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B. Federal Lead-Based Paint Enforcement Bench Book - National ...

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pervasive in buildings across the nation constructed prior to that time. 14 Approximately 38 million pre-<br />

1978 dwellings in the nation have LBP. 15 Approximately 24 million of these have deteriorated (chipping,<br />

peeling, flaking) LBP, and elevated levels of lead-contaminated dust. 16 More than 4 million of these<br />

dwellings are homes to one or more young children. 17 (Although any pre-1978 housing may have LBP<br />

hazards, since low-income housing tends to be disproportionately burdened with such hazards, there are<br />

significant issues of disparity and environmental justice associated with lead.)<br />

An estimated 310,000 children in the United States have elevated blood-lead levels (EBLLs), 18 and millions<br />

are at risk of potential lead poisoning due to the prevalence of LBP. Even children who appear healthy can<br />

have dangerous levels of lead in their bodies. 19 Furthermore, millions of people suffer the continuing<br />

adverse effects of prior lead poisoning. The costs to communities to address the effects of lead poisoning –<br />

for medical intervention; special education; and juvenile, criminal justice, social, and other services – is<br />

staggering. 20<br />

Like any paint, LBP does not just disappear. It persists and eventually, chips, flakes, and chalks, or<br />

otherwise deteriorates if not properly maintained. This deterioration creates lead dust and contaminates soil.<br />

The lead content makes deteriorated paint a hazard. LBP must be eliminated, or properly maintained, using<br />

lead-safe work practices.<br />

14 See e.g., CDC, Tips to Prevent <strong>Lead</strong> Exposure, www.cdc.gov/nceh/lead/faq/tips.htm.<br />

15 See e.g., 73 Fed. Reg. 21692, 21790, supra note 1. See also, e.g., D.E. Jacobs, et al., The Prevalence of <strong>Lead</strong>-<strong>Based</strong> <strong>Paint</strong> Hazards<br />

in U.S. Housing, ENVTL HEALTH PERSP. 110:10, A599-A606, Oct. 2002, www.ehponline.org/docs/2002/110-10/toc.html,<br />

or www.ehponline.org/members/2002/110pA599-A606jacobs/EHP110pa599PDF.PDF.<br />

16 See CDC Questions & Answers, supra note 1. See Jacobs, supra note 15.<br />

17 See CDC Questions & Answers, supra note 1. See Jacobs, supra note 15.<br />

18 See CDC Questions & Answers, supra note 1. CDC defines an elevated blood-lead level to be equal to or more than 10<br />

micrograms per deciliter (>10µg/dL), www.cdc.gov/nceh/lead/surv/stats.htm. No safe exposure level has been identified.<br />

19 See EPA, Basic Information, supra note 1.<br />

20 One study estimates that lead poisoning costs $43.4 billion in the United States. See P.J. Landrigan, et al., Environmental<br />

Pollutants and Disease in American Children: Estimates of Morbidity, Mortality, and Costs for <strong>Lead</strong> Poisoning, Asthma, Cancer,<br />

and Developmental Disabilities, ENVTL. HEALTH PERSP. 110:7, 721-728, July 2002,<br />

http://ehpnet1.niehs.nih.gov/docs/2002/110p721-728landrigan/abstract.html, or<br />

www.ehponline.org/docs/2002/110p721-728landrigan/abstract.html.<br />

NATIONAL CENTER FOR HEALTHY HOUSING www.nchh.org 3

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