Lead pipe remediation budgets are limited and ought to maximize public health impact. This goal implies a non-trivial optimization problem; lead service lines connect water mains to individual houses, but any realistic replacement strategy must batch replacements at a larger scale. Additionally, planners typically lack a principled method for comparing the relative public health value of potential interventions and often plan projects based on non-health factors. This paper describes a simple process for estimating child health impact at a parcel level by cleaning and synthesizing municipal datasets that are commonly available but seldom joined due to data quality issues. Using geocoding as the core record linkage mechanism, parcel-level toxicity data can be combined with school enrollment records to indicate where young children and lead lines coexist. A practical heuristic of estimated exposure-years is described at the parcel level, which can then be aggregated to the project level and minimized globally by selecting projects using a knapsack optimization. The optimization setup can then be relaxed to produce a priority queue which planners can consider alongside numerous harder to quantify factors. A case study demonstrates the successful application of this framework to a small U.S. city's existing data in order to prioritize federal infrastructure funding. While this paper focuses on lead in drinking water, the approach readily generalizes to other sources of residential toxicity with disproportionate impact on children.
翻译:铅管补救预算有限,应该最大限度地扩大公共卫生影响。这个目标意味着一个非三重优化问题;铅服务线将水管连接到各个家庭,但任何现实的替代战略都必须分批进行更大规模的替代。此外,规划者通常缺乏一项原则性方法,以比较潜在干预措施相对公共卫生价值,并经常根据非健康因素规划项目。本文件描述了通过清洁和综合常见但因数据质量问题而很少加入的城市数据集,在包裹一级评估儿童健康影响的简单程序。利用地理编码作为核心记录连接机制,包裹一级的毒性数据可以与学校入学记录相结合,以表明幼儿和铅线的共存之处。估计暴露年份的实际偏重在包裹一级,然后将其汇总到项目一级,并通过使用Knapsack优化选择项目在全球范围最小化。然后,优化设置可以放松,产生优先排队列,规划者可以考虑与许多更难量化的因素一起进行计算。案例研究表明,这一框架成功地应用到一个小型的美国饮用水连接机制,包裹级的毒性数据可以与学校入学记录结合起来,以表明幼儿和铅线共存。估计的暴露年份是联邦基础设施筹资的重点。