BEST PRACTICES AND NEW DEVELOPMENTS AROUND RADON AND MOLD Dan Tranter, MPH Minnesota Department of Health 10/1/13 Alliance for Healthy Homes Convening Radon Basics A widespread lung carcinogen Radon Key Facts A colorless, tasteless, odorless gas From uranium in soil Cancer-causing Radioactive Leading cause of lung cancer for non-smokers Health Effects Of Radon Second leading cause of lung cancer in the United States Estimated to cause 21,000 deaths annually* MN 700-1,000 Second only to smoking Leading cause of lung cancer for non-smokers * EPA Assessment of Risks from Radon in Homes (June 2003, EPA -402-R-03 -0003) What Level of Radon is Considered Safe? There is no known safe level of radon exposure World Health Organization (WHO) 2.7 pCi/L health based standard U.S. Environmental Protection Agency (EPA) 4 pCi/L ‘action level’ based on 1980s mitigation technology Minnesota Department of Health 2 pCi/L (mitigators usually reduce to < 2) Radon in Minnesota EPA MDH Radon Awareness Act New law, effective 1/1/14, that will inform home buyers and sellers Why Real Estate? Common Questions I never heard about radon…Why? Why did I not hear about this when I bought my home? Why didn’t my realtor tell me about radon? Why isn’t the government doing more to ensure we know about this hazard? Background Radon not regulated in MN Except new construction since 2009 General disclosure requirements in real estate (MS 513.55) inadequate Discourages seller from testing Misleading to buyer have to disclose if high can check off ‘no radon environmental concern’ if never tested Do real estate professionals educate their clients? Radon Awareness Act Applies to most residential real estate Buyers and sellers given information MDH radon publication Radon Warning Statement Seller Discloses: whether radon levels known (i.e., no testing) history of testing/mitigation records of testing/mitigation Does not apply to renting Effective 1/1/14 Radon Warning Statement The Minnesota Department of Health strongly recommends that ALL homebuyers have an indoor radon test performed prior to purchase or taking occupancy, and recommends having the radon levels mitigated if elevated radon concentrations are found. Elevated radon concentrations can easily be reduced by a qualified, certified, or licensed, if applicable, radon mitigator. Every buyer of any interest in residential real property is notified that the property may present exposure to dangerous levels of indoor radon gas that may place the occupants at risk of developing radon-induced lung cancer. Radon, a Class A human carcinogen, is the leading cause of lung cancer in nonsmokers and the second leading cause overall. The seller of any interest in residential real property is required to provide the buyer with any information on radon test results of the dwelling. Impact Increased awareness increased testing radon reduction lung cancer reduction In Illinois, 3 – 4 x increase in radon testing during real estate transactions About 100,000 MN residential real estate transactions per year Looking Forward Real Estate Publication Model disclosure forms New website Educate real estate professionals Recruit radon professionals Provide materials to all interested parties Partnerships & Outreach Education and Outreach at the Community Level Partnerships Local Agencies 44 Counties Non-profits housing, health, etc. Contractors: technical assistance 1-2 per month Builders: Gold Standard for Radon MDH Offers Test Kits to Partners Free Short test (2-7 days) Long test (3+ months) Contact me Recommend selling Revenue Greater kit usage Suggestions regarding test kits Provide public booklet with test kits MDH cannot guarantee test kits available at all times When test kits run out provide test kit order form (retail: $8/kit) Test kits available at $4 per kit to govt (State’s Master Contract CPV List-MN Dept Admin) Track your test kits (usage, results) Radon Resources See our website: www.health.state.mn.us/radon Gold Standard for RRNC MN code requires passive radon resistance feature But...20% Gold Standard Builders offer fan to customers 95 of new homes > 4pCi/L action level builders Builders provided: marketing training test kits brochures point for Green Path Radon Contractor Listings Two types: Radon Measurement Professionals Radon Mitigation Professionals Certified by: National Radon Proficiency Program National Radon Safety Board Training provided through Midwest Universities Radon Consortium St. Paul Dec 2-7, 2013 Contractors NOT licensed by state for radon Radon Data for your Community MDH has maps Star Tribune data portal by zip code http://www.startribune.com/local/190270511.html Upcoming Outreach Activities Press releases W. MN Town Hall Meetings (?) Radio PSAs Nov: KS95, KDWB, K102 Jan: WCCO (?) Test kit distribution Health & Home Shows New construction ads Quarterly Radon Meetings Sign up to receive radon email updates through our website: www.health.state.mn.us/radon Radon Trends Monthly Calls/Emails (12/11 – 6/13) Starts earlier, sustained 250 200 150 100 50 0 Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May June MDH Web Hits 35000 30000 Web Hits 25000 20000 15000 10000 5000 0 Air Chek Kits Analyzed 1600 1400 Test Kits Anlayzed 1200 1000 800 600 400 200 0 Quarterly Mitigations Mold in Homes Mold Basics A common health concerns MDH Perspective on Mold All molds may cause health problems. Mold growth should NOT be tolerated in occupied indoor areas Moisture is the key to preventing mold. Inspect, don’t test (usually) Cleaning is based on amount of growth and material it’s on What is Mold? Natural (fungus) Mold spores (seeds) are everywhere Mold growth is the problem: Odors Unsightly Destroying building Health For Mold Growth To Occur: Spores Air Moderate temperatures Food source (organic matter) Moisture Health: Mold Allergies 5% of people Asthma Hay fever