Lead Paint Background
Cameroon Lead Paint Investigation
OK International, along with our partners at the Research and Education Centre for Development (CREPD), completed an investigation on lead paint being sold in Cameroon. The report “Lead Concentrations in New Residential Paints in Cameroon” found that 67% of new paints tested contained lead above the U.S. regulatory level of 90 ppm. Only two products of approximately 300 being sold in 76 retail and wholesale outlets in the country had any indication on the label that lead was present. None of the lead paint products included a warning on the label. CREPD is now working to encourage the Cameroon government to regulate lead levels in new paints.
Is lead still used in paints?
While developed countries have implemented standards to regulate the use of lead in paint, much of the paint currently sold for residential use in most countries contains high levels of lead. A recent study examining lead concentrations in the paint of 10 developing countries demonstrates that 68 % of the new paints tested exceed the U.S. standard of 90 ppm (effective August 2009). Published studies conducted in India, China, and other counties have had similar findings. The following is a list of countries where recent studies (2005 to 2011) have found a substantial portion of new residential paints contain lead at levels at or above 90 ppm:
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In addition to these products being sold for application on the interior and exterior of homes, lead paint is commonly used on steel structures (e.g., bridges), vehicles and consumer products (e.g., children's toys). Even where lead concentrations in paint are regulated, there are typically exceptions for commercial or industrial use.
More than 2.5 billion people live in countries where lead paint is still sold for residential use!
New Guidance on Childhood Lead Poisoning (May 2012)
Any exposure to lead is potentially harmful for a child as there is no known “safe” level. In May 2012, the U.S. Centers for Disease Control (CDC) announced it would change its policy on Childhood Lead Poisoning to eliminate the terminology “level of concern” that was previously defined as a blood lead level of 10 ug/dl and which had been widely adopted by other health agencies. This change acknowledges that all exposures to lead are potentially harmful to a child and therefore public health policy should focus on preventing exposures before they cause harm.
The CDC will now recommend follow up for the most highly exposed children with elevated blood lead levels above a reference value representing the top 2.5% of all children in the U.S. That level is currently 5 µg/dl, but this will be updated every four years based on current surveillance testing data. This is the first substantive change in the agency’s guidance on blood lead levels since 1991.
Repeated studies have demonstrated that at these levels, children's school performance and intellectual capacity are irreversibly impacted. In adults blood lead levels in this range are also associated with hypertension and are a significant contributor to heart disease and stroke. At higher exposure levels kidney disease and damage to the gastrointestinal, nervous, and reproductive systems occurs.
Approximately 450,000 children in the U.S. have blood lead levels above the reference value of 5 µg/dL, and we estimate that globally several hundred million children are suffering from higher exposures -- primarily in developing countries. As a result, these countries are experiencing significant costs for medical care and a loss in productivity and lifetime earnings.
The report from the CDC’s Advisory Committee on Childhood Lead Poisoning Prevention (ACCLPP) that drafted these recommendations can be found here.
Lead Paint Hazards

People are exposed to lead in paint from various routes. Buildings painted with lead paint either on the interior or exterior have higher concentrations of lead in the dust. Children are most susceptible to exposure as they have frequent hand-to-mouth contact and play close to the ground where paint dust collects. Homes with lead paint on the exterior often have excessive lead levels in soil found adjacent to the structure from weathering and the dust generated from previous painting projects. This lead is then tracked into the home and contributes to the dust contamination. Children may also be exposed to lead from paint on toys, furniture, playground equipment, and other products. Workers are exposed from manufacturing lead paint, products made with lead paint, and more commonly from disturbing lead paint during construction and painting activities.
Even if lead is eliminated from all new paint, millions of homes will still contain lead hazards for centuries. Dust released from friction and impact surfaces and contaminated soil will persist in the environment for years. In the U.S. where paint containing more than 600 ppm of lead was banned for residential use since 1978, approximately 185,000 children still have blood lead levels (BLL) that exceed 10 µg/dL. This is the beginning level of concern according to the U.S. Center for Disease Control (CDC) guidelines.
