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Essentials for Healthy Homes Practitioners

Essentials for Healthy Homes Practitioners. Learning Objectives. Link Between Housing & Health. “The connection between health and the dwelling of the population is one of the most important that exists.” Florence Nightingale. Why Do We Care?. Housing impact on health:

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Essentials for Healthy Homes Practitioners

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  1. Essentials for Healthy Homes Practitioners

  2. Page 1.1 Learning Objectives

  3. Page 1.1 Link Between Housing & Health “The connection between health and the dwelling of the population is one of the most important that exists.” Florence Nightingale

  4. Page 1.2 Why Do We Care? • Housing impact on health: • Physical, chemical, biological exposures • Psychological • Young children spend about 70% of the time in their home.

  5. Page 1.3 Why Do We Care? • Annual costs for environmentally attributable childhood diseases in the U.S: $54.9 billion. • $43.9 Billion from Lead Poisoning • $ 9.2 Billion from Neurobehavioral Disorders • $ 2.0 Billion from Asthma • $ 0.3 Billion from Childhood Cancer • Additional costs (e.g., lost days of school/work). • Asthma contributes 3% of total health care costs.

  6. Page 1.3 How Significant is the Problem?

  7. Page 1.3 Maslow’s Hierarchy of Need

  8. Home is where the heart is.Pliny It may be frail; its roof may shake; the wind may blow through it; the storms may enter; the rain may enter – but the King of England cannot enter; all his forces dare not cross the threshold of the ruined tenement. William Pitt One of our deepest needs is to be at home. Timothy Radcliffe Home is the place where, when you have to go there, They have to take you in. Robert Frost Where thou art, that is home. Emily Dickinson There’s no place like home. Dorothy, Wizard of Oz The strength of a nation derives from the integrity of the home. Confucius He is happiest, be he king or peasant, who finds peace in his home. Johann Wolfgang von Goethe

  9. Page 1.5 Institute of Medicine (2000)

  10. Page 1.5 Institute of Medicine (2004)

  11. Page 1.7 Childhood Asthma Current prevalence, 2010 BRFSS data Source: CDC, Environmental Public Health Tracking (www.cdc.gov/ephtracking) 5.9%-6.6% >6.6%-8.3% >8.3%-9.2% >9.2%-10.9% >10.9%-18.0% No data

  12. Page 1.7 Adult Asthma Current prevalence, 2010 BRFSS data Source: CDC, Environmental Public Health Tracking (www.cdc.gov/ephtracking) 6.0%-7.8% >7.8%-8.6% >8.6%-9.4% >9.4%-9.9% >9.9%-11.1%

  13. Page 1.7 Adult asthma Current prevalence over time • Current asthma prevalence among adults varies across states, ranging from: • 5.3% to 9.5% in 2001 • 6.3% to 11.1% in 2009 • Prevalence increased significantly from 2001-2009 in 22 states and the District of Columbia. Current asthma prevalence among adults -Behavioral Risk Factor Surveillance System, United States, 2001, 2005, and 2009

  14. Exercise #1

  15. Page 1.7 Holistic Approach

  16. Page 1.8 Moisture/water intrusion Why a Holistic Approach? Mold Asthma exacerbation

  17. Page 1.8 Structural damage Moisture/ water intrusion

  18. Structural damage Page 1.8 Pests Deteriorated lead paint/ lead poisoning Fire Injuries

  19. Page 1.9 Pesticides Pests Asthma & allergy exacerbation

  20. Pesticides Page 1.9

  21. Page 1.10 Different Approaches ENVIRONMENTAL HEALTH Lead Radon Allergens/asthma Combustion products Unintentional Injuries Insects & Rodents Mold & Moisture Pesticides Asbestos

  22. Page 1.10 Healthy Homes Principles

  23. Page 1.11 What is Healthy Housing?

  24. Page 1.11 American Housing Survey

  25. Exercise #2

  26. Page 1.11 AHS National (2011)

  27. Page 1.12 AHS National (2011) • (Note: Safety devices information was not available before 2007)

  28. Page 1.12 Your Community

  29. Page 1.12

  30. Page 1.13 No Place Like Home!

  31. Page 1.13 Real World is Complex • Current knowledge • Economic factors • Social and cultural • Political and legal factors • “Do No Harm”

  32. Page 1.14 Will Things Change?

  33. Page 1.14 Healthy Homes Interventions • 2008 Expert Panel • Convened by CDC and NCHH • Categories • Effective • Needs More Field Evaluation • Needs Formative Research • No Evidence or Ineffective

  34. Page 1.14 Healthy Homes Interventions

  35. Page 1.14 Healthy Homes Interventions

  36. Page 1.14 Until effective standards for the domestic environment are devised, it is likely that children will continue to be employed as biological indicators of substandard housing.

  37. Page 1.15 Codes Related to Healthy Homes • Health / Sanitation Codes • Housing / Property Maintenance Codes • Landlord-Tenant Laws • Product Standards • Hazard Management Laws Housing v. Building v. Zoning Codes

  38. Page 1.15 Does this violate the IPMC?

  39. Page 1.15 Key Provisions of Codes • Structural Integrity • Weatherproof • Maintenance • Cracks & Holes • Loose or Rotting Materials • Dampness & Deterioration • Peeling Paint • Ventilation / Windows • Infestation • Sanitation & Trash • Cleanability • Clothes Dryer • Space Heater

  40. Page 1.15 Model Codes for Housing

  41. Page 1.16 Int’l Property Maintenance Code • Adopted in: • More than 550 communities • Two states – New York & Virginia • Several states including Georgia & Oklahoma recommend it as a model for locals codes • Applicability • Existing Buildings • Rental and Owner Occupied Homes • Local Variations • Code Official Enforces

  42. Page 1.16 Landlord-Tenant Laws

  43. Page 1.16 Federal Health Priorities Healthy People 2020 Objectives

  44. Page 1.17 Green Building Priorities • NCHH Comparison – February 2009 • Major National Programs • Green Communities • Leadership in Energy and Environmental Design for Homes (LEED for Homes) • National Green Building Standard • Energy Star with Indoor Air Package

  45. Page 1.18 National Healthy Homes Training Center & Network • Brings together public health and housing practitioners • Forum for exchanging information on new research and best practices.   Funded through a contract with the U.S. Department of Housing & Urban Development , and with support from the U.S. Environmental Protection Agency and the U.S. Centers for Disease Control & Prevention

  46. Page 1.18 Purpose of the Course • Training on housing related health hazards • Cross training of practitioners.  • Exchange of practical guidance about healthy housing • Mechanism for introduction of new research findings • Opportunity for networking, collaboration and partnerships.

  47. Page 1.18 Course Outline

  48. Page 1.18 Key Messages

  49. Page 1.19 Learning Objectives

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