Housing: an overlooked social determinant of health

In May, The Lancet ran an article highlighting the inextricable link between housing and health. The article emphasised that adequate housing is a human right. Adequate means that homes need good ventilation, moisture control, heating and cooling, and insulation to mitigate dampness, mould, indoor air pollution, and extreme temperature exposure. Adequate and healthy homes reduce the risk of respiratory diseases, cardiovascular disease, cancer, and mental health disorders.

The article highlights the need for health care professionals to screen for both housing instability and poor housing conditions as a determinant of health.

The article challenges all of us to demand more and healthier housing.

“As a human right, housing demands greater prioritisation. Advocacy, including from the medical and public health sectors, must drive systemic change. With urban populations set to more than double by 2050, coupled with rising housing costs, worsening climate change, ongoing conflicts, and natural disasters, the need for adequate housing will keep growing, widening health inequities. Making housing a priority public health intervention not only presents a pivotal opportunity, but a moral imperative. The health of our communities depends on it.”

Read the full article here:

DOI: https://doi.org/10.1016/S0140-6736(24)00914-0

 

 

 

Australia to have a National Anti-Slavery Commissioner

Yesterday, 28 May 2024, the House of Representatives passed the Modern Slavery Amendment (Australian Anti-Slavery Commissioner) Bill 2023  that paves the way for the appointment of Australia’s first National Anti-Slavery Commissioner.

This appointment recognises the need for Australia to have an independent  Commissioner to lead our country’s efforts in addressing and preventing modern slavery, and more importantly, to provide assistance and support for victims and survivors of modern slavery.

The Modern Slavery Amendment (Australian Anti-Slavery Commissioner) Bill 2023  amends the Modern Slavery Act 2018 to establish the Australian Anti-Slavery Commissioner as an independent statutory office holder within the Attorney-General’s portfolio to provide an independent mechanism for victims and survivors, business and civil society to engage on issues and strategies to address modern slavery.

The Mercy Foundation has joined with many civil society organisations in calling for the establishment of a National Commissioner and we congratulate all whose efforts have resulted in this landmark legislation.

Read the announcement here.

Talking about forced marriage: Toolkit for young people

Today, Anti-Slavery Australia announced the launch of Talking about Forced marriage: A toolkit for young people. The Toolkit will help start conversations about forced marriage within communities and within closest networks.
This Toolkit aims to:
  • Show what forced marriage looks like in Australia today
  • Help you to support someone at risk
  • Guide you through a 10 step-process for starting conversations and advocating for change, in a way that works for you.
Developed as part of the Speak Now project, this valuable toolkit can be accessed here: http://mybluesky.org.au/toolkit

Rough sleeping increases by 26% in NSW

The NSW Street Count was completed between 1 February and 1 March this year. The findings show on increase of 26% in rough sleeping, compared to the 2023 count.

A total of 2,037 people were counted as sleeping rough in the 2024 Street Count. 348 people were counted as sleeping rough in the Byron Shire, an increase of 16%. Byron Shire accounts for the largest cohort of rough sleepers in NSW.

In the City of Sydney, 280 people were counted as sleeping rough, an increase of 1% on the year prior.

The largest increase in rough sleepers was Coffs Harbour, where the count increased from 82 to 147 people over 12 months.

This  alarming increase in numbers indicates the daunting challenges people on low incomes face in securing affordable, safe, long term housing.

Download the 2024 NSW Street Count here.

Landmark legislation as EU Parliament bans products made with forced labour

The European Parliament has given its final approval to a new regulation enabling the EU to prohibit the sale, import, and export of goods made using forced labour.

Member state authorities and the European Commission will be able to investigate suspicious goods, supply chains, and manufacturers. If a product is deemed to have been made using forced labour, it will no longer be possible to sell it on the EU market (including online) and shipments will be intercepted at the EU’s borders.

Rapporteur for the International Trade committee, Samira Rafaela (Renew, NL) said: “This is a historic day. We have adopted a ground-breaking piece of legislation to combat forced labour worldwide. This regulation fosters EU and international cooperation, shifts power from exploiters to consumers and employees, and offers possibilities for remedy for victims. It also transforms trade policies into a greener and fairer future.”

The regulation was adopted with 555 votes in favour, 6 votes against and 45 abstentions. The text now has to get a final formal approval from the EU Council. It will then be published in the Official Journal. EU countries will have to start applying it in 3 years.

