Centers for Disease Control and Prevention (CDC)

National Center for Environmental Health (NCEH) &

**Agency for Toxic Substances and Disease Registry (ATSDR)**

**and**

U.S. Department of Housing and Urban Development (HUD)/

**Office of Healthy Homes and Lead Hazard Control Interagency Agreement
(OHHLHC)**

### [Inter-Agency Agreement Status Report]{.underline}

First Quarter FY 2006

### [Activity 1]{.underline}: Implementation of the National Healthy Homes Training Center and Network

***National Healthy Homes Training Center and Network***

The National Center for Healthy Housing (NCHH) was chosen through a
competitive process to enter into a cooperative agreement with CDC to
develop the National Healthy Homes Training Center and Network. NCHH
convened a workgroup of housing, environmental and health professionals,
included members of local and state health departments, universities,
federal agencies, and non-profit organizations, from around the country
to assist in development of a healthy homes training curriculum.
Feedback from a pilot training was used to revise the practitioner
curriculum. The final curriculum includes an instructor guide and has
been delivered as a train-the-trainers course to insure that partner
trainers were consistent in their delivery of the curriculum. More than
20 professionals were trained to teach the [Essentials of Healthy Homes
Practitioner]{.underline} course.

***Academic Partnerships***

NCHH has entered in to partnerships with six academic institutions to
present training courses:

-   Boston University

-   East Central University in Oklahoma

-   Johns Hopkins University

-   University of Cincinnati

-   University of Washington

-   University of Illinois at Chicago

***Training***

Through 2005, the Center and their partners have trained more than 300
people through the two-day [Essentials of Healthy Homes
Practitioners]{.underline} course and developed and delivered a two-day
[Building Healthy Homes]{.underline} course for contractors and
architects at NeighborWorks conferences on two occasions.

> ***Training Courses Held in 2005***

-   Essentials of Healthy Homes Practitioner

    -   Baltimore, MD in August 2005

    -   Boston, MA in December 2005

    -   Cincinnati, OH in June 2005, October 2005

    -   Houston, TX in August 2005

    -   Mount Laurel, NJ in December 2005

    -   Providence, RI in August 2005

    -   Seattle, WA in October 2005

-   Train-the-Trainer for Essentials of Healthy Homes Practitioner

    -   Columbia, MD in January 2005, October 2005

-   Building Healthy Homes

    -   Washington, DC in August 2005

    -   San Francisco, CA in December 2005

The training has resulted in tremendous "word of mouth" publicity for
the course and the number of courses in 2006 is expected to almost
double.

***Community Involvement***

Building an understanding of 'healthy homes' at the community level has
been a goal of the NHHTC, therefore, it was recommended by the Center's
expert consultants that the focus of training during 2006 should be on
identifying and developing relationships with community groups and
members rather than on expanding the number of academic partners. The
Center and their academic partners are currently developing these
relationships and insuring that community members are part of the
trainings. We believe that this activity -- working deep into a
community, rather than simply widening the number of trainings for
public sector audiences -- will allow the Center to develop a training
framework which can then be replicated with additional academic centers
partners.

***Distance Learning***

The Center has developed distance learning which provides several
benefits:

1.  It allows those who cannot attend a training easily to access the
    sessions online on their own timetable.

2.  It provides the student who attends the class an opportunity to
    refresh his/her understanding of what was taught.

3.  It provides managers the opportunity to preview material in order to
    determine its benefit to his/her organization.

The training, which is modified as necessary, can be found at:

[www.healthyhomestraining.org/Practitioner/Materials_Full.htm](http://www.healthyhomestraining.org/Practitioner/Materials_Full.htm)

The training is available as a PowerPoint presentation, as a PDF file,
and for many sections, as a video presentation with a class instructor
and the accompanying PowerPoint presentation. A bibliography (attached
at the end of this report) which is linked to full documents is included
along with the training materials.

The on-line training currently contains 3 quizzes: Pre/Post Training,
Overview, and Keep It Dry. Additional quizzes will be added for each
section of the curriculum in the near future. The quizzes provide a
number of benefits:

1.  They are a method to interest people in the details of the on-line
    presentation materials.

2.  They provide documentation of the effectiveness of the distance
    learning.

3.  They have the potential for many configuration options.

The Center is currently requesting that trainers and students try out
the quizzes and provide feedback to the Center.

Examples of the National Healthy Homes Training Center and Network
website materials are attached to the end of this report.

***Clearinghouse***

The searchable Clearinghouse can be found at
[www.healthyhousing.org](http://www.healthyhousing.org/).

The Clearinghouse contains over 100 documents and is scheduled to
contain 500 documents by September 2006. Included in these documents
will be: scientific and best practices articles related to healthy
homes; references from existing HUD Issue Briefs -- CO, Mold, Asthma,
Pesticides, Injuries - and, when revised, the issue briefs themselves;
materials from HUD Healthy Homes Grantees; other pertinent healthy homes
materials; and on-line training registration and complete training
presentation materials. There are plans to make abstracts of
clearinghouse documents searchable by Google.

