title: Linking public health, housing, and indoor environmental policy: successes and challenges at local and federal agencies in the United States.
abstract: We describe the successes and challenges faced by federal and local government agencies in the United States as they have attempted in recent years to connect public and environmental health, housing, community development, and building design with environmental, housing, and building laws, codes, and policies. These policies can either contribute to or adversely affect human physical and mental health, with important implications for economic viability, research, policy development, and overall social stability and progress. Policy impediments include tension between housing affordability and health investment that causes inefficient cost-shifting, privacy issues, unclear statutory authority, and resulting gaps in responsibility for housing, indoor air, and the built environment. We contrast this with other environmental frameworks such as ambient air and water quality statutes where the concept of "shared commons" and the "polluter pays" is more robust. The U.S. experiences in childhood lead poisoning prevention, indoor air, and mold provide useful policy insights. Local programs can effectively build healthy homes capacity through local laws and housing codes. The experience of coordinating remediation for mold, asthma triggers, weatherization, and other healthy housing improvements in Cuyahoga County, Ohio, is highlighted. The U.S. experience shows that policymakers should adopt a prevention-oriented, comprehensive multi-disciplinary approach at all levels of government to prevent unhealthy buildings, houses, and communities.
authors.affiliation: National Center for Healthy Housing, Columbia, Maryland 21044, USA. djaobs@nchh.org
authors.forename: David E
authors.initials: DE
authors.lastname: Jacobs
authors.forename: Tom
authors.initials: T
authors.lastname: Kelly
authors.forename: John
authors.initials: J
authors.lastname: Sobolewski
mesh_terms: D016902:Air Pollution, Indoor; D002028:Building Codes / Q000331:legislation & jurisprudence; D004779:Environment Design / Q000331:legislation & jurisprudence*; D004782:Environmental Health / Q000331:legislation & jurisprudence*; D035082:Federal Government; D033161:Government Regulation; D006798:Housing; D006801:Humans; D009111:Local Government; D012922:Social Change; D014481:United States