Preventing Child Residential Lead Exposure By Window Replacement

描述（由申请人提供）：挑战领域09：健康差距。摘要：儿童铅中毒仍然是最普遍和最有害的儿童环境暴露，并且对生活在20世纪50年代以前住房中的贫困少数民族儿童的影响尤为严重。我们建议建立伙伴关系，以迅速有效地实施《美国复苏与再投资法案》（American Recovery and Reinvestment Act）创造就业的目标，特别是在住房存量较旧的贫困社区。我们将实施并严格研究住房干预措施（窗户更换和/或维修），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，并通过增加房屋价值来减少丧失抵押品赎回权。传统上，气象项目没有解决窗户问题，因为从能源的角度来看，对房屋的其他改造被认为更有益。同样，由于费用增加，铅中毒预防项目也没有纳入节能窗户的使用。尽管事实上这两个项目经常执行类似的工作，但气象和铅中毒预防官员并没有合作。我们建议在纽约州的三个社区建立这种合作的能力，这些社区有积极的气候和铅中毒预防项目，通过一个研究项目，该项目将检查窗户更换和修理对房屋灰尘中铅水平的影响，房屋灰尘是大多数儿童的主要接触来源。我们还将制作书面材料，有效地将防风与预防铅中毒活动联系起来，并建立一个网站，告知多个机构和选民，通过将儿童铅接触的初级预防与多个私营和公共机构将作为《美国复苏和再投资法案》的一部分开展的活动联系起来，在住房和社区卫生方面取得的重大成果。这项工作还将开始在地方社区和研究人员之间建立能力和信任，以扩大使用无铅窗户替代品，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支出色的团队，这是唯一一家致力于研究为美国公众创造健康家园的有效方法的非营利组织，与一位在预防、治疗、项目管理、研究行为以及向州和联邦政府咨询儿童铅中毒问题方面拥有超过35年领导经验的首席研究员合作。此外，由于当选官员和纽约州终止铅中毒联盟都对该提案作出了贡献，并承诺与我们合作，因此已经收集了对该提案的广泛支持。该项目有望改变天气预报和铅中毒预防项目的工作方式，如果得到广泛实施，将创造大量就业机会，稳定贫困社区的房价，并有助于结束美国的铅中毒，这是我们国家最可耻的环境不平等之一。通过环境公共卫生能力建设在研究人员和社区之间建立信任，或09- md -102-跨学科研究整合健康的生物和非生物决定因素以解决健康差距项目叙述：儿童铅中毒仍然是最普遍和有害的儿童环境暴露，并不成比例地影响生活在1950年代以前住房中的贫困少数民族儿童。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（窗户更换和/或维修），迅速有效地实施《美国复苏与再投资法案》创造就业机会的目标，特别是在住房存量较旧的贫困社区，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，通过增加房屋价值来减少丧失抵押品赎回权，同时开发书面和网络材料，并开始在社区官员和居民、环境健康研究人员以及预防铅中毒和防天气团体之间建立信任和伙伴关系。

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.