Greater Cleveland Lead Advisory Council
Steering Committee Meeting
Trinity Cathedral
May 8, 2006
2 PM
Welcome and Introductions
Representatives from US EPA
Jennifer Ostermeier, Great Cities Intiative
Bill Messenger, Communities and Ecosystems Projects Section
US was one of the first groups to fund true prevention
Dr. Maria Pujana
Member of Cleveland Foundation and MetroHealth boards
Works with Invest in Children
Marianne Stott
Replacing Lara as the Advocacy Associate at the Lutheran Metropolitan Ministry
About to graduate from MSASS
Community Develop Corporations and lead
CDCs have unique access to community members
Patrick Christie-Mizell (Clark Metro)
Run a series of home repair programs in Wards 14 and 15
Paint program is particularly successful
Educate families about the hazards inside the house
Teach kids at school via STEPS program
Rate of deterioration is much greater than the rate of repair
Need a funding mechanism for repair
A database with units that have had interior/exterior remediation would be useful
Toni Jones (Bellaire-Puritas)
Managed the Childhood Lead Exposure Prevention Program
Contacted churches and day care centers to conduct screenings and do outreach
Learned screening was more effective if CDC went to kids
Program is no longer funded, presenting a barrier to continued services
Maintain a licensed lead inspector
Also complete visual clearances for 7-8 other CDCs
Education is not enough to compel community members to use lead-safe work practices
Suggested policy solutions
Require blood lead testing at Kindergarten registration
Children must prove they are immunized
Head-Start entrance form asks for a blood lead level
Test doesn’t have to be recent for entrance
Help schools to understand children’s blood lead levels
Provide funding to assist with relocation during renovation
Develop a creative way to address lead and incite action
Walter Wright (Tremont West)
Currently doing less lead work than have historically done
Historically travelled with Mom Mobile to educate residents
TWDC no longer does this type of outreach
Not a lot of contact with the children in the community
Maintains a licensed lead assessor on staff
This is a significant cost
Maintains paint program
Carla Moody (Fairfax)
Distributes newsletter to homes, schools, daycares, churches, etc.
Organizes educational/screening sessions at schools/day cares
HIPAA creates some barriers to CDC follow-up
Home daycares are often resistant to blood lead screening
Property owners who meet the income guidelines for a free inspection, don’t often have resources for remediation
Not all houses have the same abatement requirements
Do all CDCs have the same level of expertise?
No, but the CDCs often partner with each other
CDCs are not consistently funded
Are there inspections when there is a transfer of property?
No, currently Cleveland has no point of sale inspections
Disclosure is required during real estate transactions
Other cities in Cuyahoga County do have point of sale inspections
Cleveland Hts., Shaker Hts
Are building permits tied to inspection results?
Affordable housing and historic remediation are in conflict with lead
In some cases affordable housing can be linked with lead
Property owners and contractors don’t often ensure lead safety
Can dollars that are allocated for other programs (i.e. plumbing, etc.) be used as leverage for lead remediation?
Sometimes the funding is used as a match
Sometimes dollars are blended
Overall capacity of a program
Home repair programs are often attached to Block Grant money
Block grant money requires use of a lead safe contractor
Homeowners often try to avoid lead requirements by utilizing dollars other than block grant money
What can the GCLAC do in terms of dialogue to facilitate CDCs lead efforts?
Add representatives to the Environment and Housing committee
Ohio Lead Awareness week, July 17-22
In previous years there was a door to door campaign to raise awareness
This year organize a rally for lead safe living and create a large visual
Already have permission from the Mayor’s office to place small flags in green space outside of City Hall
Place a flag for every known poisoned child
Continue discussion of whether to place a flag for all known vs. estimate poisoned children
Advocacy and outreach committee will organize majority of efforts
Marketing campaign
Received approval to contract with AdCom in the first week of March
First five billboards will go up no later than June 1st
Created an updated timeline for AdCom
City Council Outreach efforts proposal
Develop a strategy to keep the issue funded and maintain prevention efforts after the Saint Luke’s grant
Help to promote marketing campaign
Host a meeting for City Council members
Invite City Council to a neutral space for a breakfast presentation
Send a letter to council members on behalf of GCLAC
Develop political will/public investment before approaching foundations
Place a yard marker in homes where kids have been poisoned
Paul Herdeg suggested inviting leaders from first-suburbs
Vote resulted in unanimous agreement to support formal pursuit of City Council outreach efforts
List-serve policy, GCLAC membership and logo guidelines
Materials need to go through sub-committees to be distributed
Secretary will not distribute materials that were not presented at a sub-committee meeting
How do we define membership to the GCLAC?
