Letterpress printers have used lead metal type for over six hundred years to compose and print books and ephemera. Metal type is a composite of lead as well as antimony and tin (see Lead type, or metal type, is “a class of metals used in the printing industry, [which] generally consist of Pb-Sb-Sn [Lead-Antimony-Tin] alloys. Small amounts of copper are added to increase hardness for some applications” (Lead and Lead Alloys, Metals Handbook Desk Edition, 602–608).
Handling lead type represents potential exposure to lead. Lead is a neurotoxin and when absorbed in the bloodstream leads to headaches, tiredness, stomach pains, constipation, and loss of appetite (see WorkSafeAlberta, Occupational Health and Safety Practices: A Guide for Printers, 71).
The Safety Training and Lead Exposure Control Plan provide guidance on mitigating lead exposure. In short: a combination of hygiene and personal protective equipment will minimize lead exposure.