Source: https://www.europarl.europa.eu/news/en/press-room/20240419IPR20551/products-made-with-forced-labour-to-be-banned-from-eu-single-market

Further important news from the European Parliament is the approval of the Due Diligence Directive, agreed on with the Council, requiring firms and their upstream and downstream partners, including supply, production and distribution to prevent, end or mitigate their adverse impact on human rights and the environment. Such impact will include slavery, child labour, labour exploitation, biodiversity loss, pollution or destruction of natural heritage.

Following the plenary vote, lead MEP Lara Wolters (S&D, NL) said: “Today’s vote is a milestone for responsible business conduct and a considerable step towards ending the exploitation of people and the planet by cowboy companies. This law is a hard-fought compromise and the result of many years of tough negotiations. I am proud of what we have achieved with our progressive allies. In Parliament’s next mandate, we will fight not only for its swift implementation, but also for making Europe’s economy even more sustainable.”

Source: https://www.europarl.europa.eu/news/en/press-room/20240419IPR20585/due-diligence-meps-adopt-rules-for-firms-on-human-rights-and-environment

Rental affordability drops to all-time low

Anglicare Australia’s Rental Affordability Snapshot 2024 surveyed over 45,000 rental across Australia and found that affordability has dropped to record lows.

Out of 45,115 rental listings,

  • 289 rentals (0.6%) were affordable for a person earning a full-time minimum wage
  • 89 rentals (0.2%) were affordable for a person on the Age Pension
  • 31 rentals (0.1%) were affordable for a person on the Disability Support Pension
  • 3 rentals, (0%) all sharehouses, were affordable for a person on JobSeeker
  • 0 rentals (0%) were affordable for a person on Youth Allowance.

The report’s introduction paints a grim and harrowing picture of rental affordability:

The worst it has ever been.

That is the only way to describe the current state of rental affordability in
Australia. The stark reality facing people on low incomes is that they will not find an affordable place
to live, that families will be evicted because another rent increase will push them beyond the limit,
and for those fortunate enough to find a home, they will be forced to choose between putting food
on the table and staying warm this winter or keeping a roof over their head.

This report will mark the fifteenth edition of Anglicare Australia’s Rental Affordability Snapshot. What
we have found is nothing short of horrifying.

Decades of housing policy failure has led us to this crisis point and there are no  signs of the crisis abating.

Living without a stable, affordable home is detrimental to every aspect of one’s life – health, security, employment, education, relationships and more. That’s why housing is a fundamental human right.
All of us are responsible, particularly all levels of government, for ensuring that safe and secure housing is available for all who need it.

People are dying on our streets. Do we really care?

The Guardian Australia has spent 12 months investigating the deaths of homeless Australians. The findings are greatly concerning and indicate that as a nation, we are oblivious to and at worse,  indifferent when it comes to the early death of some of the most vulnerable people in our country.

The study notes that the deaths of Australia’s rough sleepers are largely invisible.  Despite numerous requests by the homelessness sector, no government counts the number or understands the circumstances in which these deaths occur.

By contrast, England, Scotland, Wales and parts of Canada annually track the number and cause of death, the essential information needed to understand the scale and nature of the problem.

In WA, the Home2Health team led by Professor Lisa Woods, estimate that 360 rough sleepers died in Perth between 2020 and 2022. The median age of death was 50 years, a life expectancy gap of more than three decades compared to the general population.

The Guardian Australia’s research found that coronial records of 627 deaths had an average age of 44.5 years. For men, the average age was 45.2 and for women, the average age was 40.1. They note that ‘deaths of despair – suicide and overdose- are major drivers accounting for 20% and 30%  of deaths respectively.’

Indigenous Australians are over represented in the homeless population and in homeless deaths, accounting for 21.5% of homeless deaths (compared to 3.2% of the population).

Research tells us that people sleeping rough often have complex needs, and are likely to have a number of health issues that are impossible to treat or manage while sleeping rough.

There are no national systems in place to measure data regarding homeless deaths. This petition is calling on the Australian Government to implement a national homelessness deaths and life expectancy gap reporting framework.
Sign the petition – A3HN | Australian Health, Housing & Homelessness Network

Systemic Failures:

The investigation revealed deep systemic failings. The Guardian reports that:

  • Rough sleepers who present as suicidal to hospitals are being turned away or discharged back into homelessness due to a lack of beds, emergency housing and mental healthcare availability. In two cases identified by the Guardian, homeless Indigenous men linked their hospital presentation directly to their homelessness. One told staff: “It is hard to find a reason to live when you have nowhere to live.” They were discharged and found dead a short time later.

  • Rough sleepers are dying needlessly after encounters with police and the justice system on trivial matters, which lead to use of force or deaths in custody. In at least four cases seen by the Guardian, deaths occurred after arrests for minor public order offences, such as drinking in public and public urination.

