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Building Guidance for Healthy Homes
Developed by The Asthma Regional Council
April 4, 2002

[Download printable PDF version]

The Asthma Regional Council (ARC) of New England is committed to reducing the impact of asthma on children and families across New England through the collaboration of health, housing, education and environmental organizations. Modifications in current housing construction and maintenance practices can help minimize conditions that are associated with asthma and asthma triggers. This guidance presents the general principles to help achieve healthier indoor environments, recommends specific building practices, and describes technical resources to support the adoption of these healthy building practices.

Background
The number of children diagnosed with asthma has doubled in the past 15 years. Asthma rates in the Northeast are among the highest in the country.

Asthma is an allergic reaction to certain exposures (“triggers”) such as dust, mold, pests (cockroaches, rats, mice), pets (cats and dogs), cold air, and dry heat. Researchers have estimated that over 40% of doctor-diagnosed asthma in children under 16 years of age is associated with residential exposures where these triggers are often present.

This guidance presents principles and specific construction practices designed to minimize residential exposures to asthma triggers. Many of these practices also improve energy efficiency. ARC encourages state housing, finance, environmental and health agencies as well as non-governmental organizations and business involved in developing and maintaining housing to implement these building practices, whenever feasible.

Seven Healthy Homes Principles

Dry: Reducing moisture minimizes mold growth and makes it difficult for pests to thrive.

Clean: Dust can cause allergic reactions that trigger asthma attacks. Clutter and debris make it difficult to remove dust and can be breeding grounds for pests.

Well Ventilated: Ventilation moves air to help reduce excess humidity and airborne contaminants. Spot ventilation exhausts humidity and contaminants from specific sources (bathroom showers, kitchen cooking) minimizing mold. Dilution ventilation deals with low-level contamination throughout the home.

Combustion Product Free: Combustion products such as carbon monoxide have adverse health consequences.

Pest Free: Pests can cause allergic reactions that trigger asthma. Pesticides themselves can also create adverse health effects.

Toxic Chemical Free: Containers storing cleaning compounds, pesticides, oil- or alkyd-based paints and solvents can release toxics to the indoor air and exacerbate asthma.

Comfortable: Uncomfortable homes can make people take actions that make a home unhealthy. If people are cold, they won’t ventilate their home. If people are dry or hot, they will often open windows and/or add moisture (humidify) to the point of producing mold.



Recommended Building Practices to Achieve Healthier Homes
While there is no recipe that can guarantee a healthy home, the recommended building practices presented here will help create healthier indoor environments. We list the practices under three categories that group the principles. The principle of “comfort” is not a heading as it is inherent in each category.

  • Dry and Clean
  • Well Ventilated and Free of Combustion Products and Toxics; and
  • Pest Free.

Each home construction and each rehabilitation project presents unique constraints and opportunities. The measures included here were chosen because the opportunities to use them occur frequently and they are feasible for most construction and rehab projects. These measures may need minor adjustments in specific situations, particularly for projects involving the rehabilitation of existing buildings. Therefore, on-going training in healthy homes principles and access to technical consultations for project designers and builders is critical. Resources for such assistance are described later is this guidance.

An R or C proceeds each practice and denotes whether it is appropriate for renovation and/or new construction. The italicized text explains the rationale for the recommended practice where added description is appropriate.

A reference to the key resource document used to develop these recommendations is provided to give users a citation for additional detail and specifications. The pages referenced in italics are to a pamphlet -- Healthy and Affordable Housing: Practical Recommendations for Building Renovation and Maintaining Housing: Before You Design, Build or Renovate (HAH). This is one of a series of three pamphlets developed by Building Science Corporation for training sponsored by the ARC, U.S. Department of Housing and Urban Development, and U.S. Department of Energy’s Building America Program. The other two pamphlets provide recommendations “Before You Turn Over a Unit” and “Before You Move In.” The pamphlets are available on the Building Science web site. ARC recommends that individuals and organizations consult these pamphlets when developing and revising building standards and practices. The pamphlets include the practices listed here and a broader array of recommendations that will help improve the overall health conditions for occupants.

