Notes from the Field: Lead and Cadmium Exposure in Electronic Recyclers — Two States, 2015 and 2017

Reed Grimes, MD1,2; Catherine Beaucham, MPH2; Jessica Ramsey, MS2 (View author affiliations)

View suggested citation
Article Metrics

Views equals page views plus PDF downloads

Related Materials

In 2012, CDC’s National Institute for Occupational Safety and Health (NIOSH) became aware of the potential for occupational and take-home exposures to lead and cadmium in the electronics recycling industry (1) and contacted electronics industry stakeholders to discuss these exposures and provide information about NIOSH’s ability to investigate workplace hazards. NIOSH subsequently received requests for health hazard evaluations to estimate employee exposures and to assess the potential for take-home contamination from lead and cadmium at facilities A and B, in two states. Both facilities refurbished electronics for resale, removed electronic components for reuse and resale, and recycled electronics for waste management. Facility A employees received and inventoried electronics for either recycling or refurbishment and resale. Recycled materials were disassembled by hand or shredded using an industrial shredder. Employees at facility B performed similar job tasks as did those at facility A, but did not shred electronic parts.

NIOSH evaluated facility A over 3 days in August 2015 and facility B over 2 days in July 2017. The evaluations included collection of 1) blood specimens to assess worker uptake of lead and cadmium; 2) personal air samples for assessment of lead and cadmium exposure; 3) questionnaire data concerning demographics, hand hygiene, and use of designated work clothing and personal protective equipment; 4) end-of-shift hand wipes to assess dermal exposure; and 5) surface wipe samples on nonprocessing surfaces, such as refrigerator handles and microwave control panels. All 15 employees at facility A and eight of 12 employees at facility B took part in the assessment (Table).

Only facility A employees were found to have blood lead levels above the CDC reference level of 5 μg/dL. Lead in personal air samples ranged from undetectable to 19 μg/m3 (facility A), and from undetectable to 0.59 μg/m3 (facility B); no samples at either facility exceeded the lead occupational exposure limit (OEL) of 50 μg/m3.

Employee blood cadmium levels at both facilities were below the American Conference of Governmental Industrial Hygienists Biologic Exposure Index of 5 μg/L. One facility A employee’s personal air cadmium exceeded the NIOSH-recommended OEL of 5 μg/m3. Cadmium in personal air samples ranged from undetectable to 6.4 μg/m3 (facility A) and from undetectable to 0.05 μg/m3 (facility B). All participating employees at both facilities had both cadmium and lead on their hands after washing them at the end of their shift. Nonprocessing surfaces at facility A were contaminated with cadmium (nine of 12) and lead (11 of 12), as were surfaces at facility B (12 of 13 and 13 of 13, respectively).

Employees at both facilities reported wearing cloth, nitrile, and cut-resistant gloves. More facility B employees reported wearing gloves all or most of the time while at work than did facility A employees. All employees who wore gloves reused them. Employees were permitted to wear their work clothes and shoes home, and neither facility had capability for onsite laundering of work clothing. Employees at both facilities performed dry sweeping of surfaces, which can reaersolize metal-containing dust.

The findings of these health hazard evaluations confirm workplace exposures to lead and cadmium at these facilities and suggest that employees in shredding facilities might be at higher risk for exposure than are those at nonshredding facilities. The presence of lead and cadmium on the hands of employees at both facilities after end-of-shift handwashing highlights the potential for take-home contamination.

Adverse health effects have been reported in persons chronically exposed to lead even at levels at or below the CDC reference level of 5 μg/dL (2,3), as well as in those with long-term cadmium exposure (4). Electronic recycling employers should maintain written prevention programs that emphasize evaluating and reducing employees’ exposure to hazardous metals. To further reduce exposure to hazardous metals, employers could implement strict handwashing policies with lead-removing soap to prevent take-home exposure, perform routine housekeeping to prevent build-up of hazardous heavy metals, and prohibit dry sweeping to prevent exposure to reaerosolized metals. Employers should ensure that employees wear gloves during disassembly and shredding of electronics, and if cut-resistant or cloth gloves are re-used, clean inner gloves should be provided. More detailed information in health hazard evaluation reports for facility A and facility B is available (5,6).


Elena Page, Diana Ceballos, Shirley Robertson, Deborah Sammons, Eric Glassford, John Gibbins, Scott Brueck, Jonathan Slone.

