Mold policy intervention in new york city public housing and asthma morbidity

Active Project Grant Awarded Last action

Award ID
R01ES033267
Recipient
Awarding agency
Obligated
$5,420,663

Award facts

Assistance listing
93.113 Environmental Health
Completion date 88% complete
Originally
Funding
  • $4,763,288.00 Federal
  • $657,375.00 Non-federal
Place of performance
New York, NY 10032, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Fungal contamination is common in urban homes and disproportionately affects lower-income families who have less control over conditions that cause mold growth. The institute of medicine, the world health organization and several meta-analyses have established that fungi and home dampness are associated with asthma symptoms. These findings and those of some successful intervention studies have led to the conclusion that there is sufficient evidence to recommend dampness and mold remediation to reduce asthma symptoms. However, the root causes of mold growth, especially in lower-income urban homes are often costly to fix and, therefore, go unaddressed. New york city housing authority (nycha) has 302 public housing developments with 2,252 buildings and more than 365,000 residents. Children and adults living in nycha housing have a high burden of asthma morbidity, and complaints of mold and water damage in nycha homes have been common. In 2019, nycha implemented 'mold busters', an innovative new program to effectively remediate mold in NYC's public housing using better tools of assessment, enhanced staff training, new accountability procedures for quality assurance and a streamlined prioritization response system. The expectation is that this will substantially reduce mold exposure and decrease asthma exacerbations for nycha residents, specifically mold-allergic individuals. Demonstrating improved asthma outcomes resulting from this policy intervention would have a substantial public health impact. This project will bring together nycha, the NYC department of health and mental hygiene (dohmh), a community organization that provides asthma interventions in low-income housing and academic researchers to demonstrate improved resident health associated with this large-scale intervention by linking nycha data on mold work orders (which result from resident complaints), NYC dohmh data on NYC emergency department (ED) visits for asthma, public school data on asthma prevalence, and additional data collected by academic and community researchers on a subset of children living in nycha housing. IT will also address limitations of previous studies that lacked adequate measurement of fungi growing in homes and indicators of current fungal growth/activity, both of which can now be assessed with contemporary gene sequencing methods that may provide new insight into the spectrum of fungal bioaerosols that asthmatic children and adults are exposed to indoors. This proposal will test the hypotheses that this large-scale intervention will lead to a decrease in pediatric and adult asthma morbidity for residents and decreases in allergic fungal species in nycha homes using administrative data on pediatric and adult asthma ED visits and mold work orders in nycha homes and by assessing fungal exposure, allergic sensitization, and asthma morbidity in a sample of asthmatic children living in nycha housing. If successful, this project will demonstrate the utility of a large-scale public health intervention on asthma morbidity among low-income NYC residents, a community with a high asthma burden.

Transactions

Action Federal Non-federal Date
Amendment $0 $0
Amendment $560,598 $0
Amendment $572,750 $0
Amendment $574,468 $0
Amendment $574,468 $0
Amendment $583,127 $0
Amendment $583,127 $0
Amendment $657,375 $0
Original award $657,375 $657,375

Subawards

Subrecipient Amount Awarded
City Of New York Scope of Work Fungal contamination is common in urban homes and disproportionately affects lower-income families who have less control over conditions that… $34,662
Little Sisters Of The Assumption Family Health Service, Inc. LSA Family Health Service As a collaborating site partner, LSA Family Health Service will be responsible for the development, implementation, and management… $112,412
The Ohio State University "Project Description (including objectives, tasks, and deliverables as applicable): The role of Ohio State in this project is to analyze samples, conduct data… $71,518
City Of New York 􀀾􀀵􀀨􀀰􀀤􀀬􀀱􀀧􀀨􀀵􀀃􀀲􀀩􀀃􀀷􀀫… $18,238
The Ohio State University SubPI Name: Dr. Karen Dannemiller Project Description (including objectives, tasks, and deliverables as applicable): The role of Ohio State in this project is… $26,790
The New York Academy Of Medicine Mold Policy Intervention in New York City Housing and Asthma Morbidity New York Academy of Medicine Scope of Work ï‚· Assistance with study design,… $25,465
The New York Academy Of Medicine ï‚· Assistance with study design, analyses, interpretation of findings, and drafting of reports and manuscripts. ï‚· Participate in study calls and… $25,726

Quick answers

Who received award R01ES033267?

R01ES033267 was awarded to The Trustees Of Columbia University In The City Of New York by National Institute of Environmental Health Sciences (National Institutes of Health) on September 10, 2021.

How much is award R01ES033267 worth?

$5,420,663 has been obligated on R01ES033267: $4,763,288 in federal funding and $657,375 in non-federal funding.

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