HomeMy WebLinkAbout20181126.tiffRESOLUTION
RE: APPROVE SUPPLEMENTAL ENVIRONMENTAL PROJECT (SEP) GRANT
APPLICATION FOR LEAD HAZARD CONTROL AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Supplemental Environmental Project
(SEP) Grant Application for Lead Hazard Control from the County of Weld, State of Colorado, by
and through the Board of County Commissioners of Weld County, on behalf of the Department of
Public Health and Environment, to the Colorado Department of Public Health and Environment,
commencing August 6, 2018, and ending August 6, 2021, with further terms and conditions being
as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Supplemental Environmental Project (SEP) Grant Application for Lead
Hazard Control from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Public Health and Environment,
to the Colorado Department of Public Health and Environment, be and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application, and the Weld County Department of Public Health and Environment, is
authorized to electronically submit.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 9th day of April, A.D., 2018.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dadigov ,i1
St a Moreno, Chair
Weld County Clerk to the Board
BY:
Deputy Clerk to the
ounty Attorney
Date of signature: 05-0-/8
c.c HLCOe.), a.c1-c3C)
05-Dy-iB
2018-1126
HL0050
Appendix A:
Supplemental Environmental Project
APPLICATION COVER SHEET
Project Title: Lead Hazard Control in Weld County
Organization: Weld County Government (Weld County Department of Public Health and Environment)
Address: 1150 O Street
City, State, Zip: Greeley, CO 80632
Email Address: smoreno@weldgov.com
Phone Number:
Fax Number:
Website
Address:
www.weldgov.com
970.400.4200
970.304.6497
Federal Tax Identification Number: 84-6000813
Legal Tax Status (check one):
Nonprofit* _X_Governmental Entity/School
*If nonprofit, you must attach a copy of your IRS tax exempt letter to this SEP Application
By signing and submitting this application, the applicant agrees to operate the program as described in the SEP Application and
in accordance with the department's SEP Policy. The applicant agrees that the information provided in this application is, to
the best of the applicant's knowledge and based on reasonable inquiry, true, accurate, and complete. The applicant
understands that knowingly submitting any false information on this application could result in the project not being
considered for funding or voiding any current or future contracts with the department of Public Health and Environment.
Steve Moreno
Print name of Authorized Official:
Signature of Authorized Official:
*Please insert electronic signature
into the box on the right
Date: April 9, 2018
Title: Chair, Board of County Commissioners
Project Manager or Main Protect Contact:
Name: Mark E. Wallace, MD, MPH Title: Executive Director and Chief Health Officer
Address: 1555 North 17th Ave, Greeley, CO 80631 Email: mwallace@weldgov.com
Phone: 970.304.6410
Total Amount of SEP Funds Requested: $423,500
Total Matching/In-Kind Contributions: $58,902
Total Project Cost: $482,402
Page 1 of 8
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Sup
p
ementS EnvfronImenta
APPLICATION FORM
�*fleet
Tic
Weld
County
Lead Hazard
Control
Project
The
areas
to
benefit most directly
from
the
proposed
Lead
Hazard Control
Project are those
along
the
Highway
85 corridor
in Weld
County,
especially
the
southern
section,
depicted
in
three census tract maps
(provided
in Appendices)
produced
by GIS
epidemiologist
Kevin
Berg
Area
Ge'.3
ra
P.
��
���e�fi���
Benefit
h cal
of
elevated
the
Colorado
risk
indices,
Department
testing
of
rates,
Public
and
Health
areas
and
with
Environment
high
(CDPHE).
percentages
of
tested
The
map
children
s show
under
Fro
mtargeted
�r,�e��
6 with
blood
lead
levels
(BLL)
≥5 ug/dL.
Directing
lead
hazard
control
resources to these
geographic
areas as well
as to
the
homes of
children
already
afflicted
with
elevated
BLLs
will
affect
the
current and
future
health
of
the
children,
as well
as assure the
properties
with
deteriorating
paint
are remediated
for the
long
term,
for current and
future
residents.
