Case Studies

Proactive Rental Inspection Roadmap Summary Rochester Case Study

Rochester, NY – Rochester added lead to its existing rental inspection program in 2006 and has experienced a greater drop in lead-poisoning cases than other cities across New York. […]

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Proactive Rental Inspection Roadmap Summary Cleveland Case Study

Cleveland quickly adopted a proactive rental inspection program in 2019 using a robust stakeholder process and creating likely the strongest proactive rental inspection program in the country. […]

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Proactive Rental Inspection Roadmap Summary Philadelphia Case Study

Philadelphia adopted changes in 2019 to its ineffectual rental inspection program to fix its problems. […]

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Full Lead Poisoning Prevention Resource

The complete 23-page PDF

Fill-in-the-Blank Rental Inspection Policy Generator

The 2-page fill-in-the-blank worksheet

Proactive Rental Inspection Policy Cheat Sheet

The 8-page policy cheat sheet

Research, examples and stories

Overview Recommendations

Plan of Action to End Childhood Lead Exposure, Earthjustice et al

Eliminating Lead Poisoning in New York, Best Practices Survey, Columbia Health Law Clinic Report:

Appendix B: Comparison of practices in NY and US

Appendix C: Affordable Housing Stock Before and After PRI

Appendix D: Existing PRI programs:

Appendix E: Literature Review: Health Effects of Lead Poisoning

10 Policies to Prevent and Respond to Childhood Lead Exposure, Pew Charitable Trusts

Strategic Plan to End Childhood Lead Poisoning: A Blueprint for Action,  Green & Healthy Homes Initiative

Lead Safe Toolkit for Home-Based Childcare,  National Center for Healthy Housing

Advancing City-Level Healthy Housing: Policies, Programs, and Practices in Asthma and Lead, National League of Cities

Proactive Rental Inspection

Guide to Proactive Rental Inspection Programs, Changelab Solutions

Model Proactive Rental Inspection Ordinance Changelab Solutions

Lead Coalition Reports and Recommendations and Lead Prevention Plans

Philadelphia Lead Advisory Group Report

Philadelphia 6 month update:

Lead Safe Cleveland Policy Recommendations

Renewing Our Pledge: A Path to Ending Lead Poisoning of Buffalo’s Most Vulnerable Citizens

Buffalo and Erie County Lead Safe Task Force Progress Report, October 2019

Achieving Equity in Lead Poisoning Prevention Policy Making: Proceedings from a Consensus Conference, Human Impact Partners

Lead Safe Home Summit: Build a Path to a Lead-Safe Cleveland, Lead Safe Cleveland Coalition and United Way of Greater Cleveland

Renovation, Repair and Painting

EPA’sRenovation, Repair, and Painting Rule, National Center for Healthy Housing

RRP Rule Requirement for Building Permits, Green and Healthy Homes Initiative,

EPA Not Effectively Implementing Lead-Safe Renovation, Repair and Painting Rule, EPA Office of Inspector General Report, September 2019

Case Studies

Bridging Silos, Katrina Korfmacher

Are local laws the key to ending lead poisoning? Katrina Korfmacher

Lead Poisoning Prevention Case Studies, National Center for Health Housing

Reducing Lead in Michigan, the TACTIC Project, National Center for Healthy Housing

Final Report 

Grand Rapids



Battle Creek 

Financing and Economics

Lead Funding Toolkit, Green and Healthy Homes Initiative

Value of Lead Prevention, Altarum

Lead in Water

Lead in the Water: Policy Options to Replacing Lead Service LinesThis webinar explored policies for states to address lead-service lines and
options for replacement, providing policymakers insight into the tools and approaches states have undertaken
to address lead in drinking water.

Lead in the Water: Financing Options to Replacing Lead Service Lines – This webinar
discussed how states are funding the replacement of lead service lines, with speakers from legislatures,
water utilities and advocacy groups discussing successful approaches.

Lead in the Water: Disclosing Lead Service Lines – This webinar presents successful
approaches states have undertaken to promote the disclosure of lead service lines to owners and buyers of

The Newark Drinking Water Crisis

What’s in Your Water: Flint and Beyond, Analysis of EPA Data Reveals Widespread Lead Crisis Potentially Affecting Millions of Americans, NRDC

Latest Wisconsin data on water service lines provides important insights, reveals over 150,000 lead pipes, NRDC

Pittsburgh’s Lead Service Lines Map

Pittsburgh Agrees to Replace Thousands of Lead Pipes to Clean Up Its Drinking Water, NRDC

Lead in Soil

Omaha Lead Registry

Example of Lead Soil Screening Event in Pittsburgh

Lead Soil from Gasoline in Philadelphia, “New Map Shows Lead’s Poisonous Path

Public Outreach

Get Ahead of Lead, Buffalo’s Landlord Outreach Program

Lead Safety Flyer, City of Buffalo (Arabic)(Bengali)(Burmese)(English)(French)(Somali)(Spanish)(Swahili) A project by Omaha Healthy Kids Alliance to create a one-stop location for concerned families and community members to learn about lead poisoning and risks of exposure.

Get the Lead Out, Pittsburgh 

Don’t Play Around:  This campaign out of Grand Rapids, Michigan features a website linking residents to information about lead risks in their home, resources for lead exposure and remediation and a self-assessment to gauge exposure risk.

Get the Lead Out, Grand RapidsThe Get the Lead Out! lead hazard control program began in January 2005 as a targeted effort to protect children from lead poisoning by fixing lead hazards in older homes in the city of Grand Rapids.

“Neighbor 2 Neighbor” Healthy Androscoggin teaches  immigrants, refugees and asylees of all origins about lead and other home hazards

The Perfect Predator, a documentary about lead poisoning  produced  through Oneida’s Childhood Lead Poisoning Primary Prevention Program grant in partnership with The Oneida County Health Department, The New York State Department of Health, Cornell Cooperative Extension Oneida County, Tompkins County Public Health, Steuben County Public Health, and Excellus Blue Cross Blue Shield.

Water flushing outreach:  Ohio EPA, Chicago’s Flushing Protocol (English) (Spanish)

Scope of the Problem

Hidden Problem: Lead Poisoned Children in the US  

Reuters Lead Maps 

Nationwide Lead Exposure Data:

Sources of Lead Exposure in Children’s Environment, Pew Charitable Trusts