Dry and Clean Structures

R & C Install pan flashings on all windows and exterior doors. Apply window pan flashings over building paper at sill and corner patches. Flashing helps direct water away from wall cavities and to the drainage plane. [HAH, p.7]

R & C Avoid putting plumbing in exterior walls. It is easier to detect and repair leaks in interior walls. [HAH, p.11]

R & C Install hot water heaters in rooms with drains or catch pans and floor coverings that are not water sensitive. Install easy to use shut off valves for clothes washers and hot water heaters. These precautions will minimize damage from leaks. [HAH, p.11]

R & C Use cement board, fiber cement board, or cement plaster as an air barrier in wet areas such as behind tubs or showers. Do not use paper-faced gypsum board that can wick moisture. [HAH, p.11]

R & C Seal holes to prevent air flow (e.g., utility walls where they intersect exterior walls and ceiling). Seal bathtub and shower enclosures with rigid materials (e.g. sheathing or gypsum board). This minimizes airflow that can bring in moisture and pests. [HAH, p.15]

R & C Avoid putting duct work and air handlers in attics because of air leakage. [HAH, p.15, 24]

R & C If basement spaces or below grade spaces (garden apartments) are likely to be occupied, they should be designed and constructed for occupancy. They should be dry and have appropriate heating/cooling. Do not use ceiling basement insulation. Instead, insulate basements at their perimeters. Install continuous rigid insulation under concrete floor slabs or above concrete floor slabs coupled with a floating floor. Insulate the wall assemblies in wet areas with semi-vapor permeable foam (e.g., rigid foam). These strategies will raise the temperature of the floor coverings and below grade walls to control mold and dust mites. Semi-vapor permeable insulation allows the basement wall assemblies to dry to the interior, releases capillary water to the interior in a controlled manner, protects interior finishes, and minimizes the growth of molds. [HAH, p.14, 15]

R & C Insulate cold water pipes. Permeable foam insulation is recommended. Insulation minimizes condensation in warm temperatures. [HAH, p.18]

R & C Do not install carpet in wet areas (e.g., bathrooms, laundry rooms, kitchens, entryways, and damp basements). Use smooth and cleanable surfaces that do not act as reservoirs for moisture/mold and can be washed (e.g., vinyl, wood, tile, rubber). Whenever possible, install smooth and washable surfaces in other rooms/areas (e.g., common areas, bedrooms, living rooms). Carpet can trap moisture and dust. They can become a breeding ground for mold; smooth and cleanable surfaces do not trap moisture and are easier to clean.

C Ensure that all exterior claddings have drainage planes between the cladding and the house wrap material. Drainage planes provide a pathway for water to run away from the structure and avoid creating reservoirs behind cladding. [HAH, p.8]

C Backprime exterior siding materials (paint back, front, edges and ends of wood siding, cement siding and wood trim). This helps prevent wood clapboard from absorbing moisture and eliminates a potential water reservoir. [HAH, p.8]

C Install a capillary break on top of the footing between the footing and the perimeter foundation wall. A break helps minimize movement of moisture from the ground into the building assemblies. [HAH, p.9]

Well Ventilated and Free of Combustion Products and Toxics

R & C Install exterior exhausting fans in bathrooms and kitchens. Use durable and quiet fans (less than 3 sones). Fans exhaust excess humidity that can spur mold development. [HAH, p.20]

R & C Install power vented fans or range hoods that exhaust to the exterior when gas cook tops and gas ovens are present. These fans remove moisture, odors and other contaminants. [HAH, p.20]

R & C Seal forced air ductwork, particularly on the return side (suction side). This helps avoid negative air pressures that can draw contaminants (radon and soil gas) into homes from below grade or smoke and odors from neighboring units. [HAH, p.21]