***Video Presentation***

The Center has developed a six-minute Healthy Homes DVD to explain the
concept to managers and decision-makers. It is posted it on-line at
[www.healthyhomestraining.org](http://www.healthyhomestraining.org/). We
believe that this video will help administrators to understand the
"Healthy Homes" concept and the benefit which it will be to their
employees and organizations. The video was not part of the original
scope of work, but evolved from practitioners concerns that while they
see the value of the Healthy Homes concept, their decision-makers might
not.

***2006 Plans***

In 2006, the National Healthy Homes Training Center and Network plans
to:

-   Train more than 500 people;

-   Deliver two-day, Essentials of Healthy Homes Practitioners course
    more than 14 times to health and housing professionals;

-   Deliver two-day Building Healthy Homes course for contractors and
    architects at NeighborWorks conference;

> ***Training Course Scheduled for 2006***
>
> Essentials of Healthy Homes Practitioner
>
> Ada, OK in May 2006 and June 2006
>
> Anchorage, AK in April 2006
>
> Austin, TX in May 2006 (short course)
>
> Boston, MA to be scheduled
>
> Baltimore, MD in April 2006, May 2006, and July 2006
>
> Columbus, OH in February 2006
>
> Manchester, NH to be scheduled
>
> Indianapolis, IN to be scheduled
>
> Providence, RI in January 2006
>
> San Antonio, TX in June 2006
>
> Seattle, WA in January 2006
>
> Vancouver, WA in January 2006
>
> Building Healthy Homes
>
> One session to be scheduled for 2006 at NeighborWorks conference

-   Enhance website by adding on-line quizzes for each training topic,
    integrating training materials with clearinghouse data, and posting
    on-line video of on key topics; and

-   Add more than 420 articles to Clearinghouse and integrate then with
    training materials to make them more accessible.

**[Activity 2]{.underline}: Evaluation of the Housing-Related
Environmental Risk Evaluation Manual**

The manual, which has been renamed the *Healthy Housing Inspection
Manual,* is a companion piece to two other CDC documents: the *Healthy
Homes Reference Manual (co-authored with HUD)* and *Integrated Pest
Management: Conducting Urban Rodent Surveys.*

The manual received from the contractor was not of sufficient quality to
evaluate in the field as per our deliverable. The contractor was
directed to produce a paper manual; however, he began development of an
interactive electronic manual. This product was acceptable with CDC
because we were assured that the electronic manual could be completed
within the contract amount. When the electronic manual was ready for
initial assessment, the National Center for Healthy Housing convened a
workshop consisting of representatives from a variety of health and
housing disciplines and jurisdictions to meet and evaluate the
usefulness of the electronic manual. The result of this evaluation was
that additional work was necessary in order to make the electronic
manual workable. The contractor indicated that this would result in
additional cost to CDC. Therefore, CDC received the electronic version
of the manual and is in the process of determining how to complete this
project. We anticipate releasing this manual in the first or second
quarter of FY 2007.

**[Activity 3]{.underline}. Effects of Housing Improvements on Health**

CDC has received permission to access the National Health Interview
Survey (NHIS) and the American Housing Survey (AHS) and has contracted
with Battelle to develop and implement a system to link the databases.

+-----------------------------------------------------------------------+
| **National Healthy Homes Training Center and Network **               |
|                                                                       |
|                                                                       |
|                                                                       |
| [About the Training                                                   |
| Center](http://www.healthyhomestraining.org/About_HHTC.htm)           |
|                                                                       |
| [Training Center                                                      |
| Video](http://www.healthyhomestraining.org/video.htm)                 |
|                                                                       |
| [Essentials of Healthy Homes Practitioner                             |
| Course](http://www.healthyhomestraining.org/Practitioner/index.htm)   |
|                                                                       |
| -   [Course                                                           |
|     Des                                                               |
| cription](http://www.healthyhomestraining.org/Practitioner/index.htm) |
|                                                                       |
| -   [Course                                                           |
|     Brochure](http                                                    |
| ://www.healthyhomestraining.org/Documents/Practitioners_Brochure.pdf) |
|                                                                       |
| -   [Who Should                                                       |
|     Atte                                                              |
| nd?](http://www.healthyhomestraining.org/Practitioner/Who_Attend.htm) |
|                                                                       |
| -   [Agenda for                                                       |
|                                                                       |
|  Course](http://www.healthyhomestraining.org/Practitioner/Agenda.htm) |
|                                                                       |
| -   [Trainer                                                          |
|     Informati                                                         |
| on](http://www.healthyhomestraining.org/Practitioner/Instructors.htm) |
|                                                                       |
| -   [Presentation                                                     |
|     Mater                                                             |
| ials](http://www.healthyhomestraining.org/Practitioner/Materials.htm) |
|                                                                       |
| -   [Exerc                                                            |
| ises](http://www.healthyhomestraining.org/Practitioner/Exercises.htm) |
+-----------------------------------------------------------------------+

