Asthma – FAQ

 

What is asthma?
Asthma is a chronic disease of the lungs that makes it very difficult to breathe. The small and medium airways swell and fill with mucus when they come into contact with certain environmental allergens. In some cases, asthma can cause death. Asthma cannot be cured but it can be controlled through medications and cleaning up your environment.

What allergens found in the home can cause asthma?
Dust mites are a common allergen that can trigger an asthma attack. Dust mites can be found in carpets, drapes, overstuffed furniture, and bedding and the result of poor air sealing of windows and doors can allow outside dust into the home.
Other common household hazards that can trigger asthma attacks are:
* Leaking plumbing and roofs; water damaged areas
* Poor ventilation in bathrooms and kitchens
* Basements and crawlspaces without proper drainage or moisture control
* Infestations of cockroaches, mice and rats can cause allergic reactions
* Extreme temperature shifts, either hot or cold, can trigger asthma attacks

Many of these conditions are violations of the building code. Learn how to enforce your right to a healthier home here.

Does the landlord have to provide heat and air-conditioning if I have asthma?
The landlord must provide heat from heat September 15 – June 1. The landlord must maintain the following minimum temperatures:
68 degrees from 8:30 am to 10:30 pm
66 degrees from 10:30 pm – 8:30 am
The landlord is not required to provide air-conditioning.

Learn more about Healthy Home Healthy Child: The Westside Children’s Asthma Partnership

Get more information about city-wide data via the Chicago Health Atlas

Lead – FAQ

Know the facts about lead:

  • What is lead? Lead is a heavy metal that is harmful to your health.
  • Where is lead found? The most common sources of lead are found in the home! Chipping paint and dust in homes built prior to 1978, tap water, soil and some toys and jewelry are the most common sources of lead. You can’t always see lead, even when it is present.
  • What amount of lead is safe? Lead in the body is not safe at ANY level.  It only takes a very small amount to cause life-long health problems, including learning disabilities, behavioral problems, and other health issues.
  • What are the long-term effects of lead poisoning? Lead can damage organs, stunt neurological development and may even cause death.
  • What are some of the warning signs of lead poisoning? Stomach pains, constipation, poor appetite, sleep problems, headaches, issues with sleeping.
  • How do I know if I have lead in my home? If your home was built prior to 1978, there is a good chance there is lead in your home but the only way to positively identify lead is with testing. The Department of Health offers free testing if your child has recently been found with elevated levels of lead.
  • Who’s responsible for addressing lead sources in the home? The landlord is responsible. Under federal law, at the start of a tenancy, the landlord must provide tenants with a lead disclosure form that details any known lead hazard in your unit or the common areas and a copy of the EPA booklet “Protect Your Family from Lead in your Home“. Under 2004 Childhood Lead Prevention Act, the landlord must also post a notice if a lead hazard has been found in another unit. That notice must remain posted until all documented hazards are properly repaired.
  • What if the landlord refuses to address lead sources? Call the Renter’s Hotline at 773-292-4988 M-F, 1-5pm or call the city of Chicago’s Childhood Lead Poisoning Prevention program at 312.747.LEAD[5323]. You may request an inspection. If the landlord refuses to make repairs and old paint is pulling away from the wall, cracking, chipping or peeling and it is a code violation, you can give the landlord a 14-day written notice to reduce your rent. See “Apartment Repairs and Conditions
  • What can I do to reduce the risk of exposure? 
    • Ask your doctor to test your child for lead
    • Regularly wet-mop floors and wet-wipe windows
    • Remove shoes when entering the home
    • Teach your children to wash their hands before eating
    • Do not use pottery for cooking or serving without knowing if the glaze has lead
    • Do not disturb paint without protecting your family from the dust
    • Feed your child a diet high in iron, calcium and vitamin C – all help fight lead in the child’s body
    • Test your water for lead and use a EPA approved filter
    • Test soil around home and do not plant a garden before confirming that soil is safe
    • Regularly check recall lists for toys, jewelry and other household items which may have lead

Still can’t find the answer? Send us your questions. Please allow several days for a response. Or to speak with a Healthy Homes Organizer, call 773.292.4980 ext. 225.

