Appendix E: Recommended Educational Material (PDF: 108KB/13 pages)

The following factsheets are not current and are examples only. For the most
current Minnesota Department of Health factsheets, visit our website at
http://www.health.state.mn.us/divs/eh/lead/fs/index.html
Cleaning Up
Sources of Lead in the Home
2
STEP
STEP
1
Regular Washing
Cleaning With ASpecial Vacuum
Wash your child's hands and face often
with soap and water. Make sure your
child's hands and face are clean before
eating and going to bed.
You can use a special vacuum cleaner called a High Efficiency Particulate Air Filter
(HEPA) vacuum to clean up lead. The HEPA vacuum has a special filter that can
pick up and hold small pieces of lead. Call the Minnesota Department of Health at
(651) 215-0890 for a list of available HEPA vacuums.
Be sure to wash toys, bottles and pacifiers
often with soap, and water. Don't let your
child play with any toys that have fallen
on the ground until they have been
cleaned with soap and water.
Another option is to use a wet/dry vacuum in the wet setting to clean up
the wash or rinse water. When you use the wet/dry vacuum, be sure to keep
about two inches of water in the bottom of the canister. The water will help hold
the lead dust. Only use the wet/dry vacuum to vacuum up the wash
or rinse water, when you are cleaning up lead. Do not use the wet/dry vacuum to
pick up dry dust, or lead paint chips.
Don't let your child eat any food that has
fallen on the ground.
Never use your household vacuum cleaner to clean up paint dust or chips from
walls, floors or window sills and wells. Household vacuum cleaners are okay for
regular cleaning jobs, once lead has been cleaned up. But when it comes to
cleaning up lead, your household vacuum cleaner filter cannot pick up and hold
the small pieces of lead – it can blow lead dust into the air where people can
breathe it in.
Minnesota Department of Health Lead Program
STEP
3
Wet Washing
Wet washing is the best way to clean up lead dust. Wet wash window
sills, wells, walls, floors and door frames often to clean up lead dust.
Step One
Use two buckets – one for the cleaning solution, and one for the clean rinse
water. Clearly mark each bucket. Be sure to wear waterproof, chemical
resistant, rubber gloves while you are wet washing. Keep the children away
from this and all cleaners.
Step Two
Make a cleaning solution by adding one tablespoon of a phosphate cleaner,
such as trisodium phosphate (TSP), or automatic dishwashing detergent with
phosphate, with one gallon of water. If you can’t find a phosphate cleaner,
don't let that stop you from wet washing. Mix a cleaning solution made up
of household detergent and mix according to the directions on the container.
Step Three
Pick up any loose paint chips and other debris that can be found in the
window wells, sills, door frames, and floors. Put the paint chips and debris in a
double thick garbage bag. Seal the bag.
Step Four
Wash the window wells and sills, door frames, walls and floors thoroughly
with the cleaning solution. Use two separate sets of disposable rags or paper
towels – one set for the washing step and one set for the rinse step.
Step Five
Rinse the area that you washed with cleaning solution with clean water,
using a different disposable rag or paper towel. It is important to use a
different rag or paper towel for the cleaning and rinse steps.
Step Six
Put all the rags, paper towels and paint chips in a double thick garbage bag. Seal the bag. Keep the bag out of the reach of children and pets. Call your county offices to find out how you can dispose of the lead debris at a household hazardous waste collection site, or place it in the garbage for
pickup.
To request this material in another format contact:
Minnesota Department of Health Lead Program
P.O. Box 64975 • St. Paul, Minnesota 55164-0975
Phone: 651-215-0890 • TTY: 651-215-0707
Minnesota Relay Service TTY: 1-800-627-3529
Also visit our website at www.health.state.mn.us
Printed on recycled paper.
Questions?
Call the Minnesota
Department of Health
2/99 IC Number 141-0643
The children pictured in this fact sheet are not lead-poisoned. The products
and brands shown are examples only and do not constitute a stated
or implied endorsement from the Minnesota Department of Health.
at 651-215-0890
Finding Lead in the Home
Common Sources of Lead
Lead is part of our world today. It is found in the air, soil, dust and the paint of some homes or buildings
built before 1978. Being exposed to too much lead can cause serious health problems. Lead is never a
normal part of your body. The good news is that lead poisoning can be prevented. This fact sheet explains
common sources of lead in the home, and how to avoid them.
