[ Print Version ]
May 2006

IN THIS ISSUE:

EPA Remodeling and Renovation Rule Comment Deadline is May 25

The public comment period for the proposed EPA lead-safe remodeling, renovation, and painting rule ends May 25. All healthy homes and lead poisoning prevention advocates who have not yet submitted comments to the docket are urged to do so as soon as possible. To submit comments, visit www.regulations.gov, select “Environmental Protection Agency” as the agency in the drop down, and type the word “renovation” into the keyword field. Hit return, and then select the left-most link "Docket EPA-HQ-OPPT-2005-0049.”

Changes to the rule that advocates should recommend include: (1) The use of uncontrolled power sanding, open flame burning, methylene chloride chemicals, and other dangerous methods to disturb painted surfaces must be prohibited; (2) All renovation workers and painters must receive real training; (3) Post-work lead dust clearance testing must be required after high-risk renovation work; (4) Enforcement must be adequately funded and authorized at all levels of government; (5) There must be no exemptions from requirements, and especially not in homes where a child has been poisoned and homes where no child resides on the day of the renovation work; and (6) Property owners and occupants must be provided with clear and health-protective information. For more information about the rule, including comments and concerns about the rule as raised by several working groups, see www.afhh.org/aa/aa_hh_policy_national_policy_eparandr.htm.

Organizations Urge HUD to Move Healthy Homes Discussion Beyond Education and into Practice

The Alliance for Healthy Homes, the American Public Health Association, and the National Low Income Housing Coalition on April 21 urged U.S. Department of Housing and Urban Development (HUD) Secretary Alfonso Jackson to move discussion and action on healthy homes beyond parent and occupant education and into effective practice by the department, other federal agencies, and rental property owners.

The organizations’ letter to Secretary Jackson was sent in response to HUD’s “Healthy Homes for Healthy Kids” media campaign. In announcing the campaign, Jackson described it as an education effort, saying, “If we can educate young mothers before their child ends up in an emergency room, then we’ve done our job.” The organizations acknowledged and supported the idea of parent and occupant education as one key component of a federal healthy homes strategy, but stressed that it was just that—one part of what should be a multifaceted campaign to ensure that every American has the opportunity to live in a healthy home.

In addition to an education and media campaign, the organizations stressed the need for the following actions:

  • ensuring compliance with housing quality standards, minimum property standards, and HUD’s lead-safe housing regulation in millions of homes for which the Department provides some type of housing assistance;
  • aggressively identifying, pursuing, and prosecuting violations of the federal lead disclosure rule in real estate transactions;
    promoting the use of integrated pest management (IPM) in federally assisted housing to reduce asthma and other illnesses;
  • ensuring that federally-assisted housing does not expose residents to cancer risks from radon;
  • providing meaningful leadership in incorporating health-based standards into housing and building codes;
  • expanding the reach of the Housing Choice Voucher program to meet the needs of the millions of households who are paying more than 50 percent of their income for housing and living in properties with severe physical problems;
  • ensuring that public housing authorities have sufficient operating and capital improvement budgets;
  • fully funding CDBG and HOME so that local housing agencies can rehabilitate more substandard homes, thereby
  • reducing blight and expanding the housing options for low-income families; and
  • reversing the trend of funding decreases for its Office of Healthy Homes and Lead Hazard Control to enable the nation to meet the 2010 goal of eliminating childhood lead poisoning from lead paint hazards, a goal adopted by both of the previous administrations with broad bipartisan support.

The full text of the letter to Secretary Jackson is available at www.afhh.org/aa/aa_hh_policy_federal_agencies_Letter_to_Jackson_HH_Campaign_042106.pdf.

