HEALTHY HOMES PARTNERSHIP PROGRAM

• Sponsoring Institution: National Institute of Food and Agriculture
• Project Status: COMPLETE
• Funding Source: OTHER GRANTS
• Reporting Frequency: Annual
• Accession No.: 1020271
• Grant No.: 2019-48540-30098
• Cumulative Award Amt.: $1,354,545.00
• Proposal No.: 2019-04728
• Project Start Date: Sep 1, 2019
• Project End Date: Feb 28, 2023
• Grant Year: 2021
• Program Code: [FF-L]- IYFC, Admin. Discretionary & Reim. Extension

Recipient Organization
UNIVERSITY OF MISSOURI EXTENSION
(N/A)
COLUMBIA,MO 65211

Performing Department
Architectural Studies

Non Technical Summary
The purpose of this 20-year, ongoing project is to reduce housing deficiencies in the United States, make housing healthier and safer, and ultimately, to reduce the risks housing poses to health, especially those associated with childhood diseases and injuries.The Healthy Homes curriculum, products, and outreach model are based on the large body of scientific research that has demonstrated that numerous housing-related hazards pose a threat to human health. This research has made clear that unhealthy housing is costly in terms of economics, social capital and personal health. The Healthy Homes approach uses well-documented, evidence-based interventions to address these housing-related health hazards. A "healthy home" is a home designed, constructed, maintained or rehabilitated in a manner that supports the health of residents. The Healthy Homes approach focuses on the "Eight Principles of Healthy Homes": dry, clean, well ventilated, pest-free, contaminant free, safe, thermally controlled, and maintained.The comprehensive Healthy Homes approach is used to have a greater public health impact than single issue-focused programs because it promotes interrelated strategies. A comprehensive approach to healthy homes includes focusing consumers to a three-step process: 1) identifying the problem, if there is one; 2) mitigating or removing the problem; and 3) increasing the quality of the home environment, including most importantly, indoor air quality.

Animal Health Component

(N/A)

Research Effort Categories

Basic

(N/A)

Applied

(N/A)

Developmental

(N/A)

Classification

Knowledge Area (KA)	Subject of Investigation (SOI)	Field of Science (FOS)	Percent
804	5320	3020	100%

Knowledge Area
804 - Human Environmental Issues Concerning Apparel, Textiles, and Residential and Commercial Structures;

Subject Of Investigation
5320 - Houses (human residences), furniture, household equipment, non-textile furnishings;

Field Of Science
3020 - Education;

Keywords

housing, healthy housing

iaq, healthy homes

Goals / Objectives
The long-term goal of this project is to reduce housing deficiencies in the United States, make housing healthier and safer, and ultimately, to reduce the risks inadequate housing poses to health, especially those associated with childhood diseases and injuries. The process to achieve this overall goal is to provide a nation-wide consumer education project that focuses on the eight principles of a healthy home (dry, clean, safe, contaminant free, well ventilated, well maintained, pest free, and thermally controlled). This strategy includes ongoing efforts including a toolkit, smartphone apps, school curriculum, and a robust social and conventional media strategy. This program strengthens and supports the Healthy Homes Partnership public outreach education program. The University of Missouri (MU) leads the national Healthy Homes Partnership, so that it may build on the success of the more than 20- year-old program through supporting and coordinating the efforts of up to eighteen Healthy Homes sub- grant teams toward the following specific objectives, through USDA NIFA and HUD oversight: 1. Increase coordination with HUD OLHCHH on delivering consistent Healthy Homes messaging, educational program delivery, and tools for the general public and stakeholders. Utilize information from the existing Healthy Homes Toolkit and select new products developed within the IAA, as well as outside of the IAA deemed appropriate by both parties. 2. Coordinate with and expand the Healthy Homes Advisory Committees working with state coordinators in the newly selected states for guidance in project implementation and identification of emerging needs. Expand the network for sharing and exchanging information among the partners, including a communication network for the Healthy Homes Advisory Committees. CI will provide an updated list of Advisory Committees from each of the former and existing states and territory in the project. Collaborate through sharing of information with OLHCHH field staff, who also work to develop coalitions. 3. Implement Healthy Homes training and outreach education through 18 state subgrants and their advisory boards/coalitions for problem solving to support the goal of educating the public about healthy homes. Disseminate educational information using traditional outreach methods such as workshops and webinars and new communications technologies such as social media applications to include, but not be limited to Facebook, Twitter, YouTube, Pinterest, and other appropriate platforms. 4. Implement training for all new partners using online web portal for inclusion of real-time quantitative and qualitative data (metrics), which should be accessible by state and territory data and can be aggregated for collective national data. Obtain feedback from stakeholders, USDA-NIFA, and HUD OLHCHH on web portal usability. Update web portal, as needed, based on feedback and new categories of data to be collected.5. Evaluate the Healthy Homes program to determine and document the relevant quantitative and qualitative outcomes and impacts on public health through: a. Feedback and reporting from the subgrant states and their associated Healthy Homes advisory boards/coalitions; and b. Use of a common online reporting system for the subgrant states and their associated advisory boards/coalitions that documents improvements in health from implementation of the eight principles of healthy homes. 6. Maintain and enhance the Healthy Homes Partnership website by making it mobile app friendly. Restructure website by informational components to include: a) consumers; b) stakeholders; c) youth; d) educators; and e) tribal communities. Increase awareness among health homes partners and all stakeholders of additional content and resources of the website. 7. Develop bi-monthly newsletters to focus on Healthy Homes principles or other relevant topics to stakeholders and professionals doing healthy homes education outreach. Continue to promote these newsletters to at least 500 stakeholders. 8. Continue with upgrades and daily postings to the HHP social media accounts: Twitter, Facebook, Pinterest, and others. Provide additional support (boosting) for disaster events. 9. Provide administration and logistic support for up to ten webinars for National Healthy Homes Month (June 2020), and two webinars for National Lead Poisoning Prevention Week (October 2019). 10. Develop eight (4-minute each videos) on the principles of a healthy home, lead, and other topics to be determined and agreed to by both parties. 11. Develop four (30-40 minute each) podcasts on healthy homes topics and logistical/technical platform that supports additional podcast in future years. HUD OLHCHH will provide information on the technical requirements for its IT infrastructure. 12. Develop digital modulation of the Rebuild: Healthy Homes guide and Disaster Recovery toolkit into smaller mini guides. 13. Develop four high-quality healthy homes infographics (2-4 pages each, color, high-gloss, graphics) coordinating with the HUD OLHCHH to determine topics needed. Infographics will be delivered in electronic format. 14. Provide support in coordination with HUD OLHCHH for creation of the Spanish versions of "Everyone Deserves a Safe and Healthy Home" (consumer and stakeholder versions). The HHP will provide culturally appropriate graphics for consumer and stakeholder versions translated by HUD. 15. Create and promote a customizable 2020 National Healthy Homes Month Toolkit in coordination with HUD OLHCHH. This toolkit will be similar in content and format of toolkit provided by HUD in prior years. 16. Convert tribal (Native American) app that will be available in iTunes Store (currently being developed under FY18 IAA) to the Android/Google platform. 17. Expand radon educational outreach for increased promotion of testing dwellings in selected states. This will include educating consumers on the value of testing for radon and mitigating for radon, when appropriate. The number of dwellings tested will depend upon the cost and/or availability of free radon test kits that can be secured by the CI or in selected states and or territory. 18. Continue to increase awareness of the middle school curriculum that was developed and piloted under the FY 2016 and FY 2017 IAAs. Implement marketing of the curriculum and establish a plan of dissemination for program delivery and evaluation through the Cooperative Extension System, as well as other avenues as deemed appropriate by both parties. 19. Report accomplishments and results in a mid-year report and annual report. Conduct at least two webinars, projected at mid-year and end date to include HUD staff and other stakeholders on the project deliverables.

