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Fuel Poverty Impacts on Human Health A Cross-Sectoral Approach Christine Liddell

Fuel Poverty Impacts on Human Health A Cross-Sectoral Approach Christine Liddell. 2010-2012 Update. Excess winter deaths Physical health impacts Mental wellbeing New road maps in England. Excess Winter Deaths Update Notes of caution. Excess Winter Deaths in NI. Registrar General

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Fuel Poverty Impacts on Human Health A Cross-Sectoral Approach Christine Liddell

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  1. Fuel Poverty Impacts on Human Health A Cross-Sectoral Approach Christine Liddell

  2. 2010-2012 Update • Excess winter deaths • Physical health impacts • Mental wellbeing • New road maps in England

  3. Excess Winter Deaths Update Notes of caution

  4. Excess Winter Deaths in NI Registrar General Annual Report 2010

  5. Excess winter deaths NI: Last 37 years No significant trend over time Source: Morris & Liddell 2011

  6. Region-wide EWD’s 2000 to 2008 Source: Morris & Liddell 2011

  7. Excess winter deaths are volatile because they have many causes • Outdoor Temperatures are colder • Indoor Temperatures are colder • Air Quality is poorer • Influenza is primarily a winter illness

  8. How important is indoor temperature?

  9. No one knows for sure 40% of all EWD’s 1987 & 2007 Keatinge (2000) 50% 30% Rudge (2011)

  10. Contributors to EWD (Rudge, 2011)

  11. Implications FP is responsible for only some EWD’s Average in last decade @ 30% of all EWD’s Ireland Northern Ireland 417 deaths p.a. 189 deaths p.a. Across 11 EU countries 38,203 deaths p.a. attributable to cold homes Source: Rudge 2011

  12. Which cause of EWD is the most preventable? • Cold outdoor temperatures • Poor Air Quality • Influenza • Indoor Temperatures

  13. Physical Health Impacts More are emerging

  14. Hospital Admissions: New Zealand Strong age effect 0- 4years and 60+years Source: Telfar Barnard 2010

  15. Out of hospital: European cities • New illnesses associated • with FP • Stress-related • Gastric and duodenal ulcers • Migraines Source: Ormandy & Ezratty 2012

  16. Health impacts of FP compared with other environmental risks Studies with a cast of millions 2011

  17. Mental Health Impacts Keep the customer satisfied

  18. Warm Front National Evaluation Source: Grimsley et al. 2012

  19. Warm Front: The Findings Source: Grimsley et al. 2012

  20. Warm Front National Evaluation Not what is done but how improvements make people feel

  21. FP: The Coping Hierarchy Reduce bills for non-essentials Reduce bills for food Reduce bills for heat and light Borrow from friends/relatives Start using savings Sell valuable items Go into debt Borrow from loan agencies Source: Anderson et al. 2012

  22. FP: The Coping Hierarchy Reduce bills for non-essentials Reduce bills for food Reduce bills for heat and light Borrow from friends/relatives Start using savings Sell valuable items Go into debt Borrow from loan agencies “Heat or Eat” is optimistic Source: Anderson et al. 2012

  23. New road maps Possibly time for a small cupcake

  24. Public Health departments • Statutory duty to protect us from preventable illness and death • Air pollution • Contaminated water • Harmful additives in food • Serious communicable diseases

  25. England: January 23rd 2012 Indicators for the Wider Determinants of Health

  26. 19 Indicators for Wider Determinants of Health Child poverty Homelessness Road accidents Youth criminal justice Fuel poverty

  27. New road maps • Reframing the status of • Fuel Poverty. • Designated publichealth risk • With Indicator status

  28. Fixing it in the English Housing Stock €20B Who should pay?

  29. €20B with a 15 year lifespanReturns from improvements to health Retrofitting English Housing Stock Returns from health improvements € 660M per annum Pays for itself in 30 years

  30. Upgrading the housing stockALLsociety benefits Retrofitting English Housing Stock € 20B Returns from all impacts on society € 1.7B per annum Retrofitting pays for itself in 12 years

  31. Who should contribute? Cross-sectoral beneficiaries • € 20B spend benefits private sector • Referral and Advisory teams • Surveyors • Manufacturers • Installers • Inspection teams • Clerical agencies • Auditors ?

  32. Who should contribute? Cross-sectoral beneficiaries • €20B spend benefits public sector • Housing • Health • Social Welfare • Employment • Training & Education • Trade • Environment ?

  33. Who owes money? Cross-sectoral beneficiaries • €20B spend benefits public sector • Housing • Health • Social Welfare • Employment • Training and Education • Trade • Environment

  34. Environment Private Sector Housing Trade Social Welfare Tackling FP Employment Training/Ed Health

  35. Thanks for listening

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