Chicago Needs Proactive Rental Inspections to Protect People’s Health

Chicago tenants have a right to heat!

Last December, as the temperature outside plummeted, the heat in Ms. Payan’s apartment stopped working. In addition to the lack of heat, Ms. Payan also experienced flooding in her apartment. Multiple conversations with the landlord yielded no improvements. In fact, the landlord threatened Ms. Payan that she would have to pay for the repairs.  Ms. Payan contacted MTO’s Healthy Homes Organizer, Angelica Ugarte, for help.

Angelica helped Ms. Payan to use Chicago’s tenants’ ordinance to terminate the lease and avoid paying rent for the last month so that Ms. Payan could have the money to relocate.  The results of this story are rare. Far too many tenants experience retaliation from their landlord and face eviction when they request repairs or take the necessary steps to assert their rights under the law.  Tenants are educated and empowered by MTO to understand the process and challenge abusive practices in their building. There is little accountability for slum landlords to follow building codes or ensure that apartments are in habitable condition throughout the tenancy.

The only way to hold slum landlords accountable is through regular inspections.  Inspections should not wait until a crisis occurs such as the one faced by Ms. Payan.  Chicago needs an inspection program that promotes regular maintenance.  We encourage you to support the proactive inspection program, CHIPP (Chicago Proactive Inspection Program) which is calling for legislation to mandate routine inspection of all Chicago’s rental apartments.  If you or someone you know would like to join our efforts to promote CHIPP, please call (773) 292-4980.

Chicago Needs Proactive Home Inspections!

The Chicago Healthy Homes Coalition (CHHC),  a coalition of renters and advocates, proposes to create a citywide rental housing registry and a proactive healthy homes inspection program. This is a matter of racial and health equity.  No Chicago renter should get sick or die because health hazards, such a lead or a lack of smoke detectors, exist.  No renters should have to live with mold, rats, or use their stove for heat.  We call upon the city to create a citywide program to hold bad landlords accountable and to ensure that all housing is safe, decent and accessible.  

Chicago does not regularly inspect housing for basic safety standards. This means that poor housing conditions can go unaddressed until a tenant makes a report to the city, often after an injury or illness. Proactive inspections will ensure that unsafe housing issues are addressed sooner, fewer people will be harmed or injured, and Chicago’s housing stock will be improved.

 

History + Background

A little over half of all Chicagoans are renters. The city is also home to higher-than-average rates of water leaks, heating and plumbing equipment breakdown, problems with broken plaster and peeling paint, and sewage disposal issues, according to the National Center for Healthy Housing. In 2019 renters made more than 30,000 complaints for occupied blight and other habitability issues, with most complaints coming from the South and West Side.

Simultaneously, the city does not currently require proactive inspection of rental units. Dangerous conditions are only addressed after a complaint is filed with the City. Minor issues are not addressed and unreported hazards often transition into disasters before a complaint is filed. Complaint-based inspection is additionally inadequate because inspectors often limit the the investigation only to what is reported. Many complaints are also never investigated; inspectors regularly have trouble accessing properties without landlord cooperation. The lack of a rental property registration system exacerbates this problem, as many owners do not have discoverable contact information, particularly when the property is owned by a limited liability company (LLC).

 

The Consequences

Lead Poisoning: Because over 81% of Chicago’s housing stock was built before the federal government  banned lead-based paint in 1978, most of these buildings, many of which have not been appropriately  maintained, repaired, or renovated, likely contain lead-based paint. Lead is a major neurotoxin that causes lifelong learning disabilities, hearing loss, speech delays, intellectual disability, ADHD, and aggressive/violent behaviors, even at relatively low levels. In many community areas, the childhood lead poisoning rates are more than double or quadruple the city-wide rate: from 4.4 and 5.7 per 100 children in Austin and West Garfield Park, and as high as 7.2 and 7.3 per 100 children in Englewood and West Englewood.