Project Methods
The project will use an online reporting system based on the ongoing Healthy Homes Impact reports. Using this system allows the success of the partner states to be included in the 20-year long narrative that supports prior Healthy Homes partnership programs across the United States. The reporting document is integrated into an online reporting system while also adding new metrics for qualitative and quantitative positive health outcomes from HH principle implementation, based on feedback from sub-grant PIs and their state advisory boards/coalitions. The MU team will also integrate direct and indirect contacts from statewide programs, website visits, social media use and other online resources. Finally, the MU team expects a few minor modifications to the reporting document, such as adding healthy homes issues that are new to the housing education community and issues relevant to the partner states with a sub-award.The Project Coordinator will analyze the data collected to report quarterly and yearly on the qualitative and quantitative positive outcomes from the program based on these outcomes:Short Term Outcomes - Low Cost Implementations1. Moisture intrusion elimination2. Reduction of indoor humidity to <50%3. Removal of visible mold4. Implementation of integrated pest management practices5. Radon test completed6. Carbon Monoxide detector installed7. Smoke detector installed8. Lead testing9. Indoor smoking cessation10. Use of less-toxic household chemicals11. Cabinet locks12. Use of a HEPA vacuumIntermediate Term Outcomes - Change in Structure/Behavior1. Lead mitigation or lead-safe exposure practices2. Radon mitigation system installed (passive or active)3. Visibly less or no pests (rodents, insects)4. No visible or hidden mold5. Lower hot water temperature6. More frequent replacement of furnace filters7. Combustion appliances routinely inspected8. Visibly less dander and dust9. Night lights at stairs and trip hazards10. Grab bars in bathroom11. Routine cleaning program12. Installation/use of kitchen/bath exhaust fansLong Term Outcomes - Health Improvements1. A reduction in the number doctor visits or frequency of inhaler use for asthmatic individuals2. A reduction in the number of missed school days for children with asthma implementing specific healthy homes practices3. A reduction in the number of missed work days for adults with asthma4. A reduction in the number of home related accidents (slips, trips, falls, burns, etc.) based on doctor, urgent care, or emergency room visits5. A reduction in the number of instances where combustion appliances set off a carbon monoxide alarm or smoke detector

