Beyond Energy Efficiency: Healthy Homes and Communities Rebecca Morley Executive Director, NCHH
Costs of environmental illness: All diseases: 76.6 billion Lead poisoning: $50.9 billion Autism: $7.9 billion Intellectual disability: $5.4 billion Exposure to mercury (methyl mercury): $5.1 billion Attention deficit hyperactivity disorder: $5.0 billion Asthma: $2.2billion Childhood cancer cost: $95.0 million 3.5% of health care expenditures Source: Trasande L, Liu Y. Reducing the staggering costs of environmental disease in children. Health Aff. 2011 May;30(5):863-70.
Health consequences of inadequate housing are substantial. Indoor dampness/mold Home injury Crowding Indoor cold Traffic noise Second-hand smoke Radon Lead CO Formaldehyde Indoor smoke from solid fuel Housing quality www.euro.who.int/__data/assets/pdf_file/0003/142077/e95004.pdf
Benefits of Housing Upgrades Environmental health Vaccines For every $1 spent there is a benefit of $5.30-$16.50 For every $1 spent to reduce lead hazards there is a benefit of $17-$220 For every $1 spent on asthma interventions there is a benefit of $36.
Green and Healthy Renovationof Affordable Housing Source: Public Health Reports / 2011 Supplement 1 / Volume 126
Common Green and Healthy Rehab Elements Low-VOC adhesives, paints & coatings Ventilation: ASHRAE 62.2 Integrated pest management No carpet in wet areas Energy Star fans exhausted to exterior
Adult Health Changes
Child Health Changes
Specific Housing Condition Changes
Environmental Testing-MN Green
‘‘Livable Communities Act of 2011’’ Introduced by Senator Robert Menendez(D-NJ) Promotes livable communities through sustainable infrastructure for transportation, affordable housing, healthy housing, land use and economic development Authorizes the HUD Office of Sustainable Housing and Communities Authorizes Regional Planning and Community Challenge grants Adds a new Healthy Homes section
Tools for Incorporating Health into Housing and Community Development EPA Indoor Environment Protocols Healthy Development Measurement Tool Health Impact Assessment
Intended for voluntary adoption by: Weatherization assistance programs, Federally funded housing programs Private sector home performance contracting organizations Others working on residential retrofit or remodeling efforts www.epa.gov/iaq/pdfs/epa_retrofit_protocols_draft_110910.pdf
Healthy Development Measurement Tool 100+ community-level measures Menus of policy and best practices Criteria for development projects Supporting public health evidence www.thehdmt.org Source: San Francisco Department of Public Health
Health Impact Assessment A combination of procedures, methods and tools that systematically judges the potential, and sometimes unintended, effects of a policy, plan, program or project on the health of a population and the distribution of those effects within the population. A Health Impact Assessment Toolkit: www.humanimpact.org
The Process : : 1) : 1)
Conclusion Housing related disease and injuries are costly The return on investment for building healthier homes and communities is considerable Practical tools are available to housing and community development professionals to make communities more livable, healthy and sustainable.
“For many years, I have lived uncomfortably with the belief that most planning and architectural design suffers for lack of real and basic purpose. The ultimate purpose, it seems to me, must be the improvement of mankind.”--- Jim Rouse
Rebecca Morley National Center for Healthy Housing in Columbia, MD and Washington DC email@example.com www.nchh.org (t) 443.539.4159