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LET’S MAKE LEAD HISTORY
Background
• Monroe County pop: @749,600
• City of Rochester pop: @209,734
• 43% of NYS homes (over 3.3M) built before1950 • Most pre-1950 housing units in country, over 1M more than
next highest state (PA).
• Out of 1700 NYS zip codes, 36 accounted for 41% of lead
poisoning reports.
– 9 in Buffalo; 6 in Rochester; 5 in Syracuse; 5 in Albany
(cities on the Erie Canal)
– High-risk zip codes in Rochester
• Home to 78% of Latino children and 80% of African
American children under age 5.
• In 2002, 25% of children living in these zip codes
had EBLLs (nationwide rate was 1.6%).
CPLP History
1999 Call to Action• School #17 Principal raised alarm when discovered 41% of
children entering his school had history of EBLLs.
2001 Coalition to Prevent Lead Poisoning founded• Advocacy and education
• Shifted conversation to PRIMARY PREVENTION –
identifying hazards in housing before children are poisoned
2003 Research and Data Collection▪ small grant tested homes of children near School #17
▪ 98% of homes in study had lead hazards
▪ $3,300 est. average cost of repair
▪ data collected built community support for changing local
housing laws to address lead hazards
2003 GLO project—UR, MCDPH,
CBOs, medical students. Demos for
general public (incl. city council
members).
CPLP hires
full time staff.
“economically, politically, and morally unacceptable…”
Issue Definition
• Dominant perception was that lead was “unsolvable”
• Challenge to redefine lead as health problem with housing solution
• CPLP publicized estimates of juvenile justice, special education, and medical care costs
• Emphasized new research showing interim controls could effectively reduce lead hazards at lower costs than previously believed.
• No fingers pointed at government, landlords, or paint companies.
• Focused on community’s obligation to protect its children and maintained that all groups had a role.
2004 Community Lead Summit• 500+ attendees
• Mayor pledged to pass ‘comprehensive lead legislation’ and
County Executive pledged to implement same system of
inspections in Quality Housing Initiative (QHI).
Vision Becomes Policy
2006
Monroe County begins lead hazard inspections to TANF (public assistance) housing.
City of Rochester begins implementing historic Lead Based Paint Poisoning Prevention Ordinance passed in December 2005.
• Monroe Co. Dept. of Public Health begins
conducting environmental investigations at 15
g/dl and above – below state level of 20 g/dL.
• CPLP supports efforts of Monroe Co. to secure
HUD/SuperNOFA funding. County awarded
nearly $3M and anticipated making 370 housing
units in the city lead safe by 2009.
• Senator Hillary Rodham Clinton calls Rochester
a “national model.”
2006 VISION BECOMES POLICY
• Gantt & Robach introduce statewide legislation authorizing tax credits
for property owners to make housing lead-safe.
• WIC Program includes question "Has your child been tested for lead?"
on application and re-certification forms.
2007 VISION BECOMES POLICY
• Lead Safe Monroe Co. Plan with 20 community organizations, government agencies, etc.
• Comprehensive RCSD Lead Safe Schools Policy passed
• OFCS Medical Report of Child in Day Care form revised to include BLL test results at ages 1 and 2.
2009
• MCDPH begins environmental investigations with confirmed venous of <10 g/dL.
• Gantt/Robach Bill passes (Vetoed by Gov Patterson)
• 90% of properties passing City inspections– Ordinance prompts landlords to make pro-active
improvements (tied into C of O process).
• ALL local clinical laboratories add “blood lead levels in this range have the potential to cause neurocognitive deficits” to BLL test results.
City of Rochester Lead Ordinance
• Presumption pre-1978
• Hazards
▪ Interior Deteriorated Paint
• > 2 square feet in any room or space
• > 10% of the surface area of a component with a small surface area
▪ Exterior Deteriorated Paint
• > 20 square feet on exterior surfaces
• > 10% of the surface area of a component with a small surface area
▪ Bare Soil
• Within the dripline area of residential structures
• Proactive Dust Wipe Testing (High Risk Area)
• Presumption pre-1978
• Hazards
▪ Interior Deteriorated Paint
• > 2 square feet in any room or space
• > 10% of the surface area of a component with a small surface area
▪ Exterior Deteriorated Paint
• > 20 square feet on exterior surfaces
• > 10% of the surface area of a component with a small surface area
▪ Bare Soil
• Within the dripline area of residential structures
• Proactive Dust Wipe Testing (High Risk Area)
Remediating Lead Violations
• Exterior Deteriorated Paint
▪ Visual Abatement by Code Enforcement Officer (CEO)
• Bare Soil
▪ Visual abatement by CEO, can be corrected by
various methods of ground coverage.
• Interior Deteriorated Paint
▪ Paint stabilized by RRP certified owner/agent/contractor
▪ Clearance Test by third party Lead Inspector or Risk
Assessor
▪ Owner affidavit submitted
• Lead Dust Hazard
▪ Clearance by third party Lead Inspector or Risk
Assessor
City of Rochester Lead Ordinance
SOLID FOUNDATION• Existing Property Maintenance Inspection Programs
(Access to inspect units) ▪ Renewable Certificate of Occupancy Program
• Long history of continuous HUD Lead Grants
• Partnership with DOH and DHS
QUALITY ASSURANCE & ACCOUNTABILITY• Internal
▪ Auditing of Inspection Staff
• Random
• Tandem
• Complaint
• DWT Procedures
▪ Third Party Ordinance Evaluations (CGR & UofR)
• External
▪ Auditing of Third Party Lead Clearance Providers
• Non-Responsibility Charge
▪ Landlords - Code Enforcement
Causewave Community Partners & Roberts Communications
Once Lead Ordinance passed, communications goals shifted
from influencing policy to outreach and education. Without
cooperation from general public, lead law would be less
effective.
