Cold is not the whole story – what the health services need to know about housing

An AECB consultation response

This document was written in response to a NICE (National Institute for Health and Care Excellence) 2014 consultation on producing guidelines for health authorities on tackling excess winter deaths and illnesses. It was written (mainly) by me, on behalf of the AECB, teaming up with Severn Wye Energy Agency and the STBA (Sustainable Traditional Buildings Alliance) – who also contributed information.

While at the time of this consultation the deleterious impact of cold living conditions on health were well known – prompting the consultation – poor indoor air quality was less discussed.

Yet of course, air quality can be very poor in cold homes: people will block out any draughts they can – including the intended fresh air supply from a ventilation fan or vent – especially if they are in fuel poverty. This only increases the risk of condensation and mould – already high in a dwelling with cold, uninsulated surfaces. And more and more evidence is piling up of just how bad mould in particular is for people’s health and wellbeing. Continue reading

Prescribing healthy homes

The National Institute for Health and Care Excellence (NICE) recently ran a consultation on the guidance they give to health bodies and local authorities on reducing the burden of winter deaths and illnesses from cold homes.

The AECB (Association for Environment Conscious Building) along with the STBA (Sustainable Traditional Buildings Alliance) and Severn Wye Energy Agency submitted a  response, which I helped to draft.

The response welcomed the idea that health professionals should be involved in identifying and tackling unhealthy homes. It also emphasised that excess winter deaths and illnesses were almost certainly due to a combination of low indoor temperatures and poor indoor air quality (exacerbated by cold surfaces in uninsulated homes, and by occupants restricting ventilation to keep out cold draughts), and that an emphasis on low temperatures alone could miss significant causes of ill-health – and valuable remedies.

You can download the response here: NICE excess winter deaths and illnesses consultation response

You can also find out more about the original NICE consultation on the AECB website here