Saturday, July 19, 2025
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Saturday, July 19, 2025

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Chisholm Refuses to Charge Milwaukee Health Officials Over Lead Poisoning in Children

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Milwaukee County District Attorney John Chisholm is refusing to prosecute Milwaukee Health Department officials over the department’s failure to follow state laws that require the protection of children exposed to dangerous lead poisoning.

The investigation took more than three years; yet, the Milwaukee County DA cited a possible three-year statute of limitations on charges. His decision was announced in a written statement obtained by Wisconsin Right Now.

Read Chisholm’s March 24, 2022, statement here: Milwaukee Health Department Lead Investigation 3-24-2022

Chisholm also blamed the non-prosecution on the Health Department’s own “unreliable” records.

After the scandal first broke in 2018, ousted Milwaukee Health Commissioner Bevan Baker blamed then-Mayor Tom Barrett and other department heads for the problems in the lead program. In 2019, Fox 6 reported that Baker said that, in 2016, “he advised Mayor Barrett of the haphazard job crews were doing replacing lead laterals on the city’s north side, yet Baker said nothing was done about his concerns.” Barrett has now left town to be the ambassador to Luxembourg.

A witness told the Department of Justice that “the files within the lead program of the MHD were in complete disarray, missing, and … their [sic] appeared to be no oversight on the finances, procedures, and policies of the grant funding,” the letter from Chisholm states. “There was also no system in place for the closing of files.”

Noted Chisholm: “This was also a similar opinion to the DCI (state Division of Criminal Enforcement) agent conducting the investigation. A prosecution looking to find the truth cannot be based on unreliable records.”

The District Attorney – who is known for his high non-prosecution rate for felony crimes, acknowledges in the letter, obtained by Wisconsin Right Now, that state law mandates the City of Milwaukee Health Department to perform specific duties relating to children with elevated blood lead levels.

Yet the DA’s own letter – while refusing to press charges – admitted: “The reports by both the DHS (Department of Health Services) and MHD (Milwaukee Health Department) found after audits and a review of available records that MHD violated these mandates.”

For example, Milwaukee Health Department records showed “repeated instances where the agency knew a child’s elevated blood lead level (EBLL) and, yet, did not investigate
the child’s residence for lead exposure,” the letter acknowledges.

It further states that DHS found that “24% of children’s initial primary addresses (26 of 108) had no record of an environmental investigation being conducted…” and “[t]here were instance when PHNs [Public Health Nurses] provided referrals to the environmental investigators to initiate the environmental investigation; however, there was no documentation that an environmental investigation was ever conducted.”


Bob Donovan Statement

“Classic misconduct with little or no oversight. Curious that this investigation dragged on for even longer than the time necessary for the statute of limitations to run out permitting the wrongdoers to conveniently escape justice. Also curious that the DA’s office found lack of record-keeping as a prime reason not to bringing charges..What wrongdoer in his right mind is going to accurately chronicle his or her misconduct??This is just one case of the kind of mismanagement that has been ever-present down at city hall or decades…the kind of malfeasance that permeated the Barrett administration and continued more recently in the Johnson reign..Bevan Baker the former health commissioner was clearly involved in a coverup and the report indicates investigators never even interviewed him. That’s like investigating Watergate and not talking to Nixon. No wonder the DA failed to issue charges. I personally think its just the tip of the iceberg and that is exactly why I am calling for a thorough and complete audit of all city hall departments.”


Lead Poisoning Statute

Here’s the state law in question:

“Wisconsin Statute Section 254.166 mandates that the Department of Health Services,
or its Agent (which in this case is the City of Milwaukee Health Department), shall
perform certain duties under certain circumstances. First, if the department is informed
a child under the age of 6 has an elevated blood lead level (EBLL), the department shall
conduct a lead investigation of the dwelling or premises or ensure that a lead
investigation of the dwelling or premises is conducted,” the letter acknowledged.

“The other duty that is mandated by statute is that if the department determines that a lead hazard is present in any dwelling or premises, the local health department “shall … issue an order that requires reduction or elimination.”

