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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

Building Awareness and Public Support

 

Analyze and Publicize Data to Facilitate Improved Policies

 

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DESCRIPTION OF THE STRATEGY

Communities can generate greater awareness and improve targeting of resources by analyzing and publicizing data to highlight geographic patterns and other information about lead poisoning and asthma. Because citywide averages, although useful in many respects, tend to camouflage disparities in risk of lead poisoning or asthma, small area analysis is a critical component of this strategy. In small area analysis, communities “drill down” beyond the municipal level and analyze data for smaller geographical areas. The most telling analysis would examine data by census block or neighborhood, but parsing data by ZIP code is also illuminating. Unlike a citywide average, these levels of analysis can identify concentrations, or “pockets,” of lead poisoning and asthma, allowing regulators, property owners, and community-based organizations to focus attention and resources. Detailed data analysis will be most effective when the data are presented using clear and compelling visual aids, such as color-coded maps. Several organizations have found that a great way to leverage data to improve policies is to show prevalence rates by political jurisdiction (e.g. by city council district). Mapping data in this way focuses the attention of city council members whose districts are home to concentrated pockets of lead poisoning and asthma. Residents of high prevalence areas can use the information to mobilize their neighbors to secure policy improvements.   

 

BENEFITS

Immediate/Direct Results:  This strategy produces useful, detailed information in a format that allows the public and decision makers to recognize geographic disparities in lead poisoning prevalence and risk and know where to target the most aggressive risk reduction efforts.

 

Public Health Benefits:  Identifying areas with the highest risk can prompt more immediate action to prevent lead poisoning by targeting code enforcement and lead hazard control efforts where most needed within a jurisdiction.

 

Other Indirect/Collateral Benefits: Graphical representations of disparity data can spark discussion and increase resolve to address other issues related to those disparities: urban blight, poverty, substandard housing, and more. It can also encourage better policies that assist both targeted areas and the municipality as a whole.

 

Scope of Potential Impact

City - or - County - Wide

Neighborhood/Community

 

PRIMARY ACTOR(S)
KEY PARTNER(S)
Community-based Organizations
Health Department
Tenants
Human Services Agency
Parents
Community Members

 

CRITICAL ELEMENTS

Staff requirements: Projects using this strategy are generally short-term but time-intensive. In some organizations and agencies, existing staff can perform the data analysis and presentation; others may need temporary help from experts in data analysis and/or mapping.

 

Other resource requirements: Access to lead screening data that includes addresses and zip codes will be required. Mapping and graphics software and knowledge of political jurisdiction boundaries (council districts, legislative districts within or including a particular municipality, etc.) are also essential.

 

Institutional capacity required:   Command of data analysis and mapping software is essential to successful implementation of this strategy.

 

Cost considerations: Moderate costs will be incurred if outside consultants are needed. Costs for software, handouts, flyers, and other publications can be expected.

 

Timing issues: For maximum impact, results should be made public to policy makers as they are weighing key decisions, such as annual budget allocations or new policy proposals.

 

Feasibility of Implementation:  High. Past successes have shown that this strategy is replicable in other jurisdictions. Free or minimal cost options could be explored to make this strategy even more replicable. Local programs could request support from state agency partners, and states could ask for support from CDC or other federal agencies. Alternatively, agencies may be able to tap into government-wide information technology resources, borrow staff from other agencies with expertise in mapping software and small area analysis, or utilize functions of existing programs.  

 

Potential Obstacles/Barriers

Perhaps the most significant potential obstacle is a lack of knowledge or skill, particularly when it comes to specialized mapping skills and GIS software. However, partnering with other organizations with such knowledge or contracting out for such skills can overcome this obstacle. Other barriers could include a lack of responsiveness from policy makers or the absence of sufficient lead poisoning data by zip code or census block. Care must be exercised to protect the confidentiality of medical information.  

 

Additional Resources

 

 

 

ILLUSTRATION #1 OF STRATEGY IN PRACTICE

In 2002, Philadelphia Citizens for Children and Youth (PCCY) issued a report, “Un-Leaded Only: Toward A Safer City For Children,” documenting ongoing lead hazards and poisoning problems throughout the city of Philadelphia. As part of that report, PCCY used a small area analysis conducted by the Philadelphia Department of Public Health’s Childhood Lead Poisoning Prevention Program (CLPPP). This analysis looked at childhood poisoning data by ZIP code and then overlaid that information to city council boundaries. The result was a map included within the PCCY report that showed a striking range of poisoning cases. The data showed 51 cases of childhood lead poisoning in Council District 10, and 872 cases in Council District 3 in 2001. The data also showed that for children living in the city’s highest risk zip codes, the rate of elevated lead levels is more than ten times higher than the national average.

