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Alaska Native Tribal Health Consortium

Alaska Native Tribal Health Consortium. Alaska’s Air Inside and Out. Presented by: Josh Liles Asst. Environmental Health Consultant Environmental Health Support. Introduction to ANTHC ANTHC’s Tribal Air Program ANTHC’s Healthy Homes Program. Road Map. Introduction to ANTHC.

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Alaska Native Tribal Health Consortium

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  1. Alaska Native Tribal Health Consortium Alaska’s Air Inside and Out Presented by: Josh Liles Asst. Environmental Health Consultant Environmental Health Support

  2. Introduction to ANTHC • ANTHC’s Tribal Air Program • ANTHC’s Healthy Homes Program Road Map

  3. Introduction to ANTHC • Alaska Native Tribal Health Consortium Wellness Alaska Native Medical Center Business Environmental Health, Engineering & Construction

  4. Introduction to ANTHC • ANTHC’s Tribal Air Program • ANTHC’s Healthy Homes Program Road Map

  5. We offer assistance to Alaskan Tribes for both indoor and outdoor air quality projects. Assistance we offer: • Education and Outreach • Answer questions over the phone • Handouts, Assessment Kits • Capacity Building • Training on equipment • Phase 1 air assessment • Monitoring • Indoor Air Quality • Burning • Road Dust • Cooperative agreements • Mini-Grants • Loaner Equipment • Technical support

  6. Tribal Air Quality Cooperative Agreements(Mini-Grants) • 3,000-10,000 grants designed to help communities deal with air quality issues • Funded through ANTHC’s CAA 103 Grant • Administered by ANTHC-EHS • Assistance with: • Program Development • Technical support and training • Loaner equipment • Competitive Funding opportunity • 3-5 projects

  7. Past Mini-Grant Projects • From 2012-2014 the Air Quality Program has funded 12 projects • Past projects include: • Outdoor air • Road dust in several villages (#1 problem we currently face) • Indoor air • Radon • Wood stove change out • Healthy homes

  8. Introduction to ANTHC • ANTHC’s Tribal Air Program • ANTHC’s Healthy Homes Program Road Map

  9. ANTHC’s Healthy Homes Program How we got started? ANTHC Environmental Health Support received a call from a pulmonologist to see if there could be a link between poor indoor air quality and children's LRTI

  10. Respiratory Health in Alaska • Alaska Native children have some of the highest rates of respiratory illness ever documented • Causes • Poor indoor air quality • Lack of in-home piped water services

  11. Steps • Identify homes with children that have chronic respiratory illness • Children 1-12 yrs. with 4 or more clinic visits OR 1 respiratory hospitalization in the previous year • Assess the home • Modify the home to improve air quality • In home air monitoring • Pre-modification • Post-modification • 1 yr. post modification • Promote behavior changes

  12. Challenges we face in the project • Coordination • On many different levels • Weather • Transportation • Time

  13. Air Sampling PM2.5 (TSI DustTrak II) CO (Lascar) CO2, Temperature, Relative Humidity (Extech CO210) VOC’s

  14. Summary of Air Quality Results • CO2 (-22%) • VOCs (-77.5%) • PM2.5 (-7.7%) • Pm2.5 excluding Home #11 (-31.9%) Naaman Tomaganuk, Housing Crew Member

  15. Limitations for HealthData Results(for completed 30 homes) • Health data is only from residents reported lung health questionnaires of 2 week intervals • Administered at initial contact, immediately before home modifications, 2 weeks, 3 months, & 1 year after home modifications • Health data will be collected from chart reviews for clinic visits and hospitalizations • Administered 1 year before and 1 year after home modifications • School absences data will come from questionnaires and will not be verified through school records

  16. Preliminary Results • Observed Changes (30 homes): • Cold or Runny Nose • (-23.0%) • School absence from breathing problems • (-27.3%) • Clinic visits for respiratory • (18 before, 9 after) • Hospitalization for respiratory • (7 before, 0 after)

  17. Wrap up and final thoughts • Hopefully you were able to understand and follow the story • Hopefully our story will help generate some ideas to help you seek out unique and innovative ways to help solve issues. • Build partnerships

  18. The End Questions/Comments?

  19. What are the 7 Principles? • Contaminant-Free • Ventilated • Dry • Safe • Maintained • Clean • Pest-Free

  20. What can we change?

  21. What can we change?

  22. What can we change?

  23. What can we change?

  24. What can we change?

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