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Building Blocks for Primary Prevention

As the Federal Strategy for the Elimination of Childhood Lead Poisoning emphasizes, making U.S. housing lead-safe is the key to eliminating lead poisoning as a public health problem. The presence of “significant lead hazards” in 25 million housing units calls for a broad set of primary prevention tools and strategies that reach beyond raising awareness and educating parents about day-to-day behavior changes. Many cities and states are pursuing effective ways to prevent and control lead hazards before a child is poisoned; programs and policymakers in other jurisdictions need easy access to information about the multiple opportunities available to advance prevention for lead safety and healthy homes.

Through Building Blocks for Primary Prevention: Protecting Children from Lead-Based Paint Hazards, the Alliance has identified and assembled a comprehensive collection of strategies that merit consideration by state and local governments and others in position to reduce lead hazards in housing and thereby help meet the Healthy People 2010 goal of eliminating childhood lead poisoning. In contrast to case studies that comprehensively analyze a single program, this project scanned the landscape to identify and describe innovative and promising strategies at the “building block” level. Building Blocks produced concise summaries of individual strategies from which cities and states can select based on their needs and political and economic realities. Building Blocks’ primary audience is state and local health departments, who will be able to directly implement some strategies, and, for other strategies, to coordinate or encourage needed action by other government agencies, community-based organizations, and the private sector.

The online edition of Building Blocks is currently available.

Making the Most of the Federal Lead Hazard Disclosure Law

Three essential ingredients for making the U.S. housing stock lead-safe are: 1) a work force trained and qualified to perform the spectrum of activities to identify, control, and prevent lead hazards; 2) the financial resources to cover the cost of lead safety measures; and 3) motivation by property owners to address lead safety and control lead hazards. While HUD and other federal agencies have worked diligently to build workforce capacity and increase financial resources, increasing property owners’ interest and motivation has not received the same concerted attention. In truth, it is difficult to imagine how the first two goals can ever be achieved unless property owners are moved to take lead safety more seriously. The Alliance worked with a powerful and diverse team of partners—two state agencies, five local health departments, and ten community-based organizations—to motivate disinterested landlords to increase private sector investments in lead hazard control by way of stepped-up enforcement of the federal disclosure law. The project developed and tested a number of strategies to leverage the federal lead hazard disclosure law to convince owners of high-risk properties to invest the additional resources that are needed to prevent and control lead hazards. The project developed four strategies to leverage the disclosure law: 1) Tenant Education; 2) Outreach to Landlords; 3) Systems Change; and 4) Document/Report Disclosure Violations. Through the implementation of these strategies, project partners reached out to cooperative landlords and worked with them to improve compliance with the disclosure law. They also offered resources for lead hazard control, such as LSWP training, and identified and reported the worst offenders to HUD and EPA for enforcement.

Community Environmental Health Resource Center

The Community Environmental Health Resource Center (CEHRC) is a collaborative enterprise of the Alliance and local advocacy groups from across the country working to protect children at highest risk from environmental health hazards in their housing, schools, neighborhoods, and communities. The goal of CEHRC is to help community-based organizations build their capacity to empower residents, catalyze corrective action, and expand economic opportunities by providing access to tools for identifying and controlling environmental health hazards that cause lead poisoning, asthma, and other health problems. CEHRC provides training, technical assistance, and other support to local groups as well as mechanisms for local groups to share experiences, develop strategy together, and learn from and support each other.

Local advocates see environmental sampling as a powerful tool for their organizations: for mobilizing their communities to action, changing power relationships with landlords and local agencies, building capacity in their communities, and helping to win specific advocacy outcomes. Community leaders have identified a wide range of advocacy objectives that could be advanced by documenting health hazards: from strengthening code enforcement and enacting local laws and ordinances, to forcing landlords to correct code violations and winning more block grant funds for housing rehab.

By the end of March 2005, with the support of HUD, CEHRC facilitated the testing of 3,300 homes and played a major role in achieving significant policy change objectives in several cities across the country.

Healthy Homes Policy

The Alliance is working to catalyze a national conversation about health and housing. In addition to the latest research that increasingly documents the importance of housing condition as a determinant of health, there is action and interest in healthy homes at the local, state, and federal levels. Throughout the country, community groups are working to prevent and correct housing-related health hazards, numerous state legislatures and health departments are grappling with mold and other health hazards, and there is growing interest in Congress to pursue national legislation on healthy homes. There is both the opportunity to build upon the change that is already beginning and the necessity to avoid policymaking in a vacuum that could lock in unworkable approaches. Capturing this momentum will expedite positive change and prevent outcomes that are counterproductive.

The Alliance is reaching out to many different constituencies to hone a policy agenda for healthy homes. Our objectives are both to draw on the experiences and expertise of different stakeholders as well as build broad support for policy solutions.