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Thousands of reports designated for recording abuse, neglect, injuries, life-threatening incidents and death have been filed since 2008 at the 55 schools the BIE operates directly.
Partial lead pipe replacements are a common practice among utilities but can actually spike lead levels in individual homes, according to the EPA and other environmental groups.
A major concern voiced by environmental advocates is how part of the cost will fall on homeowners because the EPA did not ban utilities from charging residents for the remediation.
A pending federal civil rights complaint highlights the potentially discriminatory nature of utilities requiring customers to share in the cost of replacing privately owned lead service lines.
Within the federal government's sprawling Bureau of Indian Education school system, allegations of abuse, neglect and even death at BIE schools have emerged over the past two decades.