reducing lead exposure in santa clara county€¦ · 09/09/2008  · cupertino los gatos morgan...

68
Reducing Lead Exposure Reducing Lead Exposure in in Santa Clara County Santa Clara County Public Health Public Health : : Childhood Lead Poisoning Prevention Program Childhood Lead Poisoning Prevention Program Environmental Health Environmental Health : : Lead Hazard Reduction Compliance & Enforcement Lead Hazard Reduction Compliance & Enforcement Program Program Chuck Fuller, REHS Chuck Fuller, REHS (408) 918 (408) 918 - - 3458 3458

Upload: others

Post on 09-Oct-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Reducing Lead ExposureReducing Lead Exposureinin

Santa Clara CountySanta Clara CountyPublic HealthPublic Health::

Childhood Lead Poisoning Prevention ProgramChildhood Lead Poisoning Prevention Program

Environmental HealthEnvironmental Health::Lead Hazard Reduction Compliance & Enforcement Lead Hazard Reduction Compliance & Enforcement

ProgramProgram

Chuck Fuller, REHSChuck Fuller, REHS

(408) 918(408) 918--34583458

Page 2: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Department of Public HealthDepartment of Public HealthProgram ServicesProgram Services

Childhood Lead Poisoning Prevention Childhood Lead Poisoning Prevention Program (CLPPP):Program (CLPPP):

Case management of children with Case management of children with elevated blood lead levelselevated blood lead levelsHome investigations to identify source of Home investigations to identify source of lead exposurelead exposure--PHN & REHSPHN & REHSAbatement of lead hazards related to Abatement of lead hazards related to casescasesOutreach to public on lead exposure risksOutreach to public on lead exposure risks

Page 3: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Department of Environmental HealthDepartment of Environmental HealthProgram ServicesProgram Services

Lead Hazard Reduction Compliance & Enforcement Lead Hazard Reduction Compliance & Enforcement Program:Program:

Response to complaints of lead hazards in Response to complaints of lead hazards in homes with children at riskhomes with children at riskResponse to complaints of unsafe work practicesResponse to complaints of unsafe work practicesOutreach to painters, renovators & public on Outreach to painters, renovators & public on lead safe work practiceslead safe work practicesAbatement of identified lead hazardsAbatement of identified lead hazardsCoordination with agencies for lead hazard Coordination with agencies for lead hazard regulation enforcementregulation enforcement

Page 4: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Lead Poisoning In ChildrenLead Poisoning In Children

Lead poisoning is entirely preventable, but Lead poisoning is entirely preventable, but some children continue to be poisoned every some children continue to be poisoned every dayday

Lead is a neurotoxin and elevated blood lead Lead is a neurotoxin and elevated blood lead levels can result inlevels can result in::

learning disabilitieslearning disabilities

attention deficitsattention deficits

mental retardationmental retardation

at extremely high levels (at extremely high levels (>70 >70 µg/dLµg/dL), ), seizures, coma, and even deathseizures, coma, and even death

Page 5: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Absorption of LeadAbsorption of Lead

Adults normally absorb 5% to 13% of the Adults normally absorb 5% to 13% of the lead they ingest if food is present lead they ingest if food is present

The bones and teeth of adults contain more than The bones and teeth of adults contain more than 95% of total lead in the body95% of total lead in the body

Children absorb 40% to 50% of the lead they Children absorb 40% to 50% of the lead they ingest when consuming a normal diet. A ingest when consuming a normal diet. A child’s body retains 20% of absorbed leadchild’s body retains 20% of absorbed lead

The minerals iron, calcium, zinc, The minerals iron, calcium, zinc, phosphorous, and magnesium compete with phosphorous, and magnesium compete with lead for absorption into the bodylead for absorption into the body

Page 6: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Age: 1Age: 1--5 years5 years--oldold

Time spent on floorTime spent on floorHand to mouth Hand to mouth behaviorbehaviorHigh absorption of High absorption of leadleadRapid CNS Rapid CNS developmentdevelopmentPeak risk ages 1Peak risk ages 1--2 2 yearsyears

Page 7: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Age 6Age 6--72 months, especially those 1272 months, especially those 12--24 months 24 months (due to oral behavior)(due to oral behavior)Live in preLive in pre--1978 homes with deteriorating paint 1978 homes with deteriorating paint and/or homes that have been recently remodeled and/or homes that have been recently remodeled or painted. or painted.