Lead Dust
Household dust is a common source of lead for young children. The dust can contain lead from
deteriorated, interior lead-based paint or tracked-in, contaminated soil. Lead dust can be created during
home remodeling or renovation projects, or when lead-based paint is not removed in a lead-safe way. Your
house can look clean and still have lead in it. A child can breathe in or eat this dust.
• Keep your home as dust-free as possible. Wet wash window wells, sills and floors with a cleaning
solution made up of household detergent. Mix the household detergent according to the directions on the
container. Be sure to use two separate buckets - one bucket for the cleaning solution, and one bucket for
the clean rinse water. Use separate sets of disposable rags or paper towels - one set for the wash step and
one for the rinse step.
• Wash your child's hands with soap and water before eating, naps and bedtime.
• Wash bottles, teething rings and toys with soap and water.
• Do not allow children to play or eat around window areas in older homes.
• Adults working in jobs where lead is used should shower, and change clothes and shoes before coming
home. This includes painters, remodelers, or workers in smelters, battery plants, radiator or auto body
shops.
• Clothes worn at work should not be washed with other clothes. Clean work clothes separately from other
clothing. Run the rinse cycle once before using the washer again.
• Keep windows closed on windy days so that lead-contaminated soil does not get into the house.
Lead-Based Paint
Eating cracking, chipping and peeling lead-based paint is also a lead source for young children. Lead paint
was used on the inside and outside of homes built before 1978.
• Be aware that lead-based paint may have been used on cribs, highchairs, windows, woodwork, walls,
doors, railings and ceilings.
• Don't let your child eat or chew on anything you think may contain lead-based paint. Look for teeth
marks on the woodwork in your home.
• Be sure to wet wash, as described above, the windows often. Loose paint and dust can build up inside
and under the window area.
• Do not use your household vacuum to clean up paint chips or leaded dust. The filter in your household
vacuum cleaner is not designed to pick up and hold small particles of lead. Using a regular vacuum
cleaner will spread lead dust into the air.
• Painting over chipping or peeling lead-based paint does not make it safe! You must first safely remove
chipping or peeling lead-based paint before repainting.
Minnesota Department of Health • Lead Program • P.O. Box 64975 • St. Paul, MN 55164-0975 • 651-201-4610
Soil
Soil can be contaminated with lead from deteriorated, exterior paint on homes, buildings, or fences. As the
result of past use of leaded gasoline, lead can also be found in the soil near major roadways or intersections
in urban areas. Neither of these places are safe play areas for a child.
• Don't let your child eat outside on bare soil areas, eat dirt, or play next to the house or the street where
bare soil is present.
• Cover bare soil (any soil you can see) with grass, mulch, shrubs, or another kind of durable ground cover.
• Keep washable rugs at all of the entrances to your home. Wash these rugs separately from other items.
Run the rinse cycle once before using the washer again.
• Take your shoes off at the door so soil and dust are not tracked into the house.
Food
Plants usually do not absorb lead unless there is a large amount of lead in the soil.
• Wash fruits and vegetables before eating to clean off any lead dust that may have settled on the food. Do
not store juices or food in open cans. Store food in glass, stainless steel or sturdy plastic.
• Remove the outer leaves of leafy green vegetables.
• Plant gardens away from the house, garage, fence or other structures covered with chipping paint.
Water
Lead levels in your water are likely to be highest if your home or water system has lead pipes or copper
pipes with lead solder.
• Plumbing put in before 1930 may contain lead pipes. Plumbing installed before 1985 may contain leadbased solder in the copper joints in the water supply system. Brass faucets and ball valves may contain
lead. Minnesota banned the use of lead-based solder in 1985.
• The only way to know if your water (or other lead source) has lead in it is to have it tested by a certified
lab. Call the Minnesota Department of Health for the name of an approved lab in your area.
If you think you may have lead in your water:
• Do not cook, drink or make baby formula with water from the hot water faucet. Hot water dissolves
more lead than cold water.
• Always use cold water for cooking or drinking. If the water has not been used for six or more hours, let
the cold water run for a couple of minutes, or until there is a temperature change.