**Training Materials and Bibliography**

Materials for Instructors and Coordinators  

-   [Course Materials in PDF and
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/Materials_Full.htm#Course_Materials%23Course_Materials)

-   [Exercises](http://www.healthyhomestraining.org/Practitioner/Materials_Full.htm#Exercises%23Exercises)

-   [Videos](http://www.healthyhomestraining.org/Practitioner/Materials_Full.htm#Videos%23Videos)

-   [Quizzes](http://www.healthyhomestraining.org/Practitioner/Materials_Full.htm#Quizzes%23Quizzes)

-   [Brochures](http://www.healthyhomestraining.org/Practitioner/Materials_Full.htm#Brochures%23Brochures)

-   [Radon](http://www.healthyhomestraining.org/Practitioner/Materials_Full.htm#Radon%23Radon)

-   [HUD Issue
    Briefs](http://www.healthyhomestraining.org/Practitioner/Materials_Full.htm#HUD%23HUD)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Course Materials:**  Check below to view the Essentials in Healthy
Homes:  Practitioners Course.  The training consists of ten modules.  A
complete bibliography is available.

-   Overview - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/1_Overview_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/1_Overview_1-06-06.pdf) -
    v2.2

-   Start with People - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/2_Start_With_People_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/2_Start_With_People_1-06-06.pdf) -
    v2.2

-   House As a System - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/3_House_As_System_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/3_House_As_System_1-06-06.pdf) -
    v2.2

-   Keep It Dry - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/4_Keep_It_Dry_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/4_Keep_It_Dry_1-06-06.pdf) -
    v2.2

-   Keep It Clean - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/5_Keep_It_Clean_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/5_Keep_It_Clean_1-06-06.pdf) -
    v2.2

-   Keep It Pest-Free - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/6_Keep_It_Pest_Free_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/6_Keep_It_Pest_Free_1-06-06.pdf) -
    v2.2

-   Keep It Ventilated - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/7_Keep_It_Ventilated_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/7_Keep_It_Ventilated_1-06-06.pdf) -
    v2.2

-   Keep It Safe - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/8_Keep_It_Safe_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/8_Keep_It_Safe_1-06-06.pdf) -
    v2.2

-   Avoid Contaminants - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/9_Avoid_Contaminants_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/9_Avoid_Contaminants_1-06-06.pdf) -
    v2.2

-   Maintain the Home - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/A_Maintain_Home_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/A_Maintain_Home_1-06-06.pdf) -
    v2.2

-   Making It Work - [Full
    PowerPoint](http://www.healthyhomestraining.org/Practitioner/B_Making_It_Work_1-06-06.ppt)
    or
    [PDF](http://www.healthyhomestraining.org/Practitioner/B_Making_It_Work_1-06-06.pdf) -
    v2.2

-   [Course
    Bibliography](http://www.healthyhomestraining.org/bibliography.htm)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Exercises:**  Materials needed by instructor for to conduct three
important exercises.

-   [Exercise #6 - Where\'s the Hazard:  Keep It Dry - PowerPoint of
    Photos](http://www.healthyhomestraining.org/Practitioner/Exercise_6_Dry_All_12-1-05.ppt)

-   [Exercise #10 - Where\'s the Hazard:  Keep It Ventilated -
    PowerPoint of
    Photos](http://www.healthyhomestraining.org/Practitioner/Exercise_10_Ventilation_All_12-1-05.ppt)

-   [Exercise #13 - Completing the CEHRC Visual Assessment - PowerPoint
    of Rooms and Completed
    Form](http://www.healthyhomestraining.org/Practitioner/Exercise_13_Visual_12-1-05.ppt)
    or [(PDF
    Version)](http://www.healthyhomestraining.org/Practitioner/Exercise_13_Visual_12-1-05.pdf)

-   Dennis Livingston Drawings for House as a System: 
    [Basic](http://www.healthyhomestraining.org/Documents/House_System/DL_Single_Main.pdf),
    [Air](http://www.healthyhomestraining.org/Documents/House_System/DL_Single_Air.pdf),
    [Fire,](http://www.healthyhomestraining.org/Documents/House_System/DL_Single_Fire.pdf)
    [Water](http://www.healthyhomestraining.org/Documents/House_System/DL_Single_Water.pdf),
    [Earth](http://www.healthyhomestraining.org/Documents/House_System/DL_Single_Earth.pdf)
    and
    [Composite](http://www.healthyhomestraining.org/Documents/House_System/DL_Single_All.pdf). 

