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untanglingwebs
El Supremo
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1 in 7 Highland Park kids lead poisoned
Karen Bouffard, The Detroit News Published 11:59 p.m. ET May 1, 2018 | Updated
This story has been updated to include a new statement from the Michigan Department of Health and Human Services.
One in seven children in Highland Park had elevated levels of lead in their blood in 2016, a rate higher than any other city evaluated by the state, according to data released Tuesday by the state Department of Health and Human Services.
Though elevated blood lead levels have declined statewide more than 42 percent since 1998, exposure continues to endanger children who live in Michigan’s older urban communities, according to the 2016 Data Report from the state’s Childhood Lead Poisoning Prevention Program.
Elevated lead blood levels were found in 14 percent of children tested in Highland Park, a community of 11,000 residents. Highland Park is surrounded on all sides by Detroit, which had the second highest proportion of kids with elevated blood levels at 8.8 percent.
Both cities have high poverty levels and are filled with old homes with peeling lead paint, a major risk factor for lead poisoning. It’s a common problem nationwide in cities that have large numbers of homes built before 1978, when lead-based paints were banned from use in housing.
Under federal guidelines, lead levels are considered elevated in children 6 and younger who have 5 micrograms per deciliter in their blood. High blood lead levels can lead to developmental problems, behavioral disorders and learning difficulties, according to the federal Centers for Disease Control and Prevention.
In Flint, where hundreds of children were exposed to lead-tainted water after the city switched its water source in 2014, 2.4 percent of children tested had elevated blood lead levels in 2016.
The number of children tested for lead exposure increased 20 percent from 2015 to 2016 as the Flint water crisis raised awareness of the dangers of lead exposure. More kids were tested in Detroit than anywhere in the state, more than 40 percent of all children under age 6.
Highland Park and Detroit were trailed by Adrian and Jackson — which each had elevated levels in 8.4 percent of its kids — and then Grand Rapids and Hamtramck at 8.1 percent.
Statewide, the percentage of children testing positive for lead increased from 3.4 percent in 2015 to 3.6 percent in 2016. The report confirmed the state’s preliminary finding that this marked the state’s first increase, according to records dating back to 1998.
Despite the bump, Tom Largo, manager of the Environmental Health Surveillance Section at the Michigan Department of Health and Human Services, argues this is an aberration and the decline will continue.
“We do feel like things are getting better,” Largo said Tuesday. “Definitely the trend has been going down. Pretty clearly, we can say that things have been leveling off here.”
Statewide trends
The number of Michigan’s kids tested for lead increased 20 percent in 2016, when 157,892 children younger than 6 years of age had a blood lead test. That represents 23 percent of the state’s children under 6.
The state health department’s data show children are being exposed to elevated lead levels in counties from Manistee to Hillsdale and St. Clair.
Jackson, St. Joseph and Calhoun counties had Michigan’s highest percentages of children with elevated lead blood levels at 7.6 percent, 6.4 percent and 6.4 percent, respectively.
When excluding Detroit, Wayne County’s proportion was 2.1 percent. Oakland County had 1.2 percent of tested children with elevated levels, while Macomb County had 0.8 percent.
Though no level of lead exposure is considered safe, Health and Human Services epidemiologist Roseann Miller said the majority of children with elevated blood lead levels in Detroit and Highland Park “are not so high that we’re concerned about their health.”
“Really, children don’t become symptomatic until you have blood lead levels around 20, 40 (micrograms per deciliter) and above,” Miller said. “In fact, we don’t consider chelation (therapy to remove lead from blood) until they get a blood lead level of 45, unless they show symptoms.”
A Health and Human Services spokesman said Wednesday that Miller's comment does not reflect the department’s position on elevated blood-lead levels in children.
The department "is concerned about the health of any child whose blood-lead level is elevated. When a child’s blood-lead level is measured at 5 micrograms per deciliter of blood, remediation and case management begins," Bob Wheaton said in an email.
About 12 children annually require chelation therapy in Michigan, state health officials said. Historically, nearly all of those children live in Detroit.
But the state’s report said, “No safe blood lead level has been identified.”
Health advocates such as Dr. Mona Hanna-Attisha, a Hurley Medical Center pediatrician who helped uncover the elevated blood lead levels in Flint kids, have cautioned that any level of lead exposure is dangerous to children and could cause behavior problems, learning delays and other developmental problems.
The federal government has invested millions of dollars to provide Flint families with mental health, special education and nutritional assistance to ward off the long-term effects of exposure.
What state recommends
According to state guidelines, an environmental history should be taken for children with any amount over 5 micrograms per deciliter, and they should be checked for iron deficiency and get dietary counseling related to calcium and iron.
