A Precautionary Approach to Childhood Lead Poisoning Los Angeles will address lead paint hazards in homes before children are poisoned. On June 20, 2003 the L.A. City Council unanimously approved a pilot project that incorporates lead hazard inspections into routine housing code enforcement to ensure landlords make repairs that prevent poisoning. The City’s Pilot Program is a breakthrough in lead poisoning prevention involving collaboration among the city council, government agencies and community groups. The program will begin soon in 5 of the city’s 15 council districts with the most high-risk homes and expand citywide after 6 months. Under the program, housing code enforcement, as part of their routine inspections, will conduct visible inspections for lead hazards, order landlords to repair lead hazards, and require all repairs that disturb paint in pre-1978 buildings to be done using lead safe work practices. If a follow-up inspection indicates the lead hazard was not adequately repaired or lead safe work practices were not used, certified lead inspectors from the health department will document the lead hazards and the landlord will be prosecuted. Community groups will educate tenants to identify unsafe work practices and call the housing department if work is not done safely. The pilot project implements the new state lead poisoning prevention law, Senate Bill 460. The pilot project resulted from the work of the Healthy Homes Collaborative, a network of more than 20 Southern Californian community based health and housing groups that seek to address environmental health hazards in low-income housing. Over two years ago, the Healthy Homes Collaborative challenged the City of Los Angeles to deal with the problem of low-income families being forced to choose between the health of their children and a roof over their heads due to lead hazards. The City's Housing Department claimed they lacked the legal authority, expertise and resources to address lead hazards in the home. The County Health Department addressed lead hazards only after a child had been poisoned. This approach amounted to using children as lead detectors. The Healthy Homes Collaborative responded by working with L.A. City Councilman Ed Reyes’ office to persuade the City Housing Department to require all City ordered repairs in older housing be done using lead safe work practices to prevent poisonings. On the state level, the Healthy Homes Collaborative worked with the State Department of Health Services and State Senator Deborah Ortiz’s office to pass legislation that addressed the lack of legal authority to prevent lead poisoning. Senate Bill 460 is landmark legislation enabling local enforcement agencies to require repair of lead hazards without waiting for a poisoned child. With that legal authority the Healthy Homes Collaborative and Councilman Reyes’ office returned to the City Housing Department and County Health Department and helped them to create the current pilot program. Under the pilot program, outreach workers from the Healthy Homes Collaborative will join City Housing Department inspectors to identify and repair environmental hazards. Inspectors will notify owners that any work that disturbs paint in pre-1979 constructed housing must be done using lead safe work practices. Community outreach workers will educate parents and owners to ensure that hazards are addressed in a safe manner. The County Health Department will document violations for prosecution. Once the pilot program secures a commitment from the Los Angeles City Attorney’s office to aggressively prosecute recalcitrant landlords who flout enforcement and put children's lives in danger, the program will be a model for the state. Contact information for the Healthy Homes Collaborative, Physicians for Social Responsibility, Los Angeles, Calif.: Linda Kite at the Healthy Homes Collaborative (213) 386-4901 or lkite@psr.org; NOTE: The text of the Los Angeles lead abatement law can be found at http://www.rachel.org/library/getfile.cfm?ID=242 and a rough analysis of the law can be found at http://www.rachel.org/library/getfile.cfm?ID=243.