-   [Instructors
    Guide](http://www.healthyhomestraining.org/Practitioner/HHTC_Instructors_Guide_12-2-05.pdf)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Videos:**

-   [Healthy Homes - Six Minute
    Overview](http://www.healthyhomestraining.org/video.htm)

-   [House as a System by Dennis
    Livingston](http://www.healthyhomestraining.org/On-Line/Index.htm)

-       [Introduction and
    Fire](http://www.healthyhomestraining.org/On-Line/docs/Fire.htm) -
    23.5 minutes / 32 MB   

-      
    [Air](http://www.healthyhomestraining.org/On-Line/docs/Fire.htm) -
    21.5 minutes / 22MB   

-      
    [Water](http://www.healthyhomestraining.org/On-Line/docs/Water.htm) -
    27.5 minutes / 27 MB

-      
    [Earth](http://www.healthyhomestraining.org/On-Line/docs/Earth.htm) -
    22.5 minutes / 22 MB

-   [Epidiemilogic
    Triangle](http://www.healthyhomestraining.org/On-Line/docs/Triangle.htm)
    by Randy Hirschhorn - 19 minutes / 21 MB

-   [Fairhill Case Study in Philadelphia:  Urban Rodent Control and
    Environmental Improvement and Safety
    Project](http://www.healthyhomestraining.org/On-Line/docs/Fairhill.htm)
    by Randy Hirschhorn - 26 minutes / 33MB

-   Home Visit Walk-Through with Megan Sandel

-      
    [Welcome](http://www.healthyhomestraining.org/Documents/Nurses/Welcome.wmv) -
    2.5 minutes - 7.8 MB

-      
    [Kitchen](http://www.healthyhomestraining.org/Documents/Nurses/Kitchen.wmv) -
    2 minutes - 5.8 MB

-      
    [Bedroom](http://www.healthyhomestraining.org/Documents/Nurses/Bedroom.wmv) -
    2.3 minutes - 6.6 MB

-       [Living
    Room](http://www.healthyhomestraining.org/Documents/Nurses/Living.wmv) -
    1.1 minutes - 3.2 MB

-      
    [Wrap-Up](http://www.healthyhomestraining.org/Documents/Nurses/Wrap-Up.wmv) -
    2.4 minutes - 6.9 MB

-   Two-Day Essentials of Healthy Homes Training:  The materials are too
    large to download, to get a copy on CD-ROM, contact Susan Aceti at
    410.772-.2780 or <saceti@centerforhealthyhousing.org>.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Quizzes:**

Sorry, the videos may not work on Firefox browsers.

-   [Pre- and Post-Training
    Quiz](http://www.hostedtest.com/taketest.asp?c=HHTC_Pre_Test_2)

-   Overview -
    [PDF](http://www.healthyhomestraining.org/Practitioner/1_Overview_11-28-05.pdf) -
    v2.2 - [On-Line
    Quiz](http://www.hostedtest.com/taketest.asp?c=HHTC_Overview_2)  

-   Keep It Dry -
    [PDF](http://www.healthyhomestraining.org/Practitioner/4_Keep_It_Dry_11-28-05.pdf) -
    v2.2 - [On-Line
    Quiz](http://www.hostedtest.com/taketest.asp?c=HHTC_Keep_It_Dry)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Brochures:**

-   [General Course
    Description](http://www.healthyhomestraining.org/Documents/Practitioners_Brochure.pdf)

-   [Invitation for January 18 & 19, 2006 Rhode Island
    training](http://www.healthyhomestraining.org/Documents/RI_Invite_and_Registration.pdf)

-   [Flyer for December 7 & 8, 2005 Session in Boston,
    MA](http://www.healthyhomestraining.org/Documents/BU_Practitioners_12_05.pdf)

-   [Flyer for October 17 & 18, 2005 Session in Seattle,
    WA](http://www.healthyhomestraining.org/Documents/UW_Practitioners_9_05.pdf)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**HUD Issue Briefs:**

-   [Healthy Homes Fact
    Sheet](http://www.healthyhomestraining.org/Documents/HUD/HUD_HH_Brochure_Revised.pdf)

-   [Allergens Fact
    Sheet](http://www.healthyhomestraining.org/Documents/HUD/HUD_Allergens_FS.pdf)

-   [Asthma Fact
    Sheet](http://www.healthyhomestraining.org/Documents/HUD/HUD_Asthma_FS.pdf)

-   [Carbon Monoxide Fact
    Sheet](http://www.healthyhomestraining.org/Documents/HUD/HUD_CO_FS.pdf)
    / [Issue
    Brief](http://www.healthyhomestraining.org/Documents/HUD/HUD_CO_Brief.pdf)
    (0.5 MB, 12-8-05)

-   [Home Safety Fact
    Sheet](http://www.healthyhomestraining.org/Documents/HUD/HUD_Home_Safety_FS.pdf)

-   [Pesticides and Integrated Pest Management Fact
    Sheet](http://www.healthyhomestraining.org/Documents/HUD/HUD_IPM_FS.pdf)

-   [Lead-Based Paint Fact
    Sheet](http://www.healthyhomestraining.org/Documents/HUD/HUD_Lead_FS.pdf)

-   [Mold Fact
    Sheet](http://www.healthyhomestraining.org/Documents/HUD/HUD_Mold_FS.pdf)
    / [April 2005 Report to Congress on Mold and
    Moisture](http://www.healthyhomestraining.org/Documents/HUD/HUD_Mold_Report_Congress.pdf)

