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E-M:/ RE: / Meetings concerning childhood lead exposure



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Enviro-Mich message from "Rhonda Anderson" <rhonda.anderson@sierraclub.org>
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Thanks so much Christiania for the information regarding the meetings on
lead poisoning.  As serious an issue as childhood lead poisoning is
sometimes it's dismissed because of how it's understood as not an
environmental issue but a social issue.  Also recent reports indicate that
the number of children with lead poisoning has decrease.  I myself think the
study is flawed, seeing that only 1/3 of the children that are required to
be tested are ever tested. 
 

Rhonda Anderson
Environmental Justice Organizer
Sierra Club/Detroit
2727 Second Ave. rm 318
Detroit, MI 48201
313 965 0052
313 965 0053
rhonda.anderson@sierraclub.org


-----Original Message-----
From: owner-enviro-mich@great-lakes.net
[mailto:owner-enviro-mich@great-lakes.net] On Behalf Of Alex J. Sagady &
Associates
Sent: Monday, August 01, 2005 4:11 PM
To: enviro-mich@great-lakes.net
Subject: E-M:/ Meetings concerning childhood lead exposure

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Enviro-Mich message from "Alex J. Sagady & Associates" <ajs@sagady.com>
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From: "Christina Rose Bush" <BushCR@michigan.gov>
To: <ajs@sagady.com>
Subject: Lead Meeting minutes

Alex, I have not seen notification on EnviroMich regarding the Childhood
Lead Poisoning Prevention and Control Commission's meetings.  Here are the
minutes from the inaugural meeting last month.  The second meeting, as
mentioned in the minutes, occurs tomorrow (8/2), all day, at the State
Historical Library in Lansing.  There are about 15 presentors on the
schedule.  Another meeting is to be scheduled during the last week of
October.  These discussions may be of interest to those who use EnviroMich -
please post.  Please let me know if I can be of further assistance.

Christina Bush, Toxicologist
Michigan Department of Community Health
Division of Environmental and 
  Occupational Epidemiology
Toxicology and Response Section
P.O. Box 30195
Lansing, MI  48909

BUSHCR@michigan.gov
www.michigan.gov/mdch-toxics
V (517) 335-9717
Toll Free 1-(800) 648-6942 ("MI TOXIC")
F (517) 335-9775

"The good you do today, will often be forgotten.
Do good anyway.
Give the best you have, and it will never be enough.
Give your best anyway."
- from The Paradoxical Commandments


CHILDHOOD LEAD POISONING 
PREVENTION AND CONTROL COMMISSION

COMMISSION MEETING 
June 29, 2005
1:00 ? 4:30 p.m. 
Hampton Inn
2200 Hampton Place, Okemos,  MI  48864 
CONFERENCE ROOM A  
MINUTES 

Commission Chairperson Kimberlydawn Wisdom called the meeting to order at
1:05 p.m.

COMMISSIONERS PRESENT
Carole Ann Beaman Ph.D, LLP
Denise O. Chambers
Bruce C. Jeffries
Clay Powell
Robert D. Sills
Laurel R. Sproul
Kimberlydawn Wisdom, M.D., M.S.

COMMISSIONERS ABSENT
Joan Dyer
Daryl K. Gallant


INVITED GUESTS
Mary Scoblic, MDCH - Infant and Child Health Unit
Wesley Priem, MDCH ? Lead Hazard Remediation Program
Sue Moran, MDCH ? Medical Service Administration (Medicaid)
Sharon Hudson, MDCH ? Childhood Lead Poisoning Prevention Program
Robert Scott, MDCH ? Childhood Lead Poisoning Prevention Program

STAFF
        Donna Strugar-Fritsch
        Amy Wiles

PUBLIC
Jane Nickert, MDCH
Christina Bush, MDCH
Deb Behringer, MDCH

WELCOME AND INTRODUCTIONS                        
This being the first meeting of the Commission, Commissioners and guests
introduced themselves and their affiliations.

