This is an interesting piece that I came across from Journal Watch worth sharing: MMWR details a case of lead poisoning in an infant of Nigerian descent who wore traditional eye makeup called tiro. The CDC is advising clinicians to look for cosmetic use in immigrant children with elevated lead levels.At his 6-month checkup, the infant had a blood lead level of 13 μg/dL, over twice the CDC’s reference value of 5 μg/dL. An investigation found that tiro, which was 83% lead, had been applied to the infant’s eyelids three or four times a week since he was 2 weeks old. It was said to improve attractiveness and promote healthy vision. Asian and Middle Eastern immigrants may use similar lead-containing products, for example, surma, kajal, and kohl. Accordingly, in the event of unexplained high blood lead levels, the CDC says, clinicians may want to consider cosmetics and folk remedies as a possible source.