AMD RE CHILDHOOD LEAD POISON DATA WITH ADHS .PDF
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MEMORANDUM OF UNDERSTANDING HU756005 AMENDMENT#1 EXHIBIT P – CHILDHOOD LEAD POISONING DATA 1. BACKGROUND & PURPOSE: Houses and apartments built prior to the 1978 federal ban of lead-based paint have an increased risk of containing lead. An estimated 24 million housing units in the United States are contaminated. Lead sources may come from deteriorating paint, dust, and soil. Lead painted surfaces may not become a hazard if they are kept in good condition. However, deteriorating paint (paint that is peeling, chipping, chalking, cracking, or damaged), due to age or being on an impact or friction surface is highly hazardous. Surfaces such as windows and sills, doors and door frames, stairs, railings, banisters, and porches, have all been identified as areas where dry scraping, sanding, heating, or heavy use can lead to deteriorating paint and lead dust. The objective of sharing childhood lead poisoning data is to ensure housing-related lead exposures are evaluated, reduced and/or eliminated for children identified with elevated blood lead levels residing in Maricopa County. Numerous individual Housing Authorities within Maricopa County receive funding from the U.S. Department of Housing and Urban Development for public housing and rental assistance. These Housing Authorities aim to prevent childhood lead poisoning by ensuring lead-safe housing per the Lead-Safe Housing Rule (24 CFR 35, subpart L.). They are required to complete an environmental investigation and lead-based paint hazard reduction (when applicable) of the dwelling unit to which this subpart applies, when a child aged six or less has been identified with elevated blood lead levels. ADHS is authorized by statute to develop and conduct local programs for the prevention, detection and treatment of lead-based paint poisoning, including programs to detect incidents of lead poisoning due to lead-based paint and other sources among community residents. Pursuant to this agreement, Maricopa County Department of Public Health (MCDPH) has designated Housing Authorities within Maricopa County, or Housing Authorities that are divisions of the Maricopa County Government, as their authorized agents to both receive lead poisoning public health data shared under this MOU, and to conduct all public health interventions deemed necessary and appropriate. These interventions may include evaluation of lead hazards in the homes of individuals identified with elevated blood serum lead levels, and actions undertaken to mitigate lead exposure to occupants of the household. The objective shared by both MCDPH and their designated agent in using the public health data shared under this MOU is limited to public health intervention activity to decrease the prevalence of lead-based paint poisoning among children residing within Maricopa County. Both MCDPH and their authorized agents will be subject to the limitations and protections of shared public health data owned by ADHS as set forth in this MOU. Sharing between ADHS and MCDPH, the addresses for children aged six or less who have elevated blood lead levels will allow both entities to identify barriers to eliminate blood lead poisoning such as: 1.1. Lead-based paint hazards in the home. The shared vision of the AGENCY and ADHS includes: 1.2. Identify the source(s) and locations of lead-based paint exposure in Maricopa County dwellings receiving assistance from the Housing Authority 1.3. Eliminate the lead source(s) when possible Page 1 of 4 MEMORANDUM OF UNDERSTANDING HU756005 AMENDMENT#1 2. DESCRIPTION OF SERVICES: ADHS shares data, with MCDPH and their authorized agents (Housing Authorities), of children identified with elevated blood lead levels residing in Maricopa County to determine whether the child’s dwelling is being subsidized by available housing assistance programs. 2.1. ADHS will: 2.1.1. Provide MCDPH with information from ADHS’ blood lead reporting system regarding children aged six or less who reside in Maricopa County and for whom an elevated blood lead level of 5 µg/dL or greater has been reported. The information shall consist of the child’s age and address. Reports will be provided on a quarterly basis. 2.2. Maricopa County will: 2.2.1. Enter into data sharing agreements with authorized Housing Authorities within Maricopa County for the purposes of determining 1) whether children identified with elevated blood lead levels are residing in housing units subsidized by the Section 8 Rental Assistance Program and if so, 2) the status of any environmental lead testing and remediation activities. 2.2.2. Provide the designated authorized Housing Authority with information received from ADHS’ blood lead reporting system regarding children aged six or less who reside in their jurisdiction and for whom an elevated blood lead level of 5 µg/dL or greater has been reported. The information shall consist of the child’s age and address. Reports will be provided on a quarterly basis. 2.2.3. Compile data received from the Housing Authorities regarding environmental lead testing and remediation activities on all units within their jurisdiction identified as housing children aged six or less for whom an elevated blood lead level of 5 µg/dL was identified. 2.2.4. Provide quarterly reports to ADHS identifying whether any of the children identified with elevated blood lead levels reside in units subsidized by the Section 8 Rental Assistance Program and if so, the status of any environmental lead testing and remediation activities. 3. PAYMENT AND AMOUNT: There are no payments associated with this Agreement. 4. AMENDMENTS: 4.1. All requests for additional services shall be in writing and signed by both parties. Page 2 of 4 MEMORANDUM OF UNDERSTANDING HU756005 AMENDMENT#1 5. CORRESPONDENCE: All programmatic correspondence pertaining to Childhood Lead Poisoning Data covered under this MOU shall be submitted by MCPHD to the attention of the ADHS Office of Environmental Health. 