San Francisco Department of Public Health Environmental Health Section HOME-BASED EDUCATION AND HOME ASSESSMENT SERVICES Promoting Healthy Homes to Prevent Diseases and Injuries of San Francisco Residents: A Pilot Project for WIC Recipients (2008 - 2010) San Francisco Department of Public Health Environmental Health Section Children’s Environmental Health Promotion

PURPOSE OF THE PROJECT: Provide healthy home educational and assessment services to underprivileged and underserved families. Instill knowledge for tenant rights for project’s participating families. Empower participating families to be proactively involved in improving their home environment. GUIDING PRINCIPLES AND CORE VALUES OF THE PROJECT: Equitable housing. Healthful environments. Sustainability.

SAN FRANCISCO: Densely populated; high cost of living; limited supply of affordable homes Low-income immigrant families Self-sufficiency standard (2008): $57,658/yr. for a family (1 adult, a preschooler, & a school-age child); $17,328/yr. rental housing cost

Home visits resulted from mailing to 5906 families

HOME OR RESIDENCE INFORMATION:

CONCERNS OF FAMILIES VS. PROBLEMS/HAZARDS IDENTIFIED:

PERCENT BY RESIDENCE TYPE WITH HAZARDS IDENTIFIED

SUPPLEMENTARY NEIGHBORHOOD ASSESSMENT DATA: Overcrowding Built environmental hazards

WIC FAMILIES LOCATIONS OVERLAY ON OVERCROWDED ZONES:

WIC FAMILY LOCATIONS OVERLAY ON BUILT ENVIRONMENAL HAZARDS:

HIDDEN COSTS OF FAMILY OVERCROWDING Added moisture generated by cooking and showering; linked to mold & pests Added infectious disease burden Greater incidence of domestic violence Lack of space for students to study Lack of space for physical activity Competing with other needs when greater than 30% percent of income for rent

MODEL BEST PRACTICES Advocate for increased federal and state funding streams to build housing for family retention SF non-profits run a handful of supportive housing for families (as opposed to single adults) SF (HSA) has one rental subsidy program, only for families in the Tenderloin