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Agenda National National Healthy Housing Standard National Healthy Housing Standard Introductions PROCESS AND PARTNERSHIPS Healthy Creating safe and healthy homes Process and partnerships Housing Housing for America s families for

  1. Agenda • National National Healthy Housing Standard National Healthy Housing Standard Introductions PROCESS AND PARTNERSHIPS • Healthy Creating safe and healthy homes Process and partnerships Housing Housing for America s families for America’s families B Background k d Presentation for Stakeholders– May 2013 Standard development strategy • Standard Sample standard provisions Next Steps Adjourn 1 2 3 National Committee Advice National Committee on Housing and Health Key Contributors • Meri-K Appy • Dr. Lynn Goldman • American Public Health Association • Moises Loza • Dr. Georges Benjamin • National Center for Healthy Housing National Center for Healthy Housing • Dr. Gail Christopher p • Nic Retsinas Put forth Put forth Create Create Emphasize E h i Apply A l basic potential to • Dr. Megan Sandel Keep it Conduct safety and “maximally • Henry Cisneros principles, reduce • National Committee on Housing and building achievable” simple outreach arguments regulatory science principle • Dr. Carlos Dora • Steve Thomas & tools redundancy Health • Dr. Tom Vernon • Dr. Ruth Etzel • Technical Review Work Group (Chair) • David Fukuzawa 4 5 6 1

  2. Technical Review Work Group Members Technical Review Work Group Advice Technical Review Work Group Members (cont) • Provided 300 comments on a variety of Dr. Pat Breysse, Johns Hopkins - exposure issues related to provision language: Terry Brennan - ventilation and moisture Dr. James Krieger, Seattle/King County Health (Chair) Kevin Kennedy , Children’s Mercy Hospital, Kansas City - assessment – Indoor Air Quality-particularly chemical and radiological agents Dr. David Ormandy, U. Warwick (UK) - healthy housing rating Paul Haan, Healthy Homes Coalition of West Michigan – local codes y g – Moisture/Mold Moisture/Mold D Dr. Claudette Reichel, Louisiana State U. - mold and moist climate Cl d tt R i h l L i i St t U ld d i t li t Beth McKee-Huger, Greensboro Housing Coalition – local codes – Owner vs. Occupant Responsibilities Dr. Bill Rose, U. Illinois - moisture, ventilation Dr. Peter Ashley, HUD Office of Healthy Homes and Lead Hazard Control – Heating, Ventilation, and Energy Efficiency Dr. Richard Shaughnessy, U. Tulsa - indoor air Dr. Mary Jean Brown, CDC, Healthy Homes/ Lead Poisoning Prevention – Evidence Basis Suzanne Condon, Mass. Public Health - sanitary code, environmental Dr. Karin Mack, CDC, Injury Prevention health Greg Brunner, EPA Offices of Indoor Air Alan Johanns, City of San Diego - building deficiencies Charles Treser, U. Washington - public health (senior advisor) 7 8 9 Timeline Health in the Late 19 th Century Activity Who Deadline Provide input, adopt strategy National Committee on October 10, 2012 The National Healthy Housing Standard Housing and Health • Tuberculosis, Typhoid, Key Constituent Outreach NCHH Staff Ongoing THE NEXUS OF PUBLIC HEALTH Cholera Prepare draft NCHH Staff December 2012 AND HOUSING • Policies Enacted • Technical review Technical Review Work May 1, 2013 – Fresh Air • Reconcile with codes Group and NCHH Staff • Literature review – Reduce Crowding Public Comment Period Interested Parties June – July 2013 – Improved Sanitation Review public comments and Technical Review Work September 30, 2013 • Disease Rates Declined incorporate changes Group and NCHH Staff Final Endorsement of National Committee on October 31, 2013 Standard Housing and Health Publication and Adoption November 30, 2013 10 11 12 2