Asthma: Researchers have found excess moisture allows for the breeding of mold, mildew, mites, and  cockroaches, and that cracks allow pests like rodents and bugs to enter the home, all of which have been  linked to greater asthma morbidity and mortality. In Chicago, Black children have twice the prevalence of asthma when compared to White and Hispanic children. 

Societal, Economic, and Educational Harms: Other poor housing conditions, such as presence of rats and cockroaches, missing or malfunctioning necessities (e.g., toilet, stove, windows), and other structural,  electrical, and plumbing issues have been connected to higher  school absenteeism, reduced performance on standardized tests, and cognitive deficiencies in students. 

Fires and Fatalities: Between 2014 and 2019, 140 fires killed 92 Chicagoans. Nearly half of those fires  involved buildings without a working smoke detector. A Chicago Tribune / Better Government Association investigation into fires in the same timeframe found more than two dozen cases in which safety conditions played a role in the fires, but records showed the buildings had not been inspected for five or more years. 

Public Fiscal Costs: Chicago’s inability to address dangerous housing conditions is expensive to the public. Very conservatively estimating that just one-half of Chicago’s 1,376 lead-poisoned children in  2017 required special education, Chicago therefore spent roughly $7.5 million to $15 million per year in additional instructional costs for those students alone. Other studies corroborate that every dollar spent to prevent lead poisoning saves hundreds of dollars in the form of greater earnings and reduced taxpayer-funded health  care, special education, and law enforcement costs.

In  2018, Chicago’s Office of Inspector General found that our current complaint-based system permitted safety and health hazards to go unaddressed for longer than the law allowed. A follow up report in 2019 gave the City recommendations to improve inspections.

 

Our Solution

CHHC is proposing a three-year pilot to begin the transition from Chicago’s ineffective and dangerous complaint-driven inspection system to a proven proactive rental inspection and rental registry program. 

The pilot includes three major components: 

(1) healthy homes inspection of all residential rental properties  in two select community areas; 

(2) a citywide residential rental registry

(3) community outreach to  educate and engage tenants, landlords, and other stakeholders. 

The program is designed to be budget neutral, as it will be funded by registration fees paid by landlords. It  will be implemented by a project manager hired by the city, in collaboration with the Departments of  Housing, Buildings, and Health.

 

Healthy Homes Inspections. The City will develop a healthy homes inspection program to be used citywide and pilot the program in two community areas—one high-need and one mixed-need. The pilot’s healthy homes inspections will incorporate nationally-recognized principles of healthy homes,  including that they be dry, clean, safe, contaminant-free, well-ventilated, thermally controlled, well maintained, and accessible.

Rental Registry. As part of the pilot, the City of Chicago will establish a citywide residential rental registry, to be managed by the Department of Housing. All landlords will be required to register their rental  properties with the City annually, paying a registration fee and providing some basic information about the property.

Repair Grants for Small Landlords. The rental registry fees would go into a fund that prioritizes grants for small landlords who own 6 or fewer units to make necessary repairs. This will encourage landlords to participate in the program.

Community Outreach. Because community buy-in and support is critical to the success of the pilot, the  City will involve key stakeholders in the community at all stages of pilot development and implementation by creating a community advisory board to assist with oversight and evaluation at the  end of the pilot. The City will also hire inspectors and other City personnel from pilot  communities, which will help to ensure that the pilot is implemented equitably and with the needs of the community in mind.  

9 Potential Solutions to Keep Chicagoans Safer From FiresBetter Government Association

 

Evaluation

To evaluate the pilot project, the City will hire an independent professional who is a healthy housing expert. This individual will design and implement a robust evaluation, collecting and analyzing both qualitative  and quantitative measures. 

