unhealthy homes – Nursing Review https://www.nursingreview.co.nz New Zealand's independent nursing series Sat, 03 Mar 2018 02:29:08 +0000 en-US hourly 1 https://wordpress.org/?v=4.9.4 New Zealand ‘a society divided by wealth’: new housing report https://www.nursingreview.co.nz/new-zealand-a-society-divided-by-wealth-new-housing-report/ https://www.nursingreview.co.nz/new-zealand-a-society-divided-by-wealth-new-housing-report/#respond Mon, 12 Feb 2018 05:51:09 +0000 https://www.nursingreview.co.nz/?p=4525 Housing Minister Phil Twyford has released a “sobering” stocktake on housing which has found homelessness was worse than thought and there was a growing “floating” population of people in insecure housing.

It warned that New Zealand was “quickly becoming a society divided by the ownership of housing and its related wealth”.

It also showed home ownership had slumped dramatically since the 1980s – especially among Pacific and Maori people – and Auckland’s housing problem was created by a mix of population growth, partly fuelled by migration, and the construction and land development sectors “hindering” housing affordability.

It also pointed to a potential time bomb in the impact on housing affordability on the elderly, finding the proportion of older people who were living in mortgage-free homes had dropped from 86 per cent to 72 per cent since the 1980s.

The housing report was authored by economist Shamubeel Eaqub, University of Otago Professor of Public Health Philippa Howden-Chapman and the Salvation Army’s Allan Johnson.

‘Sobering’ reading

Twyford said it was “sobering”.

“It paints a sobering picture of the devastating impacts of the housing crisis, particularly on children. Homelessness, transience and substandard housing have had a lasting and sometimes even deadly effect on our youngest.”

It included discussion of the “hidden homeless” population that is not officially monitored or recorded.

However, community emergency housing providers report they are at full capacity, and their data from last year indicates that for every 10 homeless people that approach them, eight to nine are turned away.

The report shows homelessness was worse than previously thought and that 80 per cent of homeless people turning up to community emergency housing providers in the last year were turned away.

It brings together figures across a number of areas including homelessness, the rental market, housing affordability – including the rising costs relative to wage increases – and housing supply nationwide, with a specific focus on Auckland.

The report warns of a burgeoning “floating population” – people without safe and secure housing, including in temporary housing, sharing with another household, or living in uninhabitable places.

Greater awareness of the issue, along with more information campaigns about where to get help, is expected to lead to reported homelessness getting worse.

The report is intended as analysis of the housing issue, and is not expected to make any recommendations for action.

One indication of the extent of the crisis in the report is an extra 2000 pensioners receiving the accommodation supplement last year.

‘Pipeline of homelessness’

Alan Johnson of the Salvation Army was one of the report’s authors. He warned that homelessness would get worse before it got better.

“We believe there’s a pipeline of homelessness still in existence. There will be some time yet before we see the numbers in transitional housing tapering off. We believe it will get worse before it gets better.”

He had looked at housing assistance programmes, homelessness and transitional housing. He said the previous National Government’s reforms in the area of social housing and state housing were “poorly funded and poorly executed”.

“It’s apparent to us that one of the problems we’re had in social housing or state housing areas was that the previous government’s reform agenda was in parts an essential programme in terms of rejuvenation of housing stock, but the reality is it was poorly funded and poorly executed.”

Johnson said reform of the Accommodation Supplement was needed, beyond the increase due mid-year under the Government’s families package as hundreds of thousands were dependent on it.

He said abatements created ”poverty traps” and the current system was arbitrary and could act as a disincentive for people to take on part-time work.

He said there should be a preference for fixed-term tenures, rather than periodic, and those should provide a way to moderate rent increases.

The Tenancy Tribunal was funded from the interest off tenants’ bonds, yet it was landlords who used the Tribunal more. That funding should be used more for tenants’ rights, he said.

Otago University Public Health professor Philippe Howden-Chapman said the numbers of children who did not live in homes owned by their families had grown.

