Boston's Healthy Homes Initiative

In the 1990s, the Boston Housing Authority (BHA) collaborated with public housing tenant organizations, city agencies and local universities to explore the relationship between housing conditions and the high rates of asthma among children living in some of the BHA developments. 

The study found that traditional pest control was not working. Almost half of the units tested had cockroach allergens above asthma sensitivity levels; nearly 60% of the children tested showed allergic sensitivity to the most prevalent cockroach antigen.  Environmental sampling found that all units tested had traces of illegal and restricted pesticides, evidence that residents were turning to dangerous pesticides in reaction to high pest infestations.  They found that Integrated Pest Management (IPM) was  an effective intervention that improved the health of children with asthma.

Based on these results, the Healthy Pest Free Housing Initiative (HPFHI) was founded with funding from the W.K. Kellogg Foundation and the U.S. Environmental Protection Agency.  Through a partnership between the Boston Public Health Commission, Boston University School of Public Health, two resident organizations and various policy and advocacy organizations, BHA piloted IPM in several properties. The core of the program includes:

  • Training and educating residents
  • Replacing harmful chemicals with low toxic gels and traps
  • Making sure every vacant apartment gets a clean sweep before occupancy
  • Having zero tolerance for pests

One of the keys to the initiative’s success was using residents to educate other residents what their role is in the IPM program. These residents received training on topics like asthma and pests, integrated pest management, how unsafe pesticides are used and how to promote safe pest practice.

 “ I never knew a program could work so well,”  said Toni Cromwell, Tenant Coordinator for Gallivan Boulevard Housing Development. “We only have two households that have pest infestation.  I took the training and it helped me understand what contributes to pest infestation and now I am going around educating other tenants. 

My neighbors are being very cooperative because they are actually seeing results.  This is the first time the pest contractor actually takes the time to come back and talk with tenants.” 

Many of the BHA developments where IPM was piloted saw significant reductions in pest control work orders.  Also residents reported better health and reduced stress levels after the program was implemented.  Today, all 49 of the authorities' developments have IPM plans in place and the BHA’s program is recognized as the leading model for IPM in housing.  Some BHA staff leaders involved in the IPM program are now routinely invited to present at conferences.

"Having all these great resources come together  --  schools of public health, foundations, city agencies, community groups, residents  --  the BHA has been able to provide better and healthier home," said Lori Luce, Maintenance Systems Manager at the housing authority. "And that's the best outcome you can have." 

Learn more about healthy public housing:  


Boston Public Health Commission 
Asthma Regional Council 
Parners in Health and Housing Prevention Research Center    
The Healthy Public Housing Initative