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September 2008

IN THIS ISSUE:

TAKE ACTION TODAY: Contact Your Local Code Official About Model Code Changes Up for Vote This Month

On Sept. 20 or 21 in Minneapolis, MN, building code officials from across the country will be considering proposals to improve the International Property Maintenance Code (IPMC) at the International Code Council’s (ICC) Final Action Hearing. The Alliance for Healthy Homes and the National Center for Healthy Housing have submitted seven proposals for consideration. Three of the proposals will directly impact lead poisoning prevention. Two – PM4 and PM6 – require the use of the lead safe work practices enacted in EPA’s Renovation, Repair and Painting Rule when repairing deteriorated paint on or in pre-1978 housing. Also, PM6 requires repair of the underlying cause of paint deterioration. The third – PM19 – allows the building code official to order a property owner to eliminate lead hazards (e.g. lead dust over 40 ?g/ft2 on the floor) when presented with evidence that lead hazards are present.

The other proposals address similarly critical health issues. PM3 updates the “extermination” section by renaming the requirement “pest elimination,” eliminating references to poison spraying and fumigation, and adding references to all rodents and water sources. PM14 caps the water temperature in showers and tubs at a maximum of 120 degrees Fahrenheit to prevent serious burns. PM7 requires carbon monoxide alarms in properties with an attached garage or fuel-burning furnace, water heater, or other appliance. Finally, PM13 calls for smooth, hard, nonabsorbent bathroom floor surfaces to facilitate cleaning and sanitation.

Only governmental code officials are allowed to vote at the Final Action Hearing, and the proposals need a two-thirds majority for passage. That means every vote counts and getting code officials to speak – even if briefly – in favor of the proposals is essential. So, we need your help! Click here for a draft letter that you can send to your state or local building code official to urge their support for these important proposals to improve the IPMC. If you act quickly with a letter or call to your state or local building code official, you could make a huge difference!

To find out which communities in your area have adopted the IPMC, go to www.iccsafe.org/government/adoption.html. Building code officials participating in the ICC hearings will have a vote even if the IPMC is not law in your community. Support for these proposals will ensure that the basic minimum requirements around the US will be minimally protective of health.

For more information on the proposed changes, go to http://afhh.org/aa/aa_housing_codes.htm.
For more information on the process, go to www.iccsafe.org/cs/codes/2007-08cycle/ProposedChanges.

 

Information Available on the Safe Recovery of Flood-Damaged Homes

The month of September marks a statistical peak for hurricane season on the Atlantic and Gulf coasts, and while Hurricane Gustav proved less of a disaster for the Gulf Coast than was anticipated, storm season nonetheless continues to threaten homes and communities across coastal regions. The Alliance has put together several resources for communities affected by flooding, including a top ten list of quick tips to protect your family from housing-related health hazards in hurricane impact zones. As this issue is being published in the anticipation of Tropical Storm Hanna and Hurricane Ike, the Alliance offers the following information to communities affected by hurricanes and floods:

Rebuilding Flood-Damaged Homes: A Manual for the Safe, Healthy, Green, and Low-cost Restoration for the Gulf Coast

Hurricane Recovery for Healthy Communities

Residential Environmental Health Issues in the Wake of Hurricanes and Floods

States, Environmental Health Advocates Push for Strong Lead Standard for Air

Several states and many environmental and child health advocacy groups are urging the U.S. Environmental Protection Agency (EPA) to set the most protective lead standard possible for ambient air. Industry representatives warned that strict standards could have unintended economic consequences.

The standard in question is part of the first proposed revision to the National Ambient Air Quality Standard (NAAQS) for lead in three decades. A review of the standard is supposed to take place every five years, but there is scant evidence that EPA had taken the process seriously since 1978. This extreme lack of action and environmental contamination and health effects from a Missouri lead smelter prompted a lawsuit that led a federal court to order EPA to undertake a serious review of the NAAQS standard for lead. The agency has until Oct. 15 to make a final determination on how strict the revised standard will be.

EPA has proposed a lead standard of between 0.10 µg/m3 and 0.30 µg/m3. Industry officials and a Missouri town argue that such a standard could cause unintended economic consequences and urge caution. Environmental health advocates, on the other hand, point to the human and economic costs of a standard that is not adequately protective. Each case of childhood lead poisoning can end up costing the U.S. economy significant sums due to medical costs, lost economic opportunity, special education, and possible incarceration for those lead poisoning victims who become more likely to engage in violent criminal activity.

