The element lead (Pb) caught media attention in January 2021. With headlines on politics and covid screaming, missing the news coming out of Flint, Michigan, would not have been too surprising. But the event should have easily caught the attention of the those of us who have worked in the public water sector. The Zoom-based court line-up of elected and appointed officials, including an ex-governor, charged with causing exposure of lead to children in Flint, Michigan, was eye-popping. The NBC News headline read: “Ex-governor, 8 other former Michigan officials charged in Flint water crisis: Charges stem from ‘the largest criminal investigation in the history of the state of Michigan,’ the attorney general says.” Public infrastructure, improperly managed or intentionally mismanaged by government leaders, can harm lives and can earn no-joke jail time.
Childhood exposure to the
element lead is arguably a public health and environmental issue of the
greatest consequence facing public managers. Exposures occur in multiple media
-- air, water, and soil media – thereby crossing regulatory domains.
Emissions arise from legacy sources that are invisible more than releases
from current activities. Lead exposure is old news, not the current hot button,
as it is an issue that has afflicted civilization literally for millennia.
Financial and media resources currently drawn to PFAS might be better
focused on lead if the goal is meaningful benefits to public health.
How big a problem is childhood
lead exposure? Despite long-standing programs, such as abatement of lead paint
in old homes and ending use of leaded gasoline, children in impoverished
communities are harmed even today by lead, and the impact on their lives will
be felt decades into the future. An article like Association of Childhood Blood Lead
Levels With Cognitive Function and Socioeconomic Status at Age 38 Years and
With IQ Change and Socioeconomic Mobility Between Childhood and Adulthood casts lead toxicity in an
urgent light for its long-term effects. Even relatively low levels of exposure
are concerning. This point is made in Low-Level Environmental Lead
Exposure and Children’s Intellectual Function: An International Pooled Analysis: “We conclude that environmental
lead exposure in children who have maximal blood lead levels < 7.5 μg/dL is
associated with intellectual deficits…. childhood lead exposure was associated
with lower cognitive function and socioeconomic status at age 38 years and with
declines in IQ and with downward social mobility. Childhood lead exposure may
have long-term ramifications.”
Despite the attention to
Flint, drinking water is not the major source of childhood exposure to lead.
The article Children’s lead exposure: Relative
contributions of various sources points to dust and soil as the large risk: “the Flint
water crisis, first recognized in 2015, continue to be regularly covered by the
press … [but] lead contamination of soil has not received even a fraction of
this consideration.” Urban soils are a large source of unregulated
childhood exposure to lead. Lead concentrations in inner-city
soils as a factor in the child lead problem bluntly concludes “Our findings pose environmental and
public health issues, especially to children living within the inner-city.”
Wherever scientists look
at soils in old urban centers, they easily find lead at concentrations above the
EPA Safe Soil Level of 400 mg/kg. This has been true In New York City (Trace Metal Contamination in New
York City Garden Soils and
Lead in New York City's soils:
Population growth, land use, and contamination), in Cleveland (Management Options for Contaminated
Urban Soils to Reduce Public Exposure and Maintain Soil Health), in Baltimore (Biosolids compost amendment for
reducing soil lead hazards: a pilot study of Orgro® amendment and grass seeding
in urban yards) and
in Philadelphia (Relationship Between Total and
Bioaccessible Lead on Children’s Blood Lead Levels in Urban Residential
Philadelphia Soils).
The concern for lead risks
is raised when urban soils are used for community gardening. Many cities
have programs to support gardening while explicitly addressing soil toxicity
risks. The US EPA has been on the front lines of providing advice to city
gardeners. EPA’s publications BROWNFIELDS AND URBAN AGRICULTURE:
Interim Guidelines for Safe Gardening Practices and REUSING POTENTIALLY CONTAMINATED
LANDSCAPES: Growing Gardens in Urban Soils are core documents. Many cities have their own
guidance document, for example “Soil Safety and Urban Gardening in
Philadelphia.”
Soil scientists have offered advice on safe gardening approaches: Lead in Urban Soils: A Real or
Perceived Concern for Urban Agriculture? Another scientist proposes avoiding vegetables known to accumulate
lead and other metals (Increased risk for lead exposure in
children through consumption of produce grown in urban soils).
But community gardening is
only one of several risks to children posed by lead-bearing soils. The journal
article Mechanisms of children’s soil
exposure concluded:
“Soil is a source of contaminant exposure that must be evaluated when assessing
environmental conditions and children’s health.” The survey of NYC soils shows that backyard soils
have high metal levels: “Many of the soils analyzed exceeded the limits for Pb,
Cr, As, and Cd levels. Higher percentages of home gardens are contaminated than
community gardens.” The exposure pathway to children is more direct in backyard
soils than in community gardens. The report Resuspension of urban soils as a
persistent source of lead poisoning in children: A review and new directions explains “… recent work on
particulate resuspension and the role of resuspension of Pb-enriched urban
soils as a continued source of bio-available Pb both outside and inside homes….
A strong seasonal relationship is found between atmospheric particulate loading
and blood Pb levels in children….”
