Lead service line replacement in a neighborhood

Guidance on Lead Service Line Replacement Plans

VT DEC requires specific prioritization factors beyond the minimum requirement established in the LCRI that give additional priority to high-risk groups. They also include a list of suggested prioritization factors to increase the public health benefit of LSLR programs.

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Tools & Guides Maps

Neighborhood Atlas®: Area Deprivation Index

The Area Deprivation Index includes factors like income, education, employment, and housing quality to generate rankings of neighborhoods by socioeconomic disadvantage at the state or national level.

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Guidance

Guide to Equity Analysis

This guide compiles recommendations for how to implement an equitable LSLR program, including data sources to use in prioritization decisions.

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LeadCare Illinois

LeadCare Illinois

The LeadCare Illinois provides free testing, lead safety training, and support services such as education and sample collection for qualifying childcare facilities and providers, administered by their partner Elevate.

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Lead service line

Lead Elimination Assistance Program (LEAP)

VA DOH’s LEAP Program includes funding for LSLR programs and is an educational resource for homeowners and utilities on LSLR.

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Tools & Guides Pipes 2

Lead in Drinking Water Fact Sheet

This Connecticut Department of Public Health fact sheet explains how lead can enter drinking water, outlines associated health risks and offers practical steps to reduce exposure.

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Tools & Guides Pipes 2

Lead in Drinking Water Safety Tips

This video offers practical steps to reduce exposure to lead in drinking water.

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Guidance

Engaging with the Community on Lead Service Lines

Information for water systems on how to keep their community engaged and informed on LSLR.

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Guidance

Louisville/Jefferson County Metropolitan Sewer District (MSD) Community Benefits Program

The Metropolitan Sewer District has a community benefits program demonstrating how partnerships between community-based organizations, nonprofits, and labor unions can be part of professional services contracting.

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Guidance

Milwaukee Metropolitan Sewerage District Water Equity Task Force

The city’s Water Equity Task Force is an example of collaboration between the utility and nonprofit organizations to develop and diversify the local workforce.

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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.

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