Advocates, several states, and EPA’s own Clean Air Scientific Advisory Committee (CASAC) have urged the agency to stick with a standard within the proposed range, and some have asked EPA to adopt an even stronger standard. The Sierra Club noted that there is no safe level of lead exposure and also alleged that EPA failed to adequately take environmental justice concerns into consideration in proposing the standard. Under Executive Order 12898, issued in 1994, EPA is required to examine the possible impacts of NAAQS and other environmental standards on poor and minority populations.

For more information on the NAAQS standard for lead, see www.epa.gov/ttn/naaqs/standards/pb/s_pb_index.html. More information on the dangers of lead can be found at www.afhh.org/hhe/hhe_lead.htm.

Study Finds Rise in Number of Emergency Room Visits for Non-Fatal Carbon Monoxide Poisoning

A recent study published in the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report (MMWR) has found an increase in the number of emergency room visits for non-fatal carbon monoxide (CO) poisoning. While the rise in reported cases is striking, it remains unclear whether the increase was caused by more frequent carbon monoxide exposures or better reporting by emergency room professionals.

Between 2004 and 2006, the article’s authors estimated 20,636 visits to emergency rooms per year. This is a substantial increase over the 15,200 CO-related visits per year estimated during 2001-2003. The study also found the highest rates of CO-related visits were among children under age five, whereas people over the age of 65 tend to have the highest death rates for CO poisoning.

Also, the study found that nearly three quarters, or 72 percent, of CO exposures occurred at home, and less than 18 percent of the cases had a CO detector present and properly alerting the residents to danger, although data on the presence of CO detectors was missing in nearly a third of cases.

The study indicates the need for continued efforts to prevent the build-up of CO in homes and to require the presence of functional, trusted CO detectors in all housing units with a combustion appliance or attached garage. The Alliance for Healthy Homes, along with our colleagues at the National Center for Healthy Housing, have proposed incorporating a carbon monoxide detector requirement into the International Property Maintenance Code (IPMC), a model code adopted by states and localities around the country. The proposal was recently rejected by committee but will have a second shot in front of a larger group this month in Minneapolis. See www.afhh.org/aa/aa_housing_codes.htm for more information on the IPMC proposal.

The full text of the MMWR article is available at www.cdc.gov/mmwr/preview/mmwrhtml/mm5733a2.htm. For more on the dangers of carbon monoxide, visit www.afhh.org/hhe/hhe_carbon.htm.

2007 Energy Legislation May Impact Healthy Housing

According to an analysis by the National Center for Healthy Housing's Tom Neltner, the Energy Independence and Security Act of 2007 contains a number of provisions that will impact the health of housing directly or indirectly.

The EPA is required to issue indoor air quality (IAQ) guidelines to states for schools that should be directly relevant to housing. Specifically, EPA will conduct a detailed study of how sustainable building features such as energy efficiency affect multiple perceived indoor environmental quality stressors on students in K-12 schools. The study shall:
• Investigate the combined effect building stressors such as heating, cooling, humidity, lighting, and acoustics have on building occupants' health, productivity, and overall well-being;
• Identify how sustainable building features, such as energy efficiency, are influencing these human outcomes singly and in concert; and
• Ensure that the impacts of indoor environmental quality are evaluated as a whole.

Furthermore, the U.S. Department of Energy (DOE) is required to fund research on IAQ benefits and conflicts in green buildings, and health is one of four criteria for determining who gets weatherization grants.

DOE will develop and recommend a high-performance green building research plan that identifies information and research needs, including the relationships between human health, occupant productivity, safety, security, accessibility, and a number of indoor environmental concerns.

Click here for more information on the Energy Independence and Security Act of 2007 (see pp. 150-152 for relevant health provisions).

Rhode Island Settlement Funds Will Help Provide Lead-Safe Housing in Four Localities

In the aftermath of the recent disappointing Rhode Island Supreme Court decision that threw out a landmark jury verdict against three former lead pigment manufacturers, the state is moving forward in distributing funds received from a fourth company that settled with Rhode Island before the original case went to a jury.

In 2005, DuPont settled with the state for an estimated $12 million. Several million dollars went to two hospitals to fund research; much of the rest of the money was set aside for education, outreach, and to make housing lead-safe. Current state Attorney General Patrick Lynch recently announced that Rhode Island will use some of those funds to make grants to organizations that will make 600 housing units in four municipalities lead-safe.

Groups that receive funds from the settlement will work to prevent childhood lead poisoning in Providence, Central Falls, Pawtucket, and Woonsocket. They will target housing built before 1950 because, while lead-based paint was not banned until 1978, pre-1950 housing generally contains the highest concentration of the toxic coating. The work will be focused in neighborhoods that have high concentrations of poverty, where high numbers of children with elevated blood lead levels reside, and where large numbers of families with young children live.

