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May 2002, Vol 92, No. 5 | American Journal of Public Health 758-768
© 2002 American Public Health Association


PUBLIC HEALTH MATTERS

Housing and Health: Time Again for Public Health Action

James Krieger, MD, MPH and Donna L. Higgins, PhD

James Krieger is with Public Health—Seattle & King County and the Schools of Medicine and Public Health, University of Washington, Seattle. Donna L. Higgins is with the Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to James Krieger, MD, MPH, Public Health—Seattle & King County—EPE, 999 Third Ave, 12th Floor, Seattle, WA 98104-4039.

Poor housing conditions are associated with a wide range of health conditions, including respiratory infections, asthma, lead poisoning, injuries, and mental health. Addressing housing issues offers public health practitioners an opportunity to address an important social determinant of health. Public health has long been involved in housing issues. In the 19th century, health officials targeted poor sanitation, crowding, and inadequate ventilation to reduce infectious diseases as well as fire hazards to decrease injuries. Today, public health departments can employ multiple strategies to improve housing, such as developing and enforcing housing guidelines and codes, implementing "Healthy Homes" programs to improve indoor environmental quality, assessing housing conditions, and advocating for healthy, affordable housing. Now is the time for public health to create healthier homes by confronting substandard housing.




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