What is Known:
• Surma is a traditional cosmetic used as an eyeliner for infants in Afghanistan as well as in many countries in Asia, the Middle East, and Africa.
• Surma has been reported to contain lead and to be a source of lead toxicity in children.
What is New:
• Assessment for lead content in surma found in Afghanistan has not been performed.
• In this convenience sample of 10 surma products acquired in Afghanistan, 70% contained very high levels of lead.