Pollution
Prevention
Env
C to
1
He SEP
iry
Environmental
Restoration and
Protection
x
Environmental
Education
There
is no
known identified
safe
BLL
in children,
and
elevated
BLLs
disproportionately
affect
the
poor, minorities,
and
recent immigrants'. Elevated
BLL
in children
under 6 can cause
harm to almost every system in the
body, including
the
brain, resulting
in speech,
behavior
and
learning
problems,
among other
health
issues'. While
lead
-based
paint
has
been
banned
for
home use since 1978, because of the
gravity of
hazard
it
poses, children
nationwide
are
exposed
to lead
in older
homes through
deteriorating
lead
-based
paint in the
form of
chips
and dust.
Project
To
help
Weld
County children
who
are under
the
age of
6,
have been exposed
to
lead
and
Summary
have BLLs
≥5 ug/dL,
or who
are at
high
risk
due
to
home age or other
g
factors,
the
County
requests
funding
of a lead
hazard
control
program through
this
SEP
opportunity.
Funding
would
provide
outreach
to
at -risk
children/families
as well
as assessment
and control
of lead
exposure
in a minimum of
20
homes. Weld
County also
requests
funding
for updated
lab
equipment
(ICP-MS)
to assist
schools
in meeting
the
requirement
of
HB
17-1306
to
test
drinking
water and
food
service outlets
for
the
presence of
lead.
Page 2 of 8
Problem Statement:
Lead -based paint has been banned for home use since 1978, but millions of children in the
United States continue to be exposed to environmental lead due to deteriorating paint or
paint dust in their home's interior or its exterior'. There can be many sources of lead in a
child's environment (solder, folk medicines, imported candies, toys, water, etc.), but lead -
based paint continues to be the most frequent cause of elevated BLLs in children2. Lead
poisoning is preventable through control of the environment in which a child spends time,
but prolonged exposure to lead can produce system -wide harm to a growing child's body,
including damage to the brain and nervous system, slowed growth and development,
learning and behavior problems, and hearing and speech problems'.
The Centers for Disease Control and Prevention (CDC) state that children under the age of 6
with BLLs of ≥5 µ.g/dL require care and case management, which includes identification and
control of the lead hazards in that child's environment3. Due to financial constraints, Weld
County has been able to investigate and provide case management only for cases with BLLs
of ≥10 µg/dL. As well, there has been no funding to assist with mitigation or abatement of
the hazard. The problem was identified, but the family had only their own resources for
controlling it. The purpose of this proposal is to provide a monetary resource for these
families to fix the problems that exist in their dwellings. The proposal also requests a new
piece of laboratory equipment for our regional Environmental Health Lab to facilitate easy
and inexpensive water testing for lead for the public, schools, and other entities, such as
child care centers, where children spend a great deal of their time.
'roject
scr pt5on
Two legislative changes took place in 2017, increasing Weld County's desire to play a greater
role in controlling this hazard for its citizens. Without the resources provided by this SEP
funding, however, we will be unable to do so.
First, House Bill 17-1306 passed, setting a goal for all public schools to test all drinking water
and food service faucets for lead by June 30, 2020. The bill includes funding for schools to
conduct testing and perform administrative duties, but not to labs who conduct the
analyses. Weld County has >40 schools in a 4,000 -square mile territory. This could greatly
increase the number of samples that our laboratory is asked to process. Secondly, the
Colorado Board of Health adopted revisions to Rule 6 CCR 1009-8, concerning the Detection,
Monitoring, and Investigation of Environmental and Chronic Diseases. The revisions were
effective on January 14, 2018. Colorado's reference levels and time frames for reporting
elevated specimen values now match the CDC's5. Most importantly, in the past, Weld County
has initiated investigations at BLLs of ≥10 ug/dL rather than the CDC's level of ≥5 ug/dL due
to limited resources. With SEP funding to cover updated laboratory equipment and to
provide abatement resources, Weld County will commit to providing existing staff to
investigate and case manage the additional cases produced by this change.
Goals and Objective s:
1. Provide targeted outreach and education related to the hazards associated with
exposure to lead.
a. Utilize census tract maps created by the Colorado Department of Public Health
and Environment (CDPHE) to perform outreach to areas in Weld County with
highest exposure risk, lowest testing rates, and number of children with elevated
BLL test results. Areas of greatest risk lie along the Highway 85 corridor. The
census tract maps are located in the Appendices.
