the good business of healthier homes - habitat x · 2019-05-16 · the good business of healthier...

1TheGoodBusinessofHealthierHomes2019-05-15

TheGoodBusinessofHealthierHomes

JoeMedosch

HealthyBuildingScientist&PartnerDevelopment

[email protected] .com


• 3+Industriesrepresentedontodayscall• Whyisthisnotthenext“dotcom”businessoportunity• Howtodetermineevidencebasedbestpractices• Startcollectingoccupantdata- HaywardScoreor...usesomething• AttributesvsSymptoms• Analysisofthedata• FeelbetterwhenIleaveorBelievemyhomeisimpactingmyhealth• Occupantsaremorecomplicatedthantheindoorenvironment

Today(next10min)


• Weatherization- Statefunding/lowincome/healthnotapriority

• Clinical- lowincome/healthisapriority

• Privateormarketrate- directservicetohomeowners

• Utilitybased–- notreadytofundhealthbenefits

• Payforsuccessandotherexpermentalprograms

3+BusinessIndustries


• Fearofliability- don’twanttouse“Healthy”intheirmarketing[healthier]- beliefthereisaguaranteeinhealthoutcomes

• Don’tunderstandthemarket- comfortvsenergyvshealthier

• Whatisahealthyorhealthier home?- Don’tunderstandtheenviornementoroccupantssensatives

• Easiertotrackperformanceinthehomevsoccupant

• Justdon’twanttoworkwith“challenged”or”sensative”clients

• Clientsarenotdemandingtheservice.Organicfoods$40billionindus.

Businessmodelisstrugelingbecause


• Evidencebasedbestpractices- data,data,valadate,data,data,valadate,data,moredataanddata- datacomesfromcontractorsandoccupants–- nodatafrom1000’sofhomeimprovementseveryday

• Startcollectingdatanow

• EnergyimprovementsarenotvaladatedbyaskingtheoccupantHowdoyoufeelaboutyourenergyuse?

• Butweask...

AcceptanceofHealthRelatedtoEnvironment

Doyoufeelmorecomfortable?


• Onlinesurveyatwww.haywardscore.com 70%fromphone

• Average100completedScoresaday

• Score- ratedhomebasedonattributesandbehavors,nosymptoms.

• Allrespondentsareself-selectedandself-reported.

• MajorityareNotacrosssectionofthepopulation.(GoogleAdWords)

• Manysensitiveindividualslookingforsolutions

HaywardScoreis:

- Asthma,COPDorrespiratoryissues.- Chemicallysensitiveindividuals.

- Manyhavehighmoisture,mold.- orchallengedenvironments.

NewdataincludesScoresfromContractorsandPartners

Free asofMay15wehave39,689Scores

7TheGoodBusinessofHealthierHomes2019-05-15 10

OccupantistheIAQReceptor


HaywardScoresurvey:Questions

~92TotalQuestions

25– generalphysicalattributesand~149

23– Behavioral...............and~71

9– GeneralConditions........and~28

6– Waterleaks..............and~37

10– Symptoms...............and~40

19– SpecificSymptoms ........and~144

~469possibleanswers

Answers

~40,000Scoresx


HaywardScoresurvey:

92 TotalQuestions

4 averageanswers

=71,639,296 variablesx40,000 Scores

boatloadofdata


2,357

2,666

2,107


HaywardScoreuserssay:• Ithinktheairinmyhomeistoxic- moldorsomethingelse.It'shardto

breatheanditseemstobegettingworse.

• Whenmykidsandgrandkidsvisittheyseemtohavetousetheirinhalersmorefrequentlythantheydoattheirplacesofresidence.

• Afterbasementwasredone,Igotsickwithbreathingissues.

• Becamesickaftertheyputinanewsmartmeter.

• Thereisastrongsourodorwhentheairconditionerison.

• Alwaystiredandgroggyinthehome.

• Weneedtomoveoutofhere.


Conclusion1

• Sensativeindividualsarenotcrazy!

Imagineifyourlifewasoverwhelmedbytheenviorment

Howintensewouldyoube!


HaywardScoreSurveyData

• Notbeenvalidated.• Data(symptoms)areselfreported.• Hasabias,muchofourdatacomefromoccupants

- Thathavemoisturedamageorvisiblemold,

- Sensativetotheirenvironment,

- Tryingtodetermineiftheirhomeisimpactingtheirhealth

- Lookingforanswers,“can’tfigureoutwhat’shappeningtome”Couldmyhomebeimpactingmyhealth?

