United States
Environmental Protection
Office of Pollution Prevention
and Toxics (7404)
November 2001
Lead Poison
   with a Healthy Diet
      Lead Poisoning Prevention Tips
               for Families

 lead  and a Healthy Diet
     What Ybu Can Do to Protect Your Child
lead's Effects on the Body
Lead is a poisonous metal that our bodies cannot use.
Lead poisoning can cause learning, hearing, and
behavioral problems, and can harm your child's brain,
kidneys, and other organs. Lead in the body stops
       good minerals such as iron and calcium
  iB      from working right. Some of these
           effects may be permanent.

              lead Awareness and
                  Your Child

                  Children with lead poisoning
                   usually do not look or act
                  sick. The only way to know if
                  your child has  lead poisoning is
                by getting a blood test.
               Ask your doctor or health care
provider to test your child under six years of age at
least once a year.

         lead Hazard^
        Where is Lead Found?
Main Sources of lead
Lead-based paint is a hazard if it is peeling, chipping,
chalking, or cracking. Even lead-based paint that
appears to be undisturbed can be a problem if it is on
surfaces that children chew or that get a lot of wear
and tear. The older your home is, the more likely it is
to contain  lead-based paint.
Contaminated dust forms when lead paint is dry-
scraped or  sanded. Dust can also become contaminated
when painted surfaces bump or rub together. Lead
chips and dust can gather on surfaces and objects that
people touch or that children put into their mouths.
Lead poisoning occurs
Without any
obvious symptoms
Contaminated soil occurs when exterior lead-based
paint from houses, buildings, or other structures
flakes or peels and gets into the soil. Soil near roadways
may also be contaminated from past use of leaded
gasoline in cars. Avoid these areas when planting
vegetable gardens.

Other Sources of lead

Contaminated drinking water from older
plumbing fixtures
Lead-based painted toys and household furniture
Imported lead-glazed pottery and  leaded crystal
Lead  smelters
Folk remedies like azarcon and pay-loo-ah
Cosmetics like kohl and kajal
Do not store M.\
from foreign countries.

                         Meal  and Snaek Ideas
                                Tips to nelp you and your childr
 ips to help you and your children plan meals and snacks
       Oatmeal swirlers
        Sliced banana
         Orange juice


        Cheese omelet
         Low-fat  milk
Grilled cheese & tomato
      Low-fat milk


  Tuna salad sandwich
    Cranberry juice
       Pear slices
     Sloppy joes
    Low-fat milk


Macaroni and cheese
  Stewed tomatoes
     Melon slice
         French toast
       Orange sections
         Low-fat milk
      Pizza bagel
    100% fruit juice
Fresh or canned peaches
     Low-fat milk
    Chicken stew
Between meals offer small snacks such as:

Cereal with low-fat milk, whole wheat crackers
with cheese, apple or pear slices, oranges or
bananas, raisins, yogurt, frozen fruit juice pops,
and fruit smoothies.
                  Many of the foods listed in this brochure can
                   be bought with food vouchers from the
                  WIC program. To find out more about
                  WIC, call your child's pediatrician or
                    visit www.fns.usda.gov/wic

Oatmeal Swirlers
Makes 4-6 servings
1 1/2 cups of quick cooking oats
1/3 cup of peanut butter
1/3 cup of fruit jelly or jam
• Follow the package directions to cook oats.
• Spoon peanut butter and jelly on top of cooked oatmeal.
• Stir and spoon into bowls.
• Serve with low-fat milk.
          Omelet * Makes 2-3 servings
3 eggs
1 tablespoon of low-fat milk
Vegetable oil
3 tablespoons of cheese
• Mix eggs and milk in a bowl.
• Lightly coat pan with vegetable oil. Use medium heat.
• Add egg mixture and cook.
• When omelet is cooked on the bottom, add cheese.
• When cheese is melted, fold omelet in half.
• Top with salsa if you like.
• Serve with toast, fruit, and low-fat milk.
lYeneh ToaSt * Makes 4-6 servings
3 eggs, beaten
1/2 cup of low-fat milk
Vegetable oil
6 slices of bread
2 bananas,  sliced
• Mix eggs  and milk.
• Lightly coat pan with vegetable oil. Use medium heat.
• Dip bread into egg mixture, so that bread is covered.
• Brown one side of bread in pan.
• Sprinkle top with cinnamon.
• Turn over bread and brown the other side. Top with
  sliced banana.
• Serve with low-fat milk.
                                  Grilled Cheese & Tomato
                                  SaildWieh • Makes 1 serving
                                  2 slices of bread
                                  2 slices of American cheese
                                  1 slice of tomato
                                  Vegetable oil
                                  • Make sandwich using bread, cheese, and tomato
                                  • Lightly coat pan with vegetable oil.
                                  • Brown sandwich on both sides over low
                                    heat to melt the cheese.
                                  • Serve with low-fat milk or fruit juice.

