Lead pipe on grass

Stretching the Dollar to Get the Lead Out: Advancing Lead Service Line Programs with Low or No-Cost Policies and Practices

This policy brief highlights low or no-cost policies and practices that have proven successful for many water utilities, and can be replicated in an effort to lower the overall total price tag of lead service line replacement nationwide.

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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.