and therefore there has been an increase in the use of handmade, lead-based kohl. For decades, various conflicting reports in the literature have been published relating to kohl application to eyes being responsible for causing higher blood lead concentration, which may cause lead poisoning. At the same time, a number of research studies and reports have also been published refuting any such links with increased blood lead level upon kohl (surma) application. A group of researchers in China tried to find some scientific basis of this claimed property of lead sulfide (galena) relating to absorption of sun rays when applied into the eyes in the form of kohl. The authors reported the ultraviolet (UV) absorption spectra of a thin film of lead sulfide prepared on "indium tin oxide" (ITO) substrate. The spectra showed that lead sulfide thin films had higher absorption and lower transmittance in the UV light band, which further increases with the increased deposition voltage. The drive to eliminate lead from kohl was sparked by studies in the early 1990s of preparations of kohl that found high levels of contaminants, including lead. Lead levels in commercial kohl preparations were as high as 84%. Kohl samples from Oman and Cairo, analyzed using X-ray powder diffraction and scanning electron microscopy, were found to contain galena. One decade later, a study of kohl manufactured in Egypt and India found that a third of the samples studied contained lead, while the remaining two-thirds contained amorphous carbon, zincite, cuprite, goethite, elemental silicon or talc, hematite, minium, and organic compounds. Lead-contaminated kohl use has been linked to increased levels of lead in the bloodstream, putting its users at risk of lead poisoning (also called lead intoxication). Complications of lead poisoning include anemia, growth retardation, low IQ, convulsions, and, in severe cases, death. Anemia from lead poisoning is of special concern in Middle Eastern and South Asian countries where other forms of anemia are prevalent, including iron deficiency anemia (from malnutrition) and hemoglobinopathy (sickle cell anemia, thalassemia). These banned products are different from lead-free cosmetics that use the term "kohl" only to describe its shade or color, rather than its actual ingredients. Some modern eye cosmetics are marketed as "kohl", but are prepared differently and in accordance with relevant health standards. Eye cosmetics such as surma are recognized as one of the important sources of lead exposure in Pakistan. As adverse health effects of heavy