Page 3 of S
2. Investigate and manage cases of elevated BLL in children under the age of 6 using
the CDC -recommended, and Colorado Board of Health -adopted, level of≥5 ug/dL
rather than the ≥10 ug/dL level, and the CDC's case management guidelines6.
a. Maintain a certified lead investigator/risk assessor on the Environmental Health
Services (EHS) staff to carry out the environmental investigation and to do
clearance inspections once abatement or other control measures are complete.
b. Provide case management for each case reported to us from CDPHE using
existing staff from the Community Health Services division of WCDPHE.
3. Assess and control the lead hazard in a minimum of 20 homes utilizing
Environmental Protection Agency (EPA) standards/requirements:
a. Utilize an EHS staff member (certified lead investigator and risk assessor) to
investigate and assess hazards and provide acceptable solutions.
b. Utilize certified lead -safe renovators to perform abatement work, with a limit of
$8,500 per home.
i. Renovators must comply with the EPA Lead Renovation, Repair, and Painting
Rule'.
c. Homes of children with a BLL of ≥10 µg/dL are top priority for services; homes of
children with a prolonged BLL of ≥5 ug/dL but <10 µg/dL will also be considered
a priority. Third in priority would be home -based child care dwellings meeting
the criteria in (d) below.
d. The following criteria will be used to accept homes into the program, absent an
elevated BLL:
® Built prior to 1978
• Contains deteriorated lead -based paint or high lead dust levels
• Houses a child under the age of six at least 20 hours per week
• Residents earn at or below 80 percent of the area's median income
e. Assist in mitigation of hazards other than lead -based paint as the source of
exposure', for example:
i. Parents' occupation(s), e.g., oil/gas industry, welder, etc.
ii. Certain folk remedies, medicines, and candies
iii. Certain toys and jewelry
iv. Water and other sources
4. Provide inexpensive, rapid drinking water tests for lead, for the public as well as
schools and other entities such as child care centers.
a. Replace the nearly obsolete GFAA (graphite furnace atomic absorption) currently
used to test lead samples with a PerkinElmer ion -coupled plasma -mass
spectrometer (ICP-MS). The GFAA will be unable to meet future demands
considering the passage of HB 17-1306 and the growth of Weld County.
i. The GFAA runs one sample and one element at a time. An ICP-MS performs
simultaneous multi -parameter analyses and at lower detection limits.
b. Decrease the cost of a drinking water lead test for targeted by 20%. Provide lead
tests for public schools at no cost. Provide lead tests for child care centers and
day care homes at no cost. This would be possible through the increased testing
throughput of the ICP-MS as well as the decrease in staff time needed to process
the tests, and the savings to the County of having the ICP-MS paid for through
SEP funding.
Page 4 of 8
The cost to a child who has become lead -poisoned is catastrophic and the damage, once it
occurs, is irreversible, leading to a lifelong struggle to address various health issues. Studies
and cost benefit analyses point to a societal cost, as well, particularly at a BLL of ≥10 µg/dL.
Children may suffer diminished IQ, stunting of growth, behavioral problems, increased need
for special education, reduced likelihood of graduating from high school or college (leading to
lower lifetime earnings), and a greater likelihood of engaging in criminal behavior'.
Expected
Environmental
or Pubic
eh
ProV=ctk •n
nd
mprtveoent
Conservative estimates regarding the cost benefit of lead reduction measures nationally were
provided by Elise Gould in 2009'. Her calculations are based on lead paint hazard control only
and for children in the U.S. with BLLs ≥10 µg/dL. She found that every dollar invested in lead
hazard control resulted in a return of 517-221. She used control expenditures of $1.2 to $11.0
billion. Savings were figured by Gould as follows, for a total of $181 to $269 billion:
1. Medical treatment cost: $11-$53 billion
2. Lost earnings (lower IQ and cognitive impairment): 5165-233 billion
3. Tax revenue loss: $25-$35 billion
4. Special education cost: $30-$146 million
5. Lead -linked ADHD costs: $267 million
6. Criminal activity costs: $1.7 billion
The costs above are based on methods described in the article referenced. However, using
even the conservative $17 return rate, the $482,402 total cost of this proposal (SEP plus In -
Kind Funds) for hazard control and lab equipment would yield a return of $8,200,834 in health
care, economic, and societal cost savings.
