Appendix E: Chemicals: Lead & Heavy Metals

Exposure to heavy metals like lead, mercury, and arsenic can harm children's development, causing learning problems and lasting damage to the brain and other organs. These metals build up in the body over time and can also weaken the immune and reproductive systems.

Discussion Prompts for Children's Programs

• Have you seen damaged infrastructure (I.e., old pipes, batteries, or electronics) in areas where children are spending time that might pose a heavy metal risk?

• Have there been reports of large debris piles with construction materials or vehicles that could be leaking heavy metals into soil or water near children's areas?

• Are there concerns about soil conditions around schools, playgrounds, or shelters, especially if debris has disturbed the soil and may have led to contamination?

• Have parents or staff noticed symptoms in children, such as stomach pain, headaches, or developmental delays) that could be linked to possible heavy metal exposure?

• Are any cleanup or testing efforts underway to check for heavy metal risks in places where children are present?

• Have environmental experts assessed the impact on local water sources, and has any updated information about water safety been shared with families? 
   

Ideas for Mitigation & Intervention

• Culturally Tailored Education on Heavy Metals in Traditional Food Areas: Share guidance on how to reduce exposure from potentially contaminated soil or water near traditional gathering, hunting, or gardening sites, incorporating tribal languages and storytelling.

• Well Water Precaution Notices: Partner with schools and agricultural extension agents to inform families about the importance of not using private wells damaged by flooding or runoff until tested for heavy metals, using simple flyers and radio public service announcements (PSAs).

• Soil Safety Around Play Areas: Work with community centers and schools to temporarily restrict access to bare soil or install ground cover (e.g., mulch or grass mats) in high-risk areas where debris or contamination is suspected.

Cultivating Allies 
 

• Coordinate with state, tribal, territorial, and local public health agencies to identify which agencies or departments have responsibilities, roles, or authority related to asbestos.

• Research local and regional networks that offer education, advocacy, or direct services related to asbestos, such as nonprofits, coalitions, or service providers.

• Identify subject matter experts from federal agencies, academic institutions, or the private sector who can support assessment, interpretation, or planning activities.