Tuna Salad Sandwich
Makes 2 servings
4 slices of bread
1 can of water packed tuna
4 teaspoons of low-fat mayonnaise
Onion and celery, chopped
• Mix tuna with low-fat  mayonnaise, onion, and celery.
• Try your sandwich with cheese and tomato.
• Serve with low-fat milk.
       BaฃelS •  Makes 2-3 servings
1 bagel
2 tablespoons of tomato sauce
Garlic, basil, or oregano
2 tablespoons of cheddar cheese or part-skim mozzarella
• Preheat oven to 400 degrees.
• Slice open a bagel and place on a flat pan.
• Add tomato sauce, seasonings, and cheese.
• Bake for 3 minutes or until cheese melts.
• Serve with fruit juice.
                 • Makes 4-6 servings

1 pound of lean ground beef, turkey, or chicken
1 small onion, chopped
1/2 green pepper, chopped
1 cup of tomato sauce
Your choice of seasonings
5 hamburger buns or pita pocket breads
• In a pan, cook lean ground meat, onion,
  and green pepper until meat is well done.
• Drain fat.
• Stir in tomato sauce and seasonings.
• Cook for 5 to 10 minutes.
• Spoon into hamburger bun or pita.
• Serve with fruit juice.

                             Baked Macaroni and Cheese • Makes 3-5 servings
                                                              Vegetable oil
                                                              2 cups of low-fat milk
                                                              Salt and pepper
4 cups of cooked macaroni
3 cups of grated cheddar cheese
2 tablespoons of margarine
2 tablespoons of flour
• Preheat oven to 375 degrees. Lightly coat casserole
  dish with vegetable oil.
• Mix cooked macaroni with grated cheese and pour
  into casserole.
• Melt margarine in a pan. Remove from heat, stir in
  flour. Return to heat.
• Add low-fat milk slowly, stirring until smooth.
• Season with salt and pepper to taste.
• Pour over macaroni. Stir.
• Cover. Bake for 30 minutes.
• Uncover and bake for  another 15 minutes.

    SteW * Makes e-S servings

3 pounds of frying chicken, cut up into small pieces
Vegetable oil
1 medium onion, chopped
1 stalk of celery, chopped
28 ounce can of stewed tomatoes
Poultry seasoning
• Lightly coat pot with vegetable oil. Use medium heat.
• Cook chicken until it is well done.
• Add can of stewed tomatoes.
 Add vegetables and seasoning.
 • Cover and cook over low heat for 30 minutes.
  • Serve with rice or noodles.
Banana Strawterry
SmOOthie • Makes 2-3 servings

1 cup of low-fat milk
1 cup of fresh or frozen strawberries, mashed
1 ripe banana, mashed
• Mix all together in a blender or use a wire whisk.
• Eat as a snack or for dessert.



Regularly Eat Healthy Toods

Children with empty stomachs absorb more
lead than children with full stomachs.
Provide your child with
four to six small meals
during the day. The
following nutrients
can help protect
your child from
lead poisoning:

Iron-Rich Foods
Normal levels of iron work to protect the body
from the harmful effects of lead. Good sources
of dietary iron include:
Lean red meats, fish, and chicken
Iron-fortified cereals
Dried fruits (raisins, prunes)

Calcium-Rich Foods
Calcium reduces lead absorption and also helps
make teeth and bones strong. Good sources of
dietary calcium include:
Green leafy vegetables (spinach,
kale, collard greens)
        Vitamin C-Rich Foods
        Vitamin C and iron-rich foods work together
        to reduce lead absorption. Good sources of
        vitamin C include:
        Oranges, orange juice
        Grapefruits, grapefruit juice
        Tomatoes, tomato juice
        Green peppers
A healthy diet can help
     your~ \^.l 1110
     from the harmful effects
                            of lead.

                   Simple Steps You  Can Take
                                   tolProtect Your Family from lea a
If you think your home has hiฃh levels of lead:
• Make sure your children eat healthy, low-fat foods
 high in iron, calcium, and vitamin C.
• Get your children tested for lead, even if they
 seem healthy.
• Get your home tested for lead if it was built before 1978.
 Call 1-800-424-LEAD for more information.
• Always wash your hands before eating.
• Wash children's hands, bottles, pacifiers,
 and toys.
• Do not use imported pottery to store or serve food.
• Let tap water run for one minute before using.
• Use only cold water for making your baby's formula,
 drinking, and cooking.
• Regularly clean floors, windowsills, and other
 surfaces using wet methods that control dust.
• Wipe or remove shoes before entering your house.
• If you rent, it is your landlord's job to keep paint in
 good shape. Report peeling or chipping paint to
 your landlord and call your health department if the
 paint is not repaired safely.
• Take precautions to avoid exposure to lead dust
 when remodeling or renovating.
• Don't try to remove paint yourself!
            completely*   -ป
           For more information on childhood lead poisoning prevention:
• Your child's pediatrician
• The National Lead Information Center
  1-800-424-LEAD (424-5323)
• U.S. Environmental Protection Agency's (EPA)
  Safe Drinking Water Hotline
• EPA Lead Program Web site
• U.S. Centers for Disease Control
 and Prevention (CDC) Web site
• U.S. Department of Housing and
 Urban Development (HUD) Web site
                    Printed with Vegetable Oil-Based Inks, Recycled Paper (Minimum 50% Post-consumer) Process Chlorine Free