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Atlanta Rising: An Analysis on the Climate Change Impacts and Resilience-Building in the City of Atlanta Columbia School of International and Public Affairs Energy and Environment Practicum – Atlanta Rising Ethan Tsai | Haeun Kim | Nobuhiro Arai | Rishi Chakraborty | Robert Paton | Yu Ann Tan

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Page 1: Atlanta Rising: An Analysis on the Climate Change Impacts ... · The impact of climate change on society over the past decades have been multidimensional. Increasing temperature,

 

 

  

   

Atlanta Rising: An Analysis on the Climate Change Impacts and Resilience-Building in the City of Atlanta  

         

    

   

  

Columbia School of International and Public Affairs Energy and Environment Practicum – Atlanta Rising 

Ethan Tsai | Haeun Kim | Nobuhiro Arai | Rishi Chakraborty | Robert Paton | Yu Ann Tan    

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Contents   Executive Summary --------------------------------------------------------------------------------------  3 

I. Introduction -------------------------------------------------------------------------------------- ● Climate Change Resilience in Urban Settings ● Low Income-Housing Communities ● The Office of Resilience Commitment to Building Energy Efficiency  ● Vulnerability Analysis ● Addressing the Importance of Resilience 

II. Background on Atlanta ------------------------------------------------------------------------ ● Current Outlook ● Key Agencies within Atlanta  

III. Identifying the Impacts of Climate Change on Atlanta ------------------------------- 

● Climate Change Projections and Implications ● Climate Stressors and Vulnerabilities - Asbestos, Lead, and Mold 

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IV. Mold in Atlanta ---------------------------------------------------------------------------------- ● The Urgency of Addressing the Mold Crisis ● Challenges of Addressing Mold Issues 

1. Infrastructure Issues (HVAC systems, age of buildings) 2. Building Materials and Structural Components 3. Personal Property 4. Decentralized Agencies 5. Principal-Agent Problems 6. Insufficient Data on Mold 7. Lack of Finance 

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V. Best Practices on Mold Issues Across the Cities ------------------------------------------ ● Raleigh, North Carolina ● New York City, New York 

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VI. Policy Strategies and Recommendation for Atlanta ------------------------------------  28 

  

Keywords: Low-income households | Mold | Climate Change Impacts | Affordable Housing 

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Executive Summary  The Office of Resilience of the City of Atlanta is an overarching division that supports the Mayor and                                   the City government to catalyze more equitable, sustainable programs, while also addressing the issue                           of social equity within the urban landscape. To strengthen the affordable housing mission of ‘One                             Atlanta’, the strategic blueprint of Mayor Bottoms’ administration, the Office of Resilience identified                         the quality of housing and energy burden as two key issues. In collaboration with the Rockefeller                               Foundation’s 100 Resilient city (100RC), our team supported the office to develop strategies                         enhancing resilience in low-income housing by: evaluating the impacts of climate stressors to existing                           vulnerabilities low-income housing infrastructure, investigating the current challenges that the city                     and its citizens face, and finally recommending potential policy routes that the City of Atlanta could                               undertake.   In order to identify existing vulnerabilities, project how climate change affects to those vulnerabilities,                           and recommend mitigation actions so that Atlanta can build its resilience against climate change, our                             team approached this project in three phases. In the first phase, we worked closely with 100RC and                                 the Office of Resilience to scoping the project by building framework. In the second phase, we                               conducted in-depth research where we narrowed the evolving vulnerabilities that Atlanta was facing                         into mold, asbestos, and lead, and concluded that the mold is the predominant factor that the city                                 should focus on. Finally, in our third phase, we conducted interviews with subject matter experts in                               both Atlanta and New York to better understand the mold issue in Atlanta, how it affects low-income                                 housing communities and what other cities are doing that they can learn from.   As such, through our research and findings, our team concluded that mold is an environmental                             stressor that is exacerbated by the impacts of climate change, such as increase of extreme weather,                               precipitation, and humidity, and that it is mostly only prevalent among low-income housing                         community. This highlights the relationship between climate change and social inequality.   The following pages of this report will go into detail, the methodology of how we pinpointed the                                 vulnerabilities in low-income housing communities. After, a discussion on the changing climate of                         Atlanta and how it exacerbates the mold issue. We then analyzed the effects of mold and how it is a                                       problem for low-income communities in Atlanta. In order to determine a recommendation, the team                           looked at two case studies, New York City Housing Authority and Raleigh, Carolina. Finally, we                             present a set of strategy recommendations that the Office of Resilience could consider moving                           forward.   It is essential that cities possess robust ways to managing the risks, in the era where environmental and                                   climate change impacts can halt urban and economic development, reduce the standards of living, and                             

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prevent social equality within a city. While Atlanta has much to work on in terms of mitigating climate                                   change effects, it is on its way to developing a stronger and more resilient city.    

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I. Introduction   Climate Change Resilience in Urban Settings The impact of climate change on society over the past decades have been multidimensional. Increasing                             temperature, rising sea levels, volatile weather patterns, and other changes have become the leading                           concern among many world leaders and organizations. As climate change impacts affect the human                           population, urban cities have become particularly vulnerable. Metropolitan areas around the world                       have experienced a greater need to address climate issues that would lead to destruction and casualties.   Within the United States, Atlanta is one of the many cities that has fallen victim to the impacts of                                     climate change. In order to combat against urban environmental issues, such as rising temperature,                           flooding, and increasing humidity, the city has fostered a vision to develop resilience against climate                             change through their Atlanta Resilience Strategy. To do this, they would have to first identify their                               most important problems and determine the best ways to tackle such challenges.    1

 As such, to support the resilience building of Atlanta, our team, with the support of 100RC, will be                                   investigating the vulnerabilities that the city faces, and determine how the impacts of climate change in                               low-income housing communities can be mitigated.   Low Income-Housing Communities While the effects of climate change are ubiquitous, it is not felt equally. Some populations, particularly                               low-income areas and communities of color, would be the first groups to experience such impacts. As                               they are already overburdened by poor housing infrastructure, economic conditions, and poor access                         to health, the consequences of climate change will worsen their livelihoods. Furthermore, the threats                           of climate change are expected to compound existing vulnerabilities among low-income communities,                       such as impairment to water and sanitation systems, humidity damages, and flooding.   Given the preexisting conditions, lower-income and other marginalized communities have lower                     capacity to adapt to extreme weather and climate-related events. As such, it is important to help these                                 communities build resilience to the growing threat of climate change. Prioritizing adaptation actions                         for the most vulnerable populations would contribute to a more equitable future for communities                           across Atlanta.   The Office of Resilience Commitment to Building Energy Efficiency Energy efficiency make communities resilient by strengthening energy systems and providing reliable                       and affordable energy to households and businesses. Its potential in building resilience could be seen in                               

1 “Resilient Atlanta: Actions to Build a Equitable Future.” 100RC, Mayor’s Office, and Office of Resilience. 2017.  