For more information on this work, visit www.riag.state.ri.us.

Scientists Question Necessity of Anti-Bacterial Agent in Household Products

Environmental health scientists and bacteriologists have begun raising concerns about a potent antibacterial agent found in a wide variety of household products. The chemical, called triclosan, can be found in everything from soap to toothpaste, mattresses to shower curtains, and cutting boards to food containers. Despite its heavy use, triclosan has not been extensively studied, which gives researchers pause.

What scientists do know about triclosan has them questioning whether it is necessary in household and personal care products, or whether the chemical should even be used at all. Triclosan indiscriminately kills bacteria, even species and strains that are beneficial to humans and the environment. Some bacteria, including some strains of E. coli, have already developed a resistance to triclosan, and constant use of antibacterial products in the home can further increase the probability that more strains and species of bacteria will become resistant. This can pose serious risks to human health.

Evidence of direct human health impacts from triclosan is also emerging. The chemical’s structure is similar to that of a substance made by the human thyroid, meaning triclosan could disrupt normal thyroid function. Triclosan is also a suspected liver toxin in humans and other species, and the chemical is not effectively removed during wastewater treatment, meaning it ends up in lakes, rivers, streams, and other drinking water supplies. Additionally, when used in hand soap or dishwashing liquid and exposed to chlorinated tap water, triclosan can form chloroform, a known human carcinogen that can contaminate indoor air.

To combat the potentially harmful effects of triclosan, researchers urge consumers to limit their use of antibacterial products. The American Medical Association (AMA), among others, recommends that antibacterial soaps only be used in clinics, hospitals, and other medical settings – the group says such products have no place in the home. To protect against harmful bacteria, environmental health experts recommend frequent hand washing with regular soap and water, as well as the use of regular detergents to wash dishes, cutting surfaces, toys, and other household items. Additionally, when purchasing toys, bedding, and bathroom accessories, advocates suggest customers check labels and ask questions to ensure that triclosan and triclocarban (a close chemical cousin) are not contained within the products.

For more information on triclosan and the potential hazards posed by the chemical, visit www.ewg.org/node/26721.

EPA Issues Federal Register Notice on Certification Fees for Remodeling and Renovation Program

On Aug. 21, the EPA issued a Federal Register notice on the fee structure for multiple lead disciplines. The EPA’s fees cover training providers, firms, and workers seeking accreditation under existing lead disciplines as well as the fees to be collected from trainers and firms under the new remodeling and renovation rule. The fees covered by the Federal Register notice only apply to states where EPA will directly administer the remodeling and renovation rule. States that have accepted delegation of the existing lead disciplines or that accept delegation of the remodeling and renovation rule are allowed to set their own fees.

For the remodeling and renovation program, EPA is proposing to charge $560 to be accredited to deliver the initial remodeling and renovation training class, $400 to deliver the refresher training class, and $300 to become a certified firm. The fees for renewing training accreditation (every four years) are slightly less, and renewing firm certification (every five years) will cost the same amount. Nonprofits, government agencies, and Indian tribes are exempt from the training provider fees (although not the individual or firm fees).

Details and the other lead disciplines are available at http://edocket.access.gpo.gov/2008/pdf/E8-19432.pdf. EPA is accepting comments on the proposed fee structure until Sept. 22.

Free Fact Sheet Available to Help Renters Avoid Drifting Tobacco Smoke

To address the problem of renters in multi-family housing who are involuntarily exposed to second-hand tobacco smoke drifting into their apartments from other units, the Public Health Law and Policy Technical Assistance Legal Center has released "How Disability Laws Can Help Tenants Suffering from Drifting Tobacco Smoke." This fact sheet is accompanied by a sample letter to the landlord and a sample doctor’s note. These documents are all available at
http://talc.phlpnet.org/pubs/publications.php?choice=new_browse&search=199.

Alliance News

The Alliance staff is looking forward to sharing our work at the 2008 National Healthy Homes Conference: Building a Framework for Healthy Housing, from Sept. 15-17 in Baltimore, MD. Alliance staff will be presenting in five out of the conference’s six tracks, on wide ranging topics such as Developing Enforcement for EPA’s Lead Renovation, Repair, and Painting Rule; Consumer Product Safety Standards and Housing; Setting a National Policy Agenda for Healthy Housing; Innovative Financing Strategies to Enhance Healthy Homes Programs; Promoting IPM in Private Housing; and Lessons Learned from Hurricane Katrina. There’s still time to join us, so register now!

