AM.Determining lead sources in Mexico using the lead isotope ratio. Salud Publica Mex 2003;45 suppl 2:S183-S188. This paper is available too at: http://www.insp.mx/salud/index.html Abstract Objective. Lead poisoning can, in some cases, be traced to a specific route or source of exposure on the basis of the individual's blood lead isotope ratio. To assess the major source of lead exposure among women residing in Mexico City, we compared blood, ceramic, and gasoline lead isotope ratios. Material and Methods. The study population, randomly selected from participants of a large trial, (1/1996-12/1996) .9890 values for the three isotope ratios, respectively, suggesting that the lead exposure most likely resulted from the use of these ceramic. Measurements of lead isotope ratios from leaded gasoline in use at the time of blood sampling, differed from those in blood and ceramics. Conclusions. Determining lead isotope ratios can be an efficient tool to identify a major source of lead exposure and to support the implementation of public health prevention and control measures. This paper is available too at: