Being There: The Intersectionality of Housing, Health and Neighborhood Harmony June 9, 2016 Marcheta Gillam Senior Housing Attorney Legal Aid Society of Southwest Ohio
Hamilton County 2012 Age Under 1 # 10, 545 1 year 10, 774 2 years 10, 746 3 years 10, 841 4 years 10, 363 5 years 10, 195 63, 464 Total Under 6
"Lead has no purpose in the human body, " said Dr. Camille Jones, assistant health commissioner for the Cincinnati Health Department. "While people may be OK, they don’t know they could have been better. "
Early Exposure to Lead and Child IQ N = 1, 333 Low-Level Environmental Lead Exposure and Children’s Intellectual Function: An International Pooled Analysis Bruce P. Lanphear, 1, 2 Richard Hornung, 1, 2, 3 Jane Khoury, 1, 2 Kimberly Yolton, 1 Peter Baghurst, 4 David C. Bellinger, 5 Richard L. Canfield, 6 Kim N. Dietrich, 1, 2 Robert Bornschein, 2 Tom Greene, 7 Stephen J. Rothenberg, 8, 9 Herbert L. Needleman, 10 Lourdes Schnaas, 11 Gail Wasserman, 12 Joseph Graziano, 13 and Russell Roberts 14
Brandon’s House n
Brandon’s House
Brandon’s House
Brandon’s House
Section 0053 -13 (B) It shall be unlawful for any person to spit on the floor of any factory, store, office, or other structure used as a workroom or as a dwelling place
Section 00053 -15 (C) (2) Interior and exterior surfaces of property found to have coatings as identified as the probable source of undue lead absorption or lead poisoning in human beings, shall, in a lead-safe manner, have the coatings removed, covered or made inaccessible to small children.
1. Lead is a poison. 2. Lead affects small children. 3. Elimination of Lead is costeffective: $1 invested: $17$231 Million(per Environmental Health Perspectives).
Living Near Our Double Railyard: Results: Infants living very near (<100 m) stop-andgo bus and truck traffic had a significantly increased prevalence of wheezing…when compared with unexposed infants. The incidence of wheezing among nonwhite infants was at least twice that of white infants, regardless of exposure. J Allergy Clin Immunol August 2005; Ryan, et. al.
Mold and 8 Month Old Babies and Asthma: Conclusion: In this birth cohort study, exposure during infancy to 3 mold species common to water-damaged buildings was associated with childhood asthma at age 7 years. (J Allergy Clin Immunol 2102; Reponen, et al.
Collaborative Calvary Example No. 1: A medical-legal partnership colocated in a pediatric care setting identified and treated a large cluster of poor quality, substandard housing. Housing improvements were possible because of strong collaboration between clinicians, attorneys, community partners, and families. Identifying and Treating a Substandard Housing Cluster Using a Medical-Legal Partnership; Beck, et al, Pediatrics Vol 130 No 5 November 2012
Collaborative Calvary Example No. 2: Our findings indicate that legal assistance is effective in bringing about considerable symptomatic and objective improvements in poorly controlled adult asthma patients whose self-reported environmental exposures are amenable to mitigation. Improved asthma control was also accompanied by decreased ED visits and hospital admissions by over 90%, implying significant health and financial benefits. The use if systematic steroids, associated with a myriad of adverse effects, was eliminated in 73% of the patients. O’Sullivan et al Journal of Asthma, 2012; 49(9): 911917.
The Developing Brain
• • • Hopes From Decades Past * Increased Blood Lead Testing *Next Door *Upstairs, Downstairs *Outside (sidewalks, demolition and industrial emissions) • *Turnover • *School
• • New Hopes *All of the above *Home water and school water * Proud Commitment to Infrastructure
“Always bear in mind that your own resolution to success is more important than any other one thing. ” -- Abraham Lincoln
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