• Nocausality“a doesnotcauseb”• Areassociations“a tob”


N=13,168 N %

Owner

N=8546

MobileHome 916 7%

Multi-unit 1540 12%

Single-family 6090 46%

Renter

N=4622

MobileHome 415 3%

Multi-unit 1789 14%

Single-family 2418 18%

WetClimate CoolClimate

Owner

MobileHome 86% 18%

Multi-unit 86% 26%

SingleFamily 86% 26%

Renter

MobileHome 85% 17%

Multi-unit 82% 24%

SingleFamily 81% 22%

Sixdifferenttypesofhomes

#People %withPets

Owner

MobileHome 2.7 65%

Multi-unit 2.7 59%

SingleFamily 2.8 61%

Renter

MobileHome 3.0 54%

Multi-unit 2.6 46%

SingleFamily 2.8 55%

Majorityrespondantsare:•Single-family• 2-4peoplewithpets• WetClimate


Drainageissues

Unpleasantormustyodorsorsmells

Alotofdustonsurfaces

Waterstainsonwallsand/orceilings

Visiblemoldonwallsand/or

ceilings

Eventhoughyoudon’tseeit,doyouthinkyou

havemoldinyourhouse?

Owner

MobileHome 86% 54% 69% 39% 32% 41%

Multi-unit 83% 45% 62% 28% 23% 36%

SingleFamily 83% 46% 63% 28% 23% 34%

Renter

MobileHome 86% 68% 71% 50% 45% 55%

Multi-unit 86% 68% 70% 46% 42% 54%

SingleFamily 83% 69% 69% 45% 41% 56%

GeneralConditions


PhysicalAttributeStartwith

SymptomHadthis

VisibleMold... ...SoreThroat

SimplifiedDataRegressionOver

AfterVacuuming... ...SkinRashes


MarketingOddsRatios– Misleading (oversimplified)

StartafterVacuum OddsIncreasedAllergies 3.1Sinus 2.9SleepDisturbance 2.7MoodChanges 2.7FeelingDepressed 2.7CoughingSneezing 2.7FoggyThinking 2.7SkinRashes 2.7StomachDiscomfort 2.6AchingMuscles 2.5SoreThroat 2.5Vertigo 2.5DryEyes 2.4Nausea 2.4ExtremeFatigue 2.3FeelingSick 2.3MemoryLoss 2.3HeartRacing 2.3Headaches2 2.2IncreasedAsthma 2.2NightSweats 2.2Nosebleeds 2.1Headaches1 1.5

VisibleMold OddsMoodChanges 3.7Nausea 3.5FeelingDepressed 3.3StomachDiscomfort 3.2CoughingSneezing 3.1AchingMuscles 3.1FeelingSick 3.1Headaches2 3ExtremeFatigue 3SkinRashes 3SoreThroat 3FoggyThinking 2.8HeartRacing 2.8Sinus 2.7SleepDisturbance 2.7MemoryLoss 2.7Vertigo 2.7IncreasedAllergies 2.5NightSweats 2.4Nosebleeds 2.4IncreasedAsthma 2.2DryEyes 2Headaches1 1.5

SymptomsWorseAfterCooking OddsStomachDiscomfort 4MoodChanges 3.8Nausea 3.7CoughingSneezing 3.4HeartRacing 3.4IncreasedAllergies 3.3FeelingSick 3.3FoggyThinking 3.2SleepDisturbance 3.1FeelingDepressed 3.1Headaches2 3.1ExtremeFatigue 3IncreasedAsthma 3NightSweats 3AchingMuscles 2.9SkinRashes 2.9SoreThroat 2.9MemoryLoss 2.8Vertigo 2.8DryEyes 2.7Sinus 2.5Nosebleeds 2.4Headaches1 1.5


PhysicalAttributeStartwith

SymptomHadthis

SymptomStartwith

PhysicalAttributeHadthis

VisibleMold... ...SoreThroat

SoreThroat... ...StartofForcedAirsystem

SimplifiedDataRegressionOver

AfterVacuuming... ...SkinRashes

LogisticRegressionAnalysis

Sinus... ...SurfaceDust


HousingorBehaviorconditions.

Thedarkgreenshadingarebothstatisticallysignificantandmostimpactfullogisticcorrelations.