Progress 09/01/19 to 02/28/23

Outputs
Target Audience:Twelve sub-grant states (2021 & 2022) participated directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state usedthe grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states wereable to support a national HHP website, various social media sites, webinars, healthy homes educational videos and podcasts, healthy homes info-graphs, expansion of radon education, creation of Spanish translation of educational materials, a newsletter, and more. During the past two and a half year, the HHP programs in the twelve states and nationally reached over 2 million consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These twelve states created a total of over 1,000 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state and healthy homes programs and initiatives. National: Six Webinars were provided to stakeholders during National Lead Poisoning Prevention Week in October 2020 and 6 Webinars were provided in 2021 Topics include: 1) Running a Successful Program/Overcoming Barriers in your Lead Program 2) Renovation, Repair, and Painting Rule 3) Incorporating Lead Safety in Building Inspection and Code Enforcement 4) Decline in Blood Lead Testing in Young Children Following the Onset of the Pandemic/Lead Poisoning Prevention Efforts During COVID-19 5) (Spanish Webinar): Role of Lead Prevention and Remediation in Health/Keys for Lead Poisoning Prevention During the COVID-19 Pandemic 6) Lead Hazard and Housing Discrimination 7) Perspectives from HUD's Office of Lead Hazard Control and Healthy Homes 8) Renovation, Repair and Painting Rule- Contractors 9) A New Day Has Come: One Coalition's Approach to Transforming Policies, Systems, and Community Investments to Prevent Lead Exposure At-Scale 10) Launching a New State Lead Exposure Prevention Program Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html 11) Creative Uses of SCHIP Funds in Tackling Lead Poisoning Prevention- A Close Up from Michigan and Ohio. 12) Successful Outreach to Spanish Speaking Audiences Eight Webinars were provided to stakeholders during National Lead Poisoning Prevention Week in October 2020 and 6 Webinars were provided in 2021 Topics included: 1) Natural Allies: Partnering to Improve Health and the Environment Through Housing 2) Cross-sector Partnering Towards Holistic Housing, with the Green and Healthy Homes Initiative (GHHI) 3) Equity through the Built Environment: Healthy Home for Healthy Aging 4) Partnering to Close the Gaps in Smokefree Homes Protections 5) Critical Partnerships to End Take Home Lead (delivered in English and Spanish) 6) Centro de Apoyo Familiar (Spanish) 7) The Power of Partnerships - Homeflow - Improving indoor air quality and other healthy home factors that increase engagement of economically disadvantaged families of Title 1 Schools 8) Lead-based paint awareness, healthy homes and healthy communities in Alabama Selected State Opportunities: Tennessee: Drive-through, back-to-school fair for parents of K-12 children. The event was sponsored by local churches and the University of Tennessee was able to provide over 400 families with Healthy Homes resources. Louisiana: Louisiana State University provided Healthy Homes resources to 185 individuals at a COVID-19 vaccination event. Georgia: The University of Georgia reached over 15,000 individuals through podcasts and radio spots on various Healthy Homes topics. How have the results been disseminated to communities of interest?Generally the Healthy Homes Partnership would be presenting at both the National and International level to highlight the best practices and success stories of the partnership. Unfortunately, many presentation and conference opportunities were cancelled due to the COVID-19 pandemic. In 2022, conferences are beginning to go back to "in-person". The work of the Healthy Homes Partnership will be presented in person at the International Indoor Air conference this summer in Finland. The Healthy Homes Partnership work will also be presenting at the 2022 Housing Education and Research Association Conference this fall in St. Louis, Missouri. Regardless of in-erson constraints from the COVID-19 pandmic, the Healthy Homes Partnership presented six webinars in October 2020 and 6 webinars in October 2021 as part of the National Lead Poisoning Prevention Week. Each year, the National Lead Poisoning Prevention Week (NLPPW) outreach campaign is aimed at awareness, action, and prevention. The continuing impact of the COVID-19 virus greatly increases the need for awareness of, and actions around, many indoor environmental health concerns. The Healthy Homes Partership also presented 8 wesinars in June 2021 as part of National Healthy Homes Month. National Healthy Homes Month is an annual outreach effort sponsored by HUD's Office of Lead Hazard Control and Healthy Homes (HUD/OLHCHH). Throughout June, we spotlight different health-related hazards that may occur in a range of housing types. With our webinar presenters, we offer resources and ways to address them. Since the onset of the pandemic, webinars have been an important and continuing tool of virtual outreach. Subgrant partners throughout the 12 states also strengthened their healthy homes programming efforts during the COVID-19 pandemic to reach audiences via webinars, podcasts, videos, publications, website articles, and social media posts. Some of their in-person efforts are starting to pick up in 2022 and it is expected that by summer/fall 2022 that in-person programming will resume as normal. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Twelve sub-grant states participateddirectly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, healthy homes educational videos and podcasts, healthy homes info-graphs, expansion of radon education, creation of Spanish translation of educational materials, a newsletter, and more. During the year and a half, the HHP programs in the twelve states and nationally reached over 2 million consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These twelve states created a total of over 1,000 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. National Accomplishments 2022: The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2022National Lead Prevention Week and 2022 National Healthy Homes Month. Selected State Accomplishments: Tennessee: Drive-through, back-to-school fair for parents of K-12 children. The event was sponsored by local churches and the University of Tennessee was able to provide over 400 families with Healthy Homes resources. Louisiana: Louisiana State University provided Healthy Homes resources to 185 individuals at a COVID-19 vaccination event. Georgia: The University of Georgia reached over 15,000 individuals through podcasts and radio spots on various Healthy Homes topics. Combined state impacts: Due to the COVID-19 pandemic, near all outreach and teaching activities were conducted virtually. State's became creative in their delivery methods to be sure to meet the healthy homes needs of the public. Well over 6,000 individuals were reached through webinars alone throughout the 6 states. Georgia: The University of Georgia had a significant impact regrading Radon outreach in 2020-2021. They reached over 156,800 individuals with an articles published on Radon. Between July 1, 2020 and May 31, 2021, the UGA Extension program sold or gave away 1,437 radon in air test kits and received 1,003 test results for a usage rate of 69.7%. Among the test results received, 185 were over 4 pCi/L and were encouraged to contact a licensed mitigator. In 2020, certified mitigators reported 1,023 mitigations in the state of Georgia. We had 55 entries for the poster contest. The first prize winner in the Georgia Radon Poster contest won third place in the National Radon Poster contest. National Accomplishments 2021-2022: The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2021 National Lead Prevention Week and 2021 National Healthy Homes Month. Selected State Accomplishments: University of Florida: Directly and indirectly, the University of Florida reached over 400 individuals to educate them about or through the HomeFlow Program. Homeflow is a series of research-based modules that explores the relationships between the health of the home and its occupants, communications between occupants, home maintenance and operations, energy and functional efficiency, and home safety routines. Program participants are typically low income, single, new homeowners and many are affliated with Habitat for Humanity. These individuals earn an average of $20,000 - $40,0000 annualy, with a FICO score of 600-625, and have obtained an Associated degree or lower. Overall, 54% of participants "strongly agreed" that they were confident they could use Homeflow to improve savings and health for themselves or their family. North Carolina State University: Radon outreach education has become increasingly important and through our expert education and awareness activities, lives are being saved through radon testing and the installation of radon mitigation systems. While testing is the first step in dertermining the radon level in a home, a mitigation system must be installed to vent radon gas out of the home. With the increase of radon mitigation installation, there has also been a rise in mitigation systems that have been installed incorrectly. If installed incorrectly, radon mitigation systems do not work properly to effectivly vent radon gas out of the home. Homeowners may not realize their mitigation system is installed incorrectly, jeoprodizing their finances and health. Radon mitigation systems are being installed throughout NC, some incorrectly, without guidance. The US Environmental Protection Agency approves of the accredited consensus-based standards developed by the American Association of Radon Scientists and Technologists (AARST) and accredited by the American National Standards Institute (ANSI) as methods to follow for proper radon mitigation system installation. North Carolina State University woroked with a panel of experts to address improperly installed radon mitigation systems. Approximately 250 individuals were reach regarding radon testing, mitigation, and to bring awareness to improperly installed mitigation systems and how to correct them. Radon mitigation systems are being installed throughout NC, some incorrectly, without guidance. The US Environmental Protection Agency approves of the accredited consensus-based standards developed by the American Association of Radon Scientists and Technologists (AARST) and accredited by the American National Standards Institute (ANSI) as the methods to follow. This webinar was included a panel of experts : Phillip Gibson, NC Radon Program Coordinator Steve Patierno, PhD, Deputy Director, Duke Cancer Institute Sarah Kirby, PhD, Assistant Director, NC State Extension Jane Malone, National Policy Director, AARST Bruce Sneed, Director, Engineering Extension, Kansas State University

