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ARC 2014 Meeting - Innovations in New England
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Promoting Healthy Environments and Improved Asthma Control in New England Schools: Policy, Practice and Innovation
Innovations in New EnglandThursday, October 16th, 2014
Indoor Air Quality: CT’s success – Kenny Foscue, MPH, CT Department of Public HealthIntegrating Environmental Health into School Wellness – Tolle Graham, MassCOSH
Green Cleaning Purchasing Contracts – Julia Wolfe, Commonwealth of Massachusetts Operational Services Division
NEEP Public Building Operations and Maintenance – Brian Buckley, JD, MA, Northeast Energy Efficiency Partnerships
Project CASE (Controlling Asthma in Schools Effectively) – Michelle Barron-Magee, RI Department of Health
Connecticut’s State-BasedMulti-agency
School IEQ Strategy:
The CT School Indoor Environment Resource Team
Kenny Foscue, MPH
Environmental & Occupational Health Assessment Program
CT Department of Public Healthwww.ct.gov/dph/schools www.csiert.org
Serious National Asthma Epidemic
Serious CT School IAQ Incidences
State Law: All CT Schools Have IAQ Program
EPA TfS- Useful, Practical Intervention
What Motivates Us!
Asthma Prevalence Rates byDistrict Reference Groups: Public Schools
2009 - 2011
DRG W/Asthma Action Plan
RateA 8.9 7.7B 7.1 10.9C 9.2 12.2D 5.6 12.6E 9.0 12.7F 7.8 14.0G 8.0 14.3H 5.7 13.9I 8.6 19.9
Overall: 7.8 13.9
(Rate 08-09)
7.4
10.3
12.3
12.1
11.9
13.9
12.9
14.1
19.2
13.0
CT School Indoor Environment Resource Team
(CSIERT)•CTCOSH
•CT Dept of Envir. Protection
•CT Dept of Education
•CT Dept of Construction Svcs.
•CT OSHA
•CT Dept of Public Health
•CT Education Association
•American Lung Assn of CT
•CT Assn of Local Health Drs.
•CT Assn of School Nurses
•CT Interlocal Risk Mgt Assn
•CT Association of Public School Superintendents
•CT Found. for Envir. Safe Schools
•AFT - Connecticut
•UCONN Health Center
•U.S. EPA Region I
•Yale Occup/Envir. Medicine Program
•CT Assn of Boards of Education
•CT School Building & Grounds Assn
•Southeast CT Indoor Air Coalition
•CT Assn of School Administrators
•CT PTA
•American Institute of Architecture -CT
• CT Assn of School Business Officials
Tools for Schools is the Base!
Tools for
Schools
Laboratory Clean-out Programs
Energy Conservation
Environmental Health Literacy
Support for IPM
Radon Law Complianc
e
Green Cleaning Program
Vehicle Idling
Prevention
CSIERT Strategy
Active Statewide Steering Committee
Aggressive District-Based Outreach Program
Comprehensive Training Program 5 Hours Training Utilize I.H.s, Health Professionals
Local Health Dept Involvement, Follow-up
Sustaining Program
Training Programs(Interactive Workshops)
2-Part Implementation Training: Basics of School IAQ issues How to Implement TfS Program
Importance of Effective Communication
Walkthrough Training, Exercise
Refresher Workshops
Custodian/Facilities “Advanced TfS” Wkshp IAQ Green Cleaning Infection Control
TfS Sustaining Program
Regular Communication w/ School Districts
Refresher Workshops (2hr, 3 hr)
CSIERT Web Site
Promote Utilizing School IEQ/TfS as Part of Academic Program
TfS Sustaining Program
(cont)
Ongoing Staff Support for CSIERT Consortium
Local Health Dept Involvement, Follow-up
Linking School IEQ with Energy Conservation
Participation in CT Green Leaf Program
CSIERT Web Site
(www.csiert.org)
Healthy IAQ & Energy Conservation
• Energy Cost-saving Measures Should Not Include Reducing Fresh Air!
