EDF Health

Children’s lead exposure: Relative contributions of various sources

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: December 15, 2017

Tom Neltner, J.D., is Chemicals Policy Director and Dr. Ananya Roy is Health Scientist

Last week, we noted in our blog that the Environmental Protection Agency (EPA) dropped the statement that paint, dust and soil are the most common sources of lead in its “Protect Your Family from Lead in Your Home” booklet. Property owners provide this booklet to prospective homebuyers and tenants in housing built before 1978. The change implicitly recognizes that there is no safe level of lead in the children’s blood, and we must reduce all sources of lead exposure. It also acknowledges that the relative contribution of air, water, food, soil, dust, and paint to children’s blood lead levels is complicated. Exposure varies significantly based on age of the home, the child’s race and age, the family’s income-level, and region of the country. Any simplification obscures these important differences.

EPA’s scientists made this clear in a model published earlier this year that pulled together the available data, divided children into three age categories, and assigned children in each category into ten groups based on their overall lead exposure. For each group, they estimated the relative contribution of air, water, food, and soil/dust (from paint). Not surprisingly, children living in older homes with lead-based paint hazards by far have the most exposure to lead. For 1 to 6 year olds in the top 90-100 percentile, more than 70% of the lead in their blood is from soil and dust. The contribution from food is 20% and drinking water is 10%. For infants, soil and dust contributes to 50% of the lead in blood, while 40% is from water and 10% from food.

Since there is no known safe level of lead in blood, we must do even more to reduce children’s exposure to lead-contaminated soil and dust.

However, to prioritize action at a national level, it is important to understand how different sources contribute to lead exposure in the average child as well as the most-exposed child. We used the underlying EPA data to calculate the average relative source contribution of different sources to blood lead levels for infants from birth to six months old, for toddlers 1 to 2 years old, and young children from 1 to 6 years old. The results indicate that infants have a much higher source contribution of lead from water in comparison to older children (Figure 1). For the average child 1 to 6 years old, food is the largest source of lead exposure, with 50%, followed by soil/dust then water.

Read More »

Also posted in Emerging science, Health policy, Health science, Lead, Public health / Tagged , , , , , , | Read 1 Response

Pennsylvania empowers municipalities to replace lead service lines

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: December 11, 2017

[pullquote]Pennsylvania was already one of the 11 states taking proactive efforts to support LSL replacement since 2015. HB-674 expands that effort.  Check our website for what states and communities are doing. [/pullquote]Tom Neltner, J.D., is Chemicals Policy Director

In October 2017, the Pennsylvania General Assembly passed and Governor Wolf signed HB-674 which implements the State’s 2017-18 budget. Section 1719-E of the law includes a provision empowering municipal authorities to replace or remediate private water and sewer laterals if the municipality determines the work “will benefit the public health.” Read More »

Also posted in Health policy, Lead, Public health, Regulation / Tagged , , , , | Authors: / Comments are closed

Federal government updates real estate disclosure booklet to address lead in drinking water

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: December 6, 2017

Tom Neltner, J.D., is Chemicals Policy Director

In June 2017, the federal government updated the “Protect Your Family from Lead in Your Home” booklet to expand the information provided on lead in drinking water from a few lines to a full page. Since 1996, when someone rents or buys a home built before 1978, the property owner or landlord is required to provide them with a copy of this booklet. The last update to the booklet was made in 2012.

What is removed?

  • Statement that paint, dust and soil are the most common sources of lead. The new version does not make the comparison. See our September 2017 blog for the Environmental Protection Agency’s (EPA) latest estimates on sources of lead exposure.
  • Running water for 15 to 30 seconds before drinking. The new version is silent on length of time to flush water and instead highlights taking a shower, doing laundry, or doing a load of dishes as options to flush the line at the tap. The change was necessary because homes with lead service lines, the lead pipe that connects the main under the street to the home, often experience higher levels of lead after 30 seconds of flushing.

What background is added?

  • Lead pipes, faucets and fixtures are the most common sources of lead in drinking water.
  • Reminder that older homes with private wells can have lead plumbing materials too.
  • Some states or utilities offer programs that pay for water testing for residents.

What are the new recommendations?

  • Regularly clean your faucet screen (also known as an aerator).
  • If using a filter to remove lead, follow directions to learn when to change the cartridge.
  • Use only cold water to make baby formula.
  • Contact your water company to determine if your home has a lead service line and to learn about lead levels in the system’s drinking water and water testing for residents.
  • Call EPA’s Safe Drinking Water Hotline at 1-800-426-4791 for information about lead in drinking water and 1-800 424-LEAD for other questions about lead poisoning prevention.

Read More »

Also posted in Health policy, Lead, Public health, Regulation / Tagged , , , , , , , | Authors: / Comments are closed

Wisconsin on the verge of taking an important step to replacing its lead pipes

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: December 6, 2017

Tom Neltner, J.D., is Chemicals Policy Director

In 2012, Madison, Wisconsin became the first city in the country to fully eliminate its lead service lines (LSLs), the lead pipes that connect the drinking water main under the street to interior plumbing. The project to replace its 8,000 known LSLs began in 2000. The City’s effort is a model of persistence and common sense as it overcame many barriers including challenges with the Public Service Commission of Wisconsin (PSC).

