Home

About NCHH

About the Partners

What are Healthy Homes?

HH Specialist Credential

Training Courses

▪  Curriculum

▪  Upcoming Sessions

▪  Essentials for Practitioners

▪  Launching an Initiative

▪  On-Line PEHA

▪  IPM in Housing

Clearinghouse / Resources

▪  Searchable Database

▪  Videos and Pamphlets

▪  Assessment Tools

▪  Stats and AHS

▪  Listserves

Priority Programs 

▪  Codes and Regulations

▪  Integrated Pest Mgmt

▪  Lead-Safe Work Practices

▪  Flood Response

▪  Green Building

▪  Transitions from Lead

 Search Website

only search healthyhomestraining.org

Essentials for Healthy Homes Practitioners

Keep It Contaminant-Free

Key References

Reference Topics

________

Overview

Start With People

Keep It Dry

Keep It Clean

Keep It Pest-Free

Keep It Ventilated

Keep It Safe

Keep It Contaminant-Free

Keep It Maintained

Making It Work

All References

The National Center for Healthy Housing (NCHH) operates the National Healthy Housing Clearinghouse.  The Clearinghouse consists of hundreds of journal articles, reports, and publications related to healthy homes.  This section links you to the documents organized by healthy homes topic based on the modules in the National Healthy Homes Training Center's flagship course called Essentials for Healthy Homes Practitioners.  See the list of topics in the box to the right.  Make sure you scroll down past the introductory text.   

Please note that NCHH has not sorted the documents within the html page.  The most recent documents are at the top.  Use the Find (Control-F) function in your browser to seek out a particular document or issue.

For basic information on the topic, check out the PDF version of Keep It Contaminant-Free presentation from the course.

What do I do when link to document doesn't work?  Sometimes, you will get an error when you click on the document title.  In this situation, the full document is not available because NCHH has not received permission from the publisher to post it.  If you encounter this error, go to the clearinghouse search page to find the document.  When you get the search results, click on "Article Details" in the abstract for the document to get a link to the publisher.  You will need to get the article directly from the publisher.

Are the references current? NCHH will update the references at least every other month.  So it is a good idea to use the Clearinghouse's search engine for recent additions.  


 

4.

0% -

Carbon monoxide poisoning - garages

Authors: T.H. Greiner

 

How dangerous is it to operate an engine in a closed building? So dangerous that it must NEVER be done, even for a short time. The extremely high concentrations of carbon monoxide produced by an engine can raise CO concentrations in a closed building so quickly that a person may collapse before they even realize there is a problem. Carbon monoxide reduces the amount of oxygen to the brain, causing CO intoxication, and lack of reasoning. Studies by the Centers for Disease Control found that CO co

 


 

5.

0% -

Carbon Monoxide Poisoning - Checking for Complete Combustion

Authors: Thomas H. Greiner

 

Fossil fuels contain carbon (C) and hydrogen (H). During complete combustion carbon and hydrogen combine with oxygen (O2) to produce carbon dioxide (CO2) and water (H2O). During incomplete combustion part of the carbon is not completely oxidized producing soot or carbon monoxide (CO). Incomplete combustion uses fuel inefficiently and the carbon monoxide produced is a health hazard. A properly designed, adjusted, and maintained gas flame produces only small amounts of carbon monoxide, with 400 pa

 


 

6.

0% -

Carbon Monoxide Poisoning: Downdrafting (Backdrafting)

Authors: Dr. Thomas Greiner

 

What is Carbon Monoxide? Carbon monoxide (CO) is a colorless, odorless, tasteless, deadly gas. You can't see, smell or taste it. Carbon monoxide is slightly lighter than air and quickly spreads throughout an entire house. What causes carbon monoxide production? Carbon monoxide gas is produced when fossil fuel burns incompletely because of insufficient oxygen. During incomplete combustion, the car and hydrogen in the fuel combine to form carbon dioxide, water, heat, and deadly carbon monoxide. In

 


 

7.

0% -

Carbon monoxide (co) poses silent and serious threat for families during winter months

Authors: Home Safety Council

 

Often known as a silent killer, carbon monoxide (CO) is a colorless and odorless gas that poses a substantial risk to families using fuel-burning heating sources during the winter months. In fact, according to the Home Safety Council’s State of Home Safety in America™ report, CO poisoning accounted for more than 100,000 medical visits in the year studied. The high number of poisonings documented by the Council’s research may be explained by the fact that sixty-seven percent (67 percent) of house

 


 

8.

0% -

What is a pesticide?