-   [Radon Fact
    Sheet](http://www.healthyhomestraining.org/Documents/HUD/HUD_Radon_FS.pdf)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Radon Rehab Specialist Course:**  \"Writing Specs to Reduce Lung
Cancer\" - *Offered in San Francisco on 12/8/05 at NeighborWorks
Conference by Armand Magnelli of Livable of Livable Housing.*

-   [Full PowerPoint
    File](http://www.healthyhomestraining.org/Radon/Radon_Rehab_Specialist_11-29-05.ppt)

-   [PDF Version of PowerPoint with Instructor\'s
    Notes](http://www.healthyhomestraining.org/Radon/Radon_Rehab_Specialist_11-29-05.pdf)

-   [Instructors
    Guide](http://www.healthyhomestraining.org/Radon/Radon_Rehab_Specialist_Instructors_Guide_11-28-05.pdf) -
    [Word](http://www.healthyhomestraining.org/Radon/Radon_Rehab_Specialist_Instructors_Guide_11-28-05.doc)
    or
    [PDF](http://www.healthyhomestraining.org/Radon/Radon_Rehab_Specialist_Instructors_Guide_11-28-05.pdf)

-   Handouts (Listed Below):

-       [PDF Version of Slides - Two Per
    Page](http://www.healthyhomestraining.org/Radon/Radon_Rehab_Specialist_Handout_11-29-05.pdf) -
    NCHH, 9/28/05

-       [EPA Building Radon
    Out](http://www.epa.gov/radon/images/buildradonout.pdf) - EPA
    402-K-01-002, 4/01

-       [EPA Citizens Guide to
    Radon](http://www.epa.gov/radon/pubs/citguide.html) - EPA
    402-K02-006, Revised 9/05

-       [EPA Consumer\'s Guide to Radon
    Reduction](http://www.epa.gov/radon/pubs/consguid.html) - EPA
    402-K-03-002, 2/03

-       [EPA Radon Resistant Construction Architectural
    Drawings](http://www.epa.gov/radon/images/archdraw.pdf) - EPA
    402-95012, 5/95

-       [EPA Home Buyer\'s and Seller\'s Guide to
    Radon](http://www.epa.gov/radon/pubs/hmbyguid.html) - EPA
    402-K-05-005, 5/05

**Bibliography** 

# **Background**

-   [The Consumer Product Safety Commission and the American Lung
    Association, The Christmas Seal People, *Biological Pollutants in
    our
    Home*](http://www.healthyhomestraining.org/Documents/Overview/CPSC_Biologics_in_Home.pdf)

-   [Environmental Protection Agency, *Biological Pollutants in Your
    Home*](http://www.healthyhomestraining.org/Documents/Overview/EPA_Biological_Pollutants_in_Your_Home.htm)

-   [Environmental Protection Agency, *Building Air Quality*, September
    1991](http://www.healthyhomestraining.org/Documents/Overview/EPA_Building_IAQ_Guide.pdf)

-   Environmental Protection Agency, *Partners in Indoor Environmental
    Protection*.

-   [Environmental Protection Agency, *Respiratory Health Effects of
    Passive Smoking: Lung Cancer and other Disorders*, December
    1992](http://www.healthyhomestraining.org/Documents/Overview/EPA_ORD_Effects_of_Passive_Smoking.PDF)

-   [Environmental Protection Agency, *The Inside Story: A Guide to
    Indoor Air Quality*, April
    1995](http://www.healthyhomestraining.org/Documents/Overview/EPA_Inside_Story_Guide_to_Air_Quality.pdf)

-   [HUD, *Help Yourself to a Healthy Home*,
    2002](http://www.healthyhomestraining.org/Documents/Overview/HUD_Help_Yourself_to_a_Healthy_Home.pdf)

-   [Indoor Air Pollution, *An Introduction for Health
    Professionals*](http://www.healthyhomestraining.org/Documents/Overview/Indoor_Air_Pollution_Guide_for_Health_Professionals.pdf)

-   [Committee on the Assessment of Asthma and Indoor Air, *Clearing the
    Air: Asthma and Indoor Air
    Exposure*](http://www.healthyhomestraining.org/Documents/Overview/IOM-EPA_Clearing_the_Air_Asthma_and_Indoor_Air_Exposures.pdf)

-   [The National Association of Home Builders and the NAHB Research
    Center, *Building Greener, Building Better: The Quiet Revolution*,
    October
    2002](http://www.healthyhomestraining.org/Documents/Overview/NAHB_Building_Greener_Building_Better.pdf)

-   [National Low Income Housing Coalition, *America's Neighbors: The
    affordable Housing Crisis and the People it Affects*, February
    2004](http://www.healthyhomestraining.org/Documents/Overview/NLIHC_Housing_Crisis.pdf)

-   [Terry Brennan and Ellen Tohn, *Shelter:  How Houses Work*,
    September
    2004](http://www.healthyhomestraining.org/Documents/Overview/Shelter_-_How_a_House_Works.doc)

