Milwaukee Health Commissioner Dr. Mike Totoraitis. (Photo by Isiah Holmes/Wisconsin Examiner)

Federal layoffs have hampered the city of Milwaukee’s ability to respond to growing concerns about lead contamination in Milwaukee Public Schools (MPS). The Centers for Disease Control and Prevention (CDC) denied the city’s requests for assistance after Health and Human Services Secretary Robert F. Kennedy Jr. cut the agency’s response team, which would have helped Milwaukee tackle lead contamination in its K-12 schools. 

“This is a pretty unprecedented scenario to not have somebody to turn to at the CDC,” said Mike Totoraitis, commissioner of the Milwaukee Health Department (MHD), during a Monday press conference. Totoraitis learned of the development, which he said left him “quite shocked,” in an email as the Health Department was planning further responses to lead contamination in MPS. “To see that all of our partners at the CDC had been let go was pretty…pretty difficult,” he said.

Although a local network of partners will continue supporting MHD’s efforts, Totoraitis said that the department now has no CDC contacts to consult with on  childhood lead poisoning. The commissioner called it “a pretty stark moment for us at the department to not have someone to reach out to federally.” 

In February the Health Department began reaching out to the CDC as staff members realized the scale of the lead problem e in MPS buildings. Totoraitis said the department might have to assess the school district’s 68,000 students and over 100 school buildings. 

The CDC initially connected the city to specialists at the National Center for Environmental Health’s childhood lead prevention program. City health officials had hoped national teams would help investigate potential lead exposure cases and help with evaluating which schools were likely to have the worst problems.

Totoraitis explained that while there are acute exposures to lead — such as ingesting paint chips — chronic exposure from dust was paint degrades over time is also a hazard. 

With closer analysis, the health department would be able to learn more about how children in Milwaukee are getting exposed to lead, including whether they’re exposed at school or at home. 

CDC was expected to send three to four people to Milwaukee for up to five weeks, he said, as well as provide technical assistance from individuals advising the department remotely from Atlanta. 

“That’s why we engaged them right away,” said Totoraitis. He described the team as “the top experts in the field for lead exposure,” with experience dealing with lead hazards at a much wider scale than local experts in Milwaukee.

There was “no indication” that the CDC teams would be let go, said Totoraitis. “So that was pretty startling,” he added. Preparation to deploy the teams was underway when the CDC abruptly canceled “overnight” on April 1. 

So far, nearly 250 MPS students have been tested for lead poisoning and several schools have been shut down as work crews undertake remediation efforts. 

In early April, MPS announced that it was separating with its facilities director Sean Kane, who’d been with the district for 25 years. Officials said Kane had not allowed health department staff into Golda Meir School to do a full risk assessment and did not disclose that remediation work had been attempted after a student tested positive for lead contamination. 

Childhood lead contamination has been linked to cognitive disorders including degraded impulse control, learning disabilities and violent behavior. About 85 MPS schools were built before 1970 and are therefore at high risks of lead contamination. 

Totoraitis said that so far, there isn’t a timeline on when MPS schools that have been closed due to lead will reopen. Fernwood Montessori School, Starms Early Childhood Center and LaFollette School were closed, while four others that had been closed were re-opened. 

Totoraitis said that remediation work is farthest along at Fernwood, which is beginning its fifth week of closure. Fernwood was “significantly worse off” than investigators anticipated and required extensive repair work, he said. 

As the city works to respond to the lead issue, federal staff and the unpredictability of federal assistance will remain a challenge. Just a couple of weeks ago, the city lost $11 million in COVID-19 grants that were geared towards “recovery” rather than “response,” officials said.

“The part that’s really concerning for us is there hasn’t been any communication warning us of these changes and shifts in personnel,” said Totoraitis. “April 1 is a really stark moment for public health here across the country, and specifically here in Milwaukee, where now we don’t know who to call. We don’t know how to respond to some of the challenges that we’re dealing with right now because we don’t know if I’m reaching out to someone today, if they’re going to be there tomorrow.”

Totoraitis said the Health Department and its local partners stand ready to respond, but he questioned what could happen if the department encounters a complex challenge, such as a particularly complicated blood screening data.  

“The CDC brings that expertise, that bigger picture, that we just don’t have eyes to because we’re here focused on an issue in Milwaukee,” said Totoraitis.