In the days following the death of Freddie Gray, the 25-year-old black man who sustained a fatal spinal injury in Baltimore police custody, I was taken back to my time in Baltimore, at the height of America’s “tough on crime” era.
I arrived in the city in 1999 as a federal employee, sent to the city health department to support a crumbling local public health infrastructure. I had a deep sense that I wanted to fight the good fight, but at 27 years old — just two years older than Freddie Gray — I had little understanding of what that meant. No sooner had I arrived in Charm City than the Baltimore Sun broke the story that would shape my years there. The headline went something like this: Baltimore’s children are canaries in a coalmine: City does little to combat child lead poisoning.
No%20one%20could%20have%20known%20it%20then%20but%20Freddie%20Gray%2C%20who%20would%20have%20been%20about%2010%20years%20old%20at%20the%20time%2C%20was%20one%20of%20those%20poisoned%20kids%20in%20Sandtown-Winchester.’
Like other post-industrial cities, Baltimore’s famous row houses were riddled with the stealthy neurotoxin. Deceptively sweet like manna from heaven, lead paint permanently rewired the developing minds of kids in East and West Baltimore who ate the dulcet chips and breathed in their dust. In the poorest neighborhoods, kids moved from leaded-home to leaded-home as their families were evicted, fathers incarcerated, mothers fended for themselves.
Of course, violence, drug-addiction and despair were common. At the time, one in eight Baltimore residents were addicted to heroin, the evidence of which could be found near City Hall where “poppers,” the small needles long-time addicts used to inject the drug just under the skin on their hands, could be found all over the sidewalks and alleys. The dominant narrative confirmed that the city traded in despair: HBO’s “The Corner” aired in 2000 and “The Wire” followed two years later.
Measuring misery
In the winter of 2000, the visionary leader of the city health department, Dr. Peter Beilenson, implemented a comprehensive strategy to combat lead poisoning by adapting CompStat from the New York City Police Department. The crime-fighting approach was born of the now-refuted broken windows theory and implemented with a rabid, naïve fervor by then-Baltimore Mayor Martin O’Malley. While CompStat employed the particular logic of measurement to track crime and police effectiveness, LeadStat relied on similar mapping technology and was based on the same theory: that constant evaluation would yield quantifiable improvements.
Unwittingly, we slipped down the rabbit hole of measuring complicated social problems with simplistic counts: violent crimes down; arrests up; new lead poisonings up. But what was the story behind the numbers? Was the city really improving the conditions for people living in Baltimore or were we just getting better at measuring misery?
But it was sexy. LeadStat used maps to visualize what everyone knew intuitively: that all Baltimore’s problems converged in a few neighborhoods — parts of the city where poverty, drug addiction, sex work, hunger, joblessness, and despair overlapped. When the locations of lead-poisoned children were geo-coded, the maps lit up like Christmas trees on the same streets where we saw high rates of intravenous drug use, HIV, child protective service involvement, and homelessness.
No one could have known it then but Freddie Gray, who would have been about 10 years old at the time, was one of those poisoned kids in the Sandtown-Winchester neighborhood: a neighborhood that lit up our maps every month of the year.
Slow progress
In spite of the Health Department’s best efforts, lead — and its delivery mechanisms, structural racism and urban disinvestment — proved a formidable opponent. It silently invades the brain, slowly re-configuring the circuitry, leading to learning disabilities, attention-deficit/hyperactivity disorders, and reduced IQ. The CDC notes that there is likely no safe level of lead exposure for a child under 6 years of age. Any exposure may cause permanent damage. For a black child living in Sandtown-Winchester, attending underfunded, under-functioning schools, lead poisoning may end up being the icing on the cake: a one-way ticket to prison or worse.
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To deal with the complexities of the issue, the health department at the time organized a systematic anti-lead poisoning task force to improve data on poisonings; improve coordination between city departments dealing with lead violations in housing court; and introduce a city ordinance and state law requiring children to be screened for lead poisoning at one and two years of age before the damage was too far gone. For the first time, the Health and Housing Departments worked together to ensure landlords were responsible for abating lead in their properties and that children did not cycle from one lead-riddled home to another, only to end up with a younger sibling poisoned after them.
Everyone knew it was an uphill battle but the stakes were too high not to keep trying. In 2001, the State of Maryland passed House Bill 1221, legislation that required all children be tested for lead well before they entered the school system. A similar ordinance passed the Baltimore City Council not long after.
Tough on crime
Now, 15 years and a doctorate degree later, I am still incredibly proud of our efforts to ameliorate lead poisoning in Baltimore City. But, in retrospect, we should be deeply troubled by our tunnel vision when it came to the potential misuse of decontextualized data. It is clear to me now that my committed Health Department colleagues and I couldn’t comprehend that, as we measured our progress combating lead poisoning, substance abuse, and HIV, Mayor O’Malley’s CompStat also swept thousands of Baltimore residents into the penal system.