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a circular system. Energy efficiency could also help alleviate low-income households by addressing                         energy burden, economic volatility, and most importantly, the community’s capacity to cope with the                           effects of climate change. Given Atlanta’s commitment towards energy efficiency, this research will                         also bridge and highlight ways of how the city could improve their energy efficiency measures while                               primarily addressing climate change impacts.   Vulnerability Analysis As we research the impact of climate change on the vulnerabilities of Atlanta, it is important to first                                   define and breakdown the term, “vulnerabilities”.   The term vulnerability could have multiple meanings depending on its interpretation and context.                         Given the City’s effort in building resilience so that citizens are protected from the impact of climate                                 change and the social inequality that comes from it, the research will focus on the vulnerabilities                               associated to the people. The definition of vulnerability in this research is as follows:   

“Vulnerability refers to the degree to which people or the things they value are susceptible to, or are                                   unable to cope with, the adverse impacts of climate change. Thus, vulnerability determines how                           severe the impacts of climate change might be.”   2

 As the vulnerability is a result of complex interaction of various factors, our team further developed                               the analytic framework to diagnose the vulnerabilities that the City would experience. The research                           will look into the vulnerabilities with the lens of: 1. exposure to climate stressors, 2. severity of impact                                   by such exposure, and 3. ability to adapt - to calibrate the impacts and to devise the solutions.    3

 1. Identifying the exposure to climate stressors: Project climate change scenarios and define which                         

vulnerabilities are expected to be aggravated with climate stressors in the city of Atlanta. For                             example, the increase of flooding and humidity are all environmental impacts that would lead                           to worsening the vulnerabilities, such as mold, within the city.  

2. Measuring the sensitivity to the impacts: Scoping the population and areas affected and                         diagnosing the degree of severity by looking into the physical outlook of low-income building                           infrastructures. In other words, this report will observe how the existing vulnerabilities,                       coupled with climate stressors, affect low-income households.  

3. Improving the ability to adapt: Creating adaptation measures by understanding the City’s and                         target population’s current ability and capacity.  

 

2 Brent Yarnal, “Human Vulnerability to Climate Impacts,” Penn State College of Earth and Mineral Sciences, https://www.e-education.psu.edu/geog438w/node/252 3 IBID

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 Visual: The Vulnerability Framework 

  Addressing the Importance of Resilience  The increasing effects of climate change, such as extreme weather, is aggravating the risks and stresses                               within urban cities. To neglect such changes could result in endangering the public’s safety and                             livelihood. Furthermore, the failure to anticipate such impacts can lead to missed opportunities for                           effectively managing the risks of climate change.   As such, proper resilience building among the various agencies and stakeholders within Atlanta could                           help the communities prepare for varied climate-related threats. It is especially important for the city                             to support the low income housing stock as these communities face old infrastructural issues and                             inefficient energy usage. Furthermore, the vulnerabilities due to climate change have exacerbated                       specific factors within low income neighborhoods, such as mold issue, asbestos, and lead poisoning (as                             discussed later in our report).   By identifying the vulnerabilities - mold issues, asbestos, and lead poisoning - the City of Atlanta could                                 start to plan sustainable programs that could support low-income households in dealing with these                           vulnerabilities. In this report, we will highlight one of the aforementioned vulnerabilities as a core                             strategy for alleviating the burden of low-income communities, so that there is greater potential for the                               city to flourish in the future.       

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II. Background on Atlanta    Current Outlook As the capital and the most populous city in the state of Georgia, Atlanta is the 38th most populous                                     city in the United States with a population of 486,290 people. Based on Gini coefficients calculated                               4

by the U.S. Census Bureau, Atlanta also has the highest income inequality among U.S. cities with a                                 population greater than 250,000. Although Atlanta’s per capita income of USD 40,595 (as of 2017) is                               5

higher than the U.S. national average per capita income of USD 31,177, the median household income                               in Atlanta is USD 51,701 and lower than the U.S. national average median household income of USD                                 57,652. In addition, Atlanta’s poverty rate of 22.4 percent is far higher than the U.S. national average                                 6

poverty rate of 12.3 percent . Atlanta also ranks the 4th highest in median energy burden levels in the                                     7

U.S., and 3rd highest among low income household populations.  8

 According to our research and information provided by 100 Resilient Cities, the zip codes of 30310,                               30311, and 30314 in Southwestern Atlanta predominantly consist of low-income households that are                         particularly vulnerable to the impacts of climate change in the metropolis. As of 2016, the three zip                                 codes of 30310, 30311, and 30314 feature in the top ten neighborhoods with the highest poverty rates                                 in Atlanta (32.2percent , 35.3 percent , and 34.7 percent respectively). In 2017, per capita income                               91011

in these three zip codes ranged from USD 13,178 to USD 18,291 (compared to the city-wide average                                 per capita income of USD 40,595 for Atlanta). In addition, the three zip codes also rank among the                                   12

top five neighborhoods with the highest energy burden in Atlanta. The majority of housing units in                               13

these zip codes is more than 50 years old, on average, which results in poor insulation, inefficient                                 heating and cooling, and high energy use. More so, 90 percent of government assistance to these                               14

households is through direct bill payment of utilities and only 10 percent on weatherization measures                             

4 “American Fact Finder.” US Census Bureau. 5 Foster,S, and Lu, W. (2018). “Atlanta Ranks Worst in Income Inequality in the U.S.” Bloomberg. See  https://www.bloomberg.com/news/articles/2018-10-10/atlanta-takes-top-income-inequality-spot-among-american-cities 6 “Quick Facts.” US Census Bureau. See https://www.census.gov/quickfacts/fact/table/atlantacitygeorgia/INC110217 7 IBID 8 “The Low-Income Energy Burden of Atlanta Households.” Gerogia Tech. See: https://cepl.gatech.edu/projects/low_Income 9 “30310 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30310.html 10 “30311 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30311.html 11 “30314 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30314.html 12 IBID 13 “The Low-Income Energy Burden of Atlanta Households.” Gerogia Tech. See: https://cepl.gatech.edu/projects/low_Income 14 “30310 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30310.html, “30311 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30311.html, “30314 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30314.html  

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that improve the resilience of units, which highlights their vulnerabilities to current and future climate                             change risks.  15

 The City of Atlanta’s current mayor is Keisha Lance Bottoms from The Democratic Party. In 2018,                               she took over from Mayor Kasim Reed, who had a strong record of making Atlanta a U.S. leader in                                     fighting climate change and prioritizing resiliency. In 2017, for instance, Mayor Reed pledged that                           Atlanta will continue to honor the commitments laid out in the Paris Climate Agreement. The                             Mayor’s Office also has an executive office labeled the Mayor’s Office of Resilience, whose duty is to                                 combat Atlanta’s 21st century problems pertaining to climate change and low-income housing.  In 2017, along with 100 Resilient Cities, the City of Atlanta published “Resilient Atlanta: Actions to                               Build an Equitable Future,” which includes a comprehensive and actionable set of Visions, Targets,                           and Actions that addresses the region’s most pressing stresses and seeks to build capacity among                             residents and city systems alike to better withstand future shocks. In particular, “Vision 3: Build Our                               16