• Less Energy Costs → More Funding for IEQ Improvements, Maintenance
• TfS Teams Should Encourage Energy Conservation
School Environmental Laws
Public Act 03-220 An Act Concerning Indoor Air Quality in Schools (7/03)
Provides schools with direction for building maintenance
Adoption of indoor air quality programs
Definitions for addressing building emergencies
Provides guidance for site evaluation
CT Public Act 02-56 (10/02), An Act Concerning Idling of School Buses
School Environmental Laws
(Cont.) Public Act 99-165, Notice of Pesticide Applications at Schools & Day Care Centers (7/99)
Public Act 05-252, Pesticides at Schools & Day Care Centers (10/05 & 1/06)
Public Act 09-81, Green Cleaning Products In Schools (2011) Independently Certified By 3rd-party Certified Organizations:
Green Seal Or Eco Logo
“No Parent, Guardian, Teacher Or Staff Member May Bring Into The School Any Consumer Product …Intended To Clean, Deodorize, Sanitize Or Disinfect.”
Accomplishments• Established Core Team of Expertise, School
Leadership
• TFS Team Training over 925 CT Schools (out of approx. 1000)
over 155 CT school districts (out of 166 districts)
over 8500 staff, parents trained
Conducted Refreshers for 477 schools in 75 Districts
Provided Advanced Training for Custodians in Over 600 schools in 53 districts
• State Policy Impact : • 2003 School IAQ Law 2009 Green Cleaning Products Law
• High Performance Schools Law
CT Schools With TfS
District Health Outcome Data
Waterford(5 schools)
IAQ Health Complaints Decrease of 66% or Greater in 9 Out of 13
Elementary Classrooms
Hamden(12 schools)
Absenteeism cut by > half in one school (484 to 203 days) in 1
year
North Haven(6 schools)
48% Decrease Reported Cases of Respiratory-related Illnesses
Chester(1 school)
Asthma-related Health Office Visits Decreased From 463 To 82
After TfS Recommendations Implemented
Hartford(~ 30 schools) # Of Asthma Incidents Declined
21% After TfS
Amity Region 5(3 schools) Asthma related school nurse visits
decreased from 234 to 30 over 2 yrs
Workers Comp. Cost Reductions:
15 of 47 Districts (32%) Decrease in IAQ Claims Frequency & Severity
TFS data used to justify new $900,000 HVAC system
TfS Outcome Successes
Why This Works: What We Have Learned
(1)
Empowerment/Collaborative Model
Pool Your Resources!
Individual Organizational Support
Effective Outreach Program
Why This Works: What We Have Learned (2)
Mandatory Buy-in From Admin.
Training Key to Successful Committees
Focus on School Systems
Need for Follow-up/Sustainability
Contact Information:
Kenny Foscue, MPH
Environmental & Occupational Health Assessment Program
Environmental Health Section
CT Department of Public Health
410 Capitol Ave, MS # 11EOH
Hartford, CT 06134-0308
860-509-7740 860-509-7785 fax
Healthy Schools Initiative:Moving an environmental health
agenda
Tolle GrahamLabor and Environment
Coordinator
“We know what the problem is and we have the findings, so why does it take so long to
get repairs done? It should be about the health of our
children, yet why does it take so long? The money should be in the budget to fix our
schools.”- Mary White, BUAC
Parent Leader, parent of two BPS students with asthma
Boston Public Schools
• 128 schools; 57,000 students
• 78% low income• Average Asthma rate 15% • Teacher’s 2nd highest
occupational asthma rate in MA
BUAC, a Program of The Medical Foundation
Moving an Environmental Health Agenda for
Schools• 1996 – City Council Ordinance
• 2002 – City- wide Healthy Schools Taskforce formed–Annual inspections for all schools
BUAC, a Program of The Medical Foundation
some history….• 2004: Asthma Coalition released report:
“Who’s Sick at School”• 2005 – Green Cleaning Policy adopted
• 2008 – statewide asthma coalition formed
• 2010 – BPS Wellness Council formed
• 2013 – BPS Wellness Policy incorporates “Healthy School Environments”
The EPA Framework for IAQ Tools for Schools Implementation
1. Infrastructure & Supportive Policies
4. Healthy School
Environment
2. Health & Mental Health
Services
3. Asthma Education
6. Family & Community Involvement
5. Physical Education & Activity
Public Schools District Wellness Policy
Requires every school to form or maintain a Wellness Council to guide school-based practices and systems that improve school health.
Cultural ProficiencySchool Food and Nutrition PromotionComprehensive Physical Activity Comprehensive Health EducationHealthy School EnvironmentHealth ServicesSafe and Supportive SchoolsStaff Wellness•Safe and Supportive Schools
*
Healthy School Environment/Safe and Supportive Schools
*
Healthy School Environment:
•Schools implement existing policies to promote and manage school environments. This includes the use of green cleaners, school-based recycling, a tobacco-free environment, water access, and well-maintained school facilities.