Global Alliance to Eliminate Lead in Paint

In order to minimize harmful human exposures, OK International is working in coordination with other non-governmental organizations, governments and industry leaders around the world on a global alliance to eliminate lead in paint. While a small number of countries have national laws and programs on lead in paint, these products remain unregulated in most countries. In addition, there is a need for international cooperation to disseminate information and to standardize labeling. Many developing countries may look to the alliance for model legislation that can help them address lead paints. See OK International's lead paint certification proposal here.
The Global Alliance to Eliminate Lead in Paints had its first meeting in Geneva, Switzerland from May 26-28, 2010. The goal of the alliance is to prevent childhood exposure to lead via paints and minimize occupational exposure to lead in paint by phasing out the manufacture and sale of paints containing lead. The United Nations Environment Programme (UNEP) and the World Health Organization jointly serve as the secretariat of the voluntary global partnership. Among the main outcomes of the meeting were an agreed draft framework setting out the overall goal, objectives and organizational structure of the Global Alliance, and draft work plans for various areas of focus including human health, environment, outreach to industry, and legislation. The Global Alliance further agreed on the definition of “lead paint”, as any paint (to include varnish, lacquer, stain, enamel, glaze, primer or coating) with a lead concentration greater than 90 ppm (parts per million).
Substitutes for lead in paint
Substitutes for lead-based pigments have been available for over one hundred years and titanium dioxide and zinc oxide are commonly used for this purpose. In most countries where lead paint is commonly sold for residential use, competing brands that have eliminated the use of lead pigment and other lead additives are often available within the same price range.
Lead in Toys
Children often place toys and jewelry in their mouths and these items are sometimes swallowed. Products intended for children that are painted with lead based paint are a known source of lead exposure. The State of California reported that 36% of children in the state with lead poisoning had been exposed to at least one lead-containing item. From 2007 to 2009, the U.S. Consumer Product Safety Commission (CPSC) issued 137 recalls on over ten million imported toys due to excessive lead content underlining the global public health threat posed by unchecked use of lead paints. See the CPSC recall list for toys and jewelry containing excessive amounts of lead.
Levels of lead in paint
Most countries do not have regulatory limitations on lead content in paint or only have voluntary standards in place. In countries with regulations, the permissible lead levels are often inconsistent with a range of excluded applications. Standards between countries vary greatly and some regulations reference soluble lead and others total lead (percent by weight). The following table summarizes some countries with national regulations limiting lead content in paint:
Table 1: Lead in Paint Regulations by Country
| Country | Legislation/ Regulation and Year | Includes | Excludes | Lead Level |
| Brazil | 11.762-2008 | Housing paint/varnish, paint/varnish intended for children and schools | Paint/varnish for agricultural and industrial equipment and structures; traffic signs; automobiles, airplanes; ships; rail vehicles; graphic arts; home wares; metallic furniture; and art supplies. | 600 ppm |
| Canada | Proposed amendment to Item 2, Schedule I of the Hazardous Product Act (HPA) -2005
| Surface coating applied to furniture and other articles for children | N/A | 90 ppm |
| Canada | Proposed amendment to Item 9 (a), Schedule I of the HPA -2005 | Toys, equipment and other products for use by a child in learning or play
| N/A | 90 ppm |
| Canada | Proposed amendment to Item 18, Schedule I of the HPA -2005
| Pencils and artists’ brushes | N/A | 90 ppm |
| China | GB6675-2003 | Paint for toys, school supplies children’s art material
| N/A | 90 ppm (soluble) |
| China | GB18581-2001a | Paint intended for indoor decorating of wooden ware
| N/A | 90 ppm (soluble) |
| China | GB18582-2001b | Paint intended for interior architectural coatings
| N/A | 90 ppm (soluble) |
| Mexico | NOM-015/1-SCFI/SSA-1994 | Paint and ink coatings of items intended for toys and school supplies | Paint for objects that, due to size, function, and/or mass, do not pose obvious risk of contact with a child’s mouth | 100 ppm (soluble) |
| Sri Lanka | Direction No.36 under Section 12(2) Consumer Affairs Authority Act No. 09 of 2003 Sept. 30 2011
| Toys and accessories for children | N/A | 90 ppm (soluble) (effective Jan.1, 2013) |
| Sri Lanka | Direction No.36 under Section 12(2) Consumer Affairs Authority Act No. 09 of 2003 Sept. 30 2011
| Emulsion paints for interior and exterior use | N/A | 90 ppm (effective Jan.1, 2013) |
| Sri Lanka | Direction No.36 under Section 12(2) Consumer Affairs Authority Act No. 09 of 2003 Sept. 30 2011
| Enamel paints and floor paints | N/A | 600 ppm (effective Jan.1, 2013) |
| U.S.A | PL 110-314 Section 101-2008 | Paint for residential application | Paint for industrial and commercial use; artist’s paint; and other exemptions
| 90 ppm (effective August 14, 2009) |
| U.S.A | PL 110-314 Section 101-2008 | Paint applied to toys and consumer products designed for children age 12 and younger, furniture for consumer use.