Future City Today” includes Target 3.1, which aims to improve quality, access, and distribution of                             affordable housing in Metro Atlanta, and Target 3.5, which aims to install sustainable energy- and                             water-efficient infrastructure improvements in public spaces and around 500 homes and businesses                       each year. These goals incorporate policy targets to increase resilience and reduce the vulnerabilities                           17

of Atlanta’s low-income housing to the impacts of climate change. In addition, the City of Atlanta’s                               Climate Action Plan of 2015 also includes the following four major goals:  18

 ● Reduce energy consumption in commercial buildings by 20 percent by 2020 and 40 percent by                             

2030; ● Reduce energy consumption in residential buildings 20 percent by 2020 and 40 percent by 2030; ● Reduce GHG emissions produced by transportation 20 percent by 2020 and 40 percent by 2030; ● Increase waste diversion rate to landfills up to 80 percent by 2020.   Key Agencies within Atlanta  The Office of Resilience of the City of Atlanta is an overarching division that supports the Mayor                                 and the City government departments to catalyze more equitable, sustainable programs. The resilience                         

15 “Energy and Weatherization Assistance Programs.” (2009). Smith and Lehmann Consulting. See: https://dwss.nv.gov/uploadedFiles/dwssnvgov/content/Energy/2009percent 20Programpercent 20Yearpercent 20Evaluation.pdf 16 “Resilient Atlanta: Actions to Build an Equitable Future.” (2017). 100 Resilient Cities. See: http://www.100resilientcities.org/wp-content/uploads/2017/11/Atlanta-Resilience-Strategy-PDF-v2.pdf 17 IBID 18 “City of Atlanta Climate Action Plan.” (2015). See: https://atlantaclimateactionplan.files.wordpress.com/2016/02/atlanta-climate-action-plan-07-23-2015.pdf 

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that the Office pursues is people focused. The office believes that the social equity and sustainability                               are what consist of resilience, hence the Office addresses resilience issues in tandem with social equity.   In May 2018, Mayor Bottoms announced the establishment of ‘One Atlanta,’ the City’s first Office of                               Equity, Diversity and Inclusion, where the issue of affordable housing is one of the major agenda. The                                 Office of Resilience was asked to jointly work for the affordable housing issues with other agencies                               such as Invest Atlanta, Atlanta BeltLine, and their Housing Authority. The Office of Resilience                           identified the quality of housing and addressing energy burden as two key issues to be addressed to                                 achieve the pledge on housing affordability, which will be included in the the Action Plan that has                                 been worked on under the guidance of Chief of Housing Officer, Terri Lee.   The Office of Resilience now focuses on scoping the causes of low-quality housing and energy                             efficiency in especially low-income housings. To develop the strategies to enhance resilience in                         low-income housing, the Office is also looking for the most effective and efficient ways to achieve the                                 goal.   The Housing Authority of the City of Atlanta (AH) is the largest housing authority in Georgia                               and one of the largest in the nation. AH administers the Section 8 Moderate Rehabilitation Program                               (Mod Rehab), a unit-based rental subsidy program for low and moderately low-income individuals                         and families, and provides affordable housing resources for nearly 22,000 low-income households                       comprised of approximately 50,000 people.    19

 Housing Choice Voucher Program (HCVP) is the most featured program that AH runs, where using                             the voucher, the selected families can choose the housing among the listed properties with the                             assurance that they will not have to pay more than 30 percent of their adjusted income toward rent.                                   Property owners/landlords own and manage the facilities and enter into landlord-tenant relationships                       with assisted families.  AH established the Enhanced Inspections Standards to ensure that all HCVP participating units and                           the surrounding neighborhood are suitable for HCVP residents. Once a property owner determines                         that their unit meets all of the criteria listed in the Enhanced Inspections Standards Checklist, they can                                 select an HCVP prospect and submit the Request for Tenancy Approval (RTA).  AH gives incentives to the property owners to voluntarily improve the conditions of the property with                               a program called Rent Boost. With the Rent Boost, properties receive a $35 boost on the monthly rent                                   offer for each major system upgrade on electrical, HVAC, and energy efficiency, which accounts to a                               total of $105 per month.  20

19 Atlanta Housing Authority (https://www.atlantahousing.org/about-us/) 20 Atlanta Housing Authority (https://www.atlantahousing.org/developers-property-owners/) 

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 Department of Health, Georgia (DPH) is the lead agency in preventing disease, injury and                           disability; promote health and wellbeing; and preparing for and responding to disasters from a health                             perspective. The main functions of DPH include: Health Promotion and Disease Prevention,                       Maternal and Child Health, Environmental Health, Emergency Preparedness and Response, the                     Office of Health Equity, and the State Public Health Laboratory. Through our analysis, the                             21

Department of Health’s goals in tackling the ‘climate exacerbated vulnerabilities’, such as mold, among                           low-income housing communities presents an avenue for cooperation with the Office of Resilience                         and AH.         

21 Georgia Department of Public Health Overview. Georgia Department of Public Health, dph.georgia.gov/about-dph) 

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 III. Identifying the Impacts of Climate Change on Atlanta   To gauge the climate change impacts to the resilience of Atlanta, the environmental changes that the                               climate change will bring, e.g. changes in average temperature, humidity, frequencies of extreme                         weather events should be understood prior to diagnosing how the society will be impacted by such                               changes. In this chapter, we project how the climate condition in Atlanta will evolve, and how those                                 environmental changes can affect to the existing vulnerabilities within the City.   Climate Change Projections and Implications Based on the historical data of the climate and weather changes in Atlanta, our team ran the regression to project the development of climate change stressors by calculating the slope and the intercept of the average changes. The followings are the results from the analysis:  

● General increase of average temperature per year, projecting into 2050: The first graph                         shows that the average temperature has generally increased from 1970 to 2018. The average                           temperature is expected to rise by 1°F, based on the regression line created by changes in the                                 average temperature.   

Graph I-1: Average Annual Temperature  22

  

         

Source:iWEATHERNET  

  

22 iWEATHERNET(https://www.iweathernet.com/atlanta-weather-records)

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 Graph I-2: Average Annual Temperature (prediction)  23

           

Source:iWEATHERNET  

 ● Increase in the number of hot days (95 °F or above): These three graphs show that Atlanta 

has surely experienced the increase in the number of hot days (95 °F or above) .   

Graph Ⅱ-1: Maximum temperature in the hottest month  24

  

          

Source:iWEATHERNET    

23 iWEATHERNET(https://www.iweathernet.com/atlanta-weather-records) 24 iWEATHERNET(https://www.iweathernet.com/atlanta-weather-records)

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 Graph Ⅱ-2: Increase in the number of days over 95 °F  25

        

    

Source:iWEATHERNET   

Graph Ⅱ-3: Minimum temperature in the hottest month  26

            

Source:iWEATHERNET  

 ● Decrease in the number of freezing dates: According to these graphs, the temperature has 

increased even in coldest month.   