At 14 micrograms per deciliter, doctors should consider an abdominal X-ray to check for lead. And at 45 micrograms or above, doctors should consult with poison control, and consider hospitalization and chelation therapy.
Of 1,390 Detroit children 6 and younger who had elevated blood lead levels, 138 had levels higher than 15 micrograms per deciliter, according to the report. Similar data was not available for Highland Park.
Reducing lead exposure is a top health priority in Detroit, said Dr. Joneigh S. Khaldun, the city’s Health Department director.
A 2016 Detroit Health Department study found a link between lead poisoning and housing demolitions in the city, where 93 percent of homes were built before 1978, according to city data that was first reported by Bridge magazine. The risk was most significant for kids who live within 200 feet of a demolition, especially those that occur between May and September.
“The primary reason for elevated blood lead levels in Detroit is peeling paint inside older homes where people live,” Khaldun said Tuesday.
The Detroit Health Department changed its approach this year to lead poisoning prevention, working with the ClearCorps environmental group and Wayne State University.
Detroit City Council approved 1.25 million for the city’s Health Department to go into the homes of pregnant women and children in the five city ZIP codes where lead poisoning is highest to do lead poisoning prevention education, test children for lead and test their homes for the presence of lead hazards.
The Health Department also recently received grants from the state to incorporate lead testing and education into Head Start preschool programs and to test pregnant women for lead.
“We also launched a new Interagency Lead Poisoning Prevention Task Force between city agencies, which will help us better coordinate lead prevention efforts across departments,” Khaldun said. “We are confident that these proactive, collaborative approaches will help increase awareness, and decrease incidence of lead poisoning in Detroit’s pregnant women and children.”
kbouffard@detroitnews.com |
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Sat May 05, 2018 10:19 pm |
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untanglingwebs
El Supremo
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Detroit demo blitz linked to lead poisoning | Detroit Journalism ...
https://www.detroitjournalism.org/2017/11/.../detroit-demo-blitz-linked-lead-poisonin...
Nov 14, 2017 - Lead levels among Detroit children are rising after decades of decline, and health officials say the city's aggressive housing demolition program is partially to blame. The city has razed nearly 13,000 homes since Mike Duggan was elected mayor in 2013. Over that time, the percentage of children 6 and ... |
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Sat May 05, 2018 10:22 pm |
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untanglingwebs
El Supremo
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Detroit Journalism Cooperative
Detroit demo blitz linked to lead poisoning
Lead levels among Detroit children are rising after decades of decline, and health officials say the city’s aggressive housing demolition program is partially to blame. The city has razed nearly 13,000 homes since Mike Duggan was elected mayor in 2013. Over that time, the percentage of children 6 and younger with elevated lead levels rose from 6.9 percent in 2012 to 8.7 percent in 2016, state records show. Federal guidelines recommend intervention for any children that age with blood lead levels above 5 micrograms per deciliter.
Experts and studies warn there are many reasons for the increase, but the Detroit’s Health Department in February found a link between lead poisoning and housing demolitions, which can spread fine lead dust from house paint into the air that gets into the lungs of young children. Elevated lead levels in blood have been associated with a host of health problems from developmental delays and headaches to anemia and behavioral problems. “Further protections are necessary to mitigate the potential harm for high-volume demolition,” the report read. For years, city officials downplayed the health risk of demolitions, contended Dr. Abdul El-Sayed, the city’s former health director, who left the post in mid-February and is now a Democratic candidate for governor. “There’s a lot that needed to be done and wasn’t done,” El-Sayed told Bridge. “No city has demolished as many homes as Detroit, and when that happens, there’s an even greater need for safety.”
Before resigning, El-Sayed said he commissioned a Health Department study of the demolitions. The report found that 2.4 percent of all children in Detroit with elevated lead levels “may be attributable to demolitions.” That would be roughly 50 young children a year since the start of the demolition blitz, or about 200 total. The number is likely higher because fewer than half of the city’s youths are tested for elevated lead. “That’s an increase that can be prevented,” said Dr. Eden Wells, Michigan’s chief medical officer, who worked on research when she was employed at the University of Michigan about the health impacts of demolitions.
The report has remained little noticed outside City Hall. Bridge learned of it while reporting new statewide data showing that lead levels among Michigan children rose slightly in 2016 for the first time in years. MORE COVERAGE: It’s not just Flint: Michigan lead levels up after long decline Detroit’s current health director, Dr. Joneigh S. Khaldun, said the city is moving aggressively to mitigate risks. In an interview Monday with Bridge, she said the city is unveiling a text message service on Wednesday that allows residents to enter their address and receive updates about planned demolitions nearby, as well as safety tips. Khaldun noted that leaving blighted homes standing also threatens public health. “It’s a matter of risks and benefits,” she said. “If we can do the demolitions in the safest way possible, then it’s valuable” to continue them. Lead is an issue throughout the United States, particularly in older cities with homes built before 1978, when the use of lead in paint was outlawed. More than 90 percent of Detroit’s homes were built before then.