In Santa Clara County approximately In Santa Clara County approximately 84%,84%, or or 451,856451,856 housing units, were built before 1980 and housing units, were built before 1980 and may contain leadmay contain lead--based paint*based paint*

Live in or spend a lot of time in a dwelling with Live in or spend a lot of time in a dwelling with contaminated soil contaminated soil Receive government assistanceReceive government assistance

* According to 1990 U.S .Census Data* According to 1990 U.S .Census Data

Children At Risk

Page 8: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

2 year old refugee from Egypt 2 year old refugee from Egypt seen by MD for vomiting and a seen by MD for vomiting and a low grade fever. She was low grade fever. She was diagnosed with strep throat and diagnosed with strep throat and was sent home with antibiotics. was sent home with antibiotics. 2 weeks later, her condition 2 weeks later, her condition worsened and she was worsened and she was readmitted to the hospital.readmitted to the hospital.BLL was 391µg/dL, patient BLL was 391µg/dL, patient became unresponsive, chelation became unresponsive, chelation therapy was administered but therapy was administered but was too late. was too late.

Fatal Pediatric Lead Poisoning Case Fatal Pediatric Lead Poisoning Case --4/20004/2000

Cause of poisoning: Ingestion of lead-based paint in her New Hampshire apartment and possible lead exposure in EgyptCause of death: Lead Encephalopathy

Page 9: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Possible Signs & Symptoms of Childhood Lead Poisoning

•Learning problems

•Trouble concentration

•Hyperactivity

•Anemia

•Developmental delays

•Seizures

•Stunted growth

•Hearing loss

•Speech delays

•Constipation

•Stomach ache

Page 10: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

•• Juvenile DelinquencyJuvenile DelinquencyDietrich KN, et al 2001, Dietrich KN, et al 2001, NeurotoxicolNeurotoxicol TeratolTeratol 23(6):51123(6):511--88Needleman HL, et al 2002, Needleman HL, et al 2002, NeurotoxicolNeurotoxicol TeratolTeratol 24(6):71124(6):711--77

• Bellinger DC et al 1992, Pediatrics 90(6):855-61

• High School Drop-Out Rate• Needleman, et. al., 1990 NEJM 322(2):83-8

• Poor Academic Achievement at Age 10

Lead in Early Childhood has been Correlated with:

Page 11: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Prolonged IQ Effects After Prolonged IQ Effects After Early Childhood ExposureEarly Childhood Exposure

As lead As lead increasesincreases from 10 to 20 from 10 to 20 mcg/dL:mcg/dL:

*Schwartz J, 1994 Environ Res. 65:42-55**Bellinger DC, et al, 1992 Pediatrics 90:855-861

IQ decreases by 2.6* – 5.8** IQ points

Page 12: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

IQ Effects IQ Effects BelowBelow “Level of “Level of Concern”Concern”

As Lead increases from 1 to 10 mcg/dL :

*Lanphear et. al., 2000, Public Health Report 115:521-529

** Canfield et. al., 2003, NEJM 348:1517-1526

IQ decreases by 5* to 7.4** IQ points

10 mcg/dL

IQ

Lead Level

Page 13: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Lead PoisoningLead PoisoningLead poisoning often does not have Lead poisoning often does not have obvious symptoms obvious symptoms

Symptoms are easily misdiagnosed, thus Symptoms are easily misdiagnosed, thus delaying effective treatment and increasing delaying effective treatment and increasing likelihood of permanent physical and likelihood of permanent physical and mental damagemental damageOnly sure way to determine lead poisoning Only sure way to determine lead poisoning is to take a blood lead level (BLL) test.is to take a blood lead level (BLL) test.