• Stay away from the hot water tap for eating and drinking purposes. If you need hot water, heat cold
water from the tap or the refrigerator.
Folk Medicine
Many folk remedies contain lead and should not be used. Please talk to your doctor if you are using any of
the following folk remedies that may contain lead:
• alarcon
• bali gali
• greta
• kandu
• lozeena
• alkohl
• bint al zahab
• farouk
• kohl
• pay-loo-ah
• azarcon
• cora
• ghasard
• liga
• surma
To request this material in another format contact:
Minnesota Department of Health
P.O. Box 64975
St. Paul, MN 55076-0975
Phone: 651-201-5000
MDH TDD/TTY: 651-201-5797
Minnesota Relay Service: 800-627-3529
Printed on recycled paper. Revised 1/2006, IC #141-1329.
Questions?
Call the Minnesota Department
of Health Lead Program at
651-201-4610 or visit our website at
www.health.state.mn.us/divs/eh/lead
Steps To Help Lower
Your Child’s Blood Lead Level
S TEP
• Wash
your child's hands often with soap and water. Make sure hands are clean
1
Regular
Washing
before meals, snacks, naps and bedtime.
• Keep your child's fingernails trimmed.
• Wash your child's toys, pacifiers, and bottles often with soap and water.
• If you come in contact with lead at your job be sure to shower, wash your hair,
and change work clothes and shoes before coming into the house.,
• Wash any clothes that have come in contact with lead separately
STEP
from other family clothes.
• Wet wash your home often – especially window sills and wells.
2
A
Safer
Home
• Do not use your regular household vacuum cleaner to pick up paint chips or
dust that contains lead.
• Place washable rugs at each entrance to the home.
Wash rugs separately from other items.
• Take your shoes off before coming into the home.
• Shampoo carpets often.
• Cover bare soil in your yard with sod, wood chips or other ground cover.
• Learn how to safely make home repairs on homes built before 1978. Never
dry-sand, dry-scrape or use a heat gun to burn old lead-based paint. Call the
STEP
Minnesota Department of Health at 651-215-0890 to learn more.
• Have your child eat healthy meals and snacks throughout the day.
3
STEP
Eat
Healthy
Foods
• Eat all meals and snacks at the table.
• Don't eat food that has fallen on the floor.
• Feed your child food that is high in calcium, iron and Vitamin C.
• Use only cold tap water for drinking, cooking, and making
food or baby formula.
• Do not use home remedies or cosmetics that contain lead.
Children with too much lead in their blood may need to have more blood tests. The
4
tests are to make sure that the lead is leaving the body. It is very important that you keep all of the medical appointments, and follow your doctor's instructions. Your doctor will also talk to you about other
things you can do to help lower the amount of lead in your child's blood. Medical
Care
Minnesota Department of Health Lead Program
StepsTo Help Lower
YourChild s Blood Lead Level
Notes
Medical Care
_____________________________
Doctor ______________________________________________________
Phone____________________________
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Clinic _______________________________________________________
Phone____________________________
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BLOOD LEAD LEVEL PROGRESS CHART
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Appointment Date
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Appointment Time
Blood Lead Level
Notes
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Public Health Nurse
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Name _______________________________________________________
Phone____________________________
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Notes From Visit: ___________________________________________________________________
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Lead Risk Assessor
_____________________________
Name _______________________________________________________
_____________________________
Notes From Visit: ___________________________________________________________________
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______________________________________________________________________________
_____________________________
______________________________________________________________________________
_____________________________
______________________________________________________________________________
To request this material in another format contact:
Minnesota Department of Health Lead Program P.O. Box 64975
St. Paul, Minnesota 55164-0975
Phone: 651-215-0890
TTY: 651-215-0707
Minnesota Relay Service TTY: 1-800-627-3529
Also visit our website at www.health.state.mn.us
Printed on recycled paper.
2/99
IC Number 141-0642
The children pictured in this fact sheet are not lead-poisoned.
The products and brands shown are examples only and do not
constitute a stated or implied endorsement from the Minnesota
Department of Health.
Phone____________________________
Questions?
Call the Minnesota Department
of Health
at 651-215-0890
Finding Lead in the Home
What is Lead Poisoning?
