Assessing The Impact Of A Residential Metals Abatement Program On Child Blood Lead Levels In Butte, Mt - SME Annual Meeting 2022

A residential metals abatement program has been underway in Butte for more than 20 years. More than 1,350 yard and attic cleanups were completed by the end of 2018; most triggered by lead. While the focus is on remediation of residential soil and house dust, the program also includes a blood lead monitoring program with identification and abatement of additional sources of exposure for children with elevated blood lead levels (BLLs). As specified in the remediation program, studies are being conducted every 5 years to assess BLL data collected from Butte children. The first two studies have evaluated over 6,000 BLLs from 2003 through 2017 and evaluated trends over this time period, by Butte neighborhood, and as compared to areas outside of Butte. These studies showed that rates of elevated BLLs (i.e., those above 5 µg/dL) in Butte children have declined dramatically since 2002 but have been declining much more slowly since 2011. Improved rates of confirmation testing are needed to verify the rates of elevated BLLs. While the RMAP likely has contributed to these declines in BLLs the magnitude of impact cannot be quantified.