Corresponding author: Reed Grimes;, 513-841-4426.

1Epidemic Intelligence Service, CDC; 2Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, CDC.

All authors have completed and submitted the ICMJE form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.


  1. Newman N, Jones C, Page E, Ceballos D, Oza A. Investigation of childhood lead poisoning from parenteral take-home exposure from an electronic scrap recycling facility—Ohio, 2012. MMWR Morb Mortal Wkly Rep 2015;64:743–5. PubMed
  2. Lanphear BP, Rauch S, Auinger P, Allen RW, Hornung RW. Low-level lead exposure and mortality in US adults: a population-based cohort study. Lancet Public Health 2018;3:e177–84. CrossRef PubMed
  3. National Toxicology Program. Health effects of low-level lead evaluation. Research Triangle Park, NC: US Department of Health and Human Services, National Institutes of Health, National Institute of Environmental Health Sciences; 2012.
  4. Agency for Toxic Substances and Disease Registry. Toxicological profile for cadmium. Atlanta, GA: US Department of Health and Human Services, Agency for Toxic Substances and Disease Registry; 2012.
  5. Beaucham CC, Ceballos D, Page EH, et al. Evaluation of exposure to metals, flame retardants, and nanomaterials at an electronics recycling company. Health hazard evaluation report 2015-0050-3308. Cincinnati, OH: US Department of Health and Human Services, CDC, National Institute for Occupational Safety and Health; 2018.
  6. Grimes GR, Beaucham CC, Ramsey JG. Evaluation of exposure to metals at an electronics recycling facility. Health hazard evaluation report 2016-0242-3315. Cincinnati, OH: US Department of Health and Human Services, CDC, National Institute for Occupational Safety and Health; 2018.
TABLE. Lead and cadmium testing results at two electronic recycling facilities — two states, 2015 and 2017Return to your place in the text
Characteristic No. (%)
Facility A* (15 employees) Facility B (12 employees)
Total participants 15 (100) 8 (75)
Male 12 (75) 7 (88)
Current smoker 6 (40) 5 (63)
Age (yrs), median (range) 37 (20–52) 32 (19–47)
Months working at facility, median (range) 15 (1–88) 27 (2–66)
Personal air results exceeding OELs§
Cadmium 1/45 (2) 0/16 (0)
Lead 0/45 (0) 0/16 (0)
Blood levels above reference ranges
Cadmium 0/12 (0) 0/8 (0)
Lead 3/12 (25) 0/8 (0)
Positive end-of-shift dermal wipes
Cadmium 14/14 (100) 8/8 (100)
Lead 14/14 (100) 8/8 (100)
Survey results of work practices
Hand washing practiced all or most of time 12/15 (80) 6/8 (75)
Wear gloves all or most of the time 7/15 (47) 6/8 (75)
Wear work clothes home 12/15 (80) 7/8 (88)
Wear work shoes home 13/15 (87) 6/8 (75)

Abbreviation: OEL = occupational exposure limit.
* Some participants at facility A elected not to participate in every part of the evaluation.
One sample per day over 3 days for facility A, and one sample per day over 2 days for facility B.
§ OELs over an 8-hour time-weighted average: lead = 50 μg/m3; cadmium = 5 μg/m3.
Reference ranges: blood lead = 5 μg/dL; blood cadmium = 5 μg/L.

Suggested citation for this article: Grimes R, Beaucham C, Ramsey J. Notes from the Field: Lead and Cadmium Exposure in Electronic Recyclers — Two States, 2015 and 2017. MMWR Morb Mortal Wkly Rep 2019;68:181–182. DOI:

MMWR and Morbidity and Mortality Weekly Report are service marks of the U.S. Department of Health and Human Services.
Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services.
References to non-CDC sites on the Internet are provided as a service to MMWR readers and do not constitute or imply endorsement of these organizations or their programs by CDC or the U.S. Department of Health and Human Services. CDC is not responsible for the content of pages found at these sites. URL addresses listed in MMWR were current as of the date of publication.

All HTML versions of MMWR articles are generated from final proofs through an automated process. This conversion might result in character translation or format errors in the HTML version. Users are referred to the electronic PDF version ( and/or the original MMWR paper copy for printable versions of official text, figures, and tables.

Questions or messages regarding errors in formatting should be addressed to

View Page In: PDF [126K]