Significantatthe0.002alphalevelandOR>=1.5Significantatthe0.002alphalevelSignificantonlyatthe0.05alphalevel

SurfaceDust

StatH

eat

Odo

rs

Allergy

Chem

icalSen

sitiv

e

ThinkM

old

OtherResp

Humidifiers

SevereLeak2

Carpet

StartCo

oking

Waterstains

Renter

Show

erAlot

Pets

LotsPets

Prob

ableChildren

Asthma

Kitche

n2

q_60

0Highway

Vacuum

3x

Bathroom

WetClim

ate

Crow

d4+

OldCarpe

t

CookG

as

Recirc

q_45

0AirP

urifiers

Vacuum

Rare

PoorM

ainten

ance

Vacuum

1x

BathFan

s

Craw

lspa

ce

DampCrawl

Forced

Air

CookA

lot

Aching 3.54 3.23 3.33 3.18 3.52 3.2 3.52 1 1 1 0 3.29 1 0 1 3.26 2.82 1 3.35 3.18 3.66 1 0 1 0 1 0 0 1 0 1 2.86 3.27 0 0 0

Sleep 3.45 3.35 3.36 3.33 3.27 1 3.19 1 0 1 1 3.23 3.22 3.18 1 1 0 3.17 0 3.18 0 1 0 2.74 0 1 0 0 1 0 1 0 0 0 1 1

Memory 3.3 3.19 3.27 1 3.73 3.19 3.38 3.32 1 3.2 1 1 0 1 1 1 0 0 1 3.21 0 0 2.82 2.78 0 0 1 0 0 0 0 1 0 0 0 0

Fatigue 3.62 3.18 3.16 1 3.52 3.21 3.45 1 1 3.16 1 1 1 1 1 1 0 0 1 1 0 0 1 1 1 2.83 0 0 1 0 0 0 0 0 1 0

Coughing 3.5 3.82 3.29 3.76 0 1 5.21 0 1 3.19 0 3.21 1 0 0 0 0 3.83 0 1 3.54 1 0 0 1 0 0 1 1 0 1 1 1 0 0 0

MoodChanges 3.52 3.26 3.52 3.19 3.46 3.25 1 0 3.31 1 3.41 3.25 1 3.16 3.32 1 3.2 0 3.25 1 1 3.21 0 0 1 0 0 0 0 1 0 0 1 0 0 0

Sick 3.36 3.43 3.2 3.49 0 3.19 3.68 1 3.22 3.31 1 3.31 3.21 3.16 0 0 3.22 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0

Headaches 3.35 3.51 3.6 3.37 3.39 1 0 0 1 0 1 3.24 3.26 3.22 3.24 1 3.2 1 1 0 3.58 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0

Headaches2 3.23 3.25 3.37 3.26 0 1 0 3.23 1 0 3.55 1 3.28 3.23 3.31 1 1 0 0 0 1 1 0 0 1 0 0 1 0 1 0 0 0 0 0 1

Vertigo 3.24 3.25 3.31 3.23 3.63 0 3.31 3.3 1 3.21 1 3.21 0 0 1 3.27 2.82 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0

FoggyThinking 3.48 1 3.45 1 3.18 3.18 1 3.25 3.22 0 1 0 0 1 3.28 1 0 0 3.26 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0

Depressed 3.41 0 3.41 3.17 3.39 3.17 3.27 3.23 3.22 1 1 0 1 0 2.35 3.25 0 0 1 3.19 0 3.2 1 0 0 0 0 0 0 3.22 0 0 0 0 0 0

Sinus 3.58 3.75 3.33 4.82 0 3.21 1 0 0 1 0 0 0 0 0 0 0 1 0 0 3.62 0 1 0 2.78 1 1 0 3.47 0 3.6 0 0 0 1 1

Stomach 3.41 3.24 3.41 3.21 3.51 1 1 3.28 3.3 3.17 3.62 3.24 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0

DryEyes 3.39 3.31 3.22 3.47 3.57 1 1 0 0 1 1 0 0 0 0 0 2.74 0 0 1 0 1 0 1 0 0 0 1 0 0 0 0 0 0 1 0

SkinRashes 3.32 3.21 1 3.52 3.66 1 0 0 1 0 1 1 3.3 1 0 0 0 0 1 0 1 3.3 1 0 0 0 0 1 0 1 0 0 0 0 0 0

IncreasedAllergy

3.36 3.57 3.24 6.63 3.53 1 0 1 0 3.2 0 0 1 1 0 0 0 3.27 0 0 0 0 0 0 2.76 0 0 3.31 0 0 0 0 0 0 0 0