Risks from exposure to
dust from backyard soil is usually outside the regulatory purview of
environmental and health officials at local, state, or federal
governments. In Philadelphia, unexpectedly high blood lead levels in
children resulted in a track down by investigative reporters to legacy soil
contamination in gentrifying neighborhoods, where industrial lands were
converted to home sites. The 2017 award-winning expose’ “In booming Philadelphia
neighborhoods, lead-poisoned soil is resurfacing” included testing residential
soils for lead, with some results as high as 10 times the EPA recommended soil
level, and with neighborhood children having blood lead levels substantially
above the 5 micrograms per deciliter action level.
Scientists have studied
ways of reducing risks of high blood level levels of lead in children arising
from contaminated neighborhood and backyard soils. The 2004 review
article Reducing Children’s Risk from Lead
in Soil discusses
chemical reactions in soil and in the human body that can reduce lead
adsorption, also termed lead bioavailability or bioaccessibility. The
report Linking elevated blood lead level
in urban school-aged children with bioaccessible lead in neighborhood soil explained that
“bioaccessible Pb was a much stronger predictor of BLL [blood lead
levels]." Amendments rich in iron and aluminum appear to reduce lead
bioavailability (Effect of soil properties on lead
bioavailability and toxicity to earthworms). Another study (Variability of Bioaccessible Lead
in Urban Garden Soils)
pointed to phosphate and organic matter as significant for reducing lead
bioavailability. The 2004 article also targeted use of the nutrient
phosphorus for reducing lead absorption in children, as phosphorus reacts with
lead to form insoluble minerals that pass through the body. The
report Phosphorus Amendment Efficacy for
In Situ Remediation of Soil Lead Depends on the Bioaccessible Method looked at “Six phosphate
amendments, including bone meal, fish bone, poultry litter, monoammonium
phosphate, diammonium phosphate, and triple superphosphate….” One interesting
recent paper suggests that a wastewater-derived phosphorus mineral, struvite,
could reduce lead levels: Phosphate recycled as struvite
immobilizes bioaccessible soil lead while minimizing environmental risk (“granular struvite can
optimize trade-offs among soil Pb immobilization, crop Pb health risk, and P
loss risk”). But the response of lead to phosphorus is not sure-fire. The
journal article Soil solution interactions may
limit Pb remediation using P amendments in an urban soil reports that “competing
cations, such as Ca, Fe, and Zn, may limit low rate P applications for treating
Pb soils.”
Success at reducing risks
from lead-contaminated soils seems to improve with use of organic matter rich
soil amendments. The study Management Options for Contaminated
Urban Soils to Reduce Public Exposure and Maintain Soil Health tied reduced toxicity risks
from organic-rich amendments to multiple factors. These characteristics include
the vigor of the vegetative cover, the dilution of the toxic metals, the
reduction of exposure of toxics at the soil surface, and the stability of soil
aggregates for good drainage. The researchers also demonstrated that the soil
amendments reduced exposures to toxic organic compounds: “mixing compost with the
soil reduced benzo(a)pyrene content.”
Biosolids-based soil
amendments have proved particularly effective because these products combine
all three effective characteristics for reducing lead bioavailability –
amorphous iron and aluminum, phosphorus in various mineral forms, and
nutrient-rich organic matter. The effectiveness of biosolids products had
been first noted on research on brownfield and Superfund sites contaminated
with lead and other toxic metals by mining and smelting activities. The paper
In situ remediation/reclamation/restoration
of metals contaminated soils using tailor-made biosolids mixtures concluded “Tailor-Made
Biosolids remediation of metal toxic soils allows effective and
persistent remediation at low cost….” A review article of urban
soil research (Case studies and evidence-based
approaches to addressing urban soil lead contamination) explained “composts, both
biosolids and food and yard waste-based, have also been shown to reduce total
soil Pb and Pb accessibility…. a trial program in Baltimore where the high Fe
biosolids composts were added to Pb contaminated soils in 9 home gardens,
reduced the bioaccessibility of lead in soil. …Reduction in bioaccessible
Pb is related to the absorption of Pb on high surface area Fe oxides.”
These results were confirmed in another study: Biosolids compost amendment for
reducing soil lead hazards: a pilot study of Orgro® amendment and grass seeding
in urban yards (“This
study confirms the viability of in situ remediation of soils in urban areas
where children are at risk of high Pb exposure from lead in paint, dust and
soil”).
From all of this we have
two big messages: health risks to children from lead-contaminated urban soils
are significant, and the capacity of biosolids-based soil amendments to reduce
health risks are persuasive. Yet, deployment of biosolids products to mitigate
risks of exposure to urban soils is uncommon. A host of explanations can be
offered: biosolids is a “tough sell” in urban communities; no regulations
compel mitigation of lead in backyard soils; lead-based paint exposure in homes
remain an urgent risk; and expensive local testing and demonstrations might be
needed to support new programs. But does not the experience of the Flint water
crisis teach us a lesson? The nexus of public policy in health and
environmental management can collide with a vengeance when public leadership
fails to act to protect the health of children. We biosolids managers have the
knowledge and capacity to assume responsibility for advocating the fact that,
when it comes to mitigating childhood lead risk, Biosolids is the Lead
Story.
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