Anyone who attends a meeting is a member
Council does not want to be exclusive
Information about how to use the Logo
Anyone who participates in GCLAC can use the logo
Must follow the printed logo guidelines
Add that logo can’t be used for commercial purposes or to signify endorsement
Is there a description of the lead-safe living campaign?
There will be 5 info sheets that are targeted to different areas about the campaign
EPA R and R Rule
Will regulate the renovation and remediation process
John Hoose and Lara traveled to Chicago for public testimony
Provide written comment before May 25th
Workforce Development committee has five areas of concern
Need some input and specific anecdotes from council
Send comments/anecdotes to Lara by May 12th
Lara will distribute the final version for a vote
EPA encourages comment and needs to hear from non-industry groups
Dr. Barbara Polivka and OSU study of Latino polutaion
OSU College of Nursing will complete a study about barriers to testing
Aim to develop an instrument to assess knowledge of lead poisoning prevention in Latino community
Steering committee voted unanimously to send a letter of support
City Club Evaluation
Bruce Lanphear spoke as keynote about acceptable poisoning threshold
There was wonderful attendance
11 of 22 Councilmen attended
Over 120 people attended the short-course in the morning
The educational session for Medical providers received excellent feedback
Subsequent event geared towards community members had 250 people
Received assistance from CCOAL and Case Western Reserve University Honors Program
Other sub-committee updates
Infrastructure/Sustainability efforts
Financing sub-committee met to discuss what is being funded currently and sources, what needs to be funded in the future
The next step is to prioritize these needs
Norm Roulet has been working with Kent State and CSU on a re-development vision for Cleveland
Presented the concept to Ron Richard from the Cleveland Foundation
There is a potential for millions of dollars in development funding being invested in the area
GCLAC representatives should meet with Kent State to educate them about lead issues and incorporate into vision
Ask Leah to coordinate a group to educate KSU
Ensure that lead is included in E. Cleveland 2010
Plan to track all pregnant women to ensure there is no exposure to lead
High probability of litigation against paint companies
Mayor Brewer consulted with Motley Rice
Medical
Only one county statewide tests a larger percentage of one-year olds who are Medicaid eligible than Cuyahoga County
Adams County is much smaller than Cuyahoga County
Exploring other opportunities for testing
Filter paper testing
Cleveland lead lab will begin piloting filter paper next month
Metro is also wants to implement filter paper testing
Promote idea of 18-month test for kids between 7-9 ug/dl
Case Medical student will organize a survey of primary care providers in Cuyahoga County to evaluate attitudes to testing
Outreach and Advocacy
Alliance for Healthy Homes is planning national and regional summits to develop advocacy agenda
Outreach and Advocacy committee would like someone from GCLAC to participate in the planning committee
Representatives from Environmental Health Watch, Lutheran Metropolitan Ministry, and CCOAL already participate
Representative cannot be from government agency
Environment and Housing Sub-Committee
Sub-committee changed its name
Thank you and good-byes
Lara will be leaving sometime in June, this is her last meeting
Remy Olson, intern at CDPH, is finished with her studies
Links:
[1] http://realneo.us/Criteria-for-Choosing-the-Next-CEO-of-CMSD
[2] http://realneo.us/gclac-eradicating-lead-poisoning-in-greater-cleveland
[3] http://realneo.us/2005-ohio-lead-awareness-week-initiative-july-17-23