The PSC blocked the use of rates paid by customers to fund replacement of lead pipes on private property. The PSC, whose mission is to ensure adequate and reasonably priced water service, was concerned that customers without LSLs would be subsidizing improvements to the property of those with LSLs. Unlike most state commissions which are responsible for utilities operated by private companies, PSC approves rates for municipal and private utilities. Eventually, Madison used a different source of funding for its $15.5 million LSL replacement program.

Currently, the Wisconsin State Legislature is on the cusp of passing legislation to remove this barrier faced by Madison and empower communities to better protect residents from lead in drinking water. SB-48, introduced by Senator Cowles (R-Green Bay) and co-sponsored by Representative Thiesfeld (R-Fond du Lac), has passed both chambers. When the legislature returns to session in January 2018, they will need to resolve a difference between the two versions regarding the maximum amount of financial assistance allowed to homeowners. To hear from both authors on the legislation, check out the webinar from the National Conference of State Legislatures regarding financing options for replacing LSLs.

With passage of the legislation, Wisconsin would be the fourth state to pass essential legislation empowering communities to replace LSLs, using rates paid by consumers, joining Indiana, and Pennsylvania. They are among 12 states that have adopted administrative or legislative policies to support community LSL replacement.  These states have an estimated 3.3 million of the nation’s 6.1 million LSLs.

Read More »

Also posted in Health policy, Lead, Public health, Regulation / Tagged , , , , , , | Authors: / Comments are closed

EPA’s latest analysis shows perchlorate risks to fetal brain development

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: November 20, 2017

Tom Neltner, J.D., is Chemicals Policy Director and Maricel Maffini, Ph.D., Consultant

Pursuant to a consent decree with the Natural Resources Defense Council (NRDC), the Environmental Protection Agency (EPA) is developing drinking water regulations to protect fetuses and young children from perchlorate, a toxic chemical that inhibits the thyroid’s ability to make the hormone T4 essential to brain development. The rulemaking is part of a long process that began in 2011 when the agency made a formal determination that Safe Drinking Water Act standards for perchlorate were needed. Under the consent decree, EPA should propose a standard by October 2018.

In the latest step in that process, EPA’s scientists released a draft report in September that, at long last, answers questions posed by its Science Advisory Board in 2013: does perchlorate exposure during the first trimester reduce production of T4 in pregnant women with low iodine consumption? Does reduction in maternal T4 levels in these women adversely affect fetal brain development? According to EPA’s scientists, the answers are Yes and Yes.

For several years, EPA and the Food and Drug Administration (FDA) have developed and refined a model that would predict the effect of different doses of perchlorate on levels of T4 in pregnant women. The latest version of the model addresses women during the first trimester, especially those with low iodine intake. This is important because iodine is essential to make T4 (the number four indicates the number of iodine atoms present in the hormone); perchlorate inhibits its transport from the blood into the thyroid. The risk of perchlorate exposure to fetuses in the first trimester is greatest because brain development starts very early and is fully dependent on maternal T4. If the mother gets insufficient iodine to offset the perchlorate inhibition, she will not produce enough T4 for the fetal brain to develop properly. When free T4 (fT4) levels are low but without increase in thyroid stimulating hormone (TSH), the condition is known as hypothyroxinemia. When T4 production is lowered further, the pituitary gland releases TSH to increase T4 production by a feedback loop mechanism.

Read More »

Also posted in Emerging science, FDA, Food, Health policy, Perchlorate, Public health, Regulation / Tagged , , , , , , , , , , | Authors: / Comments are closed

Eleven states support community lead pipe replacement with proactive policies

By Tom Neltner, Senior Director, Safer Chemicals Initiative / Published: October 16, 2017

Tom Neltner, J.D., Chemicals Policy Director and Sam Lovell, Project Specialist

The largest source of lead in drinking water is lead service lines (LSLs) – the lead pipes connecting the water main under the street to homes and other buildings. Across the country, three dozen communities, large and small, are taking steps to protect public health and respond to concerns by replacing LSLs.

States play an essential role in helping or hindering progress by communities to replace LSLs by administering EPA drinking water rules, distributing federal funded loans, and approving rates some utilities charge customers.

We identified 11 states with proactive policies supporting community efforts to replace LSLs. These states have almost 3 million LSLs based on a 2016 estimate by the American Water Works Association: just short of half the nation’s LSLs. The 11 states are making a positive difference by:

A cross section of lead pipes. Photo Credit: Georgia Health News

  • Empowering communities with grants like Wisconsin, Virginia, Vermont, and New York have done;
  • Providing options to use rate funds like Indiana and Pennsylvania have done;
  • Requiring inventories of LSLs like Illinois, California, Washington, Indiana, and Ohio have done;
  • Setting long-term goals of fully removing all LSLs like California, Washington, and Michigan have done; and
  • Helping prospective homebuyers know whether the home has an LSL.

These policies won’t ensure that all 3 million LSLs are replaced, but it takes the states one step closer to achieving the goal that in 20 years no one will be drinking water through a lead pipe.

Read More »

Also posted in Lead / Tagged , , , | Authors: / Comments are closed