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    Better Indoor Air Quality forChild Care Centers

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    What is Indoor Air Quality?

    1. the temperature, humidity, ventilation, andchemical or biological contaminants of the airinside a building.

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    Indoor Air Quality

    Indoor air can be 5 times more polluted thanoutside air (in some cases 100 times)

    Products used anywhere in the building affectall the occupants

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    7 Principles to Make Indoor

    Environments Healthy

    Keep it:Dry

    VentilatedMaintainedCleanClutter-freePest-freeContaminant-free

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    What Affects Indoor Air Quality?

    Office equipment (copiers, laminators)

    Deferred maintenance (mold, water leaks)

    Combustion products (tobacco smoke,carbon monoxide)

    Radon

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    What Affects Indoor Air Quality?

    Cleaning products and processes

    Pests and pesticides, pet dander

    Scented products (perfumes, candles,

    air fresheners, fragrances)

    Other chemicals, aerosols

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    Regulations Require

    Protection from toxic substances

    use of nontoxic art and play materials

    Daily cleaning of the licensed space

    No devices that diffuseairborne chemicals suchas anti-pest strips,air fresheners andaerosol sprays

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    Regulations Require

    Pest-free environment

    Integrated pest managementprogram

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    Children Are More Sensitive

    Children are at greater risk than adultswhen exposed to toxins because They process toxins more slowly than adults

    Their rapidly developing systems are moresensitive to the effects of toxins

    They live and play close to theground where toxic residuescollect in air and dust

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    Children and Toxins

    Childhood exposures to chemicals in theenvironment are associated with*

    Asthma Attention deficit hyperactivity disorder (ADHD)

    Autism

    Cancer

    Learning disabilities Mental retardation

    * In Harms Way: Toxic Threats to Child Development, Greater Boston Physicians for Social

    Responsibility, 2000

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    Cleaning for Health

    Cleaning without adversely affecting the healthof the user, other building occupants and the

    environment.

    Health first!

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    Why Switch to Green Cleaning?

    Research tells us that frequent users ofconventional cleaning and disinfecting

    products have Higher levels of occupational asthma

    Their children may have a greater risk ofdeveloping asthma when exposed in utero

    Studies of Health Impacts Associated with Cleaning ProductsInformed Green Solutions,http://www.informedgreensolutions.org/?q=

    publications/studies-health-impacts-associated-cleaning-products

    http://www.informedgreensolutions.org/?q=publications/studies-health-impacts-associated-cleaning-productshttp://www.informedgreensolutions.org/?q=publications/studies-health-impacts-associated-cleaning-productshttp://www.informedgreensolutions.org/?q=publications/studies-health-impacts-associated-cleaning-productshttp://www.informedgreensolutions.org/?q=publications/studies-health-impacts-associated-cleaning-products
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    Why Switch to Green Cleaning?

    The Environmental Working Group tested 21 commonproducts used in California schools. They found:

    457 chemicals were emitted into the air 6 known asthmagens

    11 known, probable or possible cancer-causingagents and

    Others endocrine disruptors-health effects are unknown

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    Cleaning

    ProductsAir

    ContaminantsIngredients

    DisclosedAsthmagens

    DetectedCarcinogens

    Detected

    Comet

    Disinfectant

    Powder

    Cleaner

    146 6 1 7

    FebreezeAir Effects

    89 3 0 1

    Simple

    Green93 1 3 3

    Pine-Sol

    Cleaner

    18 3 1 1

    Citrus

    Scrub 90

    56 3 0 1

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    Asthma

    1 out of every 8 school-age child in VT has beendiagnosed with asthma

    1 in 20 children has been hospitalized overnight for

    asthma Childhood deaths due to asthma have tripled in the

    past 15 years

    Asthma costs society $56 billion per

    year in medical and indirect costs*

    Trends in Asthma Morbidity and Mortality:http://www.lungusa.org/atf/cf/{7A8D42C2-FCCA-4604-8ADE-7F5D5E762256}/ASTHMA1/PDF

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    Asthma and Cleaning Products

    Common asthmagens

    Ammonia

    Bleach (respiratory irritant) Disinfectant ingredients

    Quaternary ammonium compounds

    Fragrance ingredients

    Volatile organic compounds (VOCs)

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    Volatile Organic Compounds

    A substance that evaporates (becomes avapor) or off-gases at room temperature.

    Found in aerosol products, paints, cleaners,disinfectants, pesticides, new carpeting,gasoline, furniture, scented candles and otherscented products.

