Housing Developments to Improve Indoor Air Quality

Jennifer Piacentini


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Introduction to Indoor Air Pollutants and Toxins

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Low-income and BIPOC (Black, Indigenous, and People of Color) are disproportionately impacted by indoor air pollutants and toxins


Overview: Indoor air pollution can be caused by poor ventilation in homes, high humidity and temperature levels, and can come from a variety of sources that can be viewed in the image carousel on the left.

Sources of toxins and pollutants seen in photos:
  • asbestos - paint on walls
  • biological pollutant - cockroach
  • lead - pipes
  • indoor particulate matter - fireplace
  • secondhand smoke - cigarette
  • volatile organic compounds (VOCs) - household disinfectants
  • carbon monoxide - gas stove
  • formaldehyde - resins in composite wood products
  • mold - surface with moisture

Indoor air pollutants and toxins are a major public health concern

Focus on Mold

Mold is a biological pollutant, and when moisture is present, mold spores can grow and negatively impact human health.

  • Sources of mold include any surface where there is moisture.

  • According to the Environmental Protection Agency (EPA), "there are molds that can grow on wood, paper, carpet, and foods" (2021).

Negative Health Effects of Mold:

  • Allergic reactions in individuals who are sensitive

  • Symptoms characteristic of hay fever: sneezing, red eyes, and skin rash

  • Irritation of the throat, lungs, etc.

  • Asthma attacks in those with asthma or mold allergies

  • Lung infections in people with chronic lung disease or in those who are immune-compromised (CDC, 2021)



According to some sources, such as Psychology Today, mold toxicity (different from mold allergies), can manifest as psychiatric symptoms, such as depression, brain fog, problems with attention, and memory loss. The CDC, however, states that the link between memory loss, or lethargy, and mold has not been proven.

Focus on Carbon Monoxide

Carbon monoxide is a chemical pollutant that appears as a gas with no color and no odor.

  • Sources of carbon monoxide in the home include unvented gas stoves or heaters, and leaking furnaces.

Negative Health Effects of Carbon Monoxide:

Differ depending on the level of concentration, health status, and length of exposure.

  • Concentration levels:

Low: chest pain in those with heart disease, fatigue

Moderate: reduced brain function, angina (chest pain, blood flow is reduced to the heart)

High: dizziness, confusion, nausea, impaired coordination and vision

Very High: fatal, risk of death


According to the U.S. Consumer Product Safety Commission, more than 150* people in the U.S. die each year from "accidental non-fire related carbon monoxide (CO) poisoning associated with consumer products," (2017) including faulty, or improperly vented or utilized appliances that burn fuel such as stoves, furnaces, and fireplaces. *The CDC, however, lists this statistic as 400.

Background on Residential Segregation

"By creating unequal access to resources and opportunity, racism is a fundamental cause of racial inequities in health" (Williams & Cooper, 2019).

Throughout history, systemic racism has played a major role in the housing market through residential segregation. Systemic racism (also known as institutional racism), is a system in society that ranks groups of individuals, valuing some groups and not others. This system can cause the formation of negative beliefs, stereotypes, prejudice, and discrimination. The practice of redlining, which existed from the 1930s to the 1970s, consisted of the Home Owners' Loan Corporation and the Federal Home Loan Bank Board outlining Black neighborhoods in red ("Hazardous") on a map, ultimately making it difficult or impossible for these families to purchase a home loan because they were in a "risky" area where mortgage lenders would not lend.

The Fair Housing Act was signed into law in 1968 to mitigate several racist practices. Some of these included the unequal mortgage lending to Black families by banks, the avoidance of renting homes to members of minority groups by landlords, and the directing of Black home buyers to specific neighborhoods, away from predominantly white communities, by real-estate agents. Unfortunately, says John R. Logan, a Brown University sociology professor, "We still have a very, very segregated society in terms of housing and schools" (2018). As a result of these practices, Black families continue to live in lower-class neighborhoods, and this can negatively impact their health.

Current Status of the Problem

"Indoor air pollution is a risk factor for several of the world's leading causes of death, including heart disease, pneumonia, stroke, diabetes, and lung cancer" (Ritchie & Roser, 2019).

Photo by Pixabay from Pexels

Globally

  • According to the website, Our World in Data, "indoor air pollution is the leading risk factor for premature death in poor countries" (2019).