Page 14: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

How a Lead Poisoned How a Lead Poisoned Child Child

is Identifiedis IdentifiedPhysicians order the test as part of well child Physicians order the test as part of well child examexam

Parents request a blood lead test Parents request a blood lead test

California law requires laboratories to report all California law requires laboratories to report all BLL to CA DHS and local health departments (SB BLL to CA DHS and local health departments (SB 460 460 ––1/03)1/03)If the child has an elevated blood lead level If the child has an elevated blood lead level (EBL) the family is contacted by the Childhood (EBL) the family is contacted by the Childhood Lead Poisoning Prevention Program (CLPPP) for Lead Poisoning Prevention Program (CLPPP) for appropriate case managementappropriate case management

Page 15: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

CLPPP Services CLPPP Services Case ManagementCase Management

CLPPP coordinates case management services to CLPPP coordinates case management services to children with EBLs children with EBLs (CDC action level is 10 (CDC action level is 10 µg/dLµg/dL ))

1010--14 µg/dL14 µg/dL -- telephone notification and/ or home telephone notification and/ or home visitvisit1515--19 19 µg/dLµg/dL -- home visit by Public Health Nursehome visit by Public Health Nurse

≥≥20 20 µg/dLµg/dL -- joint home visit made (Public Health joint home visit made (Public Health Nurse & Registered Environmental Health Specialist)Nurse & Registered Environmental Health Specialist)

Identifying the source of exposure is the Identifying the source of exposure is the most import factor in lowering a childmost import factor in lowering a child’’s s blood lead levelblood lead level

Page 16: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

I-280

Hwy 101

I 880 I 680

Hwy 85

San Jose

Palo Alto

Sunnyvale

Milpitas

Gilroy

Santa Clara

Saratoga

Cupertino

Los Gatos

Morgan Hill

Los Altos

95148

94089

95035

95132

95127 95140

95138

95141

9513495002

9505495131

94043

94041 9408694040

94024 94087

94304

95014

95030

95051

95117

95008

95124

95133

95122

95116

95121

95136

9512395118

95125

95111

95126

95128

95013

95050

9512995

130

94301

94035

95070

95120

95037

95046

95020

95021

95038

95042

95026

95030

A

95112

95110

B

Santa Clara County Boundary

Numbers of cases by Zip Code0 Cases1 - 3 Cases3 - 11 Cases11 - 21 Cases21 - 45 Cases45 - 73 Cases74 - 121 Cases

Highways

20 0 20 40 Miles

N

EW

S

Elevated Blood Lead Levels by Zip CodeSanta Clara County, May 2001

Between January 1992 and May 2001, 882 cases were investigated with elevated bood lead levels.876 are mapped here.

Source: Santa Clara Valley Health & Hospital System, Santa Clara County Public Health Department, Planning & Evaluation: Data Management & Statistics; Childhood Lead Poisoning Prevention Program

Small Zip Code:A: 95113, 95192B: 95053

Page 17: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Blood Lead Level Distribution of CasesBlood Lead Level Distribution of Cases((January 2001January 2001--April 2006)April 2006)

n=507n=507

\\\

Low: 10-14μg/dL (310/61%)

High: 20-44μg/dL (88/17%)

Moderate: 15-19μg/dL (101/20%)

Very High: ≥45μg/dL (8/2%)

Page 18: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Historical Perspective of Historical Perspective of LeadLead

First use of lead dates back to 6000 years agoFirst use of lead dates back to 6000 years agoChemistry symbol, Chemistry symbol, PbPb, Atomic No.82, Atomic No.82Lead is a metal of considerable utility and Lead is a metal of considerable utility and versatilityversatilityHas many industrial usesHas many industrial usesAdds durability to paint (antiAdds durability to paint (anti--corrosive corrosive properties)properties)Reduction of leadReduction of lead

In 1950, US government reduced amount of Pb in In 1950, US government reduced amount of Pb in paint, then reduced it again in 1978paint, then reduced it again in 1978

In the1980’s lead used for soldering pipes is banned In the1980’s lead used for soldering pipes is banned and lead in gasoline is phased outand lead in gasoline is phased out

Page 19: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Dutch Boy Paint Advertisement

Dust from deteriorating lead-based paint is the number one source of exposure in children

Page 20: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Downtown SJ - Peeling Paint on Porch

Page 21: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Take Home ExposureTake Home Exposure

High risk lead occupations:

Painting, construction, radiator/battery recycling and repair, soldering, etc.

