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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 Capacity for Lead Safety

 

Expand Weatherization and Rehab Programs to Address Lead Safety

 

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DESCRIPTION OF THE STRATEGY

Supplementing weatherization and housing rehab activities in high-risk housing to include targeted lead hazard control activities is an effective, low-cost strategy to address lead hazards in the home and expand the rehab and weatherization crews’ knowledge of lead safety. St. Paul (MN) has enhanced standard weatherization efforts with low cost window-focused lead hazard control steps in pre-1978 residential units housing a child under age six. Similar initiatives are underway in California, Indiana, Montana, and Washington.   

 

BENEFITS

Immediate/Direct Results:  These efforts offer enormous potential to bring primary prevention to low-income families in older homes whose children are at high risk for lead poisoning. The direct result can be the repair/control of lead hazards before a child is poisoned.

 

Public Health Benefits:  Efforts to proactively fix lead hazards have a significant public health benefit. Repairing windows in older homes undergoing weatherization will reduce lead hazards to children in those homes. Similar efforts to integrate lead into existing rehabilitation programs help reduce exposure to deteriorated lead paint and friction surfaces on windows, both of which are lead hazards.

 

Other Indirect/Collateral Benefits: These collaborations bring an increased awareness of lead hazards to weatherization and rehab programs. This affects the work that they do even when they are not actively controlling a lead hazard and can result in more attention to lead safe work practices. For example, the MN project which requires dust clearance testing after window treatment work to address lead hazards has helped instill in the contractors the importance of controlling, containing, and cleaning lead dust so that they can pass clearance. Skills and lessons learned about controlling lead dust increase workers’ understanding of what it takes to minimize lead dust in jobs where clearance may not be required (e.g., a weatherization or other job with window replacement).

 

Scope of Potential Impact

City - or - County - Wide

Specific (Targeted) Population

 

PRIMARY ACTOR(S)
KEY PARTNER(S)
Housing Agency
Community Action Agency
Health Department
Health Department
Community Development Corporations
Property Owners
Weatherization and Housing Rehab Contractors and Workers

 

CRITICAL ELEMENTS

Staff requirements: The resources required are somewhat related to the scale of the project. In a city or county, an existing weatherization program could partner with a lead hazard control program and, with a percentage of a full time employee’s time, structure a project to target weatherization units for lead hazard control. If a broader effort is envisioned to add a lead hazard control element to statewide weatherization or rehab programs, a more substantial commitment of staff resources and funding would be needed.

 

Other resource requirements: The weatherization program would need equipment and trained personnel to conduct lead inspections and/or risk assessments (to confirm the presence of lead based paint) and perform dust clearance testing. They would also need access to trained and qualified contractors to perform the work.

 

Institutional capacity required:   Typically it is not necessary to change laws or regulations to integrate the delivery of weatherization and lead hazard control services. The main capacity issue is the availability of qualified personnel to perform the hazard assessments (or measure lead content in paint), complete the work following lead safety standards, and conduct clearance tests. Weatherization and rehab programs can have their existing crews perform lead hazard reduction provided they are properly qualified. For abatement projects, workers and contractors must be trained and certified. Except in a few states, training in lead-safe work practices is sufficient qualification for most non-abatement projects. Certified lead inspectors, risk assessors and—in some states—sampling technicians can perform the dust clearance testing after the work is completed.

 

Cost considerations: Leveraging other programs’ work in homes to tackle lead hazards is generally cost effective. Weatherization and rehab programs already bear the costs of identifying housing units appropriate for their programs and their eligibility criteria are consistent with risk indicators for lead hazards (homes built before 1950; low income families). Expanded programs can therefore offer lead hazard control, building upon existing efforts to enroll units and fix other problems, many of which may also be contributing to lead hazards, such as plumbing leaks, holes in the exterior walls or roof, and poor insulation resulting in condensation and water damage. In some cases it may be appropriate to purchase XRF machines to help identify homes where lead hazard control is not needed.

