Clinicians Petition Landlords To Reduce Asthma Triggers

Kristen Ziegler

December 14, 2009

In the South Bronx, older apartment buildings’ leaky roofs and drafty walls let in dust, rodents, and rainwater that mix with cigarette smoke and pet dander to create a perfect storm of asthma triggers.

Renters’ requests to improve their housing rarely get attention from landlords. Alan Shapiro, MD, and his colleagues found a way to offer their patients with asthma some assistance. They write letters to landlords that explain, for example, how mold conditions could cause their tenants serious flare-ups and subsequent emergency room visits. The letter then asks that the landlords immediately remediate the structural problems.

“We find that writing letters from a medical perspective does bring a greater level of attention from the landlord,” said Dr. Shapiro, senior medical director of the Community Pediatric Programs of the Children’s Hospital at Montefiore in New York and medical director for Children’s Health Fund’s New York Flagship Program.

Even landlords who have ignored complaints for months sometimes hire companies to assess and correct problems in the apartment or move the patient to a newer, better maintained apartment.

Landlords are important but often reluctant participants in community asthma intervention efforts. “Landlords have control over a big portion of the environmental conditions of the home,” said Kristen Grimes, MAOM, CHES, asthma project manager for Children’s Health Alliance of Wisconsin. “(But) not every landlord is going to do this just for the good of their tenants.”

Appealing to landlords’ wallets has proved a successful strategy for health care practitioners in the Wisconsin Asthma Coalition. An educational brochure tailored to tenants and landlords discusses how restricting smoking and banning pets reduces the need to heavily clean apartment carpets and walls when tenants vacate the rental property. Plus, an anti-smoking rule reduces the risk of fire.

Offering smoking cessation classes and providing special pillow case covers, mattress covers, and food storage containers to patients during these educational sessions encourages tenants to take immediate steps toward establishing trigger-free apartments.

Even these tactics do not work in all cases. Sometimes clinicians can only refer patients to legal services to permanently reduce triggers and, even if they are successful, shortfalls in existing housing codes can drag the remediation work out for months.

For example, New York City’s Department of Housing Preservation and Development classifies mold as a major health violation only when it covers up to 25 square feet of the apartment. Less significant mold hazards and mice and cockroach infestations are considered minor violations, meaning landlords can take up to 90 days to respond to the complaint.1

“The longer you wait, the sicker kids get,” said Robert Morrow, MD, a community family physician and clinical associate professor in the department of family and social medicine at Albert Einstein College of Medicine in the Bronx.

New legislation introduced in this state could help identify and reduce asthma triggers more quickly. Intro 750, the Asthma Free Housing Act, would give health care practitioners the ability to request that state health authorities investigate certain apartments and would require that corrections be made within 21 days.2

“It’s one aspect of the work against asthma,” Dr. Morrow said. “If there is better enforcement, we’re in a better position to move forward.”


1. Jonas J. An ‘act’ that means action: housing bill requires repairs. City Limits. 2007, April 16. Available from:

2. The Coalition for Asthma-Free Homes. The impact of poor housing conditions on the health of asthmatic New Yorkers. Available from:

A letter to the NAA regarding an email they deleted without reading – please retract your amicus in the Abad case in Arizona – it is fraud by a political action committee, the National Apartment Association, that is furthering another fraud by another political action committee, the US Chamber of Commerce

Political Action Committee – NAA – files Amicus Brief in mold case (two infant deaths in mold filled apt – Wasatch Prop Mgmt) citing US Chamber/ACOEM ‘litigation defense report’ to disclaim health effects of indoor mold & limit financial risk for industry

“Changes in construction methods have caused US buildings to become perfect petri dishes for mold and bacteria to flourish when water is added. Instead of warning the public and teaching physicians that the buildings were causing illness; in 2003 the US Chamber of Commerce Institute for Legal Reform, a think-tank, and a workers comp physician trade organization mass marketed an unscientific nonsequitor to the courts to disclaim the adverse health effects to stave off liability for financial stakeholders of moldy buildings. Although publicly exposed many times over the years, the deceit lingers in US courts to this very day.” Sharon Noonan Kramer

Information on Riverstone Residential knowingly exposing tenants to extreme amounts of mold toxins at Toxic Mold Infested Jefferson Lakes Apartments in Baton Rouge, Louisiana

Toxic Mold Infested Jefferson Lakes Apartments managed by Riverstone Residential

Riverstone Residential Litigation

Mold Inspection Reports

Photos of Mold in Apartment

Attorney Malpractice

About Sharon Kramer

Hi, I'm an advocate for integrity in health marketing and in the courts.
This entry was posted in Environmental Health Threats, Health - Medical - Science, Mold and Politics, Toxic Mold and tagged , , , , , , , , , , , , , , . Bookmark the permalink.

2 Responses to Clinicians Petition Landlords To Reduce Asthma Triggers

  1. Sharon Anderson says:

    I would like to file a complaint against the landlord who is leasing the Portland Courtyard Complex Apartments for low income. I moved here from Pa September 1, 2008 I’m on section 8 rent is $ 550.00 a month. I have reported this to my worker Bonnie Morris in the Tennessee Housing Development Agency 615-564-1200 several days ago, and heard nothing back.There is mold through out the apartment and the air filter are filthy. since living here I have many health problems I didn’t have before.dry eye,can’t concentrate, skin rash, stomach problems, many other health problems. The longer I wait the worst my health will get. The Landlord made a statement several times he don’t care about the people at this complex only the money his first name is David. the last manager quit because of his statement. David will not give maintance or the manager any money to correct apartment problems. I want to turn this into the govorment this is HUD that pays section 8 rent. It would be greatly appricated if you would let me know who I need to send this complaint. Thank You, Sharon Anderson

  2. Pingback: Clinicians Petition Landlords To Reduce Asthma Triggers « Katy's … | Asthma News, Causes, Types, Symptoms, Treatment, Medication, Facts and informations

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