Executive Director, Partnership for the Public Good, Buffalo, NY 14203, USA.
Int J Environ Res Public Health. 2018 Oct 9;15(10):2197. doi: 10.3390/ijerph15102197.
Lead exposure remains a major issue in cities, such as Buffalo and Rochester, with concentrated, segregated poverty and old, deteriorated housing stock. Exploring and comparing local policies and programs in these two cities, the author suggests that increasing the number of proactive housing inspections in high-risk areas and forming a single-purpose non-profit group dedicated to lead education and advocacy are two valuable interventions. He recommends additional policy steps, such as more stringent inspection standards; state adoption of the Environmental Protection Agency's Renovation and Repair Program; the lowering of state elevated blood level thresholds; a focus on in-person, interactive education by community health workers; and more vigorous enforcement of testing requirements among physicians.
铅暴露仍然是布法罗和罗切斯特等城市的一个主要问题，这些城市存在集中的、隔离的贫困和老旧、恶化的住房存量。作者探索和比较了这两个城市的地方政策和方案，认为增加在高风险地区进行主动住房检查的次数，并成立一个专门从事铅教育和宣传的单一目的非营利组织，这两项干预措施具有重要意义。他建议采取更多的政策措施，如提高检查标准；州政府通过环境保护署的翻新和修复计划；降低州立血铅水平阈值；注重社区卫生工作者的面对面互动教育；以及更有力地执行医生的检测要求。