**Keep It Dry and Mold**

-   [Environmental Protection Agency, *A Brief Guide to Mold, Moisture,
    and Your
    Home*](http://www.healthyhomestraining.org/Documents/Keep_It_Dry_&_Mold/EPA_Mold_Guide.pdf)

-   [Environmental Protection Agency, *Mold Remediation in Schools and
    Commercial Buildings*, July
    2001](http://www.healthyhomestraining.org/Documents/Keep_It_Dry_&_Mold/EPA_Mold_Remediation.pdf)

-   [U.S. Department of Agriculture, *Drainage Around Your
    Home*](http://www.healthyhomestraining.org/Documents/Keep_It_Dry_&_Mold/USDA_Drainage_Around_Your_Home.pdf)

# **Clean and Cleanable** 

-   [Environmental Health Watch, *Controlling Asthma Triggers in the
    Home*, April
    2002](http://www.healthyhomestraining.org/Documents/Keep_It_Clean/EHW_Controlling_Asthma_Triggers.pdf)

-   [Environmental Protection Agency, *Should you have the air ducts in
    your home
    cleaned?*](http://www.healthyhomestraining.org/Documents/Keep_It_Clean/EPA_Guidance_Air_Duct_Cleaning.pdf)

-   [Inform-Strategies for a better environment, *Cleaning for Health:
    Products and Practices for a Safer Indoor Environment*,
    2002](http://www.healthyhomestraining.org/Documents/Keep_It_Clean/INFORM_Cleaning_for_Health_Front_Page.pdf)

>  **Avoid Contaminants**

-   [CRI, *CRI Green Label Plus Fact Sheet*, June
    2004](http://www.healthyhomestraining.org/Documents/Avoid_Contaminants/Carpet_Green_Label_Info.pdf)

-   [Design for the Environment, *Garment and Textile Care Program*,
    June
    1998](http://www.healthyhomestraining.org/Documents/Avoid_Contaminants/EPA_Dry_Cleaning_FAQ.pdf)

-   [U.S. Consumer Product Safety Commission, *An Update on Formaldehyde
    1997 Revision,* Washington, DC
    1997](http://www.healthyhomestraining.org/Documents/Avoid_Contaminants/EPA_Formaldehyde_Guidance.pdf)

-   [Environmental Protection Agency, *Lead in Your Home: A Parent's
    Reference Guide*, June
    1998 ](http://www.healthyhomestraining.org/Documents/Avoid_Contaminants/EPA_Lead_in_Home_Parents_Guide.pdf)

-   [Environmental Protection Agency, *How Nitrogen Oxide affects the
    way we live and breathe*, September
    1998](http://www.healthyhomestraining.org/Documents/Avoid_Contaminants/EPA_Nitrogen_Oxides.pdf)

-   Environmental Protection Agency, *Read the Label First*

-   Environmental Protection Agency, *Children and Second Hand Smoke*,
    March 1999

-   Environmental Protection Agency, *Illegal Pesticide Products*,
    September 2004

-   [National Health and Safety Performance Standards, * Poisonous
    Plants and Safe
    Plants*](http://www.healthyhomestraining.org/Documents/Avoid_Contaminants/Poisonous_Plants_American_Red_Cross.pdf)

**Home Assessment Tools**

-   [Community Environment Health Resource Center, *Cockroaches Decision
    Guide*](http://www.cehrc.org/tools/cockroaches/decisionguide.cfm)

-   [Community Environment Health Resource Center, *Cockroach
    Report*](http://www.cehrc.org/tools/cockroaches/cockroaches_forms.cfm)

-   [Community Environment Health Resource Center, *Floor
    Plan*](http://www.cehrc.org/tools/visual/fasplans.cfm)

-   [Community Environment Health Resource Center, *Mold and Moisture
    Report*](http://www.cehrc.org/tools/moldmoisture/index.cfm)

-   [Community Environment Health Resource Center, *Sampling Results
    Report
    Instructions*](http://www.cehrc.org/tools/samplingres/index.cfm)

-   [Community Environment Health Resource Center, *Sampling Results
    Report*](http://www.cehrc.org/tools/samplingres/index.cfm)

-   [Community Environment Health Resource Center, *Site
    Plan*](http://www.cehrc.org/tools/visual/fasplans.cfm)

-   [Community Environment Health Resource Center, *Visual Survey
    Instructions*](http://www.cehrc.org/tools/visual/index.cfm)

-   [Community Environment Health Resource
    Center,](http://www.cehrc.org/tools/visual/index.cfm#visual) *Visual
    Survey Report*

-   U.S. Department of Housing and Urban Development, *Inspection
    Form-Housing Choice Voucher Program*

**Keep It Maintained**

-   [Asthma Regional Council, *Property Maintenance for a Healthy
    Home*](http://www.healthyhomestraining.org/Documents/Maintain_the_House/ARC_Property_Maintenance_to_Maintain_a_Healthy_Home.doc)

-   [National Center for Healthy Housing, *Home Maintenance
    Checklist*](http://www.healthyhomestraining.org/Documents/Maintain_the_House/HH_Maintenance_Checklist.pdf)