Roberts developed award
winning messaging and
materials for TV, radio,
print, billboards, & buses.
CPLP website provides
multiple pathways for
parents, property owners,
tenants, healthcare
professionals, and
childcare providers.
Hundreds of thousands of
dollars in in-kind
advertising.
Community Outreach & Ed.
Accomplishments
2010 CPLP, City of Rochester, URMC, Empire Justice Center, MCDPH, FLHSA) honored to receive 2009 EPA Environmental Justice Achievement Award.
Activities & Results2011
• Provide open-to-the public blood lead tests for children and pregnant women.
• Lead law amended to exempt bldgs. with more than five units, studios and senior citizen complexes with more than 10 units that pass visual inspections. Amended law based upon five years of data that almost NO violations occur in these types of properties—smart, data-based prioritization of resources.
• Focused outreach to Refugee Communities including in-home presentations and creating educational materials in multiple languages. Locally based lead poisoning prevention brochures translated into Burmese, Nepali, Somali.
• 29 local municipalities and towns surveyed to assess existence of regulations or codes that enforce lead paint safety in response to 2010 EPA RRP rule.
Prevention Efforts Timeline
Activities & Results2013
• CPLP, RCSD, and County Health Dept. facilitate sharing info related to BLL tests. Revise school registration forms.
– Done in accordance with HIPAA and FERPA.
• MCDPH lowers investigation level from 10 g/dL to 8 g/dL.
• If child is City resident, under 6 years, and had a BLL result between 5-7 g/dL, parent can request a home investigation from County.
• City of Rochester amends Certificate of Occupancy.
• Data shows 91% of EBLL children reside in 1 or 2 family structures.
• As of 2014, any 1 or 2 family structure, located in High Risk Area where interior deteriorated paint was made safe by means of Interim Controls, CofO renewed every 3 yrs. instead of the every 6 yrs.
Activities & Results
2014
• MCDPH reports number of children reported with EBLLs of <10 g/dl dropped to 197 in 2013—an 89% decrease from 1999.
- 13,607 children tested in 2013.- Begin collecting data on BLLs of 5-9 g/dLs. 689 children in Monroe County (v. & fs) reported with BLLs of 5-6 g/dL.
• CPLP distributes 36,000 lead poisoning prevention brochures in seven languages (Karen, Swahili, English, Spanish, Burmese, Nepali and Somali) throughout Finger Lakes region.
• CPLP produces 32-page resource guide Healthy Homes Healthy Families (in English and Spanish).
CategoryYear 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Totals
Units inspected for
deteriorated interior paint 16449 11607 13355 16766 14656
14048 13485 15268 13838 12002141474
Number (percent) units
failing deteriorated
interior paint inspection
958
(6%)
1380
(12%)
699
(5%)
684
(4%)
733
(5%)
711
(5%)
405
(3%)
235
(2%)
380
(3%)
552
(5%)6737
(5%)
Number (percent) units
passing interior paint
inspection
15491
(94%)
10227
(88%)
12656
(95%)
16082
(96%)
13923
(95%)
13337
(92%)
13080
(97%)
15033
(98%)
13458
(97%)
11450
(95%)134737
(95%)
Units referred for dust
wipe test 3850 5778 5320 5607 5068 3033 2554 2637 2899 3066 39812
Number (percent) referred
units that received dust
wipe test
2850
(74%)
4606
(80%)
4654
(87%)
4940
(88%)
4785
(94%)
3071
(101%)
2061
(81%)
2363
(90%)
2794
(96%)
2620
(86%)34744
(87%)
Number (percent) of units
passing dust wipe test 2420
(85%)
3936
(85%)
4242
(91%)
4518
(91%)
4354
(91%)
2691
(88%)
1834
(89%)
2153
(91%)
2560
(92%)
2388
(91%)31096
(90%)
Number of units cleared
(outstanding) after failing
dust wipe test 422(8) 663(7) 408(4) 409(13) 425(6) 372(8) 213(14) 194(16) 212(22) 214(18)
3648(73)
Buildings inspected for
exterior lead hazards 10548 10619 8612 11110 8684 7599 8450 7912 8124 8277 89935
Number (percent) of
buildings passing exterior
lead hazards inspection
8588
(81%)
9391
(88%)
7339
(85%)
9934
(89%)
7339
(85%)
6515
(86%)
7409
(88%)
7032
(89%)
7254
(89%)
6963
(84%)77764
(86%)
Lead Ordinance 10th Anniversary Party
Activities & Results2017/18
• 2017 BLL data due very soon.
• MCDPH reported number of children reported with EBLLs of <10 g/dL decreased slightly to 191 in 2016.
- 14,116 children tested in 2016.- 733 children in Monroe Co (v. & fs) reported with BLLs of 5-6 g/dL. - 733+191=924 (about 2004 levels)
• SIX years later: NYSIIS amended to allow school nurses across NYS to access to BLL data!
• City of Rochester, Town of Irondequoit & Town of Brockport require documentation of EPA RRP certification on building permits. CPLP working to expand initiative throughout County and NYS.
• Sharing lessons learned and best practices with lead coalitions across NYS
2017 Annual Meeting
Current & past CPLP board,
committee members & staff
Thank you
For further information and additional resources
please go to our website at www.theleadcoalition.org
Elizabeth McDade
Program Manager
o: (585) 224-3125