead Safe Certified contractors, or to report contractors for failing to work "lead safe", complete and submit an RRP Rule Violation Form or contact the following office at the U.S. Environmental Protection Agency, and/or contact Wes Priem, MDCH Healthy Homes Section Manager at priemw@michigan.gov. 

www.epa.gov/Compliance or www.epa.gov/region5
States: IL, IN, MI, MN, OH, WI
Regional Lead (Pb) Coordinator: Juan A. Mendez
U.S. EPA Region 5 (LL-17J)
77 W. Jackson Blvd.
Chicago, IL 60604
(312) 353-3808

Lead (Pb) Enforcement Section Chief: Estrella Calvo
calvo.estrella@epa.gov Phone: (312) 353-8931

Less Common, but Possible Sources of Lead Poisoning

Possible Symptoms of Lead Poisoning
  • Irritability 
  • Inability to pay attention 
  • Quick frustration 
  • Stomach ache and cramps 
  • Fatigue 
  • Frequent vomiting 
  • Constipation 
  • Headache 
  • Sleep disorders 
  • Poor appetite 
  • Clumsiness or weakness 
  • Loss of recently acquired skills 
  • Sudden changes in behavior

The absence of symptoms does NOT mean a child does not have lead poisoning. Most children with lead poisoning show no symptoms.

Lead is Especially Dangerous to Children Under the Age of 6
  • Children’s brains and nervous systems are more sensitive to the damaging effects of lead. 
  • Children’s growing bodies absorb more lead. 
  • Lead can cause nervous system and kidney damage. 
  • Lead can lead to learning disabilities, attention deficit disorder, and decreased intelligence. 
  • Lead can cause decreased muscle and bone growth, and poor muscle coordination. 
  • Lead can cause hearing damage. 
  • Pregnant women with high lead levels in their system would expose a fetus during development.
How Do I Find Out If MY CHILD has Lead Poisoning?
  • The ONLY way to know for sure if your child has lead poisoning is with a blood test. 
  • Testing is available through your doctor’s office or the Ingham County Health Department. 
  • Call (517)887-4322 for more information. 
  • For other counties in Michigan, call 1-888-322-4453 or go to Michigan.gov/leadsafe

For more information, contact:
Breena Cutter, RN, BSN, PHN, 517-887-4479BCutter@ingham.org