Steps:
•Principal reads annual report and prioritizes issues for Wellness Council to address
•Wellness Council creates an action plan for those issues
•Wellness Council includes school community in actions
BPS ENVIRONMETNAL AUDIT RESULTS 2004 - 2011
These two graphs on this page are showing overall district trends, specifically, the % of schools each year where at
least 5% of the spaces inspected had recorded “incidents”.
Examples of Wellness Action steps for Healthy Environments
• Organize a school “clutter-free” clean up 1-2 times a year (add fun incentives; set up swap/ give away tables)
• Encourage all staff to use IPM log to document signs of pests and read quarterly inspection reports
• Ask BPS to supply bottles for the approved “green cleaner”
• Conduct your own “environmental walkthrough” (train students as environmental ambassadors)
• Review list of work orders that have been filled or not completed
MAAP – MA Asthma Advocacy Partnership
• 2009-2014 State Plan - shared model from Boston and other urban asthma coalitions for healthy schools
• New Plan (2014- 2020) – Includes primary prevention roadmap– Share / include inclusion of
environmental health in other school district wellness policies
Copyright© Operational Services Division All Rights Reserved
Green Cleaning Purchasing Contracts
Julia Wolfe, Director of Environmental Purchasing
www.mass.gov/epp
Copyright© Operational Services Division All Rights ReservedCopyright© Operational Services Division All Rights Reserved
Operational Services Division
• Central Purchasing Agency of the Commonwealth• Responsible for establishing statewide contracts• 1.4 billion in purchases last year ~ 140 contracts• “best value” contracts
Goal: Leverage purchasing power of state & local government
Copyright© Operational Services Division All Rights ReservedCopyright© Operational Services Division All Rights Reserved
Environmentally Preferable Products (EPP) Procurement Program:
• EO 515: Environmental Purchasing Policy
• Currently over 4 dozen EPP statewide contracts
• In FY13: $419 million of EPP purchases resulting in over $4.6 million in cost savings
• Provide education and training on EPPs - www.mass.gov/epp
• Guide to EPPs on state contracts, calculators, reports, more
Environmental Purchasing
http://www.mass.gov/anf/docs/osd/epp/vol-39-july-2014.docx
Copyright© Operational Services Division All Rights Reserved
Green CleaningCleaning products and supplies are a priority of the Commonwealths EPP Program and the Toxics Reduction Task Force.
Protect workers’ health Protect building occupants Reduce environmental impacts Potentially reduce costs
Copyright© Operational Services Division All Rights ReservedCopyright© Operational Services Division All Rights Reserved
Benefits
• Health & Safety: – Involves greater safety in handling for cleaning staff and IAQ for occupants– Safer ingredients: Common cleaning products have been linked to triggering asthmatic episodes,
cancer, effects on the nervous system, reproductive organs, kidneys, liver and hormones
– Automatic dispensing systems which reduces exposure to employees
• Environment: – “Approved Products” are 3rd party certified: Environmental criteria: concentrates, packaging,
reduced or eliminates hazardous chemicals
• Savings: – Use single product with different dilution rates – Automatic dispensing systems: reduces over use of products / exposure to employees / efficient
– Disinfect only where needed: Reduces the cost of higher priced disinfectants; healthier
– Microfiber: reusable; versatile
– Chem-free options: equipment eliminates the need to buy chemicals, or reduces use (e.g., steam cleaning)
Copyright© Operational Services Division All Rights Reserved
• Multi State: Connecticut, New Hampshire, New York, and Vermont bid in 2009
• 18 Vendors (2 vendors only do Paper & Liner Products) • All products require independent 3d party certification
except sanitizers and disinfectants
• Requires vendor to provide free facility assessments and recommendations
• Can use the Approved Products list for FAC59
FAC59: Environmentally Preferable Cleaning Products, Programs, Equipment and Supplies
Copyright© Operational Services Division All Rights Reserved
Products are 3rd Party Certified Independently 3d Party Certified through Green Seal or Ecologo: • Verify green claims• Make sure products work• No need to analyze data sheets• No need for concern of various
health risks• No need for expensive disposal
Copyright© Operational Services Division All Rights Reserved