Project
Ealuatoon
and
Measurabk
Results
Project Evaluation Methods:
This project will have measurable results due to the scheduled testing of BLLs in affected
children, as well as the environmental assessment during which specific measurements are
taken both pre- and post -intervention.
1. Children referred to the WCDPHE Lead Hazard Control Program will have already been
proven to have an elevated BLL of ≥5 ug/dL. Interventions will be offered as detailed
below. Investigations be performed for children with elevated BLLs whose
parents/guardians don't meet the income qualifier, but no mitigation funding will be
offered:
a. Case management will be initiated by Community Health Services, with the goal
of decreasing the BLL of a diagnosed child to below 5 ug/dL. Venous BLLs will be
drawn according to CDC protocol to track progress.
b. Environmental investigations will be performed by EHS staff, and hazard control
initiated by a certified lead renovator, or through other means if the hazard is not
related to deteriorating lead -based paint. Areas of exposure will be assessed for
appropriate control measures. Completed work must meet post -intervention
testing according to EPA standards. Pre- and post -measurements will be made
utilizing various methods (XRF, surface swabs, air testing, etc.). The goal is a safe
environment according to EPA requirements.
c. EHS will send reports to tenants (parents/guardians), owners/management
companies, and physicians.
2. Water testing completed by the WCDPHE lab for schools, child care centers, and the
public will be reported out as testing is performed. Test results will be provided to
regulatory authorities as well as the other entities involved.
Page 5 of
Weld
Health
County's
and
Environment
Lead
Hazard
has
Control
feasibility
Project,
of
successful
proposed
implementation
through
the
Department
for the
following
of
reasons:
Public
1. Staff
resources exist within
WCDPHE
to
carry out
the investigations
and case
management.
WCDPHE
will
commit to training
a staff
member (Lab
or
EHS)
as a
certified
lead
inspector/risk
assessor. Two
current employees
have
past experience.
2. A letter
of
support
for the
SEP
funding
has been submitted
by the
Environmental
Epidemiology,
Occupational
Health,
and
Toxicology
Branch
of
CDPHE
(see appendix).
There
are no other
similar
programs available
in Weld
County. WCDPHE
will
partner
with
CDPHE,
CDPHE
Lead Services, and
the
EPA
Region 8 staff
to administrate
and
implement
this
program, if
funded.
implementatit
Feasibility
Successful
of
3.
lead
Permits
abatement
and
approvals
pp
work.
will
be the
responsibility
p
Y of
the
renovators
who
perform
the
4.
The City and
County of
Denver reported
that their
biggest
barrier to success was their
initial
marketing
strategy
and
finding
suitable
projects. Weld
County
has the
assurance of support
from
the
Denver
Lead
Program, the
CDPHE
Lead
Program, and
the
EPA
Region 8 staff
in implementing
ours. They
will
assist
us in strategizing
through
any
barriers that
arise
based
on
past experience
with
other
programs and
jurisdictions.
5.
The addition
of
up-to-date
equipment
(PerkinElmer
lCP-MS)
will
allow
the
laboratory
to assist
in meeting water testing
requests
at a greatly
increased
level,
and at
a lower
cost,
for many years to come.
This
enables
our
partnership
with
the community on the
issue of
lead
hazard control.
Following
the
success of this
pilot
expansion,
the
County
will
apply
for a
HUD
grant to conduct
the
same type
of
program on a larger
scale.
Matching
Budget
Description
SEP
Cost
or
in -kind
Total
Category
Funds
C •.Yst
;;ant{R: Yt'vMlttF��fJ,rLLiq??at
gd�tr' ' r i�.��.�xrt"'1.+�BI1ffiT:E5 l La, �I''ikty..�l�tf 4 '.u....-_
_�i�L� '�8. IIk��S��.�'k�1�1-
,d�tItJ1TJL�it._.:l
` `-�_'�-�'�ifE��7ifa1'aa0
,
i'�`J`3s�`.�S'�'-" w
�-A F.Y. �1II i+'F
3-yr estimate approx.