Publications

• Type: Websites Status: Published Year Published: 2022 Citation: https://www.facebook.com/HealthyHomesPartnership/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Pertnership Twitter Page: https://twitter.com/HealthyHomes4
• Type: Websites Status: Published Year Published: 2022 Citation: University of Georgia - Athens Focusing on the Important Necessities in your Dwelling (FIND) curriculum and website (FIND.uga.edu) provides insights and resources on managing clutter.
• Type: Other Status: Published Year Published: 2020 Citation: Spanish video translation of Homeflow curriculum This video translation enable Homeflow to be taught to audiences on an increasingly larger scales than previously. Demand was unable to be met because we lacked sufficient bilingual extension agents, but they will soon be able to interact and facilitate within Homeflow classes via the use of these videos.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Turner, P., Griffiths-Smith, F. and Welch, M. Preparing for a Disaster. Extension Disaster Education Network (EDEN) Conference, Spokane, Washington
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Welch, M., Turner, P., Cosgrove, S., Bales, D. Emergency Resilience: Grab and Go, Home, and Child Care. Housing Education and Research Association Conference.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Fisher-McLean, K. The Marijuana Movement: Indoor Air Quality in the Home
• Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Presentation at the International Federation for Home Economics on emergency management practices, with 40 attendees.
• Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Presentation at the International Indoor Air Quality Association conference in Kuopio, Finland on HHP. Paper written by Michael Goldschmidt, Kandace Fisher-McLean and Pamela Turner.
• Type: Conference Papers and Presentations Status: Published Year Published: 2022 Citation: Presentation on HHP work at the national HERA conference by Kandace Fisher-McLean and several other healthy homes partners

