This proposal aims to continue supporting the Flint Registry (FR), a designated public health authority that is addressing the public health emergency created when ~100,000 residents of Flint, Michigan, were exposed to lead in drinking water from 4/25/2014 to 10/15/2015 (known as the Flint water crisis). The FR addresses the critical need to identify exposed individuals for long-term surveillance and support, and to determine the neurodevelopmental, medical, and socioeconomic impact of the crisis.
With widespread community partnership, the FR has built a fully operational public health infrastructure that has enrolled almost 20,000 individuals and made more than 25,000 connections to public health promoting resources. By connecting participants to a community network of service providers with programs designed to improve health and development, as well as by reducing ongoing lead exposures, the FR is already reducing health disparities. The FR continues to address the ongoing public health impact of the water crisis by maintaining the FR cohort for long-term surveillance and participant support and by continuing to recruit and enroll additional eligible participants.
Leveraging the FR's currently built infrastructure, we will maintain and expand the FR to accomplish the following aims: 1) Continue active and targeted marketing and outreach, with ongoing lead elimination training and programming; 2) Identify and recruit high-risk individuals; 3) Survey those enrolled in the registry to measure registrants' exposure, health, developmental milestones, and service utilization and refer registrants to services to reduce or control lead exposure effect; 4) Maintain, survey, and refer cohort of enrolled participants; and 5) Evaluate and disseminate findings and share best practices.