Personnel
0.18FTE/year;
salaries/fringe,
2 EH
$48,097
$48,097
(Salaries,
Wages)
spec
@0.06FTE
ea;
1 RN
@0.05FTE;
1
EH
Supery
@ 0.01
FTE
Materials
and
Tests
sent
to other
labs
(soil,
dust,
Supplies
etc.)
for
and
paint
consumables
dust,
soil,
such
etc.
as vials
$3,600
$3,600
Project
Bud:et
Equipment
Major
ICP-MS,
shipping,
inc.
fabrication,
extended
warranty
installation
$215,000
$215,000
Contractors/
Certified
Renovators
for
Subcontractors
Abatement (minimum 20
homes)
$170,000
$170,000
Training certified
Other
Direct
inspector/assessor
$950
$950
Costs
Mileage
and
lodging
$900
$900
Indirect
Costs
(limited to no
$38,500
$5,355
$43,855
more than
10%)
T
,tal:
$423,500
$58,902
$482,402
Page 6 of 8
Budget
Discussion
Colorado
to
agreement
Niton
average
of
The
at
WCDPHE
all
$19,500
Denver,
project
without
XRF
expenditure
will
Childhood
with
recipient
for
CDPHE
is
scalable
the
commit
personnel,
which
funding
has
Lead
of
staff
to
per
up
with
a
home
Poisoning
perform
HUD
as
for
time
supplies,
far
the
the
grant
to
with
as
CDC
funding
ICP-MS
surface
this
Prevention
operating
abatement
for
(CDC-RFA-EH14-1408PPHF14).
project,
the
equipment
and
for
same
homes
expenses,
lead
Program.
beyond
needs
purpose
paint
to
for
was
that
be
the
Weld
and
assessments.
abated
obtained
but
Laboratory.
funded
travel,
County
on
for
a
through
from
larger
by
The
lead,
CDPHE
may
County
Our
the
scale
but
be
the
figure
reimbursed
City
it
as
(130
is
cooperative
also
and
part
not
of
owns
$8,500
County
homes).
doable
of
the
up
a
v
Schedide/
Pr*jest
or
Man
Activities
Staff
Respo�
MbDe
tate
Certified
Lead
Inspector/
Assessor
Training
Lila
Chang/Rebecca
Kuhnel
9/2018
Installation
of
ICP-MS
Jeff
Lowry, Carly
Ruble
9/2018
Create application
to
be used for
program
Gabri
Vergara
9/2018
Create contract for
renovators
Frank
Haug
9/2018
Outreach
for assessment,
to targeted
management
areas, cases,
& abatement
providers,
EHS
and
CHS
10/2018,ongoing
on oing
Outreach
accommodate
to schools
lead
alerting them
testing
that
water
samples
Lab
can
Casey Vogt
10/2018,
ongoing
6 -month
report
due
Debra
Adamson
January 2019
12 -month
report
due
Debra Adamson
August 2019
18 -month
report
due
Debra
Adamson
January 2020
24 -month
report
due
Debra
Adamson
August 2020
30 -month
report
due
Debra Adamson
January 2021
Final
report
due
Debra Adamson
August 6, 2021
Quallifications
Experience
End
trained
five
increased
registered
investigations,
and
implement
Weld
carry
equipment
The
One
of
funding
County's
out
people,
case
conducted
Asbestos
family
the
management
and
submission
nurses.
structures,
SEP
including
proposed
Programs.
physician.
Department
capable
and
lead
funding
Environmental
two
investigations
a
of
particularly
staff
project.
dedicated
of
received.
of
water
The
The
of
overseeing
members
Weld
EH
Finance
Public
samples
County's
The
laboratory,
grants.
chemist
health
in
Health
Executive
the
from
California,
Director
that
installation
specialists
specialists
and
WCDPHE
and
certified
would
the
has
Director
manager,
Community
and
Environment
accompany
many
is
are
have
the
to
of
well
and
trained
test
an
other
years
who
previous
-qualified
Chief
ICP-MS
Health
drinking
is
are
worked
of
exceptionally
funding
to
trained
overseeing
Health
do
experience
as
Services
to
water,
well
many
at
administrate
of
Officer
on
the
CDPHE
as
division
different
is
the
different
handling
equipment.
well
staffed
in
is
laboratory's
in
this
-suited
a
the
clinically
are
and
types
area.
with
the
types
Lead
to
of
-
Page 7 of 8
Reporting
The applicant has reviewed the reporting requirements below and
if selected for SEP funding, agrees to adhere to these requirements.
