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Building Awareness and Public Support

Building Capacity for Lead Safety

Collaborations, Partnerships, and Incentives

Financing and Subsidies

Lead Safety and Healthy Homes Standards

Targeting High Risk Homes

Using Code Enforcement and Other Systems

 

 

Appendices

 

 

Building Blocks Full Text [PDF]

 

 

CDC-Funded Childhood Lead Poisoning Prevention Programs

 

 

Produced by the Alliance for Healthy Homes and the Lead Poisoning Prevention Branch of the Centers for Disease Control and Prevention

 

 

 

Centers for Disease Control and Prevention

 


Acknowledgements

 

 

 

 

 

 

 

About Building Blocks | Search Building Blocks for Primary Prevention

Using Code Enforcement and Other Systems

 

Require Agencies to Disseminate Lead Poisoning Prevention Information

 

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DESCRIPTION OF THE STRATEGY

Requiring governmental agencies that have regular contact with homeowners, landlords, tenants, and parents to disseminate lead poisoning prevention information to their constituents is an effective way to advance primary prevention. Agencies can enclose information on lead poisoning prevention when they mail items such as property tax statements and water and utility bills or when they provide such documents as birth certificates and building permits. This is an effective, low-cost method that can use existing systems and leverage limited funding while distributing lead poisoning prevention information to thousands of people.   

 

BENEFITS

Immediate/Direct Results:  Lead poisoning prevention information disseminated by public agencies instantly reaches thousands of people who receive property tax bills and pay water and other utility bills.

 

Public Health Benefits:  Especially as tied to building permits, this strategy can alert homeowners and rental property owners about the hazards that could be created by disturbing or removing lead-based paint, as well as educate these groups about lead-safe work practices; both are measures that can protect public health. This strategy can also alert parents to potential lead hazards and what steps are needed to protect their children from lead hazards.

 

Other Indirect/Collateral Benefits: This effort can raise awareness about the extent of lead hazards in a community and potentially generate interest in lead hazard control strategies.

 

Scope of Potential Impact

Statewide

City - or - County - Wide

Neighborhood/Community

 

PRIMARY ACTOR(S)
KEY PARTNER(S)
Health Department
Code or Building Inspection Agency
Housing Agency
Property Taxation Agency
Medicaid Agency
Public Water Utility
School District
Public Libraries
Community-based Organizations
Property Owners
Tenants
Utilities

 

CRITICAL ELEMENTS

Staff requirements: No new staff time should be required; a small percentage of an FTE would be needed to produce and distribute the information materials to the participating agencies.

 

Other resource requirements: The information materials to be enclosed with mailings or document distribution.

 

Institutional capacity required:   This strategy may require statutory or code authority. It also requires a knowledgeable staff member to compile the information materials and to ensure that all agencies have all required materials for dissemination.

 

Cost considerations: The cost of producing the materials: writing, editing, graphics, reproduction, and the incremental cost of collating the document(s) into the other material the disseminating agency was already distributing.

 

Timing issues: Once underlying statutory or code authority is in place, implementation of this strategy should be very quick.

 

Feasibility of Implementation:  This strategy should be very easy to implement at any level.  

 

Potential Obstacles/Barriers

A potential challenge is whether property owners and others who receive the information with water or utility bills pay attention to the material they receive.  

 

Additional Resources

 

 

 

ILLUSTRATION OF STRATEGY IN PRACTICE

As part of a larger childhood lead poisoning prevention program passed in 1991, the City and County of San Francisco directed the Department of Public Health and its CLPP to put together a collection of information materials that were then disseminated to various audiences by a number of different city and county agencies. This dissemination was required by law (city health code) and involved the public health department, the Tax Collector, the city’s water utility, the San Francisco Unified School district, and others. Two very successful portions of this policy expired in 2003. The first was a requirement to include lead hazard notices in each county tax bill. These notices included an official lead hazard Informational Bulletin, as well as a Pre-1978 Hazard Notice, both prepared by the Department of Public Health. The second portion required that all rental property owners with a unit or units constructed before 1978 distribute the official Hazard Notice to all tenants; the property owners had to retain affidavits as proof of distribution. Other requirements still in effect include the following: the birth records office must provide bilingual lead poisoning prevention information with every birth certificate issued; the San Francisco Unified School District, the departments of Social Services and Recreation & Parks, Head Start providers, and libraries disseminate the Informational Bulletin; and city-funded child care and health care facilities are required to distribute information on lead poisoning prevention.

 

Jurisdiction or Target Area
San Francisco (City and County), CA

 

Primary Actor

San Francisco Dept. of Public Health, San Francisco Childhood Lead Prevention Program (CLPP)


Staffing utilized

All materials were produced in-house by the Department of Public Health and CLPP utilizing existing staff members.

 

Other resources utilized

 

 

Factors essential to implementation

The main factor essential to the implementation of this strategy was the cooperation demonstrated by all departments involved in the information dissemination process.

 

Limitations/challenges/problems encountered

None

 

Magnitude of Impact/Potential Impact

This strategy has impacted thousands of families each year since its implementation. Staff at the CLPP estimate that when all portions of the strategy were in effect, lead poisoning prevention information was reaching between 70,000 and 100,000 households every year.

 

Potential for Replication

The San Francisco CLPP strongly recommends this strategy to other local governments as an easy-to-implement, effective way to increase knowledge of childhood lead poisoning prevention.

 

Contact for Specific Information
Karen Cohen
Director
San Francisco Childhood Lead Prevention Program
415-554-8930

 

References for additional information
1. - San Francisco Health Code, Article 26, Secs. 1611, 1613-1616
2. http://www.dph.sf.ca.us/cehp/Lead/lead.htm - San Francisco Childhood Lead Prevention Program

 

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