EDF Health

The fight to end lead poisoning in Rhode Island: A conversation with Laura Brion

The most common causes of lead poisoning in children in the US are lead-based paint and contaminated dust, which are mainly found in older housing. When present, lead pipes also present the single largest source of lead exposure through water. In Rhode Island, an estimated 80% of the housing was built before 1978, meaning it’s more likely to have lead-based paint hazards and lead pipes and put families, especially children, living in the homes at risk.

The Childhood Lead Action Project was founded in 1992 to take on this challenge, with the mission of eliminating childhood lead poisoning in Rhode Island through education, parent support, and advocacy. The organization does it all: workshops and educational outreach for a wide range of audiences, municipal and state-level advocacy to push proactive policies, grassroots campaigning, and more.

I sat down with Laura Brion, who started as a community organizer with the Childhood Lead Action Project and is now the Executive Director, to learn about her journey into the lead poisoning prevention world and what she sees ahead for her organization’s and community’s fight.   

This interview has been edited for clarity and brevity. 

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Lead pipes are in the news – Here’s why that matters

Sam Lovell, Communications Manager. 

“How many of you know, when you send your child to school, the fountain they’re drinking out of is not fed by a lead pipe?”

That stark question was posed by President Biden in a briefing following the announcement of the American Jobs Plan. The President’s historic infrastructure package includes $45 billion to fully replace lead pipes across the country. This has caused a surge of attention nationally on the problem of lead pipes, as administration officials and members of Congress voice support of the plan and local media outlets report on the implications of the investment.

And this attention is well-placed: across the country, an estimated 9.2 million lead service lines still provide water to US homes – putting children at risk of lead exposure and permanent harm to their brain development. While this has been an issue for far too long, this recent momentum – with the inclusion of funding in the American Jobs Plan and in several bills moving in both the House of Representatives and the Senate – is a promising sign that action is near.

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Chemicals in hair products, making rent as a grad student, and more: A conversation with Dr. Tamarra James-Todd

Dr. Tamarra James-Todd’s interest in human health dates back to her childhood, when she would go into work with her mom, who was a microbiologist, on the odd weekend at the Kansas City VA Hospital. Now an epidemiologist at the Harvard Chan School of Public Health, Dr. James-Todd has focused her career on understanding the impacts of toxic chemicals on women’s reproductive and long-term health in order to improve overall health.

Dr. Tamarra James-Todd

Through her research, she has found that 50% of hair care products marketed to Black women contain hormone disrupting chemicals, compared to only 7% advertised to white women based on product label information. Further, the use of these products, such as hair oils and chemical straighteners, can put girls and women at higher risk of health impacts including earlier age at puberty—a risk factor for breast cancer. In addition to assessing racial and ethnic differences in chemical exposure, Dr. James-Todd’s research also includes identifying how pregnancy and complications that occur during this period can impact a woman’s risk of developing diabetes and cardiovascular disease.

I recently chatted with Dr. James-Todd about her work, how she got into the women’s environmental reproductive health field, and how COVID-19 has impacted her many research initiatives.

This conversation has been edited and condensed for clarity.

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Lead pipe replacement in action: New case examples highlight innovative approaches to financing, outreach, and more

Sam Lovell, Project Manager.

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See new case examples of state and local agencies, community groups, and other stakeholders tackling lead service line replacement challenges.

[/pullquote]Across the country, over 9 million homes still get their water through a lead pipe, called a lead service line (LSL). Fully replacing LSLs poses a myriad of challenges – cost chief amongst them – but replacement is critical to protecting the public from the harms posed by lead exposure. It is also a necessary step to upgrading the country’s aging water infrastructure.

To assist water systems, elected officials, health professionals, and other key stakeholders with navigating these challenges to accelerating LSL replacement, the Lead Service Line Replacement Collaborative developed an online toolkit several years ago. EDF is a founding member of the Collaborative, which now has 27 members representing public health, water utility, environmental, labor, consumer, housing, and state and local governmental organizations. The toolkit includes everything from technical replacement information to recent LSL replacement news to equity considerations.

Now, the Collaborative is featuring case examples and interviews with states, water utilities, and advocates advancing LSL replacement with innovative strategies.

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Spotlighting advocates for environmental justice: LaTricea Adams with Black Millennials for Flint

LaTricea Adams credits her background as an educator with motivating and shaping her community advocacy work. For five years, Adams taught Spanish to middle and high school students in Nashville, Tennessee.

Now, she’s the Founder Chief Executive Officer and President of Black Millennials for Flint (BM4F) – a grassroots, environmental justice and civil rights organization with the purpose of bringing like-minded organizations together to collectively take action and advocate against the crisis of lead exposure specifically in African American and Latino communities throughout the nation.

Last month, we sat down (virtually) with Adams to learn about her experience advocating for environmental justice.

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Clear communication about lead service line ownership is difficult – but here’s why it really matters

Sam Lovell, Project Manager.

Any successful initiative to replace lead service lines (LSLs) – the lead pipes connecting the water main under the street to homes – must be built on clear and consistent communications to residents. This will not only accelerate LSL replacement progress and equip people with information that impacts their health – it will also help build trust.

Many residents likely don’t even know what an LSL is, let alone that they need to take proactive steps if they want it fully replaced. In most communities, ownership of the water service line is split between the drinking water utility and the resident. Fully replacing an LSL entails removing the portions of lead pipe both on public and on private property. A partial replacement (when only one of the sides of an LSL is removed – see image below) is an issue because it can spike lead levels in the short-term and does not have the long-term benefit of reduced lead exposure seen with a full LSL replacement.

When describing LSLs and the replacement process, water systems must explain whether they are referring to the full LSL or only one of the sides, and the implications of this for the resident.

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