C Ventilate attics at the soffits and ridges. [HAH, p.20]

Pest Free

R & C Seal utility openings and joints between openings. Avoid materials that rodents can chew. Use corrosion proof materials (e.g., copper or stainless steel mesh). Reducing holes minimizes transit pathways for rodents and pests. [HAH, p.26]

R & C Seal utility openings and joints between materials. This minimizes transit pathways for pests. [HAH, p.26]

Training and Technical Assistance
Training and technical assistance are critical to implementing the changes in building practices advocated in this guidance. Housing policy makers, designers, project management staff, and contractors must understand the connections between building construction practices, indoor air quality and asthma and have the practical knowledge to apply healthy home concepts to their own housing projects.

We strongly urge that whenever possible employees involved in designing, constructing, and maintaining publicly funded housing complete relevant training. A list of organizations that provide and/or sponsor such training and technical assistance is provided below.

Government

U.S. Environmental Protection Agency
Office of Air and Radiation
ENERGY STAR Buildings Program & Indoor Environments Division
1200 Pennsylvania Avenue, NW
Washington, DC 20460
888.STAR-YES
www.epa.gov/iaq and www.energystar.gov
(publications)

U.S. Department of Housing & Urban Development
Office of Healthy Homes and Lead Hazard Control
451 Seventh Street, SW Room P-3206
Washington, DC 20410
202-755-1785
www.hud.gov/lea
(publications)

U.S. Department of Energy, Building America Program
1000 Independence Ave., SW
Washington, DC 20585
800.dial.DOE
www.eren.doe.gov/buildings/building_america
(publications, technical assistance, training)

Non Profit
Affordable Comfort
32 Church Street
Suite 204
Waynesburg, PA 15370
724-627-5200
www.affordablecomfort.org/home1.html
(training, conferences, publications)

American Lung Association, Health House® Program
490 Concordia Avenue
St. Paul, MN, 55103-2441
(877) 521-1791, (800) 642-5864 within MN
www.healthhouse.org
(publications, training)

Energy & Environmental Building Association
10740 Lyndale Avenue South, Suite 10W
Bloomington, MN 55420-5615
952.881.1098
www.eeba.org
(publications, training, conferences)

Maine Indoor Air Quality Council
PO Box 2438
Augusta, ME 04338-2438
207.626.8115
www.miaqc.org
(publications, training)

Rocky Mountain Institute
1739 Snowmass Creek Road
Snowmass CO 81654-9199
970. 927.3851
www.greendesign.net
(publications)

Other Resources
Building Science Corporation
70 Main Street
Westford, MA 01886
978.589.5100
www.buildingscience.com
(publications, training, technical assistance, design)

Terry Brennan
Camroden Associates
724 East Carter Road
Westmoreland, NY 13490
315.336.7955
terry@camroden.com
(training, technical assistance, building diagnostics)

Bill Turner
Turner Building Science, LLC
26 Pinewood Lane
Harrison, Maine 04040-4334
207-583-4571
www.hturner.com
(training, technical assistance, engineering design, building diagnostics)

Technical Resources
Healthy and Affordable Housing: Practical Recommendations for Building Renovation and Maintaining Housing:

  • Before You Design, Build or Renovate
  • Before You Turn Over a Unit
  • Before You Move In

Building Science Inc. developed these three pamphlets for training sponsored by the Asthma Regional Council, US Department of Housing and Urban Development, and US Department of Energy’s Building America Program. The pamphlets are available electronically at www.buildingscience.com.

Energy and Environmental Building Association’s Builder’s Guides (EEBA Guide). The Department of Energy’s Building America Program developed these Guides. Copies are available from Environmental and Energy Building Association, 10740 Lyndale Avenue South, Suite 10W, Minneapolis, MN 55420 952.881.1098; www.eeba.org.

 

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