Quantitative Measures: Identified hazards; hazards remediated; cost to the City; cost to landlords; training needs; number of inspections/inspectors; frequency of inspector success in property entry; estimated fiscal benefits for the public; financial and health  benefits for impacted households.

Qualitative Measures: Qualitative measures will include open-ended interviews with inspectors,  community stakeholders, advocates, landlords, and tenants about their experiences during the pilot. 

The evaluation will also use the inspection data to identify common housing hazards that are not considered  violations under Chicago’s Building Code and make recommendations for possible amendments. The  evaluator will additionally ascertain compliance with the rental registry requirements, to inform potential  incentives and penalties to ensure compliance.

**Read our full white-paper here.**

 

 

Take Action!

We need City Council to implement this project. Call your Alderman today and demand they support Chicago Healthy Homes!

Join the Coalition! Sign up to be a sponsor.

Another Eviction Prevented

Lead poisoning has been in the headlines ever since the Flint water crisis brought national attention to the problem. Chicago is grappling with its own lead poisoning crisis, which is hitting our youngest residents the hardest. Imagine if you found out your child had lead poisoning. No parent wants to receive that type of news. Now imagine that your two youngest children – twins – have elevated lead blood levels.

A deteriorating window frame with chipping and peeling paint with a distinct alligator pattern (which usually indicates the presence of lead based paint) inside Ms. W’s apartment.

This is how we first met Ms. “W”. After a local health clinic discovered her children’s elevated lead blood levels, Ms W contacted MTO, and a Healthy Homes organizer conducted a visual inspection at her home. The deteriorating plaster walls had started to disintegrate. Half of the window frames had chipped, peeled, and cracked paint. A subsequent inspection by the Chicago Department of Public Health confirmed the assessment – there were high levels of lead in the entire unit

Over the course of the next few weeks, MTO’s Healthy Homes Organizer provided a letter of support, collected visual documentation of the unit conditions, and shared resources for emergency housing assistance. While Ms. W. explored her options she received more devastating news, her three other children – all under the age of six – had also been poisoned. Now, her landlord was trying to evict Ms W and her family. When an unlicensed worker attempted to remediate the lead without proper safety protocols in place, MTO was able to get a city inspector to stop the illegal abatement, which was further harming her children. Ms W was partnered with a pro-bono lawyer to fight the eviction. While Ms. W. awaits to hear about a new apartment to move to she has expressed immense gratefulness for MTO’s assistance in her advocacy for safe and healthy housing.

But Ms. W wouldn’t have to experience any of this if Chicago had a proactive rental inspection program. The Chicago Healthy Homes Inspection Program (CHHIP) is a campaign lead by MTO to create just that. Hazards like lead, mold, pest infestations, and other asthma triggers can and should be caught before they become a crisis. The current building inspection system is a complaint-based service provided by city inspectors. This means that tenants hold the burden of requesting proper maintenance, property owners can neglect buildings without regular code enforcement, and families are forced to relocate or live with egregious conditions affecting their health. In today’s economy, moving is not always a viable option. We believe that the City should initiate a proactive inspection program that could identify home-based health hazards before they poison our children.

Lead Hazard sticker that was placed on door after formal lead inspection by the city of Chicago’s Department of Public Health.

Chicago’s lead poisoning crisis is silently harming our youngest and most vulnerable residents. The Center for Disease Control (CDC) says, “no levels of lead is safe for anyone”. The CDC wants to eliminate lead poisoning in children by the year 2020. If Chicago wants to get serious about achieving this goal, we need to address the substandard housing that exists in our city and make lead prevention and remediation a priority. Our children’s lives are at stake.

MTO is excited to announce our continued partnership with the Chicago Community Trust through a 2nd year of being awarded CCT’s Housing + Health grant. Because of our supporters we are able to assist more Chicago renters and children with housing-health issues and organize for equitable solutions and policies that promote safe, healthy, and decent affordable housing for all. After all HOUSING is a HUMAN RIGHT! 

