Petitioning Allegheny County Lead Task Force

Get the Lead Out, Pittsburgh

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Right now, Pittsburgh residents, including our children, are at risk of the toxic effects of lead exposure.

No amount of lead is safe and primary prevention is essential.

Women for a Healthy Environment, Conservation Consultants, Inc. and its partners (collectively the Lead Safe Coalition) need you to take action.

This spring, Allegheny County appointed a task force to assess the risk of childhood lead poisoning and develop a recommendation to prevent lead exposure. The six-month deadline for the task force’s recommendation is quickly approaching in November.

Women for a Healthy Environment, along with 11 community partners that care deeply about the health and safety of Pittsburghers, presented a list of evidence-based recommendations to the Allegheny County Lead Task Force to be included as part of their plan.

Sign the petition to urge the Allegheny County Lead Task Force to adopt the recommendations of WHE and its partners.

The recommendation made to the task force is included below in its entirety.

WHE & PARTNERS LETTER TO ALLEGHENY COUNTY EXECUTIVE AND COUNTY HEALTH DEPARTMENT

We have identified several recommendations that we urge you to immediately adopt. These recommendations focus on primary prevention, best practices, and evidence-based results documented through scientific research, academia, and policies that have been adopted in similar cities across the country. Our specific thoughts and recommendations are provided below, in order of priority:

1. Primary prevention is the goal. We must stop using children as the “canary in a coal mine.”

The County must not solely rely on mandatory screening as the only viable solution to addressing the problem of lead exposure in the County. By taking this approach, the intervention only happens once the child exceeds an unacceptable blood lead concentration. A program must be developed that begins to screen homes for lead in paint/soil, dust and water, thereby, protecting the child before he/she is lead poisoned.

https://www.cdc.gov/nceh/lead/publications/primarypreventiondocument.pdf 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072906/ 

2. Create performance measures for lead that must be developed by the County and updated annually. This would be associated with specific numbers and actions that address:

a)  Accounting of housing stock with lead exposure (paint, soil, dust); and
b)   Number of children tested for lead; and
c)   Percentage of investigations completed by Medicaid Managed Care  Organizations; and
d)   Mapping of lead service lines; and
e)   Accounting of early intervention services provided to children who test positive for lead (using latest available science on elevated blood lead levels).

The new Advisory Committee On Childhood Lead Poisoning Prevention (ACCLPP) recommendations to the CDC indicate a blood level reference value of 3.5 μg/dL. The ACCLPP is the Lead Poisoning Prevention (LPP) Subcommittee of the Board of Scientific Counselors (BSC) of the Centers for Disease Control and Prevention (CDC) National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH/ATSDR).

http://www.amjmed.com/article/S0002-9343(16)30600-3/fulltext
https://www.atsdr.cdc.gov/science/docs/BSC_MEETING_MINUTES_JANUARY_2017_508.pdf
https://www.cdc.gov/nceh/lead/programs/docs/washington-2016_508.pdf

This data must be updated and maintained on a public website.

3. Protect the community from exposure to lead in drinking water.

a)  Ensure that the City of Pittsburgh and Allegheny County work collectively to secure funding to ensure lead service lines are identified and replaced over the next ten-year period.

https://www.jstor.org/stable/jamewatworass.104.11.e596?seq=1%20-%20page_scan_tab_contents

b)   Continue ceasing partial lead service line replacements across the County to ensure reduced risk of elevated lead in drinking water.

https://docs.wixstatic.com/ugd/55d3c4_fba7630ee9494f0fb5a65dbe841fef1b.pdf

c)  Provide filters to those communities whose municipal water authority demonstrates elevated lead in drinking water (according to the Lead and Copper Rule, a sampling of 15 ppb or greater).

4. Establish a program that tracks the case management of children who have been identified with elevated blood lead levels of 5 μg/dL. This could be done through the County’s Health and Human Services division. 

5. Incorporate initiatives that address lead exposure through various local health planning initiatives, including the Plan for a Healthier Allegheny. This plan must include lead poisoning prevention as a goal with specific, measurable and achievable objectives identified. A workgroup (which could include representatives from the Maternal and Child Health and Environment workgroups) must be established to address this priority.

6. Adjust the action level for elevated blood levels from 10 μg/dL to 5, which is in alignment with the CDC Advisory Committee on Childhood Lead Poisoning Prevention.

As of mid-2016 CDC used national survey data (NHANES) to establish a new reference value for actionable blood lead levels. All levels above 5 μg/dL require environmental investigations.

7. Increase lead investigators to a number that can support up to 1,000 lead investigations per year. A precedent has been set with the County to increase in number of restaurant inspectors. Testing should be prioritized in census tracts that report the highest number of elevate blood lead levels (above 5 μg/dL). ACHD staff reports there is one dedicated lead investigator for the County. This number is insufficient to meets the needs of the community.

8. Develop a Rental Registry that requires lead testing and certification as “lead-free” between occupancy/rental term agreements. 

http://mde.maryland.gov/programs/Land/LeadPoisoningPrevention/Pages/rentalowners.aspx 

9. Require that all child care providers seeking licensure provide documentation that their facility has been tested for the presence of lead (paint, water, soil).

http://webserver.rilin.state.ri.us/Statutes/TITLE23/23-24.6/23-24.6-14.HTM
http://www.michigan.gov/lara/0,4601,7-154-63294_5529_49572_53751---,00.html

10. Require lead-free certification for individual, privately held homes at time of sale.

http://www.mass.gov/eohhs/gov/departments/dph/programs/environmental-health/exposure-topics/lead/lead/
https://www.mass.gov/service-details/learn-about-massachusetts-lead-law

Lead Safe Coalition Members
Michelle Naccarati-Chapkis, Executive Director, Women for a Healthy Environment
Jeaneen Zappa, Executive Director, Conservation Consultants, Inc.
Lisa Graves Marcucci, PA Coordinator, Environmental Integrity Project
Emily A. Collins, Esq., Executive Director, Fair Shake Environmental Legal Services
Rachel Filippini, Executive Director, Group Against Smog and Pollution
Fred Brown, Chief Executive Officer, Homewood Children’s Village
Brenda Smith, Executive Director, Nine Mile Run Watershed Association
David Masur, Executive Director, Penn Environment
Larry Schweiger, Chief Executive Officer, Penn Future (Citizens for Pennsylvania’s Future)
Barney Oursler, Executive Director, Pittsburgh United
Court Gould, Executive Director, Sustainable Pittsburgh
Rob Walters, Executive Director, Three Rivers Waterkeeper

This petition will be delivered to:
  • Allegheny County Lead Task Force


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