#1   Lead Poisoning 101 – Tues. 10:30 to 11:30 am

Why do lead poisoning prevention programs only address children under six years old?  How are children getting poisoned?  What happens to them once they are poisoned?  Why is everyone so narrowly focused on lead-based paint?  What about candy, dishes, and mini-blinds?  Which is a more significant problem - lead dust, lead-paint, or lead in soil?  What federal, state, and local programs are working to prevent lead poisoning?  Is the system working?  If lead poisoning is such a pervasive - yet preventable - problem, why aren't we doing more to prevent it?  Isn't lead poisoning just a case of parents who don't keep their home clean?

This session will answer these questions and many more as the speakers walk you through the facts, myths and statistics surrounding lead poisoning.  Plan to attend this session if you are new to the issue or you were involved years ago and need a refresher.  Community leaders and organizers as well as parents of lead poisoned children should attend this session.  The goal is to help you see the big picture so you understand how the details fit - or don't fit - together.  Once you have this big picture view, you will get more out of the conference.

Moderator:     Melissa Smith - Licensed Risk Assessor and Code Inspector with the Marion County Health Department

Speakers:         

• Lynette Brown - Licensed Risk Assessor & Environmental Health Specialist with the Wayne County Health Department

• Sue Taylor - Director of the Women &Infant Children Clinic at Memorial Hospital in South Bend

References:

• ISDH's Indiana Lead Elimination Plan

• Indiana's Lead-Based Paint Program Rules as of May 19, 2004

• EPA and HUD Protect Your Family from Lead in Your Home Pamphlet

• Property Manager's Responsibilities for Lead-Based Paint Brochure by IKE

• Evaluating Homes for Lead-Based Paint Hazards Brochure by IKE

• Reducing Lead Hazards During Maintenance, Renovation and Abatement Brochure by IKE

• September 2004 Indiana Lead-Safe and Healthy Homes Newsletter
• October 2004 Indiana Lead-Safe and Healthy Homes Newsletter
• October 2004 Alliance for Healthy Homes Newsletter

• Magic Numbers for Lead Professionals by EMI

• Summary of Regulatory Cutoffs

• Abbreviations and Measurement Units

• Government Agencies

• Lead Telephone Numbers

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#2   Pursuing Healthy Homes and Lead Grants – Tues. 1:30 to 2:30 pm

Nine organizations in Indiana applied for lead hazard reduction and outreach grants from the U.S. Department of Housing and Urban Development in 2004.  Only one organizations had applied in prior years. The City of Indianapolis got $1.7 million on its third effort.  Unfortunately, HUD chose not to fund any of the nine grants.  It appears that the review process was seriously flawed.  IKE and 40 other organizations across the country have sent a letter to Secretary Jackson of HUD asking that he reevaluate the decisions and fix the process. 

While Secretary Jackson has not made an announcement, it appears that HUD will do better in 2005.  Therefore, it is more important than ever that organizations begin now to learn from the decisions and improve their applications for 2005.  This session is designed to help potential applicants prepare for 2005. 

The application takes work.  But it can be done.  The payoff is significant.  A grant can help your community take a major leap forward.  There are organizations and agencies that want to help.

The key is to start early using the announcement from 2004 as a guide and begin networking.  This session will help you start both.  Speakers will be on hand to describe the grants, the successes and help you tap into the network.  

Moderator:    Renae Brantley - Grant Director with HealthVisions Midwest in East Chicago

Speakers:      

• Jim Naremor - HUD Grant Manager for the City of Indianapolis

• Mark Young - Grant Coordinator for the Indiana Housing Finance Authority in Indianapolis

References:

• HUD Lead-Based Paint Hazard Control Grant Program – www.hud.gov/offices/lead/lhc/index.cfm
• HUD September 27, 2004 Press Release Announcing 2004 Lead Hazard Reduction Grants
• IKE October 5, 2004 Letter to Senator Lugar Regarding HUD’s 2004 Grant Decisions
• Senator Lugar’s October 7, 2004 Letter to HUD Requesting Answers on 2004 Grant Decisions
• IKE’s Sign-on Letter to HUD Regarding 2004 Grant Decisions

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#3 Indiana Rules:  Hoosier Variations - Part 1 – Tues. 2:40 to 3:40 pm

Traditionally, Indiana's approach to regulating lead-based paint activities has followed the federal EPA requirements.  That changed with the General Assembly's unanimous adoption of HEA-1171 in 2002.  HEA-1171 prohibits dangerous work practices in pre-1960 target housing and child-occupied facilities.  It also requires clean-up of visible paint debris when conducting exterior work on paint.  In October 2003, Indiana revised its rules to conform to HEA-1171 and make other improvements to the existing rules.  

This session and the one that follows it will explain those changes and review where Indiana makes variations from the basic federal requirements.  

The course serves as a good refresher for people.  It also qualifies as an "Indiana Rules Awareness" Course.  Lead professionals licensed in other states or by EPA can take this course and apply for an Indiana license without having to retake the initial training.