Authors: U.S. Environmental Protection Agency (EPA)

 

A pesticide is any substance or mixture of substances intended for: preventing, destroying, repelling, or mitigating any pest. Though often misunderstood to refer only to insecticides, the term pesticide also applies to herbicides, fungicides, and various other substances used to control pests. Under United States law, a pesticide is also any substance or mixture of substances intended for use as a plant regulator, defoliant, or desiccant.

 


 

 

10.

0% -

Radon

Authors: California Geological Society

 

Radon gas is a naturally occurring radioactive gas that is invisible and odorless. It forms from the radioactive decay small amounts of uranium and thorium naturally present in rocks and soils so some radon exists in all rocks and so Certain rock types, such as black shales and certain igneous rocks, can have uranium and thorium in amounts high than is typical for the earth’s crust. Increased amounts of radon will be generated in the subsurface at these locations. Because radon is a gas, it can

 


 

11.

0% -

American Lung Association – Carbon Monoxide Fact Sheet

Authors: American Lung Association

 

Americans spend approximately 90 percent of their time indoors, where hazardous air pollutants can exist at higher levels than outdoors. Children, pregnant women, the elderly, and people with lung disease are particularly at high risk for adverse health effects caused by indoor air pollution, including carbon monoxide (CO). CO is a colorless, odorless gas that is produced as a result of incomplete burning of carbon containing fuels. Exposure to CO reduces the blood's ability to carry oxygen.

 


 

12.

0% -

American Lung Association – Carbon Monoxide Fact Sheet

Authors: American Lung Association

 

Americans spend approximately 90 percent of their time indoors, where hazardous air pollutants can exist at higher levels than outdoors. Children, pregnant women, the elderly, and people with lung disease are particularly at high risk for adverse health effects caused by indoor air pollution, including carbon monoxide (CO). CO is a colorless, odorless gas that is produced as a result of incomplete burning of carbon containing fuels. Exposure to CO reduces the blood's ability to carry oxygen.

 


 

13.

0% -

Public Health Statement for Asbestos

Authors: Agency for Toxic Substances and Disease Registry

 

This Public Health Statement is the summary chapter from the Toxicological Profile for asbestos. It is one in a series of Public Health Statements about hazardous substances and their health effects. A shorter version, the ToxFAQs™, is also available. This information is important because this substance may harm you. The effects of exposure to any hazardous substance depend on the dose, the duration, how you are exposed, personal traits and habits, and whether other chemicals are present. For

 


 

26.

0% -

Pesticides: Health and Safety

Authors: U.S. Environmental Protection Agency

 

Following is a list of pesticide state lead agencies. In general, the first Web site listed is a general site for the state's environmental agency. The second Web site is specific to certification and training programs. If two agencies are listed, the state department of agriculture or equivalent usually certifies most categories of applicators, while the structural pest control agency certifies on for structural pest control.

 


 

27.

0% -

About pesticides

Authors: U.S. Environmental Protection Agency

 

The following documents provide general information about ways to reduce risks from pesticide exposure at home, work and at school.

 


 

28.

0% -

Pesticides Outreach Material Catalogue: Information for Your Home and Community

Authors: The U.S. Environmental Protection Agency (EPA), Office of Pesticides Programs

 

The U.S. Environmental Protection Agency (EPA), Office of Pesticides Programs (OPP) Outreach Publications Catalogue, is a comprehensive listing of more than 50 outreach publications and 70 fact sheets available free of charge to the public. These publications are intended for use by the general public, including homeowners, parents, and urban community leaders. All publications listed in this catalogue provide useful information on responsible pesticide use, storage, and disposal practices. Many

 


 

37.

0% -

An Extended Study of Interim Lead Hazard Reduction Measures Employed In The Baltimore Clinical Center of The Treatment Of Lead-Exposed Children (TLC)-Clinical Trial

Authors: Mark Farfel, et al.

 

The Treatment of Lead-exposed Children (TLC)-Clinical Trial is investigating the potential benefits of the use of the oral chelating agent “succimer” for the treatment of moderately lead poisoned children (PbB 20-44 Fg/dL) aged 12 to 32 months at the start of treatment. The Trial has four Clinical Centers nationwide and is sponsored by the National Institute of Environmental Health Sciences (NIEHS). The main outcome variable is the child’s neurodevelopmental status 36 months and 84 months after

 


 

38.

0% -

National Survey of Lead and Allergens in Housing Final Report Volume I: Analysis of Lead Hazards

Authors: Robert P. Clickner, et al.