| Paint applied to appliances, fixtures, or household items | 90 ppm (effective August 14, 2009) |
| U.S.A | PL 110-314 Section 101-2008 | Total lead content of children’s toys and products (includes non-painted components) designed for children 12 years of age or younger
| Component parts not accessible to a child through normal and reasonably foreseeable use and abuse of a children’s product | 100 ppm (effective August 14, 2011) |
Several studies published in scientific journals have demonstrated that alarmingly high levels of lead are common in many new paints sold in developing countries. The tables below summarize the lead levels found in new residential paints since 2006:
Table 2: Lead Levels in New Residential Paint (2009)
| Country | No. of Samples | Average | Geometric Mean | Median | % ≥ 90 ppm | % ≥ 600 ppm |
| China | 64 | 15,070 | 169 | 34 | 44 | 33 |
| Ecuador | 10 | 31,960 | 2178 | 13,460 | 70 | 60 |
| Egypt | 20 | 26,200 | 1338 | 4717 | 65 | 65 |
| India | 72 | 29,660 | 4801 | 9630 | 88 | 82 |
| Indonesia | 11 | 14,770 | 2642 | 3474 | 82 | 73 |
| Malaysia | 72 | 24,510 | 769 | 614 | 60 | 50 |
| Nigeria | 25 | 15,750 | 7341 | 5760 | 96 | 96 |
| Peru | 10 | 11,550 | 3259 | 5711 | 90 | 80 |
| Seychelles | 28 | 24,880 | 1167 | 2527 | 68 | 61 |
| Singapore | 41 | 6988 | 163 | 55 | 44 | 37 |
| Thailand | 18 | 19,410 | 7281 | 15,170 | 100 | 89 |
| Total / Average | 371 | NA | NA | NA | 74 | 66 |
Source: Clark, C.S. et al, Lead levels in new enamel household paints from Asia, Africa and South America. Environ. Res. (2009), doi:10.1016/j.envres.2009.07.002.
Table 3: Lead Levels in New Residential Paint (2006-2009)
| Country | No. of Samples | % ≥ 600 ppm | % ≥ 5,000 ppm |
| China1 | 9 | 56 | 44 |
| China2 | 58 | 50 | 24 |
| India3 | 17 | 100 | 82 |
| India4 | 69 | 38 | 28 |
| Malaysia5 | 32 | 72 | 62 |
| Nigeria6 | 25 | 96 | 52 |
| Singapore7 | 22 | 9 | 0 |
| South Africa8 | 25 | -- | 83 |
| Total / Average | 257 | 60 | 47 |
Sources:
1 Clark CS, Rampal KG, Thuppil V, Chen CK, Clark R, Roda S. The lead content of currently available new residential paint in several Asian countries. Environ Res 2006; 102:9-12.
2 Lin GZ, Peng RF, Chen Q, Wu ZG, Du L. Lead in housing paints: an exposure still not taken seriously for children lead poisoning in China. Environ Res 2009; 109:1-5.
3 Clark CS et al., 2006.
4 Kumar A, Gottesfeld P. Lead content in household paints in India. Sci Total Environ 2008; 407:333-337.
5 Clark CS et al., 2006.
6 Adebamowo EO, Clark CS, Roda S, Agbede OA, Sridhar MKC, Adebamowo CA. Lead content of dried films of domestic paints currently sold in Nigeria. Sci Total Environ 2007; 388:116-120.
7 Clark CS et al., 2006.
8 Mathee A, Rollin H, Levin J, Naik I. Lead in paint: three decades later and still a hazard for African children?. Environ Health Perspect 2007; 115:321-322.