25 iWEATHERNET(https://www.iweathernet.com/atlanta-weather-records) 26 iWEATHERNET(https://www.iweathernet.com/atlanta-weather-records) 

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Graph Ⅲ-1: Minimum temperature in the coldest month  27

  

  

     

  

Source:iWEATHERNET  

Graph Ⅲ-2: Decrease in the number of days with below freezing point  28

           

 

Source:iWEATHERNET         

27 iWEATHERNET(https://www.iweathernet.com/atlanta-weather-records) 28 iWEATHERNET(https://www.iweathernet.com/atlanta-weather-records)

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Graph Ⅲ-3: Maximum temperature in the coldest month  29

  

         

Source:iWEATHERNET  

● Increase of overall precipitation: Aggregate precipitation has been increasing based on data 

from the past 25 years, leading to an increase in the number of extreme rainfall events. ● Graph IV-1: Rainfall from 1996 to 2018 30

           

Source: NATIONAL WEATHER SERVICE  

● Increase of high intensity storms, leading to potentially more severe flooding : Global 31

warming is shifting rainfall patterns, making heavy rain more frequent.   

Table IV-1: Extreme weather events in Georgia 

29 iWEATHERNET(https://www.iweathernet.com/atlanta-weather-records) 30 NATIONAL WEATHER SERVICE(https://www.weather.gov/ffc/rainfall_scorecard) 31 US Department of Commerce, and NOAA. “Flooding in Georgia.” National Weather Service, NOAA's National Weather Service, 12 Mar. 2018, www.weather.gov/safety/flood-states-ga 

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Tropical Storm Alberto Flood, July 1994  Epic Flooding in North Georgia, September 2009 

Area Impacted: Central and Southwest Georgia Number of Fatalities: 33 (31 in Georgia, 2 in                 Alabama) Number of Injuries: Unknown Dollar Damage: $750 Million in Georgia, Alabama             and Florida 

Area Impacted: Atlanta Metro Area and Northwest Georgia Number of Fatalities: 10 Number of Injuries: Unknown Dollar Damage: $300 Million 

  Climate Stressors and Vulnerabilities - Asbestos, Lead, and Mold To address the climate change impact to low-income housing issues surrounding energy efficiency and                           housing equity, we looked into the vulnerabilities that the climate stressors would highly likely                           exacerbate. Through the literature reviews, we identified the existing infrastructure conditions that                       may affect quality housing (especially respect to public health) and addressing energy efficiency at                           low-income housings - asbestos, radon, lead, mold, other biologicals, wood smoke and other solid fuel                             emissions. From the list of problems, we selected asbestos, lead, and mold as the vulnerabilities that can                                 be worsened by the climate change stressors in Atlanta, and ultimately we chose mold as the salient                                 issue that the City of the Atlanta should address as its priority.   Given the increasing number of high impact events in the region of Atlanta (such as severe tropical                                 storms and tornadoes), compounded by higher average precipitation, humidity and temperatures - the                         deterioration of buildings has accelerated. Many construction defects have played a part in the rapid                             building deterioration in the fact of increasing environmental stressors. This includes:  

● Poor ventilation and poorly located/maintained HVAC systems; ● Faulty construction and maintenance of crawl spaces or inadequate building design to                       

withstand environmental stressors;  ● Failed technologies like flat roofs or fake stucco cladding without adequate caulking or                         

loose-fill insulation;  ● Incomplete basements exposed to saturated ground water conditions;  ● And faulty water intrusion/ leaks.   32

 There are many ways buildings become home to a toxic mix of microbes, fragments of microbes, and                                 harmful chemicals. These factors listed above help promote the growth of mold and increase the                             propensity to lead and asbestos exposure.   33

32 What Is a Water Damaged Building? | Surviving Mold. https://www.survivingmold.com/mold-symptoms/what-is-a-water-damaged-building. Accessed 12 May 2019. 33 Molds, Mycotoxins and More | Surviving Mold. https://www.survivingmold.com/mold-symptoms/molds-mycotoxins-more. Accessed 12 May 2019. 

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Lead poisoning occurs when individuals are exposed to materials such as contaminated paint or fine                             dust particles, which builds up in the body over time. Even low levels of lead can cause serious health                                     concerns. Children under the age of 6 are especially vulnerable to lead poisoning, which can severely                               affect mental and physical development. At higher levels, lead poisoning can damage kidneys and the                             nervous systems; and in rare cases be fatal. Exposure to lead usually comes in the the form of lead-based                                     paint - something that is highly prevalent in older homes. This is significant as the average age of homes                                     in the communities are approximately fifty years old. Lead-based paints were only banned in 1978 and                               even if repainted, houses might still have base layers of lead-based paint. Lead was also commonly used                                 to solder pipes and to build household plumbing mechanisms. With the increased frequency of high                             impact climate events - the chances that materials which contain lead are disturbed is much higher -                                 increasing the risk of lead transmission into the air and water system.   

 34

 According to the Center for Disease Control (CDC), twenty-four million homes in the U.S.                           contained deteriorated lead-based paint and 535,000 children under the age of five have blood lead                             levels high enough to damage their health. In 2014, more than 2,500 children tested positive for lead                                 35

in Georgia. Children are especially susceptible because their bodies easily absorb lead, harmful to their                             developing organs. According to the Georgia Department of Public Health, even low levels of lead                             36

can be harmful to children. Pregnant and breastfeeding women are also at risk of passing along high                                 levels of lead exposure.  37

 Asbestos, similar to lead, exposures comes with severe health risks. Asbestos exposure occurs when                           microscopic asbestos fibres become airborne and are then inhaled or ingested by an individual. No                             38

34 US EPA, OCSPP. “Protect Your Family from Exposures to Lead.” US EPA, 12 Feb. 2013, https://www.epa.gov/lead/protect-your-family-exposures-lead 35 Hoff, Valerie. “ 2,500 Georgia Children Test Positive for Lead Exposure.” 11 Alive, 11 Alive, 29 Apr. 2016, www.11alive.com/article/news/local/2500-georgia-children-test-positive-for-lead-exposure/159845471. 36 Ibid. 37 Ibid. 38 “Asbestos Exposure | Occupations, Products & Jobsite Health Risks.” Mesothelioma Center - Vital Services for Cancer Patients & Families, https://www.asbestos.com/exposure/

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level of asbestos exposure is considered safe, but most problems such as lung cancer and laryngeal                               cancer happen after years of repeated, long-term exposure. Asbestos is commonly present in walls in                             the form of insulation and was still commonly used in housing construction up until not too long ago.                                   When asbestos products start to deteriorate or are cut, sanded, drilled, or disturbed in any way, the                                 microscopic fibers become airborne. The higher frequency of high impact climate events threaten the                           structural foundation of houses, and increase the risk of asbestos fibres becoming airborne as a result                               of broken walls, roofs and foundation. Such extreme weather events also speed up the deterioration of                               already badly constructed old housing structures, thus further compounding the risks of asbestos                         exposure.   Molds are part of the natural environment and spores can be found both indoors and outdoors. Mold                                 does not usually pose a problem, unless mold spores land on a damp or wet spot and begin growing.                                     There are many types of mold but none of them will grow without water or moisture. Molds can                                   39

have a big impact on indoor air quality which in turn has a significant impact on overall health and                                     well being, especially since the general population now spends approximately 90 percent of their time                             indoors. Mold produces allergens, irritants, and in some cases, potentially toxic substances                       40

(mycotoxins). Inhaling or touching mold or mold spores may cause allergic reactions in sensitive                           individuals, and such responses include hay fever-type symptoms, such as sneezing, running nose, red                           eyes and skin rash (dermatitis).   The most common types of mold that are found indoors include Cladosporium, Penicillium,                         Alternaria, and Aspergillus. There is also Stachybotrys chartarum - also known as Stachybotrys atra or                             what is sometimes referred to as "black mold". Stachybotrys grows on household surfaces that have high                               cellulose content, such as wood, fiberboard, gypsum board, paper, dust, and lint and needs constant                             moisture for growth so only under “near wet” conditions usually where there has been persistent                             condensation or water leaks. It is perhaps important to note here however that, it is not necessary to                                   41

distinguish the strains of mold as it all pose health risks and implications for the integrity of the existing                                     infrastructure.     