Progress 09/01/21 to 08/31/22

Outputs
Target Audience:Twelve sub-grant states (2021 & 2022) are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state uses the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states are able to support a national HHP website, various social media sites, webinars, healthy homes educational videos and podcasts, healthy homes info-graphs, expansion of radon education, creation of Spanish translation of educational materials, a newsletter, and more. During the past year and a half year, the HHP programs in the twelve states and nationally reached over 800,000 consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These twelve states created a total of over 600partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems:The COVID-19 pandemic created a major challenge during the 2020-2021 contract period. Face to face programming, consultations, home visits, and conference presentations were halted. This not only effected the number of in-person programs that could be offered, but the number of individuals reached. That being said, we saw a rise in the number of online programs and individuals reached via webinars, publications, and additonal online resources such as social media and websites.However, as we enter 2022, it appears that programming is beginning to resume in person and will resume as normal in the summer and fall of 2022. Extension remains an effective means of disseminating a consistent healthy housing message. The organization is nationwide, provides unbiased research-based information, and offers free or low-cost access to information. Face-to-face programs will remain an important delivery method, but the program expects to continue to see decreases in program attendance and increased use of online tools and networks in both rural and urban communities. Partnerships and the healthy housing advisory boards are becoming increasingly important. The HHP state partners need to continue experimenting with new ways to reach audiences and sharing resources to expand knowledge about healthy housing. What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state and healthy homes programs and initiatives. National: Six Webinars were provided to stakeholders during National Lead Poisoning Prevention Week in October 2020 and 6 Webinars were provided in 2021 Topics include: 1) Running a Successful Program/Overcoming Barriers in your Lead Program 2) Renovation, Repair, and Painting Rule 3) Incorporating Lead Safety in Building Inspection and Code Enforcement 4) Decline in Blood Lead Testing in Young Children Following the Onset of the Pandemic/Lead Poisoning Prevention Efforts During COVID-19 5) (Spanish Webinar): Role of Lead Prevention and Remediation in Health/Keys for Lead Poisoning Prevention During the COVID-19 Pandemic 6) Lead Hazard and Housing Discrimination 7) Perspectives from HUD's Office of Lead Hazard Control and Healthy Homes 8) Renovation, Repair and Painting Rule- Contractors 9) A New Day Has Come: One Coalition's Approach to Transforming Policies, Systems, and Community Investments to Prevent Lead Exposure At-Scale 10) Launching a New State Lead Exposure Prevention Program Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html 11) Creative Uses of SCHIP Funds in Tackling Lead Poisoning Prevention- A Close Up from Michigan and Ohio. 12)Successful Outreach to Spanish Speaking Audiences Eight Webinars were provided to stakeholders during National Lead Poisoning Prevention Week in October 2020 and 6 Webinars were provided in 2021 Topics included: 1)Natural Allies: Partnering to Improve Health and the Environment Through Housing 2)Cross-sector Partnering Towards Holistic Housing, with the Green and Healthy Homes Initiative (GHHI) 3)Equity through the Built Environment: Healthy Home for Healthy Aging 4) Partnering to Close the Gaps in Smokefree Homes Protections 5) Critical Partnerships to End Take Home Lead (delivered in English and Spanish) 6)Centro de Apoyo Familiar (Spanish) 7) The Power of Partnerships - Homeflow - Improving indoor air quality and other healthy home factors that increase engagement of economically disadvantaged families of Title 1 Schools 8)Lead-based paint awareness, healthy homes and healthy communities in Alabama Selected State Opportunities: Tennessee: Drive-through, back-to-school fair for parents of K-12 children. The event was sponsored by local churches and the University of Tennessee was able to provide over 400 families with Healthy Homes resources. Louisiana: Louisiana State University provided Healthy Homes resources to 185 individuals at a COVID-19 vaccination event. Georgia: The University of Georgia reached over 15,000 individuals through podcasts and radio spots on various Healthy Homes topics. How have the results been disseminated to communities of interest?Generally the Healthy Homes Partnership would be presenting at both the National and International level to highlight the best practices and success stories of the partnership. Unfortunately, many presentation and conference opportunities were cancelled due to the COVID-19 pandemic. In 2022, conferences are beginning to go back to "in-person". The work of the Healthy Homes Partnership will be presented in person at the International Indoor Air conference this summer in Finland. The Healthy Homes Partnership work will also be presenting at the 2022 Housing Education and Research Association Conference this fall in St. Louis, Missouri. Regardless of in-erson constraints from the COVID-19 pandmic, the Healthy Homes Partnership presented six webinars in October 2020 and 6 webinars in October 2021 as part of the National Lead Poisoning Prevention Week.Each year, the National Lead Poisoning Prevention Week (NLPPW) outreach campaign is aimed at awareness, action, and prevention. The continuing impact of the COVID-19 virus greatly increases the need for awareness of, and actions around, many indoor environmental health concerns. The Healthy Homes Partership also presented 8 wesinars in June 2021 as part of National Healthy Homes Month.National Healthy Homes Month is an annual outreach effort sponsored by HUD's Office of Lead Hazard Control and Healthy Homes (HUD/OLHCHH). Throughout June, we spotlight different health-related hazards that may occur in a range of housing types. With our webinar presenters, we offer resources and ways to address them. Since the onset of the pandemic, webinars have been an important and continuing tool of virtual outreach. Subgrant partners throughout the 12 states also strengthened their healthy homes programming efforts during the COVID-19 pandemic to reach audiences via webinars, podcasts, videos, publications, website articles, and social media posts. Some of their in-person efforts are starting to pick up in 2022 and it is expected that by summer/fall 2022 that in-person programming will resume as normal. What do you plan to do during the next reporting period to accomplish the goals?1. Continue to expand accessibility of healthy homes educational materials through website ADA accessibility features, Android/iPhone App development and updates, and translation of documents into Spanish. 2. Continue national and statewide activities in Healthy Homes. 3. Continue to update and evaluate the Healthy Homes Partnership reporting system to collect quantitative and qualitative data to better collect long term impacts on public health. 4. Continue use of social media, newsletters, and website to publicize information on Healthy homes to stakeholders and consumers. 5. Continue to coordinate healthy homes activities with HUD OLHCHH and USDA-NIFA 6. Present Healthy Homes Partnership accomplishments and impacts, toolkits, smartphone apps, and other curricula at national and international conferences to educators, health care providers, and health professionals (dependent on current and COVID-19 restrictions). 7. Continue to increase use of webinars, podcasts, and video delivery to expand healthy homes reach to new audiences.

Impacts
What was accomplished under these goals? Twelve sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, healthy homes educational videos and podcasts, healthy homes info-graphs, expansion of radon education, creation of Spanish translation of educational materials, a newsletter, and more. During the year and a half, the HHP programs in the twelve states and nationally reached over 800,000 consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These twelve states created a total of over 600 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. National Accomplishments 2020-2021:The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2020 National Lead Prevention Week, and various special topics related to the COVID-19 pandemic. Selected State Accomplishments: Tennessee: Drive-through, back-to-school fair for parents of K-12 children. The event was sponsored by local churches and the University of Tennessee was able to provide over 400 families with Healthy Homes resources. Louisiana: Louisiana State University provided Healthy Homes resources to 185 individuals at a COVID-19 vaccination event. Georgia: The University of Georgia reached over 15,000 individuals through podcasts and radio spots on various Healthy Homes topics. Combined state impacts: Due to the COVID-19 pandemic, near all outreach and teaching activities were conducted virtually. State's became creative in their delivery methods to be sure to meet the healthy homes needs of the public. Well over 6,000 individuals were reached through webinars alone throughout the 6 states. Georgia: The University of Georgia had a significant impact regrading Radon outreach in 2020-2021. They reached over 156,800 individuals with an articles published on Radon. Between July 1, 2020 and May 31, 2021, the UGA Extension program sold or gave away 1,437 radon in air test kits and received 1,003 test results for a usage rate of 69.7%. Among the test results received, 185 were over 4 pCi/L and were encouraged to contact a licensed mitigator. In 2020, certified mitigators reported 1,023 mitigations in the state of Georgia. We had 55 entries for the poster contest. The first prize winner in the Georgia Radon Poster contest won third place in the National Radon Poster contest. National Accomplishments 2021-2022:The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2021National Lead Prevention Week and 2021 National Healthy Homes Month. Selected State Accomplishments: University of Florida: Directly and indirectly, the University of Florida reached over 400 individuals to educate them about or through the HomeFlow Program.Homeflow is a series of research-based modules that explores the relationships between the health of the home and its occupants, communications between occupants, home maintenance and operations, energy and functional efficiency, and home safety routines. Program participants are typically low income, single, new homeowners and manyare affliated with Habitat for Humanity. These individuals earn an average of $20,000 - $40,0000 annualy, with a FICO score of 600-625, and have obtained an Associated degree or lower. Overall, 54% of participants "strongly agreed" that they wereconfident they could useHomeflow to improve savings and health for themselves or their family. North Carolina State University: Radon outreach education has become increasingly important and through our expert education and awareness activities, lives are being saved through radon testing and the installation of radon mitigation systems. While testing is the first step in dertermining the radon level in a home, a mitigation system must be installed to vent radon gas out of the home. With the increase of radon mitigation installation, there has also been a rise in mitigation systems that have been installed incorrectly. If installed incorrectly, radon mitigation systems do not work properly to effectivly vent radon gas out of the home. Homeowners may not realize their mitigation system is installed incorrectly, jeoprodizingtheir finances and health. Radon mitigation systems are being installed throughout NC, some incorrectly, without guidance. The US Environmental Protection Agency approves of the accredited consensus-based standards developed by the American Association of Radon Scientists and Technologists (AARST) and accredited by the American National Standards Institute (ANSI) as methods to follow for proper radon mitigation system installation. North Carolina State University woroked with a panel of experts to address improperly installed radon mitigation systems. Approximately 250 individuals were reach regarding radon testing, mitigation, and to bring awareness to improperly installed mitigation systems and how to correct them. Radon mitigation systems are being installed throughout NC, some incorrectly, without guidance. The US Environmental Protection Agency approves of the accredited consensus-based standards developed by the American Association of Radon Scientists and Technologists (AARST) and accredited by the American National Standards Institute (ANSI) as the methods to follow. This webinar was included a panel of experts : Phillip Gibson, NC Radon Program Coordinator Steve Patierno, PhD, Deputy Director, Duke Cancer Institute Sarah Kirby, PhD, Assistant Director, NC State Extension Jane Malone, National Policy Director, AARST Bruce Sneed, Director, Engineering Extension, Kansas State University

