In 2011, Cleveland had one of the highest rates of childhood lead poisoning in the United States, with almost one of every five children in the city receiving this diagnosis. Childhood asthma rates were also extremely high, especially for children living in poverty, according to 2008 statewide statistics for Ohio. Follow along in this new case study with the Engaging the Community in New Approaches to Healthy Housing (ECNAHH) initiative, part the BUILD Health Challenge’s first cohort, as they worked to reduce the occurrence of asthma, chronic obstructive pulmonary disease (COPD), and lead poisoning related to unhealthy housing conditions in three sub-neighborhoods in Cleveland.




Through a series of interviews, ECNAHH partners share how their collaboration interpreted and applied the BUILD principles as part of BUILD’s first cohort, the initiative’s results, and lessons learned over their two-year effort. At the conclusion of their BUILD award, ECNAHH worked to successfully implement preventive home interventions, and mitigate the risk of asthma/COPD and lead poisoning in their community.

Highlights in the report include:

  • Step-by-step approach demonstrating how ECNAHH focused on prevention-based housing maintenance and strategically targeted home interventions to prevent asthma/COPD exacerbations and lead poisoning
  • Summary of how the collaborative formulated housing policy initiatives that culminated in the enforcement of the existing rental registry.
  • Behind-the-scenes look at how the collaborative expanded, and integrated, public health data from an existing data portal by merging Ohio health data with local data from the city departments
  • Conceptual frameworks used by the collaborative members to help develop strategy, deeper community engagement, and stronger partnerships.