Rashes Hypersensitivity Pneumonitis (rare) Very high levels (silos) Cleaning large amounts, frequently Photo Courtesy AAAAI Health: Mold Infections Serious infections very rare in healthy people Source: Usually Bird or Bat droppings Possible if weakened immune system HIV+ Uncontrolled diabetes Medication for cancer or transplant Health: Toxic Effects May be possible, but not well understood Controversial Many molds produce toxins Not likely to be enough toxins in air Organic Dust Toxic Syndrome (rare) Need very heavy levels (cloud of spores, such agriculture) Other Indoor Air Contaminants Cause Similar Symptoms Moisture Related Cockroaches Bacteria Not Moisture Related Smoke, Pets, Chemicals, etc Dust Mites Addressing Moisture Flooding, Condensation, Leaks Flooding: Over-land Rushford August 2007 Flooding: Over-land Cleaned by hosing down Sheetrock very moldy on back side Flooding: Plumbing burst Condensation: Humidity Exhaust fans present, working? Dryer ducted outside? Condensation: Humidity Poor air circulation Cold surfaces Moisture sources Humidifiers, many plants, aquarium Keep winter humidity at 20-30% Leaks: Roof--Ice Dams Leaks: Windows/Heavy Rain Leaks: Plumbing Leaks: Basement & Crawlspace Remediation Safely and thoroughly remove growth Don’t Clean Mold if You Have a Known Health Problem Talk to your doctor Examples: Severely weakened immune system Uncontrolled asthma or known severe asthma sensitivity to mold Diagnosed with hypersensitivity pneumonitis Common-sense If you had severe reaction in a known moldy place MDH does not Recommend Mold Testing in Most Cases Expensive, when done right Usually unnecessary: Mold visible/known, or Moisture problem known, so mold can be found No health standard Mold is naturally present in environment Individual susceptibility varies a lot Testing may miss problem Levels can vary by time, location Different testing methods Identify and Map Dampness Moisture Meters Infrared Camera Identify Scope of Problem before Starting to Clean Review History, Check a few areas Remove ventilation diffuser Peel back carpet Small hole in drywall/cabinet Peel back base board Cleaning Process Remove ‘mud/muck’ and debris Remove porous items and building materials Scrub remaining hard surfaces with soap and water Apply bleach 1) 2) 3) 4) Dry quickly 5) 6) recommended for sewage, over-land flood 1/4 -1/2 cup per gallon water fans, open windows, dehumidifier, furnace on continuous Rebuild when drying is complete Clean Up Important points Structural members should be removed by contractor or knowledgeable person Move salvageable items (e.g., not porous furniture) outside for cleaning Clean up should be done to 2 feet beyond affected area check backside of walls/floors Use of antimicrobials or pesticides by a for-hire company is regulated Replace Moldy Porous Materials Flooring carpet and pad linoleum or laminate Sub-floor / underlayment pressed-wood, plywood Walls drywall, pressed-wood, lathe and plaster (major damage) Insulation cellulose, fiber glass Furniture upholstered, particle board Ceiling tiles Wall paper, inexpensive wall coverings Paper materials Non-metal materials in ductwork Clean Semi-porous Moldy Materials...if structurally sound Flooring Walls concrete or solid wood Furniture concrete, brick, solid wood, lathe and plaster Subfloor/underlayment stone, tile, vinyl, concrete, wood, rubber solid wood, metal, plastic, glass Laminated furniture if laminate in tact Foam insulation Unlined or uninsulated metal ductwork Personal Protection: Just Water Damage or Small Mold Problem Small Problem: Less than 10 sq ft, No severely susceptible people, and Small amount of dust produced Respiratory protection N95 No containment needed Personal Protection and Containment: Larger Mold Problems Larger Problem > 10 sq. feet, or Dusty clean-up, or Susceptible people Consider inspection and/or clean-up specialists Respiratory Protection HEPA/N100/P100 Containment poly single or double sheeting Exhaust to outdoors or HEPA air machines Working with Bleach Apply to cleaned surfaces Should be no mud or soiling Use ¼ - ½ cup per gallon water to treat surfaces Wear gloves Ventilate the area open windows, use fans Respirators Do NOT use surgical mask or nuisance dust mask Respirators N95 or N100/P100/HEPA Do fit check Remove facial hair Will restrict air flow to lungs Rebuilding Should wait till materials are completely dry May take months Can monitor with moisture meter Assistance is Limited Where flood or water event Homeowner’s insurance Where inadequate insulation/sealing condensation Local weatherization programs (MN DEED) Fix up loans Minnesota Housing and Finance Agency Valuation reduction of homestead property damaged by mold Under Minnesota Statutes 2004, section 273.11, subdivision 21 In rental properties Local housing/code enforcement (property maintenance code) In new construction Local building official (building code) When to Seek Professionals Mold / moisture Inspector odors or other signs of hidden mold and you can’t figure scope of problem Mold removal specialist if large amount of mold present highly sensitive people present Building contractor removing structural components Asbestos, lead, chemical spills, or other hazard abatement Where to Receive Further Training/Certification University of Minnesota – Continuing Education American Council for Accredited Certification Indoor Air Quality Association Institute of Inspection Cleaning and Restoration Certification MDH Perspective on Mold (revisited) All molds may cause health problems. Mold growth should NOT be tolerated in occupied indoor areas. Moisture is the key to preventing mold. Inspect, don’t test (usually). Cleaning is based on amount of growth and material it’s on. Questions? Dan Tranter Indoor Air Unit Supervisor 651-201-4618 daniel.tranter@state.mn.us www.health.state.mn.us/healthyhomes