Asthma Education and
Environmental
Assessments
Jalyce Martin, MPH Candidate
School of Community Health and
Policy

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1.2 million children under the age of five and
7 million children under the age of 18 living with asthma today.
There was 11.5% of insured individuals and
40.3% of uninsured who were unable to afford their asthma medication prescriptions
Asthma prevalence was 13.5% among poor children and 17% among non-Hispanic black children the > prevalence among all children

Environmental Health & Safety Education
• Healthy Homes Resident Education on o Asthma triggers reduction o Household injury prevention, o Lead poisoning prevention o Other Healthy Homes topics
• Distribution & explanation of Healthy
Homes Maintenance Kit
• Referrals to partnering organizations for any other Healthy Homes related services
3

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Assessments & Interventions
Comprehensive, Integrated,
Holistic
Combination of different types of Interventions o
Lead Hazard Reduction, o o o
Healthy Homes
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IPM, Indoor Allergens, Safety
Weatherization,
Energy Efficiency
4

GHHI Assessment Process
Home Owner/Tenant Interview
• Indoor Pollutants o Mold/moisture issues & history o Tobacco smoke practices o Pest issues & pesticide usage
•
Indoor Hazards Management o Cleaning practices o Ventilation/Moisture o AC/Heating issues & practices
• Safety & Injury Prevention o Smoke detectors & CO alarms o Maintenance issues & history o Recent accidents

Participants by Race
3% 4%
93%
Blacks
Whites
Others

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Cost to Communities of Unsafe and Unhealthy
Housing
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Lead Poisoning, Asthma Episodes, Household Injury
Wealth depletion
Disinvestment
Foreclosure
Abandoned properties
Housing Code/Condemned
Increased Homelessness
Housing-based illness
Excessive Energy Users

Based on the
Healthy Home
Framework
Element of a Healthy Home
Keep it Dry
Keep it Well Ventilated
Contaminant Free
Pest Free
Keep it Well Maintained
Keep it Safe
Keep it Clean
Energy Efficient

A dry & well ventilated home
Signs of moisture & mold issues
Mold, water leaks & condensation

Contaminant free home
Presence of lead hazards
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Chipping paint
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Friction surfaces
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Dust accumulation
10

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11

12

4
5
6
2
3
Number of People in
Household
1
Low Income Limits 200% of
Poverty
22,340
30,260
38,180
46,100
54,020
62,940

250
Frequency of Pests and Insecticides
200
150
100
50
0
Always
Sometimes
Never
Roaches
61
80
126
Mice
96
88
91
Rats
12
27
223
Insecticide s
42
95
117

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Maintaining a healthy environment is fundamental to increasing quality of life and years of healthy life. Roughly 25 percent of all deaths and the total disease burden can be attributed to environmental factors.
A healthy environment for all is a goal of
Healthy People 2020. This includes outdoor air quality, surface and ground water quality, toxic substances and hazardous wastes, homes and communities, infrastructure and surveillance, and global environmental health.

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Seattle
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Cowlitz Indian Tribe
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Spokane
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Portland
Current & Next Generation GHHI Sites
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Oakland
San Francisco
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Boise
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Salt Lake County
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Denver
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Riverside
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Los Angeles
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Mesa
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Santa Fe
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Albuquerque
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Spirit Lake Nation Tribe
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Minneapolis /
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St. Paul
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Milwaukee
Dubuque
Omaha
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Chicago
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Cedar Rapids
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Flint
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Buffalo
Erie
Cleveland
Toledo
Baltimore
•
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Kansas City
State of
Connecticut
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Boston
Providence
New Haven
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New York City
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Philadelphia
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State of
Delaware
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St. Louis
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Nashville
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Greensboro
Raleigh
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Austin
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San Antonio
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Houston
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Atlanta
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Jackson
Montgomery
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New Orleans
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Green – Current GHHI sites
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Blue – possible next generation GHHI sites
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Miami

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CDC - Morbidity and Mortality Weekly Report (MMWR). (2011,
May 6). Centers for Disease Control and Prevention.
Retrieved March 1, 2013, from http://www.cdc.gov/mmwr
Environmental Health - Healthy People. (n.d.). Healthy People
2020 - Improving the Health of Americans. Retrieved March 1,
2013, from http://www.healthypeople.gov/2020/topicsobjectives2020/ove rview.aspx?topicid=12
Green and Healthy Homes Initiative | Breaking the link between unhealthy housing &unhealthy children. (n.d.). Green
and Healthy Homes Initiative. Retrieved February 20, 2013, from http://www.greenandhealthyhomes.org