CMH Center for Environmental Health & Kansas City Safe & Healthy Home Partnership

Transcription

1 CMH Center for Environmental Health & Kansas City Safe & Healthy Home Partnership Kevin Kennedy, MPH, CIEC Managing Director, Center for Environmental Health Allergy, Asthma, Immunology

2 Who Are We? 4 Key Programs Patient-centered Healthy Home Assessments Safe & Healthy Schools Program Environmental Health, Asthma and Healthy Home Training and Consulting Community Education and Outreach 7 staff 4 Environmental Hygienists 2 Environmental Health Coordinators Office Coordinator

3 CMH-Healthy Home Training Center Since 2008: >500 trained as Healthy Home Practitioners >200 trained as H. Home Community Workers Working each day reaching 1000s CMH has helped mentor 7 new training centers

4 CMH-EH Healthcare Provider Training Lunch & Learn -Asthma Mgt. & Environmental Control -Healthy Home Education -Indoor Environmental Health Output: >400 Healthcare Providers and Staff Provided Training.

5 Community Outreach & Education Provide Healthy Home Community Education Throughout Extensive Outreach- Health Fairs & Community Classes School & Childcare Classes Neighborhood-based Classes Television & Radio Shows, News Articles Impact: KCSHHP has Provided 34,000 Community Members with some kind of Indoor Environmental Health & Healthy Home Education

6 Kansas City Safe & Healthy Home Partnership (KCSHHP) Supported by a HUD Healthy Home Demo. Grant Strategic partnership between the following: Children s Mercy Hospitals and Clinics Kansas City MO Health Dept Childhood Lead Poison Prevention Program Northland Neighborhood Incorporated (NNI) Other Key Partners: Children s Mercy Family Health Partners Unified Govt. of Wyandotte County Healthy Indoor Environments Coalition of the Heartland Clinical Reference Lab Allergy Zone Midland True Value Hardware

7 KCSHHP- Healthy Home Program Service Area 25 mile radius from CMH

8 KCSHHP- Healthy Home Program Child Receives Free Health Assessment: IRB Permission/Assent Health Assessment Questionnaire Quality of Life Surveys Physical Examination by Physician Spirometry Blood screen for Lead Siblings may be tested for free Blood test for Allergy IgE for environmental allergens

9 KCSHHP- Healthy Home Program Family Receives Free Home Assessment including: Healthy Home Education Visual Environmental Assessment Indoor Environmental Quality Assessment (Lvl 2 only) Air flow and ventilation IAQ Gas Measurement Dust particle and allergen levels Moisture and mold testing Household Product survey Home maintenance survey Home safety check up - and a Healthy Home Manual

10 Participant Information 57% have asthma What Kind of Health Issues Do Our Patients Have? 91% of Level 2 s have asthma 72% of Level 1 s have asthma 56% have allergies 44% have allergy symptoms 13% other health issues 22% presence of smokers in homes 25% of children tested showed elevated cotinine levels

11 Home Assessment Report Provided to the Family

12 Report includes Healthy Home Action Plan- Connects Home Assessment to Interventions Identifies what our HH program will do and what the family is asked to do Prioritizes interventions based on hazard risk

13 KCSHHP Healthy Home Kit

14 CMH Intervention Summary

15 KCSHHP- Intervention Scope of Work Provide description of expected work and require code compliance

16 HHP Progress Report (since 09/08) How are we doing?: Phone Calls - >1500 Families Enrolled (298 active) Clinic Visits Provided Home Assessments Completed Home Interventions Provided Home Interventions In Progress - 23

17 What Healthy Home Hazards Have We Observed? 29% high humidity 9% high dust mite results 3% high TVOCs 8% high CO 11% high CO2 40% high particles

18 What Healthy Home Hazards Have We Observed? 65% have moisture stains - 37% observed in bathrooms - 38% observed in basements 34% poor ventilation - 4% no vents - 56% blocked - 45% low flow 1% have gas leaks

19 What Healthy Home Hazards Have We Observed? 14% have observed/reported mice 1.3% have observed/reported rats 10% have observed/reported roaches 12% have observed/reported ants 12% have observed/reported spiders 40% have pets

20 Healthy Home Actions So Far Level II Interventions Furnace cleaning and maintenance - 93%, Furnace repair - 72% Carpet removal/replacement - 17%, Carpet cleaning - 24% Bath exhaust ventilation - 26% Dryer Exhaust ventilation - 20% Minor Gutter Repair 26% Repair Kitchen Drain 10% GFCI Outlets installed near water sources 35-45% Kitchen Fire Extinguisher 70% Carbon Monoxide detectors installed 56% (Carbon Monoxide distributed 86%)

