Reference Guide

National Healthy Housing Standard

Sponsoring Program Name: 
American Public Health Association
The Standard provides health-based provisions to fill gaps where no property maintenance policy exists and also a complement to the International Property Maintenance Code and other policies already in use by local and state governments and federal agencies for the upkeep of existing homes. The Standard bridges the health and building code communities by putting modern public health information into housing code parlance. The Standard is written in code language to ease its adoption, although we anticipate that states, localities, and other users will tailor it to local conditions.

The Standard provides health-based provisions to fill gaps where no property maintenance policy exists and also a complement to the International Property Maintenance Code and other policies already in use by local and state governments and federal agencies for the upkeep of existing homes. The Standard bridges the health and building code communities by putting modern public health information into housing code parlance. The Standard is written in code language to ease its adoption, although we anticipate that states, localities, and other users will tailor it to local conditions. The Standard consists of seven chapters and a section of definitions. The annotated version of the Standard explains the public health rationale for each provision, and provides references and resources for more information. Individually and together, the Standard constitutes minimum performance standards for a safe and healthy home. In developing the Standard we found a variety of provisions that could be added to further enhance the health and safety of the home, but that would be difficult to achieve during property maintenance due to cost or feasibility. We have included those provisions as “stretch” measures for users who want to go above the minimum requirements or who can integrate compliance with the provisions during property renovation. We encourage the adoption of the stretch provisions wherever feasible. 

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Up to Code: Code Enforcement Strategies for Healthy Housing

Sponsoring Program Name: 
ChangeLab Solutions
This guide is designed to give an overview of the practices and strategies necessary for code enforcement programs to protect residents and preserve housing effectively. Each chapter addresses a specific component of code enforcement, and offers resources to assist jurisdictions in implementing programs.

Safe, clean, and habitable housing is central to the health of individuals, families, and communities. When housing falls into disrepair or has pests, moisture, inadequate ventilation, and/or chemicals, it has the potential to harm residents. Under these conditions, the home can become an unhealthy, or dangerous, environment. Substandard housing conditions can cause or exacerbate health problems, posing an acute risk to young children, seniors, and people with chronic illnesses.2,3 These conditions can lead to asthma,4 housing-related injuries,5 and elevated lead levels in children,6 among other health outcomes. Local code enforcement programs are the first line of defense in ensuring safe and healthy housing for residents. To be effective, these programs require strong housing codes, well-trained enforcement officers, cross-agency collaboration, partnerships with community agencies, programs to assist residents and property owners, and thoughtful data collection and evaluation. This guide is designed to give an overview of the practices and strategies necessary for code enforcement programs to protect residents and preserve housing effectively. Each chapter addresses a specific component of code enforcement, and offers resources to assist jurisdictions in implementing programs. We use several terms in this guide. We use locality and jurisdiction to refer to towns, cities, counties, and other forms of local government. We use the term property owner to refer to the individual who owns and maintains housing, and the term resident to refer to the person who lives in housing. Occasionally, we use the term renter to refer to renters specifically. Officer is used to refer to an individual who inspects housing, cites for violations, and enforces housing code.

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Asthma Environmental Intervention Guide for School-Based Health Centers

Sponsoring Program Name: 
Regional Asthma Management & Prevention (RAMP)
The purpose of this guide is to support school-based health center staff in leading or supporting evidence-based strategies and promising practices to reduce exposure to environmental asthma triggers.

The purpose of this guide is to support school-based health center staff in leading or supporting evidence-based strategies and promising practices to reduce exposure to environmental asthma triggers. Although there is a broad array of evidence-based interventions to address asthma triggers, many people with asthma continue to be exposed to the factors that make their asthma worse. School-based health centers (SBHCs) are uniquely positioned to address this gap in order to help children breathe easier. While many SBHCs across the country are already playing a key role in helping students manage their asthma by providing quality clinical care and education, there is an opportunity for SBHCs to also be leaders in managing the environmental factors that make asthma worse. This guide describes the types of interventions that SBHC staff can initiate or support to reduce exposure to environmental asthma triggers. It covers five main strategies, each its own chapter in the guide: Education; Case Management; Improving Indoor Air Quality in Schools; Improving the Students’ Home Environment; Improving Outdoor Air Quality around the School and Community. 

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Contact Name: 
Anne Kelsey Lamb
Contact Email: 
anne@rampasthma.org
Contact Phone: 
510-285-5712
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