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 Galveston urged to do more about lead poisoning
 Isle officials are taking action, but experts say methods are being overlooked

By Alexis Grant
Houston Chronicle
June 2, 2008  

More than six months after a study showed Galveston children suffer lead poisoning at a rate nearly 10 times higher than the national average, local officials have applied for grant money, conferred with federal officials and are moving toward enforcing housing laws intended to protect children from exposure. 

But lead-poisoning experts who follow similar efforts across the country say Galveston authorities have overlooked other courses of action that should be done now, such as conducting environmental assessments at more homes of poisoned children, regulating day care centers and disclosing a list of landlords who own houses where poisoned children have lived. 

Since the Baylor College of Medicine study's release in November, 10 cases of lead poisoning in children have been reported to the Galveston County Health District. Those children, ranging in age from 2 to 8, all lived within Galveston city limits. 

"It's a large, complex problem," said Dr. Mark Guidry, chief operating officer of the health district and co-czar of the lead task force formed after the Baylor report became public. "We've gotten something done from day one of Baylor research in terms of awareness. There's a whole lot more to do." 

According to the Baylor study, one in five children on the island have high levels of lead in their blood, which can cause irreversible neurological damage. The research was based on data gathered by the health district between 1997 and 2003. 

The lead task force, made up of city and county officials as well as representatives of local organizations, expects to learn soon whether the group has won grants from the federal government and private organizations for lead education and screening of children. City officials are applying for a grant offered annually by the U.S. Department of Housing and Urban Development that can be used for lead abatement. 

"They are now competitive for some money that really was not there for them before," said Winifred Hamilton, main author of the lead report and director of environmental health at Baylor. 

County health officials also are working with other local entities and federal officials to enforce housing rules that pertain to lead. The health district recently began coordinating with Galveston's housing authority to target landlords who accept federal vouchers from low-income residents where children have tested positive for lead, Guidry said. 

Peeling paint, lead dust from paint and contaminated soil account for most of the lead-poisoning cases in Galveston. About three-quarters of housing there was built before 1978, the year lead paint was banned. 

HUD officials months ago opened an investigation into landlords on the island. Using information provided by the county health district, HUD is working to enforce a federal law that requires landlords who know there is lead on their properties to disclose that information to tenants. 

Routine tests find lead

County officials tell a landlord there is a problem when tests show a child who lives in the dwelling has a blood-lead level of at least 20 and an environmental assessor concludes it likely is due to the property. In at least 17 cases during the last three years, landlords were notified their property contains lead, Guidry said. 

Prompted by studies that show even low levels of lead can cause neurological damage and behavioral problems in children, some states and cities now conduct an environmental assessment of property to determine the source of lead when a child has a blood-lead level of 15 or 10. But in Galveston, the threshold remains 20. 

The 10 Galveston children diagnosed with lead poisoning since November all had blood-lead concentrations of at least 10 micrograms per deciliter. 

They were tested during routine visits to their pediatricians. 

"If there's no intervention until the blood-lead (level) reaches 20, that means that folks there appear to be comfortable with a child losing up to six to eight IQ points and suffering irreversible intellectual damage," said Dr. John Rosen, who oversees the lead program at Children's Hospital at Montefiore in New York City. 

Officials with Galveston's health district say they lack the resources to inspect more homes, but one of the grants they hope to win would put money toward that purpose. 

Hamilton said city regulations also are important. She suggested the City Council adopt a law requiring day care centers be tested for lead and obtain lead-free certifications. 

Her report concluded that a dozen landlords owned 20 percent of properties where poisoned children lived. Landlords not named. Galveston officials have not disclosed the names of those landlords, even though the properties still may pose a threat to children. 

Dana Wiltz-Beckham, the health district's chief epidemiologist, said health officials are not responsible for cracking down on landlords. She also said county workers lack the technical skills to extract landlords' names from the data. 

Some cities, including Baltimore, have publicly released landlords' names to encourage property cleanup. 

"Most property owners, even if they grumble about it, will (make their homes lead-free) because they know instinctively it's good business," said Ruth Ann Norton, executive director of the Coalition to End Childhood Lead Poisoning. 

The Houston Chronicle, as well as the Galveston County Daily News, requested through the Texas Public Information Act that Galveston County release data identifying owners of properties where poisoned children have lived. The county referred that request to Attorney General Greg Abbott, who ruled against disclosing it in April, citing privacy concerns for the children. 

City leaders also have discussed whether they should make landlords' names public. Galveston Assistant City Manager Lloyd Rinderer said he considered that but questioned whether it is legal in Texas. 

Property owners may have renovated dwellings since children who lived there tested positive for lead, Hamilton said. 

Chronicle reporter Chase Davis contributed to this report.

 

Kurt Koopmann
Public Information Officer
Galveston County Health District
Office (409) 938-2211
Cell  (409) 392-0007

kkoopman@gchd.org