TOLEDO – In a mobile clinic in a church parking lot, registered nurse Gloria Smith prepped Vibe Carswell, 7, for a finger-poke lead check.
“At any given time, there are 3,400 children with lead poisoning in Lucas County,” she said, stressing each syllable of the statistic. “That’s crazy.”
Smith is the lead case manager for the Toledo Lucas County Health Department. Of the health department’s three lead caseworkers, she is the one whose sole focus is on children who test positive.

“My goal is to educate the parents, to help them to get those levels down as quickly as possible,” Smith said.
One child at a time, Smith works to find those who are already poisoned. When they are, the environment is prime suspect.
“About 98 percent of our cases are due to old housing stock,” she said.
One at a time, certain houses are supposed to be checked and certified by the City of Toledo. Now, for the first time in years, the city has the legal authority to hold owners to that.
On paper, the city’s lead ordinance has been in effect since 2020, but a lawsuit put enforcement on hold in 2022. After two courts heard the case and sided with the city, the Ohio Supreme Court refused to hear an additional appeal earlier this year. That left the lower court’s ruling in place.
So, the deadlines now have teeth – misdemeanor charges and fines – with the end of this year marking the cutoff for owners to register buildings in certain parts of the city.



For any building older than 1978 – the ones most likely to have lead-based paint – rental properties with up to four tenants and daycares are required to be inspected. When they pass, they are issued a certificate that any prospective renters can look up.
That peace of mind is something Arselia Ruiz of Toledo wishes for. She rents a home in that risky category. It has not been inspected, and her kids are sneaky.
“They’re future assassins,” she said of Arryn, 4, and Alesanpra, 7. She also has a one-year-old.
“I have to watch my kids like a hawk,” she said. “I’m worried they’ll get a hold of it,” from peeling or chipping paint when she is not looking.
Ruiz brought the older two for tests at the same event, hosted by the Indiana Ave. Missionary Baptist Church, last month. They already get tests at annual pediatrician appointments, but until her house is checked – that’s not enough.

Lead inspectors agree with the health department – concerns like hers are valid. In the little over two years as an inspector, Tiffany Brown said she has met families whose children were poisoned.
“More than I ever expected,” she said.
A friend she met in the lead inspector training experienced it first-hand. Lead dust made it into the vents during a renovation, and several members of the family had dangerous levels in their blood, she said. When the house was closed up for winter, their symptoms were worse; that helped track down the cause.
But “there are hardly any [specific] symptoms, so you wouldn’t know unless you’re looking,” Brown said.
And there may not be any at all, according to the Environmental Protection Agency. Children under six years old are most at risk, and any symptoms that do appear can range from fatigue to learning and behavior problems.
In addition to being a lead inspector, Walden Wilson is also a landlord. He understood the concerns about the ordinance from that perspective, but the chance to prevent lead-related illness needed immediate attention. He is relieved the legal roadblocks are out of the way.
“Because of the homes I’ve seen, I am glad they are doing it because there are some homes that I would not want to see people moving into knowing that it’s not safe,” Wilson said.
He expects his business to ramp up as enforcement kicks in.
“The property owners for the most part have been very diligent as far as ‘what do I need to do to handle it? What do I need to take care of?’” he said. There are some who do not have that same attitude, at least at first.
“When they get the reality – ‘You’ve got lead on your property – that’s when they wake up,” he said.
Ruiz wants to move somewhere newer, or at least certified. But financially, it is impossible for her right now.
“I’m going on a needle and thread,” she said before listing the cost of her most recent grocery trip. “So I’m taking that risk with that apartment.”
Her situation is a familiar situation for many residents of the Central Toledo neighborhood that’s within walking distance of the church’s event.
There, and across the community, “African Americans and the Latino community” are falling through the cracks in lead prevention and detection, associate preacher C. Jerome Graham said.
Access and awareness were two main reasons he and the leadership put on the lead-testing event. With inflatables, a food truck and family-oriented vendors – they wanted it to feel more like an adventure as opposed to a trip to the doctor’s office.
“If you make it fun, they will come,” he said.
When they turned the corner into the parking lot, Arryn and Alesanpra rushed right over to the bounce house. It gave their mom a break from shouting at them to ‘stay close’ and to ‘get away from the street’ before their tests.
“My kids doing this – it’s important to me,” Ruiz said.
“I think everybody should do it, because there’s people out here whose kids could have a condition or illness and the whole time it’s because they’ve got lead in their system.”
Inside the mobile clinic, Nurse Gloria wrapped up the test but let young Vibe call the shots.
“You see the black line?” Smith asked. “When your blood gets to the black line, say ‘All done now!’ okay?”
When she shouted she was done, Vibe walked away with half-a-dozen stickers and kudos from the lead expert.
“Girl, you are good! You’re so brave. High five!”
Lead Resources:
∙ For Lead Screening & Prevention in Lucas County – or call the Toledo Lucas County Health Department at 419-213-2013
∙ Outside Toledo or Lucas County: Contact your county health department or your primary care provider.


































