Five Recommendations to Eliminate Childhood Lead Poisoning in Cleveland City of Cleveland Council Hearing January 14, 2016  Integrate data for better tracking of lead hazards and to facilitate partnerships between Health Dept, Building and Housing Dept. and Community Development Dept. o Migrate Health Dept. data to Accela and use Accela as basis for integrating  Building and Housing Dept. Rental Registry permit data  Building and Housing Inspection data  Health Dept. Elevated Blood Lead Level (EBL) investigation tracking and case management  Health Department Lead-Safe Maintenance Certificate tracking  Community Development Lead Hazard Control Grant work  Problem housing identified by the community  Housing Court enforcement of violations  Lead Safe / Healthy Housing List, made available to the public  Increase staffing capacity for EBL investigations, case management, reallocation of resources and enforcement o Hire additional staff in accordance with Ohio Dept. of Health recommendations o Have dedicated staff person to follow up on enforcement cases o Use rental registration fee and lead inspection fee to supplement City General Funds to fund staff  $2 Million/year additional could be generated by rental registry o Explore diverse long term opportunities for funding, including foundation and hospital community benefit funding, Payment in Lieu of Taxes, Social Impact Bond financing, Medicaid reimbursement for EBL investigations, and paint company litigation. o Consider streamlining resources, duplication of services and systems that could increase ability to maintain and sustain recommended programmatic changes.  Make the voluntary Lead Maintenance Certificate mandatory for all rental housing o Enforce rental registration to hold landlords accountable, to obtain adequate record of rental properties, and to generate revenue. o Require registered landlords to obtain lead risk assessments and clearances from third-party licensed individuals at regular intervals  Initiate additional supportive policies that strengthen proactive approach o Mandate lead testing for enrollment in daycares and all CMSD pre-kindergarten, early childhood programs with built in parental permission for the testing results to be in the child's record. o Consider proactive comprehensive healthy home inspections for all homes on rental registry and at point-of-sale o Reallocate Building and Housing vacant properties staff to proactive and/or nuisance-based rental property inspection o Use community development organizations to help prioritize and coordinate inspections o Pilot innovative approaches in specific neighborhoods such as the BUILD Health and GUCCI target areas  Work with EHW and partner organizations to implement systematic changes o Invite community partners to engage with city staff to discuss proactive approaches o Work with the Healthy Housing Advisory Council on advocacy and promotion of policies such as more lead testing of children o Work with open source data advocates (Hack Cleveland, Open Source Cleveland) to acquire and share lead data EHW History, Background and Expertise For 35 years, EHW has been a unique and vital resource for Greater Cleveland, providing direct service to low-income families, program research and policy development, and vigorous advocacy and critical leadership to influence policy makers and help the public address critical health concerns in our urban environment. EHW has built a reputation as the “go-to” group for organizations that want to educate and engage neighborhoods about environmental health and environmental justice issues. Our mission: Offer information, assistance and advocacy to help people protect themselves from environmental threats and to influence corporate, government and personal actions to promote human health and sustain the natural environment. Major Research and Direct-Service Projects Include:  Lead + Asthma Project ( CDPH)  City-County Healthy House Project ( CDPH/CCBH)  Mold and Moisture Project ( CWRU/CCBH)  HUD Roach Project (USDA/CMHA)  Case Healthy Homes and Patients Project (CWRU)  Tenants for Healthy Homes Project (CTO)  Deep, Green and Healthy (CHN) EHW’s Existing/Recent Partnerships with the City:  Lead program education and inspection services for upcoming grant  Recently successfully completed Healthy Homes HUD grant - $567,000 from EHW to City for 142 Healthy Homes interventions layered on weatherization and senior programs  BUILD Health Challenge - $74,579 available from EHW to City for upstream approaches to healthy housing contingent on signing of MOU. Key Board, Committee Participation & Leadership:         Greater University Circle Community Health Action Team Co-Chair Healthy House Advisory Council Coordinator HIP-C Public Health and Clinical Care Committee Anchor HIP- C Eliminating Structural Racism Committee Cuyahoga County Place Matters Team BuildHealth Challenge National Advisor CNP Economic Opportunities Committee and Climate Resiliency Project Steering Committee Co- Chair –Air Pollution Adaptation Research and Dissemination Advisory Committee ( pending funding) EHW can provide expertise, leadership and technical assistance to the City of Cleveland. EHW is reputable, has a long history in this work and helped to pioneer the Healthy Homes Movement both locally and nationally. Through a collaborative model, we have built long-standing, authentic relationships and partnerships. We have the ability to convene the necessary stakeholders willing to assist and participate in a sustainable long-term strategy moving forward. Contact: Kim Foreman, Executive Director Kim.foreman@ehw.org 216-961-4646 x 104 Mandy Metcalf, Affordable Green Housing Center Director Mandy.metcalf@ehw.org 216-961-4646 x 107