39 US EPA, OAR. “A Brief Guide to Mold, Moisture and Your Home.” US EPA, 13 Aug. 2014, https://www.epa.gov/mold/brief-guide-mold-moisture-and-your-home. 40 Air Allergen. “Presentation for Georgia State University” 41 CDC - Mold - General Information: Facts about Stachybotrys Chartarum and Other Molds. 4 Dec. 2018, https://www.cdc.gov/mold/stachy.htm

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III. Mold in Atlanta  The Urgency of Addressing the Mold Crisis Tackling mold in Atlanta’s low income housing requires more urgency than addressing the lead and                             asbestos exposure problem and the main reason for this is its occurence. In the case of lead and                                   asbestos exposure, relatively serious structural damage such as broken tiles, walls and roofs is required                             in order for the building integrity to be compromised to a level that lead and asbestos exposure                                 becomes a problem. The incidences of lead and asbestos occuring in the structural makeup of housing                               is also lower than compared to mold as mold can be found everywhere, whereas materials that contain                                 the former are not always used in construction. The conditions for which mold can grow to become                                 42

a problem are a lot easier to achieve than the conditions for which lead and asbestos exposure becomes                                   a threat. It is much easier to have a mold problem than to have a lead or asbestos problem.  

 Graph: Prevalence of Asthma  43

 Furthermore, there is a strong public health case for the eradication of mold. During our research and                                 field interviews, the significant negative impact that mold has on a population’s respiratory health was                             repeatedly underscored. As mentioned earlier, mold is ubiquitous in indoor and outdoor                       environments and has been associated with respiratory disease including childhood and adult asthma.                         A growing body of evidence from both human and animal studies has revealed a link between mold                                 

42 Johnson, Richard. Air Allergen.  43 Georgia Department of Public Health. Child Asthma Data Summary. Georgia Department of Public Health, 2017, dph.georgia.gov/sites/dph.georgia.gov/files/2016 CHILD ASTHMA DATA SUMMARY 08.2017.pdf 

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presence, especially indoor mold exposure with asthma initiation, persistence and exacerbation.                     44

Differences in asthma prevalence also exists according to demographic characteristics. The latest data                         published by the Department of Health for the year 2014 demonstrated that asthma prevalence was                             higher among children whose family annual household income was less than $25,000 than among                           children from families making $75,000 or more per year.   The nature of mold growth and the ways through which to contain and remedy it also encapsulate better maintenance and upkeep of living spaces which in turn could potentially also address lead and asbestos exposure problems.  Challenges of Addressing Mold Issues Atlanta faces many challenges in its fight to combat mold. In order to construct realistic and actionable solutions for the city, it is necessary to fully understand these issues from all angles. Climate change’s compounding effects on mold growth in Atlanta highlights the urgency of this challenge. 

 1. Infrastructure Issues (HVAC systems, age of buildings) Low-income housing tend to have certain structural characteristics that encourage mold growth -                         which in turn would compound the problem of shoddy construction and accelerate the rate of                             infrastructure deterioration. The problem is cyclical and one bad situation feeds into another bad                           situation.   Part of the city’s worsening mold problem can be attributed to the aging infrastructure, a                             phenomenon especially prevalent in low-income communities. As mentioned before, nearly 90                     percent of the new housing developments are high-end units, showing that very little investment is                             occurring in our target zip codes, much less in the public housing units, which experience the highest                                 rate of mold infestation per capita in Atlanta. Because of this lack of financial investment, the housing                                 units that are most prevalent here were built in the 1950s or earlier. The pipes, roofs, and walls of these                                       buildings are more prone to water damage from leaks than newer constructions. Mold only grows                             when moisture is present and the water intrusion problems prevalent in many of the households in                               these zip codes encourages this.   Other low-quality construction in low-income housing such as the high prevalence of drywall and                           other construction materials high in organic content, insufficiently contained insulation, poorly                     ventilated crawl spaces and basements, lack of humidity control mechanisms, lack of filtration                         mechanisms interact with the new environmental reality of higher humidity, temperatures and                       precipitation - to create a prime hotbed for mold growth.  45

44 Zhang, Zhonghua et al. “Fungal Exposure and Asthma: IgE and Non-IgE-Mediated Mechanisms.” Current allergy and asthma reports vol. 16,12 (2016): 86. doi:10.1007/s11882-016-0667-9 45Johnson, Richard. Air Allergen 

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 If mold is allowed to grow and spread in a home, a variety of physical damage can result, both to the                                         structure itself, and to the building’s fixtures and contents too.   2. Building Materials and Structural Components  Mold has the potential to cause serious structural damage as it feeds on and breaks down organic                                 matter. This is significant in the context of low-income housing as the construction material used                             tends to be of lower quality, a lot of it tends to contain high percentages of organic matter such as                                       wood in pillars and floors and paper in drywall and insulation.   46

 3. Personal Property In addition to compromising the structural integrity of the building, mold also destroys property                           within the home. A mold infestation eats away at paint, wallpaper, carpets, and fabric upholstery,                             which all compromises a house’s HVAC system. Once rooted, it is extremely difficult to completely                             eradicate a system or an environment of mold, and often items have to be disposed of and destroyed.   When viewed alone, old infrastructure is no emergency situation. When combined with the high                           rental rate in the area (thus creating the principal-agent problem), the lack of new affordable                             developments, and the increasingly favorable growth conditions for mold in Atlanta, it creates a                           perfect incubator in which mold can thrive.   4. Decentralised Agencies During our in-field research trip to Atlanta, the most striking revelation was the extent to which the                                 different city organizations, many of which share common goals, are isolated from one another and                             thus lack proper coordination. This challenge is not restricted to combatting the incidence of mold; in                               fact, the same phenomenon occurs with improving energy efficiency among low-income households.                       The methods to address both mold and energy efficiency sometimes overlap, and we will thus focus                               especially on these planning designs and inefficiencies. 