Page 22: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

High risk industries, 2000High risk industries, 2000--20022002Industries with largest number of CA workers reported with BLL ≥ 25 mcg/dL

Industry # adult workersStorage battery manufacture 471Painting & paper hanging 215Secondary smelting, nonferrous metals 129Automotive radiator repair 122Heavy construction 70Copper foundries (brass/bronze) 65Scrap & waste materials 48Sheet metal work 30Special trade contractors (abatement) 27Pottery products manufacture 27

Page 23: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Contamination From Leaded Gas

Removal of lead in gas began in 1976

Page 24: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043
Page 25: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Imported, lead glazed ceramics such as Imported, lead glazed ceramics such as Mexican bean pots that are used at home Mexican bean pots that are used at home

Consume food or juice from imported, lead Consume food or juice from imported, lead soldered canssoldered cans

Use home remedies containing lead, such as Use home remedies containing lead, such as Azarcon or Greta and some Ayurvedic Azarcon or Greta and some Ayurvedic medicinemedicine

Use of Kohl and SurmaUse of Kohl and Surma

Various environmental exposure from other Various environmental exposure from other countries, such as, Mexico and China, where countries, such as, Mexico and China, where lead is commonly usedlead is commonly used

Other Risk Factors - Cultural Sources

Page 26: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Lead-glazed Bean Pots From Mexico

Ceramic containers made in the U.S. are regulated by the FDA Imported ceramics that are known to leach small amounts of lead are

supposed to have a warning label (Prop 65)

Page 27: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Home Remedies & Cosmetics Containing Lead

Page 28: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Surma-Middle Eastern Eye Treatment

Page 29: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

The candies and their wrappers may contain dangerously high levels of lead

Page 30: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

New local sourcesNew local sources•• ChapolinesChapolines (Grasshoppers)(Grasshoppers)

Popular in Oaxaca, and harvested after the rainy season Popular in Oaxaca, and harvested after the rainy season usually in the early fall usually in the early fall They are boiled in lead glazed bean pots, dried, then They are boiled in lead glazed bean pots, dried, then seasoned with chili and limeseasoned with chili and limeSometimes they are dried in large clay plattersSometimes they are dried in large clay plattersNot all of the samples collected had lead, but some were Not all of the samples collected had lead, but some were found to be the primary source of exposurefound to be the primary source of exposure

Page 31: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

New SourcesNew SourcesSemillasSemillas (Pumpkin seeds)(Pumpkin seeds)

Roasted over fire in large lead glazed clay plates, Roasted over fire in large lead glazed clay plates, then seasoned with lime and chilithen seasoned with lime and chiliAcidity in lime most likely leaches the lead from Acidity in lime most likely leaches the lead from the plate and contaminates the seedsthe plate and contaminates the seedsSome samples were had from 22 Some samples were had from 22 -- 1000 ppm1000 ppm

Page 32: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

LeadLead--containing Productscontaining Products“Pushpadhanwa”“Pushpadhanwa”

Manufacturer: Shree Dhootapapeshwar Manufacturer: Shree Dhootapapeshwar Ltd (SDL). A 128 year old company in Ltd (SDL). A 128 year old company in the field of Ayurveda research, the field of Ayurveda research, education & healthcareeducation & healthcare

““It is an aphrodisiac and used It is an aphrodisiac and used in sexual dysfunction” in sexual dysfunction” www.saffronsoul.comwww.saffronsoul.com

Ingredients: Rasasindoor, Nag Bhasma 35 mg, Loha Bhasma, AbhrakBashma, Datura Metal* 107 mg

Page 33: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Lead in JewelryLead in Jewelry

77--2323--2004 Prop. 65 warning to 13 retailers2004 Prop. 65 warning to 13 retailers77--88--2004 CPSC recall of 150 million pieces2004 CPSC recall of 150 million pieces

Page 34: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Baby Cribs

Page 35: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Lead Contaminated ToysLead Contaminated Toys

Page 36: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

• Major source of Child Lead Poisoning

• Used until 1978

• Dangerous with deterioration

• Windows: friction dust

• Remodeling dust

Paint

Page 37: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043
Page 38: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

California Department of Health ServicesChildhood Lead Poisoning Prevention Branch

How Widespread is Lead-Based Paint (LBP) in Housing?