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If you appreciate the news and information in the Alliance Alert, please consider making a tax-deductible donation to the Alliance! We rely on donations from individuals and organizations to allow us to do policy work in Washington and across the country. You can make a one-time donation or sign up to make a recurring monthly or quarterly donation on our website. Thank you for your support!

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Sign up to receive updates from the Alliance! To receive the Alliance Alert in your inbox and to subscribe to our no-cost listservs (Leadnet and Healthyhomesnet), visit www.afhh.org/forms/alert_subscribe.asp.

Upcoming Events

The National Healthy Homes Festival will take place just prior to the 2008 National Healthy Homes Conference on Sept. 12-14 at Druid Hill Park in Baltimore, MD. The event will bring together local and state community partners; health, housing, and environmental organizations; local universities; lead and asthma prevention programs; federal, state, and city agencies; and people from Maryland and across the nation in an effort to encourage people to take action in their own homes and rental properties in order to prevent harmful diseases and illness caused by toxins such as lead, mold, and other home-based environmental hazards. Plus, you won’t want to miss North Carolina CLPPP Director Ed Norman and his old-time string band, The Maudlin Brothers, as they perform Sept. 14 at 11:00am and 1:30pm. Hey, they might even sing healthy homes-themed songs!

HUD, CDC, EPA, and USDA will co-sponsor Building a Framework for Healthy Housing: 2008 National Healthy Homes Conference from Sept. 15-17 in Baltimore, MD. The conference will focus on key themes that together build the framework necessary to make homes safe, healthy, and efficient for everyone. If you haven’t done so yet, register now.

Save the date for the 6th Annual Conference on Children's Health and the Environment. The conference will be held Sept. 18-19 in Philadelphia. The conference is organized by the Pediatric Environmental Health Specialty Unit (PESHU) of Region 3 – the Mid-Atlantic Center for Children's Health and the Environment (MACCHE). This two-day event is targeted to health care providers, public health professionals, and the public. Discussions will explore the intersection between the environment and child health issues and will be centered on tracks including climate change, healthy homes, exposure to toxicants and outcomes in children, and emerging issues in children’s environmental health.

On Sept. 25, the Collaborative on Health and the Environment will hold its monthly partnership call. The subject of this conference call will be “From Lab to Law: The Phthalates Ban, the Precautionary Principle, and How New Science Becomes New Policy” and will explore how the phthalates ban included in the new U.S. Consumer Product Safety Commission reform law fits into a larger movement toward the precautionary approach. Other questions raised on the call will include: What constitutes "proof of harm" in light of emerging knowledge about the complexity of disease causation? Who decides when there is enough evidence of harm to take action? Just how does new science become new policy? RSVP for the call.

The Illinois Lead Program, in collaboration with the Illinois Poison Center, will be conducting a Lead Poisoning Prevention Conference entitled “Healthy Homes for Healthy Kids” on Oct. 23, 2008 in the Dove Conference Center at the Prairie Heart Institute of St. John’s Hospital in Springfield, IL. This joint conference is intended to empower attendees to examine ways to utilize elected officials, health advocates, community health educators, and lead industry contractors to reduce incidents of environmentally related illnesses through public education, community outreach, and safe work practices. To register, visit www.idph.state.il.us/training.htm. For more information about the conference, call 217-782-3517.

The Childhood Action Project will be hosting a lead poisoning prevention conference in Rhode Island on Oct. 24. The conference, entitled “Getting to Zero,” will include workshops and panel presentations on childhood lead poisoning prevention in the state, and it will feature keynote speaker Lois Gibbs of the Center for Health, Environment, and Justice (CHEJ). For more information, visit www.leadsafekids.org or call 401-785-1310.

On Oct. 30 and 31, the Children's Environmental Health Institute will hold its Fifth Biennial Scientific Symposium in Austin, TX. The theme of this year’s symposium is “Blueprint for Children's Health in the Built Environment” and will cover subjects related to healthy building design, construction, and maintenance. Participants will learn how standards for materials and the adoption of policies for operating practices can reduce health risks to children by decreasing their exposure to environmental contaminants and hazards and will see how physicians, architects/builders, businesses, and others can "green" their practices and how it will impact children's health and well-being. To receive a registration brochure, e-mail janie.fields@cehi.org. For more information on the Children's Environmental Health Institute, visit www.cehi.org.

The 2008 Indiana Lead Safe and Healthy Homes conference, will be held Nov. 5 and 6 at the Marten House Hotel in Indianapolis. Conference fees are $135 for the first person from an organization and $95 for each additional person. The rate increases to $165 and $135 after October 6. More information, including the conference brochure and registration form, is available at www.ikecoalition.org/Lead_Conf_2008/Conf_Preview_2008.htm.