COMMISSION CHARGE AND MISSION, ROLES, BYLAWS, WORK PLAN         
1.      Commissioners reviewed their legislative charge, and a draft mission
statement and description of duties.  
Motion:  Denise Chambers, that the Commission adopt the mission statement
and duties as presented.
Second:  Clay Powell
Motion passed with unanimous approval.
Document is attached.

2.      Commissioners reviewed draft bylaws, prepared in cooperation with
the Michigan Office of the Attorney General, which establish Commission
operations in compliance with the Open Meetings Act. 
Motion:  Laurel Sproul, that the Commission adopt the bylaws as presented.
Second:  Carole Ann Beaman
Motion passed with unanimous approval.
Document is attached.

3.      Commissioners reviewed a draft workplan.  Discussion about the
location of the public hearings took place, and commissioners agreed by
consensus that the location of the second hearing would consider the
geographic representation at the first hearing in Lansing.
Motion:  Bruce Jeffries, that the Commission adopt the work plan as
presented.
Second:  Robert Sills
Motion passed with unanimous approval.
Document is attached.
  
UNDERSTANDING LEAD POISONING
In order to establish a common vocabulary and familiarity with the issues
surrounding childhood lead poisoning, Commissioners were briefed in a
presentation by Amy Wiles and additional information provided by key MDCH
staff.  Commissioners asked for clarification as to the definition of lead
?poisoning,? with respect to the blood levels and the authority for defining
the level deemed as ?poisoned.?  Commissioners also agreed that a glossary
of common terms related to lead poisoning would be useful.  Staff will
prepare a glossary.  
Other key points addressed in discussion included:
§       Lead crosses the placenta at very low levels, but screening for lead
exposure is not part of clinical protocols for routine prenatal care. 
§       Due to the age of housing and distribution of populations in of
poverty, 50% of Michigan zip codes are considered at risk for childhood lead
poisoning.  Thirteen communities have been the targets of MDCH efforts.  
§       The University of Michigan is currently conducting focus groups with
providers to identify attitudes, practice and barriers to testing children
for lead.  

UNDERSTANDING THE PUBLIC INFRASTRUCTURE TO PREVENT AND TREAT LEAD POISONING
To establish comprehensive awareness of the numerous components of the
governmental infrastructure related to lead poisoning prevention and
control, selected Commissioners and guests were asked to provide the
Commission with an overview of their current objectives, funding, programs
and program performance related to lead poisoning.  Presenters were also
asked to speak to the barriers they face in accomplishing their objectives,
and strategies to remove those barriers.  

Medicaid and Testing Children for Lead:  Susan Moran, Bureau Director,
presented the MDCH Medical Service Administration (Medicaid) objectives with
respect to testing Medicaid children for lead poisoning.  Under PA 55, 2004,
MDCH is charged to achieve a lead testing level among children under age 6
at a minimum of 80% by October 2007.  She highlighted strategies used in
contracting with Medicaid Health Plans to increase lead testing, and noted
significant progress in each plan.  Barriers noted include:

§       Missed opportunities to test children in emergency rooms and other
treatment sites
§       The challenges of the ?churning? of children into and out of
Medicaid 
§       Lack of agreement within the provider community regarding the need
to screen versus test for lead
§       Serious systemic challenges of impacting services delivered to
children in the Medicaid Fee for Service population.

County Department of Human Services:  Denise Chambers, County Director,
Department of Human Services, reported that the Michigan Department of Human
Service (DHS) and its county offices have not charge, no programs, and no
funding to address childhood lead poisoning.  However, DHS offices are
pivotal in providing housing assistance, placement and funding, to families
with small children, and are therefore an available agent to direct families
to lead-safe housing.  She described implementation under her direction in
Genesee County of a mandatory ?safe housing checklist? which must be
completed before funds for housing are dispensed.  It includes evidence of
lead safety.  She also described an initiative to maintain second grade
children in a stable residence for two years, in order to increase MEAP
scores.  This initiative also required that the housing be lead safe.    
Chambers also noted that DHS licenses day care programs and foster care, but
lead safety of is not a component of those processes. 