  • Frontline workers say the chronic underfunding of specialised homelessness health services means easily treatable injuries and illnesses are being missed in early stages. This is compounding the significant toll homelessness causes on physical and mental health.

  • Homeless Australians are being subjected to brutal, sometimes fatal violence while sleeping rough, and being found in parks, squats and on the street shot, stabbed or bashed.

  • In one case, that of Sydney rough sleeper Roger Davies, police decided there were “no suspicious circumstances” despite evidence he had sustained fractures to nine ribs about the time he died and had complained of being subjected to violence and constant robberies while sleeping in a burnt-out squat house in Granville. They then failed to notify his family until more than two years after Davies was buried in a pauper’s grave.

  • In Western Australia, Indigenous families say the state government is evicting public housing residents even when it knows this will lead to homelessness. Guardian Australia is aware of at least two families whose loved ones died by suicide shortly after losing housing and becoming homeless. The state’s department of communities said terminations are sought only as a “last resort” and that they provide support to tenants facing eviction.

Homelessness is a health issue. Homelessness exacerbates existing health problems, creates new health problems and poor health can be a cause of homelessness.

Housing First is the evidence-based solution to solving homelessness for people with complex needs. Safe, affordable, permanent housing, without any pre-conditions, accompanied by wrap around supports to address all physical and mental health needs and other social needs, will end most people’s homelessness and risk of an early death.

The number of people dying on our streets is unclear. To fully  solve this issue, governments must commit to measuring the scale and circumstances of the deaths of people experiencing chronic homelessness.

Access the National Coronial Research Report here.

Read the Out in the Cold articles in the Guardian here.

Listen to the Podcast

What do we know about homelessness deaths in Australia – and why is nobody tracking them?

‘People are dying waiting for a house’: how Australia’s healthcare system leaves rough sleepers with nowhere to turn.

Homeless Australians are dying at age 44 on average in hidden crisis

On Whose Account? Government Spending on Housing

The Centre for Equitable Housing released a report that investigates what the Federal Government spends on housing every year, who gets the funding, and what are the objectives of the funding.

Some key findings from the report are:

  • The share of federal housing spending going to the lowest 20% of income earners declined from 44% in 1993 to 23% in 2023, while the share going to the top 20% increased from 9% to 43%.
  • In the last decade alone, the share going to the top 20% of earners has increased by over a third.
  • The share of total federal housing expenditure going to property investors rose from 16.5% in 1993-94 to 61.4% in 2021-22.
  • Investor tax concessions have grown from $1.5 billion in 2000 to an estimated $18 billion in 2024, effectively operating as a shadow housing policy with a significant impact on the market.
  • In 2023-2024, federal investor tax breaks will be worth more than ten times the amount spent by the Federal Government on social housing and homelessness services through the National Housing and Homelessness Agreement.

The report notes that:

The persistence of an approach that sees a home as a consumer good, and the role of the government to provide a welfare-based safety net to those not able to buy one, rather than as a fundamental economic right enabling full participation in society and security from harm, will never achieve the fundamental housing system reform so desperately needed.

The report can be accessed here.

The high cost of Australia’s unfair tax system

A new report by Maiy Azize from Everybody’s Home highlights the inequitable expenditure on tax breaks for investors versus expenditure on housing and homelessness services. The report examines how over the last forty years, Commonwealth Government housing policy has been geared to wards subsidising the private market, rather than directly supplying social housing.

In 2021 -2022, expenditure on negative gearing deductions and Capital Gains Tax exemptions was $8.5 Billion, while housing and homelessness spending was $1.6 Billion.

The report recommends:

  1. Abolish negative gearing and the capital gains tax to reduce speculative investment.
  2. Build one million social housing properties over the next two decades to meet current and future need.
  3. Increase and expand Commonwealth Rent Assistance so that it relieves financial stress for people on low incomes.

The report can be downloaded here.

Greater support for survivors of modern slavery

The Australian Government announced a funding boost of $24.3 million for the Support for Trafficked People Program, to better meet the needs of survivors of human trafficking.

The funding will be provided over 4 years, to increase the minimum length of time for support up to 90 days (from the current 45), provide additional support for victim-survivors with children, ensure financial support for visa holders not able to access Centrelink payments and provide follow-up after a client has left the program at three, six and 12 months.

The boost will also fund a pilot commencing in 2024 for up to 18 months, to allow for direct referrals to the program from community providers, without engagement with the Australian Federal Police, as is currently the case. Many survivors do not wish to engage with law enforcement and this trial will assist those survivors who currently miss out on support.

Read the full announcement here.