Nausea 3.28 3.28 3.38 0 3.34 1 1 3.36 3.28 1 3.45 3.21 3.35 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0

SoreThroat 3.22 3.52 3.4 3.38 1 1 1 0 3.23 1 0 0 0 1 0 0 3.22 1 0 0 0 0 0 0 0 2.86 0 1 0 0 0 0 0 0 0 0

Palpitations 3.4 3.27 3.31 0 3.62 0 3.31 1 0 0 3.51 3.2 0 1 1 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 1

NightSweats 3.45 3.36 3.26 3.25 1 0 0 1 1 0 3.4 0 1 3.22 0 0 0 1 1 0 1 0 0 2.8 0 0 1 0 0 0 0 0 0 0 0 0

Inhalers 3.29 3.26 0 3.31 0 1 6.33 1 1 1 0 0 1 0 1 0 0 9.06 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0

Headaches1 3.22 3.24 3.31 3.2 3.24 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 3.31 0 0

Nosebleeds 3.29 3.33 1 3.37 3.29 0 0 1 0 0 0 0 0 0 0 0 3.48 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

Sym

pto

ms


Thedarkgreenshadingarebothstatisticallysignificantandmostimpactfullogisticcorrelations.


Significantatthe0.002alphalevelandOR>=1.5Significantatthe0.002alphalevelSignificantonlyatthe0.05alphalevel

SurfaceDust

StartHe

at

Odo

rs

Allergy

Chem

icalSen

sitive

ThinkM

old

Pets

LotsPets

Asthma

Vacuum

3x

Vacuum

Rare

PoorM

ainten

ance

Vacuum

1x

Coughing 3.5 3.82 3.29 3.76 0 1 0 0 3.83 3.54 1 0 1

Vertigo 3.24 3.25 3.31 3.23 3.63 0 1 3.27 0 0 0 0 0

FoggyThinking 3.48 1 3.45 1 3.18 3.18 3.28 1 0 0 0 0 0

Sinus 3.58 3.75 3.33 4.82 0 3.21 0 0 1 3.62 3.47 0 3.6

DryEyes 3.39 3.31 3.22 3.47 3.57 1 0 0 0 0 0 0 0

SkinRashes 3.32 3.21 1 3.52 3.66 1 0 0 0 1 0 1 0

SoreThroat 3.22 3.52 3.4 3.38 1 1 0 0 1 0 0 0 0

Inhalers 3.29 3.26 0 3.31 0 1 1 0 9.06 0 0 0 0

Sym

pto

msHousingorBehaviorconditions.


SymptomFrequenciesbyFeelBetterWhenLeaveHouse

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

FeelBetterWhenLeave Don'tFeelBetterWhenLeaveN=5014N=2561

Q920Overall,doyoufeelbetterwhenyouleavethehouseonlytofeelworseagainwhenyoureturn?


ClusterAnalysis– Machinelearning(nobias)TooManyPeople,

TooMuchMoisture

KitchenNightmare Bugs! StinkyPetCarpet ShadyLane That70'sCarpet&Air

Pollution SunnySide KeepingupwiththeJoneses

Proximity Dampness HighSuck PoorAttributes Shady LowInfiltration Sunshine LowProximityDampness Poorchemicalstorage Proximity PoorCarpets Age/Climate HighProximity GoodTreatmentbehavior LowDampnessAttributes Poorcookingbehavior Age/Climate Pet/Vacuum ForcedAirFurnace GoodAttributes NonBelievers GoodAttributes

SevereLeaks Leaks PoorAttributes Goodtreatmentbehavior LowOccupancy PoorCarpets LowConditions LowLeaksPoorMaintenance PoorChemicalStorage AlotofPets PoorChemicalStorage LowSymptoms GoodMaintenanceHighOccupancy ForcedAirFurnace SevereProximity/Suck Sunshine

Occupancy/Shower Leaks PoorVacuumingbehavior NonBelieversTooManyPeople PoorMaintenance Believers LowSymptoms

Believers SeverePests HighConditionsHighConditions OverTreatment HighSymptomsHighSymptoms Believers

HighConditions FeelBetterwhenLeaveAllergies HighSymptoms HighChemicalSensitivityAsthma

