This document summarizes the major health and environmental risks associated with e-waste disposal in China, particularly the Guiyu region. It finds extremely high levels of lead contamination in the soil, dust, water and people of e-waste disposal sites, putting workers and children at very high risk of lead poisoning. While laws exist to better regulate e-waste in the US and China, enforcement is lacking. Improved management is needed such as stopping illegal e-waste exports, establishing safe recycling infrastructure, and educating workers on occupational health risks.