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From YouTube: Housing & Community Development on March 14, 2023
Description
Housing & Community Development Hearing- Docket #0249- Order for a hearing to discuss the Impact of Inequitable Housing Code Enforcement of Boston's Proactive Rental Inspection Program.
B
Good
morning,
everyone
I'm
calling
this
hearing
to
order
for
the
record.
My
name
is
Kendra
Lara
district
6,
City,
councilor
and
I'm.
The
chair
of
the
Boston
City
council's
committee
on
Housing
and
Community
Development
I'm
joined
this
morning
by
my
colleague
city
council,
president
Ed
Flynn
of
District
2..
B
This
hearing
is
being
recorded,
it's
being
live
streamed
at
boston.gov
forward,
slash
City,
Dash,
Council,
Dash,
TV
and
broadcast
on
Xfinity
channel
8,
RCN
channel
82
and
FiOS
channel
964..
Today's
hearing
is
on
docket
number
zero.
Two
four
nine.
In
order
for
a
hearing
to
discuss
the
impact
of
inequitable
housing,
code
enforcement
and
Boston's
proactive
rental
inspection
program,
written
comments
may
be
sent
to
the
committee
email
at
CCC.
B
At
boston.gov
and
will
be
made
a
part
of
the
record
and
available
to
all
counselors
we'll
be
taking
public
testimony
at
the
end
of
today's
hearing.
If
you're
here
with
us
in
the
chamber,
please
sign
up
in
a
sheet
near
the
chamber
entrance
and
if
you
are
interested
in
testifying
virtually
please
email,
Megan
Kavanaugh
at
Megan,
m-e-g-h-a-n,
dot,
Kavanaugh
k-a-v-a-n-a-g-h
at
boston.gov
for
the
link
for
all
testimony.
Please
state
your
name
and
neighborhood
or
affiliation,
and
try
to
keep
your
comments
to
two
minutes
joining
us.
Today.
B
From
the
mayor's
Administration,
we
have
Sean
Lyden
the
commissioner
for
inspectional
services,
department,
Sheila,
Dillon,
chief
of
housing,
Paul
Williams
assistant,
Commissioner
of
housing,
division
of
inspectional
services,
department
and
Leon
Bethune
of
the
Boston
Public
Health
commission.
The
director
of
the
Bureau
of
community
initiatives
also
joining
us
today
for
our
community
panel
Liz
Samuels,
the
associate
professor
in
Residence
at
UCLA
emergency
medicine
at
the
Geffen
school
of
medicine
at
UCLA,
Adam
Haber
I,
should
have
asked
you.
C
C
I,
don't
necessarily
have
a
opening
statement
other
than
just
reading
the
the
hearing
order,
but
the
the
impact
the
environment
has
also
on
respiratory
and
Asthma
related
issues.
I
I
reference
that,
because
my
name,
the
neighborhood
I
represent
in
in
Chinatown,
has
has
one
of
the
highest
asthma
rates
of
any
neighborhood
in
Massachusetts
and
I
was
with
City
Council
of
Wu.
At
the
time
when
the
United
scientist
Union
held
a
press
conference
in
Chinatown,
and
they
highlighted
that
fact
that
Chinatown
had
the
highest
asthma
rate.
C
So
I
want
to
continue
to
work
with
the
Public
Health
commission
in
other
City
departments,
on
how
we
can
continue
to
work
with
the
residents
on
this
critical
issue.
But
I
also
want
to
acknowledge
the
important
work
that
our
inspectional
service
department
plays
in
our
city
and
as
we
go
as
we
head
into
the
budget
that
will
shortly
be
released
by
the
mayor
I'm
going
to
be
looking
closely
at
what
is
the
increase
in
inspectional
Services,
because
we
desperately
need
more
inspectors
in
the
city
that
are
able
to
effectively
do
their
job.
C
I
think
they're
overstretched
in
my
opinion,
but
there's
a
lot
of
a
lot
of
great
work
that
they
do
in
the
city
of
Boston,
but
I.
Think
they're
understaffed
in
I
want
to
work
closely
with
my
colleagues
on
the
city
council
to
see
how
we
can
be
more
proactive
in
ensuring
that
this
department,
that
plays
a
critical
role
in
the
city
is,
is
funded
appropriately
and
thank
you,
madam
chair,
for
the
important
work
that
you
are
doing,
especially
on
environmental
justice
issues.
Thank
you.
B
Thank
you,
president
Flynn,
and
thank
you
for
the
administration
and
the
members
of
the
community
who
are
here
with
us
today
this
morning.
This
conversation
is
not
new
renters
and
our
most
vulnerable,
neighborhoods
and
community-based
organizations
have
really
been
ringing.