If you or someone you know is in need of information about their rights as a renter or in need of assistance from our Healthy Homes Team contact MTO’s Tenants’ Rights Hotline, M-F; 1pm-5pm at 773-292-4988 or visit our offices M-Th 1pm-4:30pm.

The question is, how do we become better allies?

Today is International Women’s Day. On this day, women all across the world receive praises that go unsaid the rest of the year. It’s also a day for women like myself to reflect on what it means to be a woman, and how to stand better in solidarity with other women. Lately, I’ve been thinking about all the women that I’ve met throughout the years as a Healthy Homes Organizer and the struggles they’ve had to face. The story of Ms. May sticks out in my mind.

I first visited Ms. May this past January, to take a look at the peeling paint in her home and talk about how to prevent lead poisoning. When I arrived at the home, it immediately became clear that the situation was much worse than I had initially thought. There was ice on the staircase and a broken faucet, which had gone unchecked for nearly a week. That resulted in a giant ice rink near the house – a clear and present danger to Ms May. Inside the house, there was mold on the kitchen and bathroom walls and holes in the foundation. There were rat droppings from an infestation that had been inappropriately handled by her landlord, with serious consequences.

Last October she asked her landlord to deal with the rat problem. The landlord, instead of hiring an exterminator, had brought an unqualified person who ended up leaving a bag of rat poison pellets on top of the dining table.  Her three-year-old daughter confused the brightly colored pellets for cereal and ended up ingesting some. Fortunately, the quick actions by Ms May resulted in a full recovery for her little girl. I bring this particular story up, because my initial reaction was to judge. How could someone leave rat poison on the table? How could she not realize that a young child might be attracted to the brightly colored pellets?

It took me a few minutes before I checked myself and realized that situations like this were never that simple, and it usually was not the fault of one person. Ms May had done the best she could given her circumstances. It was her landlord who should have made the repairs, promptly and efficiently. But that did not happen. The exploitation of low-income tenants, in particular mothers and caretakers is something far too common in the housing market. Women in these situations more often than not have to take on the burden of child-rearing and making ends meet. Adding substandard housing further increases that burden, and the health consequences from inadequate housing are severe. We can’t make every home safe, but we can support the people living there.

So the question is, how do we become better allies? How do we, as fellow women, lessen the burden of so many other Chicago women like Ms May? You can begin to stand in solidarity by calling your alderman and supporting the Chicago Healthy Homes Inspection Program that is designed to enforce building code standards and protect renters from health hazards. A move from the current building inspection system will help us prevent another story like Ms May’s and helps us in the effort to create safe housing for all. Healthy and thriving lives start at home, which is why every family should have safe, decent and accessible housing!

This story was written by Angelica Ugarte, Healthy Homes Program Organizer

We Know How To Stop The Epidemic Of Lead Poisoning. Why Aren’t We?

We know exactly how to eliminate lead hazards to keep children safe. Yet federal regulations that are supposed to protect families in any kind of housing, public and private, have lagged far behind current scientific research and mean thousands of children across the country are being poisoned by their homes.leadquote1-816x432

In fact, it’s just as common for families in run-down private homes in Chicago to be faced with the prospect of lead poisoning, a reality John Bartlett, executive director of the Metropolitan Tenants Organization, sees firsthand. The poor families who call [MTO’s] hotline are often forced into unbearable choices in private housing. Preventative measures are even rarer in private housing, as inspections aren’t required at all. As a result, parents often have no idea what they’re moving into. “The question becomes, is it better to have a home or not,” he said. “Do you end up in a shelter situation or do you take what you can get? Tenants lack the resources to go anywhere else, but they also lack the resources to stand up to the landlord,” Bartlett said. And they might risk getting kicked out of their home rather than an actual fix.

