Wake County has initiated a new campaign aimed at preventing childhood lead exposure, highlighting an often overlooked threat to children’s health and development. The initiative will provide parents with tools and information to safeguard their homes and children.
“Wake County is committed to safeguarding children from lead exposure, and education is one of our most powerful tools,” stated Wake County Commissioner Cheryl Stallings. Educational materials will be distributed directly to families and childcare facilities as part of the effort.
In 2024, the county’s Childhood Lead Poisoning Prevention program recorded 75 lead-related referrals from pediatricians. Among these, there were 18 confirmed cases of lead poisoning, 53 instances of elevated blood lead levels, and three prenatal referrals. Additional cases involved childcare facilities and other locations.
Wake County mandates investigations in homes where a child is diagnosed with confirmed lead poisoning. While investigations for elevated blood lead levels are voluntary, they are strongly recommended. Families participating in these investigations receive safety kits to help reduce exposure and promote discussions about safe practices.
The Environmental Health and Safety Division completed 54 investigations last year, conducting 136 site visits where inspectors spent up to six hours collecting environmental samples and educating families. However, fifteen families declined these investigations despite having children with elevated blood lead levels.
When hazards are identified, property owners must address them. Inspectors return annually if non-permanent corrections are made to ensure continued safety. Some properties have been under review for over 15 years due to ongoing hazards. If property owners do not act, Wake County may seek court orders for compliance.
“There is no cost for this service, and our goal is to protect children, not penalize families,” said James R. Smith, Environmental Health Program Manager. He noted that some sources of lead come from cultural items brought from abroad such as cookware or spices. To overcome potential language barriers, educational materials are available in English, Spanish, and other languages.
Young children under six are particularly vulnerable to lead exposure because their developing bodies absorb it more readily than adults’, potentially causing lasting developmental issues even at low blood levels.
While old paint remains a common source of exposure in homes built before 1978, officials have also identified additional hazards elsewhere.
For more information on preventing childhood lead poisoning in Wake County or assistance with related concerns visit wake.gov/leadprevention or contact the program at 919-856-7416.