Publications

• Type: Websites Status: Published Year Published: 2022 Citation: Healthy Homes Partnership Facebook Page: https://www.facebook.com/HealthyHomesPartnership/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Partnership Twitter Page: https://twitter.com/HealthyHomes4
• Type: Websites Status: Published Year Published: 2021 Citation: University of Georgia - Athens Focusing on the Important Necessities in your Dwelling (FIND) curriculum and website (FIND.uga.edu) provides insights and resources on managing clutter.

Progress 09/01/20 to 08/31/21

Outputs
Target Audience:Twelve sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, healthy homes educational videos and podcasts, healthy homes info-graphs, expansion of radon education, creation of Spanish translation of educational materials, a newsletter, and more. During the year, the HHP programs in the twelve states and nationally reached over 600,000 consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These twelve states created a total of over 400 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems:The COVID-19 pandemic created a major challenge during the 2020-2021 contract period. Face to face programming, consultations, home visits, and conference presentations were halted. This not only effected the number of in-person programs that could be offered, but the number of individuals reached. That being said, we saw a rise in the number of online programs and individuals reached via webinars, publications, and additonal online resources such as social media and websites. Extension remains aneffective means of disseminating a consistent healthy housing message. The organization is nationwide, provides unbiased research-based information, and offers free or low-cost access to information. Face-to-face programs will remain an important delivery method, but the program expects to continue to see decreases in program attendance and increased use of online tools and networks in both rural and urban communities. Partnerships and the healthy housing advisory boards are becoming increasingly important. The HHP state partners need to continue experimenting with new ways to reach audiences and sharing resources to expand knowledge about healthy housing. What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state and healthy homes programs and initiatives. National: Six Webinars were provided to stakeholders during National Lead Poisoning Prevention Week in October 2020, Topics include: 1) Running a Successful Program/Overcoming Barriers in your Lead Program 2) Renovation, Repair, and Painting Rule 3) Incorporating Lead Safety in Building Inspection and Code Enforcement 4) Decline in Blood Lead Testing in Young Children Following the Onset of the Pandemic/Lead Poisoning Prevention Efforts During COVID-19 5) (Spanish Webinar): Role of Lead Prevention and Remediation in Health/Keys for Lead Poisoning Prevention During the COVID-19 Pandemic 6) Lead Hazard and Housing Discrimination Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html Selected State Opportunities: Tennessee: Drive-through, back-to-school fair for parents of K-12 children. The event was sponsored by local churches and the University of Tennessee was able to provide over 400 families with Healthy Homes resources. Louisiana: Louisiana State University provided Healthy Homes resources to 185 individuals at a COVID-19 vaccination event. Georgia: The University of Georgia reached over 15,000 individuals through podcasts and radio spots on various Healthy Homes topics. How have the results been disseminated to communities of interest?Generally the Healthy Homes Partnership would be presenting at both the National and International level to highlight the best practices and success stories of the partnership. Unfortunately, many presentation and conference opportunities were cancelled due to the COVID-19 pandemic. However, the Healthy Homes Partnership presented six webinars in October 2020 as part of the National Lead Poisoning Prevention Week. Each year, the National Lead Poisoning Prevention Week (NLPPW) outreach campaign is aimed at awareness, action, and prevention. The continuing impact of the COVID-19 virus greatly increases the need for awareness of, and actions around, many indoor environmental health concerns. Subgrant partners throughout the 12 states also strengthened their healthy homes programming efforts during the COVID-19 pandemic to reach audiences via webinars, podcasts, videos, publications, website articles, and social media posts. What do you plan to do during the next reporting period to accomplish the goals?1. Continue to expand accessibility of healthy homes educational materials through website ADA accessibility features, Android/iPhone App development and updates, and translation of documents into Spanish. 2. Continue national and statewide activities in Healthy Homes. 3. Continue to update and evaluate the Healthy Homes Partnership reporting system to collect quantitative and qualitative data to better collect long term impacts on public health. 4. Continue use of social media, newsletters, and website to publicize information on Healthy homes to stakeholders and consumers. 5. Continue to coordinate healthy homes activities with HUD OLHCHH and USDA-NIFA 6. Present Healthy Homes Partnership accomplishments and impacts, toolkits, smartphone apps, and other curricula at national and international conferences to educators, health care providers, and health professionals (dependent on current and COVID-19 restrictions). 7. Continue to increase use of webinars, podcasts, and video delivery to expand healthy homes reach to new audiences.