  • Low-income households rely more on solid fuels (firewood, charcoal, etc.) for cooking and heating purposes, which can exacerbate (or worsen) negative health effects.

Locally

  • Recent statistics show that 30 million homes in the U.S. have "serious health and safety hazards", many of them being located in areas of disadvantage, where unemployment, violence, and racial segregation are high (Campbell, 2016).

  • The National Low Income Housing Coalition has reported that 25% of Black people who are poor live in high-poverty neighborhoods compared to 7.5% of Whites who are poor (NLIHC, 2015). --> In total, 42.4% of people who live in high-poverty neighborhoods are Black or Latinx.

  • According to the website Moldy, at least 45 million buildings in the United States have unhealthy levels of mold (2017).

  • In the U.S., of the 21.8 million people that were reported to have asthma, approximately 4.6 million of these cases could be attributed to mold exposure and dampness in the home (Mudarri & Fisk, 2007).

  • Data also suggests that Black people are three times as likely as Whites to be hospitalized or die from asthma, with these racial differences being correlated with urban air quality, indoor allergens, and poverty, among others.

Summary of the Research

There have been several studies conducted examining the ways in which low-income BIPOC communities are disproportionately impacted by the negative health effects associated with indoor air quality and poor quality housing in general. Black people are 1.7 times more likely to live in homes with severe physical problems (low-income white people are 2.2 times more likely), and those living in substandard housing may be disproportionately affected by asthma caused by indoor environmental causes (Krieger & Higgins, 2002). Substandard homes are less well-insulated, and as energy and housing prices rise, families may need to make dire sacrifices in order to survive (Krieger & Higgins, 2002).

Studies related to asthma morbidity have discussed that socioeconomic status of minority groups indirectly impacts whether or not they die from the disease (Forno & Celedón, 2009). From an epidemiological perspective, a study found that racial differences in exposures to fine particulate matter and black carbon in the air can ultimately impact cardiovascular disease risk. In fact, the researchers found that of the 1717 participants, the Black individuals had significantly higher exposure to fine particulate matter and black carbon compared to Whites (Erqou et al., 2018). Exposure to fine particulate matter in Black individuals was associated with higher blood glucose levels, more events caused by cardiovascular disease, and mortality (Erqou et al., 2018).

Enterprise Green Communities- A Ray of Light

Enterprise Green Communities is a program developed by the overarching nonprofit organization Enterprise Community Partners, which for 40 years, has addressed the shortage of affordable rental homes in the United States. As part of their mission, they try to reach three goals: (1) increase housing supply, (2) advance racial equity, and (3) build resilience and upward mobility.

Launched in 2004, Enterprise Green Communities is proud to say that it is "the only national green building program created with and for the affordable housing sector" that works diligently to address the many threats of climate change (Enterprise, n.d.). In addition to working with housing developers, builders, and investors, Enterprise Green Communities provides grants to increase the quality of the developments they are planning, works alongside policymakers at the federal, state, and local levels to discuss projects related to housing developments that are both sustainable and affordable, and works with researchers to ensure the indoor environments of their housing developments are good quality, and most importantly, healthy.

This program also recognizes how BIPOC communities are disproportionately exposed to harmful homes and living conditions, and more commonly live near industrial areas with high levels of air pollutants and toxins. Enterprise Green Communities strongly believes that affordable, sustainable, and healthy homes are essential to advancing racial equity and attaining both environmental and economic justice (Enterprise, n.d.).

All affordable housing in the United States is able to become Enterprise Green Communities certified. A new version of the certification criteria was established in 2020, and 20 developers across the country, "The First 20", are currently working towards the 2020 certification.

Improving indoor air quality is a major component of the 2020 criteria.

To prevent mold from entering the home environment, the criteria requires:

    • Use moisture-resistant, sturdy, and cleanable material surfaces in kitchens, bathrooms, and laundry rooms that do not deteriorate from moisture. (Example: a cement board behind bathtubs and showers)

    • Limit moisture from entering the living space with four control layers:

1. a water control layer/weather-resistant barrier

2. an air control layer

3. a vapor control layer

4. a thermal control layer

    • Install dehumidification systems, including smart thermostats with hygrometers (measures the humidity of the air).

To prevent carbon monoxide in the home environment:

    • Install a carbon monoxide alarm with a battery backup in each "sleeping zone".

Ventilation is extremely important in improving indoor air quality.