Year House was Percent of Houses Built w/ LBP

Before 1940 87 percent1940-1959 69 percent1960-1978 24 percentAll housing 40 percent

Page 39: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043
Page 40: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Soil Contamination

From chipping lead-based paint

Page 41: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

What Is Being Done About What Is Being Done About Lead?Lead?

RegulationsRegulationsLeadLead--based paint was banned from based paint was banned from residential use in 1978 residential use in 1978 -- limited to 600 limited to 600 ppmppmTitle X (“ten”) Title X (“ten”) -- FederalFederal--disclosure rulesdisclosure rulesHUD Lead Rule HUD Lead Rule -- Federally funded housingFederally funded housingTitle 17Title 17-- State lead hazard regulationsState lead hazard regulationsConstruction StandardConstruction Standard--Cal/OSHACal/OSHASB 460SB 460-- State Housing Code & State Housing Code & enforcement authorityenforcement authority

Page 42: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

California Lead Poisoning California Lead Poisoning Prevention RegulationsPrevention Regulations

Title 17Title 17California Code of Regulations, Section 35001 et seq. California Code of Regulations, Section 35001 et seq. Accreditation of training providers & interim certification Accreditation of training providers & interim certification of individuals engaged in leadof individuals engaged in lead--related construction work. related construction work. Lead hazard definitions and work practice standards.Lead hazard definitions and work practice standards.SB 460SB 460California Health & Safety Code, Sections 105255 & California Health & Safety Code, Sections 105255 & 105256. Illegal to create a lead hazard or have a 105256. Illegal to create a lead hazard or have a condition that is a lead hazard in residential and public condition that is a lead hazard in residential and public buildings. Lead hazards can violate State Housing Law.buildings. Lead hazards can violate State Housing Law.

Page 43: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Title 17, California Code Of Regulations, Title 17, California Code Of Regulations, Division 1, Chapter 8Division 1, Chapter 8

§35033. Lead§35033. Lead--Based Paint.Based Paint.“Lead“Lead--based paint” means paint or other surface coatings that based paint” means paint or other surface coatings that

contain an amount of lead equal to, or in excess of one contain an amount of lead equal to, or in excess of one milligram per square centimeter (1.0 mg/cm2) or more than half milligram per square centimeter (1.0 mg/cm2) or more than half of one percent (0.5%) by weight.of one percent (0.5%) by weight.§35035. Lead§35035. Lead--Contaminated Dust.Contaminated Dust.“Lead“Lead--contaminated dust” means dust that contains an amount contaminated dust” means dust that contains an amount

of lead equal to, or in excess of, fifty micrograms per square of lead equal to, or in excess of, fifty micrograms per square foot (40 foot (40 μμg/ft2) for interior floor surfaces, two hundred and fifty g/ft2) for interior floor surfaces, two hundred and fifty micrograms per square foot (250 micrograms per square foot (250 μμg/ft2) for interior horizontal g/ft2) for interior horizontal window surfaces, and eight hundred micrograms per square window surfaces, and eight hundred micrograms per square foot (400 foot (400 μμg/ftg/ft22) for exterior floor and exterior horizontal ) for exterior floor and exterior horizontal window surfaces.window surfaces.§35036. Lead§35036. Lead--Contaminated Soil.Contaminated Soil.“Lead“Lead--contaminated soil” means bare soil that contains an contaminated soil” means bare soil that contains an amount of lead equal to, or in excess of, four hundred parts peramount of lead equal to, or in excess of, four hundred parts permillion (400 million (400 ppmppm) in children’s play areas and one thousand ) in children’s play areas and one thousand parts per million (1000 parts per million (1000 ppmppm) in all other areas.) in all other areas.

Page 44: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Title 17, California Code Of Regulations, Division 1, Title 17, California Code Of Regulations, Division 1, Chapter 8Chapter 8

§35016. Containment.§35016. Containment.“Containment” means a system, process, or barrier “Containment” means a system, process, or barrier

used to contain lead hazards inside a work area…used to contain lead hazards inside a work area…§35037. Lead Hazard.§35037. Lead Hazard.“Lead hazard” means deteriorated lead“Lead hazard” means deteriorated lead--based paint, based paint,

lead contaminated dust, lead contaminated soil, lead contaminated dust, lead contaminated soil, disturbing leaddisturbing lead--based paint or presumed leadbased paint or presumed lead--based based paint without containment, or any other nuisance which paint without containment, or any other nuisance which may result in persistent and quantifiable lead exposure.may result in persistent and quantifiable lead exposure.§35043. Presumed Lead§35043. Presumed Lead--Based Paint.Based Paint.“Presumed lead-based paint” means paint or surface

coating affixed to a component in or on a structure constructed prior to January 1, 1978.

