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Although housing-related health hazards are a concern for people of every age group, young children are at special risk from health hazards in their homes. Young children spend the vast majority of their time in the home and they are most vulnerable biologically. Children’s bodies take in proportionately greater amounts of environmental toxins than adults, and their rapidly developing organs are especially vulnerable to pollutants. Since children naturally crawl and play on the floor, they are in direct contact with areas where contaminants accumulate, and they are likely to ingest those contaminants through their normal hand-to-mouth behavior and play.

Low-income children are at a significantly higher risk for lead poisoning than children from upper-income families; African-American children are at a two times higher risk than white children. In some distressed neighborhoods, almost one third of preschool children suffer from elevated blood lead levels. Asthma is the most common chronic disease of childhood and health records show that African-American, Hispanic, and low-income children suffer higher rates of hospitalization, emergency room visits, and deaths from asthma. Even after accounting for socioeconomic differences, African-American children are twice as likely to have asthma and six times more likely to die from it than white children.

Beyond their significant impact on human health, housing-related environmental health hazards constitute clear and compelling examples of environmental injustice. Although housing-related health hazards are widespread in the U.S., these problems tend to be heavily concentrated in particular communities. Because low-income communities and communities of color are much more likely to contain substantial pockets of substandard housing, they are at a dramatically elevated risk for effects associated with indoor environmental hazards. Lead poisoning and asthma, two of the most widespread and serious diseases related to substandard housing, have devastating impacts on affected families in lower-income communities. The diminished human potential associated with these diseases falls on the very children who can least bear additional disadvantages and is at once a cause and effect of persistent poverty.

The unhealthy and inadequate housing options available to many families stem from the profound shortage of affordable housing across the country. Monthly housing costs grow 5-15 percent annually, while the minimum wage has remained at $5.15 since 1997. In 2003, the national average wage needed to make the national average rent payment was $14.66—almost triple the minimum wage.

The social costs of health hazards in homes range from the ripple effects of adverse health impacts to economic impacts and reduced quality of life:

  • The ripple effects of adverse health impacts include:
    • Behavior problems
    • Diminished school readiness and performance
    • School and employment absenteeism
    • Increased costs for special education
    • Higher dropout rates
    • Higher health care costs
    • Increased burdens on public health agencies
    • Lower productivity
    • Increased delinquency and criminality, leading to decresed public safety
    • Reduced lifetime earnings, leading to economic hardship.
  • Among the economic impacts on the community are:
    • A stunted tax base, which shortchanges schools and other public service
    • Housing abandonment and demolition
    • Diminished supply of decent and affordable housing
    • Increased liability insurance costs.
  • Quality of life and community pride are reduced due to general blight and such problems as:
    • Dangerous vacant lots and vacant buildings
    • Degraded environmental conditions
    • Potential incentives for landlords to illegally discriminate against children.

Society at large also pays a high price for these illnesses. According to a February 2000 report of the President’s Task Force on Environmental Health Risks and Safety Risks to Children, the cost over the next ten years in reduced lifetime earnings of children affected by lead exposure is expected to be about $22 billion. The U.S. EPA estimates that the one-year direct and indirect cost of asthma to the U.S. economy is $14 billion. Clearly, solving these problems will result in significant savings to taxpayers as medical and special education costs are lowered and productivity is increased.

Policies and programs that successfully address such housing-related health hazards can strengthen communities in far-reaching ways. Revitalizing communities requires improving the availability and quality of affordable housing and ensuring that all people have access to housing that is safe from environmental hazards. The wide variations in risks and circumstances among different communities across the country require solutions that are community-based.

 

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