Lead poisoning is a threat to young children — and still a big problem in New Hampshire
Have you ever known a rambunctious kindergartener who had difficulty concentrating, was easily distracted, and sometimes disruptive? You might blame poor parenting or failed pedagogy when often these symptoms typify a threat causing irreversible damage: lead poisoning.
Imagine this child as your own. You equip your home with smoke detectors and an alarm system. You test well water for contaminants, and air for radon gas and asbestos dust, yet overlook a simple, routine test to detect elevated blood lead levels.
According to the National Library of Medicine, knowledge of lead-based paint as a source of lead poisoning in children dates back to the early 20th century. Though lead was officially removed from paint in 1978 after the passage of the Lead-Based Paint Poisoning Prevention Act, deteriorating lead-based paint in older homes remains the most significant source of lead exposure in children. Lead dust and paint chip hazards arise from friction between surfaces like door frames and window sills and during home renovation projects, all harmful to 1- and 2-year-olds exploring their surroundings while touching surfaces in constant hand-to-mouth activity.
The World Health Organization states that lead can permanently affect children's brain development resulting in a lower IQ, social isolation, speech delays, lower academic achievement, kidney damage, hearing loss, and sometimes death. Schools spend more on special education addressing hyperactivity and behavioral challenges, and health care systems bear the cost of managing long-term effects of lead exposure.
Heidi Trimarco of the Conservation Law Foundation writes: 'As parents, we all want the best for our kids. We want to see them running around happily, thriving in school, and dreaming big about their futures. … As a mom, I can't imagine the heartbreak of knowing my child might not be able to learn, focus, or dream big because of a threat hiding in our own home.'
In 2018, New Hampshire passed a law requiring that new residential rental units as well as day care centers in pre-1978 buildings be certified lead free. Despite this corrective measure, as well as other lead-safety measures contained in the bill, lead poisoning in New Hampshire has worsened.
According to the state report from the Department of Health and Human Services, 1,142 children were poisoned by lead in 2023, the highest rate since required testing of 1- and 2-year-olds, bringing the five-year total to 4,570. Nearly 350 more children were poisoned in 2023 than the year before, a 42% increase. Lower-income and Medicaid-eligible children are twice as likely to be affected.
To close this tragic equity gap, the U.S. Department of Housing and Urban Development (HUD) recently awarded $19.8 million in Lead Paint Hazard Reduction grants for the City of Nashua, New Hampshire Housing, and Sullivan County to make 500 housing units lead-safe. Currently, an estimated 32,350 children under 6 years old live in pre-1978 housing. In 2022, 816 children had elevated blood lead levels, though only 70% of children ages 1 to 2 have been tested.
New Hampshire lawmakers are now considering House Bill 724, which aims to ensure safe lead removal practices during repairs. The bill also requires building permit applicants to provide an RRP license (Renovation, Repair, and Painting) for contractors and restores DHHS's ability to inspect other units for lead within a multi-unit building. Finally, it creates a rebuttable presumption that homes constructed prior to 1978 contain lead-based substances.
In his compelling story published by the Concord Monitor, Rich DiPentima, who has served as chief of communicable disease epidemiology and assistant director of public health for the New Hampshire Division of Public Health Services and deputy public health director for the Manchester Health Department, recalls a 2-year-old refugee girl placed in an older home.
'She was full of life, just beginning to discover the world around her,' DiPentima writes. 'But hidden in the peeling paint and dust of that home was a silent killer: lead. Within two months, she suffered acute lead poisoning and died. Her blood lead level was 391 micrograms per deciliter — nearly 80 times the state's safety limit. … Her life was cut short before it had truly begun. More than two decades later, I am still haunted by that tragedy, because I know it was preventable.'
Lead-safe housing, universal testing, and fully funded abatement programs are essential. Your advocacy counts. Next time you visit your pediatrician, let them know the importance of lead screenings so that early childhood and beyond doesn't become a living hell for New Hampshire's children.
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