Applicant's Biannual Status Reports
The applicant will submit a biannual project status report to the department's SEP Coordinator with a copy to PDC.
Status reports will be submitted using the department's template and include the following information:
® A description of activities completed to date;
® A budget summary table listing funds expended to date by budget category; and
• A discussion of any anticipated changes to the project scope or timeline.
Applicant's Final SEP Completion Report
The applicant will submit the SEP Completion Report to the department's SEP Coordinator with a copy to PDC
within 30 days of project completion. The applicant's Final SEP Completion Report will be submitted using the
department's template, and will contain at a minimum:
A detailed description of the project as implemented;
A summary table identifying project deliverables and tasks along with the associated completion date;
® A description of any operating problems encountered and the solutions thereto;
• A full expense accounting including itemized costs, documented by copies of purchase orders, contracts,
receipts or canceled checks;
Demonstration that the SEP has been fully implemented in accordance with the SEP application;
• A description of the environmental or public health protection and improvement resulting from
implementation of the SEP along with quantification of the outcomes and benefits;
Examples of brochures, educational or outreach materials developed or produced as part of the SEP; and
Photographs documenting both project implementation and results.
Depending on the project scope, the department may also require the applicant to develop and submit a case study
with the Completion Report.
PDC requires a copy of the Applicant's Biannual Status Reports and Applicant's Final SEP Completion Report. These
reports will be used by PDC to comply with the Consent Decree requirement that PDC submit a SSEP Completion
Report to CDPHE within 60 days of the completion of each of the SSEPs.
Other
R&evant
Worrnati
Weld County historically has strongly believed in the implementation of lead hazard control.
During years when funding from CDPHE has diminished, it has continued to operate a
program, making up the difference in financial resources. The County has long recognized
the value of this type of program and would appreciate the opportunity to expand its
service.
Page 8 of 8
Additional Appendices
Lead Hazard Control in Weld County
Appendix B:
References
1. Centers for Disease Control and Prevention. Lead. https://www.cdc.gov/nceh/lead/ . Updated
December 4, 2017. Accessed March 29, 2018.
2. Centers for Disease Control and Prevention. How are children exposed to lead?
httpso//www.cdc.gov nceh/lead/tips.htm. Updated June 19, 2014. Accessed April 4, 2018.
3. Centers for Disease Control and Prevention, Blood Lead Levels in Children, Reference Level.
httpso//www.cdc.gov/nceh/lead/accIpp/blood lead levels.htm . Updated May 17, 2017. Accessed
April 4, 2018
4. Colorado House Bill 17-13-6. Safe Water in Schools Act. Colorado Revised Statutes 25-1.5-203(f).
httpso//leg.colorado.gov/sites/default/files/documents/2017A/bills/2017a 1306 signed.pdf
Accessed April 4, 2018.
5. Code of Colorado Regulations, 6 CCR1009-7, Detection, Monitoring, and Investigation of
Environmental and Chronic Disease.
http://www.sos.state.cocus/CCR/GenerateRulePdf.do?ruleVersionld 7447&fileName=6%20CCR✓20
1009-7 . Accessed April 4, 2018.
6. Centers for Disease Control and Prevention. Recommended Actions Based on Blood Lead Level.
https://www.cdc.gov/nceh/lead/accipp/actions blls.html . Updated March 26, 2018. Accessed April
4, 2018
7. United States Environmental Protection Agency. Renovation, Repair, and Painting Program.
httpso,//www.epa.gov/lead/renovation-repair-and-painting-program . Updated August 30, 2017.
Accessed April 5, 2018.
