186099 Prevalence of Environmental Health & Safety Hazards Found in Home-Based Childcare Settings: Results from three years of Healthy Homes for Childcare

Wednesday, October 29, 2008: 11:15 AM

Sonia Haynes, MEd , Childhood Lead Poisoning Prevention Program, Philadelphia Department of Public Health, Philadelphia, PA
Peter Palermo, MS , Childhood Lead Poisoning Prevention Program, Philadelphia Department of Public Health, Philadelphia, PA
Hernando R. Perez, PhD, MPH, CIH , School of Public Health, Drexel University, Philadelphia, PA
Laura Line, MS , National Nursing Centers Consortum, Philadelphia, PA
Residential home-based daycare centers provide service to more than 36,000 children under age six in Philadelphia. As a result of a number of factors including location, convenience and cost, the majority of these centers serve children from low-income inner city families. Due to the age and deteriorating nature of the housing stock in the city, these children are at risk of exposure to many residential health hazards prevalent in these communities. This is reflected in the fact that more than 11% (2,102) of these children suffer some degree of exposure to lead. It's nearly double the average for the City of Philadelphia and approximately four times the national average. Healthy Homes for Childcare (HHCC) is an initiative of the Philadelphia Department of Public Health and community based organizations designed and implemented to reduce the number of environmental health and safety hazards present in participating residential childcare facilities. The initiative is funded by the U.S. Department of Housing and Urban Development and involves 1) facility risk assessment, 2) tailored intervention delivery, and 3) hazard remediation. Evaluation of data collected in participant homes has indicated that the majority of the facilities have not been adequately maintained and suffer varying degrees of deterioration. Among the most common hazards identified are peeling paint, inadequate ventilation, mold, water damage, inadequate flooring, pest infestation, clutter and various safety concerns. Surface dust sampling indicated elevated lead levels in areas where children eat, sleep and play. Analyses of data collected from more than 100 facilities will be discussed.

Learning Objectives:
1) Recognize and articulate at least 10 environmental health and safety risks for children in home-based childcare environments. 2) Visualize the impact of poor housing conditions and the risks they present to children in home-based childcare. 3) Acquire information and perspectives regarding the impact of the program on children in Philadelphia. 4) Appreciate the importance of cost-effective remediation of houses in low-income inner city housing.

Keywords: Environmental Health Hazards, Child Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Bachelor Degree of Social Welfare; Master Degree of Education; 12 years experience in Public Health; Manager of the Healthy Homes for Childcare Program for 3 years; responsible for the development and implementation of the Healthy Homes project; previous APHA presenter; presenter at the National Association for Family Childcare on similar topic; presenter at the National Nursing Centers Consortium Annual Conference on similar topic; presenter at the Delaware Valley Association for the Education of the Young Child on state of children's health in home-based childcare settings; extensive training in the Essentials of Healthy Housing, Lead and Indoor Environmental Health, and certified by the Commonwealth of Pennsylvania as a Lead Risk Assessor.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.