SJC CLPPP: Providers


lead scannerBased on 2012 data, San Joaquin County ranks  #15 in the State of California for the number of children with blood lead levels in the 4.5 to 9.5 µg/dL range.  It is #11 in the State for the number of children with blood lead levels 9.5 µg/dL and above.  Although lead-based paint and lead-contaminated dust/ soil remain the most prevalent source of childhood lead poisoning in San Joaquin County, there has been an increase in the number of cases from imported products such as surma. 

Surma is a black powdered eye make-up that is often applied to the eyes of infants and young children for cosmetic purposes. The use of this product is a valued cultural practice in many countries in South and Central Asia, Africa, and the Middle East.   Of the 15 state cases San Joaquin County’s CLPPP was following as of Feb 9th 2015, 20% were related to the use of surma.  Of these cases, the majority are from families originating from Pakistan.  Surma contains very high levels of lead.  In 2011, a sample from a San Joaquin County child with lead poisoning from surma came back from the California Department of Public Health Laboratory with a level of 740,000 ppm (74%).
More information on surma
Surma Informational flyer [English, Urdu]
Other less common sources of lead poisoning

Ayurveda is a traditional form of medicine practiced in India and other South Asian countries. Ayurvedic medications can contain herbs, minerals, metals, or animal products and are made in standardized and nonstandardized formulations. Some of these medications contain high levels of lead and have been associated with cases of lead poisoning in both children and adults. Lead Poisoning and Anemia Associated with Use of Ayurvedic Medications Purchased on the Internet

The Childhood Lead Poisoning Prevention Program (CLPPP) in San Joaquin County is available to assist with any of your lead poisoning questions.  All state cases (one venous blood lead level 20µg/dL or above, or two blood lead levels 15 – 19 µg/dL at least 30 days apart) are followed by the CLPPP’s Public Health Nurse and Registered Environmental Health Specialist.  These cases receive a home visit in order to determine the source of the child’s lead poisoning and to provide lead poisoning education for the parents.  Once sources are determined, the family is informed of preventative measures they can do to decrease their child’s exposure to lead.   This service is also available for some children who do not meet State case criteria.  Please contact Harpreet Sahota, CLPPP Coordinator, at or 209-468-2593 for additional information.   The CLPPP will also send out educational materials to children in the 5-9 µg/dL range.  Please fax results to Harpreet Sahota at 209-953-3632, and she will ensure appropriate follow-up occurs.

The links below provide educational and informational resources for providers.

Lead Poisoning Overview

Screening Regulations

Management Guidelines for Blood Lead Levels in Children

Standards of Care Guidelines and Potential Sources of Lead

A New Look at Lead Poisoning

Top 200 California Zip Codes for Percentage of Children Less Than Six Years With Blood Lead Levels ≥4.5 mcg/dL

Most Recent California Blood Lead Data (2012)

Blood Lead Data for (2011)   (2010)   (2009-2007)

Management Guidelines for Blood Lead Levels in Adults

Guidelines for the Identification and Management of Lead Exposure in Pregnant and Lactating Women

Medical Providers:  To report an elevated blood lead level, please call 209-468-2593


San Joaquin County Public Health Services Childhood Lead Poisoning Prevention Program 2233 Grand Canal Blvd., Suite 214 Stockton, CA 95207