Lead is part of our world today. It is found in the air, soil, dust and the paint of some homes or buildings
built before 1978. Being exposed to too much lead can cause serious health problems. Lead is never a
normal part of your body. The good news is that lead poisoning can be prevented. This fact sheet provides
answers to some of the most commonly asked questions about lead poisoning.
How can I be exposed to lead?
Lead enters your body each time you inhale leaded dust or fumes, or swallow something that contains lead.
Exposure to lead may occur in several ways:
•
Eating foods or drinking water that contain lead.
•
Spending time in areas with deteriorating lead-based paint.
•
Working in jobs where lead is used.
•
Using traditional medicines that contain lead.
•
Participating in hobbies that may use lead, like making stained glass or fishing with lead sinkers.
How can lead affect adults?
The effects of lead are the same whether it enters the body through breathing or swallowing. The main target
in the body for lead toxicity is the nervous system. Long-term, and high-level exposure of adults to lead can
cause brain and kidney damage. High-level lead exposure in men and women can affect their reproductive
health. A pregnant woman’s exposure to lead can increase her risk for delivering her baby early, and for
having a small baby.
How can lead affect children?
Children are more vulnerable to lead poisoning than adults because their nervous systems are still developing.
Children’s bodies absorb more of the lead they take in than adult bodies. Babies and small children can
swallow or breathe in lead from contaminated dirt, dust, or sand while they play on the ground or floor.
These activities make it easier for children to be exposed because the dirt or dust on their hands, toys, or
other items may contain lead. Children are also more sensitive to the effects of lead than adults. Even at low
levels of exposure, lead can affect a child’s learning, behavior and growth.
How can I tell if my child/family member has too much lead in their body?
People with high levels of lead in their bodies often do not seem sick. The symptoms that might occur are
very general and can happen for many reasons. Therefore, the only way to find out if there is too much lead
in the blood is a simple blood test. Your local public health clinic or family doctor can do this test for you. It
involves taking a sample of blood from your family member’s finger or a vein in their arm. If the blood
sample shows a problem with lead, more testing may be done.
Is there a way to reduce a high blood lead level?
The best way to lower a high blood lead level is to prevent continued exposure to lead. There is a medication
that helps to remove lead from the body when the blood lead level is very high. The medication combines
with lead so the body can get rid of the lead more easily. A doctor will decide if this treatment is needed.
Minnesota Department of Health • Lead Program • P.O. Box 64975 • St. Paul, MN 55164-0975 • 651-201-4610
Who Should Be Tested
The Minnesota Department of Health (MDH) developed the Blood Lead Screening Guidelines for Minnesota
to help physicians understand who should be tested for lead, and at what intervals. These recommendations
include:
A physician should offer a blood lead test to a child at any age if:
• The parent expresses a concern about, or asks for a blood lead test for their child;
• The child moved from a major metropolitan area or another country within the last twelve months.
Child health-care providers should offer a blood lead test to children at one and two years of age, and
children up to age six who have not previously been tested if:
• The child lives in Minneapolis or St. Paul; OR
• The child receives services from assistance programs such as WIC, Medicaid, Minnesota Care, or
Prepaid Medical Assistance Programs; OR
• The child meets any of the following criteria, including: regularly visiting a home, childcare, or other
building built before 1950 in the last six months; regularly visiting a home, childcare, or other building
built before 1978 that has undergone renovation, major repairs, or damage in the last six months; or
has a sibling, playmate, or housemate with an elevated blood lead level.
A health care provider should conduct an annual evaluation of children aged three to six years with previous
“normal” blood lead levels to determine if any changes have occurred to their environment. If the answer to
any of the following is “Yes” or “Don’t Know”, the child should receive a blood lead test:
• Does the child have a playmate, sibling or housemate with a recent elevated blood lead level?
• Has the child moved to or started regularly visiting a home, childcare, or other building built before
1950?
• Has there been any repair, remodeling, or damage (such as water damage or chipped paint) to a
home, childcare, or other building built before 1978 that the child regularly visits?
For more information about the Blood Lead Screening Guidelines for Minnesota and other information about
lead please contact the MDH Lead Program at www.health.state.mn.us/divs/eh/lead or by telephone at
651-201-4610.
