Outdoor shooters with high levels are probably shooting into the wind... I worry about it too- my home range faces into the prevailing wind so I often get a breath of it. I can't afford to build a range facing another direction (not yet anyway) so I try to shoot at an angle that minimizes breathing any smoke.
I only reload plated and coated lead... not sure how much it helps, but like to think it helps some. Plus, my son like to load with me so that helps minimize/eliminate his handling of lead.
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This is common mistake but not true with FMJ/Ball projectiles as the base is still exposed lead. THe base is the part subjected to the hot gasses and will melt/smoke.
There is a great thread on lead on the 1911 forum, including medical testing protocols and real world experience here:
If you reload, you can used plated or TMJ projectiles to eliminate this exposed base. JHP's have a jacketed base and are exposed inside the HP, and are c
The bottom line is that to avoid lead inhalation, you should shoot outdoors, with the wind or indoors with PROPER ventilation and practice good hygiene. D-Lead soap is cheap and works very well according to the studies.
I also wear nytrile gloves and have a small fan running beside me when I decap brass before wet tumbling... this keeps the spent primer dust and debris off and away from me.
ETA: You are correct though, in that the primers are the biggest problem