FAC59 Green Cleaning Products & More!Extended thru December 31, 2014
Products Covered on Contract FAC59
1 Cleaning Chemicals: All purpose, bathroom / restroom, glass, carpet, floor care systems, appliance, degreasers
2 Disinfectants and Sanitizers
3 Hand Soap (alcohol and non-alcohol)
4 Paper Products
5 Trash Can Liners
6 Equipment (Vacuums, scrubbers, extractors, sweepers and more)
7 Entryway Mats
8 Other – Odor Control, urinal blocks, graffiti removers
9 Chemical Free Technologies
10 Laundry Detergent
11 Supplies (e.g., such as microfiber cloths and mops, energy efficient hand dryers, non-chemical scrubbing pads, and more)
Copyright© Operational Services Division All Rights Reserved
Approved Products List for FAC59http://www.mass.gov/anf/docs/osd/epp/agrn-products-list-fac59-031314.xlsx
Copyright© Operational Services Division All Rights Reserved
Transition to Green Cleaning Products & Practices
• Contract Advantages– Certified products means evaluated & tested– OSD oversight for vendor performance – Request additional products on the contract as needed
• Choosing a Vendor– 16 Vendors - Talk to more than one; ideas and services can vary– Find one with location near you, references – Check their Green Program – quality of their staff, training
capabilities
• Transitioning– Facility Assessment - FREE– Vendor expertise in choosing comparable products– Ask to “pilot” products in areas of concern
Copyright© Operational Services Division All Rights ReservedCopyright© Operational Services Division All Rights Reserved
Eligible Entities to Use Contract
1. Cities, towns, districts, counties and other political subdivisions;
2. Executive, Legislative and Judicial Branches, including all Departments and elected offices therein;
3. Independent public authorities, commissions and quasi-public agencies;
4. Local public libraries, public school districts and charter schools;
5. Public hospitals owned by the Commonwealth;
6. Public institutions of higher education;
7. Public purchasing cooperatives;
8. Non-profit, UFR-certified organizations that are doing business with the Commonwealth;
9. Other states and territories with no prior approval by the State Purchasing Agent; and
10. Other entities when designated in writing by the State Purchasing Agent;
11. FAC81: Environmentally Preferable Janitorial Services Vendors providing services for an eligible entity
Copyright© Operational Services Division All Rights Reserved
• Rebid of FAC59…………to FAC85!• Anticipated bid in the next month • Multi-state
REBID: FAC59
Copyright© Operational Services Division All Rights Reserved
• MA: Julia Wolfe, [email protected] • NY: Cynthia Miner, [email protected]• CT: Robert Zalucki, [email protected] • VT: Brian Berini, [email protected]• RI: John Cowell,
Still working with NH and ME to sign on.
Find out more….
Copyright© Operational Services Division All Rights Reserved
www.mass.gov/EPP
• Green Cleaning Products, Programs, Equipment and Supplies– Criteria for Disinfectants and
Sanitizers– Fact Sheet: Cleaning the Bathroom– Case Study: Bradley Palmer State
Park – FAQ’s and more!
Julia Wolfe, Director of Env. Purchasing, [email protected], 617-502-8836
Innovations in New England: O & M, NE-CHPS, and more
October 16, 2014
Brian D. BuckleyHigh Performance Buildings Associate
PRESENTATION SUMMARY
1. About NEEP
2. NEEP’s Schools and Public Buildings O&M Guide
• IAQ Examples
• Energy Efficiency Examples
3. Northeast Collaborative for High Performance Schools
4. Resources
52
1. ABOUT NEEP
53
NORTHEAST ENERGY EFFICIENCY PARTNERSHIPS“Accelerating Energy Efficiency”
54
MISSIONAccelerate the efficient use of energy in the Northeast and Mid-Atlantic Regions
APPROACHOvercome barriers to efficiency through Collaboration, Education & Advocacy
VISIONTransform the way we think about and use energy in the world around us.
One of six Regional Energy Efficiency Organizations (REEOs) designated by U.S. Dept. of Energy to work collaboratively with them in linking regions to DOE guidance, products
2. NEEP’S SCHOOL AND PUBLIC BUILDING OPERATION AND
MAINTENANCE GUIDE
(FREE @ NEEP.ORG/PUBLICBUILDINGS)
55
REGIONAL OPERATIONS & MAINTENANCE GUIDE Strategies for creating green, healthy & energy efficientexisting buildings in your school or municipal building
WHAT IS IT?• A pathway for existing Schools
and Public Building to adopt high performance operation and maintenance strategies
• Many low cost ideas• Regionally developed• 15 sections
• Indoor Environmental Quality• Renewable Energy• Commissioning/Retro-
Comissioning• Financing• Recycling• Etc.