 

The National Survey of Lead and Allergens in Housing (referred to as the National Survey or NSLAH) was conducted under the sponsorship of the Department of Housing and Urban Development (HUD) and the National Institute of Environmental Health Sciences (NIEHS) to assess children's potential household exposure to lead and allergens. The National Survey measured the levels of lead in dust, soil, and paint, the prevalence of hazardous levels of lead, and levels and patterns of various indoor aller

 


 

41.

0% -

Third national report on human exposure to environmental chemicals

Authors: Department of Health and Human Services Centers for Disease Control and Prevention

 

Using advanced laboratory science and innovative techniques, scientists in CDC’s Environmental Health Laboratory at the National Center of Environmental Health (NCEH) have helped change the face of environmental public health in this country. By recognizing chemicals that enter the body from environmental exposure, by responding to terrorism and public health emergencies involving chemicals, and by improving laboratory methods to measure chemical exposure, the laboratory has greatly enhanced th

 


 

47.

0% -

Carbon Monoxide Poisoning OSHA Fact Sheet

Authors: U.S. Department of Labor Occupational Safety and Health Administration

 

What is carbon monoxide? Carbon monoxide (CO) is a poisonous, colorless, odorless, and tasteless gas. Although it has no detectable odor, CO is often mixed with other gases that do have an odor. So, you can inhale carbon monoxide right along with gases that you can smell and not even know that CO is present. CO is a common industrial hazard resulting from the incomplete burning of natural gas and any other material containing carbon such as gasoline, kerosene, oil, propane, coal, or wood. Forg

 


 

48.

0% -

Fatalities Associated With Carbon Monoxide Poisoning From Motor Vehicles, 1995-1997

Authors: U.S. Department of Transporation National Highway Traffic Safety Administration

 

NHTSA’s National Center for Statistics and Analysis (NCSA) recently completed a second study of data from the National Center for Health Statistics (NCHS) to obtain an estimate of the number of persons killed as a result of carbon monoxide (CO) poisoning by exhaust gases of motor vehicles. This note updates the results of the study done in 1996 to assess the extent of fatalities associated with CO poisoning from motor vehicles using the NCHS data for the 1993 calendar year (NHTSA, 1996). This

 


 

49.

0% -

Consumer Product Safety Review C.O. Poisoning

Authors: U.S. Consumer Product Safety Commission

 

According to the latest data compiled by staff of the U.S. Consumer Product Safety Commission (CPSC), heating systems continue to be one of the major causes of non-fire, non-motor vehicle carbon monoxide (CO) poisoning. An estimated 217 people died as a result of this kind of CO poisoning during 1996, the most recent year with complete death certificate data. Of these deaths, heating systems were involved in 163 fatalities, or about 75% of all consumer product-related CO poisoning deaths (Fig

 


 

52.

0% -

Combustion Emissions from Gas Ranges

Authors: American Gas Association

 

There are over 39 million natural gas and propane household gas ranges, ovens, and cooktops (referred to, here, collectively as “ranges”) in the U. S. Even with the excellent safety record of this equipment, increasing attention is being given to combustion emissions from ranges. What combustion emissions from gas ranges are of concern to the public and the gas industry? The natural gas industry has devoted technical attention and research to issues of carbon monoxide (CO) since the 1920s and

 


 

54.

0% -

Pesticides Industry Sales and Usage 1996 and 1997 Market Estimates

Authors: Arnold L. Aspelin and Arthur H. Grube

 

Pesticides of various types are used in most sectors of the U.S. Economy. In general terms, a pesticide is any agent used to kill or control undesired insects, weeds, rodents, fungi, bacteria or other organisms. Thus, the term “pesticide” includes insecticides, herbicides, rodenticides, fungicides, nematicides, and acaracides as well as disinfectants, fumigants, wood preservatives and plant growth regulators. Pesticides play a vital role in controlling agricultural, industrial, home/garden, and

 


 

55.

0% -

Diazinon Revised Risk Assessment and Agreement with Registrants

Authors: United States Environmental Protection Agency, Prevention, Pesticides And Toxic Substances

 

EPA is releasing its revised risk assessment and announcing an agreement with registrants to remove and phase out certain uses of the organophosphate pesticide diazinon. Also known as Spectracide and other trade names, diazinon is one of the most widely-used insecticides in the U.S., especially for household lawn and garden pest control. The Food Quality Protection Act, enacted in 1996, sets a more stringent safety standard for most pesticides and offers special protection for children. EPA has

 


 

56.

