Catherine Lee Green & Healthy Homes Initiative

1. Multiple Impacts of Healthy & Efficient Housing October 4, 2018 Catherine Lee Green & Healthy Homes Initiative

2. The Burden of Unhealthy & Inefficient Housing 30M families live in unhealthy homes Homes with environmental hazards are making their residents sick Asthma is the top reason students miss school 40% episodes caused by home triggers 14.4M missed days of school each year Low income families spend 20% of monthly income on energy costs VS. 3.5% in other households 14.2M missed days of work each year Collateral burden of sick children is missed days of work for parents and caretakers 50% displacement rate for all households below the poverty line, which is often a result of family stress, inability to pay rent and bills, and poor quality or unsafe housing. Over $155B in economic costs related to these hazards $43B+ spent on lead poisoning $31B+ spent on slip & fall injuries $81B+ spent on asthma

3. Poor Quality Housing: Health & Energy Impacts Occupants of Sub-Standard Housing Experience Direct & Indirect Impacts of Sub-Standard Housing • Health Impacts • Environmental hazards (lead paint, asthma triggers) • Mental health conditions (stress, anxiety) • Childhood stress (chronic health conditions) Energy Insecurity • Economic Impacts • Reduced productivity • Lower job security • Less access to benefits (paid time off & insurance) • Education Impacts • Poor grade level performance • Lower graduation rates • Lost earning potential Housing Cost Burdens Household Mobility (relocation & eviction)

4. Principles in Practice at GHHI RESEARCH | POLICY DEVELOPMENT | DIRECT SERVICES | WORKFORCE TRAINING | EDUCATION

5. Addressing the Whole Home by Integrating Services Accomplishments 35 pieces of lead and healthy homes legislation passed 25 GHHI-designated sites across the country Over $300 million raised Over 590,000 integrated healthy and energy efficiency units in partnership with HUD funded programs Philanthropy Government Private-sector System • Single intake system • Comprehensive assessment • Coordinate services • Integrated interventions • Cross-trained workers • Shared data $ Outcomes Lead-hazard reduction Asthma-trigger control Household injury prevention Energy efficiency Weatherization Housing rehabilitation Source(s): GHHI

6. The Strategy: Crews Address Housing Issues Holistically • Elimination of Lead Hazards • Asthma Trigger Reduction • Integrated Pest Management • Mold and moisture remediation • Injury prevention measures, including: • Carbon monoxide and smoke detectors • Cabinet locks and electrical outlet covers • Trip and fall reduction measures • Energy efficiency and weatherization • Radon, asbestos, and home-based env. hazard remediation

7. Family Case Study: DeWayne’s Story DeWayne Davis, age 8, suffered from chronic asthma repeatedly hospitalized and missing school His unhealthy, energy-inefficient home was full of asthma triggers. Broken ducts = higher heating bills Defective gutters = water leaks Chipping paint = lead hazard Old carpets = allergens Broken hot water heater & furnace Water leaks = mold hazards Deteriorated windows = air leaks Broken tile = safety hazard

8. A Solution Through Braiding Interventions in DeWayne’s home cost 25% less ($12k vs $16k) DeWayne hasn’t been hospitalized for an asthma related visit DeWayne’s school attendance has improved The family’s energy costs decreased by over $400 a year $48,000 in avoided medical expenses Seal ducts, blow insulation DOE WAP Install furnace & water heater Philanthropy Replace broken gutters HUD HHDP Stabilize chipping paintHUD HHDP Remediate mold, install dehumidifier HUD HHDP Remove old carpets HUD HHDP Resurface uneven floorsHUD HHDP Install Energy Star windows HUD HHDP

9. Tenant & Owner Benefits in Multifamily Housing Improved Occupant Health Reduced Tradeoffs in Tenant Budgeting Reduced Energy Use Direct Tenant Benefits Lower Healthcare Costs Increased Economic Security Increased Tenant Affordability Lower Tenant Turnover/Increased Housing Stability Mutual Benefits Fewer Evictions Increased Tenant Satisfaction Decreased Housing Code Violations Improved Reputation Among Renters Lower Maintenance Costs Fewer Late Payments Direct Owner Benefits Increased Resources for Operations and Maintenance Increased Property Value Reduced Property Fines & Liens Decreased Vacancy Rate

10. Energy Sector Benefits ENERGY PROVIDERS DEVELOPERS RATEPAYERS • Direct cost savings • Reduction of demand stabilizes cost rates for all end users • Presumed cost of retrofits far exceed actual costs • Larger return on investment compared to non-green projects • Occupancy premiums measured in retrofitted buildings • Efficiency can reduce cost to provide energy reliably to customers • Reduces capital improvement needs and maintenance costs • Low-income investments can reduce customer service demand (account delinquency, shutoffs) Occupancy premiums for green buildings range from 4.2% to 17.9%

11. Case Study: Park Terrace Apartments Rockford, Illinois • Pre-Intervention • High-rise building constructed in 1984 • 183 Units • Rockford Housing Authority developed plan in 2013 with goal to reduce energy use by 20% portfolio-wide • Energy Performance Contract with Johnson Controls for 9 properties Cost of Intervention: $1,033,290 ($5,646 per unit) • Outcomes • 21.36% savings in electric usage • 34.39% savings in natural gas usage • $39,539 annual reduction in utility costs • Reduced operating & maintenance costs • Tenants more engaged in health education & smoking cessation programs • Weatherization • Interventions • High efficiency condensing boiler • ENERGY STAR appliances • Efficient faucets • Air sealing • Resident Education (Efficient Living Program) • Healthy Homes • Interventions • Heat recovery ventilation system (moisture control) • Smoke free policy • Smoking cessation support for tenants • Healthy homes resident education

12. Best Practices in Policy

13. Scaling Best Practices and Innovation: GHHI’s National Work

14. Thank You Catherine Lee: clee@ghhi.org ghhi.org @HealthyHousing healthy_housing GHHInational