REGIONAL OPERATIONS & MAINTENANCE GUIDE Organizes Indoor Environmental Quality Best Practices
For Example:
• No Irrigation System-Building Overspray
• Walk-off Mat Systems
• Energy recovery ventilation maintenance and commissioning
• Replacing Pilot Lights with Electric Ignition
• Eliminating Use of Fossil Fuel Powered Machinery within the building
• Minimizing mercury exposure
• Integrated Pest Management
REGIONAL OPERATIONS & MAINTENANCE GUIDE Organizes Indoor Environmental Quality Best Practices
For example, HVAC Maintenance and Optimization:
• Replacing Filters
• Keeping hoods and intakes free of debris/ice/snow
• Ensuring condensate drainage
• Heat exchange core cleaning
• Ductwork cleaning
• Automatic Damper Operation
• Monitoring CO2 Levels to Ensure Airflow
Energy Efficiency issues covered:
59
• Benchmarking• Lighting Retrofits• Energy Management Systems• Boilers• Building Envelope Improvements• Renewables
3. NORTHEAST COLLABORATIVE FOR HIGH PERFORMANCE SCHOOLS (NE-
CHPS)
60
NE-CHPS 3.0
Criteria Prerequisite
PointsTotal Points
Possible
Integration and Innovation 6 21Operations and Metrics 11 23Indoor Environmental Quality 25 76Energy 13 68Water 6 21Sites 4 22Materials & Waste Management 4 19
Why NE-CHPS? Developed with Regional Stakeholder Input
Indoor Environmental Quality Focus
Operations & Maintenance Emphasis
Developed to Meet the Northeast’s: Building Codes
Climate
Educational Priorities
62
Walk Off Mats:• Improving Indoor Air Quality
AND Limiting Operational Costs by Keeping Out:
• Dirt• Heavy Metals• Pesticides
INDOOR AIR QUALITY
High Efficiency Particulate Air (HEPA) Filters:• HEPA filter with Minimum efficiency
reporting value (MERV) of 11 required• HEPA filter with MERV value of 13 satisfies
enhanced filtration requirement
63
US DEPARTMENT OF ENERGY RESOURCES
• Recent Energy-Focused TedEd• Joshua Sneideman’s “A Guide to the Energy of the Earth”
• Financing Energy Upgrades for K-12 School Districts Guide
• Tax Exempt Lease Purchasing• Energy Performance Contracting• On-Bill Financing• Power Purchase Agreements• Grants/Internal Cash• Bonding
• Better Buildings Challenge• Education Partners
o Ex. NY’s Indian River Central School District• Summit May 27-29,2015
o K-12 Track
NEEP RESOURCESAVAILABLE AT WWW.NEEP.ORG
THANK YOU
91 Hartwell Avenue Lexington, MA 02421 P: 781.860.9177www.neep.org
65
Brian D. [email protected]
Michelle Barron-Magee,B.S.
Rhode Island Department of Health
Project CASE is a multi-level, multi-component pilot intervention targeting school-age students with asthma within three RI core cities. CASE aims to decrease the burden of asthma by• Improving the environmental health of
schools.• Increasing student and caregiver
knowledge of how to self-manage asthma.
Project CASE
Project CASE
• Increasing staff knowledge of how to recognize and decrease asthma triggers in the school environment.
• Supporting students in effectively managing their asthma.
CASE components include:• Asthma education for staff, students
and caregivers delivered by the Hasbro Children Hospital’s, Draw A Breath Program.
• Environmental walk-through within the schools.
• Communication (SNT’s, PCP’s and AAP’s).
Project CASE
CASE schools were chosen based on the following criteria:• Location in areas of high asthma burden
as reported by surveillance of claims data
• Chronic absenteeism rates as high as 21%
• Poor physical environment• Parent reports
CASE
Additional Data/Demographics:• Asthma dx of 14-21%• Within a three year period, between 11-
15% of these students had an asthma-related ED visit or hospitalization.
• 54% Hispanic, 30% African American• 80-99% eligible for Federal Free and
Reduced Price School Meal Program compared to 46% statewide.
CASE
CASE
CASE
External Partners:• Classroom teachers, custodians,
principals and school nurse teachers• RI Department of Education• Environmental Justice League of RI• Family Services RI• Hasbro Children’s Hospital• RI Asthma Control Coalition• RI Department of Education
CASE
Internal Support Staff• Asthma Control Program• Healthy Homes and Environment Team
Moving Forward• Add on four CASE schools annually • Work from the top/down with school
districts.• Involve the school districts in choosing
which schools to implement CASE.• Utilize Kidsnet to increase the use of
AAP’s.
CASE