 The two principal city offices that deal directly with mold-related problems are the Georgia                           Department of Public Health (DPH) and the Atlanta Housing Authority (AH). There is an inherent                             disconnect between the two, and this is partly caused by the roles each is legally allowed to play in the                                       fight against mold.   AH is tasked with ensuring that low-income residents receiving housing subsidies are provided with                           safe and adequate housing units. If a tenant has a water leak and develops serious mold growth in the                                     unit, for example, he will contact the landlord to resolve the issue. If this does not occur, then the                                     tenant will contact AH who will then send an inspector to verify that the unit does not meet current                                     

46“Mold Warning Signs and Damage.” Findlaw, injury.findlaw.com/torts-and-personal-injuries/mold-warning-signs-and-damage.html 

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standards. Once this is verified, AH will then issue a timeline by which the landlord must fix the                                   problem, or they will lose their contract with AH and the family must find another housing unit in                                   which to live. They are not tasked to repair the issue themselves, but only to act as enforcers to ensure                                       landlords make necessary repairs to the unit when needed. One flaw in the process is that it is often in                                       the tenant’s best interest to not contact AH if the landlord is unresponsive. In the event their landlord                                   loses his/her contract with the city, it is up to the tenant to find another available housing unit in                                     which to live. This is problematic for a few reasons. Many of the tenants have children in school and a                                       move would likely entail changing school districts, thereby uprooting their families and lives. This is                             especially true for the public housing areas in Atlanta proper. There, rent prices are increasing at the                                 fifth highest rate in the U.S. This means that finding new landlords to sign up for the public housing                                     47

has become much more difficult, since landlords know they can receive more money from a                             market-rate tenants. New construction also reflects this lack of public housing supply, with more than                             87 percent of new developments being classified as high-end luxury apartments. This translates to a                             48

reality in which many public housing tenants choose to remain in their mold-infested apartments.  AH provides three financial incentives that costs $35 per month each, to participating landlords,                           which target either energy efficiency. The improvement of energy efficiency could have important                         secondary effects on mold. The first incentive is given if the landlord installs a more efficient HVAC                                 unit. HVACs play a critical part in combating mold through the circulation and dehumidification of                             air, so this boost provides multiple angles. The second is when the landlord upgrades the electrical                               efficiency of the unit. The third is given when he installs more energy efficient insulation and windows                                 in the unit. Although representing an additional $105 in the landlord’s pocket, our research shows that                               these boosts are not sufficient to change the landlord’s behavior on their own.   Paperwork is one significant barrier of entry. Multiple participating landlords with whom we spoke                           with expressed an annoyance at the amount of paperwork required to take part in the housing                               program at all, and to fill out additional paperwork for an extra $35 per month (after spending capital                                   to make the upgrades) is not sufficient for them to make what they view as unnecessary upgrades.                                 Instead, they say that after an event occurs that requires action (a window or HVAC unit breaks, mold                                   in insulation, etc), they make the repairs and then realize they qualify for the extra money per month.                                   Therefore, the incentives do not make a substantive impact on inspiring change in the housing units.    Having established that many tenants do not report unresolved mold issues to AH for fear of losing                                 their home, one would think that there would be other avenues that could cheaply and efficiently                               

47 Kanell, Michael E. “Atlanta Rent Growth Among Nation's Fastest.” AJC, The Atlanta Journal-Constitution, 27 Mar. 2018, www.ajc.com/business/atlanta-rent-growth-among-nation-fastest/fZ7DCMDwjEjiH004ZqzP1L/ 48 King, Michael. “New Report: 90% of New Apartment Construction in Metro Atlanta in 2017 Classified as 'Luxury'.” WXIA, 26 Sept. 2018, www.11alive.com/article/money/new-report-90-of-new-apartment-construction-in-metro-atlanta-in-2017-classified-as-luxury/85-598256469 

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resolve the problem. Unfortunately, however, mold treatment falls in a grey area of jurisdiction. For                             example, tenants believes that mold and breathable air falls under the code enforcement’s                         responsibility. However, the code enforcement pushes this as a public health issue. The State and                             county Health departments, on the other hand, have no means to enforce landlords to respond to                               their tenants’ mold concerns.  In May of 2013, the Georgia Department of Public Health developed a legislation that would require                               all landlords to uphold public health standards in their housing units (to include mold and lead                               concerns), however, the legislation was not approved. Because of this gap in jurisdiction, the tenant                             49

is forced with the following options: stay and suffer the health consequences, spend significant                           personal capital to upgrade the rental unit’s infrastructure themselves, report the issue to AH and                             attempt to find another public housing unit that does not also suffer similar issues, or forego the                                 public housing option and move into a market-rate apartment. None of these options are reasonable                             nor realistic to impose on a low-income family, and we have identified several key policy                             recommendations that will ease the burden on the tenants.  The Mayor’s Office of Resiliency is tasked with the formation of the types of policies that would                                 address both mold eradication and energy efficiency efforts throughout the city. Unfortunately, the                         office is severely understaffed, making multilateral coordination efforts with other agencies extremely                       difficult. They recognize the growing inequality in the city, the difficulties of making affordable                           housing issues both accessible and safe. However, they are also faced with the lack of manpower for                                 enacting structural changes that would lead to positive results. It is worth noting that these limitations                               are coming at a time when the current mayor has made public housing reforms a key part of her                                     initiatives. She pledged that the city will raise more than $1 billion to go towards retrofitting current                                 public housing stock, constructing new developments, and helping cash-poor residents stay in their                         homes. Without pinpointing the structural gaps and inefficiencies in the system, however, devoting                         more money to public housing will not have the impact the Mayor hopes. 

 5. Principal-Agent Problems Another problem that was briefly touched on was the principal-agent problem inherent in the                           landlord/tenant relationship. Because the only feasible option for the tenant has a negative                         consequence on their own life circumstances, the landlord has little motivation to quickly resolve the                             source of the mold issue themselves.   Mold infestation in a building’s ductwork or insulation is harder for a tenant to prove. Landlord often                                 allow the situation to continue as it poses little financial or legal threats. Mold has become such a cause                                     of landlord-tenant friction that, during eviction court cases, some judges have declared that using mold                             

49 Georgia Healthy Homes Strategic Plan. Georgia Department of Public Health, 13 May 2013, dph.georgia.gov/sites/dph.georgia.gov/files/related_files/site_page/EnvHealthLeadStrategicPlan.pdf 

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exposure in their defense is unlikely to help the tenants. The legal system expects tenants to have                                 50

acquired mold test results (at their own expense), medical records showing mold-related damage to                           their health, as well as testimony from a mold expert. All of these factors combine to put the power in                                       the hands of the landlord, with little motivation to address mold complaints nor proactively retrofit                             their housing units. 

 6. Insufficient Data on Mold Additionally, in our research, we realized that there is less mold-related data than other public health                               risks, which further works against the tenant due to lack of public awareness. There are several direct                                 consequences that result from this. Most importantly, many tenants do not think to look for mold in                                 ducts or insulation when exhibiting common symptoms. Inversely, many landlords do not treat the                           issue as a public health issue when their tenants do report the presence of mold. Unless there is an                                     obvious water leak that is causing spore growth, some landlords will assume it is mildew and therefore                                 the tenant’s duty to contain. Others, not privy to the dangers of prolonged mold exposure, will simply                                 paint over the mold, thereby putting it temporarily out of sight without addressing the source of the                                 problem. This is the most common action taken by landlords, partly due to lack of awareness and                                 partly due to negligence and lack of accountability inherent in the system.  7. Lack of Finance At first glance, it would appear that the city of Atlanta has the sufficient funds and willpower required                                   to address its affordable housing crisis. The Mayor pledged to acquire $1 billion in new funds to                                 address the growing crisis, and on April 25, 2019, she announced that the city has reached 20 percent                                   of that goal with the addition of a $60 million infusion. Critics, however, pointed out that the $60                                   million is from federal government grants, which the city receives every year for affordable housing.                             Coordinating efforts and streamlining initiatives represent feasible methods which the city can affect                         positive change while reducing duplication of effort.      