OtherRespiratory SleepSick IncreasedAllergies

VeryHighNosebleeds DryEyes DepressionCoughing FatigueAching Aching

FoggythinkingNightsweats

HeartpalpitationsVertigo


Toomanypeople,too

muchmoisture

KitchenNightmare Bugs StinkyPet

Carpet ShadyLane That70scarpet&airpollution SunnySide Keepingupwith

theJoneses

FeelBetter 52% 46% 60% 43% 39% 61% 24% 28%

Asthma 52% 30% 44% 33% 24% 38% 12% 23%

Allergies 73% 59% 70% 56% 47% 66% 38% 42%

ChemicalSensitivity

20% 17% 23% 14% 12% 25% 4% 8%

OtherRespiratory

27% 19% 29% 19% 15% 25% 8% 12%

ClusterAnalysis– Machinelearning(nobias)


MadeChanges NoChanges Moved n

Owner 139 62 2 291

Renter 66 39 22 127

n 205 129 21 358

57%MadeChanges

60%OwnersMadeChanges52%RentersMadeChanges

7%Moved

1%OwnersMoved17%RentersMoved

Roughlyhalfoftherespondentstookactionandmadechanges.Ownerswerealittlemorelikelytomakechanges.

PostScoreFollowupSurvey


ReplacedAirFilters 47%ReplacedVacuums 20%ReducedChemicalExposure 28%FixedLeaks 24%AddedAirPurifiers 24%RemovedMold 21%Other 16%RemovedCarpets 16%DidTesting 17%InstalledExhaustFans 10%CleanedDucts 12%CompletedMaintenance 9%AddedHumidifiers 12%AddedDe-Humidifiers 12%SealedCrawlspace 6%AddedHRV 2%

53% ofFollowuprespondentsindicatedtheymadeachange.Ofthose:

PostScoreFollowupSurvey


PostScoreFollowupSurveyNon- RespiratorySymptomsImprovedRespiratorySymptomsImproved

Selfreportedimprovedsymptoms

FeelingSick 50%SoreThroat 33%FreqHeadaches 27%InFreq Headaches 21%Depressed 21%Nausea 18%DryEyes 27%ExtremeFatigue 22%NightSweats 15%Vertigo 17%FoggyThinking 15%MoodChanges 14%StomachUpset 17%SleepDisturbance 21%SkinRash 13%HeartRacing 12%Short-termMemoryLoss 5%Nosebleeds 11%AchingMuscles 10%Other 4%

SinusCongestion 62%Coughing 49%IncreasedAllergies 41%TroubleSleeping 33%Other 10%



0

5

10

15

20

25Be

lieveIm

pact

Chem

icalSensitive

Surfa

ceDu

stAllergy

StartHeat

OtherRe

spVacuum

3xStartCoo

king

Smells

Asthma

StartVac2

Prob

ableChildren

Pets

Vacuum

1xVacuum

Rare

SillD

ust

Waterstains

ThinkM

old

NoticeC

ondLaund

Humidifiers

Carpet

SevereLeak2

Renter

Show

erAlot

LongStay

q_600Highway

q_45

0Attic

Kitche

n2LotsPets

Bathroom

Crow

d4+

q_60

0_Indu

stria

lOldCarpet

CookGas

q_60

0Ag

riculture

WetClim

ate

DampC

rawl

PoorM

ainten

ance

q_45

0AirP

urifiers

HEPA

like

CoolClim

ate

ShortStay

BathFans

Woo

dSiding

q_45

0Craw

lspace

q_450Ga

rage

HighlySignificant HighlyImpactful

#o

fSi

gnificantSy

mpto

ms


ForcedAirHighProximityNewerHouseSteamersorBoilCookingMobileHomeHEPAVisibleMoldCondensationonWallsCookalotOlderHouseDampBasementInSunMultiunitSmallHouse

PerimeterWaterKitchenHoodHighInfiltration*CrawlForcedAirLocationLeakERV/HRVFinishedBasementFireplaceUnfinishedBasementSealedBasementSealedCrawlspaceDirtfloorBasement

Lowornon-significantHousingorBehavioralConditions

LogisticRegressionAnalysis Preliminarydata


Occupantsaremorecomplexthantheenvironment



# o f S i gn i f i cant Symptoms

0510152025


Conclusions

• Alltheamazingworkyoudohashealthbenefitswe’renottrackingtheoutcomes!

• We(allofus)arere-creatingbilliondollardata.

• JUSTTRACKtheChanges!


PrivateContractors

WeatherizationCAPAgencies

BlockGrants

Asthma&LeadPreventiongroups CommunityHealthWorkers

PrivateHealthInsurance


[email protected]

ThankYou

.com

the good business of healthier homes - habitat x · 2019-05-16 · the good business of healthier...

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