Department of Environmental Quality:  Robert Sills, Toxicologist Specialist,
presented DEQ?s major initiatives to address lead contamination in air,
water and soil.  He noted that strong public concern frequently accompanies
any industrial proposals that contain a lead emission component.  Sills
noted that extensive investigation and remediation of lead smelting sites in
the Detroit area had been underway since the state?s ?Call to Action? report
of July 2003, but that current funding is insufficient to continue progress
at desirable levels.

Michigan State Housing Development Authority:  Bruce Jeffries, Environmental
Review Officer, presented MSHDA objectives and programs to address lead safe
housing.  Programs within the agency are coordinated to comply with federal
standards for lead hazard.  Funds are provided for grantee sand contractors
to become certified in a variety of capacities related to the assessment and
remediation of lead hazard.  MSHDA is also working closely with MDCH to
develop the Lead Safe Housing Registry required by PA 433, 2004.  Jeffries
noted major barriers in MSHDA?s efforts:

§       New state rules that establish lead hazard standards different from
and more stringent that federal standards, around which the agency is
organized. 
§       New state rules that mandate significantly increased oversight and
reporting, which MSHDA believes detract from its resources for direct
abatement. 
§       Lack of cooperation between stakeholders, especially within state
government, with respect to science-based protocols and agreed-upon targets
and objectives. 
§       The need for further study of soil lead loads and correlation
between soil lead and interior lead dust.

Childhood Lead Prevention Program:  Mary Scoblic, Manager, Infant and Child
Health Unit, presented MDCH objectives under the Childhood Lead Poisoning
Prevention Program (CLPPP), the resources allocated, and the major programs
involved.  CLPPP funds nine communities to identify children who are lead
poisoned, and assure follow up and case management.  CLPPP is also charged
with increasing testing percentages, developing prevention plans,
participating in coalition-building activities, and education the public and
professionals.  
Since the Call to Action report and the activities of the Task Force,
organization and programming around childhood lead poisoning prevention and
control have strengthened significantly.  Major barriers cited by Scoblic
relate to the adequacy and sustainability of funding to carry out the
activities that have been identified as high priority.  Other barriers
include:

§       Lack of awareness among parents, providers and the public about the
vulnerability of young children to lead poisoning
§       Lack of planning both within and across state agencies related to
lead poisoning, and the leadership to create a framework for joint planning.

Lead Hazard Remediation Program:  Wesley Priem, LHRP Program Manager,
presented MDCH objectives under the Lead Hazard Remediation Program (LHRP),
the resources allocated and the major programs involved.  
Primarily funded by the US Department of Housing and Urban Development (HUD)
to remediate lead in homes, LHRP has remediated about 1,175 homes.  LHRP
also conducts outreach and education to real estate and building contractors
and trade associations.  LHRP is charged under PA 433, 2004 to create the
Lead Safe Housing Registry, which is currently under development.  Priem
cites major barriers to LHRP objectives as:

§       Inadequate attention to lead safety within real estate transactions
§       The complexity of the network of resources available to families,
which makes it difficult for families to access and navigate lead
remediation resources
§       Lack or funding available for families to remediate properties
§       Under-developed local strategies to use the authority of PA 434,
2004 to prosecute delinquent landlords who rent homes that knowingly contain
lead hazards.

Discussion:     Commissioners discussed opportunities to enhance the public
infrastructure that came to light through the presentations.  Possible
strategies include:

§       Common definitions of hazard levels across departments
§       Vigorous publicity of Lead Safe Housing Registry upon its completion
§       Identification of new revenue streams to support current and future
activities                          
§       Engaging state and local DHS agencies in supporting lead-safe
housing
§       Replication of successful community initiatives such as the Genesee
County housing check list, the effort of Wayne county prosecutors to effect
landlord practices
§       Simplification of the continuum of services and resources available
to families, and navigation support to families
§       Promotion of the cost-benefit of lead poisoning prevention

§       Empowerment of families to demand testing of young children
§       Possible use of ?medically mandated loans? through MSHDA
§       Possible use of elevated blood lead levels as qualification for
?emergency relief? under DHS programs
§       Enhanced engagement of local public health departments in EBLL
investigations
§       Possible federal match available for MSHDA taxable bond revenue