  3. Fragmented Housing Policies Foundational Documents - 1986 Foundational Documents - 2013 • Privately-Owned Housing • Provides an initial framework to • APHA-CDC product – Property Maintenance Code – coordinate federal action for International Code Council • Health-protective advancing healthy housing through a comprehensive – State laws (e.g. health code) and • Delineated roles of approach. local ordinances property owners and property owners and – Healthy Homes Work Group Healthy Homes Work Group – Some jurisdictions have no housing involved HHS, HUD, EPA, DOE, occupants or sanitary code USDA, DOL, and NIST • Defined codes • Federally-Owned and Assisted • “…goal of providing decent and affordable housing for all citizens Housing (HUD) • Directed only at through the efforts and public health – Housing Quality and Uniform encouragement of Federal, State, Property Condition Standards and local governments, and by the agencies (rental) independent and collective actions of private citizens, organizations, – Minimum Property Requirements and the private sector.” (mortgage insurance) 13 14 15 What the Standard Isn’t… Intent of the National Standard National Healthy Housing Standard STANDARD DEVELOPMENT Public Health Protection Health STRATEGY Based Based A construction or rehabilitation standard Attainable, Enforceable Housing and Affordability Practicable 16 17 18 3

  4. Standard Architecture Standard Minimum Requirements The Standard’s Value Added: • Duties Of Owners And Occupants • Structure, Facilities, Plumbing, And Space Topic Requirements Standard of • Safety And Personal Security Safety And Personal Security care for any care for any Guidance for a home rental property • Lighting And Electrical Systems owner Overlay of IPMC • Heating, Ventilation, And Energy Efficiency Stretch Housing code Requirements • Moisture Control, Solid Waste, And Pest for local Provisions adoption Management Can be used to • Chemical And Radiological Agents strengthen existing codes 19 20 21 Comparison with Existing Standards Carbon Monoxide Alarm Provision IPMC HQS National Healthy • At least one carbon monoxide (CO) alarm National Healthy Housing Standard Housing Standard shall be provided in a dwelling unit that has Sample Standard Provisions heating equipment using combustion fuel or CO Alarm  is adjacent to an attached garage. A CO is adjacent to an attached garage. A CO  Integrated Pest Management alarm must be installed on each floor that has a sleeping area, within 10 feet (3,054 mm) Ventilation    outside each bedroom.  Noise Infiltration Limit – Battery-operated CO alarms shall be powered  Correct Moisture Problem with lithium batteries. Hard-wired CO alarms shall and Underlying Cause have lithium battery back-up. 22 23 24 4

  5. Pest Management Ventilation Noise • Natural or mechanical ventilation, or a • Every dwelling shall be maintained free of • The structure and facilities shall be combination of the two, shall deliver fresh infestation, openings that allow pest entry, maintained so that interior dwelling noise air to every habitable room and bathroom conditions that harbor pests or provide levels are below 45 L dn (day-night and be capable of removing moisture and be capable of removing moisture- them with food or water, and visible pest equivalent sound level). laden air and other contaminants residue or debris using integrated pest generated during cooking, bathing, and management methods. showering. No air exhausted from a bathroom, toilet room, or kitchen shall be vented into habitable space or an attic. 25 26 27 Moisture Prevention and Control Our Request to Stakeholders • Every foundation, roof, roofing component, • Help us collect public comments (June exterior wall, door, skylight, and window shall be National Healthy Housing Standard watertight, free of persistent dampness or and July) Next Steps moisture, and in good condition. • Help us disseminate the standard once it p • Material that is discolored or deteriorated by • Material that is discolored or deteriorated by is complete (December) mold or mildew or causes a moldy or earthy odor shall be cleaned, dried, and repaired. • Help us work with jurisdictions to facilitate Structurally unsound material shall be removed adoption (2014-2015) and replaced. • Follow guidance for mold remediation. • Repair underlying cause. 28 29 30 5

  6. Public Comment Process Contact Information • National • Jane Malone jmalone@nchh.org • Begins: June, 2013 202.280.1982 • Submissions accepted via web form • Healthy THANK YOU! • Jonathan Wilson, jwilson@nchh.org • http://www.nchh.org/Policy/NationalPolicy/ http://www.nchh.org/Policy/NationalPolicy/ Housing Housing 443.539.4162 443 539 4162 NationalHealthyHousingStandard.aspx • Jill Breysse jbreysse@nchh.org • Standard • Staff will analyze/consolidate comments 443.539.4155 • Technical Review Work Group will meet in • Rebecca Morley, rmorley@nchh.org September 443.539.4159 33 31 32 6

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