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Lead Safe St. Louis: City of St. Louis Department of Health, Missouri


In 2000 the city of St. Louis had a childhood lead poisoning rate of 31%, compared to a national average of 10%. The city health department recognized that older housing where lead-based paint was used contributed to lead poisoning disproportionately affecting African Americans and low-income residents. In response, the City of St. Louis Department of Health established Lead Safe St. Louis to provide both remediation services and prevention through outreach and education. The multi-faceted campaign uses social marketing techniques to communicate key lead poisoning prevention and screening messages and brings lead testing and blood level screening into neighborhoods and health fairs.  Since 2003, the City of St. Louis has seen a 65% reduction in childhood lead poisoning prevalence, an increase in the number of children engaging in blood lead level screening, and an increase in the availability of lead-free housing.

Primary Toolkit:

UW's Health Disparities Toolkit

Keyword Area:

Environmental Health, Health Promotion and Health Education, Minority


Institutional Author:

University of Washington School of Nursing Department of Psychosocial and Community Health




The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.