The
alarm
about
the
disproportionate
rates
of
asthma
and
the
role
that
housing
code
violations
play
in
increased
emergency
department
visits.
B
If
you've
lived
in
any
of
these
neighborhoods,
you
had
to
look
no
farther
than
your
neighbor's
home
mold
and
poor
ventilation
in
housing
units
can
induce
asthma
a
leading
cause
of
childhood
morbidity
and
is
greatly
exacerbated
by
poor
quality
housing.
More
than
44
percent
of
childhood
asthma
diagnosis
risk
is
attributed
to
home
exposure.
There's
really
an
urgent
need
to
strengthen
and
expand,
not
only
code
enforcement
systems,
but
also
programs
like
breathe,
easy
at
home
and
the
proactive
rental
inspection
program
to
protect
the
health
and
safety
of
tenants,
and
particularly
those
in
our
most
marginalized
communities.
B
No
matter
your
race
class
or
income,
whether
you
live
in
public
or
private
housing,
black
and
brown
people
deserve
quality,
dignified
homes,
and
we
have
a
responsibility
here
at
the
city
to
be
more
intentional.
About
reducing
the
health
risks
of
poor
quality
housing,
but
also
holding
landlords
and
real
estate
owners
accountable
to
their
legal
Duty,
which
is
to
provide
healthy
and
safe
housing
for
tenants.
Our
conversation
today
is
just
the
beginning
of
our
office's
work
to
codifier
renters
Bill
of
Rights
and
to
ensure
safe
and
healthy
homes
for
all.
B
So
I
want
to
thank
you
for
the
work
that
you've
done
on
your
research
and
Dwayne
in
the
community
for
decades.
To
really
advocate
for
this
issue,
I
am
now
going
to
turn
the
floor
to
our
community
panel
and
first
up
we
have
Liz
Samuels
the
associate
professor
in
Residence
at
UCLA
Liz.
You
have
the
floor.
D
Thank
you
good
morning.
Everyone
thank
you
for
having
us
today
and
hearing
Our,
Testimony
I'm,
sorry
I'm
contracted
person,
but
I
appreciate
having
the
opportunity
to
speak
with
you
all.
My
name
is
Dr
Elizabeth
Samuels
I'm,
an
associate
professor
of
emergency
medicine
at
UCLA,
but
I
completed
my
medical
training
and
a
master's
degree
in
public
health
in
Boston
at
the
Tufts
University
School
of
Medicine
in
Chinatown
I've
spent
most
of
my
time
as
an
Emergency
Physician
working
just
down
the
road
in
Providence
Rhode
Island
at
Brown
University
as
a
medical
trainee.
D
A
resident
and
now
is
an
attending
physician
in
Boston
Providence
and
in
Los
Angeles
I
regularly
treat
patients
with
asthma,
frequency
of
emergency
department.
Visits
for
asthma
can
ebb
and
flow
with
the
change
of
season,
allergies
and
respiratory
infections,
but
some
asthma
visits
have
nothing
to
do
with
season
or
what
is
the
pollen
count,
but
rather
are
driven
by
exposures
to
asthma
triggers
within
people's
homes.
D
Treating
Physicians
know
that
as
long
as
a
person
remains
in
a
home
with
mold,
cockroaches
or
water
damage,
the
care
we
provide
in
the
emergency
department
is
merely
a
temporizing
measure
to
actually
prevent
these
patients
asthma
from
worsening
and
recurring
asthma
exacerbations.
Something
must
be
done
about
their
living
environment,
so
we're
very
grateful
to
be
able
to
share
some
of
our
work
today.
Actually,
one
question:
if
you
don't
know,
we
do
have
a
couple
of
slides:
do
they
get
shared
on
your
end?
Or
would
you
like
me
to
share
on
my
screen.
B
E
B
D
Yeah,
absolutely
many
of
you
probably
know
someone
with
asthma
or
may
experience
it
yourself.
It
is
an
inflammatory
disease
of
the
lungs
during
an
asthma
exacerbation,
inflammation
and
swelling
Narrows
Airways
in
the
lungs
resulting
in
partial
or
full
obstruction
of
the
Airways,
creating
difficulty.
Breathing
asthma
attacks
are
preventable
and
usually
reversible.
However,
asthma
can
be
deadly.
In
my
own
experience,
patients
with
severe
asthma
are
some
among
some
of
the
sickest
patients.
I
have
ever
had
the
opportunity
to
care
for
in
the
emergency
department.