8. Gould, E. Childhood Lead Poisoning: Conservative Estimates of the Social and Economic Benefits of
Lead Hazard Control. Environmental Health Perspectives. 2009; 117(7):1162-1167. [PMC free
article] [PubMed]
Appendix C:
Weld County Census Tract Map — Lead Risk Indices Showing Areas of Risk Along Highway 85
(Kevin Berg, GIS Epidemiologist, CDPHE, April 4, 2018)
W ,-..County-Gen-sus Tracts -
s State 14vciy. 39
Lead Risk Index
1 = Lowest / 10 = Highest
® 1
Major Roads
Miles
Appendix D:
Weld County Census Tract Map — Percent Children Under 6 Tested with Elevated Blood Lead Levels ≥5 ug/dL (2012-2016)
(Kevin Berg, GIS Epidemiologist, CDPHE, April 4, 2018)
Percent Children < 6 Tested with
EBLL ≥ 5 pg/dL
0%
0.1% - 1.9%
2% - 2.7%
2.8% - 4.5%
4.6% - 11.1%
Appendix E:
Weld County Census Tract Map — Lead Testing Rates, 1=Low and 10=High (2012-2016)
(Kevin Berg, GIS Epidemiologist, CDPHE, April 4, 2018)
Qountyi-Censv,Trget
Lead Testing Rate
Statewide Decile
NrIIIAri":71l"r 1zA+:J..._.1 L<S"'r •T
ytV
Appendix F:
Letter of Support from CDPHE, Environmental Epidemiology, Occupational Health, and Toxicology Branch
FICOLOR. ADO.
Destartracrit of P r .bha
Health Et Envivonment
Dedicated -to •prcictecaa r r pinoviag• they: 'heah arid : ent: a the peoige of a . :
Deb msone MPH, CO -PS
Director of Environmental HealthHeatth Services
Weld County{Department a Public Health and Errs.
t555 North 1th Avenue
C eet ey, CO80631
Agri! 3;v 2018
Der' its_ Adamson:
As thief of the Etwironmentat Epidemiology,Occupational Huth, and Toxicology Bra.nch at the Colorado
Department. of Public Heft and Environment (CDPHE) l'. am veay pleased to Weld County in. its
EP proposal for a lekihantrd contrul program weld Casty carries one of .the largest burden of
Childhood d poisoning caes; in our state and this grant lc vital fCo: caritidue i.s effcelc to
eliminate i dhord lead *sorting_
COPHE relies on our local health department partners to investigate Seated Mood lead level cam
throughout the std_ Weld has an active Childhood end Pkoisming Prevention Program a d with the help
of the Ord control fa, 'geld and its primary partners can cut. ` o work together to ens. .
that all relddents have the cciportun tot se in safe and healthy :homes..
r branch w.as receives. and , through a ciooperative agreement with to Centers. for Disen Control
and PYr er t c CDC— - #- 40SPPHF `) to implement the Colorado 'Childhood Lead Poisoning
Prevention program with the objectives. to *prove rove the capacity to perform blood lead surveillance in
Colorado,. fob utilization of surveillance data.to ider y high, ati and inform targeted
poputaticazded prevenan tterventicA..
With this state lewd program, we haw strengthened c.apad to more quickly 4 thoroughly refer
elevated b Od lead CAS, tc Wed County for ini at`" and with these funds Weld County will be able
tat provide abatement and controt senrice that ould otherwise not be amble_ will So be able to
conduct outreach wed ethicational efforts across Wed County_ With funding kcal SEP, Wetd County
continue to be pro -active in ensuring lead -safe and healthy homes for t . county's rat and most
vulnerable residents.
stron y moors weld count s grant application for a lead hazard control g. and we are extra
to be a new partner in the efforts .to eliminate ehildhood bead pining in Wed County_
Mae V yke7 PhxD_� I
Chief, Eiwironmentat Epideiniatogyl c,Xcupationat Heat* and Taricolow Brandt
Dicease Control and Environmental "derniology Division
ColdDepartment of Public Health and En.Sorkkinent
OD Cher Greek Drive .,1, liver, CO 80246. MG P 303452-2M3 a cd. n _ cr tThdp.&&
&lire W Hiekentooper, Governor k Larry Wilk MD, NsISPH, boescuSe Director anpd Chief Medical: Officer
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