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. Author manuscript; available in PMC: 2018 Sep 1.
Published in final edited form as: Clin Pediatr Emerg Med. 2017 Sep;18(3):181–192. doi: 10.1016/j.cpem.2017.07.010

TABLE 5.

Home lead hazard reduction measures.

Specific Recommendations
Residential Sources of Lead Exposure
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    Wash children’s hands and toys frequently with soap and water and especially wash hands before sleeping or eating.

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    Frequent wet mopping windows, play areas and floors to reduce lead-laden dust.

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    We do not recommend starting home renovations in pre-1978 home until obtaining lead inspection.

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    Keep windows closed if peeling or chipping paint.

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    Place duct tape or contact paper over chipping peeling paint.

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    Reduce take home occupational exposures by changing out of work clothes and shoes before going home.

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    Eliminate alternative sources of lead from imported sources.

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    Clean home ventilation grates, duct work, and air filters

Water sources
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    If tap water has tested high in lead, consider installing an effective point-of-use filtering device.

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    Run tap water to cold for 1–2 minutes.

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    Clean out faucet aerators frequently

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    Private well water should be tested for contaminants annually

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    Replace interior lead plumbing and exterior lead standpipes, as indicated

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    Alternatively, switch to bottled water for drinking and cooking, and especially for preparing infant formula.

Guidance for lead hazard remediation
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    Have the home inspected for lead hazards by certified lead inspector or public health authority.

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    Lead hazard remediation which includes as indicated window and door replacement, scraping of baseboards, and other lead abatement measures should be performed by licensed, certified lead abatement specialists or others undergoing low-moderate risk de-leading trainings.

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    Family and children must vacate premises until abatement measures and clean-up have been completed, home is re-inspected, and home is deemed to be hazard-free. Use a HEPA vacuum

Outdoor exposures
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    Cover bare dirt outdoor areas with grass, mulch, asphalt, or concrete

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    Leave shoes at the threshold of the domicile

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    Wipe paws of pet dogs and cats

Data from American Academy of Pediatrics Council of Environmental Health, Pediatric Environmental Health, 3rd Edition.76