Document wgpkG2NG6KGevY22pQxxwKyGd

Lead Industries Association, Inc. 292 Madison Avenue New York, N. Y. 10017 Telephone: (212) 679-6020 January 18, 197^ To P. E. Robinson, E. McCabe, J. Callaghan, M. Swetonic, J. Cole Fr o m Donald R. Lynam Gentlemen: Enclosed Is a copy of a letter from Ms. Yvonne Kelly and the attached reconmendations from the Conference on Lead held In Washlngtonjon November 12 and 13, 1973. I met with Dr. Green and Ms. Kelly at the conference and mentioned that LIA was considering the possibility of a pilot type program. In view of our meeting with Dr. Guinee and the recommendation that we work with New York City, the possibility of a pilot program with this group no longer seems possible. However, I think we should definitely meet with Dr. Green and determine the best means by which we can help. Perhaps it would be better to ask Dr. McCabe to meet with Dr. Green rather than asking Dr. Green and Ms. Kelly to ccme to New York. I would appreciate any corrments which you might have. DR.L. jm enc. N 1089 COMMITTEJ=OR THE ELIMINATION OF L EAE 1______ / IN 1 HE DIS1 Rib l _/ /. -- ,,i . . "V OFFICE OF CHILD HEALTH ADVOCACY CHILDREN'S HOSPITAL NATIONAL MEDICAL CENTER 2125 I 3t h STREET. N. W. WASHINGTON. D. C. 20009 (202) S35>41B2 January 7, 1974 Dr. Dcnald Lynam Lead Industries Association 292 Madison Avenue New York, New York Dear Doctor Lynam: During our recent telephone conversation in December, I indicated that I would contact you very soon after the next meeting of the CcrarriLttee for L.E.A.D. - The organizational structure of the Ccmnittee for L.E.A.D. was the major issue considered at that meeting and. considerations for implementation of the reoccmendations will be considered at the next meeting in mid January. Dr. Green and I would like to meet with you as soon as possible following the mid January meeting bo discuss how the Ccnmittee and Lead Industries Association might coordinate their efforts in lead elimination. Which of the two cities, Washington or New York will be most convenient since you previously mentioned that you would like to have your staff attend the meeting. I have enclosed a revised copy of the reocnmendations for your review and I would appreciate your ocnnent. Ypur continued participation in our efforts to eliminate Lead poison ing in the District of Colunbia will be greatly appreciated. Sinaerely yours, UlMt- oupu. 'fti- YMK/sbg 1 enclosure Yvonne M. Kelley a .. CHILDREN'S HOSPITAL NATIONAL MEDICAL CENTER CHILD HEALTH CENTER BOARD OF CHILDREN'S HOSPITAL DEPARTMENT OP HUMAN RESOURCES OF THE DISTRICT OF COLUMBIA DISTRICT OF COLUMBIA HEALTH AND WELFARE COUNCIL DEPARTMENT OP *' CHILD HEALTH AND DEVELOPMENT. GEORGE WASHINGTON UNIVERSITY MEDICAL CENTER CONCERN, INC. , LIA-75058 N 1089.01 TOPIC AREA -t o s h e s . Committee for L.E.A.D. A. Organizational Sturcture of the Oxcrnittee B. Guidelines for Action to be Taken HBGCM4ENDATICNS KBOCWENDHTICKS Ccnpositicn - the ongoing Cairnittee should be established by De ship should represent the following: 1. Hie Conference Sponsors 2. Parents of Children with Lead Poisoning 3. Public and Private Agencies Participating in the Confere 4. Conoemed individuals knowledgeable of the District of C City's Problems 5. Local and Federal Legislators Models for the Camvittee for L.E.A.D. 1. An Advisory Carmittee made 151 of various governmental an agencies and parents with the majority of members. being 2. A Mayor's Task Force for Elimination of Lead Poisoning t responsible official. Hie Task Force should have interde representation from District government - Departments of Economic Development, Housing, Environmental Service, Pu private groups and Federal agencies. 1. Coordination of present services and the development of new elimination to be developed concurrently. 2. Consider steps to increase the present quality of services resouroes. 3. Identification of new resources for expanded lead eliminati of the areas suggested but not restricted to these are scre ocnnunity education - parent chilgl relations and prevention 4. Recognition of the effects of poor housing on the problem o 5. Join or initiate the effort to reduce the use of lead in pr might increase the total body burden of lead in children. TOPIC AREA ISSUE B. Continued C. Tasks to be Considered for Action 2- - REOCWMENDATIONS 6. Development of an ongoing organization 1. We reocrmend an crrbudsman under private agency auspices to a with the problems arising from lead hazards. 