Transcript Weatherization Plus Health New Mexico

New Mexico:
WX Plus Health
September 14, 2012
The Path to Healthy Homes
• 2011: CDC funding opportunity to develop
a program to address multiple hazards in
homes and prevent diseases and/or
injuries that result from housing-related
hazards.
• Required collaboration with NM housing
agency—NM Mortgage Finance Authority
The Path to Healthy Homes
• 2012: NM Dept. of Health received grant
• Requirements:
– 1) convene a Healthy Homes Strategic
Planning Group to assist with program
development
– 2) Confirm/identify hazards and high-risk
populations
– 3) Develop primary prevention and case
management approaches
Planning Process
• HH Strategic Planning Group meetings:
– 1st meeting: March 15th, Las Cruces (N=47)
– 2nd meeting: April 18th, Roswell (N=39)
– 3rd meeting: May 30th, Las Cruces (N=43)
• Two main groups: Primary prevention and
Case management
• Participants: health, housing, community
advocacy, and political sector
Potential Network
Risk Assessment
• Health Risk Variables Assessed:
– Rates of asthma hospitalization
– Elevated blood lead levels among children
– Overall health status (income, education,
health care coverage, risk behaviors, and
causes of death)
Risk Assessment
• Housing Risk Variables:
– Census Data:
•
•
•
•
•
<50% area median income,
number of cost-burdened renter households,
deteriorating housing stock,
lead paint risk,
among others
Risk Assessment
• Housing Risk Variables:
– Colonias:
•
•
•
•
•
(1) Road data,
(2) Household year built data,
(3) Household structure type data,
(4) NMED septic data, and
(5) Epidemiologic data.
Risk Findings
• Overall housing risk:
– 42 communities in state have median income
below 75% of NM median household income.
17 of these in SW/SE.
– Deming
• Above-average risk for every category. >50% of
housing stock at risk for lead paint; 63.7% of
population below 80% of NM median income.
– Sunland Park
• 59% of the 1600 renters are cost burdened (pay
more than 30% of income toward rent)
• 49% of households are below 50% of the NM
median income
Risk Findings
• Housing risk:
– Hobbs
• Total of 4500 households at or below 80% of NM
median income level
• 72% of all housing built before 1979 (lead paint risk)
– Roswell
• 76% of housing built before 1970
• 43% of rental homes cost burdened
– Portales
• 2705 households below 80% of NM median
• 60% of renters are cost burdened
– Colonias
• Along the Rio Grande Valley, Farming
Communities, and those outside the city limits
Risk Findings
• Housing risk:
– Deming, Sunland Park, Hobbs, Artesia and
Carlsbad, Portales and Clovis
– Colonias along the Rio Grande Valley, Farming
Communities, and those outside the city limits
• Health Risk: SE and SW
– Higher asthma hospitalization rates in SE
compared to rest of state:
• Under-15 age group: Lea County=64.9, which is
almost three times higher than the state rate. Curry
County=57.8.
Risk Findings
• Health Risk: focus in SE and SW
– Health Status Report: SE had the worst health
status of any region. SW had the highest
percentages of adults in low income
households
– Highest county rate for elevated blood lead
levels =Lea County (6.5 per 1,000 children
screened)
– BUT, screening rates low in Southwest
Risk Findings
• Areas to Focus:
– Lea County and Dona Ana County had most
overlap of housing and health risk
– Other counties that had at least some overlap:
Eddy, Roosevelt, Curry
MFA’s Green Initiative Changes
• Add Healthy Home principles to:
– New affordable housing financed by MFA will
incorporate Healthy Home principles into design,
construction, operation and maintenance
– MFA will provide limited technical assistance to
government entities and housing authorities in the
southern third of NM that choose to implement new
Healthy Homes policies within their jurisdiction
– With HH Strategic Planning Group, MFA will develop
a Healthy Homes Pilot Program
MFA’s Green Initiative Changes
• Healthy Homes Pilot
– Referral System
– Intervention via MFA’s NM Energy$mart and
HOME Rehab service providers.
– Healthy Home-specific measures added to
existing programs.
Collaborative Network
Housing Partners Emerge
• CAA of Southern NM’s Child and Adult
Food Care Program (300 homes, 6000
kids)
• Southwestern Regional Housing CDC
(WAP & HOME Rehab service provider)
• NM Energy$mart Training Academy
Referral System
• K.I.S.S.:
– Use a standardized form
– Transmit client’s basic, public information
– Indicate the referring organization
– Indicate the level of severity of an existing
problem
Assessments
• ??
NM Energy$mart + Health
(January 2013)
• Referral
• Client is screened for WAP eligibility.
• Client is assigned a HH educator (WAP or other)
visits the client and creates a plan of action.
Provides client with do-it-yourself HH items.
• HH Assessment completed.
NM Energy$mart + Health
(January 2013)
• HH educator summarizes the suspected HH
problems, asthma, radon, falls, (other required
areas) and makes HH upgrade recommendation
and refers to WAP:
–
–
–
–
–
–
–
Keep It Ventilated
Keep It Safe
Keep It Clean
Keep It Dry
Keep It Contaminant-Free
Keep It Pest-Free
Keep It Well-Maintained
NM Energy$mart + Health
(January 2013)
• HH educator coordinates with WAP
energy auditor on suggested upgrades to
be implemented in the EE upgrades
process.
• HH Educator reviews the completed
project and associates files, ensure the
completeness of the project. WAP staff
complete final inspection.
NM Energy$mart + Health
(January 2013)
• Healthy Home Interventions:
– Basic Weatherization
– Basic Weatherization + HH Education
– Basic Weatherization + HH Education + HH
Intervention
NM Energy$mart + Health
(January 2013)
• Basic Weatherization
– Home Energy Audit, Energy Efficiency
upgrades, combustion safety
– Do No Harm: Lead Safe Work Practices,
Asbestos awareness, Health & Safety
Training
– Energy Conservation Education
NM Energy$mart + Health
(January 2013)
• Basic Weatherization + HH Education
– Visual Survey of indoor air and health issues
– Client interview
– Completed Health Home Assessment
– Provide client with recommended actions
NM Energy$mart + Health
(January 2013)
• Basic Weatherization + HH Education + HH
Intervention
– Low Cost, no cost materials
•
•
•
•
•
•
Damp wiping
HEPA Vacuum + Filters
Dust control strategies
Walk off mats
Dust mite covers on Pillows and mattresses
Non-toxic Cleaning/ Green Cleaning kit
– Radon Testing/Mitigation?
– Roof?