Lead

Lead is an enormous problem in low- and middle-income countries.

Lead poisoning kills millions of people each year. Most of the burden falls on LMICs, where exposure is least measured and least controlled.

Bags of grain being sampled for lead
3.5Mdeaths a year from lead poisoning (IHME 2023)
71.6Mhealthy life-years lost to lead poisoning
5.8%of all deaths are from lead poisoning

What we currently think about lead poisoning in LMICs

Two findings that guide where GRIT is working.

A spice market
Most significant pathway

Food

Lead reaches people mainly through what they eat. Contaminated crops, especially staples and leafy greens, carry lead into the body every day.

Reference: The Lancet Global Health, 2026

Aerial view of an industrial area and smelter
Primary source

Industrial airborne emissions

Smelters, battery recyclers and steel plants release lead to the air. It settles on soil and crops, often at large distances, and enters the food chain.

Reference: GRIT, Quantifying the burden of sources of lead (Aug 2026)

Other sources can also be important: ceramics, spices, cookware, eyeliner, paint and others. Use the Lead Burden methodology to work out which are the largest contributors to elevated blood lead levels. BMJ Global Health

Next steps

A packet of spice being sampled
Measure

Measure lead in food through Total Diet Studies

Find out how much lead people actually eat, food by food.

Learn about Total Diet Studies →

Kinally C, Hu H, Fuller R. Quantifying the global burden of lead exposure from dietary lead intake. medRxiv preprint, 2026. doi:10.64898/2026.07.20.26358457

Laboratory staff preparing food samples
Attribute

Use the Lead Burden methodology

Work out which sources contribute most to elevated blood lead levels.

Read the Lead Burden paper →

Aerial view of an industrial area
Prioritize

High dose scenarios are especially important

Toxic sites often elevate BLLs to dangerous, even fatal levels.

Learn more →

Implement the solutions that do the most good.

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