    • Exhaust fans in kitchens and bathrooms help to remove air with moisture that may lead to mold growth.

    • Kitchen exhaust fans can remove carbon monoxide and other toxins in the air that can come from fuel-burning appliances.

    • ENERGY STAR qualified bathroom fan: uses 65% less energy than other models, moves more air, and makes less noise.

    • Timers and humidity sensors help to regulate fans.

Enjoy the video below that explains and highlights the Enterprise Green Communities First 20 Cohort:

References

Bock, E. (2021, March 5). Housing segregation a central cause of racial health inequities. NIH Record. https://nihrecord.nih.gov/2021/03/05/housing-segregation-central-cause-racial-health- inequities#:~:text=Structural%20racism%20in%20the%20housing%20system%20is%20a,Directors%E2%80%99%20Seminar%20on%20the%20Science%20of%20Structural%20Racism

Campbell, A. F. (2016, July 25). Gas leaks, mold, and rats: Millions of Americans live in hazardous homes. The Atlantic. https://www.theatlantic.com/business/archive/2016/07/gas-leaks-mold-and-rats-millions-of-americans-live-in-hazardous-homes/492689/

Centers for Disease Control and Prevention. (2021, July 1). Carbon Monoxide Poisoning. https://www.cdc.gov/co/faqs.htm

Centers for Disease Control and Prevention. (2021, September 15). Mold. https://www.cdc.gov/mold/

Environmental Protection Agency. (2021, July 21). Mold. https://www.epa.gov/mold

Environmental Protection Agency. (2021, September 30). Carbon monoxide's impact on indoor air quality. https://www.epa.gov/indoor-air-quality-iaq/carbon-monoxides-impact-indoor-air-quality

Erquo, S., Clougherty, J. E., Olafiranye, O., Magnani, J. W., Aiyer, A., Tripathy, S., Kinnee, E., Kip, K. E., & Reis, S. E. (2018). Particulate matter air pollution and racial differences in cardiovascular disease risk. Arteriosclerosis, Thrombosis, and Vascular Biology, 38(4), 935-942. https://doi.org/10.1161/ATVBAHA.117.310305

Forno, E. & Celedón, J. C. (2009). Asthma and ethnic minorities: Socioeconomic status and beyond. Current Opinion in Allergy and Clinical Immunology, 9(2), 154-160. https://doi.org/10.1097/aci.0b013e3283292207

History. (2021, February 4). Segregation in the United States. https://www.history.com/topics/black-history/segregation-united-states

Krieger, J. & Higgins, D. L. (2002). Housing and health: Time again for public health action. American Journal of Public Health, 92(5), 758-768. doi: 10.2105/ajph.92.5.758

Mudarri, D. & Fisk, W. J. (2007). Public health and economic impact of dampness and mold. Indoor Air, 17(3), 226. https://doi.org/10.1111/j.1600-0668.2007.00474.x

National Low Income Housing Coalition. (2015, August 17). Population living in high-poverty neighborhoods almost doubles since 2000. https://nlihc.org/resource/population-living-high-poverty-neighborhoods-almost-doubles-2000

RealTime Laboratories Inc. (n.d.). Mold statistics and facts. https://realtimelab.com/mold-statistics/

Ritchie, H. & Roser, M. (2019, November). Indoor air pollution. Our world in data. https://ourworldindata.org/indoor-air-pollution

Tsafrir, J. (2017, August 3). Mold toxicity: A common cause of psychiatric symptoms. Psychology Today. https://www.psychologytoday.com/us/blog/holistic-psychiatry/201708/mold-toxicity-common-cause-psychiatric-symptoms

United States Consumer Product Safety Commission. (2020, November 18). Carbon monoxide. https://www.cpsc.gov/Safety-Education/Safety-Education-Centers/Carbon-Monoxide-Information-Center#:~:text=Learn%20how%20to%20protect%20your%20family%20from%20this,CO%20poisoning%20associated%20with%20consumer%20products%2C%20including%20generators

Williams, D. R. & Cooper, L. A. (2019). Reducing racial inequities in health: Using what we already know to take action. International Journal of Environmental Research and Public Health, 16(4), 606. https://doi.org/10.3390/ijerph16040606

Williams, J. P. (2018, April 20). Segregation's legacy. U. S. News & World Report. https://www.usnews.com/news/the-report/articles/2018-04-20/us-is-still-segregated-even-after-fair-housing-act