Background and Objectives The Georgian National Center for Disease Control and Public Health (NCDC) and United Nations Children's Fund (UNICEF) completed a Multiple Indicator Cluster Survey (MICS) from September to December 2018 that included a nationally representative assessment of 1,578 children's blood lead levels (BLLs). The study found that 41% of children (age 2-7 years) had BLLs equal to or exceeding the U.S. Centers for Disease Control's reference level of 5 µg/ dL and that16% of the 1,578 children had BLLs exceeding 10 µg/dL [1-3]. Low-level lead exposure can result in a number of adverse health outcomes in the neurological and cardiovascular systems [4-6]. To investigate potential sources of lead exposure present in the homes of assessed children a team comprised of staff from the NCDC and the nongovernmental organization Pure Earth (NY, USA) conducted site visits to 25 Georgian homes and four bazaars in July 2019 assessing a range of media for lead content including soil, dust, paint, water, spices, toys, and cookware. Methods Sixteen of the 25 homes were selected on the basis of having a child with a BLL > 30 µg/dL, while nine were selected on the basis of having a child with a BLL < 5 µg/dL. The mean BLL in the < 5 µg/dL group was 2.81 µg/dL (range: 1.6-4.01) while the mean BLL in the > 30 µg/dL group was 35.43 µg/dL (range: 32.29-38.57). The mean age for children in the comparison group was 4.2 years (range: 2.7-5.7), while that for the elevated group was 5.1 years (range: 4.1-6.1). The sex of the children was not recorded. The homes were located in the following five regions: Adjara (n = 9); Guria (n = 5); Imereti (n = 7); Shida Kartli (n = 3); and Tbilisi (n = 1). Spices were procured in bulk and assessed from bazaars in Adjara (n = 2), Imereti (n = 1), and Tbilisi (n = 1). Bazaar assessments were not initially contemplated in the study design and were only conducted after spices were found to be adulterated with lead during home assessments. The bazaars were selected based on logistical convenience. As a result, no bazaars were assessed in Guria or Shida Karti. The study relied heavily on field-portable instrumentation confirmed in part by laboratory wet techniques. In total, 682 portable X-Ray Fluorescence (pXRF) measurements were taken, including those from cookware (n = 53); paint (n = 207); soil (91); spices (n = 128); toys (n = 78); and ' other' (n = 125) a category comprised of a