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2017 CHIP Funding Greatly Increases Lead Abatement

Exterior site prep

Lead Abatement work site (old wood siding and windows)

Beginning in 2017, the Michigan Department of Health and Human Service’s Lead Safe Home Program (LSHP) will greatly increase lead abatement throughout the State of Michigan.   MDHHS’s annual lead abatement budget will increase by an unprecedented $23.8 million dollars from new Medicaid Children’s Health Insurance Progam (CHIP) funding, a tremendous increase over the State’s previous funding levels.  Primary prevention services and case management for families will also be increased.

Dust from deteriorating lead based paint is the most common source of lead poisoning in children.  Lead abatement is the removal, enclosure, or encapsulation of deteriorating lead based paint.  Safely prepping and painting surfaces is considered to be a temporary fix.  Water-based lead hazards such as old fixtures will also be tested for and repaired when they present a hazard.

Lead abatement has a minimum return on investment of $17 per $1 invested, and can have an ROI of over $200 due to preventing the increased special education, incarceration, lost productivity, and decreased lifetime earnings costs associated with the type of brain damage lead poisoning causes in young children.

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Michigan Roadmap to Eliminating Child Lead Exposure

Report PictureIn May 2016, the State of Michigan created the Childhood Lead Poisoning Elimination Board to “address the need for ‘…a coordinated effort to design a long term strategy for eliminating child lead poisoning in the state of Michigan.'”

A 2014 University of Michigan Study estimated that lead poisoning costs the State of Michigan $270 million annually from increased crime, incarceration costs, lost earnings, and special education.  The Board’s November 2016 report makes such recommendations as:

  • Require that 100% of children are tested for lead poisoning at 9 to 12 months, and at 24 to 36 months of age. (p. 16)
  • Require a mandatory Lead Inspection/Risk Assessment at point of sale or transfer for homes older than 1978. (p. 21)
  • “The state must find adequate, dedicated, and sustained funding sources to support the gamut of measures necessary to treat and prevent lead exposure: (testing, data, remediation and abatement, training, outreach, etc.)” (p. 27)

In November 2016, the State announced that $23.8 million had been allocated directly for lead abatement for Fiscal Year 2017, a tremendous increase over the State’s current funding levels.

It is CLEARCorps’ hope that using the increase in funding to follow the Board’s recommendations will reduce and eventually eliminate lead poisoning in the State of Michigan.

You can read the full report here.

Freep: Don’t Give Up the War on Lead

Freaking Scary Lead Snake

Photo illustration by Rick Nease

The Detroit Free Press Editorial Board called for increased funding in Detroit’s fight against lead poisoning, highlighting the breadth of the problem, and detailing the life-derailing effects that lead has on children.

The article featured several key Detroit partners including the Institute for Population Health (formally the Detroit Department of Health and Wellness Promotion), the Wayne State University Center for Urban Studies, the Wayne County Prosecutor’s Office, and CLEARCorps/Detroit.

In seemingly contradicting moves, the Centers for Disease Control and Prevention, formally a major funder of lead poisoning prevention, slashed lead funding in 2013 from $29 million to $1.8 million, while lowering the threshold for what is takes to be considered lead poisoned from 10 ug/dL to 5 ug/dL.  The CDC now estimates that 500,000 american children are currently lead poisoned, up from 255,000 children under the previous threshold.

The fight against lead poisoning continues despite the loss of certain funding sources. For the first time in history, the State of Michigan allocated $1.25 million in lead poisoning prevention in its general operating budget for the 2013/2014 fiscal year.  The money will contribute to the Michigan Department of Community Health Healthy Homes Section’s Lead Safe Homes Program.  The new funding will allow the doubling of homes the program abates for lead hazards annually in the City of Detroit from 35 to 70, support the hiring of an Elevated Blood-Lead Level (EBL) Investigator to investigate serious or complex lead poisonings, and increase abatement efforts in other areas of the State.  Furthermore, private and quasi-private partners continue to serve as valuable funding sources.  The Kresge Foundation and the Skillman Foundation are key supporters of not only lead poisoning prevention, but Healthy Homes, which addresses health and safety as it relates to the structure of a home.

The editorial discusses a recent University of Michigan study that showed direct correlation between Detroit Public Schools students, their lead levels, and their performance on the Michigan Educational Assessment Program (MEAP).  According to the study, on average, the more lead a child absorbed, the worse they did on the MEAP later on as an adolescent.

Lead poisoning is directly connected to deteriorating housing stock built before 1978, and roughly 90% of the housing stock in the City of Detroit could contain lead hazards. A child who ingests leaded dust they get on their fingers while crawling or playing can sustain irreparable brain damage.  The fight against lead poisoning is an investment in the health and future success of our children, and requires collaboration and support across a community of concerned organizations.

Read the article here.