Boston Lawyer-Doctor Child Health Collaboration to Go National

A program formerly known as The Boston Family Advocacy Program, a citywide initiative headquartered at Boston Medical Center (BMC), was innovative when founded because it partnered doctors with attorneys to help low-income children live healthier lives. While the program’s efforts were wide ranging, the doctors and lawyers addressed a number of housing-related health issues, including ensuring proper levels of heat in the winter, eliminating rodent and cockroach infestations that can cause asthma attacks and spread infection disease, and convincing landlords to fix water leaks that can cause mold growth that threatens the health of those with respiratory problems and weakened immune systems. Over the past few years, similar projects were started in several other cities. The program had proven so effective that BMC is launching an effort to bring the partnership initiative to every state in the nation.

A group of funders, including the W.K. Kellogg and Robert Wood Johnson Foundations, recently provided $2.7 million for the program’s expansion. The program has been renamed the Medical-Legal Partnership for Children, and its founder, Dr. Barry Zuckerman, “It’s an opportunity...to pick up legal programs before they reach their natural unfortunate outcome.” The program will encourage doctors to identify barriers to children’s health that the law can eliminate, including indoor environmental health hazards and a lack of access to affordable housing. The partnership will also match law firms and legal aid groups with health care centers across the country to provide poor families with free legal representation as they fight to improve their children’s health.

For more information about the program, visit www.mlpforchildren.org/.

Newport, Rhode Island, Housing Authority Adopts Healthy Homes Resolution

The Newport, Rhode Island, Housing Authority in April adopted a healthy homes resolution and created an innovative healthy homes, healthy residents initiative.

Core features of the project include the housing authority board’s healthy homes resolution; a committee whose charge is to integrate social services, housing maintenance, and local insurers to ensure healthy housing for all residents; a survey of residents on asthma, access to health care, and environmental triggers of asthma symptoms; changes in housing practices, including essential maintenance and cleaning and repairs at unit turnover; the creation of healthy homes response teams to address environmental triggers of respiratory problems, including rodent and cockroach infestations; and healthy homes training for all housing authority staff and resident leaders.

The full text of the board’s healthy homes resolution is available online at www.afhh.org/res/NewportHA_res_1009.pdf.

Environmental Health Perspectives Focuses on Asthma

The April 2006 edition of Environmental Health Perspectives contains a four-article section on the possible environmental causes of asthma, an examination of the most potent environmental asthma triggers, and an exploration of the most effective environmental interventions to reduce asthma attacks.

The grouping of articles flowed from a workshop sponsored by EPA and the National Institute of Environmental Health Sciences (NIEHS) in 2004. The goals of the workshop included examining what is already known about how environmental exposures can exacerbate asthma symptoms, documenting the most effective environmental asthma interventions, and identifying critical research areas.

The collection of articles on environmental influences on asthma can be found by visiting www.ehponline.org/docs/2006/114-4/toc.html and scrolling down to the bottom right-hand corner of the page.

Environmental Tobacco Smoke Contains Dangerous Levels of Pesticides

Colorado researchers in April added one more reason to eliminate environmental tobacco smoke in the home—it contains dangerous levels of three highly toxic pesticides commonly used on tobacco crops.

In a study published in the April 15 online edition of Analytical Chemistry, the scientists discovered that flumetralin, pendimenthalin, and trifluralin are commonly found in a wide sampling of smoke from commercially available cigarettes. The pesticides are all considered toxic to the human endocrine system, and health effects could include adverse developmental impacts and reproductive problems. Two of the three pesticides are also considered to be possible human carcinogens.

An abstract of the study is available from http://pubs.acs.org/cgi-bin/abstract.cgi/ancham/asap/abs/ac060328w.html.

ASTHO Hurricane Reports Summary and Compilation Now Online, Other Recovery Resources Appear on the Web

The Association of State and Territorial Health Officers (ASTHO) has summarized and compiled the federal government’s Hurricane Katrina reports, emphasizing the public health implications. Reports include those of the White House, the House of Representatives, and the Government Accountability Office. To read ASTHO’s summary, visit www.astho.org/newsletter/newsletters/9/display.php?u=Jmk9OSZwPTI1NiZzPTIwMjg%3d.

Other recovery resources have also been posted to the web, including the Katrina Research Group at http://kerrn.org and Louisiana Rebuilds at www.louisianarebuilds.org.