The Milwaukee County District Attorney’s Office reviewed the investigation completed by the Wisconsin Department of Justice Division of Criminal Investigation (DCI) (which is ultimately under the authority of Democratic Attorney General Josh Kaul), “regarding the City of Milwaukee Health Department Childhood Lead Poisoning Prevention Program. Based upon that review the Milwaukee County District Attorney’s Office has determined there is
insufficient evidence to prove a crime was committed.”

The investigation started after two reports exposed problems in the City of Milwaukee’s Lead Program. The first report was dated in January 2018 and prepared by the City of
Milwaukee Health Department (MHD).

It was titled Childhood Lead Poisoning Prevention Program: Assessment of Operations and Recommendations for Corrective Actions.

The second report was from May 2018 and entitled Report on the Review of the City of Milwaukee Health Department Childhood Lead Poisoning Prevention Program and was prepared by the Department of Health Services, State of Wisconsin (DHS), Chisholm’s letter states.

“Based upon the information contained in both, the Wisconsin Department of Justice, Division of Criminal Investigation conducted an investigation to determine if any violations of Wis. Stat. § 254.30 occurred,” says the letter.

Why didn’t Chisholm charge?

He said that the statutes say “a knowing violation of either of these two mandates could potentially be a crime. It is important to note, however, that the penalty for an intentional violation is an unclassified offense, meaning it’s [sic] penalty does not conform to the criminal penalties set forth in Chapter 939 of the Wisconsin Criminal Code.”

Then the letter cited the statute of limitations. “Importantly, a prosecution may not be viable as almost all if not all of the conduct investigated may be beyond the statute of limitations, given that the penalty section of this statute does not clarify if this crime is a felony or a misdemeanor,” he wrote. “A misdemeanor crime is controlled by a three year statute of limitations.”

In addition, Wisconsin Statute Section 946.12(1) criminalizes a public official’s
intentional failure to perform a “known mandatory, nondiscretionary, ministerial
duty,” the letter says.

Following the statutory standard for EBLL does seem to be “a known mandatory, nondiscretionary, ministerial duty” under the misconduct statute, his letter says.

“Wisconsin Statute Section 254.11(5m), sets a specific EBLL standard. DHS reports
that MHD’s policies failed to apply this standard. Also, there were policies in place
that did not adhere to state statutes that require environmental investigations for
children who have two venous BLL’s of 15 mcg/dl taken at least 90 days apart.”

Second, MHD available records show the agency “failed to issue abatement orders as Wisconsin Statute § 254.166(2m) requires. The DHS Report states that ‘[o]rders were not always written when hazards were found or did not include remediation of all identified hazards,'” the report says.

Chisholm blamed “unreliable” records by the City of Milwaukee Health Department.

“The Wisconsin Department of Health Service (DHS) report found that the STELLAR records, which was the electric filing system used by MHD, and MHD’s paper files were inconsistent,” it says.

“Further, as a result of a lack of reliable records, there is no reliable documented evidence that, while MHD may have stated policies that were inconsistent with the statutes, those stated polices were set with an intentional disregard for the mandates of the statutes,” Chisholm wrote.

“While this is consistent with an overall assessment that the Childhood Lead Poisoning Prevention Program was mismanaged, that is not a crime.”

He also blamed conflicting witness statements.

“In addition, the investigation revealed several conflicting statements from the dozens of witnesses that were interviewed making a prosecution and conviction of any individual(s) unprovable beyond a reasonable doubt,” Chisholm wrote.

“The investigation also included a significant review of internal emails and other documents, which reveal actions taken by individuals in the MHD that were an attempt to rectify apparent issues with the Childhood Lead Poisoning Prevention Program, which would be evidence contrary to a knowing violation of the statue.”

Concluded Chisholm:

“As a result there is insufficient credible and reliable evidence to prove a knowing violation of Wis. Stat. § 254.30 or an intentional failure to perform a known mandatory, nondiscretionary, ministerial duty if applicable, contrary to Wis. Stat. § 946.12. Lastly, it  should be noted that the investigation also uncovered substantial improvement in the management of the Childhood Lead Poisoning Prevention Program since the reports mentioned above were released, which have taken place under the direction of new leadership since that time at MHD.”

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