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 In 1991, the Public Health Service articulated a vision for primary prevention in Strategic Plan for the Elimination of Childhood Lead Poisoning, a departure from previous federal policy focused on finding and treating lead-poisoned children. This publication detailed a 15-year strategy for primary prevention and offered a cost-benefit analysis to demonstrate the monetized benefits of this approach. A strong national effort to follow this strategy developed but was eventually abandoned.

The organized campaign against universal screening began in California, where letters questioning the reported prevalence of elevated BLL began appearing in pediatric journals and newspapers. These letters acknowledged receiving editorial assistance from Kaiser Permanente Foundation Hospitals and argued that money spent on screening, treatment and abatement would be harmful to more worthy public health efforts. The AAP president took up this attack on universal screening as well, and efforts for universal screening were gradually eroded. 

Needleman identifies racism and the belief that lead poisoning “is a product of poor mothering, not of environmental pollution” as a driving factor shaping lead detection and prevention efforts (or the lack thereof) … “this weighting of personal choice or behavior over environment is a tool used to shift responsibility away from health authorities or polluters and onto the victim” (1875).

The photo essay captures the complexity of place and the intersectional challenges embedded in everyday life in Asuza. In particular your discussion of encampments (a problem endemic to the wilderness areas in the Foothills as well as urban areas like washes, and under freeways) is much appreciated because it is something residents encounter all the time and yet there is a generalize silence about this topic. 

I feel, as in all our work on the SGV, the greater Los Angeles metropole has such an huge influence on the area--on traffic, the housing market, schools etc. I would like to see this essay embedded within multiple studies of Southern California, including mapping projects that connect it regionally to other communities as well as locally enmeshed institutions that shape the daily lives of local inhabitants.