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HOUSING AS A VACCINE. Rebecca Morley, MSPP, Executive Director National Center for Healthy Housing. What does NCHH do?. Health status is determined by: Genetics : 20 – 30% Health care: 10% Social , environmental conditions, and behavior: 60 – 70% J Health Affairs, 2002.
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HOUSING AS A VACCINE Rebecca Morley, MSPP, Executive Director National Center for Healthy Housing
Health status is determined by: • Genetics: 20 – 30% • Health care: 10% • Social, environmental conditions, and behavior: 60 – 70% • J Health Affairs, 2002 Factors Responsible for Population Health
The Baltimore Health Department found a 20-year life expectancy gap between two Baltimore neighborhoods – just 5 miles apart!
Note: * Estimate. Expenditures shown in $US PPP (purchasing power parity). Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 International Health Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; Commonwealth Fund Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009). Overall Health System Performance Ranking
High Point Seattle, WA
Statistically significant: P= .083 Viking Terrace: Worthington, MN
Results:Changes in Reports of General Housing ConditionPre-Renovation vs. Immediate Post Renovation *p<0.05
INCREASING SUPPLY Substandard housing: Our nation’s best kept secret
40% of U.S. Households live with at least one health or safety hazard www.nchh.org/Policy/State-of-Healthy-Housing.aspx
An evidence-based health protective property-maintenance standard Attainable, enforceable and practicable Not a construction or rehab standard Final release date: December 1, 2013 www.nchh.org/Policy/NationalHealthyHousingStandard.aspx
Financing healthy housing: Who Should Pay?
Hospital Community Benefits • Section 9007 of the ACA clarifies nonprofit hospitals’ responsibilities to provide benefits to the communities they serve • Community building activities generally understood to benefit population health but not involve the provision of medical care • Address the root causes of poor health • Proactive strategic investments in prevention to reduce “upstream” causes of poor health status and premature death.
For more information Practice what you preach! Rebecca Morley National Center for Healthy Housing rmorley@nchh.org www.nchh.org 443.539.4159