The Nonlinear Library EA - #175 - Preventing lead poisoning for $1.66 per child (Lucia Coulter on the 80,000 Hours Podcast) by 80000 Hours
Dec 16, 2023
22:29
Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: #175 - Preventing lead poisoning for $1.66 per child (Lucia Coulter on the 80,000 Hours Podcast), published by 80000 Hours on December 16, 2023 on The Effective Altruism Forum.
We just published an interview: Lucia Coulter on preventing lead poisoning for $1.66 per child. Listen on Spotify or click through for other audio options, the transcript, and related links. Below are the episode summary and some key excerpts.
Episode summary
I always wonder if one part of it is just the really invisible nature of lead as a poison. Of course impacts aren't invisible: millions of deaths and trillions of dollars in lost income. But the fact that lead is the cause is not apparent. It's not apparent when you're being exposed to the lead. The paint just looks like any other paint; the cookware looks like any other cookware.
And also, if you are suffering the effects of lead poisoning, if you have cognitive impairment and heart disease, you're not going to think, "Oh, it was that lead exposure." It's just not going to be clear.
Lucia Coulter
Lead is one of the most poisonous things going. A single sugar sachet of lead, spread over a park the size of an American football field, is enough to give a child that regularly plays there lead poisoning. For life they'll be condemned to a ~3-point-lower IQ; a 50% higher risk of heart attacks; and elevated risk of kidney disease, anaemia, and ADHD, among other effects.
We've known lead is a health nightmare for at least 50 years, and that got lead out of car fuel everywhere. So is the situation under control? Not even close.
Around half the kids in poor and middle-income countries have blood lead levels above 5 micrograms per decilitre; the US declared a national emergency when just 5% of the children in Flint, Michigan exceeded that level. The collective damage this is doing to children's intellectual potential, health, and life expectancy is vast - the health damage involved is around that caused by malaria, tuberculosis, and HIV combined.
This week's guest, Lucia Coulter - cofounder of the incredibly successful Lead Exposure Elimination Project (LEEP) - speaks about how LEEP has been reducing childhood lead exposure in poor countries by getting bans on lead in paint enforced.
Various estimates suggest the work is absurdly cost effective. LEEP is in expectation preventing kids from getting lead poisoning for under $2 per child (explore the analysis here). Or, looking at it differently, LEEP is saving a year of healthy life for $14, and in the long run is increasing people's lifetime income anywhere from $300-1,200 for each $1 it spends, by preventing intellectual stunting.
Which raises the question: why hasn't this happened already? How is lead still in paint in most poor countries, even when that's oftentimes already illegal? And how is LEEP able to get bans on leaded paint enforced in a country while spending barely tens of thousands of dollars? When leaded paint is gone, what should they target next?
With host Robert Wiblin, Lucia answers all those questions and more:
Why LEEP isn't fully funded, and what it would do with extra money (you can donate here).
How bad lead poisoning is in rich countries.
Why lead is still in aeroplane fuel.
How lead got put straight in food in Bangladesh, and a handful of people got it removed.
Why the enormous damage done by lead mostly goes unnoticed.
The other major sources of lead exposure aside from paint.
Lucia's story of founding a highly effective nonprofit, despite having no prior entrepreneurship experience, through Charity Entrepreneurship's Incubation Program.
Why Lucia pledges 10% of her income to cost-effective charities.
Lucia's take on why GiveWell didn't support LEEP earlier on.
How the invention of cheap, accessible lead testing for blood and consumer products would be a game changer.
Genera...
We just published an interview: Lucia Coulter on preventing lead poisoning for $1.66 per child. Listen on Spotify or click through for other audio options, the transcript, and related links. Below are the episode summary and some key excerpts.
Episode summary
I always wonder if one part of it is just the really invisible nature of lead as a poison. Of course impacts aren't invisible: millions of deaths and trillions of dollars in lost income. But the fact that lead is the cause is not apparent. It's not apparent when you're being exposed to the lead. The paint just looks like any other paint; the cookware looks like any other cookware.
And also, if you are suffering the effects of lead poisoning, if you have cognitive impairment and heart disease, you're not going to think, "Oh, it was that lead exposure." It's just not going to be clear.
Lucia Coulter
Lead is one of the most poisonous things going. A single sugar sachet of lead, spread over a park the size of an American football field, is enough to give a child that regularly plays there lead poisoning. For life they'll be condemned to a ~3-point-lower IQ; a 50% higher risk of heart attacks; and elevated risk of kidney disease, anaemia, and ADHD, among other effects.
We've known lead is a health nightmare for at least 50 years, and that got lead out of car fuel everywhere. So is the situation under control? Not even close.
Around half the kids in poor and middle-income countries have blood lead levels above 5 micrograms per decilitre; the US declared a national emergency when just 5% of the children in Flint, Michigan exceeded that level. The collective damage this is doing to children's intellectual potential, health, and life expectancy is vast - the health damage involved is around that caused by malaria, tuberculosis, and HIV combined.
This week's guest, Lucia Coulter - cofounder of the incredibly successful Lead Exposure Elimination Project (LEEP) - speaks about how LEEP has been reducing childhood lead exposure in poor countries by getting bans on lead in paint enforced.
Various estimates suggest the work is absurdly cost effective. LEEP is in expectation preventing kids from getting lead poisoning for under $2 per child (explore the analysis here). Or, looking at it differently, LEEP is saving a year of healthy life for $14, and in the long run is increasing people's lifetime income anywhere from $300-1,200 for each $1 it spends, by preventing intellectual stunting.
Which raises the question: why hasn't this happened already? How is lead still in paint in most poor countries, even when that's oftentimes already illegal? And how is LEEP able to get bans on leaded paint enforced in a country while spending barely tens of thousands of dollars? When leaded paint is gone, what should they target next?
With host Robert Wiblin, Lucia answers all those questions and more:
Why LEEP isn't fully funded, and what it would do with extra money (you can donate here).
How bad lead poisoning is in rich countries.
Why lead is still in aeroplane fuel.
How lead got put straight in food in Bangladesh, and a handful of people got it removed.
Why the enormous damage done by lead mostly goes unnoticed.
The other major sources of lead exposure aside from paint.
Lucia's story of founding a highly effective nonprofit, despite having no prior entrepreneurship experience, through Charity Entrepreneurship's Incubation Program.
Why Lucia pledges 10% of her income to cost-effective charities.
Lucia's take on why GiveWell didn't support LEEP earlier on.
How the invention of cheap, accessible lead testing for blood and consumer products would be a game changer.
Genera...