2. The Department of HEW is advised to state formally which age focus for coordinating all aspects of lead and trace metal p -3- TOPIC AREA ISSUE ' KEOCMMENDftTICNS Housing - Improvement of the Level of housing for children at risk for lead poisoning A. Maintenance of Housing at Code B. Alternative Housing Placement C. Changes needed in Licensing, Inspection and Code Enforcement 1. That a private non-profit corporation be established bo p hazard reduction work at the City's request and to perform as it may wish to engage in from time to time and that ot the supply of labor skilled in this field be promoted; or the Department of Economic Development to contract withou volunteer type organizations (Youth Corp, Pride). 2. That RLA, National Capital Housing and HUD should be requ of lead hazards in their maintenance programs and to main Code level required of private landlords. 3. The Housing Division reemphasize its program of encouragi make temporary repairs to reduce the immediate hazard, wi landlords obligation to make the more permanent repairs r Code Enforcement Agency. , 1. Emergency Housing provision for the families of lead pois 2. Priority on the waiting list for public housing for famil living in houses with lead hazards. 1. We recommend improvement in the routine inspection of hou lead hazard problem into the regular inspection program a the whole building be required for multiple dwellings whe has been found in one of the units. 2. That the inspection for lead of all public and private dw new period of occupancy should be required and enforced. 3. We recxxmend that inspection and removal of lead hazards licensing of till day care facilities. 4. Investigate the desirability of a separate lead paint un Division and that the nurber of inspectors and inspector paint activities be increased to 1/6th of the total inspe TOPIC AREA ISSUE- C. Continued D. Sources of revenue and incentives for housing repairs or abatement E. Ihe rights of tenants -4- KECDM'ENDMTCNS . 5. Hie possibility of lead poisoning resulting from lead base of buildings should be explored in order to determine if le to reduce lead in exterior paint. 1. Explore tax incentives for landlords who abate problems. 2. Federal funding may be needed for abatement as well as for 3. That tax incentives should be created for property owners w owner who removes the lead based paint can be allowed a do on his tax returns. 4. When the deleading is performed by the District of Columbi cost for such repairs should be incorporated into the build and the owner's responsibility for payment would be extend present 2 year period. 5. Provisions and funds for homesteading in neighborhoods with should be initiated for lew income families with small chi 1. Hie Board of Hearing & Review should be required to give p cases. 2. Retaliatory evictions sue deplorable and Congress is sugge making it illegal to evict or cause to be evicted occupant purpose of avoiding corrective maintenance ordered by the Development Division. TOPIC AREA ISSUE' Health A. Coordination of services B. Expansion of services C. Legislation -5- EEXXMMENDKTICNS 1. A more coordinated relationship between the health provid treatment is neoessary to provide more effective and resp lead poison victims. Consideration should be given to th weekend screening programs and a centred, lab which would quickly and efficiently. 2. That all agencies and health care facilities should be a bility of the Hospital for Sick Children for emergency s is being reduced in the child's heme. 3. We reoemnend closer coordination between screening and tr inspections. 1. Funding is needed so that teams or pairs of visiting nurs nurses) and social workers may visit families more often ualized basis, 2. There should be an ongoing effort to strengthen parent c District of Columbia. More parent-child multi-purpose c neighborhoods. Existing day care centers need more supp community outreach programs for increased services in fol individualized programs hould be funded. 1. Required screening for all preschool aged children residi houses containing lead based paint. 6- - TOPIC AREA ISSUE REOJMmDflTIONS Parent-child relaticra/Ccnramity education A. Hie content of the educational prograta 1. Educational programs emphasizing the potential hazard of lea ware, and the possible hazard of prolonged storage of acidic may release lead to food should be initiated. 2. A broader education thrust of the facts about lead poisoning contamination, screening procedure, treatment, identificatio screening and treatment, housing code regulations and tempo procedures for deleading housing - must be made available to acranunity. 3. That the informational and educational programs be greatly e of the causes and consequences of lead paint poisoning, of m ways to decrease the hazards and of the rights of occupants B. Modules for dissemination of information 1. More parent-child milti-purpose centers are needed in all ne day care centers need more support. Child care aides for co for increased services in follcw-up clinics and individualiz funded. . 