21 Healthy Home Actions cost?- Interventions Costs (Level II Homes) Average per home - $1839 ($1760 projected) Median Intervention Costs by Domain Airflow & Ventilation - $870 Allergens & Dust - $200 Moisture Control $320 Chemical Exposure $100 Safety & Injury Prevention - $230

22 HH Programs Need Committed Partners Public Health Agencies Housing Agencies Local Governments Local Clinics (Pediatric, Family Practice, Allergist) Health Insurance Companies Community Organizations Weatherization Programs Faith-based Organizations Neighborhood Organizations Community Dev. Corp. Childcare Facilities Neighborhood-based Classes School Districts Head Start Programs Consultants Contractors Corporations Retailers

23 Healthy Homes Must be a Collaboration MCE Services, LLC; Blue Hills Community Services-CDC; KCMSD Head Start-child care; City of KCMO, Climate Control; Northland Neighborhood, INC; Project Eagle-Head start/kck; KCK Public Library; Big Brother Big Sister of KCMO; City of KCMO-Weatherization Program; Bridging the Gap; Old Northeast, Inc.-NA; Associated Youth Services-Hip Hop Health Fairs; American Red Cross; MAPESHU; UMKC School of Nursing; KCK Housing Authority; WYCO Health, Dept of Air Quality; City Vision Ministries; UG Wyandotte County Community Development; Habitat for Humanity, Christmas in October, Westside Community Action; EPA Region 7; Mid America Regional Council; KC Chronic Disease Coalition; Center School District; Allergy Zone; Maternal Child Health Coalition; Healthy Indoor Environments Coalition; Allergy, Asthma, Foundation of America; Guadalupe Center; UMKC Environmental Studies; KCMO Public Library; WYCO Rental Licensing; Kiddie Kollege; Clinical Reference Lab; El Centro; Baker Environmental; Children s Mercy Family Health Partners; Johnson County Health Dept.; Neighborhood Centers Division; Dangerous Building Demolitions; and CMH- Safety & Injury Prevention; Greater KC Asthma & COPD Coalition

24 Strategic Partners for KCSHHP Kansas City, MO Health Department Kansas City, MO Health Department Lead-Safe KC Lead Hazard Control, Case Management, Education Windows, Doors, Siding, etc. (Repair/Replacement of Surfaces that Have High Levels of Lead) Rat Control Program Rodent Issues and IPM Education Outreach and Training for HHP Northland Neighborhood Inc. (NNI) Connected to over 400 Neighborhoods Emergency Home Repair Program Small Home Repair Program Outreach and Training for HHP

25 Strategic Partners for KCSHHP Unified Government of Wyandotte County, KS Home Repairs, Roof Repairs, Furnace Work, Electrical Repairs Repair Code Issues Under Certain Circumstances Asbestos Removal Or Abatement Barrier Removal Program Environmental Review Assistance Spanish Interpreters for Families Available Metropolitan Energy Center (MEC) Cross-training of Staff and Students in Healthy Homes and Energy Performance Collaboration on Conference, Classes and Workshops Outreach and Publicity for HHP

26 Key Partners for KCSHHP KDHE Healthy Homes and Lead Hazard Prevention Program Lead Hazard Control Program, Case Management, Education Windows, Doors, Siding, Etc. (Repair/Replacement of Surfaces that have High Levels of Lead) Outreach and Training for Healthy Homes and Lead Hazards ECKAN - East Central Kansas Economic Opportunity Corporation Weatherization, Insulation, Sealing Ductwork, New Furnaces, New Central Air Conditioners, New Windows and/or Doors, Wrapping Water Heaters, Spanish Interpreters Available

27 Key Partners for KCSHHP Kansas City, MO Weatherization Program Weatherization, Insulation, Sealing Ductwork, New Furnaces, New Central Air Conditioners, Wrapping Water Heaters, Federal Home Loan Bank (FHLB) Program (forgivable loans) urgent repairs for the following Roof Repairs, Plumbing, Painting, Tree Removal, Windows and Doors, Electrical Systems, Furnace, Handicap Ramps, Driveways and Sidewalks

28 Healthy Home Program Realities Housing Conditions Surprised what people cope with Surprised by lack of hazard understanding Impressed with ingenuity & resiliency Projected Intervention Costs often too low Difficult to be comprehensive Some serious issues could not be addressed

29 Healthy Home Program Realities Complex Family Challenges Apathy of some family members Mobility of families Difficult landlords Contractor pool Difficulty juggling all the pieces

30 What Can We Do For You? Contact Us! Center for Environmental Health Asthma, Allergy, Immunology Kevin Kennedy