A network of experts in reproductive and children’s environmental health

PEHSU Grand Rounds Webinar

This webinar is part of an ongoing series of educational presentations by experts on issues that focus on current and emerging aspects of pediatric and reproductive environmental health.

Marksmanship and Adolescent Youth Lead Exposure - November 27, 2018 - 1:00 pm ET 

Target shooting for accuracy is known as “marksmanship”. There are recreational junior shooting clubs as well as competitive shooting teams at schools and organizations. Safety training focuses on safe handling of firearms, ear and eye protection, but usually does not address risks related to lead exposure. There have been case reports of teen shooters with high blood lead levels related to shooting guns at ranges. This webinar will discuss what are the sources of lead exposure at shooting ranges, preventive measures to reduce and prevent exposure, and what role the health care provide can play.

Learning Objectives

By the end of this webinar, participants should be able to:
  • Discuss potential sources of lead exposure at the shooting range and how that translates to appropriate questions to ask the patient.
  • Describe personal protective and hygiene measures that reduce/prevent exposures from shooting.
  • Describe measures to control lead exposure in the firing range environment.
  • Discuss potential adverse health effects of lead exposure to adolescents.
  • Describe a strategy of medical surveillance that a health care provider could recommend.


Rose Goldman, MD, MPH
Associate Professor, Harvard TH Chan School of Public Health
Director of Faculty Affairs, Dept. of Medicine, Cambridge Health Alliance
Associate Director, Region 1 PEHSU 

Dr. Goldman is Associate Professor of Medicine at Harvard Medical School and Associate Professor of Environmental Health at Harvard T.H. Chan School of Public Health (HSPH). She is recognized as an expert in clinical occupational/environmental medicine (OEM), particularly in the area of neurotoxicity and metal toxicity. She has authored numerous chapters and articles, including one on teen marksmen and lead. As the Associate Director of the New England PEHSU, she is involved in developing educational materials relevant to exposures to children and reproductive toxicity.


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Continuing Education Information:

To receive continuing education (CE) for WD2588-112718 - PEHSU Grand Round Series: Marksmanship and Adolescent Youth Lead Exposure - November 27, 2018 (Web on Demand)
  • Take the course on the PEHSU National Classroom
  • Visit TCEO and follow these 9 Simple Steps before January 1, 2021.
  • Search for the activity: WD2588-112718
  • Complete the Evaluation at www.cdc.gov/TCEOnline
  • Pass the posttest at 80% on TCEO (Posttest consists of a mix of five multiple choice and true/false questions.)
  • CE certificates will be available on your TCEO account


This material was supported by the American Academy of Pediatrics (AAP) and funded (in part) by the cooperative agreement FAIN:5 NU61TS000237-05 along with the American College of Medical Toxicology and funded (in part) by the cooperative agreement FAIN: U61TS000238 from the Agency for Toxic Substances and Disease Registry (ATSDR).

Acknowledgement: The U.S. Environmental Protection Agency (EPA) supports the PEHSU by providing partial funding to ATSDR under Inter-Agency Agreement number DW-75-95877701-05. Neither EPA nor ATSDR endorse the purchase of any commercial products or services mentioned in PEHSU publications.