It Takes An Entire Community

To Develop Healthy Housing

Oneida County Health Department’s

Lead Primary Prevention Program

Catherine Bullwinkle, LPP Project Manager

March 2012

Source: NYS Department of Health 2009

Clinton

St. Lawrence Franklin

Essex

Hamilton

Warren

Washin

gto

n

Renssela

er

Herk

imer

Fulton Onondaga

Jefferson

Lewis

Oneida

Steuben

Oswego

Wayne Monroe

Orleans Niagara

Erie

Chautauqua Cattaraugus

Allegany

Chemung Broome Tioga

Tompkins Schyler

Genesee

Wyoming

Liv

ingsto

n

Ontario

Yates

Seneca

Cayu

ga Cortla

nd

Otsego

Madison

Chenango

Delaware

Montgomery S

choharie

Saratoga

Schenectady

Albany

Sullivan

Ulster

Greene

Colu

mbia

Orange

Dutc

hess

Putnam

Westc

heste

r

Rockland

Suffolk Nassau NYC

New York State-Original 13 Colonies: Oldest Housing

Stock in U.S.

Highest Lead Poisoning Incidence Counties

Next Highest Counties with Lead Poisoning Incidence

City of Utica Population 61,230

Childhood Lead Poisoning Incidence-

City of Utica

Housing’s Contribution to

Childhood Lead Poisoning 2006

Housing

and Lead Poisoning

Rates

Houses Built Before

1950 contain

Lead

Based Paints

Older windows,

Friction surfaces,

Create lead dust

Rental Units that are

Poorly maintained

With Chipping &

Peeling Paint

Low income families

Have less housing

Choices

Sub-targeting Inspections By High Risk

for Lead Poisoning Census Tracts and

Block Groups

High Risk Designated Area for Lead

Poisoning-City of Utica

Lead Primary Prevention Program

Through NYS Department of Health’s

funding 2008-Present

Legal Seminars- Housing Court

Urban Renewal

Window Replacement

Training

WIB-Youth Training

WDI Job $

Training

Media partnership Runs PSA,

Radio interviews Website

Burmese Assoc.

-seminars

Joint Property Owner

Seminars with Comm. Partners

Partner Refugee Center -HEPA

FREE Clearance

Exam

Paint Stab. Pilot Project

HEPA vac Loaner program

Partner With MVCC RRP

Class

FREE Home Inspections

LPP Program

Results:

Between 2006 and 2011, childhood lead poisoning rates were down greater than 13%.

Thomas R. Frieden, M.D. M.P.H. AJ Public Health 2010, 100

Health Impact Pyramid 2010

Based upon Thomas R. Frieden, MD, MPH Health Impact Pyramid

Creating Healthy Housing Gives Us the

Biggest Bang for the Healthcare Buck

Outreach /

Education

Clinical

Interventions

Long Lasting Protective

measures

Changing Context to Make Individual

Default Choice the Healthy Choice

Socio-economic determinants of Health,:

Educational attainment, income, safe housing, food security,

safety, Access to preventive medical, dental, mental health services

Benefits of Housing Partnerships-

Limited Resources demand we work as efficiently and effectively as possible.

“Many hands make light work” Have others do your

work for you. Closes loopholes in housing enforcement issues. By leveraging resources with partners it allows you to

stretch your agency’s resources farther. By ‘braiding together’ different funding sources, you

can attack the problems from multiple angles and enhance your outcomes at a lower overall cost.

Partnership with NYU on NIH Effects of

Window Replacement and Repair on

Lead-in Dust Levels Study

NYC DOHH

Enroll 100 houses in Brooklyn & 100 units in Queens

Partnered with local WAP to study units with window replacements and measure dust levels before work, after window replacements and 6 months later

OCHD-LPP

Enroll 100 units in Utica

33 Control group

64 Window Repair group

Because of SIR formula our 2 family houses did not qualify for window replacements through WAP and type of units (pre-1950) desirable for study were not on the waiting list.

Unexpected Early Findings

NYC: Could not find units with original single pane windows, most windows replaced several times and current window replacements were replacing non-lead windows.

Utica:

Dangerously high lead in dust levels in units built

Before 1950.

NYC

Finds Higher Post-Window

Replacement Lead in Dust Levels

Initial lead in dust sampling= lead in dust levels were often not at detectable levels.

Dust sampling after window replacement found higher lead in dust levels.

Hypothesizing that while replacing the windows, workers were disturbing lead in interior areas of window that still had LBP contamination and due to not worrying about lead, were not adequately cleaning up the lead dust.

Multi-unit Housing

Historic Building With Fire

LPP/Healthy Neighborhoods Program inspected and provided smoke detectors in 2009

-During an arson fire in 2010, the main fire alarm failed, and smoke detectors saved residents.

After Fire: LPP and Utica Fire Dept:

-Partnered to negotiate with owner and insurance company to make repairs.

-Substantial repairs, new alarm system, new lighting, improved exits, lead-based paint work, extensive cleaning, marble floors sealed, elevator improvements.

-NYSERDA, Weatherization to study feasibility of obtaining windows.

-City of Utica-Fascade $$

Collaborating on Housing Inspection

Process to Improve Housing and

Neighborhoods

Health Department’s NYS Public Health Law

City of Utica, NYS Property Maintenance Code

Oneida County- Sanitary

Code

City Court Judges/ Housing

Court (2012)

‘MARCH To the MIDDLE’

Housing Inspection Campaign Year 3

1. Designated ‘High Risk for Lead Poisoning Area’-use PHL

2. Develop street maps with streets targeted for improvement.

3. Lead Primary Prevention through the Health Department deputizes City of Utica Codes personnel to cite PHL while citing NYS PMC.

4. Lead Primary Prevention under PHL has higher fines, so we handle the enforcements for non-compliance.

Results: 600 inspections; 300 cited

101 houses painted

33 houses vinyl sided

39 streets in Cornhill and West Utica saw significant improvements to their neighborhoods.

Cost to inspect & cite per address: $85.00/unit

Results

Total cost of Inspections: $11,390.00

Leveraged Housing Repair Dollars from Owners: $2,053.138.00

For every $1.00 spent from the NYS Department of Health Lead Primary Prevention contract on this joint effort: $179.26 came back to the community in leverage $$ from owner repairs.

Developing Partnerships for Codes

Enforcement. 119 go to enforcement +

47 signed workplan to complete work

Target every substandard property on the block or street.

Non-compliance, schedule hearings in 15 min. intervals by street

Create peer pressure from neighbors

Assist with resources, free EPA RRP class.

Partner with “Paint Your Heart Out” campaign.

Referrals to Weatherization, Community Action, Homeownership Center for loans, grants.

Lead Primary Prevention Team

John Adams

Dale Allison

Andrea Dorsey

Blake Philbrook

Kieya Ramos

Andrew Stanier

Rosetta St. Peter

Francis Zimmer

Contact

Catherine Bullwinkle

Oneida County Health Department

185 Genesee Street

Utica, NY 13501

cbullwinkle@ocgov.net

315-798-5275