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By providing secure, 
safe housing, we are also addressing persistent health problems 
By 
Danyaal Raza and Ritika Goel EvidenceNetwork.ca 
TORONTO, 
Ont. / Troy Media/ - As family doctors, we see and know the powerful effect 
proper housing has on the health of our patients. 
When you 
feel unwell, whether from a minor cold or a devastating terminal illness, the 
feeling of home, the desire for a safe and comfortable place to rest and 
recuperate is universal. But what if your home itself is a source of stress and 
illness? Worse yet, what if you don't have a home at all? 
On the 
front lines of health care, family doctors have the rare opportunity to see a 
person as a whole, in the context of their lives and social situations. As 
practitioners of evidence-based medicine, we also seek the most effective 
interventions to improve the conditions of our patients. And the evidence is 
clear. Social factors, like housing, income and wealth, educational background 
and race are more powerful determinants of health outcomes than our behaviours, 
genes or even the health-care system. 
And yet, 
experts in health are often trained to focus on the provision of health-care 
services, often sending patients back into the social and economic conditions 
that made them sick. Nowhere is this more evident than for individuals 
experiencing homelessness or living in unsafe, precarious housing. 
We treat 
chronic back pain and send people back to sleep on concrete streets. We treat 
insomnia and send people back to chaotic shelters where they cannot sleep. We 
treat asthma and send people back into mouldy homes where they labour to 
breathe. We send patients back to the very places that create their 
disease. 
As 
health-care providers, we know the actual prescription needed is safe, secure 
and affordable housing. We are not alone. 
Canada's 
former chief public health officer, Dr. David Butler-Jones, agrees 
that inadequate housing can have several negative repercussions on health 
ranging from "respiratory disease and asthma due to moulds and poor ventilation, 
to mental health impacts associated with overcrowding." 
This is 
not a small issue. An overwhelming 1.5 
million households in Canada live in precarious housing that is inadequate, 
unsuitable and unaffordable. In other words, 1.5 million families live in 
housing that requires major repairs, does not have enough bedrooms for their 
needs and pay more than 30 per cent of their household income for this unfit 
housing. 
This is 
not a sustainable and it endangers the health of our communities. The 1.5 
million in precarious housing does not even count the over 235,000 
a year experiencing homelessness in Canada - those living in shelters, sleeping 
outside or surfing friends' couches. 
The recent 
federal budget offered $2.3 billion for affordable housing - a step in the right 
direction. We know some of the funds will be allocated to deal with 
homelessness, First Nations housing and seniors. While these are positive steps, 
there is as yet no timeline for promised consultations on allocating these 
funds. The government's solution to our housing crisis cannot be about writing 
cheques and walking away. 
When 
consultations are launched, as health providers who see the impact of these 
policy decisions on the ground, we have suggestions. 
First and 
foremost, housing must be viewed as a health and social justice issue. Safe, 
secure and affordable housing is crucial to maintaining and improving health and 
well-being. 
Secondly, 
these conversations must include not just the health sector, community partners 
and think-tanks but, most importantly, those who have experienced homelessness 
and precarious housing. 
Finally, 
our approach to the housing crisis cannot be one-off policy changes but should 
be part of a co-ordinated national housing strategy. This is the approach 
recommended by the United 
Nations Economic and Social Council in March. They raised red flags over our 
insufficient funding for housing, our shortage of social housing units and 
increased evictions related to rental arrears. 
Tackling 
these problems in a co-ordinated strategy - not just with short-term spending 
promises but with meaningful long-term partnerships - isn't just good social 
policy, it's good health policy. 
It's time 
to move from crisis to action, from precarious circumstances to security, and 
towards improved housing and health for every Canadian.Danyaal 
Raza is an advisor with EvidenceNetwork.ca and Upstream, a family physician at 
St. Michael's Hospital and assistant professor at the University of Toronto. 
Ritika Goel is a family physician with the Inner City Health Associates working 
with people experiencing homelessness, as well as a lecturer at the University 
of Toronto. 
© 2016 Distributed by Troy 
Media | 
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