National Center for Healthy Housing, Enterprise Community Partners, and NeighborWorks® America Release Instructional Guide on the Cleanup for Flooded Homes

Three national organizations—the National Center for Healthy Housing, Enterprise Community Partners, and NeighborWorks® America—teamed up with NeighborWorks® member organization Neighborhood Housing Services of New Orleans to conduct a demonstration project in flood damaged homes in New Orleans. The team used this experience to develop a set of proper methods for cleaning up mold in homes flooded by the 2005 Gulf Coast hurricanes. Columbia University and Tulane University provided expertise for the demonstration project. Funding was provided by the Robert Wood Johnson Foundation.

The demonstration yielded two informational products for those rebuilding in the Gulf coast region. The first is an illustrated, step-by-step instructional guide for do-it-yourselfers, volunteers, and contractors, entitled Creating a Healthy Home: A Field Guide for Clean-Up of Flooded Homes. The guide can be downloaded from www.centerforhealthyhousing.org. Through May 26, you can order free copies by calling 585-327-5530.

The project team also joined with the Little Sisters of the Assumption and Microecologies, Inc. to create a DVD that provides further detail about cleaning up flooded homes. Bulk quantities of the DVD are available to those involved in Gulf Coast recovery efforts by calling the National Center for Healthy Housing at 1-877-312-3046.

The demonstration project found that in homes that experienced up to six feet of standing water for nearly a month and had mold growth to the ceiling, the clean up methods reduced the airborne mold to low levels. Once the mold is treated in this way, the flooded areas of a home can be safely renovated. In most scenarios in mild-to-moderately damaged structures, mold-infested debris and building materials can be removed and the structure decontaminated and made safe for rebuilding for about $3 to $4 a square foot. Homes with three feet of flooding will cost between $32,000 and $47,000 to fully repair after decontamination; homes with six feet of flooding will cost between $78,000 and $120,000 to fully repair after decontamination, according to NCHH estimates.

Airborne mold levels in the three demonstration homes were as high as 140,000 colony-forming units per cubic meter (CFU/m3) before work began. Mold levels during the flood cleanup work increased to well over one million CFU/m3. After the work was complete—room removing all of the moldy materials (including wall board, ceiling tiles and insulation) to washing or misting open wall cavities with a borate solution—mold levels in the homes were generally below 2,000 CFU/m3, lower than outdoor levels.

Mold exposure may cause allergic reactions, such as asthma attacks, sneezing, runny nose, red eyes, and skin rash. Even dead mold spores pose a risk, especially for children and adults with respiratory problems. The results demonstrate that people with asthma and weakened immune systems should avoid entering before the homes are cleaned up and people who do enter the homes must wear proper equipment.

National Center for Healthy Housing Publishes Green and Healthy Housing Report

The National Center for Healthy Housing (NCHH) recently released a report that compares major national green building and indoor air quality guidelines with its own set of recommended healthy housing criteria to assess the extent to which these programs protect residents from health and safety hazards. The analysis examined guidelines produced by both the public and private sectors, including: the U.S. Green Building Council's LEED for Homes, the National Association of Home Builders' NAHB Green Home Building Guidelines, and Enterprise Community Partner's Green Communities Criteria. NCHH also included in the analysis the U.S. Environmental Protection Agency's (EPA) Energy Star with Indoor Air Package and the American Lung Association's Health House Builder Guidelines, which are programs aimed primarily at improving the quality of the indoor environment.

The results showed that there is significant variation in the degree to which national green guidelines consider occupant health. For example, although most programs had elements related to reducing moisture and improving ventilation, injury prevention was omitted from all of the guidelines, and protection from contaminants such as lead and pesticides were not uniformly covered. Only one program, Green Communities, focused on affordable existing housing, an important consideration since low-income families are disproportionately impacted by housing-related health problems.