To request this material in another format contact:
Minnesota Department of Health
P.O. Box 64975
St. Paul, MN 55164-0975
Phone: 651-201-5000
MDH TDD/TTY: 651-201-5797
Minnesota Relay Service: 1-800-627-3529
Printed on recycled paper. Revised 1/2006
IC #141-1328.
Questions?
Call the Minnesota Department
of Health Lead Program at
651-201-4610 or visit our website at
www.health.state.mn.us/divs/eh/lead
Childr
enen- Card
Childr
- Card10
10
Food Guide Pyramid for Children
01/06 IC# 141-1258
If you require this document in another format, such as
large print, Braille or cassette tape, call 651.281.9900
This institution is an equal opportunity provider
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Fruits are nature's treats ­
sweet and delicious.
Go easy on juice and
make sure it's 100%.
Limit juice to 4 ounces a
day.
Suggested serving size:
½ - 1 medium piece
1 - ½ cup canned
/3
½ cup juice
Milk
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2 ounces
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Eat lean or lowfat meat,
chicken, turkey, and fish.
Baked, broiled, or grilled is
best.
1 ounce equals:
1 ounce meat, poultry, or fish
1 Tablespoon peanut butter
1 egg
¼ cup cooked dry beans
Suggested serving size:
1 - 2 ounces meat
¼-½ cup cooked dry beans
Go lean with protein
Meat & Beans
2 cups (use fat free skim or 1%) 3-4 ounces
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Get your oils from fish and liquid oils like canola, olive, corn and soybean oils.
1 - 1 ½ cups
2 cups (use whole milk until
2nd birthday)
3 and 4 year-olds need the amounts below from each food group every day ○ ○ ○
1 cup
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Move to the milk group to
get your calcium. Calcium
builds strong bones.
1 cup equals:
1 cup milk
1 ½ ounces cheese
1 cup yogurt
Suggested serving size:
½ - 1 ounce cheese
½ cup milk or yogurt
Get your calcium-rich foods
1 and 2 year-olds need the amounts below from each food group every day
1 ½ cups
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Fruits
Focus on Fruits
Adapted from USDA MyPyramid for Kids. Go to www.mypyramid.gov for specific food and activity recommendations for your child.
Find your balance between food and fun
Fats and sugars - know your limits·
• Move more. Aim for at least 60 minutes everyday, or most days. • Check the Nutrition Facts on food labels for fat and sugar information.
• Limit solid fats as well as foods that contain them.
• Play, run, walk – it all counts!
• Choose food and beverages low in added sugars and other caloric
sweeteners.
4-5 ounces
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1 cup
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3 ounces
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Color your plate with all
kinds of great-tasting
veggies. Try dark green
and orange vegetables!
Suggested serving size:
¼ cup cooked
¼ - ½ cup raw (caution:
choking danger)
1 cup raw leafy
½ cup vegetable juice
Look for whole-grain
cereals and breads. Make
sure the first word on the
ingredient list is "whole".
1 ounce equals:
1 slice bread
1 cup dry cereal
½ cup rice or pasta
Suggested serving size:
½ - 1 slice bread
½ - ¾ cup dry cereal
1
/3 - ½ cup pasta or rice
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Vegetables
Vary your veggies
Grains
Make half your grains whole
Children - Card 10
TDD: 651.201.5797
FAX: 651.215.8951
WEBSITE: HEALTH.STATE.MN.US
WIC Program
Help Fight Lead Poisoning with the Food Guide Pyramid
Children who eat right can reduce their chances of getting lead poisoning. This fact sheet explains
how parents and other care givers can help prevent lead poisoning in children and other family
members by promoting good eating habits.
Promote these eating habits to reduce the
risk of lead poisoning
Here's why
Offer breakfast and other meals and snacks
at regular, well-spaced intervals. Small
children should probably be offered nutritious
food every three hours or so, starting with the
first meal after waking up.
Lead is more readily absorbed when it gets into a
body that is in a fasting state (the body has been
without for food for an extended period, like after
a nights sleep or after skipping a meal)
Wash the child's hands and face before every
meal and before every snack.
Washing hands and face before eating cuts down
on the possibility of lead-laden dust being
transferred to the food and into the child's mouth.