PUBLIC HEARING
Staff presented an overview of plans for the first public hearing.  Under PA
431, 2004, 36 organizations are named as invitees.  Commissioners decided by
consensus to hold the hearing on August 2, with both morning and afternoon
sessions.  The end time will be posted as 3:00 p.m. but Commissioners will
be prepared to stay later if required.  Staff will proceed with preparation
of hearing notice, invitations, press release, and other logistics.
Commissioners Laurel Sproul and Clay Powell volunteered to review and
comment on draft procedures for the hearing itself.  Chairperson Wisdom
encouraged all Commissioners to plan to attend the hearing.   
It was also noted that October 23-29 is Lead Poisoning Prevention Week, and
it was decided to hold the second public hearing during that week.
Commissioner Beamon volunteered to work with staff to maximize exposure of
the Commission?s efforts during this week.

NEXT STEPS                                                      
Staff will conduct the following steps prior to the next meeting:

§       Launch a website for the Commission, posting members, documents and
records, etc.
§       Prepare minutes in accordance with the Open Meetings Act
§       Investigate status of development of a public trust for funding
§       Set a date for the next Commission meeting in January 2006
§       Update the two Commissioners who could not attend today?s meeting
Commissioners will conduct the following steps:

§       Attend Public Hearing August 2
§       Submit questions and requests for additional information to staff
§       Submit travel reimbursement requests forms if desired

PUBLIC COMMENT  
Public comment was invited and none was made.

ADJOURNMENT 
Chairperson Wisdom adjourned the meeting at 4:45 p.m.


__________________________
Donna Strugar-Fritsch
Facilitator




Childhood Lead Poisoning 
Prevention and Control Commission


The following is the charge to the Childhood Lead Poisoning Prevention and
Control Commission, as enacted in Public Act 400 of 2004.

(1) The commission shall study the environmental threats of lead poisoning
to children's health, review this state's lead poisoning prevention program,
evaluate the effectiveness of that program, including, but not limited to,
the ability of the program to satisfy federal law requirements that 100% of
all young children enrolled in Medicaid shall be screened with a blood lead
test, and make recommendations for improvements to that program.

(2) The commission shall consider all information received from its public
hearings, review information from other sources, and study the experiences
of other states. The commission shall develop short- and long-range
strategic recommendations for childhood lead poisoning prevention and
control in this state. The recommendations shall include, but are not
limited to, strategies to:
(a) Enhance public and professional awareness of lead poisoning as a child
health emergency.
(b) Significantly increase blood lead testing rates for young children.
(c) Eliminate or manage the sources of lead poisoning, especially focusing
on lead-based paint in aged housing.
(d) Assure state interagency as well as public and private cooperation and
communication regarding resolution of this complex environmental and public
health problem.

(3) The childhood lead poisoning prevention and control commission shall
submit a written report of its findings, including the recommendations under
subsection (2), to the governor and the legislature by March 31, 2005 and
annually thereafter by March 31 of each year. A representative of the
department of community health shall provide testimony summarizing the
findings and recommendations of the commission to the standing committees of
the senate and house of representatives with jurisdiction over issues
pertaining to public health and children.

Childhood Lead Poisoning 
Prevention and Control Commission
MISSION 

The mission of the Commission is to:

o       Maximize the effectiveness of Michigan?s public infrastructure; 
o       Mobilize and enable the private sector infrastructure; and
o       Integrate the capacity and effects of the public and private sector
strategies, 
in order to prevent and control childhood lead poisoning through public
awareness, screening, testing and treatment of lead poisoned children, and
prevention and remediation of lead hazards.






Childhood Lead Poisoning 
Prevention and Control Commission
Duties and Responsibilities

Commissioners shall:

o       Prepare for, attend and fully participate in all meetings.
o       Apply professional expertise and resources to the Commission?s
efforts, in order to advance the Commission?s mission.
o       Conduct activities on the Commission?s behalf, as requested.