0% -

Chlorpyrifos Revised Risk Assessment and Agreement with Registrants

Authors: United States Environmental Protection Agency, Prevention, Pesticides And Toxic Substances

 

EPA has released its revised risk assessment and announced an agreement with registrants to eliminate and phase out certain uses of the organophosphate pesticide chlorpyrifos. Also known as Dursban, Lorsban, and other trade names, chlorpyrifos is one of the most widely-used insecticides in the U.S., both in agriculture and in and around the home. The Food Quality Protection Act, enacted in 1996, sets a more stringent safety standard for most pesticides and offers special protection for childre

 


 

59.

0% -

Pesticides Industry Sales And Usage 1994 and 1995 Market Estimates

Authors: Arnold L. Aspelin

 

This report provides an overview of the pesticide industry for 1994 and 1995. It contains a series of tables with estimates of the U.S. market for those two years. The tables contain information on quantities used and user expenditures (by economic sector and pesticide class), imports, exports, numbers of firms/individuals involved in production/use of pesticides, number of pesticides, certified applicators and on a number of other topics. Much of the tabular information in this report is for th

 


 

60.

0% -

Pesticides Industry Sales and Usage 2000 and 2001 Market Estimates

Authors: Timothy Kiely, David Donaldson and Arthur Grube

 

Under the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) and the Federal Food, Drug, and Cosmetic Act (FFDCA), U.S. Environmental Protection Agency (EPA), in cooperation with the States and other agencies, such as the Food and Drug Administration (FDA) and the U.S. Department of Agriculture (USDA), is responsible for regulating the production and use of pesticides in the United States. This report provides contemporary and historical economic information on the U.S. pesticide produc

 


 

63.

0% -

Air Quality Criteria for Carbon Monoxide

Authors: U.S. Environmental Protection Agency

 

The purpose of this document is to present air quality criteria for carbon monoxide (CO), in accordance with Sections 108 and 109 of the Clean Air Act (CAA), that reflect the latest scientific information useful in indicating the kind and extent of all identifiable effects on public health and welfare that may be expected from the presence of CO in ambient air. This document is an update of Air Quality Criteria for Carbon Monoxide, published by the U.S. Environmental Protection Agency in 1991, a

 


 

66.

0% -

Developmental neurotoxicity of chlorpyrifos: cellular mechanisms

Authors: K.D. Whitney, F.J. Seidler and T.A. Slotkin

 

Chlorpyrifos, one of the most widely used pesticides, exhibits greater toxicity during development than in adulthood. We administered chlorpyrifos to neonatal rats in apparently subtoxic doses that caused no mortality and little or no weight deficits and examined developing brain regions (cerebellum, forebrain, brainstem) for signs of interference with cell development. One-day-old rats given 2 mg/kg sc of chlorpyrifos showed significant inhibition of DNA synthesis in all brain regions within 4

 


 

67.

0% -

Non-Occupational Exposures to Pesticides for Residents of Two U.S. Cities

Authors: R. W. Whitmore, et al.

 

The Non-Occupational Pesticide Exposure Study, funded by the U.S. Environmental Protection Agency, was designed to assess total human exposures to 32 pesticides and pesticide degradation products in the non-occupational environment; however, the study focused primarily on inhalation exposures. Two sites--Jacksonville, Florida (USA) and Springfield/Chicopee, Massachusetts (USA)--were studied during three seasons: Summer 1986 (Jacksonville only), Spring 1987, and Winter 1988. Probability samples

 


 

68.

0% -

2002 Annual Report of the American Association of Poison Control Centers

Authors: Willian A. Watson, et al.

 

Toxic Exposure Surveillance System (TESS) data are compiled by the American Association of Poison Control Centers (AAPCC) on behalf of US poison centers. These data are used to identify hazards early, focus prevention education, guide clinical research, and direct training. TESS data have prompted product reformulations, repackaging, recalls, and bans; are used to support regulatory actions; and form the basis of postmarketing surveillance of newly released drugs and products. From its inceptio

 


 

69.

0% -

Measurement of atmospheric concentrations of common household pesticides: a pilot study

Authors: Robert G. Lewis and Andrew E. Bond

 

Abstract. Air concentrations of 28 of the most commonly used household pesticides were measured inside nine homes in Jacksonville, Florida, and compared with corresponding outdoor levels. The households selected were sorted into three categories according to the degree of pesticide indoor usage. Personal air monitoring was also performed on one resident of each household by means of a portable sampler, which was kept with the person at all times. Five of the pesticides were found in the air insi

 


 

70.

