creating healthy indoor environments for healthy children ironbound community corporation katherine...
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Creating Healthy Indoor Environments for Healthy Children
Ironbound Community Corporation
Katherine J. SeikelEPA Office of Children’s Health
ProtectionApril 17, 2012
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This is what environment looks like
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Children Are Not Little Adults
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Body Differences
Drink, eat, and breathe more than adults, as based on body weight
Children are rapidly growing and developing
Less developed natural defenses
More skin per pound and less protective skin
Chemicals in the womb and in breast milk4
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• Natural explorers• Spend more time close or on the ground and
floors• Spend more time outdoors than adults
• Mouthing behaviors• Place dirty fingers and objects in their mouth• Ingest dirt and dust, which may be
contaminated
Behavioral Differences
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Toxic Chemicals
A child born in America today will grow up exposed to more
chemicals than a child from any other generation
in our history.
A 2005 study found 287 different chemicals in the cord blood of 10 newborn babies – chemicals from
pesticides, fast food packaging, coal and gasoline
emissions, and trash incineration.
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Environments Shape Outcomes
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Health DisparitiesAll children are susceptible to negative outcomes as a
result of environmental exposures, but they disproportionately effect minorities and children
living below the poverty level
Obesity
CancerBrain Disorders
Asthma
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Asthma: Outcomes and Disparities
7 million kids suffer from asthma
2 million emergency room visits annually
Black children are two times as likely to be hospitalized, four times as likely to die from asthma as white children
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Brain Disorders: Outcomes and Disparities
Exposure to certain chemicals can lead to ADHD, lowered IQ, autism spectrum disorders, behavioral disorders and/or developmental delays
12 million U.S. children, or 17%, have learning or behavioral disabilitiesChemical exposures play a role in at least 1 in 4 cases of behavioral or
developmental disordersADHD is more common in children below the poverty level
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Obesity: Outcomes and Disparities
Obesity in children has tripled in the last thirty years
Obesity in children 21.2% of Hispanic children 24.3% of Black non-Hispanic children 14% of White non-Hispanic children
Research shows that some chemicals can lead to obesity
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Cancer: Outcomes and Disparities
Cancer : second cause of death among children (ages 1 -14 years of age)
Approximately 10,400 U.S children under age 15 diagnosed with cancer in 2007
About 1,545 of these will die from the disease
Exposure early in life to cancer-causing chemicals may not result in cancer until many years later
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The Importance of Healthy Housing -- (and what you can do to promote it)
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Housing conditions have an important impact on public health.
Most people spend 80% to 90% of their time indoors.
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The connection between health and the dwelling of the population is one of the most important that exists.
Florence Nightingale
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There are more than 6 million housing units with severe or moderate deficiencies in the United States.
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Residents of substandard housing are at increased risk for exposure to:
LeadCarbon
MonoxideMoldCockroachesDust MitesMiceRats
Pesticide Residues
Tobacco SmokeCombustion
GasesRadonRat BitesFiresFalls
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Children in substandard housing are more likely to have elevated blood lead levels and to have ever been diagnosed with asthma.
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Critical need to
prevent the public health
problems that stem from these
units. National Healthy Home Strategy for
Action to be released in June
2012.
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What is Healthy Housing?Healthy Housing is
Designed,Constructed,Maintained, andRehabilitated
in a manner that isconducive to goodoccupant health.
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Dry Moisture
MoldStructural Damage AllergiesAsthma
Pest-Free Pests
PesticidesCockroachesDust Mites
MiceRats
Integrated Pest Management
Contaminant FreeLead-based paint
Chemicals Household products
Pesticides Solvents
Clean Carpets
DustDirt
ClutterFood Storage and
PreparationPets
SafeSmoke detector
Carbon monoxide Radon
Fire Safety FallsHome safety
Space heaters
Ventilated Combustion Appliances
Radon Smoking
Indoor air quality
MaintainedRoof
Foundation Gutters
Access for PestsFurnace & Filters
Healthy Homes
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Start with the People
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Wanabee-Healthy Family
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Likes to garden
Bedroom on the second floor; wood
floors;Uses a space heater
and throw rugs
Mild Respiratory Disease
Noticing a little arthritis – otherwise good health
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Healthy
Expecting baby in 6 monthsGood Prenatal CareAvoid exposures to
environmental hazards
Healthy
Works part-time outside the home
Doesn’t Smoke
Exercises
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Smokes cigarettes
Works at a Garden Center
Exercises
Healthy
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Lives in a pre-1978
HomeLead
Poisoning?
Less active than usual
Asthma attacks are becoming more
frequent
5 years old
Asthma
Tobacco Smoke?
Carpeting?
Dust Mites?
Moisture?
Mold?Mice?
Pesticides?Cleaning Products?
VOCs
Cockroaches?
Triggers?
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2 Years Old
Walked early – very
mobile;Inquisitive (Mom and Dad have had to call
Poison Control twice!)
Lives in a pre-1978
Home
Gates
Childproofing
Proper storage of Household Products, Medicine
Adam’s Small Toys
Lead Poisoning?
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Tracks dirt into House
Can track-in pesticide residue
Pal’s food is attractive to pests
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Why a Holistic Approach?
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Moisture / Water Intrusion
Mold
Asthma and Allergy
Exacerbation
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Structural Damage
Moisture / Water Intrusion
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Structural
Damage
Pests
Lead Poisoning
Fire
Injuries
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Asthma and Allergy
Exacerbation
Pests
Pesticide
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Pesticide
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Moisture
Mold
Structural
Damage
Asthma and Allergy
Exacerbation
Structural
Damage
Asthma and Allergy
Exacerbation
Mold
Asthma and Allergy
Exacerbation
Asthma and Allergy
Exacerbation
Mold
Asthma and Allergy
Exacerbation
Asthma and Allergy
Exacerbation
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For more information:
Environmental Protection Agencyhttp://epa.gov/children
National Healthy Homes Training Center and Networkhttp://www.healthyhomestraining.o
rg/
Soon to come: www.healthyhomes.gov