-   [National Center for Healthy Housing, *Home Maintenance Checklist*
    *page
    2*](http://www.healthyhomestraining.org/Documents/Maintain_the_House/Maintenance_Checklist.doc)

**Keep It Safe**

-   [U.S. Consumer Product Safety Commission, *Tips for your Baby
    Safety*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/Baby_Safety_Checklist.pdf)

-   [U.S. Consumer Product Safety Commission, *Household Batteries Can
    Cause Chemical
    Burns*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/CPSC_Battery_Burns.pdf)

-   [U.S. Consumer Product Safety Commission, *The "Invisible"
    Killer*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/CPSC_Carbon_Monoxide.pdf)

-   [U.S. Consumer Product Safety Commission, *Infants and Toddlers can
    Drown in 5-Gallon
    Buckets*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/CPSC_Drowning_and_Buckets.pdf)

-   [U.S. Consumer Product Safety Commission, *Home Electrical Safety
    Audit Room by Room
    Checklist*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/CPSC_Electrical_Safety_Checklist.pdf)

-   [U.S. Consumer Product Safety Commission, *Guide to Home Wiring
    Hazards*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/CPSC_Home_Wiring_Hazards.pdf)

-   [U.S. Consumer Product Safety Commission, *Poison Cookout
    Checklist*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/CPSC_Poison_Lookout_Checklist.htm)

-   [U.S. Consumer Product Safety Commission, *Tap Water
    Scalds*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/CPSC_Tap_Water_Scalds.pdf)

-   [U.S. Consumer Product Safety Commission, *Think Toy
    Safety*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/CPSC_Toy_Safety.pdf)

-   [U.S. Consumer Product Safety Commission, *Children Can Strangle in
    Window Covering
    Cords*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/CPSC_Window_Covering_Cords.pdf)

-   [City of Mesa Arizona, *Gun Safety - a Parents
    Guide*](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/Gun_Safety_-_City_of_Mesa.pdf)

-   [Parents Guide to Firearm
    Safety](http://www.healthyhomestraining.org/Documents/Keep_It_Safe/Parents_Guide_to_Firearms_Safety.htm)

**Keep it Pest Free**

-   [Environmental Protection Agency, *Citizen's Guide to Pest Control
    and Pesticide Safety*, September
    1999](http://www.healthyhomestraining.org/Documents/Keep_It_Pest-Free/EPA_Citizens_Guide_to_Pest_Control.pdf)

-   [Environmental Protection Agency, *Dos and Don\'ts of Pest
    Control*](http://www.healthyhomestraining.org/Documents/Keep_It_Pest-Free/EPA - Dos and Don'ts of Pest Control.htm)

-   [Environmental Protection Agency, *Illegal Pesticide
    > Products*](http://www.healthyhomestraining.org/Documents/Keep_It_Pest-Free/EPA_Illegal_Pesticide_Products.htm)

-   [Environmental Protection Agency, *Pesticides and Child
    > Safety*](http://www.healthyhomestraining.org/Documents/Keep_It_Pest-Free/EPA_CLI_Protect_Kids.pdf)

-   [Environmental Protection Agency, *Read the Label First, Protect
    > Your
    > Household*](http://www.healthyhomestraining.org/Documents/Keep_It_Pest-Free/EPA_CLI_Protect_Household.pdf)

-   [Environmental Protection Agency, *Read the Label First, Protect
    > Your
    > Children*](http://www.healthyhomestraining.org/Documents/Keep_It_Pest-Free/EPA_CLI_Protect_Kids.pdf)

### [**U.S. Department of Agriculture, Regional Integrated Pest Management Centers**](http://www.healthyhomestraining.org/Documents/Keep_It_Pest-Free/USDA_IPM_Centers.pdf)

-   [U.S. Department of Agriculture, *Pest
    Management*](http://www.healthyhomestraining.org/Documents/Keep_It_Pest-Free/USDA_Pest_Management.pdf)

**Keep It Well Ventilated**

-   [U.S. Consumer Product Safety Commission, *Overheated Clothes Dryers
    can Cause fires*, June
    2003](http://www.healthyhomestraining.org/Documents/Keep_It_Ventilated/CPSC_Dryer_Guidance.htm)

-   [U.S. Department of Energy, *Air Sealing-Seal Air Leaks and Save
    Energy*, November
    1999](http://www.healthyhomestraining.org/Documents/Keep_It_Ventilated/DOE_Air_Sealing.pdf)

-   [U.S. Department of Energy, *Attic Access*, February
    2000](http://www.healthyhomestraining.org/Documents/Keep_It_Ventilated/DOE_Attic_Access.pdf)

-   [U.S. Department of Energy, *Ceilings and Attics*, February
    2000](http://www.healthyhomestraining.org/Documents/Keep_It_Ventilated/DOE_Ceiling_&_Attics_Insulation.pdf)

-   [U.S. Department of Energy, *Combustion Equipment Safety*, October
    2000](http://www.healthyhomestraining.org/Documents/Keep_It_Ventilated/DOE_Combustion_Appliances_Safety.pdf)

