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UBC Theses and Dissertations
Sustainable home environments : proactively addressing sickness-related damp and moldy environments to reduce the impact on the BC health care system Hostland, Craig Rodney
Abstract
In developed countries nearly half of a person’s life is spend in their home environment. Worldwide, up to 30% of new and remodelled buildings may have indoor air quality issues with the quality of housing in general playing a decisive role in occupant health. Upwards of 50% of homes in North America contain damp or moldy environments with microbial debris being a key element in indoor air pollution. Asthma prevalence has been deemed a by-product of unhealthy home environments, exacerbated by exposure to high levels of mold and dampness. Asthma impacts 28 million people in North America and accounts for over $62 billion in health care costs and economic impact from lost productivity, lost work days, and early death. This thesis presents literature that demonstrates the link and extent of impact among damp and moldy indoor environments and respiratory disease using asthma as a case study. To quantify the effects, a reliable empirical tool that ranks residential indoor environment condition and predicts associated respiratory health-effect risk in homes has been developed and validated. To support the delivery of potentially significant health benefits and public health care system cost savings, this thesis considers a method, based on economics and risk analysis, to reduce respiratory health impact and validates the basis for a proactive sustainable health care prevention program based on residential mold and dampness remediation. The financial assessment conducted in this thesis utilizing social cost-benefit risk analysis suggests the direct economic burden on the public health care system (PHCS) from high-use (severe and persistent) mold and dampness-affected asthmatics is $5.4 billion annually in North America with an estimated $2.8 billion in savings from a prevention program available for reallocation purposes and the freeing of system capacity for the over-burdened health care system. A patient-centric component costing analysis was conducted to supplement and support literature data. A proposed prevention program implementation strategy consists of identifying the mold and dampness affected high-use asthmatics, treating their environment, administering the prevention program, monitoring progress, and maintaining an ongoing record of the continuing reduction in cost impact to the public health care system to ensure program sustainability.
Item Metadata
Title |
Sustainable home environments : proactively addressing sickness-related damp and moldy environments to reduce the impact on the BC health care system
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Creator | |
Publisher |
University of British Columbia
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Date Issued |
2015
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Description |
In developed countries nearly half of a person’s life is spend in their home environment. Worldwide, up to 30% of new and remodelled buildings may have indoor air quality issues with
the quality of housing in general playing a decisive role in occupant health. Upwards of 50% of
homes in North America contain damp or moldy environments with microbial debris being a key
element in indoor air pollution. Asthma prevalence has been deemed a by-product of unhealthy
home environments, exacerbated by exposure to high levels of mold and dampness. Asthma impacts 28 million people in North America and accounts for over $62 billion in health care costs and economic impact from lost productivity, lost work days, and early death. This thesis presents literature that demonstrates the link and extent of impact among damp and moldy indoor environments and respiratory disease using asthma as a case study. To quantify
the effects, a reliable empirical tool that ranks residential indoor environment condition and
predicts associated respiratory health-effect risk in homes has been developed and validated. To
support the delivery of potentially significant health benefits and public health care system cost
savings, this thesis considers a method, based on economics and risk analysis, to reduce respiratory
health impact and validates the basis for a proactive sustainable health care prevention program based on residential mold and dampness remediation. The financial assessment conducted in this thesis utilizing social cost-benefit risk analysis suggests the direct economic burden on the public health care system (PHCS) from high-use
(severe and persistent) mold and dampness-affected asthmatics is $5.4 billion annually in North
America with an estimated $2.8 billion in savings from a prevention program available for
reallocation purposes and the freeing of system capacity for the over-burdened health care system.
A patient-centric component costing analysis was conducted to supplement and support literature data. A proposed prevention program implementation strategy consists of identifying the mold and
dampness affected high-use asthmatics, treating their environment, administering the prevention
program, monitoring progress, and maintaining an ongoing record of the continuing reduction in
cost impact to the public health care system to ensure program sustainability.
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Genre | |
Type | |
Language |
eng
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Date Available |
2015-10-24
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Provider |
Vancouver : University of British Columbia Library
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Rights |
Attribution-NonCommercial-NoDerivs 2.5 Canada
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DOI |
10.14288/1.0220722
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URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
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Graduation Date |
2015-09
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Campus | |
Scholarly Level |
Graduate
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Rights URI | |
Aggregated Source Repository |
DSpace
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Item Citations and Data
Rights
Attribution-NonCommercial-NoDerivs 2.5 Canada