“Oftentimes landlords, instead of wanting to get rid of the lead, want to get rid of the tenant,” he continued. That’s a particular problem in private housing, where the protections against wrongful evictions are weaker. Some cities and states have instituted proactive rental inspection programs, which require housing to be checked at regular intervals, rather than waiting for a resident to make a complaint. That not only means that lead hazards are hopefully abated before poisoning becomes an issue, but that tenants who might fear taking action against landlords don’t have to shoulder the burden.

That proactive approach is what Bartlett has been pushing his city of Chicago to adopt. His group wants the city to mandate inspections every five years to catch lead hazards before children become poisoned. “If you’re not going out and pre-inspecting things, then kids move in, and they get poisoned.”

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How a Pro-Active Inspection Program Will Address Lead Poisoning

substrate damage window sillMonica loves spending time at home with her family. Unfortunately, her home has not always been a safe place for her children to grow and develop. Monica’s two year old son, Kyle, was diagnosed with elevated blood lead levels due to the presence of lead in their apartment. Despite her landlord’s assurance that he fixed the problem, repeat testing revealed that Kyle and each of his seven brothers and sisters had dangerously high blood lead levels.

Concerned about her children’s wellbeing, Monica immediately began looking for a safe place for her family to live. At the same time, Monica’s doctor at Erie Family Health Center contacted the Health Justice Project, a medical-legal partnership between Erie Family Health Center and Loyola University Chicago School of Law, where an advocate was assigned to her case. Monica wanted to make sure her family could move into healthy housing without losing the Section 8 Housing Choice Voucher that helped pay their rent. To help Monica break the lease and keep her voucher, the Health Justice Project worked with an Erie Family Health Center Nurse Practitioner to submit a reasonable accommodation request to the Chicago Housing Authority (CHA). The request, which was approved by CHA, allowed Monica to transfer to an apartment where the children’s growth, neurological development, and endocrine systems would not be compromised by the presence of lead. flaking-paint-window

During the course of representation, the Health Justice Project uncovered that routine property inspections do not include lead assessments. This means that families housed through CHA programs could be approved to move into housing that presents lead poisoning risks like in the home Monica and her family were occupying. To ensure the health of Monica’s family, the Health Justice Project secured a Lead Hazard Home Test from the Chicago Department of Public Health in Monica’s new home. Test results showed no threat of lead exposure in the new apartment and Monica and her children were able to move in immediately.

When the Health Justice Project advocate called Monica a few weeks later to check in, she immediately noticed a change in Monica’s demeanor, “Every time I had spoken to her before, she sounded stressed and worried and preoccupied. But this time, she was really happy about the situation because she was finally in her new place and she knew that lead wasn’t a hazard anymore.” Unfortunately, Monica is one of the many tenants who experience the negative health effects caused by unsafe and unhealthy housing in Chicago. Lead poisoning causes irreversible damage to the brain and nervous system development, which may result in learning disabilities, behavioral problems, developmental delay, seizures, and comas. Ultimately, these health conditions can lead to other social implications including academic failure, juvenile delinquency, and high blood pressure.

If Monica’s home had been inspected prior to their move-in date, her children could have avoided the lead exposure altogether. Instead, because of a lack of healthy housing policies, she and her children were exposed to dangerous levels of lead for years. Many cities across the United States are adopting best practices to avoid the health-harming effects and social implications of unsafe housing. We want Chicago to join in to help create and maintain a healthy housing stock for all our communities. The Chicago Healthy Homes Inspection Program is an initiative designed to enforce building code standards which will protect renters from health hazards in their home. To protect your own family, and other families from the negative effects housing can have on their health.

Read more: Chicago Healthy Homes Inspection Program (CHHIP).

Read more: How A Proactive Inspection Program Will Address Asthma

Sign the CHHIP Petition

 

If you are having Healthy Homes issues in your apartment, contact MTO’s Hotline for assistance at 773-292-4988, or notify your landlord directly online at Squared Away Chicago

If you would like to join the CHHIP campaign, contact Sheila at 773-292-4980 ext 231, or via email at sheilas@tenants-rights.org.