2. Indirect education through soap operas, spot announcements b theater, puppet shews, newspapers, periodicals, neighborhood ail other possible channels of communication should be used poisoning prevention information. 3. A 24 hour hot line to respond to questions regarding lead p developed. 4. Speaker's Bureau for professional. Civic and social organiz 5. Panphlets and flyers could be distributed in grocery stores welfare checks, utility bills, through churches and many oth should include lead poison facts to new mothers in pre-nata 6. Hiat a team (health aides, social workers, etc.) should be e how to maintain their dwellings. Education - demonstration 7. Hiat information concerning lead based paint be included in barricaded buildings. TOPIC AREA ISSUS___ * B. continued C. Hie design for the delivery of the educational material D. Resources E. Suggested Audiences -7- a 8. The prime time for television viewing for the different segment should be identified so that the appropriate message may be pre 1. The educational materials and approaches must be multilingual a of the groups to be addressed. School curricula from preschoo setting should reflect the dangers of lead poisoning. 2. More extensive and creative use of the media should be develope systematic approach. Steps must be taken to identify the spec outcomes - the skills or knowledge needed by the papulation to the incidence of lead poisoning; design the appropriate materia different segments of the population through the usage of the d the media; and to develop an approach to continuously evaluate of the media campaign and to develop new approaches as problems 1. A one day institute cn educational technology for the members o committee to discuss the use of educational technology and its lead poisoning should be set up. 1. Efforts should be made to utilize to the fullest extent the ava the Washington Area Advertising Council and the Washington Area Association. 2. Industry such as the paint manufacturers and retailer lead indu ocrpanies and others should take a more active role in communi services needed to prevent lead poisoning. 1. Such groups as physicians in private practice, lawyers, teacher ists, health-care workers and social workers should become infor to the facts of lead poison. 2. Parents or babysitters of small children living in deterioratin children, school age children, general public and etc. TOPIC AREA ISSUE Other Sources of lead Contamination A. lead in gasoline B. Lead in food 8- - BEOQWENDATIONS 1. The use of private automobiles in urban traffic should be red and car pooling encouraged. 2. Since the EPA Administrator is about to reach a momentous dec be it resolved that a ccnmLttee of this workshop offer to mee to discuss the proposed regulations prior to his decision. 3. After the Administrator' decision the members of this canmitt report within 30 days. (All dissenting views to be presented 4. Federal EPA should establish an ambient air quality standard Sections 108 and 109 of the Clean Air Act so that the Distric metropolitan areas are not pre-empted from removing lead from than the Federal government. 5. Federal EPA should establish an ambient air quality standard Sections 108 and 109 of the Clean Air Act so that removal of slowed by the PNA question since almost all PNAs cone from no 6. Responsible agencies should sharply increase their funding fo into the health effects of lead additives in gasoline and, at complete a systematic reevaluaticn of the knowledge in the fie 1. The FDA should urge the Canning and Food Industry to establis that will result in-minimal levels of lead. TOPIC AREA ISSUE -9- REOQM^ENDATICNS A. Study for the District of Columbia E. General study for the District ri Columbia uiG the rest or rhe Ganor 1. A ocnprehensive survey of dirt, dust and airborne lead level area of Washington, D.C. should be undertaken. 2. Authority (and funding) should be given to the Department of the investigation of causes of poisoning in housing that she 3. Further study is needed to determine what effect lead based other than the interior of buildings, has on the blood lead 1. Retrospective the v --rt or humans. prospective epidemiological studies should level lead c:,posure cn the ir-cid-trc? and s 2. A program emphasizing the importance of optimal nutrition in lead toxicity in young children should be encouraged. 3. That the development of new means of permanently, rapidly an lead hazards be encouraged and promoted. PARTICIPANTS STEPS TO TAKE :fK ; v> *\\. r n rj> i -j tfl CTl co PARTICIPANTS i :i d<A >S'' >`S* ;:f j !> STEPS TO TAKE