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Background: Individuals at shooting ranges are exposed to high amount of lead fumes either indoor or outdoor. The shooters sprayed lead dust into the air upon discharge of the cartridge at arm’s length distance. Most of the previous studies conducted at shooting ranges focused on blood lead levels (BLLs) of exposed people and there are limited studies on the risk associated with the shooting of firearms. This study aimed to review previous studies on the hazards associated with the discharge of firearms, and safety measures at shooting ranges. Methods: A systematic review was conducted to explore the available evidence. The databases were searched using the keywords “indoor shooting ranges”, “outdoor shooting ranges”, “firearms shooting”, “lead poisoning hazard”, “blood lead biomarkers”, “permissible exposure limit”, and “safety practice on lead”. Results: The designated BLL for case definition in lead poisoning was between 0.1μg/dL - 0.49μg/dL. It was estimated that at Permissible Exposure Limit (PEL). PEL of 0.5μg/m³, 95 percent of range users who are exposed to lead poisoning regularly can have BLL of <5μg/dL during 20 years of working life, while at 2.1μg/m³, 95 percent of the workers can have BLL of<10μg/dL during their working life. Conclusion: To protect firearm handlers and shooting range workers, policy on preventive measures should be implemented at shooting ranges by policymakers. Compliance with preventive measures is encouraged to avoid the high cost of rehabilitation lead poisoning. 

Keywords: Shooting Ranges, Lead Poisoning Hazard, Firearm Handlers, Safety Measures

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