Transcript Chronic Disease Inequity

Status of Lead in Detroit
Leseliey R. Welch, MPH, MBA
Deputy Director
[email protected]
Status of Lead in Detroit
• What do we know?
• What are we doing?
• What do we recommend?
What do we know?
LEAD REPORT 2016
Number of children w/EBLL is dropping.
The number
of children
w/elevated
blood lead
levels (EBLL)
in Detroit is
dropping.
Because we tested fewer people?
The decrease
is not due to
reduction in
funding and
lead testing.
Because we tested different people?
The decrease
is not due to
selection of
different
children for
lead testing.
Because we tested different people?
The decrease
is not due to
selection of
different
children for
lead testing.
We still have a challenge.
• EBLLS among
children in Detroit
are still high.
• Children in Detroit
are still 4 times more
likely to EBLL than
children in the rest of
the state.
Housing & Health
• Housing is the most common source for lead
exposure.
• 93% of housing in Detroit carries risk for lead.
• EBLLs impact long-term development.
• Low exposure linked to behavioral and learning
challenges.
What are we doing?
LEAD SAFE DETROIT
Department Structure & Programs
Administration
Health Policy & Planning
Special Projects
Healthy Places
Healthy Maternity
Healthy Childhood
Healthy Lives
Violence Prevention
Mobile Services
Immunizations
Chronic Disease
Environmental Health &
Food Safety
Maternal Health - Other
Women, Infants, Children
(WIC) Program
Infectious Disease
Public Health Emergency
Preparedness
Lead
Child Health - Other
Animal Care & Control
Metrics
Lead Safe Detroit
Citywide task force
on lead to make sure
that any children with
elevated blood lead
levels receive all the
services for which
they are eligible.
-City Departments
• Health
• Building, Safety,
Engineering and
Environmental
• Housing and Revitalization
• Water and Sewerage
-Detroit Land Bank
-Detroit Building Authority
-CLEARCorps
-Michigan Department of
Health and Human Services
Lead Testing in Schools
• Urge public schools, charter schools and early
childhood facilities – such as day cares, preschools
and Head Starts – to test drinking water for the
presence of lead.
• National best practices and recent
recommendations of the W.K. Kellogg Foundation.
• The Children’s Hospital of Michigan Foundation is
generously supporting this effort with a $135,000
grant.
Health Department Lead Program
• The mission of the Lead Prevention and
Intervention Program is to prevent and
treat lead poisoned children and
facilitate the reduction of environmental
hazards in the home.
•
•
•
•
Education
Case Management
Investigations and Referrals
Lead Screening and Testing
• Integration into Immunizations and WIC
What do we recommend?
LEAD SCREENING
Annual Screening
Recommend
annual screening
for all children
9 months – 6
years of age.
Lead Report 2016 Available Online
Thank you!
Leseliey R. Welch, MPH, MBA
Deputy Director
[email protected]