Exit Interview

Alexxis Mitchell
Health Education Associate
Department of Public Health Education
North Carolina Central University

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Organization Overview ● Located in Durham, NC
● Serves the Northeast Central
Durham (NECD) community
● Operates as a community-
based lead-based paint and
healthy homes environmental
agency.

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Organization History
● The initial concept for PEACH was created by NC Central University (NCCU)
researchers and Northeast Central Durham (NECD) community leaders.

● Only original program implemented by Northeast Central Durham

Reinvestment Board, Inc. and PAC 1 still in existence.

● Trained more than 300 contractors in Lead Safety Renovate, Repair and
Painting.

● Hired and trained Durham-based small businesses to complete lead hazard

control cleanings in more than 200 homes.

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 Meet My Preceptor
Lenora Smith is a graduate North
Carolina Central University. She
has served the NECD community
for over 20 years, educating and
empowering the community
against lead-based paint hazards.
Mrs. Smith has been fervent in
speaking about the reactive nature
of the current policy as it relates to
Lenora Smith lead-based paint hazards.
Executive Director
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Board of Directors
Executive
Director/Chair of the
Board
(Lenora Smith)
Secretary of the
Board Vice Chairman
(Barrington (Dan Curry)
Ross)

Chair, Chair, Community

Chair, Financing, Chair, Bus. & Relations and
and Budgeting Program Dev. Fundraising Dev. Outreach
Committee Committee Committee Committee

Office
Writer, Grants, Intern Development
Finance Assistant
Webmaste
and Proposals (Alexxis Coordinator
Mitchell) r

Writer, Secretary/ Secretary/

Program Treasurer Database
Curriculum Specialist
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Why are we worried about lead?
Lead in children:
● Behavior and learning problems
● Lower IQ and Hyperactivity
● Slowed growth
● Hearing Problems
● Anemia
Lead in adults:
● Miscarriages
● Premature birth
● Low birth weight babies
● Sexual disorders
● Cardiovascular effects,
increased blood pressure and
incidence of hypertension
● Decreased kidney function
● Reproductive problems (in
both men and women)
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Work Plan Objectives
● Create a social media presence
● Complete NC Renovate, Repair, and Pair (RRP) instructor application
● Teach an EPA RRP class
● Supervise volunteers
● Develop a complete volunteer orientation packet
● Create 100 Initial RRP manuals
● Create 25 Refresher RRP manuals
● Establish SOP for creating RRP manuals
● Develop PEACH brochure
● Develop presentation for NECD Career Fair
● Collaborate with key community organizations
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 7 Roles and Responsibilities Activities
Area I: Assess Needs, Resources, and Capacity ● Key informant interviews
for Health Education/Promotion ● Research for national, state, and local data

Area II: Plan Health Education/Promotion ● Set up RRP classroom

● Create RRP books
● Create education guide for ‘So You Think You
Can Clean?’
● Prepare for Health Director Meeting

Area III: Implement Health Education/Promotion ● Assist in RRP class

● Educate at Golden Belt Block Party

Area IV: Conduct Evaluation and Research ● Develop pre and post test
Related to Health Education/Promotion ● Analyze lab results

Area VI: Serve as a Health Education/Promotion ● Golden Belt tabling

Resource Person ● NECD Career Fair

Area VII: Communicate, Promote, and Advocate ● Create brochure

for Health, Health Education/Promotion, and the ● Create volunteer flyer
Profession ● Social media post

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Deliverables
● Initial RRP manuals
● Refresher RRP manuals
● Draft display board presentation of agency
● Draft organization brochure
● Volunteer packet
● SOP for RRP manuals

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So You Think You Can Clean?
Developed for NECD residents living
in homes built before 1978

Dates Conducted: Friday, April 12, 2019 and

Saturday, April 13, 2019
Family home visits: Friday, April 12
Broad community education: Saturday, April 13
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Background
National: Children who are being exposed to high levels of lead
occupy approximately 4 million households in the United States
(CDC, July 2018).

State: In 2016, North Carolina reported 2,131 children having

elevated blood lead levels (BLLs) (CDC, 2016).

Local: Durham reported that in 2009, 15 children had BLLs of 10-

19 µg/dL (Durham County Public Health Dept.).

