Research on lead hazards is solution, not problem
By Don Ryan
Originally published August 28, 2001
Source: Baltimore Sun
WASHINGTON - The Maryland Court of Appeals' harsh criticism of the
Kennedy Krieger Institute's lead poisoning research has created the
impression that researchers sacrificed children's health for the good of
science.
The outrage expressed in news reports is rooted in the false premise that
this study placed children in harm's way. The reality is that this research
made homes safer, not only for the children in Baltimore but for hundreds
of thousands of others across the nation.
Children do not live in lead-burdened houses because researchers want to
"experiment" on them but because so much of our housing is
contaminated
by lead. According to the most recent national survey, 40 percent of all
U.S. housing contains some lead-based paint.
The only way to prevent lead poisoning is to make properties safe from
lead hazards before a child is poisoned. The only way to accomplish this
is to figure out "what works."
Ironically, Dr. Julian Chisholm and Dr. Mark Farfel, the very researchers
now being vilified, directed the pioneering study that proved traditional,
haphazard abatement methods actually increase children's lead exposure.
As a result, conventional dusty paint removal methods, which were
commonly required in the past, since have been banned by local, state and
federal agencies. By highlighting the danger of lead dust and validating
affordable measures for protecting children on a broad scale, their
research helped shift the national approach to prevention and laid the
foundation for science-based national standards.
Just as important, the greater good from the Chisholm/Farfel research did
not come at the expense of families in Baltimore.
In contrast to the picture portrayed in the news media and by the court,
their study was purposefully designed to provide lead safety treatments to
families' homes that far exceeded state and local requirements and made
these homes safer than they had been and safer than typical neighboring
properties.
At the time of this study, from 1993 to 1995, most low-income families in
Baltimore City had great difficulty finding lead-safe housing - and many
still do. Because of the same ethical concerns later raised by the court, the
study did not include families living in housing with unattended lead
hazards as a control group.
The court's analogy to the notorious Tuskegee, Ala., experiments dealing
with syphilis from 1932 to 1972 is sadly misplaced. The outrage of
childhood lead poisoning is blasé acceptance that 5 million American
preschool children - primarily low-income children - still live in homes with
significant lead hazards.
In the Tuskegee experiment, researchers deliberately misled and withheld
treatment from African-American men afflicted with syphilis in order to
watch the progression of the disease.
Protecting all of our children requires committing the resources needed to
make high-risk housing permanently lead-safe by apportioning
responsibility among property owners, taxpayers and the paint companies
that marketed a poisonous product for decades after the dangers were
clear.
While the Maryland courts will determine whether the Kennedy Krieger
Institute bears legal responsibility to anyone involved in this study, the
urgent need remains for research to develop practical solutions to the
vexing problems posed by lead-based paint in older, high-risk housing.
Of course research projects must meet the highest standards, including the
ethical treatment of all individuals involved. But halting research designed
to verify how to make houses safe would be a tragic disservice to the
children who are still exposed to lead hazards in their homes.
Don Ryan is executive director of the Alliance To End Childhood Lead
Poisoning, an advocacy group based in Washington.