-   [U.S. Department of Energy, *Crawlspace Insulation*, December
    2000](http://www.healthyhomestraining.org/Documents/Keep_It_Ventilated/DOE_Crawl_Space_Insulation.pdf)

-   [U.S. Department of Energy, *Energy Efficiency Pays*, March
    1999](http://www.healthyhomestraining.org/Documents/Keep_It_Ventilated/DOE_Energy_Efficiency.pdf)

-   [Environmental Protection Agency, *Homeowner's Guide to
    Ventilation*](http://www.healthyhomestraining.org/Documents/Keep_It_Ventilated/Homeowners_Guide_to_Ventilation.pdf)

-   [Environmental Protection Agency, *IAQ Glossary and
    Acronyms*](http://www.healthyhomestraining.org/Documents/Keep_It_Ventilated/EPA_IAQ_Glossary.pdf)

**Making It Work**

**     Using Data**

-   [Kathleen B. Cooper, *Housing Data between the Censuses: The
    American Housing Survey* Washington D.C.
    2004](http://www.healthyhomestraining.org/Documents/Using Data/American_Housing_Survey_2004-1.pdf)

-   [State of Maryland Department of Health and Mental Hygiene, *Asthma
    in Maryland 2003,*
    2003](http://www.healthyhomestraining.org/Documents/Using Data/Asthma_in_Maryland_2003.pdf)

-   [Errata, *Data Error in the American Housing Survey for the
    Baltimore Metropolitan Area in 1998*, December
    2001](http://www.healthyhomestraining.org/Documents/Using Data/Baltimore_American_Housing_Survey_1998.pdf)

-   [Maryland Department of the Environment, *Maryland Childhood Lead
    Registry 2002 Annual Surveillance report Executive Summary*,
    November
    2003](http://www.healthyhomestraining.org/Documents/Using Data/Maryland_Blood_Lead_Surveillence_2002.pdf)

-   [State of Maryland Department of Health and Mental Hygiene, *Child
    Death Report
    2002*](http://www.healthyhomestraining.org/Documents/Using Data/MD_Childhood_Fatality_Report_2003.pdf)

-   [Maryland Poison Center, *Toxalert 2003 Statistical Report*, July
    2004](http://www.healthyhomestraining.org/Documents/Using Data/MD_Poison_Center_2003_Annual_Report.pdf)

-   [Linda F. McCaig M.P.H. and Catherine W. Burt, *National Hospital
    Ambulatory Medical Care Survey, 2002 Emergency Department Summary*,
    March 18,
    2004](http://www.healthyhomestraining.org/Documents/Using Data/National_Hospital_ED_Visits_2002.pdf)

-   [Elizabeth Arias, Ph.D.; Robert N. Anderson Ph.D.; Hsiang-Ching Kung
    Ph.D.; Sherrly L Murphy B.S.; Kenneth D. Kochaneck M.A.; Division of
    Vital Statistics, *Deaths: Final Data for 2001*, September 18,
    2003](http://www.healthyhomestraining.org/Documents/Using Data/National_Vital_Statistics_Reports_2001_Mortality.pdf)

-   [National Center for Health Statistics, *Summary Health Statistics
    for U.S. Children: National Health Interview Survey 2002*, March
    2004](http://www.healthyhomestraining.org/Documents/Using Data/Summary_Health_Statistics_for_U_S_Children_2002.pdf)

**     Legal and Liability**

-   [Health Housing Solutions. *Protecting the Privacy of Patients
    Health Information*, April
    2003](http://www.healthyhomestraining.org/Documents/Law_and_Liability/DHHS_Protecting_Privacy_of_Patients_Health_Information.htm)

-   [Community Environment Health Resource Center, *CEHRC Resident
    Agreement*](http://www.healthyhomestraining.org/Documents/Law_and_Liability/CEHRC_Model_Resident_Agreement.pdf)

-   [Community Environment Health Resource Center, *Respecting and
    Protecting the Rights of Families and
    Tenants*](http://www.healthyhomestraining.org/Documents/Law_and_Liability/CEHRC_Respecting_Rights_of_Families_and_Tenants.pdf)

-   [*Covered Entity Charts*, July
    2003](http://www.healthyhomestraining.org/Documents/Law_and_Liability/Covered_Entity_Flowcharts.pdf)

-   [Environmental Law Institute, *Improving Indoor Air Quality In
    Rental Dwellings*, June
    2003.](http://www.healthyhomestraining.org/Documents/Law_and_Liability/ELI_Report.pdf)

-   [U.S. Department of Health and Human Services, *Privacy and Your
    Health
    Information*](http://www.healthyhomestraining.org/Documents/Law_and_Liability/HHS_Protecting_Health_Info_for_Consumers.pdf)

-   [U.S. Department of Health and Human Services, *Summarty of the
    HIPAA Privacy
    Rule*](http://www.healthyhomestraining.org/Documents/Law_and_Liability/HIPAA_Summary.pdf)