Page 45: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

How Much Lead is Hazardous?How Much Lead is Hazardous?If a 1 gram packet of If a 1 gram packet of “lead” were spread over “lead” were spread over the floors of five 2000 s.f. the floors of five 2000 s.f. homes, the leadhomes, the lead--dust dust level would be 100 μg/ftlevel would be 100 μg/ft22

Current EPA regulatory Current EPA regulatory level: 40 μg/ftlevel: 40 μg/ft22

FDA recommended FDA recommended maximum consumption: 6 maximum consumption: 6 μgμg per dayper day

Page 46: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

California Department of Health ServicesChildhood Lead Poisoning Prevention Branch

Lead-Based Paint (LBP)• LBP was banned in 1978. Pre-1978 housing stock is “presumed LBP.”

• Intact LBP (covered by several layers of non-LBP) is generally not considered hazardous.

• LBP which is deteriorated or disturbed thru remodeling produces lead contaminated dust and lead contaminated soil.

Page 47: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

California Department of Health ServicesChildhood Lead Poisoning Prevention Branch

Senate Bill 460Provides local agencies authority to order the abatement of identified lead hazards. (Health and Safety Code sec. 105251-105256)

Amended the State Housing Law making lead hazards a housing code violation (Health and Safety Code sec. 17920.3)

Page 48: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Requirements for Lead Hazard Evaluation (testing)

• Must be a DHS-certified Inspector/Assessor to take dust, soil, or paint samples.

• Exceptions:1. Dust sampling to determine the adequacy

of containment.2. Compensation exemption

Page 49: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

X-Ray Flouresence (XRF)

Page 50: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

California Department of Health ServicesChildhood Lead Poisoning Prevention Branch

Abatement Options• Permanent measures: Door/window

replacement, paint removal or encapsulation. Soil removed or covered with concrete.

• Temporary measures: Paint stabilization and repair. Soil covered with grass or bark chips.

• Abatement options described in HUD Guidelines (www.hud.gov/lead).

Page 51: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Unsafe Work Practices(disturbing paint on pre-1978 property without “containment” unless paint has been tested and found not to be “lead based”)

Visual Identification of Lead Hazards

Possible Lead Paint Hazard(presence of deteriorated “presumed lead based paint” on property built before 1978)

Page 52: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

How to identify deteriorated How to identify deteriorated paint paint

To identify deteriorated To identify deteriorated paint, you will need to paint, you will need to answer this question answer this question Is Is the paint peeling, the paint peeling, chipping, chalking or chipping, chalking or cracking?cracking? If the answer If the answer to this question is yes, to this question is yes, then the paint should be then the paint should be considered deteriorated. considered deteriorated.

Page 53: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Identify areas where Identify areas where deteriorated paint is common deteriorated paint is common

You should look for deteriorated paint on all You should look for deteriorated paint on all painted building components, especially any painted building components, especially any exterior and interior walls, windows, or trim exterior and interior walls, windows, or trim damaged from a roof or plumbing leak. Also look damaged from a roof or plumbing leak. Also look on surfaces that experience friction or impact on surfaces that experience friction or impact When two surfaces slide across each other or When two surfaces slide across each other or strike one another, the painted surface may strike one another, the painted surface may become deteriorated become deteriorated Examples of friction and impact surfaces are Examples of friction and impact surfaces are doors, windows, floors, and trim areas doors, windows, floors, and trim areas

Page 54: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Is there anything else you Is there anything else you should look for? should look for?

