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The Healthy Homes Initiative within the Department of Housing and Urban Development is a resource that helps develop ways to integrate health considerations into all housing programs. Methods to improve health conditions also improve the soundness, value, and durability of the housing stock. Healthy Homes grants are awarded competitively to government agencies, universities, and other non-profit organizations across the country to develop, evaluate, and disseminate cost-effective tools and practices for preventing and controlling health hazards in housing. Integrating healthy homes principles and practices at low cost into existing maintenance, rehab, operation, design, and construction can avoid costly mold and moisture problems and reduce the risk of asthma and childhood lead poisoning. The projects funded through the Healthy Homes Initiative have produced a variety of multiple benefits:

Added Value to the Lead Program:
Some projects research and test tools and practices affecting other hazards in order to complement and supplement lead hazard control activities. The projects have developed new assessment tools and methods, used innovative targeting methods, created new hazard remediation tools, and integrated lead safety strategies with interventions to address other hazards.

Sites: Philadelphia, PA; New York City, NY; Providence, RI; Research Triangle area, NC; multiple counties, CA; Los Angeles, CA; Boston, MA; Madison, WI; Denver, CO; Seattle, WA; Erie County, NY

Asthma Interventions:
A growing body of research documents how housing is implicated in the surging prevalence of asthma. These projects have developed tools and approaches for reducing or eliminating asthma triggers in the home environment. Grantees have researched the most common indoor asthma triggers and have conducted interventions to reduce indoor allergens, eliminate mold, control cockroaches, and minimize exposure to pesticides.

Sites: Cleveland and Cuyahoga County, OH; Seattle, WA; Syracuse, NY; New Orleans, LA; Milwaukee, WI; Montana; New York City, NY; Alameda County, CA; Stamford, CT; Island, San Juan, Skagit, & Whatcom Counties, WA; Madison, WI; Los Angeles, CA

Whole House Approach:
Holistic projects tackle the multiple housing-related hazards that are interrelated in cause and solution and take a “whole house” approach. They have developed multi-hazard assessment tools, created construction guidance for improving the “health” of new structures, and demonstrated the cost-effectiveness of “whole-house” interventions to remediate a variety of health hazards.

Sites: Erie County, NY; Mahoning County, OH; Boston, MA (3); Phoenix, AZ; Baltimore, MD; Bronx, NY; Long Beach, CA; Raleigh, NC; Durham, NC; Cuyahoga County, OH; Denver, CO; Birmingham, AL; Seattle, WA

Low-cost Tools and Interventions:
Acknowledging the importance of solutions affordable to the highest-risk properties, these projects have focused on options to create healthier homes at a relatively low cost. Projects have provided tools such as HEPA vacuums, carbon monoxide detectors, and dehumidifiers to low-income households; examined cost-effective approaches to prevent and control mold growth in homes with inadequate insulation; and developed inexpensive visual assessment tools to detect the presence of allergens and mold in homes.

Sites: Minneapolis, MN (2); Champaign-Urbana, IL; Kansas City, MO; Fairbanks, Noorvik, & Unalaska, AK; Seattle, WA; Erie County, NY; Brooklyn, NY; New Brunswick, NJ; Baltimore County, MD; Boston, MA; Alameda County, CA; Birmingham, AL

Community-Based Delivery Systems:
In keeping with HUD’s goal to build community capacity, these projects have focused efforts in specific neighborhoods or communities, developed sustainable community-wide intervention and healthy homes maintenance programs, and trained and employed low-income community residents to assess and intervene with problems.

Sites: Baltimore County, MD; Phoenix, AZ; Los Angeles, CA; Island, San Juan, Skagit, & Whatcom Counties, WA; Birmingham, AL

Leveraging Weatherization for Health Gains:
Weatherization programs offer considerable potential for impacting the health of residents – by remedying hazards while improving energy efficiency and avoiding lead dust hazards while disturbing lead-based paint or controlling asthma triggers. These projects have integrated healthy homes practices into weatherization efforts by educating weatherization contractors on lead-safe and healthy homes work practices and preventing mold and moisture problems.

Sites: Chicago, IL; Cuyahoga County, OH; Seattle, WA; Island, San Juan, Skagit, & Whatcom Counties, WA; Madison, WI; Milwaukee, WI

Tools and Training:
Recognizing the importance of increasing capacity to address health hazards in housing, these projects have developed new healthy homes tools and practices and trained individuals in their use. Grantees in this category have trained community residents, housing technicians, code inspectors, health department personnel, health care providers, community health promoters, and others how to use a variety of healthy homes methods and tools.

Sites: Lowell, MA; Brooklyn, NY; Tulsa, OK; Birmingham, AL; Fairbanks, Noorvik, & Unalaska, AK; Minneapolis, MN; Boston, MA; Kansas City, MO; Alameda County, CA; New York City, NY; Seattle, WA; Brooklyn, NY; Long Beach, CA; Los Angeles, CA

Solutions to Moisture that Deliver Multiple Benefits:
Several grantees have focused their projects on controlling moisture problems to prevent mold growth. These projects have developed assessment tools to detect hidden moisture and mold problems, remediation tools to control moisture, and lower-cost methods to identify mold problems.

Sites: Atlanta, GA (2); St. Louis, MO; New York City, NY; Watertown, MA; Cincinnati, OH; Chicago, IL; Cuyahoga County, OH


To date, HUD has awarded 52 grants through the Healthy Homes Initiative. Grant awards have been geographically diverse, distributed among 23 states. By the end of FY 2003, grantees reached over 444,000 people, trained 6,147 individuals in healthy homes activities, assessed 4,524 units, and completed 1,326 healthy homes interventions.