title: An evaluation of the effectiveness of lead paint hazard reduction when conducted by homeowners and landlords.
abstract: This research project was conducted in collaboration with the Iowa Department of Public Health to evaluate whether property owners who follow recommended procedures for lead-based paint removal/repair can do the work safely and effectively. This study included 29 homes where a lead-based paint hazard had been identified and lead-based paint was removed or repaired (hazard reduction). Exposure evaluation included pre-project surface dust wipe sampling, air monitoring during lead-based paint removal, post-project surface dust wipe sampling, and pre- and post-project blood samples from adult study participants. The comparison of surface dust wipe samples taken before and after lead paint hazard reduction was used to evaluate the effectiveness of lead paint hazard reduction. The lead loadings on window sill surfaces in the work area were significantly lower after completion of the project (p = 0.04), and the lead-based paint removal did not contaminate the adjoining living area. The proportion of homes with surface dust lead loading exceeding Department of Housing and Urban Development (HUD) clearance standard was 73 percent pre-project and 38 percent post-project. Personal airborne exposures during lead removal activities (geometric mean = 59.3 micrograms/m3) reinforce the need for respiratory protection and good hygiene. There was no difference in adult pre-/post-blood levels, indicating that participants did remove lead in a safe manner with respect to their own exposures. The results indicate that hazard reduction can be done effectively when recommended procedures for the removal of lead-based paint are followed.
authors.affiliation: Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, USA.
authors.forename: L A
authors.initials: LA
authors.lastname: Etre
authors.forename: S J
authors.initials: SJ
authors.lastname: Reynolds
authors.forename: L F
authors.initials: LF
authors.lastname: Burmeister
authors.forename: P S
authors.initials: PS
authors.lastname: Whitten
authors.forename: R
authors.initials: R
authors.lastname: Gergely
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D004781:Environmental Exposure / Q000032:analysis; D006798:Housing; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007855:Lead Poisoning / Q000517:prevention & control*; D016272:Occupational Health; D010150:Paint / Q000009:adverse effects*; D017751:Safety Management / Q000592:standards*