Showing posts with label Asthma. Show all posts
Showing posts with label Asthma. Show all posts

Sunday, October 25, 2015

HERS Testing as a means of helping San Francisco Bay Area Youth Stay Lung Safe/Lung Healthy in Low Income housing

Last Friday I got a chance to perform HERS combustion safety testing in low income housing in the East Bay in the San Francisco Bay Area. This is affordable multifamily housing that provides basic living to people of modest means. I tested a sampling of the large complex. Those eight units were instructive as to what exists, the problems and potential to make healthier places for modest income people, often with children, to live in.

HERS testing comes from US federal building science research and development in our National Laboratories in the decades after the oil crises of the 1970s. Miniaturization and development of digital test equipment has allowed HERS raters to bring a powerful array of diagnostic test tools into the home.

Proper ventilation, moisture and pollutant control are keys to healthy lungs and there was much room for cost effective improvement here. This is a public health issue as mold and common interior air pollutants trigger respiratory ailments, especially asthma with is at epidemic proportions in the US and common to low income American children.

I was doing combustion safety testing because the units had old, inexpensive and common gas wall heaters and standard 40 gallon tank gas water heaters. Most all of the units failed some portion of safety test protocol. None of them would pass ASHRAE 62.2, the current standard for how much fresh air airflow a home requires for the respiratory health of the folks living there.

Findings:
The units leaked a lot of air although there was no powered ventilation in half of them. I put my manometer on them all. Some of them showed almost no change at what the Building Performance Institute calls “worst case depressurization” where we turn on all the fans and see how much of a partial vacuum we can measure with precision test equipment. This test is crucial because some homes have so much suction from kitchen fans that they can pull combustion gas (carbon monoxide and other pollutants) from the open-combustion gas appliances.

The units had range hood fans over electric stoves and none had bathroom fans. Almost half of the range hoods I tested were improperly connected to the wall exhaust flue pipe. The maintenance man who showed me around told me that these were “recirculating” fans. The units all had an elegantly simple vent out through the wall of only 4 ¾” which offers little restriction to moving contaminated cooking air outside. The problem was, they weren’t working as designed, they were blocked. The simple fix was to cut out a square of steel in the back of the modest yet functional existing range hood fans so that they could work as intended to get contaminated air outside.

The units had standard 40 gallon tank natural gas water heaters in the small garage. Nearly half of the garages were used as laundry and living areas. The space is just too valuable to put a car inside. The garages became changing rooms, laundry drying racks, offices and storage space. The first four units I tested had natural gas leaks at the water heater. Though fortunately small leaks, gas is unacceptable in people’s living and breathing spaces.

Two of the eight water heater exhaust flues were not moving exhaust outside like they were supposed to. I could not tell if a bird was nesting in the flue or if it had ever worked properly. What I did see was combustion gases escaping into area where people breathe.

My common thought about these homes was that they had poor or no ventilation. I could measure CO and natural gas leaking into the structures. What I could not quantify was the amount of laundry detergents/softeners, cleaning products, stale grease, off-gassing carpets & electronics, cat boxes and waste dust from skin mites. I saw no HEPA vacuum cleaners in any of the test units.

Each unit had an old Williams  gas wall heater. In my time as a HERS rater I have come to know these units as nearly ubiquitous in low income housing. Previous tests of these heaters showed common and serious test failures. I have found some of these units to spike to over 400 parts per million CO. I’ve had my CO tester spike off the chart, leaving it damaged and needing factory repair. What we found was that in units with carpet the dust and fibers from the carpet get inside the heaters and then burns during start up. What about a child living here when the wall furnace clicks on? If not retrofitting the furnaces with heat pumps, make sure they are vacuumed and cleaned a few times a year. The smoke detectors should also be tested semi-annually.

This housing complex was built in 1966 at a time when lead paint and asbestos were standard construction materials. Energy was not an issue. Bathroom fans were not mandatory. Wall to wall carpet was a luxury becoming affordable.

Hopeful Signs.
One positive thing about the tests is that every one of these two story units had a smoke and carbon monoxide detector at the top and bottom of the stairs. If there had been enough CO leaked, the units would eventually go off and warn the residents.  However while there were CO and smoke detectors, there was nothing to signal the family there that micro-particles from cooking, the mites living in the carpet, the leaking gas and mold that were there and getting into children’s lungs.
A few of the units had tile throughout rather than carpet which harbors dust and pollutants.

The maintenance technician cared about the folks who lived there and was working with the management to update the units to a safe and healthier state.

Comments from the Maintenance Man
The folks in these units often fry their food. They often won’t report a water leak until the water has penetrated wood, forcing costly repairs with limited maintenance funds. This wet wood is a major cause of mold and the lung ailments that it triggers.



