Telfar-Barnard L, Bennett J, Robinson A, Hailes A, Ombler J, Howden-Chapman P. Evidence base for a housing warrant of fitness.
SAGE Open Med 2019;
7:2050312119843028. [PMID:
31001424 PMCID:
PMC6454639 DOI:
10.1177/2050312119843028]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Accepted: 03/19/2019] [Indexed: 11/23/2022] Open
Abstract
Substandard housing is a major public health issue in New Zealand. Approximately,
two-thirds of the housing stock is uninsulated and many homes are inadequately
heated, with an average indoor temperature of 14.5°C. Cold, damp, and mouldy
housing results in poor health; each year, respiratory hospital admissions are
74% higher during winter, and excess winter mortality is 20% higher than other
seasons. The relationship between injury and housing conditions is also well
established. Each year, 500,000 New Zealanders suffer falls requiring medical
treatment in their homes. As a step towards improving the quality of existing
housing, an evidence-based warrant of fitness has been developed. This article
outlines the evidence base to each criterion in the warrant of fitness. We
conclude that introducing and properly enforcing a housing warrant of fitness
will ensure that basic minimum standards are met, which could mitigate the
disease burdens and injuries associated with, or caused, by poorer quality
housing. In addition, there are potential fiscal and economic advantages of the
scheme, including reduced hospitalisations and increased productivity.
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