“This has fundamentally major consequences for stability in communities.”

She said in Otago’s “Living in New Zealand” long-term study, those who had not lived in stable housing as a child had faced different consequences than others.

She said little work had been done on the social costs of substandard housing in New Zealand and it was beneficial for the government to be looking at the consequences of housing on the wellbeing of people.

Economist Shamubeel Eaqub has hit out at the Labour Government’s fiscal responsibility rules, saying it was acting as a “straitjacket” on it and debt could be used to reform the housing market.

Eaqub was one of the authors of a housing stocktake commissioned by the Government to help guide housing policy.

Eaqub said investment was needed in infrastructure and housing such as the KiwiBuild programme yet the Government was restricted because of the fiscal responsibility rules.

He said the infrastructure issue could be resolved by “borrowing s***loads of money” and only a “fiscal idiot” would not have been borrowing money in the current climate or over the past decade.

Labour and the Greens both signed up for fiscal responsibility rules requiring the Government to stay in surplus and to gradually reduce government debt relative to GDP to 20 per cent.

Housing report: key points

• Population has outstripped housing growth by 2.1 per cent
• New Zealand has 1.9 million private homes with average of 2.6 people per dwelling • 574,000 households are renting
• Rents for three-bedroom houses rose 25 per cent 2012-17, but wages just 14 per cent
• 32 per cent of rental properties are “poorly maintained”
• 29 per cent of households struggle to afford power bills, spent a large portion on the bill, or felt cold
• Number of children under 15 living in rentals up 65 per cent between 1986 and 2013
• Child asthma estimated to have cost $58.3m in 2013
• Between 1991 and 2013 the proportion of Maori renting privately rose from 41 per cent to 77 per cent and for Pasifika from 27 per cent to 56 per cent.
• “This rise appears to be fuelled by the decrease in state housing stock and changes to policies designed to move people out of state housing.”
• 6128 households needing a state house in December 2017
• One in 100 people homeless in 2017, up from one in 120 in 2006
• For every 10 people approaching emergency housing providers in 2017, eight or nine turned away
Source: A Stocktake of New Zealand’s Housing.

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Nurses hope landlords get ‘cracking’ now Healthy Homes bill passed https://www.nursingreview.co.nz/nurses-hope-landlords-get-cracking-now-healthy-homes-bill-passed/ https://www.nursingreview.co.nz/nurses-hope-landlords-get-cracking-now-healthy-homes-bill-passed/#respond Sun, 03 Dec 2017 23:57:47 +0000 https://www.nursingreview.co.nz/?p=4236 Nurses hope landlords get ‘cracking’ to make homes warmer before next winter following the passing of the Healthy Homes Guarantees bill, says nurses’ union NZNO.

The Healthy Homes Guarantee Bill was passed late last week – the second major law to be passed by the new Government – and will come into effect in 2019. The law enables the Government to set standards for rental housing quality including heating, insulation, ventilation, draught stopping, drainage and moisture.

Memo Musa, chief executive of the New Zealand Nurses’ Organisation, said NZNO congratulated the government on the passing of the bill as it was well documented that poor housing took its toll on the health of children in particular.

Preventable diseases such as skin infections, rickets and respiratory diseases should not be a feature for any child growing up in Aotearoa,”  he said with access to decent housing and healthcare being basic human rights.

“The high cost of heating a home that is almost impossible to keep warm can also leave families that are renting in poverty, and this in turn leads to children becoming malnourished and ultimately presenting to nurses for care.

“The whole notion of a rental warrant of fitness is a good way forward. This will help to keep people out of hospital and in their communities living healthy lives,” said Musa. He said the 2017 winter saw an increase in the numbers of people coming into emergency departments over  previous years.

“Nurses hope that landlords will get cracking and get their houses sufficiently insulated and ventilated before next winter and not wait until it is illegal not to in 2019,” he said.

Housing Minister Phil Twyford, after the passing of the bill on November 39, that “most landlords do a good job, but the fact is the lack of legal standards means some rentals are not currently fit to live in”.