In Durham County, 40.3% of housing units, were built prior to

1980. 11
Background Continued

In 2016, PEACH
conducted 50
risk assessment
on homes in
Census Tract
10.01 (NECD)

Source: PEACH Town Hall Presentation, 2018

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Purpose
● To determine the effectiveness of basic household
cleaning on the presence of lead dust
Objectives
● Identify 2 household products that effectively clean
lead dust
● Identify which household products do not effectively
clean lead dust
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Demographics N=4

Male – 0 Homeowners: 3 Child lives in the home: 3

Female - 4 Renting - 1 Child visits frequently:1

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Methods
● Visited 4 homes in Durham County, NC that PEACH identified as having
elevated lead dust levels (Convenient Sample)
● 2 samples were taken at each home, before and after cleaning
● Participants used personal methods of cleaning
● 30 minute education of EPA recommended cleaning methods was given
while waiting the allotted time (1 hour) to take post sample
● Pre and post test was distributed

Analysis
● Accurate Analytical
● Qualtrics
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Pre/Post Sample Results
Pre Sample Post Sample Cleaning
Method

House 1 56.70 mg/ft^2 16.71 mg/ft^2 Baby Wipe

House 2 174.79 mg/ft^2 167.85 mg/ft^2 Clorox spray/Water

House 3 1209.47 mg/ft^2 17.11 mg/ft^2 Mrs. Meyer’s All

Purpose Cleaner

House 4 <7.88 mg/ft^2 <8.57 mg/ft^2 Dawn /Water

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Findings
● Clorox is NOT effective when cleaning for lead dust
● Ms. Meyers all purpose cleaner IS effective for cleaning
lead dust
● The findings from Dawn and baby wipes are
inconclusive

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Logic Model
Short Term Mid Term Long Term

• Identify household • Residents will use • Reduction in the

products that household number of
effectively clean lead cleaning products children with
dust
that have proven elevated BLLs
• Identify household
products that do not to be effective in • No children will be
effectively clean dust cleaning lead dust diagnosed with
lead poisoning

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Purpose
● To educate residents of NECD on the dangers of lead
based paint hazards

● To educate residents of NECD on how to properly clean

lead dust

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Objectives
● To increase knowledge about the health impact of lead
based paint

● To increase NECD residents knowledge about EPA lead-

safe cleaning recommendations

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Theoretical Framework
This project was guided by the health belief model

Constructs included:

● Perceived Severity Does lead affect your child’s

health?
● Perceived Barriers Why don’t you clean once a
week?
● Perceived Benefit Do you think it works?
● Self Efficacy Are you confident in cleaning? 21
Methods
● Recruitment done through social media, word of
mouth, and flyers
● Pre and post survey
● 7 minute education session
Analysis
● Qualtrics

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Hopkins, 23
2014
Results Post Test

100% of participants responded with somewhat or strongly agree when

asked if they knew more about lead based paint hazards
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Results
Post Test

Perceived barriers to frequent cleaning

included lack of time and other barriers
such as pain 25
 Post Test

93% participants responded yes when asked if

regular household cleaning minimized the
amount of lead dust present 26
 Post Test

100% of participants said that lead

could effect their child’s health 27
100% of participants they felt more
comfortable cleaning for lead dust 28
Logic Model

Short Term Mid Term Long Term

• Increase the • Residents of pre- • Reduction in the

knowledge of NECD 1978 housing will number of children
residents on the adopt EPA with elevated BLLs
health effects of
recommended • No children will be
lead-based paint
• Increase the cleaning methods diagnosed with
knowledge of NECD lead poisoning
residents on EPA
recommendations of
cleaning lead dust.

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Findings
● Participants are more knowledgeable on lead-based
paint hazards
● Participants feel more comfortable cleaning using EPA
recommended cleaning methods
● Participants are more knowledgeable about how lead
exposure can affect children’s health

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Conclusions and Recommendations
● Conduct a formal training to teach residents to clean
using EPA recommended methods
● Continue awareness efforts about cleaning for lead
dust
● Get the word out that Clorox does not effectively clean
lead dust
● Teach residents effective lead cleaning methods

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References
Durham County - NC - Public Health Community Health Assessment. (n.d.). Retrieved from
http://dcopublichealth.org/resources/health-resources-data/community-health-assessment

Lead. (2019, February 04). Retrieved from https://www.cdc.gov/nceh/lead/default.htm

Lead Hazard Awareness Project: Housecleaning for Lead Safety. (2018, June 28). Retrieved from
https://www.cleanwateraction.org/features/lead-hazard-awareness-project-housecleaning-lead-safety

Partners Against Crime: Hard work in Durham for true citizen ownership. (2014, December 19). Retrieved
from https://cele.sog.unc.edu/partners-against-crime-hard-work-in-durham-for-true-citizen-ownership/

Protect Your Family from Exposures to Lead. (2019, February 12). Retrieved from
https://www.epa.gov/lead/protect-your-family-exposures-lead

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Reflection
Major Accomplishments:

● RRP Guest Instructor approval

● Home visits

Lessons Learned/Recommendations

● Do not procrastinate
● Take ownership
● Communicate effectively

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34
Acknowledgements
● NCCU Department of Public Health Education
● Dr. Reid, Dr. Harrington, and Ms. Jones
● Partnership Effort for the Advancement of Children’s Health
● Lenora Smith
● Rebuild Fellowship Church
● Participants

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