CHILDHOOD LEAD POISONING 
PREVENTION AND CONTROL COMMISSION 
BYLAWS 

ARTICLE I               PREAMBLE
The Childhood Lead Poisoning Prevention and Control Commission is created by
Public Act 431 of 2004, MCL 333.5474a of the Public Health Code, which
establishes the Commission and enumerates its members.   

ARTICLE II              GENERAL DUTIES
The duties of the Childhood Lead Poisoning Prevention and Control Commission
are enumerated in Public Act 400 of 2004, MCL 333.5474c of the Public Health
Code.  

ARTICLE III             OFFICERS
The Chairperson shall be the Commissioner appointed to represent the
Michigan Department of Community Health, as required in Public Act 431 of
2004.  The Chairperson is authorized to call, conduct, and direct meetings,
call votes, and represent the Commission to the Governor and the
legislature. 

A Vice Chairperson shall be elected by the Commissioners and shall hold that
office for the Commission?s duration or until he or she resigns from the
Commission.  The Vice Chairperson shall have the authority to chair meetings
in the absence of the Chairperson, and to conduct other Commission business
as directed by the Chairperson or if a Chairperson is not in office.

ARTICLE IV              MEETINGS OF THE COMMISSION
Section A  Quorum

One half of the Commissioner members appointed and serving shall constitute
a quorum. 

Teleconferencing shall be allowed in accordance with the Open Meetings Act.
Upon approval of the Chairperson, Commission members may appear at a meeting
via electronic device, including speaker phone or interactive television,
provided that a quorum is present at the meeting site and all individuals
attending the meeting can hear, and be heard by, the Commission member(s)
attending via electronic device.

Section B  Decision-Making
The Commission shall operate by consensus in developing its recommendations.
The Chair will call for votes when he/she deems it necessary, and will
determine whether the approval of the question called shall require a simple
majority of Commissioners present, or shall be placed before all members.

In preparing the Commission?s recommendations, any Commissioner with a
dissenting opinion on a recommendation may request that opinion be expressed
in the recommendation, and the Commission will honor that request.

ARTICLE V               COMPLIANCE WITH OPEN MEETINGS ACT
The Childhood Lead Poisoning Prevention and Control Commission shall adhere
to the provisions of the Michigan Open Meetings Act, Public Act 267 of 1976,
as amended.

ARTICLE VI              RECORDS
The Chairperson shall delegate staff of the Michigan Department of Community
Health or its contracted facilitator the responsibility to produce written
records of the Commission?s actions and recommendations.  All records will
be presented to the Commission for approval before being deemed final. 


Approved by Vote 
June 29, 2005


CHILDHOOD LEAD POISONING PREVENTION AND CONTROL COMMISSION 

WORK PLAN


June 29                 INAUGURAL COMMISSION MEETING

Early August            PUBLIC HEARING #1 IN LANSING


Early September PRODUCE WRITE-UP AND SUMMARY OF HEARING #1

Funding is only guaranteed through 9/30/05 
Additional activities contingent on FY 06 funds

Mid-November    PUBLIC HEARING # 2 to validate findings from hearing 
#1, add geographic issues, and address FY 06 budget environment 
from private sector perspective

Year End                PRODUCE WRITE-UP AND SUMMARY OF HEARING #2


January         COMMISSION MEETING
Review public hearing input
                        Round out private sector information
                        Identify short and long-term strategic
recommendations

February                Produce Draft Annual Report & Strategic
Recommendations
                        Comments via conference call or email or
subcommittee

March 30                Finalize Annual Report & Strategic Recommendations,
submit to 
Legislature




==========================================
Alex J. Sagady & Associates        http://www.sagady.com

Environmental Enforcement, Permit/Technical Review, Public Policy, 
Evidence Review and Litigation Investigation on Air, Water and 
Waste/Community Environmental and Resource Protection
Prospectus at:  http://www.sagady.com/sagady.pdf 

PO Box 39,  East Lansing, MI  48826-0039  
(517) 332-6971; (517) 332-8987 (fax); ajs@sagady.com
========================================== 



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