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Healthy Homes Essentials for Environmental Professionals

Healthy Homes Essentials for Environmental Professionals. Making the Connection Start with People. Learning Objectives. Learning Objectives. Link Between Housing & Health. “The connection between health and the dwelling of the population is one of the most important that exists”.

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Healthy Homes Essentials for Environmental Professionals

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  1. Healthy Homes Essentials for Environmental Professionals • Making the Connection • Start with People

  2. Page 1.1 Learning Objectives

  3. Page 1.1 Learning Objectives

  4. Page 1.2 Link Between Housing & Health “The connection between health and the dwelling of the population is one of the most important that exists”. Florence Nightingale

  5. 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.

  6. 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.

  7. Page 1.3 How Significant is the Problem?

  8. Page 1.4 Maslow’s Hierarchy of Need

  9. Page 1.5 Institute of Medicine (2000)

  10. Page 1.6 Institute of Medicine (2004)

  11. Page 1.7 Holistic Approach

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

  13. Page 1.8 Structural damage Moisture/ water intrusion

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

  15. Page 1.9 Pesticides Pests Asthma & allergy exacerbation

  16. Pesticides Page 1.9

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

  18. Page 1.11 What is Healthy Housing?

  19. Page 1.11 American Housing Survey

  20. Exercise #2

  21. Page 1.11 Your Community

  22. Page 1.12

  23. 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.

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

  25. 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

  26. Page 1.15 Model Codes for Housing

  27. 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

  28. Page 1.16 Does this violate the IPMC?

  29. Page 1.16 Landlord-Tenant Laws

  30. Page 1.18 Healthy Homes Principles

  31. Steps to Healthier Homes Start with people

  32. Page 2.1 Why do you go into houses?

  33. Page 2.1 Why Start with People?

  34. Page 2.1 Open v. Closed Questions

  35. Page 2.2 Bracketing Method to: • Stay Calm and Non-Judgmental • Keep Ability to Listen

  36. Page 2.3

  37. Page 2.3 Special Communication Issues • Language • Cultural • Shoes in the Home • Men and Women • Responding to Problems • Hoarding • Tolerance for Clutter and Pests

  38. Page 2.3 Resident Choices

  39. Page 2.4 What’s going on in the neighborhood? • Land use • Zoning • Services • Water • Sewer • Solid waste • Water supply

  40. Page 2.4 Routes of Exposure • Inhalation • Ingestion • Skin Absorption • Injection • Built-In Protection Mechanisms

  41. Page 2.5 Housing Related Disease Signs and Symptoms • Signs are objective • Blood pressure, heart rate, peak flow • Bloody nose, rash • Symptoms are subjective • Back pain, fatigue, headaches • Some can be a combination • Shortness of breath

  42. Page 2.5 Housing Related Disease • Signs and Symptoms

  43. Page 2.6 Mental health

  44. Page 2.6 Don’t overlook or ignore housing conditions that may affect health.

  45. Page 2.6 Often OVERLOOKED Sources of health problems

  46. Page 2.7 Often IGNORED Sources of health problems

  47. Page 2.7 Epidemiologic Triangle of Disease Host Transport Mechanism Agent Environment

  48. Page 1.13 No Place Like Home!

  49. Page 1.14 Will Things Change?

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