An Intervention to Reduce Residential Insecticide Exposure during Pregnancy among an Inner-City Cohort

Williams, Megan; Barr, Dana Boyd; Camann, David; Cruz, Linda Ali; Carlton, Elizabeth J.; Borjas, Mejico; Reyes, Andria; Evans, D; Kinney, Patrick L.; Whitehead, Ralph D.; Perera, Frederica P.; Matsoanne, Stephen; Whyatt, Robin M.

doi:10.1289/ehp.9168

Cited by 35 publications

(28 citation statements)

References 23 publications

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“…30, 40 IPM includes carefully assessing the presence and location of roaches, removing food sources through proper food storage and cleaning (in some cases, professional cleaning), educating residents, repairing structural defects that allow roaches to gain access, applying low-toxicity gel-bait pesticides as needed, and monitoring and continuing intervention until roaches are eliminated.…”

Section: Resultsmentioning

confidence: 99%

Housing Interventions and Control of Asthma-Related Indoor Biologic Agents

Krieger

Jacobs

Ashley

et al. 2010

Journal of Public Health Management and Practice

141

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Subject matter experts systematically reviewed evidence on the effectiveness of housing interventions that affect health outcomes, primarily asthma, associated with exposure to moisture, mold, and allergens. Three of the 11 interventions reviewed had sufficient evidence for implementation: multifaceted, in-home, tailored interventions for reducing asthma morbidity; integrated pest management to reduce cockroach allergen; and combined elimination of moisture intrusion and leaks and removal of moldy items to reduce mold and respiratory symptoms. Four interventions needed more field evaluation, one needed formative research, and three either had no evidence of effectiveness or were ineffective. The three interventions with sufficient evidence all applied multiple, integrated strategies. This evidence review shows that selected interventions that improve housing conditions will reduce morbidity from asthma and respiratory allergies.

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Section: Resultsmentioning

confidence: 99%

Housing Interventions and Control of Asthma-Related Indoor Biologic Agents

Krieger

Jacobs

Ashley

et al. 2010

Journal of Public Health Management and Practice

141

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“…While effective strategies to reduce exposure to cockroaches are available (especially integrated pest management), evidence of impact on asthma morbidity is currently lacking. [45][46][47] Single-component interventions also not very effective Similarly, the evidence for the effectiveness of single interventions on clinical outcomes is weak. While vacuuming and/or steam cleaning may reduce exposure to mites and pet allergens, most studies have not assessed or demonstrated clinical improvements.…”

Section: Interventions To Reduce Exposure To Triggersmentioning

confidence: 99%

Home is Where the Triggers Are: Increasing Asthma Control by Improving the Home Environment

Krieger

2010

Pediatric Allergy, Immunology, and Pulmonology

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Asthma remains the most common chronic condition of childhood. Strong evidence has linked exposure to allergens and other triggers commonly found in homes to allergen sensitization and asthma incidence and morbidity. A growing body of evidence has demonstrated that a home visit strategy that includes an environmental component that addresses multiple triggers through multiple interventions is effective. Such home visits reduce exposure to triggers, decrease symptoms and urgent health-care use, and increase quality of life. To make home visits widely available will require health-care payor reimbursement, government and health plan funding, training and certification of home visitors, and active referrals from health-care providers. However, a strategy based solely on education and behavior change is limited, because it cannot adequately reduce exposures due to adverse housing conditions. Therefore, approaches that address substandard housing are needed. These include remediation of existing housing and construction of new asthma-friendly homes. Most studies of remediation have made relatively narrow and focused improvements, such as insulation, heating, or ventilation. Outcomes have been mixed. Studies of new asthma-friendly homes are in their infancy, with promising pilot data. Further investigation is needed to establish the effectiveness of improving housing. A final strategy is improving housing quality through policy change, such as implementation of healthy housing guidelines for new construction, enhancement and increased enforcement of housing codes, and assuring smoke-free multi-unit homes. The combination of home visits, improved housing construction, and policy change has great potential for reducing the global burden of asthma.

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“…For example, a house that is cleaned on a daily basis will have a much lower pesticide residue concentration and potential for contact with pesticides than a house that is cleaned infrequently. Likewise, the pesticide residue concentration and potential for exposure to a bait is much less than to a fogger because of more widespread dispersion by a fogger in the home (Williams et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Multimedia measurements and activity patterns in an observational pilot study of nine young children

Tulve

Egeghy

Fortmann

et al. 2007

J Expo Sci Environ Epidemiol

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A pilot observational exposure study was performed to evaluate methods for collecting multimedia measurements (air, dust, food, urine) and activity patterns to assess potential exposures of young children to pesticides in their homes. Nine children (mean age ¼ 5 years) and their caregivers participated in this study, performed in the Duval County, Florida, in collaboration with the Centers for Disease Control and Prevention and the Duval County Health Department. For all nine children, the total time reported for sleeping and napping ranged from 9.5 to 14 h per day, indoor quiet time from 0 to 5.5 h per day, indoor active time from 0.75 to 5.5 h per day, outdoor quiet time from 0 to 1.5 h per day, and outdoor active time from 0.5 to 6.5 h per day. Each home had one to three pesticide products present, with aerosols being most common. Pesticide inventories, however, were not useful for predicting pesticide levels in the home. Synthetic pyrethroids were the most frequently identified active ingredients in the products present in each home. Fifteen pesticide active ingredients were measured in the application area wipes (not detected (ND) to 580 ng/cm 2 ), 13 in the play area wipes (ND-117 ng/cm 2 ), and 14 in the indoor air samples (ND-378 ng/m 3 ) and the socks (ND-1000 ng/cm 2 ). Cis-permethrin, trans-permethrin, and cypermethrin were measured in all nine homes. Chlorpyrifos was measured in all nine homes even though it was not reported used by the participants. All urine samples contained measurable concentrations of 3-phenoxybenzoic acid (3-PBA). The median 3-PBA urinary concentration for the nine children was 2.2 mg/l. A wide variety of pesticide active ingredients were measured in these nine homes at median concentrations that were often higher than reported previously in similar studies. These data highlight the need for additional observational studies in regions where pesticides are used in order to understand the factors that affect young children's exposures and the education/mitigation strategies that can be used to reduce children's exposures.

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An Intervention to Reduce Residential Insecticide Exposure during Pregnancy among an Inner-City Cohort

Cited by 35 publications

References 23 publications

Housing Interventions and Control of Asthma-Related Indoor Biologic Agents

Housing Interventions and Control of Asthma-Related Indoor Biologic Agents

Home is Where the Triggers Are: Increasing Asthma Control by Improving the Home Environment

Multimedia measurements and activity patterns in an observational pilot study of nine young children

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