Impacts
What was accomplished under these goals? Twelve sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, healthy homes educational videos and podcasts, healthy homes info-graphs, expansion of radon education, creation of Spanish translation of educational materials, a newsletter, and more. During the year, the HHP programs in the twelve states and nationally reached over 600,000 consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These twelve states created a total of over 400 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. National Accomplishments: The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2020 National Lead Prevention Week, and various special topics related to the COVID-19 pandemic. Selected State Accomplishments: Tennessee: Drive-through, back-to-school fair for parents of K-12 children. The event was sponsored by local churches and the University of Tennessee was able to provide over 400 families with Healthy Homes resources. Louisiana: Louisiana State University provided Healthy Homes resources to 185 individuals at a COVID-19 vaccination event. Georgia: The University of Georgia reached over 15,000 individuals through podcasts and radio spots on various Healthy Homes topics. Combined state impacts: Due to the COVID-19 pandemic, near all outreach and teaching activities were conducted virtually. State's became creative in their delivery methods to be sure to meet the healthy homes needs of the public. Well over 6,000 individuals were reached through webinars alone throughout the 6 states. Georgia: The University of Georgia had a significant impact regrading Radon outreach in 2020-2021. They reached over 156,800 individuals with an articles published on Radon. Between July 1, 2020 and May 31, 2021, the UGA Extension program sold or gave away 1,437 radon in air test kits and received 1,003 test results for a usage rate of 69.7%. Among the test results received, 185 were over 4 pCi/L and were encouraged to contact a licensed mitigator. In 2020, certified mitigators reported 1,023 mitigations in the state of Georgia. We had 55 entries for the poster contest. The first prize winner in the Georgia Radon Poster contest won third place in the National Radon Poster contest.

Publications

• Type: Websites Status: Published Year Published: 2021 Citation: https://www.facebook.com/HealthyHomesPartnership/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Partnership Twitter Page: https://twitter.com/HealthyHomes4
• Type: Websites Status: Published Year Published: 2021 Citation: The new Focusing on the Important Necessities in your Dwelling (FIND) curriculum and website (FIND.uga.edu) provides insights and resources on managing clutter.

Progress 09/01/19 to 08/31/20

Outputs
Target Audience:Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, smartphone apps, youth education materials, develop a disaster recovery curriculum, tribal healthy homes publications, a newsletter, and more. During the year so far, the HHP programs in the eleven states and nationally reached over 500,000 consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eleven states created a total of over 350 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems:The HHP state partners reach large numbers of people; however, their effectiveness could be improved by increasing assessments of intermediate- and long-term impacts. An evaluation at the end of a program provides insights into knowledge gained and the intent to make behavior changes, but it is only through follow-up surveys that more impactful outcomes can be measured. Assessing intermediate- and long-term impacts requires time and funding to follow-up with participants in programs and trainings usually after the grant period has expired. Another major challenge is that the extension educators must coordinate reporting of behavioral changes and hazard mitigation leading to improved health with various state coalition members in order to be compliant with the federal Health Insurance Portability and Accountability Act (HIPAA) privacy requirements (Extension personnel are often not allowed to collect medical information under the act that is coordinated with an individual's identity). The challenges for the future are to develop new ways to assess outcomes from programs and trainings, and to measure the effectiveness of social media as a means of disseminating information. Extension is an effective means of disseminating a consistent healthy housing message. The organization is nationwide, provides unbiased research-based information, and offers free or low-cost access to information. Face-to-face programs will remain an important delivery method, but the program expects to continue to see decreases in program attendance and increased use of online tools and networks in both rural and urban communities. Partnerships and the healthy housing advisory boards are becoming increasingly important. The HHP state partners need to continue experimenting with new ways to reach audiences and sharing resources to expand knowledge about healthy housing. What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state and healthy homes programs and initiatives. National: Eight Webinars were provided to stakeholders during National Healthy homes Month in June 2020, Topics include: 1) OLHCHH and the Healthy Homes Partnership- 15+ Years of Strengthening the Healthy Homes Agenda. 2) Housekeeping 101 3) Amulets to Zaprana: Non-Paint Sources of Lead 4) Healthy Homes Outreach: The Field Perspective 5) Healthy Homes Outreach Products for Native Americans 6) The Longer Term Effectiveness of Home Asthma Interventions 7) Interventions to Help Seniors Safely Age in Place 8) The Grande Finale of NHHM '20: The Winners of the HUD Secretary's Awards for Healthy Homes National: Five Webinars were provided to stakeholders during National Lead Poisoning Prevention Week, October 20 - 26, 2019. Topics Include: 1) Renovation, Repair, and Painting Rule (RRP) 2) Primary Prevention Protects - Working with Residents to Get Their Homes Checked for Lead 3) Consumer Outreach Ideas for Lead Programs 4) Amulets to Zaprana: Non-Paint Sources of Lead 5) HUD's Lead Paint Safety Field Guide Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html National: On May 4-6, 2020, the US Department of Housing and Urban Development and the National Healthy Homes Partnership at the University of Missouri presented three webinars on COVID19 mitigation strategies for multifamily and public housing developments. These webinars, and related handouts, were presented in cooperation with the Centers for Disease Control Waterborne Disease Branch (CDC WDB) and Washington State Department of Health. 1) COVID-19 and Housing (Spanish) 2) COVID-19 and Multifamily Housing 3) COVID-19 and Public Housing National: Four podcasts recorded for NHHM 1) Healthy Housekeeping 101 2) Healthy Homes and Natural Disasters 3) Healthy Homes Curriculum 4) Kickoff Healthy Housing for All Selected State Opportunities: Missouri: Given the COVID-19 pandemic, Kandace Fisher-McLean was invited to present webinars on several occasions related to housekeeping and cleaning and disinfecting during COVID-19. Topics included tips for reopening and cleaning and disinfecting County Extension offices throughout Missouri during COVID-19 and reopening public businesses and proper cleaning and disinfecting during COVID-19. Georgia, Connecticut, and Mississippi: Presented at the Housing Education and Research Association on Emergency Resilience: Grab and Go, Home, and Child Care. Alaska: Presented for NHHM in coordination with the National Director of HHP on Healthy Homes Outreach Products for Native Americans How have the results been disseminated to communities of interest?Generally the Healthy Homes Partnership would be presenting at both the National and International level to highlight the best practices and success stories of the partnership. Unfortunately, many presentation and conference opportunties have been cancelled due to the COVID-19 pandemic. However, the Healthy Homes Partnership presented eightwebinars in June 2020as part of the National Healthy Homes Month. This year, thetheme of "Healthy Housing for All" underlines how the healthy homes model impacts such a wide range of residents. The continuing impact of the COVID-19 virus greatly increases the need for awareness of, and actions around, many indoor environmental health concerns. Four podcasts were also developed for National Healthy Homes Month, 5 webinars for Naitonal Lead Prevention Week, and 3 webinars related to COVID-19 in Housing (Spanish), Public Housing, and Multi-family Housing. What do you plan to do during the next reporting period to accomplish the goals?1. Continue to develop tribal (Native American) healthy homes publications and app that will be available in itunes and the Android/google platform. 2. Continue national and statewide activities in Healthy Homes. 3. Continue to update and evaluate the Healthy Homes Partnership reporting system to collect quantitative and qualitativedata to better collect long term impacts on public health. 4. Continue use of social media, newsletters, and website to publicize information on Healthy homes to stakeholders and consumers. 5. Continue to coordinate healthy homes activities with HUD OLHCHH and USDA-NIFA 6. Present Healthy Homes Partnership accomplishments and impacts, toolkits, smartphone apps, and other curricula at national and international conferences to educators, health care providers, and health professionals (dependent on COVID-19 restrictions).