    VOCs are also associated with cancer.

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    Endocrine Disrupting Chemicals

    Common ingredients in conventional cleaningand pesticide products:

    All-purpose cleaners Hand soaps

    Floor care products

    Fragrances Insect sprays

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    Endocrine Disrupting Chemicals

    Girls are entering puberty earlier six years old

    Birth defects in boys deformed genitals

    Phthalates found in

    plasticizers, vinyl,scented products,sealants etc.

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    Routes of Exposure

    Breathing Skin

    Mouth Eyes & Nose

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    Acute Health Effects

    Eye, Nose, Throat Irritation

    Nausea, Vomiting

    Stomach Ache, Diarrhea Skin Irritation, Rash

    Dizziness, Tremors, Muscle Weakness

    Headaches

    Blurred Vision

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    Chronic Health Effects

    Birth Defects

    Cancer

    Decreased Fertility Hormone Disruption

    Immune System Damage

    Mutation Nervous System Damage

    Organ Damage

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    Regulations Require A hospital-grade disinfectant for:

    Hard surfaces

    Bathrooms, door knobs, table tops, diaperingareas

    A food-grade disinfectant for:

    Mouthed toys, anything children may betouching frequently

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    Disinfecting Issues

    Links between disinfectants, superbugs andantibiotic resistance

    Improper use of disinfectants

    Use only where required by regulation or ifthere is an infectious disease

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    Disinfecting Issues

    Organism Kill Time

    Pseudomonas aeruginosa 30 seconds

    Mycobacterium tuberculosis(TB)

    4 minutes

    Staphylococcus aureus(MRSA) 1 minute

    Label Directions Spray 6-8 inches from surface untilsurface is thoroughly wet. Allow thisproduct to remain wet for contacttime listed. Then wipe. For heavily

    soiled areas, a pre-cleaning isrequired.

    Toxicity Signal Word CAUTION

    HMIS Health Rating 0

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    Consult the Label & EPAs Website

    Listings of EPAs

    registered

    antimicrobial products for

    specific diseases:http://www.epa.gov/oppad

    001/chemregindex.htm

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    Identifying Safer Products

    Active Ingredients Signal Words:

    DANGERPOISONWARNING

    CAUTION

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    Aviso

    Precaucin

    Peligro

    Veneno del

    Peligro

    High lyhazardous

    DANGERPOISON

    DANGER

    WARNING

    Severe EyeDamage or

    Sk in I r r i ta t ion

    Sl ight lyhazardous

    Moderate lyhazardous

    Source: PSU Pesticide Education Program

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    Identifying Safer Products

    Disclose ALL ingredients on label

    No harsh Signal Words on label:

    Poison, Danger, Warning, Caution Plant or bio-based ingredients

    pH Neutral (~7)

    Non-aerosol

    No overwhelming chemical odor

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    Identifying Safer Products

    Third-party certified

    Green Seal

    EcoLogo

    EPAs Design forthe Environment

    http://www.cleanlink.com/graphics/products/07/414.jpghttp://images.google.com/imgres?imgurl=http://www.sealection500.com/images/Logos/echoice.png&imgrefurl=http://www.sealection500.com/environmentalchoice.htm&h=287&w=287&sz=24&tbnid=-mjhOjvwmMa7ZM:&tbnh=110&tbnw=110&hl=en&start=1&prev=/images%3Fq%3Denvironmental%2Bchoice%26svnum%3D10%26hl%3Den%26lr%3D%26rls%3DGGLC,GGLC:1969-53,GGLC:en%26sa%3DNhttp://images.google.com/imgres?imgurl=www.gen.gr.jp/logo/usa.gif&imgrefurl=http://www.gen.gr.jp/USA.html&h=178&w=184&prev=/images%3Fq%3Dgreen%2Bseal%2Blogo%26svnum%3D10%26hl%3Den%26lr%3D%26ie%3DUTF-8%26oe%3DUTF-8%26sa%3DG
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    Cleaning for Health Principles

    Keep the dirt out

    Use less-toxic, third-party certified,cleaning products and hand soaps

    Disinfect only in high-risk areas orwhere required by law

    Update and maintain cleaningequipment

    Breathe easier avoid scentedproducts, clean doesnt have a smell

    31

    http://images.google.com/imgres?imgurl=http://www.sealection500.com/images/Logos/echoice.png&imgrefurl=http://www.sealection500.com/environmentalchoice.htm&h=287&w=287&sz=24&tbnid=-mjhOjvwmMa7ZM:&tbnh=110&tbnw=110&hl=en&start=1&prev=/images%3Fq%3Denvironmental%2Bchoice%26svnum%3D10%26hl%3Den%26lr%3D%26rls%3DGGLC,GGLC:1969-53,GGLC:en%26sa%3DN
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    Integrated Pest Management

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    What Is A Pesticide?

