• Case Study
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    • A data-driven approach to prioritize neighborhoods for LSLR

    • May 13, 2025
    • Lead Innovation Hub
    • Milwaukee, WI
    Milwaukee uses an Area Deprivation Index to prioritize neighborhoods for LSLR.
    Area Deprivation Index

    Milwaukee is one of the few cities in the country with a prioritization plan to ensure neighborhoods likely to suffer the most severe impacts from lead exposure get their pipes replaced first. In consultation with a community-based group, Coalition for Lead Emergency (COLE), and following a public engagement process, Milwaukee included in an ordinance three indicators to prioritize where LSLs will be removed first: 

    1. the area deprivation index (ADI), which is a compilation of social determinants of health; 
    2. the percentage of children found to have elevated lead levels in their blood when tested for lead poisoning; 
    3. the density of lead service lines in the neighborhood. 

    Read more here to learn more about Milwaukee’s LSLR prioritization.

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    PrioritizationPublic HealthReplacements
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    Milwaukee is one of the few cities in the country with a prioritization plan to ensure neighborhoods likely to suffer the most severe impacts from lead poisoning get their pipes replaced first. In consultation with a community-based group, Coalition for Lead Emergency (COLE), and following a public engagement process, Milwaukee included in an ordinance three indicators to prioritize where LSLs will be removed first:

    1. The area deprivation index (ADI), which is a compilation of social determinants of health
    2. The percentage of children found to have elevated lead levels in their blood when tested for lead poisoning
    3. The density of lead service lines in the neighborhood.

    Read more here.