The Health Department study of 50,904 Detroit children found that living within 400 feet of a demolition increases the odds of elevated lead levels by 20 percent; and those odds increased by 38 percent if there were two or more demolitions nearby. Since 2013, an average of 2,000 children annually test positive for elevated lead levels in Detroit. Besides administrators, the city’s Health Department has a total of six staffers working on the issue, records show. The Health Department report recommended 18 policy changes and safeguards to lower the risk of elevated lead levels. Nine months later, eight have been fully implemented, while the city told Bridge this week that several more are in the works.
“When we dug into it, we found there was a lot more that needed to be done,” said El-Sayed, who said his resignation in February as city health director was unrelated to the release of the report.
“To me, it was clear the volume of demolitions was the only thing (city officials) paid attention to. And any notion that we should pay attention to any other issues was considered a nuisance. It doesn’t matter how fast you are demolishing homes if you are potentially exposing children to a life-altering condition.”
The city has always been concerned about safety, said Brian Farkas, director of special projects for the Detroit Building Authority.
Farkas said the city has altered demolition procedures and held contractors accountable since Duggan took office. Unlike asbestos removal, he said, there are no federal protocols to reduce the spread of lead during demolitions. The city conducted a study of the issue as soon as it had enough data to do so and has worked “aggressively” to reduce risks, he said.
“This narrative that we got these recommendations and sat on our hands is completely false,” he said.
“Every time we had a chance to study the process and make a pivot we did so,” he added. “Ultimately, we are going to make Detroit blight-free and 20 to 30 years from now, we can look back and say we did it the right way.”
Since the health report raised alarms about lead, the city has razed 2,106 houses. Asked by Bridge what the city would say to families of the 50 or more children who could have elevated lead levels because of the demos, Farkas responded:
“What would you say to the 50 kids who’ve been raped in those (abandoned) houses over the years?” Farkas asked, adding that removing blighted homes also reduce murder, arson and a host of other crimes.
The revelation of elevated lead levels is the latest problem for the demolition program, the signature effort of Duggan’s first term (he was elected to a second term last week).
The program is now the focus of a grand jury investigation into the contracting process. State environmental regulators, meanwhile, have criticized the city for a “lack of oversight” of contractors and are pushing for fines, alleging they mishandled asbestos released when older homes are bulldozed.
‘Little doubt’ about link
News of the study on higher lead levels comes just weeks before a team from Wayne State University prepares to launch a pilot program in the 48214 ZIP code on the city’s east side to notify neighbors within 400 feet – about eight homes – that a house is about to be demolished and take precautions, such as closing windows or staying inside.
Nearly 17 percent of children in this neighborhood have elevated lead levels. The area has some of the oldest homes in the state, with 85 percent built before 1970. Since 2014, 352 homes in the ZIP code have been demolished, city records show.
The city already has changed several policies for contractors, including requiring them to douse attics of homes with water for five minutes before demolitions to reduce clouds of fine lead particles that could harm children. The city had required them to hose off the house before and during the demos.
The Health Department hasn’t yet implemented recommendations to conduct air monitoring at demo sites, relocate nearby families during demolitions, and develop a public dashboard of “critical health and performance metrics for lead demolition contractors based on lead safety.”
Other efforts – including the text alert system and yard signs warning of the dangers – are about to be rolled out, city officials say.
“Look at the studies nationally: What you’ll find is a huge amount of evidence that lead dust from demolitions has a huge impact on elevated lead levels. There’s very little doubt about the subject,” said Lyke Thompson, director of Wayne State’s Center for Urban Studies, who is leading the school’s door-knocking effort.
Before the blitz began, studies in Chicago and East Baltimore warned that demolitions create clouds of dust that could lead to elevated lead levels, and advised that cities notify neighbors to keep windows closed.
Farkas said Detroit officials were aware of the research and concluded “advance notification of residents” was the highest priority, so those were the first Health Department recommendations to be implemented.
“We’ve had to develop technologies from the ground up, and we’re able to do that now and you’re going to see more and more advanced technologies rolled out,” Farkas said.
‘One piece of the puzzle’
Experts cautioned there may be numerous reasons for the increase in city lead levels, including offering more lead tests to children in ZIP codes in vulnerable areas. Overall, the number of children tested in Detroit has actually decreased to 25,395 last year from 28,700 in 2012.
“It’s how you interpret the data,” said Khaldun, the city’s new health department director.
“We can’t say 100 percent that demolitions are definitely causing those 50 children to have elevated blood levels.”
