beating the odds: eliminating lead exposure for kids in the nation’s capital
DESCRIPTION
Beating the Odds: Eliminating Lead Exposure for Kids in the Nation’s Capital. Handicapping the Odds. Old Housing + Poverty =. Losing Bet. The DC Baseline. October 1, 2007 – September 30, 2008 13,608 Children Tested 467 New Cases ≥ 5 µg/ dL (3.43% of those tested). Against All Odds. - PowerPoint PPT PresentationTRANSCRIPT
Beating the Odds:Eliminating Lead
Exposure for Kids in the Nation’s Capital
Handicapping the Odds
Old Housing
+ Poverty
=
Losing Bet
The DC Baseline
October 1, 2007 – September 30, 2008
13,608 Children Tested
467 New Cases ≥ 5 µg/dL(3.43% of those tested)
Against All Odds10/1/07 – 9/30/08: 13,608 Children Tested
467 New Cases ≥ 5 µg/dL (3.43% of those tested)
10/1/08 – 9/30/09: 15,490 Children Tested457 New Cases ≥ 5 µg/dL (2.96% of those tested)
10/1/09 – 9/30/10: 16,273 Children Tested412 New Cases ≥ 5 µg/dL (2.53% of those tested)
10/1/10 – 9/30/11: 15,822 Children Tested341 New Cases ≥ 5 µg/dL (2.16% of those tested)
10/1/11 – 9/30/12: 16,103 Children Tested265 New Cases ≥ 5 µg/dL (1.65% of those tested)
10/1/12 – 9/30/13: 15,257 Children Tested181 New Cases ≥ 5 µg/dL (1.19% of those tested)
The Bottom Line (1)
Greater than 60% Decline in 5 Years (of Children Newly Identified with a BLL ≥ 5 µg/dL)
14% Decline in Year 1 (over Baseline Year)15% Decline in Year 2 (over Year 1)15% Decline in Year 3 (over Year 2)24% Decline in Year 4 (over Year 3)28% Decline in Year 5 (over Year 4)
The Bottom Line (2)
From 467 New Cases in FY08
To181 New Cases in FY13
( ≥ 5 µg/dL )
The Bottom Line (3)
From 68 New Cases in FY08
To26 New Cases in FY13
( ≥ 10 µg/dL )
The Bottom Line (4)
How We Overcame the Odds
• Vocal Advocates• Personnel Decisions• Health-Protective Lead Law• Ruthless Enforcement• Personnel Advocacy• Smart Bets
Vocal Advocates
Vocal Advocates
• DC Lead Elimination and Healthy Homes Advisory Committee
• DC Lead Advocates Taskforce
• Missing: Mobilized DC Parent Group
Audience Experience ?
Role of Advocates Where You Live
How Best to Mobilize Parents
Working with Advocates
• Risks:Blurring LinesGoing RogueWeighing Ethical Considerations
• Trust is Key: Must be 2-Way
Let the Chips Fall Where They May
Odds Are it’s a Safe Bet
Personnel Decisions
Personnel Decisions
• Analyze Staff Strengths and Weaknesses, Shift Assignments Accordingly
• Make Needs Known to Agency Leadership
Personnel Decisions
• Work with HR to Achieve Goals
• Capitalize on Advocate Allies
• Progress Will Be Incremental
• Keep Your Eye on the Prize
Audience Experience ?
Shifting Staff Responsibilities
Working with HR and with Unions
Personnel Decisions
• Risks:Anxious StaffUnion Pushback
• Rewards:Fresh Start, Energized/Motivated Staff
Health-Protective Lead Law
Health-Protective Lead Law
• Incorporates RRP
• Lead Safety at Unit Turnover
• Requires Renovation Permit
• Empowers Enforcement
Audience Experience ?
State of Your Lead Law
Fulfilling Your Wish List
Health-Protective Lead Law
• Help from Advocates
• Solid Data
• Staff Ready
Ruthless Enforcement
Ruthless Enforcement
• Well Versed in the Regulations
• Daily Missions
• Zero Tolerance
• No More Excuses
Audience Experience ?
Enforceable Law
Compliance Assistance v. Enf’t
Ruthless EnforcementRequires:
•Rigorous Training
•Dedicated Staff
•All Necessary Tools
Personnel Revisited
• Identify Needs
• Use Data to Secure Help
Play Your Cards Right!
All-Star Staff
DC’s All-Star Staff 7 Case Managers, including 2 Registered
Nurses, 2 MPHs, and a bilingual MD• Trained as Healthy Homes Specialists• Trained as Asthma Educators
7 Field Inspectors / Risk Assessors• Trained as Abatement Supervisors• Trained as Lead Project Designers
Epidemiologist (MPH)
Smart Bets
• Work with Sister Agencies
• Reach out to Your Key Audiences
Smart Bets
Be Proactive
Letters to Property Managers
Create and Fill Housing Database
Recruit Community Activists
Focus on Eyesores
Everyone’s a Winner!
Especially the Kids…