50 Mariano, Willoughby. “No Help for Tenants Sickened by Mold in Their Homes.” AJC, The Atlanta Journal-Constitution, 4 Nov. 2018, www.ajc.com/news/local-govt--politics/help-for-tenants-sickened-mold-their-homes/OYx8slCAnZHlxi0saf9a3I/ 

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V. Best Practices on Mold Issues Across the Cities   In order to tackle the mold issues within Atlanta, it would be helpful to investigate and observe                                 programs that other cities have implemented in combating this issue. Along the East Coast of the US,                                 Raleigh, North Carolina, and New York City, New York, have similar qualities and programs that                             Atlanta may find helpful in tackling the mold issue.   Raleigh, North Carolina Raleigh, North Carolina, and Atlanta share many similarities applicable to this project.                       Environmentally, both are extremely hot and humid cities, and have experienced a distinct rise in                             spore counts and mold-related illnesses over the past two decades. Both cities also have weak tenant                               rights, aging infrastructure, massive inequality issues, and a jump in rent prices in previously                           affordable-housing areas. Perhaps most importantly, Raleigh identified the same gap in jurisdiction in                         which Code Enforcement and the Department of Health does not consider fungal growth a violation.                           

This in turn allows landlords to ignore mold growth in their rental properties -- but state officials are                                     51

trying to change that.   In April, 2019, Lawmakers in North Carolina introduced a bill that would give local governments the                               power necessary to ensure landlords treat mold growth when reported by their tenants. The verbiage                             52

is clear - in that a housing unit will be declared unsafe by the local government if there is harmful                                       fungal growth that goes left untreated. The bill would create a set of statewide parameters, enforceable                               by the Department of Health and Human Services authority, on what actions must be taken to deal                                 with fungal growth that could result in negative health effects for tenants. It also requires tenants to                                 notify landlords immediately when they detect the presence of mold in their living space, and also frees                                 up local tax dollars in order to conduct testing on units in which tenants and landlords dispute the                                   presence of mold.   53

 This piece of legislation addresses the exact issues faced by Atlanta, and provides a framework through                               which to better address mold growth through direct public policy action. The downside, however, is                             that this legislation must come from Georgia, not Atlanta, lawmakers, since the Department of Health                             and Human Services is a state-run organization. That being said, the Raleigh government was                           instrumental in making this bill a priority for the state, and Atlanta’s economic power in Georgia                               

51 Wilson, Diane. “Raleigh Residents Complain of Mold, Moisture Issues in Apartment Complex.” ABC11 Raleigh-Durham, 20 Nov. 2017, abc11.com/raleigh-residents-complain-of-mold-mildew-issues/2674595/ 52 Sentendrey, David. “Bill Introduced in NC House to Battle Mold in Apartments.” WJZY, 25 Apr. 2019, www.fox46charlotte.com/news/local-news/bill-introduced-in-nc-house-to-battle-mold-in-apartments 53 WRAL. Renters Have Little Recourse but to Record Problems with Mold. WRAL, 4 Feb. 2016, www.wral.com/rental-mold/15306657/ 

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indicates that they can likely have a similar sway on the introduction of a similar bill to make fungal                                     treatment enforcement across all of Georgia.   New York City, New York As part of our study, our team interviewed Andrea Thomson (Special Advisor of the Healthy Homes                               Unit at NYCHA) to understand the organization’s initiatives on mold remediation in low-income                         housing across New York City. During our interview, Andrea Thomson highlighted issues pertaining                         to ageing infrastructure and deferred maintenance that make NYCHA units particularly vulnerable to                         leaks and mold. Such issues included many NYCHA units being around 50 years old, roof-related                             infrastructure not being repaired in 20 years, antiquated ventilation systems with poor circulation,                         decaying in-wall piping, and facades that do not protect housing units from rainwater. In addition,                             54

due to federal and state disinvestment, NYCHA has a $17 billion infrastructure budget gap. The                             55

President has also proposed a devastating budget cut that would further reduce funding for repairs by                               over 60 percent to only about $100 million annually to address all $17 billion of infrastructure needs. 56

Due to the budget gap, NYCHA has chosen to address its ageing infrastructure and mold remediation                               by improving operational efficiency. In 2017, NYCHA launched a new pilot program (called “Mold                           Busters”) to empower front line staff with the knowledge and equipment to find and fix the source of                                   mold. The pilot included new training, new tools like moisture meters, and strategic remedies such as                               57

new mold-killing paint. The yearlong pilot was launched at 38 developments throughout the City on                             58

May 1, 2017. During the pilot, mold remediation staff was trained on how to use tools to measure                                   59

air-flow from vents, called anemometers, as well as how to use hygrometer which is a tool used to                                   measure humidity. Each instrument provided the staff with vital root cause information to                         60

ultimately improve the health and lives of NYCHA residents. The pilot also incorporated insights                           61

from mold remediation experts, NYCHA residents, and a certified industrial hygienist to develop a                           new-mold inspection protocol that creates a documented project plan in response to each mold work                             order and guides staff through finding the root cause, choosing the next steps, and appropriate                             remediation methods.  62

 

54 “NYCHA Launches Mold Busters, New Pilot Program to Combat Mold.” www1.Nyc.gov, New York City Housing Authority, 21 Apr. 2017, www1.nyc.gov/site/nycha/about/press/pr-2017/nycha-launches-mold-busters-new-pilot-porgram-to-combat-mold-20170424.page. 55 Ibid. 56 Ibid. 57 Ibid. 58 Ibid. 59 Ibid. 60 Ibid. 61 Ibid. 62 Ibid. 

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Based on insights from the pilot, NYCHA launched its Mold Busters program for mold remediation                             across its housing units in New York City in January 2019. The new Mold Busters program focussed                                 on improving the coordination of repairs among staff, conducting early-inspections to identify the                         underlying source of mold emergence in, scheduling quality-assurance inspections to ensure that the                         root cause of mold is resolved, and engaging actively with NYCHA residents, NGOs, and government                             agencies to prioritize mold remediation as a serious public health issue. Mold Busters currently uses the                               following best practices that have been developed from the results of its initial pilot program:  63

 ● Conducting initial inspections to identify the root cause of mold in each household ● Feeding data from initial inspections into a handheld device that automatically generates repair                         

options for maintenance staff ● Developing metrics, such as mold recurrence rates, to monitor and assess the progress of the                             

Mold Busters program ● Creating new staff positions to improve coordination and scheduling of repairs ● Developing a dashboard to manage schedules of personnel for repairs ● Scheduling regular inspection of roofs (to ensure that stale air is extracted effectively )and old                             

infrastructure for repairs  ● Resolving simple repairs in seven days and more complex repairs in fifteen days ● Building relations with non-profit organizations and government agencies to prioritize mold                     

remediation as a public policy and health issue in New York City ● Identifying partners to bridge NYCHA’s funding gap and invest in improving NYCHA’s                       

ventilation and plumbing systems ● Disseminating guidance on mold remediation through the NYCHA website and community                     

outreach programs ● Increasing the ease for residents to report mold issues through the Customer Contact Center                           

helpline and the my NYCHA app  

Since the Mold Busters program is still in its initial stages, after being launched in January 2019, the                                   effectiveness of the program in controlling the emergence and re-emergence of mold in low-income                           housing across New York City is still being monitored and assessed by NYCHA.     

