BehindLines

World Cities Day: housing matters for health too

· BehindLines newsroom

On World Cities Day, 31 October, the World Health Organization calls for housing conditions to be treated as a health issue. Its message links the quality of the home to health throughout life, from childhood to the independence of older people.

WHO cites several exposures: excessive heat or cold, air pollution, overcrowding and hazards in the environment. It also stresses barriers to accessibility. A home may thus have a roof and walls without meeting the needs of its occupants. The organisation invites health and urban planning actors to work together, relying in particular on its housing recommendations.

The regeneration of cities raises another question: who can keep living in them? In an analysis published on 26 October by the German institute IDOS, Nomzamo Zondo, Eva Dick and Jacqueline Wingens examine the place left to residents in urban transformations. They highlight the social role of housing and the protection of people facing exclusion. Their text is a public-policy analysis, distinct from WHO's health appeal.

These two approaches invite us to look together at the characteristics of a home and at the conditions that allow people to stay in it. Improving a building and ensuring access to housing are two dimensions to document. Announcements of works do not, on their own, say anything about the situation of residents once they are completed.

WHO's message does not present a new clinical trial or a measurement of the effects of a specific renovation. IDOS's analysis does not verify the results of a particular health programme either. Putting them side by side provides a framework for reading this day: asking which conditions are improved, for which people, and how the effects will be evaluated. It does not allow us to announce that a benefit has already been achieved in every city.

Sources