Lead toxicity remains a major environmental health risk throughout the world. Pakistan and South Asian countries consider phasing-out of leaded gasoline as an adequate measure for control of lead. However, lead deposited in environmental media and maternal bone continues to expose fetuses and children. Our preliminary study in Karachi has shown that approximately 50% of neonates in an urban area of Pakistan had cord blood lead levels (BLL) above10 Narrative Lead toxicity continues to remain a major environmental health risk throughout the world. Previous research has shown that about 50% of Pakistani children have blood lead levels (BLL) >10 Public Health Relevance