63 “Mold Busters: Resources for Residents.” New York City Housing Authority, New York City Housing Authority, www1.nyc.gov/site/nycha/residents/mold-busters-resources.page. 

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VI. Policy Strategies and Recommendations for Atlanta   Based on the findings from our study, we developed several strategies and policy recommendations to                             improve Atlanta’s resilience to increasing occurrences of mold in lieu of climate change. Our                           recommendations are targeted towards specific stakeholders and their capacities to address                     mold-related issues in the City of Atlanta. The proposed solutions highlight the magnitude and                           severity of the public health issue of mold, and strive to help the City of Atlanta and the Department                                     of Health (DPH) in prioritizing mold remediation in low-income neighborhoods. These measures are                         also aimed at the broader objective of promoting climate equity through building resilience in                           low-income communities to ensure that they are not disproportionately affected by the impacts of                           climate change (specifically the exacerbation of mold-related incidences due to increased humidity and                         precipitation).  Atlanta Housing Authority First, we recommend the Atlanta Housing (AH) to devise more punitive measures in the form of                               enforcement mechanisms since financial incentives alone are not sufficient in ensuring that landlords                         take action on mold-related issues on behalf of their tenants. This conclusion was reached based on the                                 ineffective energy efficiency financial incentives that AH currently has in place. Such measures need to                             incorporate tougher action on landlords to resolve the emergence of mold in their properties. These                             measures can also encompass the writing of established mold standards (such as requiring filters and                             no visible mold growth) into building codes and mechanisms for humidity control. Also, we                           recommend the AH to clearly define the standards and parameters that would constitute an                           “Acceptable Standard of Living” in its clause on mold-related issues. In order to be most effective, AH                                 can approach this in a multi-prong fashion - providing financial incentives to landlords and tenants                             who go above and beyond what is required of them by example submitting a mold spore count report.  

 Department of Public Health Second, we recommend the DPH to develop better data collection mechanisms on mold-related                         occurrences. Like NYCHA, the DPH can promote the use of handheld devices and moisture meters                             for the early-inspection of mold occurrences in low-income households, while providing guidance on                         training mold remediation staff to use tools that measure air-flow from vents, called anemometers,                           along with training to use hygrometers that measure humidity levels. In fact, doctors have started to                               recommend mold spore tests as part of prescriptions for chronic asthma patients. The DPH can                             integrate best practices on spore tests and early inspection in its standards and the dissemination of                               public health information on mold control. More so, the DPH can also build a database to collate                                 information on mold occurrences. The database can also be used to develop best practices on mold                               control across numerous cases, while strengthening data-based decision-making for mold remediation                     in local communities.  

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Office of Resilience  Finally, the OoR should serve as the primary agency that facilitates and coordinates the efforts of the                                 AH and DPH. The OoR would need to ensure that the City of Atlanta works closely with the AH                                     and DPH to prevent silos and mitigate the impacts of mold occurrences. Since mold crisis affects their                                 overarching mission to promote the resilience of communities across Atlanta, the OoR will be able to                               reduce income inequality by addressing the vulnerabilities of low-income households to mold in lieu                           of climate change.   However, these recommendations are low-hanging fruit and do not address the larger structural                         challenge of remedying mold-related issues that are reported over the long-term. In the case of North                               Carolina, the City of Raleigh played an instrumental role in introducing a bill and prioritizing mold                               remediation for state-level legislations and enforcement. Similarly, the City of Atlanta needs to play a                             similar role in prioritizing mold remediation for the State of Georgia and bringing about state-level                             legislation to provide incentives and enforcement for mold control. Doing so will address the                           long-term challenge of controlling mold across the City of Atlanta, while mold incidences continue to                             increase due to the effects of climate change.  More so, long-term recommendations will need to address a series of challenges to enable the control                               of mold across Atlanta. Hence, long-term solutions will need to resolve the dearth of data on                               mold-related occurrences, the risk of working in silos due to the decentralized organizational structures                           of the AH, DPH, and OoR, the risk of losing landlord participation in mold remediation programs                               while holding them accountable to better standards, the challenge of enabling HVAC systems to be                             effective in mold control, and the overall ageing infrastructure and poor construction due to                           low-quality materials across low-income neighborhoods.        

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www.fox46charlotte.com/news/local-news/bill-introduced-in-nc-house-to-battle-mold-in-apartments.   “Tick And Mosquito Infections Climb In Georgia, CDC 

Says”. See https://patch.com/georgia/atlanta/tick-mosquito-infections-climb-georgia-cdc-says  US Department of Commerce, and NOAA. “Flooding in Georgia.” National Weather Service, NOAA's 

National Weather Service, 12 Mar. 2018, www.weather.gov/safety/flood-states-ga.  US EPA, OAR. “A Brief Guide to Mold, Moisture and Your Home.” US EPA, 13 Aug. 2014, 

https://www.epa.gov/mold/brief-guide-mold-moisture-and-your-home.  US EPA, OCSPP. “Protect Your Family from Exposures to Lead.” US EPA, 12 Feb. 2013, 

https://www.epa.gov/lead/protect-your-family-exposures-lead.  USGCRP. “Fourth National Climate Assessment: Chapter 19: Southeast.” NCA4, 

nca2018.globalchange.gov/chapter/19/.  

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What Is a Water Damaged Building? | Surviving Mold. https://www.survivingmold.com/mold-symptoms/what-is-a-water-damaged-building. Accessed 12 May 2019. 

 Wilson, Diane. “Raleigh Residents Complain of Mold, Moisture Issues in Apartment Complex.” ABC11 

Raleigh-Durham, 20 Nov.2017, abc11.com/raleigh-residents-complain-of-mold-mildew-issues/2674595/.  WRAL. Renters Have Little Recourse 

but to Record Problems with Mold. WRAL, 4 Feb. 2016, www.wral.com/rental-mold/15306657/.  Zhang, Zhonghua et al. “Fungal Exposure and Asthma: IgE and Non-IgE-Mediated Mechanisms.” Current allergy and 

asthma reports vol. 16,12 (2016): 86.doi:10.1007/s11882-016-0667-9.   “30310 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30310.html, “30311 Zip Code 

(Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30311.html, “30314 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30314.html. 

 “30310 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30310.html.  “30311 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30311.html.  “30314 Zip Code (Atlanta, GA) Detailed Profile.” See http://www.city-data.com/zips/30314.html.  

This project was made possible by generous contributions from the Earth Institute and the Center on Global Energy Policy.