By Adem Lewis / in , , , , , , , , , , , , , /

JUDY WOODRUFF: Let’s take a look now at an
innovative approach to health care. John Yang tells us about an effort in North
Carolina that tries to treat the housing conditions that contribute to chronic illnesses like
asthma before they become health emergencies. KRISHNAVENI BALAKRISHNAN, Greensboro Housing
Coalition: You can see mold growth all along the wall here. JOHN YANG: There is so much mold in the Greensboro,
North Carolina, rental property that inspectors Krishnaveni Balakrishnan And Ken Cook are
examining that the residents moved out after only a few weeks. KRISHNAVENI BALAKRISHNAN: There’s mold on
the children’s pillows. The family that lives here, they have five
children. One of them is asthmatic, and the mold in
the home is causing not only that child, but also the rest of the family to become sick. There’s a lot of moisture issues, a lot of
mold on the ceiling, on the family’s belongings. The home is not habitable. JOHN YANG: The residents say the landlord’s
suggestions for getting rid of the mold didn’t work. They had to pay for a hotel while still paying
rent here. KRISHNAVENI BALAKRISHNAN: You can tell where
it’s been wiped. JOHN YANG: Balakrishnan and Cook don’t work
for the city. They work for an advocacy group called the
Greensboro Housing Coalition. They’re part of an innovative approach aimed
at improving the health of low-income residents. KRISHNAVENI BALAKRISHNAN: There’s some mold
in the doorsill. JOHN YANG: Doctors, housing advocates, and
community activists say taking care of houses like this can be a form of preventive medicine. By getting rid of unhealthy environments,
they can keep people out of the emergency room. Researchers say asthma accounts for 93 percent
of the respiratory illnesses in Greensboro emergency rooms and clinics. On this day, one of them is Alveno Stanford’s
14-year-old son, Jacob. ALVENO STANFORD, Parent: And I noticed how
his chest would like come out more than usual. So, I could tell the chest was just, like,
coming out more. JOHN YANG: It’s not the first time Jacob’s
made a costly emergency room visit. ALVENO STANFORD: Three times a year. Like, this year, he may come three. Year before that, he may come like two or
three. And it’s been at least 10 times with him. JOHN YANG: Greensboro’s efforts are part of
a growing interdisciplinary approach, attacking the causes of conditions like asthma to try
to improve health and reduce medical costs. Stephen Sills is a University of North Carolina-Greensboro
sociologist. He looks for patterns in asthma cases using
data from the Cone Health system, the city’s major hospital operator and a partner in the
project. Then he uses Google Maps Street View to plot
substandard housing. STEPHEN SILLS, University of North Carolina-Greensboro:
We map that, block by block, neighborhood by neighborhood. Where are more of these respiratory illnesses
coming from? And we see that there’s three areas in Greensboro
that really are the concentration of poor roofing, absent gutters, broken and cracked
foundations, cracked windows, missing shingles and siding. JOHN YANG: And they’re the same areas where
asthma cases are concentrated, underscoring the link between poor housing and poor health. All these conditions you just described would
exacerbate or trigger asthma? STEPHEN SILLS: Exactly. Exacerbate is a good word there. If I’m living in a house where the roof is
leaking, the pipes are leaking, there’s mold and mildew, the carpet hasn’t been replaced
in years, all are triggers for someone who has a respiratory condition like asthma. JOHN YANG: Sills’ students use the data to
make referrals to the Greensboro Housing Coalition. It turns the traditional approach to delivering
health care on its head. STEPHEN SILLS: So often, the physician is
thinking about the biology of the individual? What’s wrong with this person? How can I treat that problem that is a biological,
medical problem? What drug can I give them, or what behavior
can I ask them to change? In this case, the treatment is for the community. The problem isn’t the individual. The problem is the structure around the individual. JOHN YANG: Sills’ research provides hard data
to support the coalition’s work at an apartment complex in the impoverished east Greensboro
neighborhood of Cottage Grove. JOSIE WILLIAMS, Greensboro Housing Coalition:
So, you can see the roofing and all the stuff up here, very old. JOHN YANG: Josie Williams of the Greensboro
Housing Coalition documents conditions there. Sewage coming up through the drain. JOSIE WILLIAMS: Yes, sewage was coming up
in the drain. That’s why the water is so dark. So, the way they were turning this on and
off was by pliers. JOHN YANG: And the people are paying rent
for this? JOSIE WILLIAMS: Yes. JOHN YANG: There were 177 apartments, and
100 cases of asthma. JOSIE WILLIAMS: We walked into an apartment
one day, and the sewage from the bathroom had come out of the toilet onto the floor,
into the living room. And the family had been living like that for
three weeks. JOHN YANG: Three weeks? JOSIE WILLIAMS: Mm-hmm. We walked into another apartment complex where
the ceiling was leaking, and it was raining, and the mother was catching the water with
an inflatable pool in the middle of the floor. JOHN YANG: One of the asthma cases, 7-year-old
Shah Mei (ph), whose family immigrated from Myanmar. Dr. Beth Mulberry is her pediatrician. DR. BETH MULBERRY, Mustard Seed Community Health:
They were living without heat. It was below 20. They had a huge water problem. Their carpet was soaked. She was needing to be on maintenance medication,
allergy medication, oral. And then she was on a rescue inhaler, which
she was using fairly regularly at that point. JOHN YANG: The Housing Coalition helped the
family find better housing, and Shah Mei quickly improved. DR. BETH MULBERRY: I think it was about two months. So, it’s pretty quick and pretty amazing change. She has not used her rescue inhaler since
July. JOHN YANG: The complex has since been sold,
and the coalition is working with the new owner to improve it. Led by Josie Williams, the Housing Coalition
holds monthly neighborhood meetings to help residents press for other changes in the area. At their most recent session, they discussed
a corner store. JOSIE WILLIAMS: Anything healthy in that little
store? Alcohol, cigarettes? What else you see in that little store? Snacks? What else? You have the power to create those changes. JOHN YANG: The recognition that health care
extends beyond the walls of hospitals and doctors offices is growing. In October, federal officials approved a five-year
pilot program allowing North Carolina Medicaid to pay for such services as removing mold,
controlling pests and repairing heating and air conditioning. DR. BETH MULBERRY: We really need to start making
an investment in what are the root causes of these chronic illnesses. And a lot of this has to do with our people
that are living in poverty, the inability to rent a place where they expect changes
to be made if it’s an unhealthy environment for them. JOHN YANG: A prescription for good health
that cannot be filled at a pharmacy. For the “PBS NewsHour,” I’m John Yang in Greensboro,
North Carolina.

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