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Published 21 July 2009, doi:10.1136/bmj.b2928
Cite this as: BMJ 2009;339:b2928
| The first 150 words of the full text of this article appear below. |
Hawkes emphasises the widening in health inequalities with the increasing inequality in absolute income.1 People in the most deprived areas live in the poorest quality housing with poor insulation. Thus heating the house, even inadequately, takes a disproportionate percentage of an already low income. Poor insulation also leads to the development of mould, which affects health and family economics.
In Easthall, a part of Easterhouse, a very deprived area of Glasgow, two blocks of flats (36 flats) were refurbished to a high standard, thanks to the determined efforts of residents.2 Blood pressure fell from a mean of 142/85 mm Hg to 122/73 mm Hg.2 This fall is greater than that seen in studies showing the beneficial effects of lowering blood pressure.3 4 5 In one resident the incidence and severity of cardiac incidents fell dramatically. The incidence of respiratory disease also fell, three people with severe asthma being able to stop all
Evan L Lloyd, retired consultant anaesthetist1
1 Edinburgh EH12 6NQ
evlloyd@waitrose.com