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View Full Version : Lead Poisoning Is Still A Public Health Crisis For African-Americans


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07-13-2015, 06:07 PM
Before Freddie Gray died of spinal injuries he received in police custody, sparking weeks of protest in his native Baltimore and around the country, he was a "lead kid," one of thousands (http://www.washingtonpost.com/local/freddie-grays-life-a-study-in-the-sad-effects-of-lead-paint-on-poor-blacks/2015/04/29/0be898e6-eea8-11e4-8abc-d6aa3bad79dd_story.html) of children in the city with toxic levels of lead in their blood from years of living in substandard housing -- and long-term health problems as a result.

"Paint was peeling off the windows," recalled Gray (http://www.washingtonpost.com/local/freddie-grays-life-a-study-in-the-sad-effects-of-lead-paint-on-poor-blacks/2015/04/29/0be898e6-eea8-11e4-8abc-d6aa3bad79dd_story.html) in the 2009 deposition of a lead-poising lawsuit he and his siblings filed against the owners of the building they grew up in. For children like Gray, who was 25 years old when he died in April, lead poisoning can mean ADHD, behavior problems, and irreversible brain and central nervous damage.

"It’s pathetic," Matthew J. Chachère said of the fact that lead paint poisoning -- a fully preventable, but extremely toxic hazard to young children -- is still happening in 2015. "We still have kids being poisoned and we still have kids at risk," he said.

Chachère, a staff attorney at Northern Manhattan Improvement Corporation, helped advocate for New York City's Lead Poisoning Prevention Law of 2004 (http://www.nyc.gov/html/doh/downloads/pdf/lead/lead-paint-fix-bro-abr.pdf), which requires landlords to find out if young children live in their buildings, inspect for lead paint and remove any lead paint hazards, if they exist.

Some children are at greater risk for lead poisoning than others. A HuffPost analysis of available lead poisoning data for U.S. cities found a correlation between cities with high percentages of African-American residents and elevated lead poisoning rates.

"This is a disease that primarily impacts African-Americans," Chachère said. According to the Centers for Disease Control and Prevention (http://www.cdc.gov/exposurereport/pdf/metals1.pdf), children of color whose families are poor and who live in housing built before 1950 have the highest lead poisoning risk.

On average, between 1999 and 2004 (http://www.cdc.gov/exposurereport/pdf/metals1.pdf), black children were 1.6 times more likely to test positive for lead in their blood than white children. And among children who tested positive for extremely high lead levels (>=10 micrograms per deciliter), the disparity was even more stark. Black children were nearly three times more likely than white children to have highly elevated blood-lead levels, the type of lead poisoning where the most damaging health outcomes occur.

While some cities, such as New York (http://www.nyc.gov/html/doh/downloads/pdf/lead/lead-2012report.pdf), break down lead poisoning rates by race in city reports, jurisdictions aren't obligated to collect or report that information to the Centers for Disease Control and Prevention, meaning there are no large data sets that distinguish the differences in elevated blood-lead levels among races. In fact, some counties and cities don't report lead poisoning data to the CDC at all.

In our analysis, a handful of cities stood out as having a high percentage of African-American residents and a high number of children with elevated blood-lead levels. Nationally, African-Americans make up 13 percent (http://quickfacts.census.gov/qfd/states/00000.html) of the population, but in Savannah, Georgia, for example, which is 57 percent black, more than 5 percent of children had elevated blood-lead levels, compared to the 0.5 percent of children with elevated blood-lead levels nationally. Four percent of children in Montgomery, Alabama, and 3 percent of children in Birmingham, Alabama -- both of which are more than 50 percent black -- had elevated blood-lead levels.

More Problems On The Horizon


In June, House Republicans passed a bill that would slash federal funding to the U.S. Office of Lead Hazard Control and Healthy Homes by $35 million (http://start.westnet.ca/newstempch.php?article=2015/06/10/congress-amtrak-budget_n_7549746.html), almost a third of the agency's total budget. While some cities have allocated grants and state money to address lead hazards in decaying housing stock, others, like Detroit, rely heavily on federal funding.


"To suggest that we should be decreasing funding is absurd," Lyke Thompson, a political science professor and the director of the Center for Urban Studies at Wayne State University in Detroit told The Huffington Post. Thompson noted that more than 1,500 children were lead poisoned in Detroit in 2014, but that the city only had enough money for 100 to 200 lead paint abatements each year. "It means that they don't understand the problem -- it doesn't mean that the problem doesn't exist," he said.

In Detroit, where the population is 84 percent black and housing is notoriously dilapidated and abandoned, 80,000 of the city's 380,000 properties are considered blighted, according to the New York Times (http://www.nytimes.com/2014/07/13/magazine/the-post-post-apocalyptic-detroit.html). This creates a risky situation for children living in those homes, as well as in neighboring properties. Eight percent of children who were tested for lead poisoning in Detroit had elevated blood-lead levels in 2013 (>=5 micrograms per deciliter), 16 times the national average we calculated using data reported by the Centers for Disease Control and Prevention and state health departments. (See methodology below.)

Thompson said the lead poisoning problem in Detroit is twofold. More than 90 percent of the housing in Detroit was built before the 1980s (http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=CF), meaning it's likely to contain lead paint. City residents are also extremely poor (http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=CF), meaning fewer households can afford to pay for the high-intensity maintenance required to make housing safe for kids -- and the city itself, which filed for bankruptcy in 2013, is broke.

"The ability of the city to engage in active enforcement of the law is limited, because they've had to lay off so many code inspectors," Thompson said. "It's another blow to a city like Detroit."

See how lead poisoning disproportionately hurts children of color in the graphs below: (Story continues)

http://big.assets.huffingtonpost.com/LeadPoisoning071315_2.png

Graphics and data analysis by Alissa Scheller for The Huffington Post.

Though lead poisoning rates have fallen dramatically since the 1990s -- largely as a result of stronger lead laws, and increased lead testing in high-risk areas -- children who fall through the legislative cracks face potentially devastating health consequences.

According to the World Health Organization (http://www.who.int/ceh/publications/leadguidance.pdf), being exposed to high lead levels as a child can lead to nervous system damage, intellectual disabilities and behavioral problems. At lower levels (