1. A STHMA I N THE H OME AND W ORKPLACE : R ISK F ACTORS, T RIGGERS, AND P REVENTION.

2. 2 H AZARDS IN THE HOME A STHMA T RIGGERS 2 House dust mites Chemicals Smoke Dogs Cockroaches Mice Mold Cats

3. 3 C HEMICALS, F RAGRANCES, AND S PRAYS 3

4. 4 A STHMAGENS IN THE HOME Air Fresheners Cleaning Products Sprays & Coatings Formaldehyde Carpets Vinyl Floors Drywall Hobbies Home Maintenance 4

5. 5  Association of Occupational and Environmental Clinics (AOEC) 2012  Workers exposure and Asthma  Not just trigger but causes Asthma  Children at greater risk  lung development  Increases in EPA registered bleach product concentration  -Issues with dilution and exposure 5 Bleach

6. 6 R EDUCE P OTENTIAL S OURCES  Don’t use it if you don’t have to.  Use proper PPE at work or with home chores.  Substitute a better product.  Look for “Green Seal”, “Eco Logo” or “Safer Choice” on bottles. 6

7. 7 7 Aerosol Sprays and Fragrance -Body sprays, deodorants, cleaning sprays, and sunscreen. -Triggers asthma attacks -Why do they reach the lungs easier than sprays?

8. 8 8 1.Bamboo Palm 2.Snake Plant 3.Areca Palm 4.Spider Plant 5.Peace Lily 6.Gerbera Daisy

9. 9 H EALTHY C LEANING Don’t dry dust or dry sweep Low-emission vacuum with beater bar Very slowly (or use vacuum with dirt finder) Vacuuming: Use “elbow grease” Frequently change water Use Steam Cleaners on floors and carpets Wet cleaning: 9

10. 10 K EEP I T C ONTAMINANT -F REE – W HAT Y OU C AN D O Renter/Owner Do not smoke in the house Do not smoke around children Avoid using products of high levels of VOCs Have fresh air circulating, if you use a VOC product Landlord Use low VOC paints, carpets, adhesive and other products when renovating Make sure that no smoking rules are followed 10

11. 11 K EEP I T V ENTILATED – W HAT Y OU C AN D O Renter/Owner Use exhaust fan and open windows when cleaning with chemicals or using gas heaters Avoid aerosols and scented sprays Use steam cleaning and DIY cleaners Landlord Have bathroom and kitchen exhaust fans that vent outside Maintain furnaces Have dryers vent outside and keep vents unclogged 11

12. 12  Styrene  Sulfuric Acid  Ammonia  Bleach  Nitrogen Dioxide  Nanoparticles 12 OCCUPATIONAL ASTHMA TRIGGERS

13. 13 OCCUPATIONAL ASTHMA Questions to ask yourself: Does asthma get worse at work or school? Do symptoms improve when away from work? What type of industry are you working in? Are others at work experiencing the same issues? When did it start? 13

14. 14 MOLD 14

15. 15 M OISTURE S OURCES Poorly managed rainwater/groundwater Plumbing leaks Condensation on surface Construction moisture 15

16. 16 How Water Enters a Building Leaks (liquid) Cooking Bathing Watering Plants Breathing Washing (water vapor) Surface water (liquid) Air from soil (water vapor) Groundwater (liquid)

17. 17 Mold due to poor insulation or wind blowing through insulation. Mold around window where there is no insulation. C ONDENSATION WHEN C OLD O UTSIDE 17

18. 18 K EEP I T D RY – W HAT Y OU C AN D O Renter/Owner Use ventilation fans Wipe down shower walls after use Turn on air conditioning Use a dehumidifier Clean up mold Throw wet items away Landlord Clean up mold Make sure downspouts direct water away from foundations Repair leaking roofs, walls, doors, or windows 18

19. 19 K EEP I T C LEAN W HAT Y OU C AN D O Renter/Owner Take shoes off at the door Invest in a good HEPA vacuum that has a beater bar on the bottom and can be emptied quickly and thoroughly Use plastic boxes to store clutter Use allergen-free mattress and pillow covers for children with asthma or allergies 19

20. 20 DUST MITES, BED BUGS, AND PESTS 20

21. 21 R EDUCE E XPOSURE Roach baits Gels Dusts Glueboards and Snap Traps Choose safer products 21

22. 22 Dust mite control Keep humidity at or below 50% Wash bedding Use mattress and pillow encasements Freeze soft toys and small items If possible, replace carpets with hard surfaces, and remove draperies and upholstery 22

23. 23 C OCKROACH C ONTROL Habitat modification Monitors Dust and caulk Baits and gels Insect growth regulators Sticky traps 23

24. 24 B ED BUGS - D ON ’ T P ANIC Can be avoided and eliminated Every skin irritation or bite is not bed bugs You can see them. Do not cause or spread diseases. Heat and/or steam can kill them. Protocols and communication key to control 24

25. 25 B EDBUGS - C ONTROL Exclusion Preparation Traps – interceptors 25

26. 26 B ED BUG - T REATMENT Inspection Vacuum Heat or cold Pesticides by PCO only Re-inspection & retreatment Encasements & interceptors 26

27. 27 K EEP I T P EST -F REE W HAT Y OU C AN D O Renter/Owner Do not leave dirty dishes out overnight Sweep, mop, and vacuum regularly Take garbage to the trash area at least once a week (everyday if you have pests) Landlord Use baits, traps, or gels to kill pests Repair water leaks or damage 27

28. 28 H EALTHY H OMES P RINCIPLES 1. Keep it DRY 2. Keep it CLEAN 3. Keep it PEST-FREE 4. Keep it VENTILATED 5. Keep it SAFE 6. Keep it CONTAMINANT-FREE 7. Keep it MAINTAINED 28

29. 29 R ESOURCES http://www2.epa.gov/saferchoice http://www.greenseal.org/ http://www.turi.org/ http://www.epa.gov/asthma/ Umass Lowell Healthy Homes 29