Overall, the analysis suggests that green building programs offer a significant opportunity to achieve public health benefits and have the potential to move the housing market toward healthier building. This report suggests ways to strengthen the occupant health criteria for green building programs so that they may deliver greater benefits to those who are building and rehabilitating homes, and to the families who reside in them.

The full text of Comparing Green Building Guidelines and Healthy Homes Principles: A Preliminary Investigation is available at www.centerforhealthyhousing.org/html/green_analysis.html.

Mold in Your Home DVD Now Available from Northwest Clean Air Agency

The Northwest Clean Air Agency, a regional air quality agency created by the State of Washington Legislature four decades ago, has released a new video titled Mold in Your Home: Causes, Prevention, and Clean-up. The 12-minute program details why mold grows, where it grows indoors, provides tips on how to prevent mold contamination, and describes how to safely clean it up. The video’s pointers are good for all regions in the country except the hot and humid Southeast.

The video is available for free viewing and downloading at www.nwcleanair.org/aqPrograms/indoorAir.htm.

Funding Opportunities

EPA Region 9 (Arizona, California, Nevada, Hawaii, and the Pacific Islands) is making available five grants of between $20,000 and $35,000 for projects in those states that are aligned with EPA’s strategic objective to increase the number of people breathing healthier indoor air as well as its indoor air pollutant priority air objectives and the agency’s annual measures and long-term measures. Projects can be of varying types, including demonstration, training, outreach, and education, and can be carried out by nonprofit organizations, states, tribal governments, and public and private colleges and universities. The deadline for application is June 2. The full grant announcement is available at www.epa.gov/region09/funding/indoor-pollutants-2006.pdf.

HUD’s FY 2006 SuperNOFA, including grant programs in healthy homes and lead hazard control, is now open for applications. The SuperNOFA includes $14.6 million in Operation LEAP funds, $84.9 million for lead hazard control grants, $59.6 million for lead demonstration grants, $4.85 million for lead and healthy homes technical studies, $2 million for lead outreach grants, and $4.37 million for healthy homes demonstration grants. All healthy homes and lead hazard control grant applications are due in early June. Information on applying for these and other HUD FY06 grants can be found at www.hud.gov/offices/adm/grants/fundsavail.cfm#grants.

Upcoming Conferences

The 2006 Affordable Comfort Home Performance Conference will be held May 22-26 in Austin, TX. The conference will cover a variety of important topics related to healthy homes and indoor environmental health, including ventilation, proper moisture control, and energy efficiency. For more information, visit www.affordablecomfort.org/events.php?EventID=15.

The National Conference on Asthma and Lead Poisoning will be held May 22 in Saginaw, MI (this reflects a scheduling change, from a multi-day conference to a one-day conference). The conference will feature a variety of topics, including residential asthma triggers, best practices to minimize housing-related risk factors for asthma and lead poisoning, low-literacy community-based intervention methods, bilingual intervention programs, healthy homes initiatives, and more. The conference is designed for healthy homes advocates, public health officials, academics, federal and state legislative staff, and representatives from funders with an interest in lead poisoning and asthma. For more information, visit www.fni.org/leadandasthma.asp.

The University of Medicine and Dentistry of New Jersey is hosting a state lead meeting on June 12. Titled “Childhood Lead Poisoning: Lead Exposure: Questions Answered,” the meeting will feature keynote speaker Mary Jean Brown, Chief of CDC’s Lead Poisoning Prevention Branch. For more information, contact Nisha Jani at janini@umdnj.edu or 973-972-7398.

The Ohio Department of Health is sponsoring its 13th Ohio Lead Poisoning Prevention Conference June 20-22 in Columbus. The featured speakers and exhibitors will be from local, state, and national levels. The conference goal is to educate healthcare and environmental professionals, parents, and community leaders about the current medical, environmental, and programmatic issues of childhood lead poisoning prevention in Ohio. Continuing education units may be offered for nurses, sanitarians, and social workers. For more information, E-mail bcfhs@odh.ohio.gov or call Barbara Kochli Nixon at 937-285-6261.

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