Discourage "cruising" while eating meals or
snacks. Food needs to be eaten at a clean
table, TV tray, kitchen counter, or even at a
small table in the living room and under the
supervision of an adult.
Food eaten "on the run" gets dropped on the
floor, dragged over furniture, or placed on a
window sill and then retrieved and eaten along
with the lead and germ-laden dust it has
collected.
Don't use hand-glazed pottery for food,
especially juices. Don't store juices in lead
crystal, ceramic pottery, glazed pottery,
pewter, or opened cans.
Store foods and juices in glass or sturdy plastic
containers. These containers are less likely to
have lead in them that could be absorbed by food,
especially acid foods like juices.
Don't use hot water from the faucet to make
infant formula or in other food preparation.
Use cold tap water and heat it on the stove if you
need hot water for food preparation. Hot tap water
absorbs more lead from pipes and pipe solder.
Let tap water run for at least two minutes if the
water has been standing in the pipes for 6 hours
or more. This flushes out the water that might
have absorbed lead from the pipes or the solder
that joins the pipes together.
Don't let ink from plastic bags or containers
touch food.
These inks may contain lead that could get into
the food.
Keep children from chewing on or licking
anything painted like woodwork or toys. Also
keep them from eating dirt.
Don't use folk medicine or home remedies
that contain lead such as azarcon, greta,
payloo-ah, or shung fa.
These items may have lead in them. Watch
children closely to make sure they don't eat or lick
any items that may have lead in them or on them.
Offer foods from the Food Guide Pyramid to
reduce the risk of lead poisoning
Here's How It Works
Breads, cereals, pasta, and other grains
Eat whole grain products like whole grain
breads, whole grain cereals, and brown rice.
Fortified breads and iron-fortified cereals contain
iron, which competes with lead for absorption by
the body. Whole grain breads and cereals offer
fiber, which decrease lead absorption.
Fruits
Eat fresh fruits, especially those high in vitamin
C, like oranges, orange juice, grapefruit,
grapefruit juice, strawberries and watermelon.
Fruits and vegetables high in vitamin C help the
body absorb iron and thus decrease the absorption
of lead. Fresh produce offers fiber, which may help
decrease lead absorption. Be sure to wash fresh
produce in cold running water before serving it
(warm tap water is more likely to absorb lead from
pipes). Do not use soap on produce because soap
residue is absorbed by the produce and can be
toxic. There are no good studies that tell us how
much soap residue is safe.
Vegetables
Eat fresh vegetables, especially those high in
vitamin C like dark green leafy vegetables
(spinach, kale, loose-leaf lettuce, endive),
broccoli, red and green peppers, potatoes
cooked in their skin (it is not necessary to eat
the skin).
Dairy
Use low-fat dairy products like skim or 1% milk,
fat free cottage cheese, fat free yogurt. Tofu is
another fair source of calcium. A source of
vitamin D, like fortified milk and sunshine, is
needed for the body to absorb calcium (cheese
or yogurt do not have vitamin D).
Foods high in calcium compete with lead for use
by the body. High-fat diets encourage lead
absorption, so stick with low fat dairy products
(except for children under the age of two years
who need the fat of whole milk)
Meat, poultry, fish, and meat substitutes
Eat foods high in iron and low in fat like lean
beef, very lean ground beef, pork, skinless
white meat of chicken and turkey, fish,
legumes (like dried beans and peas in soups
and hot dishes), and peanut butter.
These foods are high in iron, a mineral the body
needs. Iron competes with lead for use by the
body. Cut visible fat from the meat and bake, broil
or boil meat to keep the fat down. Skim the fat off
soups and stocks.
Sweets and fats
Go easy on foods like oily salad dressings,
butter, margarine, mayonnaise, buttered
popcorn, donuts, cookies, cake, pie, french
fries, fried or deep-fried foods (potatoes, fish,
chicken, donuts, cheese curds).
A high-fat intake encourages lead absorption.
Sweet and fat foods are also filling and may,
replace more nutritious, lead-fighting foods in a
child's meal plan. Eat fruits, vegetables, pretzels,
unbuttered popcorn and other low fat foods from
the food guide pyramid as snacks.