 

Timing issues: If funding is available to support the lead hazard control interventions, approximately 6-12 months is needed to launch such a program. If funding is not reliable, then a more substantial commitment of staff resources and time may be need to structure the appropriate partnerships.

 

Feasibility of Implementation:  Moderate. Implementation can hinge on the availability of dedicated funds to support the added lead work. Weatherization and publicly supported rehab programs generally have production targets that provide disincentives to increasing the costs in individual units. There may also be restrictions on spending the program’s funds for actions not directly related to the program’s mission (e.g., non-energy based repairs are ineligible for weatherization funding, except that in some states up to 10% can be spent on “health and safety” repairs). A key to implementation therefore is locating funds that can be used for lead work and securing a commitment from the state and local housing and weatherization program managers that this supplemental work is a valuable complement to their central mission.  

 

Potential Obstacles/Barriers

Lack of support from the key energy or housing agency staff and/or the local or state lead program can hinder efforts. Funding for added lead work must be secured.  

 

Additional Resources

 

 

 

ILLUSTRATION OF STRATEGY IN PRACTICE

The Department of Public Health supplements weatherization activities in pre-1978 housing with a child under age six to include targeted lead hazard control activities. Window wells are capped and a thorough cleaning of windowsills and floors is completed using a wet wash and HEPA vacuum. Pre- and post-intervention dust samples are collected to document the decline in lead-contaminated dust and to verify that the unit meets dust clearance standards. Clearance testing is performed by certified lead risk assessors. Funding for the lead supplement to the weatherization is provided by a HUD-funded lead hazard reduction grant.

 

Jurisdiction or Target Area
Ramsey County, MN

 

Primary Actor

Jim Yannarelly, Ramsey County Department of Public Health, 555 Cedar Street, St. Paul, MN 55101-2260


Staffing utilized

The initial staffing required to get the program off the ground was provided in-kind by the HUD funded lead program that is a key partner. Once in place, the program uses existing weatherization staff to conduct the lead hazard control work. They received two days of training which is more extensive than the current one-day Lead Safe Work Practices course required by DOE for weatherization staff. A certified risk assessor completes the clearance testing.

 

Other resources utilized

The additional per-unit cost of the lead supplement to the weatherization program is approximately $300 for lead hazard control and $150 for clearance testing. It is funded through Minnesota’s lead hazard control grant from HUD. Window well caps have been installed in 7 to 15 windows in the unit. Health department staff estimates that the additional cleaning work takes approximately four hours for a two-person crew.  

 

Factors essential to implementation

Funding such as support from the state or regional weatherization program and the HUD lead hazard control grant program or other sources to underwrite the lead treatments is key. Another potential source of funding could be state energy consortiums that are funded by electric utilities to help justify window treatments. The weatherization program must also have policies to ensure the appropriate lead training, work practices, and that clearance testing occurs.

 

Limitations/challenges/problems encountered

The most difficult aspect of the program is managing the logistics of the various components. A second challenge is the inherent difficulty in proving that such prevention-based action works. The program did not have funds to collect data to document this. Finally, the majority of homes treated by a typical weatherization program are not occupied by a family with a young child.

 

Magnitude of Impact/Potential Impact

The program targets neighborhoods and homes with key risk factors for lead hazards (older homes built before 1950; low income families which are eligible for weatherization services). To date the program has completed the lead treatments in 61 units, all of which had at least one child under age 6. Slightly more than half of the units were owner-occupied. Health department staff believes that this initiative has helped prevent elevated blood lead levels in units where work occurred. None of the homes were occupied by children with elevated blood lead levels when this work occurred. Contractors performing weatherization now understand how to complete lead dust removal during final cleanup and recognize the importance of controlling lead-contaminated dust. These changes in cleaning behavior extend to jobs in older homes even when there is not a lead specification.

 

Potential for Replication

High. Replicable with willing partners and funding.

 

Contact for Specific Information
Jim Yannerelly
Lead Program
Ramsey County Department of Public Health
651-266-1280
Jim.Yannarelly@CO.RAMSEY.MN.US

 

References for additional information

 

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Hold Regular Lead-Safe Work Practice Trainings