Housing as a Vaccine

The 2016 Homelessness Awareness Day and Vigil was held at the Vermont State House in Montpelier on January 7th. Two House committees Housing, General and Military Affairs and Human Services had a joint hearing on homelessness, taking testimony on housing and homelessness issues. A number of other hearings regarding homelessness happened in the building during the course of the day.

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Opening the hearing was nationally recognized pediatrician Dr. Megan Sandel (principal investigator on Children’s Health Watch,  Associate professor at Boston University’s School of Medicine,  and Medical director, at  the National Center for Medical-Legal Partnership at Boston Medical Center), who has done path-breaking work on the effects of housing insecurity and homelessness on children. She gave a brilliant presentation on “Housing as a Vaccine: A Prescription for Child Health.”

At that hearing, Representatives and attending members of the public also heard from Vermont homeless service providers Linda Ryan (Director of Samaritan House) and Sara Kobylenski (Executive Director of Upper Valley Haven) on the latest trends and some recommended solutions to end or decrease homelessness in Vermont.

At Noon, community members, legislative leaders, administration officials, and advocates took the State House steps for a vigil to remember our friends and neighbors who died without homes, and to bring awareness of the struggles of those still searching for safe and secure housing. U.S. Senator Patrick Leahy and other legislative representatives and advocates joined and spoke at the vigil.

How can Housing be a Vaccine?

Dr. Megan presented data to support her thesis that housing can be protective for health. The quality, stability and affordability are important determinants to heath of all people. That means improving housing can provide multiple benefits. According to Dr. Megan, timing and duration of housing insecurity matter greatly to a child’s health. By increasing availability, affordability, and quality of housing, the health effect of housing insecurity can be decreased. Dr. Megan also provided specific evidence regarding housing quality and children’s health. For example, developmental issues, worsening asthma and other conditions have been tied to specific housing conditions such as pests, mold, tobacco smoke, lead exposure and so forth, and tied to long term effect with poor health outcomes.

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According to Children’s Health Watch, “unstable housing, hunger and health are linked” because evidence shows that being behind on rent is strongly associated with negative health outcomes such as high risk of child food insecurity, children and mothers who are more likely in fair or poor health, children who are more likely at risk for development delay, mothers who are more likely experiencing depressive symptoms. Research conducted by the National Housing Conference from Children’s Healthwatch illustrates that there is no safe level of homelessness. The timing (pre-natal, post-natal) and duration of homelessness (more or less than six month) compound the risk of harmful childhood health outcomes. The younger and longer a child experiences homelessness, the greater the cumulative toll of negative health outcomes, which can have lifelong effects on the child, the family, and the community.

Several community representatives spoke in support of increasing housing affordability by targeting more public funding to support housing affordability and housing stability and adding to state housing directed funds with a $2 per night fee on hotel, motel and inn stays.

 

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