0% -

Acute toxicity of two pyrethroids, perrnethrin, and eypermethrin in neonatal and adult rats

Authors: Franco Cantalamessa

 

The present study aims specifically at obtaining a comparison of the acute toxicity of cypermethrin (CY), a type I pyrethroid, and permethrin (PERM), a type II pyrethroid, administered orally as a single dose to neonatal and adult rats, and at assessing the importance of pyrethroid biotransformation in CY and PERM toxicity through use of drug metabolism inhibitors. Our experiments show that CY is more toxic than PERM to adult and neonatal rats. The sensitivity of neonatal rats both to CY and t

 


 

79.

0% -

Vascular Endothelial Cells Generate Peroxynitrite in Response to Carbon Monoxide Exposure

Authors: Stephen R. Thom, Anne Xu and Harry Ischiropoulos

 

Carbon monoxide causes a perivascular oxidative injury in animals, and we tested the hypothesis that endothelial cells could be a source of the injurious oxidants. Studies were undertaken to assess whether exposure to carbon monoxide would cause cultured bovine pulmonary artery endothelial cells to liberate reactive species. Concentrations of carbon monoxide between 11 and 110 nM caused progressively higher concentrations of nitric oxide to be released by endothelial cells based on measurements

 


 

80.

0% -

Effect of short-term exposure to low levels of gaseous pollutants on chronic obstructive pulmonary disease hospitalizations

Authors: Qiuying Yang, et al.

 

We examined the associations between gaseous pollutants and hospitalization for chronic obstructive pulmonary diseases (COPD) among elderly people living in Vancouver, British Columbia, Canada, a city in which ambient air pollution levels are relatively low. We regressed the logarithm of daily counts of acute COPD hospitalization during the 5-year period from 1994 to 1998 on the daily mean levels of each pollutant, after accounting for seasonal and subseasonal fluctuations, non-Poisson dispersi

 


 

81.

0% -

Risk and Protective Factors for Fires, Burns, and Carbon Monoxide Poisoning in U.S. Households

Authors: Carol W. Runyan, et al.

 

Background: More needs to be known about the prevalence of risk and protective factors for fires, burns, and carbon monoxide poisoning in U.S. households. Methods: A random-digit-dial survey was conducted about home safety with 1003 respondents representing households in the continental United States. Descriptive statistics assess the prevalence of risk and protective factors for fires, burns, and carbon monoxide overall, and by demographic characteristics, household structure, region, and resi

 


 

82.

0% -

Carbon Monoxide Poisoning from Portable Electric Generators

Authors: Neil B. Hampson Jennette L. Zmaeff

 

Background: While the overall death rate from unintentional carbon monoxide (CO) poisoning has decreased in the United States due to improved automobile emissions controls and a decline in CO poisonings from motor vehicles, exposures have not changed from some sources of CO. One of these is the operation of portable electrical generators in poorly ventilated spaces. This study sought to describe the population poisoned from CO produced by portable electric generators, and to determine the reaso

 


 

83.

0% -

Surveillance for Carbon Monoxide Poisoning Using a National Media Clipping Service

Authors: Jack C. Clifton, II

 

Using a novel method to review carbon monoxide (CO) exposures in the US, the role of CO detectors in prevention of CO-related deaths was studied. Using a national media clipping service, CO poisonings reported in the US were analyzed. The impact of CO detectors was investigated through nonfatal outcomes attributable to the presence of CO detectors and case fatality rate comparison among cities with and without CO detector ordinances. There were 4,564 CO exposures resulting in 406 (8.9%) fataliti

 


 

84.

0% -

Identifying and managing adverse environmental health effects: 6. Carbon monoxide poisoning

Authors: Alan Abelsohn, Margaret D. Sanborn, Barry J. Jessiman

 

CARBON MONOXIDE POISONING IS AN ENIGMATIC ILLNESS. The symptoms are often nonspecific or masked by an exacerbation of an underlying illness, such as congestive heart failure, that has been triggered by carbon monoxide inhalation. The effects can range from mild, annoying symptoms relieved by removal of the source to severe morbidity with profound central nervous system dysfunction, acute complications and delayed sequelae. Estimates suggest that about one-third of nonfatal cases of carbon monoxi

 


 

93.

0% -

Environmental factors influencing the development and progression of pediatric asthma

Authors: Erika von Mutius

 

Recent data underscore the importance of environmental factors in the sensitization of children to certain allergens and the development of asthma. Maternal smoking and family (especially maternal) history of atopy appear to be risk factors for persistent sensitization and development of asthma. Indeed, exposure to tobacco smoke in utero significantly increases asthma risk and influences the timing of sensitization. It must be stated that any smoking at home has consequences for the development