5.1. For the Arizona Department of Health Services: ADHS/OEH Arizona Department of Health Services Bureau of Epidemiology and Disease Control ATTN: Jessica Rigler, Branch Chief Phone Number: (602) 364-3909 Email: Jessica.rigler@azdhs.gov 150 N 18th Avenue, Ste. 100 Phoenix, Arizona 85007 5.2. Notices, correspondence, and reports from ADHS to MCDPH shall be sent to: Maricopa County Department of Public Health Attn: MCDPH Director 4041 North Central St. #1400 Phoenix, AZ 85334 Phone: 602-506-6900 Page 3 of 4 MEMORANDUM OF UNDERSTANDING HU756005 AMENDMENT#1 6. Signatures/Approvals: FOR: Maricopa County by and through it’s FOR: Arizona Department of Health Services: Department of Public Health _________________________________ _______________________________________ Steve Chucri, Chief Procurement Officer or Designee Chairman, Board of Supervisors _________________________________ _______________________________________ Date Print Name and Title ______________________________________ Date ATTEST: _________________________________ Clerk of the Board _________________________________ Date APPROVED AS TO FORM: _________________________________ Attorney For Maricopa County _________________________________ Date Page 4 of 4 ATTACHMENT A PUBLIC USE DATA AGREEMENT Background and Purpose: Houses and apartments built prior to the 1978 federal ban of lead-based paint have an increased risk of containing lead. An estimated 24 million housing units in the United States are contaminated. Lead sources may come from deteriorating paint, dust, and soil. Lead paint that is peeling, chipping, chalking, cracking, or damaged due to age or high impact is highly hazardous. The United States Department of Housing and Urban Development (HUD) addressed the issue of environmental lead in federally owned and subsidized housing with the Lead Safe Housing Rule (24 CFR 35, subpart L.), which requires Housing Authorities to complete an environmental investigation and lead-based paint hazard reduction (when applicable) of the dwelling unit to which this subpart applies, when a child aged six or less has been identified with an elevated blood lead level of 5 µg/dL or greater. Lead poisoning can cause serious developmental damage to children that can last a lifetime, yet it is completely preventable if lead hazards are removed. The purpose of this project is to reduce the incidence of childhood lead poisoning due to environmental causes in the home by monitoring lead poisoning reports and implementing environmental remediation when needed. Process: In the proposed project, childhood blood lead level data reported in Maricopa County will be used to determine locations for environmental testing on housing authority property within Maricopa County. If environmental treatment and/or remediation is necessary, it will be completed by the responsible housing authority. All results will be reported back to the Maricopa County by and through its Department of Public Health (MCDPH) and Arizona Department of Health Services (ADHS). Housing Authority will: 1. Provide MCDPH with quarterly list of current addresses of the Housing Authority dwelling units to which the Lead Safe Housing Rule applies. 2. Provide MCDPH with monthly reports, on a date agreed upon by both parties, regarding any action taken to conduct environmental testing and/or remediation on a Housing Authority dwelling unit identified by MCDPH as the residence of a child under age 6 with a positive blood lead level of 5 µg/dL or greater. MCDPH will: 1. Determine if any child under six that tests positive for an elevated blood lead level of 5 µg/dL or greater resides in an applicable Housing Authority dwelling unit. MCDPH will provide the addresses of any positive cases to the appropriate Housing Authority on a monthly basis. 2. Provide ADHS with data received from the Housing Authority regarding actions taken to conduct environmental testing and/or remediation. 1 ATTACHMENT A By using these data you agree to comply with the following data use restrictions. The Maricopa County by and through its Department of Public Health (MCDPH) does all it can to assure that the identity of data subjects cannot be disclosed. All direct identifiers including name, SSN, and DOB, as well as any characteristics that might lead to identification, are omitted from the dataset. Users shall not attempt to identify individuals from any computer file, nor shall they link with a computer file containing patient identifiers. Any intentional identification or disclosure of a person or establishment violates the assurances of confidentiality given to the providers of the information. Therefore, users must agree to these provisions: You will not use nor permit others to use the data in any way other than for the purposes of identifying locations to carry out environmental testing. You will not attempt to link, nor permit others to link the data with individually identified records in other MCDPH or non-MCDPH databases. You will not attempt to learn the identity of any person whose address is contained in the supplied file(s). If the identity of any person is discovered inadvertently, then the following action should be taken: o No use will be made of this knowledge o You will not share the discovered identity with others You will not release nor permit others to release the data in full or in part to any person except with the written approval of MCDPH. If accessing the data from a centralized location on a time-sharing computer system or LAN, you will not share your logon name and password with any other individuals. You will also not allow any other individuals to use your computer account after you have logged on with your logon name and password. You will share any results/findings from analysis of these data with MCDPH before findings are presented outside the requesting organization. You will be held accountable for any violation of these data use restrictions. Signatures/Approvals: FOR: Maricopa County by and through its FOR: Housing Authority Department of Public Health Department Director Chief Procurement Officer or Designee Chief Health Officer Print Name and Title Print Name and Title Date Date 2 ATTACHMENT A IN WITNESS WHEREOF, the parties agree to enter into this contract: FOR AND ON BEHALF OF MARICOPA COUNTY By Chairman, Board of Supervisors Date ATTEST: Clerk of the Board Date APPROVED AS TO FORM: Attorney for Maricopa County Date 3