When performing a visual assessment, you should also When performing a visual assessment, you should also look for: look for: Paint chips or dust from painting activities that were not Paint chips or dust from painting activities that were not cleaned up cleaned up Paint residue on the floors (this paint might be a hazard Paint residue on the floors (this paint might be a hazard for small children) for small children) Evidence of paint chips in the soil near Evidence of paint chips in the soil near driplinesdriplines on on exterior surfaces exterior surfaces

Page 55: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Peeling Peeling

Peeling paint is always considered to be deteriorated. Peeling paint is often caused by moisture or poor preparation of the surface before painting. This may affect small or large areas

Page 56: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Chipping Chipping

All chipping paint should be considered to be deteriorated. Chipping often is a result of impact to the painted surface Chipping paint may also be caused by poor surface preparation or paint failure

Page 57: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

CrackingCracking

This photo shows a different form of cracking on a column base. This paint may start chipping soon. This type of cracking is considered deteriorated paint and must be repaired.

Page 58: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Chalking Chalking Some paints were designed to chalk as a method to keep the paint surface clean. If these paints contain lead, the chalking will also contain lead. You should consider chalking paint to be deteriorated if you can see evidence of chalking on the surfaces below the paint or on the ground.

Page 59: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

In summary, deteriorated paint is: In summary, deteriorated paint is:

Page 60: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Unsafe Work Practices:

Disturbing Presumed Lead-Based Paint w/out Containment

(a) “Presumed LBP” = Pre-1978 surface coating

(b) “Containment” = Method to contain lead hazards in work area (e.g. plastic tarps)

Page 61: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Unsafe Work Practices…never dry sand, burn, or dry scrape lead-based paint

Page 62: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Unsafe Work Practices Can Create Lead Hazards

Page 63: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

What Is Containment?What Is Containment?“Containment” means a system, process, or barrier used to contain lead hazards inside a work area such as described in “Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in Housing,” U.S.Departmentof Housing and Urban Development, June 1995, Chapter 8, “Containment and Barrier Systems,” Table 8.1, Table 8.2, and Table 8.3, or “Guide for Containing Surface Preparation Debris Generated During Paint Removal Operations,” Society for Protective Coatings, Technology Guide 6, October 1, 2004

Page 64: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Identifying Unsafe Work Identifying Unsafe Work PracticesPractices

Not Permitted Permitted Open flame burning or torching

Wet scraping and sanding, chemical stripping

Heat gun on high (1,100+ degrees F)

Heat gun below 1,100 degrees F

Dry scraping and sanding

Wet scraping and sanding

Power sanding, grinding, abrasive blasting without attachment to HEPA vacuum or uncontained water blasting

Use of power tools with attachment to HEPA vacuum

Page 65: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Exterior ContainmentExterior ContainmentCover the ground with Cover the ground with protective sheetingprotective sheeting

If space permits, If space permits, extend at least 10 feet extend at least 10 feet from work areafrom work areaCover nearby vegetable Cover nearby vegetable gardens and children's gardens and children's play areasplay areas

Limit work area accessLimit work area access20’

Page 66: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Interior ContainmentInterior ContainmentCover floors with Cover floors with protective sheetingprotective sheeting

At least five feet on all At least five feet on all sides of work areasides of work areaPlace a tack pad at Place a tack pad at edge of protective edge of protective sheeting, lay protective sheeting, lay protective sheeting on frequently sheeting on frequently used walking paths to used walking paths to outdoors and outdoors and bathroomsbathrooms

5’5’

Page 67: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Importance of Lead Safe Work Importance of Lead Safe Work PracticesPractices

Protect worker’s healthProtect worker’s healthProtect worker’s family by not bringing Protect worker’s family by not bringing dust homedust homeProtect residents, especially childrenProtect residents, especially childrenSimplifies daily and final cleanupSimplifies daily and final cleanup

Page 68: Reducing Lead Exposure in Santa Clara County€¦ · 09/09/2008  · Cupertino Los Gatos Morgan Hill Los Altos 95148 94089 95035 95132 95127 95140 95138 95141 95002 95054 95131 94043

Santa Clara CountySanta Clara CountyLead Hazard Reduction Compliance & Lead Hazard Reduction Compliance &

Enforcement ProgramEnforcement Program

For reporting violations and enforcement For reporting violations and enforcement consultation contact program inspectors consultation contact program inspectors

below:below:

Certified Lead Inspector/Assessors:Certified Lead Inspector/Assessors:Chuck Fuller, REHSChuck Fuller, REHS--(408) 918(408) 918--34583458Lisa Flores, REHSLisa Flores, REHS--(408) 918(408) 918--34323432