 

Jurisdiction or Target Area
Philadelphia, PA

 

Primary Actor

Philadelphia Citizens for Children and Youth, Philadelphia Dept. of Health’s Childhood Lead Poisoning Prevention Program


Staffing utilized

The Philadelphia CLPPP estimates that one person-day was used in creating the map. The data used had already been coded and was stored in an excellent “front-end” database. Organizations and health departments looking to replicate this strategy should be aware that automating data in a format usable for such analysis may take substantially more time depending on the condition of the database.

 

Other resources utilized

ArcView software, a Council District map, and the “front-end” database were all utilized in producing the lead poisoning map. 

 

Factors essential to implementation

CLPPP staff knowledge of small area analysis and utilizing mapping software was critical. The ability of CLPPP and PCCY to partner to present the data as part of a larger report allowed for the information to be widely distributed and widely reported by the media.

 

Limitations/challenges/problems encountered

No significant problems or challenges were encountered.

 

Magnitude of Impact/Potential Impact

The map included in the PCCY report supported the authors’ assertions that lead poisoning remains a serious problem in Philadelphia. It also provided a striking graphic representation of disparities of risk within the city, which captured the attention of the media and policymakers alike.

 

Potential for Replication

The potential for replication of this strategy is high if staff time and mapping software is available and cooperation with local or state health authorities exists.

 

Contact for Specific Information
Richard Tobin
Manager
Health Care Projects
Philadelphia CLPPP
215-685-2788
Colleen McCauley
Director
PCCY
215-563-5848 x33
colleenmccauley@pccy.org

 

References for additional information
1. http://www.pccy.org/PDF/Lead%20Report.pdf - PCCY, “Un-Leaded Only: Toward A Safer City For Children”

 

ILLUSTRATION #2 OF STRATEGY IN PRACTICE

In 2002, the New York Public Interest Research Group (NYPIRG) used data from the health department to issue a report about childhood lead poisoning disparities in New York City. This study was conducted in conjunction with a campaign to pass the new lead poisoning prevention law in New York City that was enacted in February 2002. NYPIRG was aware that while the number of children poisoned by lead in New York had been declining for years, there appeared to be stubborn pockets of poisoning throughout the city, particularly in low-income neighborhoods. NYPIRG conducted a small area analysis of the data—they first analyzed the data by census block and then aggregated it by ZIP code. The analysis confirmed that there were indeed concentrated pockets of childhood lead poisoning in New York, many of which were located in low-income areas with tracts of substandard housing. In order to convince City Council members that the existing lead poisoning prevention policy was not working for all of the city’s children, NYPIRG decided they needed to illustrate the extent of the disparities in New York by converting the ZIP Code data to the corresponding city council districts. The resulting map showed the concentration of lead poisoning in each council district. NYPIRG, in conjunction with the New York City Coalition to End Lead Poisoning, released the data at a press conference, almost immediately drawing support for the city’s new lead poisoning prevention law from several additional council members.

 

Jurisdiction or Target Area
New York City

 

Primary Actor

New York Public Interest Research Group (NYPIRG) and the New York City Coalition to End Lead Poisoning (NYCCELP)


Staffing utilized

1.5 FTE for several weeks.

 

Other resources utilized

ArcGIS, ArcView, and other mapping software. 

 

Factors essential to implementation

Access to the mapping tools and to the data from the health department were both critical, as was NYPIRG’s commitment and capacity to support the project in the absence of dedicated grant funding.

 

Limitations/challenges/problems encountered

NYPIRG had to file a Freedom of Information Law (FOIL) lawsuit to obtain the lead poisoning data from the state health department at a reasonable cost and in a useable format; the department initially wanted to charge 25 cents per page of data.

 

Magnitude of Impact/Potential Impact

The presentation of the small area analysis data by city council district had great power and enormous impact as demonstrated by the level of support the new lead poisoning prevention law received. The law eventually passed and survived a mayoral veto.

 

Potential for Replication

The potential for replication of this strategy is high if funding and staff time is available. Any CLPPP can pursue this strategy. CBOs need to secure data from health departments, either cooperatively or by filing a Freedom of Information Act (FOIA) request.

 

Contact for Specific Information
Pete Sikora
NYPIRG
212-349-6460
psikora@nypirg.org

 

References for additional information
1. http://www.nypirg.org/lead/whereslead/ - Goldberg and Palmer, NYPIRG, “Do You Know Where the Lead Is?”
2. http://www.cmap.nypirg.org/about_cmap/resources.asp - Community Mapping Assistance Project, Technical Resources

 

Next Building Block
Create a "Demonstration Home" to Educate Policy Makers and the Public