Indeed, demolition and lead rates in the city don’t always align, a Bridge analysis shows. ZIP codes with the most demolitions do not have the greatest percentage of children with elevated lead levels, while ZIPs with the highest lead exposures were not among those with the most demolitions.
El-Sayed said the city’s old housing stock and temperature swings during the summer contribute to the increase, as families open and close window panes painted with lead.
What’s more, the focus on the city’s demolition efforts is typically in distressed neighborhoods with older houses whose occupants are more likely to be exposed to lead paint inside their own homes, said Mary Sue Schottenfels, director of CLEARCorps, a Detroit nonprofit that administers federal lead home mitigation efforts.
In those cases, it’s often difficult to determine the source of elevated lead levels, she said.
“Demolitions are probably one piece of the puzzle, but the level of deterioration is a big factor,” said Schottenfels, whose group is involved in the lead notification pilot program.
Across Michigan, elevated lead levels among children fell from 19 percent in 2004 to 3.4 percent in 2015, state records show. The rate ticked upward in 2016, to 3.6 percent.
In Detroit, some neighborhoods had elevated blood levels of more than 60 percent in 2004. The number of children with elevated blood levels in the city has decreased by more than 50 percent since 2009.
Nevertheless, Detroit remains the center of concern of childhood lead poisoning. Of the 12 ZIP codes where 10 percent of children or more tested for elevated lead levels, nine are in Detroit; two are in Grand Rapids and the other covers much of central Kalamazoo.
The city of Flint, meanwhile, has been the focus of international scrutiny on lead exposure triggered by a switch to the Flint River for the city’s water supply.
Flint has lead levels just above or below the statewide measure of 3.6 percent. The highest in Flint is 3.9 percent in 49503 ZIP code. Rising rates of lead exposure were triggered by a switch to the Flint River for the city’s water supply, sparking a scandal that is still unfolding.
“We feel terrible about what happened in Flint – it’s tragic,” Schottenfels said. “But the bottom line is there’s always been and continues to be far more lead poisoned children in Detroit.”
Her group removes lead paint from homes, changes windows and adds siding to about 100 families per year. At any time, it has 300 applicants waiting for the service that can take a year to process.
They include the 2-year-old son of Christina McFarland, 30, who lives on Montrose near Plymouth on Detroit’s west side. Last year, 5 percent of children tested in her neighborhood had elevated lead levels.
McFarland bought her small bungalow last year from her landlord for $3,100. Its windows tested positive for lead, as did her garage. They will be replaced early next year.
McFarland said she isn’t worried about her son. She had lead poisoning as a child as well, and has faith he will be all right because his blood levels were caught early. Some studies show that foods that are rich in Vitamin C, calcium and iron can reduce lead levels.
“My son is an awesome-sauce kid,” said McFarland, who has two older children.
“(Health officials) told me I shouldn’t be worried about him, and I’m going to put my faith in God. I just hope this process goes quick because I don’t have another house to go to.”
Schottenfels said she’s concerned that more isn’t being done to combat elevated lead levels in Detroit and Michigan. Nationwide, some 500,000 children have elevated levels.
“This is so solvable …,” she said. “We know what to do. It’s not like asthma where we are still figuring out the science. We just need resources. That’s what makes this so frustrating.”
Wells, who helped research a University of Michigan study into lead and demolitions in Detroit, said lead poisoning has been reduced nationally through big changes such as removing lead from paint and gasoline.
To further improve, “we’re needing to get to these discrete issues” like demolitions, Wells said.
El-Sayed, who has criticized other Duggan policies since his resignation, said he tried to sound the alarms. “Look, we did our best to get city officials to pay attention to this issue,” he added.
“It’s not a scandal unless nothing is done.”
Farkas, the Detroit official who oversees demolitions, said the city has been above-board about the risks and a task force meets regularly to reduce them.
“This is what good cities do,” he said.
City rolling out new alerts
Detroit officials say the city is rolling out a texting service on Wednesday that informs residents when a demolition is scheduled nearby and offers tips for staying safe. Here’s how to use it:
Text your address to 313-254-3366.
The service returns a list of home addresses set for demolition and when they are scheduled.
Residents can then text the word “HEALTH” to learn how to stay safe, and “ADD” to subscribe to alerts whenever more demos are scheduled.
Source: City of Detroit |
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Sat May 05, 2018 10:24 pm |
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untanglingwebs
El Supremo
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Lead Exposure and HHF Demolition Activity in ... - Data Driven Detroit
https://datadrivendetroit.org/files/INT/InternReport_Ayana.pdf
Lead Exposure and HHF Demolition Activity in Detroit. The following report was compiled during the 2015 Data Driven Detroit Summer Internship using publicly available U.S. Census data1, de-‐personalized elevated blood lead level data provided by the. Michigan Department of Community Health, and demolition data ... |
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Sat May 05, 2018 10:27 pm |
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