Housing Reparations as an Avenue to Counter the Impact of Structural Racism on Asthma

Examining the impact of air pollution, climate change, and social determinants of health on asthma and environmental justice

“…On the day of the PM 2.5 peak, it was noted to be the highest asthma ED visit day up to that point in the year, with the effect most pronounced in adults 18-64 years old [23 ]. Higher temperatures in urban areas, longer pollen seasons, along with common (and exceptional) pollutant exposures pose a threat to asthma control in populations who are disproportionately affected by climate change and air pollution [24].…”

“…Residential segregation remains a leading driver in the perpetuation of respiratory health disparity. Through the implementation and continued practice of historical redlining, racial and ethnic minority groups generally reside in neighborhoods that have been neglected by society, leading to concentrated poverty, isolation, and high crime rates [24]. In addition, these neighborhoods are more likely to have industrial zones resulting in an increased exposure to environmental hazards in a population already facing reduced access to asthma services [24].…”

“…Through the implementation and continued practice of historical redlining, racial and ethnic minority groups generally reside in neighborhoods that have been neglected by society, leading to concentrated poverty, isolation, and high crime rates [24]. In addition, these neighborhoods are more likely to have industrial zones resulting in an increased exposure to environmental hazards in a population already facing reduced access to asthma services [24]. In a recent study evaluating redlining practices, air pollution, and asthma in Pittsburgh, PA, researchers found that the proportion of Black families in each neighborhood was inversely related to superior Home Owners Loan Corporation (HOLC) grades, with rates of uncontrolled and/or severe asthma becoming progressively higher as the 'desirability' of the housing grades decreased…”