“About 40,000 children a year are admitted to hospital due to diseases are related to poor housing, and 1,600 New Zealanders’ lives a cut short by illnesses caused by living in cold, damp conditions,” said Twyford. “This has to change. Thanks to this law, it will.”

The National Party has criticised the bill as meaningless, saying that legal minimum requirements were already in place.  The New Zealand Herald reported that Twyford said, prior to the third reading of the bill, that new standards might see extra costs for landlords.

“We think between $3000 and $5000, if you have to insulate from scratch and put in a heat pump. But we’re going to be providing grants of up to $2000 per property to assist with that.” He also said that he did not think the bill’s minimum standards would push up the price of rent – and increases would be marginal “if at all” because rents were set by supply and demand and all landlords in the market would have to meet the standards.

Twyford said the government would run a consultation process over the next 18 months to ensure that tenants, landlords, public health and building science experts and industry representatives had an opportunity to get involved in “creating robust minimum standards”.

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Health minister and others respond to child deaths link to unhealthy housing https://www.nursingreview.co.nz/health-minister-others-respond-to-child-deaths-link-to-unhealthy-housing/ https://www.nursingreview.co.nz/health-minister-others-respond-to-child-deaths-link-to-unhealthy-housing/#respond Wed, 30 Aug 2017 21:06:01 +0000 https://www.nursingreview.co.nz/?p=2750 Health Minister Jonathan Coleman has acknowledged that 20 children dying each year from diseases linked to cold, damp, crowded homes is “unacceptable”.

His comments follow a Herald investigation that found that preventable, housing-related illnesses such as pneumonia and bronchiolitis killed more kids than car crashes or drownings.

On top of the deaths, 30,000 hospitalisations a year are associated with unhealthy homes.

The majority of those were from respiratory diseases including the third-world condition bronchiectasis, where babies’ lungs are scarred for life.

Coleman said the National government had set a target to reduce avoidable hospitalisations, which included earlier interventions and best treatment of respiratory illness.

He said: “No doubt that this is an unacceptable statistic and there is a lot more work to be done.”

Coleman said the government had already made child health a priority with free GP visits and prescriptions for under 13s, insulating 300,000 homes, setting the first rheumatic fever reduction target, and dramatically increasing immunisation rates.

The diseases included in the Herald’s investigation did not include vaccine-preventable conditions.

It detailed how the rheumatic fever target wasn’t met, including how a Healthy Housing Initiative was unable to rehome 75 per cent of families at risk of rheumatic fever due to a lack of housing supply.

Labour leader Jacinda Ardern called the situation “deeply saddening”.

“This is what this election should be about. This is what we should be debating – do we have a tolerance for kids dying because our houses are in such a bad state? Do we tolerate this?” said Ardern.

“The idea a kid dies because they’re cold is just appalling in a place like New Zealand.”

If elected the party would address unhealthy homes in its first 100 days, by introducing the party’s Healthy Housing Bill, mandating high insulation standards and requiring rentals to be warm, dry and healthy.

It would also fund universal $2,000 insulation grants, offer a $700 winter energy payment and build more state houses.

The Green Party’s social housing spokeswoman Marama Davidson said the deaths were an “absolute farce and an absolute scandal”.

Davidson said the Greens would bring in a comprehensive Warrant of Fitness for houses to make sure all properties, not just rentals, were warm, dry and safe.

“We want people to be able to heat their houses sufficiently. We know lots of people can’t afford adequate heating at the moment.”

She said the Greens would also boost a government insulation programme back to former levels.

A range of organisations condemned the high hospitalisation rates yesterday, including the Asthma and Respiratory Foundation and health bodies.

Plunket’s Chief Executive Amanda Malu said Plunket nurses regularly see babies living in “bone cold”, damp, overcrowded houses – some with no curtains or with holes in the floor.

“This is a systemic issue and policies are needed to increase access to quality houses for families.”

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