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    _____ - cide means to kill

    Rodenticide (kills rodents)

    Insecticide (kills insects)

    Herbicide (kills plants)

    Anti-microbials (kills germs)

    34

    What Is A Pesticide?

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    Disinfectants and sanitizers (e.g. Bleach)

    Cockroach sprays and baits

    Rat and other rodent poisons

    Products that kill mold and mildew

    Anti-microbials (e.g. anti-bacterial hand soap)

    35

    Indoor Products That Are Pesticides

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    Findings included:

    Residues of pesticides left ontabletops, desks and floors

    75% of centers used pesticides

    36

    National Survey of Environmental Health

    in Child Care Centers (2006)

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    Did You Know?

    Top 10 exposures for children

    under the age of 6

    Pesticides are ranked # 8

    37

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    Integrated Pest Management (IPM)

    Manages pest problemsby

    Using non-chemical approaches

    (cleaning, traps, barriers) Using least-toxic pesticides when

    necessary (baits, gels)

    Eliminating the use of harmful pesticides(aerosols, foggers, sprays)

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    How Do We Control Pests?

    1.Exclusion

    Seal up entry ways

    Remove pests food, water & shelter2. Inspect and Monitor

    3. Identify Pests

    4. Manage Existing Problems

    Routine spraying is not a part of IPM!

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    Check for entry points

    in the foundation..

    Fill all holes like

    these

    40

    Keep Pests Out

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    Sanitation

    Keep dumpsters tightly closed and away fromthe facility

    Store food and materials in pest proofcontainers (plastic tubs for materials)

    Clean up spills and food immediately

    Vacuum on a daily basis

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    Clutter provides lots of

    hiding spots AND

    covers up evidence of a

    growing problem.

    Yes, that is a

    roach.

    42

    Remove Pests Shelter

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    DONT

    WAIT

    FOR THIS!

    USE AN EARLY

    WARNING SYSTEM!

    43

    Monitor for Pests

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    Use multiple methods to address existingpest problems (take an IPM approach)

    Realize the same methods may not work fordifferent pests

    Once the pest problem is under control, usepreventative measures to keep it from

    reoccurring

    44

    Treat Existing Pest ProblemsSafely

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    Asthma Cancer

    Neurological damage(ADHD) Immune system damage Endocrine disruption

    Damage to wildlife and theenvironment

    Cancer

    Develop

    -mental

    MCS

    Insect

    Resist-ance

    Allergies Brain

    Damage

    Infertility

    Asthma

    Birth Defects

    45

    Effects of Pesticides

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    Benefits of Green Cleaning and IPM

    Prevents exposures for users

    Protects the health of children and otherhome occupants

    Reduces the impact on the physicalbuilding

    Protects the environment

    Improves indoor air quality

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    EPA Healthy Child Care Website - http://epa.gov/childcare/ Environmental Working Group -

    http://www.ewg.org/schoolcleaningsupplies/cleaningsuppliesoverview

    Special thanks to the following for use of power point slides: Association of Vermont Recyclers, Healthy Homes, Clean Waters

    Penn State Integrated Pest Management Program, Healthy Air,Space, Children http://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionals

    University of California, San Francisco School of NursingsCalifornia Childcare Health Program, IPM Presentation -http://www.ucsfchildcarehealth.org/html/pandr/trainingcurrmain.htm

    Resources

    http://epa.gov/childcare/http://www.ewg.org/schoolcleaningsupplies/cleaningsuppliesoverviewhttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://www.ucsfchildcarehealth.org/html/pandr/trainingcurrmain.htmhttp://www.ucsfchildcarehealth.org/html/pandr/trainingcurrmain.htmhttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://extension.psu.edu/ipm/childcare/training-materials-for-childcare-professionalshttp://www.ewg.org/schoolcleaningsupplies/cleaningsuppliesoverviewhttp://epa.gov/childcare/
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    Informed Green Solutions

    For more information contact:

    Carol Westinghouse

    [email protected]

    www.informedgreensolutions.org

    802-626-8643Funding for this project was provided by

    the Northeastern IPM Center.

    mailto:[email protected]:[email protected]