Lead is a heavy metal with lots of industrial and commercial uses, ranging anywhere from batteries used in cars, to protecting nuclear physicists from radiation. One particularly colorful and sad chapter in the history of this otherwise boring metal is the use of lead in gasoline (tetraethyl lead) to prevent engine knock. Bill Bryson writes about it eloquently in his book A short history of nearly everything.
Another common use of lead is in household paint. The reason? It looks good: paint with lead in it is shiny and pleasing to the eye. It's also quite dangerous and poisonous. Lead also happens to be a neurotoxin, it likes to bind with neurons and prevents the normal formation of synapses, which is particularly bad for young children, who apparently can retain up to 100% of the lead that enters their system (adults, as it turns out, are better at eliminating the bad stuff, only about 20% of the lead that enters an adult body stays, the rest is eliminated).
The most common way for children to be exposed through lead is, you guessed it, household paint. Specifically, in older homes, the lead paint can naturally chip and fall on the floor, where a child can ingest it. One easy solution to this is to paint over the areas with lead paint therefore "trapping" the bad stuff and preventing it from flaking or otherwise getting off the walls. In general, good house keeping (cleaning, vacuuming, and in general maintaining the surfaces whether through washing or painting over) does a lot of good and cheaply.
San Francisco's housing stock is old, some of it built before 1900, and a lot of it built after the earthquake of 1906. There are few modern houses, and even fewer built after lead paint was made illegal. Ironically, the more expensive and "fancy" a house, the more likely it is to have lead paint in it; some of the highest concentration of lead paint in San Francisco is apparently in the fancy mansions of Pacific Heights. Besides paint, which is by far the most common place for lead, another relatively common place is glazing on tiles, for example shower tiles. A good rule of thumb is that -- if the paint or the tiles look nice and shiny, they're probably leaded.
It may be tempting to get very worried about lead paint and decide to "strip" it out. This is not only costly -- it involves sanding most surfaces that can contain lead paint -- but it also frees the stuff in the air and it can become a true nightmare to get it all out.
How would you know if you have lead paint in your house? You can hire someone to test it, or you can even do some of it yourself.
One kind of test involves taking flakes of paint and send them to a lab where they are analyzed. To cover the house, the technician has to take a sample from each wall, or at least each room, since some rooms may have been painted with lead paint, while some weren't. If this sounds like a pain, it is. You can also use a home lead-test kit in area where the paint is exposed. The lead-test kit is basically a "brush" that contains a reactant in it, you brush over the paint, and if there is lead present, it turns red. The test is controversial, and has a false-positive rate, but it can give you some idea.
Another kind of test is using an XRF gun. This gun fires off a stream of high-speed particles which only bounce back when they hit something dense ... like a lead atom. The gun approach is far easier to use since you can just take "readings" from all surfaces you care about and the results are instant.
As a side note, it is remarkable to what extent people have ignored common sense or made bad choices in the name of "looking good".
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