Lead contamination in China has been extensively documented by scientists in China and elsewhere over the past two decades, as summarized in this review of articles published in peer-reviewed scientific journals. Sources of that contamination include (a) deposits from previous emissions of leaded gasoline, which was finally eliminated in the past decade; (b) previous and continuing emissions from fossil fuel combustion, which are increasing markedly with the rapid industrialization of China; (c) previous and continuing emissions from other industrial activities, including mining, smelting and municipal waste incineration; and (d) previous and continuing additions of contaminated fertilizers, sewage, and untreated wastewater to agricultural fields. Lead concentrations of some Chinese agricultural produce are also elevated by acid rain and acidic fertilizers, which increase the solubility and bioavailability of both natural and contaminant lead in soil. In addition, some Chinese products are contaminated with lead during their production, processing, packaging, and transport. As a consequence of the long-range transport of industrial lead emissions from China and the global market for its products, the problem of lead pollution in China is a global problem.