Last month, the Lead Service Line Replacement Collaborative , a group that includes the AWWA, NRWA, ASDWA, NAWC, RCAP and WRF among others, hosted a panel discussion entitled "Drinking Water and Lead Service Lines: Partnering to Protect Human Health." The focus of this discussion was how partnerships between water utilities and public health agencies are key to helping lead service pipe replacement programs really get off the ground. Dr. Lynn Goldman from the Milken Institute School of Public Health started off the discussion by providing historical context, pointing to precedents that allowed lead to be "managed in place" while also allowing higher lead levels in water to be acceptable practice. She explained that when EPA's first Lead and Copper standard (1992) began to improve health outcomes for water consumers, lower-level effects began to be unmasked. This phenomenon, according to Goldman, underscores the importance of enacting revisions to the Lead & Copper Rule, as well as best practices for lead sampling strategies. Goldman emphasized the importance of developing carefully crafted lead pipe removal programs so that more lead isn't released into drinking water supplies during the remediation process. Other takeaways from the panel of speakers include the following: Some communities bear disproportional consequence of lead contamination. Lead poisoning can go undetected in individuals, but even low levels of lead affect the brain. Action alerts vary state-by-state, but Amanda Reddy from the National Center for Healthy Housing recommends an action level of 5 ug/dL. Lead-based paint is the most widespread cause of lead poisoning, but we need comprehensive solutions to address ALL hazards. There are proven & cost effective solutions. In fact, replacing lead service lines for just the children born in 2018 would protect 350,000 individuals from future lead poisoning. Solutions must include diverse stakeholders including drinking water professionals, public health officials, elected officials, community leaders and concerned consumers. Lead contamination resources need to be easily accessible for individuals affected by lead in their drinking supply. Simply providing bottled water is not a long-term solution. Public Health representatives from two municipalities (Milwaukee and Cincinnati) also spoke at the forum, and offered their lessons learned: Partial Lead Service Line replacement can cause more lead to be released into drinking water supplies. Full line replacement should be the desired strategy, and working with all stakeholders to pass city-wide ordinances requiring full replacement is the most effective way to do this. Developing lead protocols for emergency leaks and repairs is critical. City-wide outreach and education/awareness campaigns are a must. Prioritizing schools or childcare facilities for line replacement makes sense. Milwaukee used Wisconsin's Drinking Water State Revolving Funds to replace service lines at schools, Cincinnati used a HUD grant to replace service lines for low-income residents. Cincinnati formed a county-level collaborative and pooled resources, technical providers, outreach professionals. They also targeted their outreach to PTAs, Church groups, community organizations. Challenges include: switching out interior plumbing (inside private residences), missing out on targeting some childcare/schools because they are not licensed, and finding the time and resources to communicate effectively with customers. Finally, Cathy Bailey, from Greater Cincinnati Water Works , a system that encompasses an area with the second highest child poverty rate and second-highest number of lead lines in the country, offered her perspective. Her system has adopted a 15-year program for full service line replacement, with cost-assistance for low-income residents and cost-sharing arrangements for other property owners. Her advice for water systems? Water Utilities should lead the effort to start the conversation about lead in drinking water and service line replacement. Utilities have a big stake in this issue. Utilities can be proactive in providing tools and education to their community. Cincinnati provides online resources such as a lead "map' and free lead testing as well as assistance to schools funded by their general operating budget. Utilities can be proactive in communicating within their organization. Cincinnati Water Works has an internal dashboard to compile lead test results, health statistics and more. They then can identify homes that qualify for free P.O.U filters. Cincinnati Water Works partners with the health department to share data, understand water quality issues and help individuals and schools mediate problems. The panel participant's message was clear: lead service line replacement is simply the right thing to do for communities, and partnerships with health departments and water utilities are critical to that process. Want to find out more? Check out the Lead Service Line Collaborative's online roadmap/toolkit or follow #safewater on Twitter.