The course will be taught by Joan Ketterman of the Environmental Management Institute.  EMI is the only training provider approved by Indiana to teach the course for credit.  Representatives from IDEM will be on hand to handle questions and answers.

Moderator:     David White - Senior Environmental Manager with the Office of Air Quality at the Indiana Department of Environmental Management

Speakers:       

• Joan Ketterman - Lead and Asbestos Instructor at the Environmental Management Institute in Indianapolis

• Dan Stamatkin or John Clevinger - Lead Inspectors for the Office of Air Quality at the Indiana Department of Environment in Indianapolis will be available to answer questions. 

References:

• ISDH's Indiana Lead Elimination Plan

• Indiana's Lead-Based Paint Program Rules as of May 19, 2004

• EPA and HUD Protect Your Family from Lead in Your Home Pamphlet

• Property Manager's Responsibilities for Lead-Based Paint Brochure by IKE

• Evaluating Homes for Lead-Based Paint Hazards Brochure by IKE

• Reducing Lead Hazards During Maintenance, Renovation and Abatement Brochure by IKE

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#4 Indiana Rules:  Hoosier Variations - Part 2 – Tues. 3:50 to 4:50 pm

This session is the second half of the two-hour Indiana Rules Awareness course described above.  

Moderator:     David White - Senior Environmental Manager with the Office of Air Quality at the Indiana Department of Environmental Management

Speakers:       

• Joan Ketterman - Lead and Asbestos Instructor at the Environmental Management Institute in Indianapolis

• Dan Stamatkin or John Clevinger - Lead Inspectors for the Office of Air Quality at the Indiana Department of Environment in Indianapolis will be available to answer questions.

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#5 Environmental Sampling for Action - Wed. 9:15 to 10:30 am 

Facts are a powerful tool to educate a homeowner, a tenant, even a neighborhood.  Using protocols developed by the Community Environmental Health Resource Center, residents are empowered to use simple sampling techniques to check for lead dust, lead in soil, lead in paint, cockroaches, mold / moisture, radon, and carbon monoxide.  For more information, see www.cehrc.org.  In Indianapolis, Improving Kids' Environment has partnered with the Concerned Clergy and the Organization for a New Eastside to work with youth and adults in community to use the protocols to bring about changes in substandard housing in Indianapolis. 

At the 2003 conference, the session described the testing methods.  With 100 homes and one year of experience in place, this session will provide the results of the testing and explain how the results were used to bring about change.    

Moderator:     Kathleen Kraner - Coordinator of the Get the Lead Out Task Force! in Saint Joseph County and part of Memorial Hospital in South Bend.

Speakers:         

• January Jones - Strategic Development Group in Bloomington, Indiana and former Research Director for Improving Kids' Environment

• Tom Neltner - Executive Director for Improving Kids' Environment in Indianapolis

References:

•  IKE’s August 25, 2004 Impact Summary for Citizens' Healthy Homes Initiative in Indianapolis

• Lead Dust Decision Guide by CEHRC

• Lead Paint  Decision Guide by CEHRC

• Lead in Soil Decision Guide by CEHRC

• Lead Spot Test Kits Decision Guide by CEHRC

• Cockroach Decision Guide by CEHRC

• Carbon Monoxide Decision Guide by CEHRC

• Radon Decision Guide by CEHRC

• Visual Survey Forms by CEHRC

• Sampling Results Reports by CEHRC

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#6 Case Management in Action – Wed. 10:45 to 11:45 am

Indiana requires local health departments to provide case management services for any child with a blood lead level of more than 10 micrograms per deciliter of blood.  But many local health departments are struggling with the nature of case management.  What exactly is needed?  And how must it be documented?

In October, the Joint Select Commission for Medicaid Oversight unanimously endorsed Senator Simpson's draft legislation calling for ISDH to develop rules to define what is required in more detail. 

Nicole Gaunt is the lead poisoning case manager from the Allen County - Fort Wayne Health Department.  She will share her trials and tribulations she has experienced.  Her practical examples will make it clear how to dig into a case to protect not just the lead poisoned child but also siblings and others.  The stories alone are worth the session.  

Karla Johnson is the current team leader and former case manager for Marion County Health Department.   She will share her experiences and tips for success. 

Moderator:   Lorraine Chango  - Public health nurse for Porter County Health Department

Speakers:         

• Nicole Gaunt - Lead Case Manager for Fort Wayne - Allen County Health Department

• Karla Johnson - Team Leader for the Childhood Lead Poisoning Prevention Program at the Marion County Health Department

References:

• Nicole Gaunt of Fort Wayne – Allen County Health Department on Lead:  Silently Impacting Our Neighborhoods”

• State Senator Simpson’s Draft Legislation Regarding Medicaid Reimbursement and Screening Endorsed by the Joint Select Commission on Medicaid Oversight

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