Summary and Action Items

CDC has become aware that some Afghan families who have been resettled in the United States are using Kajal as an eyeliner (Kajal is pronounced kuh-jaal). Kajal can contain high levels of lead.
Kajal is one of many terms used to reference this product. It may also be referred to as Surma.
Providers should advise parents and caregivers not to use Kajal/Surma on children and should get a blood lead test for children who were wearing kajal eyeliner or who had other exposure to Kajal.
Providers should advise pregnant women not to use Kajal/Surma. Pregnant women who use these products should be tested for lead.
For more information about lead screening for newly arrive refugees, visit CDC’s web page.

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