Impacts
What was accomplished under these goals? Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, smartphone apps, youth education materials, develop a disaster recovery curriculum, tribal healthy homes publications, a newsletter, and more. During the year so far, the HHP programs in the eleven states and nationally reached over 500,000 consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eleven states created a total of over 350 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. National Accomplishments: The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2020 Healthy Homes Month, the 2019 National Lead Prevention Week, and various special topics related to the COVID-19 pandemic. Selected State Accomplishments: Georgia: The University of Georgia was able to reach nearly 22,000 individuals through news articles on healthy homes topics such as vaping in the home, mold, and second hand furniture and pest infestations. Florida: The Homeflow Program is a series of research-based modules that explores the relationships between he health of the home and its occupants, home maintenance and operations, energy and functional efficiency, and home safety routines. The Homeflow program was translated into Spanish by 3 bilingual County Extension agents who worked on scripting and recording the videos for the curriculum. The videos will be hosted on the National Healthy Homes Partnership website (along with the English version of the Homeflow videos) to serve our Spanish speaking audiences. Connecticut: UConn Extension was contacted by a corporate health representative at a company to provide information at a lunchtime fair for 60 company employees related to Healthy Homes. They provided information on Healthy Homes principles and emergency preparedness so people will maintain their homes and take steps to be prepared for severe weather. They also talked about the necessity of having Carbon Monoxide and Smoke Detectors, generator safety, reducing household allergens, organizing household records, maintaining an updated household inventory, making an emergency kit, food safety, and what to do after the power is restored, was discussed. Two participants shared they knew of several individuals who were poisoned by carbon monoxide. At future programs I have shared the stories which makes it easier for people to relate to the fact that carbon monoxide detectors are a necessity. The company was pleased and invited us to present programs at another corporate facility in CT in October. Tennessee: The Tennessee Association for Family and Community Education Clubs (TAFCE) conducts lessons throughout the year for their members. Lesson plans are prepared and made available through County Extension agents to club leaders, who then teach the lessons. There are approximately 312 clubs throughout the state with a membership of around 3600 people. North Carolina: Published 27 Web articles related to hurricane readiness and recovery - can be found on https://ncdisaster.ces.ncsu.edu/ and https://healthyhomes.ces.ncsu.edu

Publications

• Type: Websites Status: Published Year Published: 2020 Citation: https://www.facebook.com/HealthyHomesPartnership/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Pertnership Twitter Page: https://twitter.com/HealthyHomes4
• Type: Other Status: Published Year Published: 2020 Citation: Spanish video translation of Homeflow curriculum This video translation enable Homeflow to be taught to audiences on an increasingly larger scales than previously. Demand was unable to be met because we lacked sufficient bilingual extension agents, but they will soon be able to interact and facilitate within Homeflow classes via the use of these videos.
• Type: Conference Papers and Presentations Status: Accepted Year Published: 2019 Citation: Turner, P., Griffiths-Smith, F. and Welch, M. Preparing for a Disaster. Extension Disaster Education Network (EDEN) Conference, Spokane, Washington
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Welch, M., Turner, P., Cosgrove, S., Bales, D. Emergency Resilience: Grab and Go, Home, and Child Care. Housing Education and Research Association Conference.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Fisher-McLean, K. The Marijuana Movement: Indoor Air Quality in the Home