Preventing Child Residential Lead Exposure By Window Replacement

描述(申请人提供)：挑战领域09：健康差距。主题09-ES-101*：通过环境公共卫生方面的能力建设在研究人员和社区之间建立信任摘要：通过更换窗户防止儿童住宅铅暴露儿童铅中毒仍然是最普遍和最有害的儿童环境暴露，对生活在1950年代以前住房中的贫困少数族裔儿童造成不成比例的影响。我们建议建立伙伴关系，能够迅速有效地实现《美国复苏和再投资法案》创造就业机会的目标，特别是在拥有较老住房存量的贫困社区。我们将实施并严格研究住房干预措施(更换窗户和/或修复)，以同时减少儿童的铅暴露，提高能源效率，减少相关的发电厂排放，并通过提高房屋价值减少丧失抵押品赎回权。传统上，风化计划没有涉及窗户，因为从能源的角度来看，人们认为对房屋进行其他改造更有利。同样，由于费用增加，铅中毒预防计划没有纳入节能窗户的使用。尽管这两个项目经常进行类似的工作，但气候变化和铅中毒预防官员并未合作。我们建议在纽约州的三个社区建立这样的合作能力，这些社区有积极的风化和铅中毒预防计划，通过一个研究项目来检查窗户更换和修复对房屋灰尘中铅水平的影响，这是大多数儿童暴露在空气中的主要来源。我们还将编写书面材料，有效地将气候变化与铅中毒预防活动联系起来，并建立一个网站，通过将儿童铅暴露的初级预防与将由多个私营和公共机构作为《美国复苏和再投资法案》的一部分开展的活动联系起来，向多个机构和支持者通报住房和社区健康方面的重大进展。这一努力还将开始在当地社区和研究人员之间建立能力和信任，以扩大无铅安全窗户的使用，作为实现节能和公共卫生目标的一种方式。我们与国家健康住房中心组建了一个出色的团队，该中心是唯一致力于研究为美国公众创造健康家庭的有效方法的非营利性组织，与首席调查员合作，他在预防、治疗、项目管理、研究以及向州和联邦政府提供有关儿童铅中毒的咨询方面拥有超过35年的领导经验。此外，这一提议已经获得了广泛的支持，因为民选官员和纽约结束铅中毒联盟都为这一提议做出了贡献，并承诺在这方面与我们合作。该项目有望改变气候变化和铅中毒预防项目的工作方式，如果广泛实施，将创造大量就业机会，稳定贫困社区的房价，并为结束美国的铅中毒做出贡献，铅中毒是我们国家最可耻的环境不平等之一。1 09-ES-101通过环境公共卫生方面的能力建设在研究人员和社区之间建立信任，或09-MD-102--整合健康的生物和非生物决定因素以解决健康差距的跨学科研究项目说明：儿童铅中毒仍然是最普遍和最有害的儿童环境暴露，并对住在1950年代以前住房的贫困少数族裔儿童造成不成比例的影响。我们建议建立伙伴关系，通过实施和严格研究住房干预措施(更换窗户和/或修复)，同时减少儿童的铅暴露，提高能源效率，减少相关发电厂排放，并通过提高房屋价值减少丧失抵押品赎回权，同时开发书面和基于网络的材料，并开始在社区官员和居民、环境健康研究人员以及铅中毒预防和风化团体之间建立信任和伙伴关系，从而迅速有效地实现《美国复苏和再投资法案》创造就业机会的目标，特别是在拥有较老住房存量的贫困社区。

DESCRIPTION (provided by applicant): Challenge Area 09: Health Disparities. Topic 09-ES-101*: Building trust between researchers and communities through capacity building in Environmental Public Health ABSTRACT: Preventing Child Residential Lead Exposure By Window Replacement Childhood lead poisoning remains the most ubiquitous and pernicious child environmental exposure and disproportionately affects impoverished, minority children living in pre-1950s housing. We propose to build partnerships that can rapidly and effectively implement the job creation goals of the American Recovery and Reinvestment Act, especially in impoverished communities with older housing stock. We will implement and rigorously study a housing intervention (window replacement and/or repair) that can simultaneously reduce children's lead exposure, increase energy efficiency, reduce associated power plant emissions, and reduce foreclosures by increasing home value. Traditionally, weatherization programs have not addressed windows because other modifications to homes are thought be more beneficial from an energy perspective. Similarly, lead poisoning prevention programs have not incorporated use of energy-efficient windows due to the increased expense. Despite the fact that both programs are often performing similar work, weatherization and lead poisoning prevention officials have not collaborated. We propose to build capacity for such collaboration in three communities in the New York State that have active weatherization and lead poisoning prevention programs through a research project that will examine the effect of window replacement and repair on levels of lead in house dust, the principal source of exposure for most children. We also will produce written materials that effectively link weatherization with lead poisoning prevention activities and a web-site that will inform multiple agencies and constituencies of the significant gains to housing and community health by linking the primary prevention of childhood lead exposure to activities that will be carried out by multiple private and public agencies as part of the American Recovery and Reinvestment Act. This effort also will begin to build capacity and trust between local communities and researchers to expand the use of lead-safe window replacement as a way of achieving both energy conservation and public health goals. We have assembled a remarkable team with the National Center for Healthy Housing, the only non-profit organization devoted to studying effective ways to produce healthy homes for the American public, working with a Principal Investigator with more than 35 years of experience of leadership in the prevention, treatment, administration of programs, conduct of research, and consulting to state and federal governments about childhood lead poisoning. Moreover, widespread support for this proposal has already been gathered as both elected officials and the NYS Coalition to End Lead Poisoning have contributed to the proposal and are committed to work with us on this. This project holds great promise in changing the way in which weatherization and lead poisoning prevention programs approach their work, and if broadly implemented, could create huge numbers of jobs, stabilize housing prices in impoverished communities, and contribute to the end of lead poisoning in the United States, one of our nation's most shameful environmental inequities. 1 09-ES-101 Building Trust between researchers and communities through capacity building in environmental Public Health, or 09-MD-102-Transdisciplinary Research to Integrate the Biological and Non-biological Determinants of Health to Address Health Disparities PROJECT NARRATIVE: Childhood lead poisoning remains the most ubiquitous and pernicious child environmental exposure and disproportionately affects impoverished, minority children living in pre-1950s housing. We propose to build partnerships that can rapidly and effectively implement the job creation goals of the American Recovery and Reinvestment Act, especially in impoverished communities with older housing stock, by implementing and rigorously studying a housing intervention (window replacement and/or repair) that can simultaneously reduce children's lead exposure, increase energy efficiency, reduce associated power plant emissions, and reduce foreclosures by increasing home value while at the same time developing written and web-based materials and beginning to develop trust and partnerships between community officials and residents, environmental health researchers, and lead poisoning prevention and weatherization groups.