HERS testing is primarily about energy efficiency but immediately runs square into human respiratory health in the home. The home energy/health connection is important to value. Both health and energy have known and rising costs. Seeing energy and health together, as a synergistic system, yields public health savings.  Using energy more intelligently with well-thought-out building retrofits gets you to a place where people have a home environment that is more conductive to health.

George Matthews
Building Energy Compliance Testing
www.bect.us

Sunday, October 18, 2015

Paying for Children’s Respiratory Health with Energy/Air Quality Retrofits

We as Americans have a childhood medical crisis on our hands.  6.8 million, or 9.8% of American kids have asthma.  Each year they make 14.2 million visits to their physician with asthma as the primary diagnosis.  Every year these children make 1.8 million visits to emergency departments with asthma as primary diagnosis. The number of discharges with asthma as first-listed diagnosis is 439,000 with an average length of stay of 3.6 days. (Centers for Disease Control and Prevention) A key trigger for childhood asthma is mold.  

This is a critical component in a 2012 study from New Zealand.  This study shows how energy improvements in housing, and especially to low income housing, have medical health savings that save as much money as the entire lifetime of project energy savings.  Meaning, that human health is the real economic driver of the project. 

Example: When energy upgrades happen, air leaks get sealed up and continuous fresh air ventilation becomes mandatory. This is often achieved with something as simple as advanced bathroom fans. The air quality and warmth from the additional insulation and ventilation gets rid of the conditions that harbor mold; namely relative humidity above 50%.

For decades we’ve had had proof that energy efficiency in buildings improves worker productivity, lessens eye strain and headaches, improves student learning outcomes and contributes to selling more merchandise in retail. We know that workers in building that have had energy retrofits take fewer sick days off. The beneficial health side effects from the retrofits are freebies.  The investments in energy savings pay for them.

However, there is a new concept in how or who should pay for the energy upgrades; have a medical doctor prescribe it. The health inducing air-quality/comfort upgrade is worth more than the energy measures’s dollar savings. Energy savings become a side benefit of a more important  and valuable job; providing kids the ability to develop disease free lungs, lessening the percentage likelihood of asthma.

Larry Zarker, CEO of the Building Performance Institute, BPI was recently interviewed on Corbett  Lundfords’ Building Performance podcast. Mr. Zarker mentioned how the difference of being able to afford these energy/health upgrades can be life changing. People’s eyes often glaze over when they hear about the details of an energy assessment and subsequent comfort / efficiency upgrade. But, what does it mean to a parent who has a child with a respiratory ailment?

Zarker said, “This is exciting”.  He describes a girl with asthma is able to avoid on overnight stay at a hospital and make her Saturday soccer game with the rest of the team because her asthma is under control. This is because of the house she lives in now has fresh air ventilation, is warm and has no mold.

The bad alternative to this is a trip to the hospital. The medical bill for the overnight stay is $880. Avoiding four of those medical trips pays equals or exceeds the energy /air quality improvement lifetime dollar savings and changes a child’s life for the better. The home upgrade just doubled the value the energy investment that already made financial sense counting just energy.  Lundsford noted that this flips the real funding driver. Economic savings data says that health advocates like the U.S. Department of Health and Human Services or your local doctor should be the ones prescribing energy/air upgrades. So who should be paying for them? A utility sponsored program with State public benefits money or some form of medical insurance either personal or health insurance incentivized?

Sam Rashkin is the Chief Architect of the US Department of Energy Building Technologies Office. He is author of Retooling the U.S. Housing Industry. Rashkin has been educating American builders how to build Energystar program houses for decades.  These are houses that have offer a higher level of comfort and energy efficiency by way of a long checklist of higher standards, best practice standards of insulation levels, efficient heating, air conditioning and ventilation, air-tightness and high performance windows. The houses are subject to a number of HERS performance tests like duct leakage tests and blower door tests and room-by-room air flow tests. The houses are proven to function well and give the owners a lifetime of low energy bills.

Beyond EnergyStar for Buildings, the EPA has another home program called Indoor AirPLUS. This advanced home program builds upon Energystar 3.0 with checklists and details for moisture control, radon gas control, pest control, higher performing HVAC, control/avoidance of combustion pollution and indoor air pollution.  Like so many above-code construction programs such as LEED, Green Point Ratings, Passive House or the German Healthy house movement, the programs set a higher bar than to “the building code”, the worst house you can legally build.


In an interview, Rashkin was noting some of the people who move into new Indoor airPLUS houses have kids who use inhalers to control their asthma. He said that after a few months, the family often throws out the inhalers. "They just don’t need them anymore." 

George Matthews
Building Energy Compliance Testing
www.bect.us