1. TULALIP TRIBES HEALTHY HOMES INITIATIVE

2. …OUR STORY 100 YEARS AGO

3. Patients Seen at the Tulalip Health Clinic in Last Five Years for Asthma Age of PatientsNumber of Patients Number of Visits (indicates repeat visits by individual patient) 0-10 10581713 11-20 566839 21-40 8131322 41-54 5331197 55-61 211489 62-100 3681232 TOTAL35496792 …OUR STORY TODAY

4. Fall of 2014 Tulalip Board of Directors directs Tulalip Housing to inspect 278 homes owned or managed by the tribe.

5. “We have a major drainage problem, which means we have a crawlspace problem, which means we have homes that are literally rotting from the inside out.” - Jay Napeahi, Director of Tulalip Housing

6. …OUR STORY TODAY Photographs were taken, moisture measurements were taken, drainage patterns were studied, and crawlspaces were inspected. These are some of the results…

14. 7230 LLOYD HATCH SR. DR. WATER APPEARS TO COME FROM THE CHURCH SITE HOME IS JUST UNDER LARRY PRICE LOOP

15. Neighborhoods in which Foundation, Moisture and Mold Damage Found to Be Prevalent NeighborhoodNumber of Units Silver Village 90 28th Street 7 Battle Creek 35 Mission Highlands 56 Total188

16. …OUR STORY TODAY Spring of 2015: Tulalip Board of Directors directs Tulalip staff to move with urgency and to form a “Healthy Homes Team”

17.  To IMPROVE THE HEALTH of every Tulalip child and adult with an existing lung condition.  To PREVENT NEW CASES OF LUNG DISEASE due to airborne exposures.  To PREVENT ILLNESS OR INJURY from indoor air hazards in all Tulalip homes. …OUR GOAL

18. …OUR APPROACH 1.To ASSESS conditions Indoor Air Quality assessment performed by Air and Indoor Environments Staff Housing Health and Safety (including building envelope) performed by Housing staff Tulalip Health and Safety (Dean) oversees all work

19. …OUR APPROACH 2. To INVOLVE AND EMPOWER residents AIRmatters Toolkits provided to 100 Tulalip households Community classes (mold, green cleaning) Articles in Tribal Newspaper Visits to homes, schools, offices, events for elders, events for new parents Health clinic issues medical referrals to asthma patients for a Healthy Home visit

20. …OUR APPROACH 3. To REMEDIATE AND REPAIR Geologic and soils work to address drainage Remediation of damaged homes New siting and building criteria for future homes New best practices for sealing foundations and crawl spaces

21. APPLICATIONS IN PROGRESS FOR GRANTS & REBATES BIA Housing Improvement Program Bonneville Power Administration – Energy Assistance HUD Technical Assistance HUD ICDBG Application Snohomish County Weatherization + Home Repair Snohomish County Energy Assistance Program

22. BIA FUNDS?  Interim Improvements: Provides up to $2,500 in housing repairs for conditions that threaten the health and/or safety of the occupants.  Repairs and Renovation: Provides up to $35,000 in repairs and renovation to improve the condition of a homeowner’s dwelling.  Replacement Housing: Provides a modest replacement home if a homeowner’s dwelling cannot be brought to applicable building code  Limited amount in Pacific Northwest – maximum of $66,000 this year.

23. …IN OUR CANOE Dean Henry – Lead of Tulalip’s Healthy Home Initiative Manager, Tulalip Health and Safety Department Email: dhenry@tulaliptribes-nsn.govdhenry@tulaliptribes-nsn.gov Phone: (360)716-4439

24. …IN OUR CANOE Tulalip Healthy Housing Team (established by Tulalip Board of Directors) Health and Safety Dean Henry Manager Housing Jay NapeahiDirector Housing Tom DickersonMaintenance Manager Health Clinic Bryan CooperClinic Manager Health Clinic – WIC Erika QueenWIC Coordinator Air and Indoor Environments Gillian Mittelstaedt, Krysta Thornton Coordinator Natural Resources Kurt Nelson Environmental Division Manager Natural Resources Darla BoyerHydrologist Grants Chenoa Henry, Denise BrandGrants Administrators