D
D
It
just
Advance
the
next
animation
about
asthma,
related
illnesses,
result
in
over
15
million
clinic
or
outpatient
hospital
visits
annually,
and
nearly
2
million
emergency
department
visits
being
in
the
hospital
or
a
clinic
for
asthma
exacerbation
doesn't
always
doesn't
just
mean
that
you're
sick,
but
it
also
means
days
of
missing
work
or
school,
with
over
14
million
lost
work
days
and
10
million
lost
days
at
school
next
slide.
Please.
D
There
are
multiple
factors
which
lead
to
the
development
of
asthma
and
Asthma
exacerbations.
Housing
quality
is
a
critical
determinant
of
asthma,
particularly
for
children.
Several
meta-analyzes
have,
which
are
analyzes
of
other
Studies,
have
shown
that
indoor
triggers
particularly
mold
are
amongst
the
strongest
risk
factors
for
asthma.
Other
risk
factors
seen
on
here
that
are
within
the
home
include
pests,
mice,
rats,
cockroaches
dust
and
then
there's
also
additional
factors
which
was
were
already
highlighted
before,
such
as
Airport
and
the
surrounding
environment
outside
the
home.
D
D
Next
slide,
please,
while
asthma
touches
all
communities,
low-income
communities
and
communities
of
color
are
disproportionately
impacted
not
only
by
increased
incidence
and
prevalence
of
asthma,
but
they're
also
less
likely
to
receive
daily
medications
for
asthma,
evidence-based
standard
of
care,
and
they
have
increased
emergency
department,
utilization
and
higher
rates
of
death.
In
other
words,
they
have
more
severe
disease
next
slide.
Please
there
is
not
something
about
being
black
Native,
American
and
Puerto
Rican
or
low
income,
which
make
people
more
likely
to
develop
asthma.
D
Rather,
it's
the
conditions
in
which
people
are
forced
to
live,
specifically
environmental
exposures
in
the
neighborhoods
and
homes
where
they
are
able
to
find
housing,
structural
neighborhood
conditions
in
combination
with
physical
conditions
of
people's
home,
the
homes,
people,
rent
and
reside
in
result
in
differential
exposure
to
asthma
triggers
and,
as
a
result,
inequities
in
asthma
by
race
and
class
factors
leading
to
asthma.
Inequities
include
limited
access
to
care,
poverty
and
environmental
allergies
in
and
outside
of
the
home.
D
D
Our
research
has
also
demonstrated
that
poor
quality
public
housing,
which
has
failed
a
home
institution,
can
be
correctly
benefiting
can
be
correctly
identified
by
mapping
emergency
department
visits
for
asthma.
Furthermore,
these
visits
rise
almost
a
year
before
a
failed
home
inspection
underscoring
how
a
resident
complaint-driven
approach,
which
is
what
is
currently
utilized
in
most
places
and
around
the
United
States
results
in
delay
and
under
identification
of
problematic
housing
conditions,
delays
and
identifying
and
remediating.
D
These
conditions
means
more
days
of
illness,
worsened
individual
and
Community
Health
and
more
days
of
Miss
school
and
work,
all
of
which
is
entirely
preventable,
with
expedient
identification
and
Remediation
of
unhealthy
housing
conditions.
Thank
you
for
your
time,
I'm
happy
to
take
any
questions.
If
you
have
them
and
Evan
or
hand
over
the
presentation
to
Evan
to
share
more
about
our
research,
examining
neighborhood
inequities
in
the
correction
of
identified,
asthma-related,
poor
housing
conditions
here
in
Boston.
F
Of
course,
hi
everybody,
my
name-
is
Evan
Lemire
I'm,
a
PhD
candidate
in
Dr,
haber's
group
and
I'm,
going
to
talk
a
little
bit
today
about
the
results
of
the
study
that
we
published
last
year
can
I
actually
get
the
next
slide.
Please
thank
you,
okay.
So,
as
Dr
Samuels
has
said,
the
relationship
between
poor
housing
conditions
and
worse
respiratory
outcomes
is
very
well
documented.
Housing
quality
is
a
crucial
determinant
of
respiratory
health.
F
F
Each
report
in
the
data
set
records
a
tenant
requested
inspection
or
case
submitted
to
ISD
these
totaled
69
487
reports
over
that
10-year
period.
Now
not
all
of
these
reports
were
actually
relevant
to
respiratory
Health.
Many
of
them
had
to
do
with
improper
clearance
of
trash
or
other
things
like
that.
So
we
filtered
this
data
set
to
those
complaints
which
were
relevant
to
asthma.
F
These
complaints
included
the
presence
of
mold
pest
infants
infestations
from
mice
or
cockroaches,
poor
ventilation
or
insufficient
Heat.
After
this
step,
we
were
left
with
a
data
set
of
25
830
reports
over
that
period
to
look
more
closely
at
racial
demographics
and
how
they
relate
to
the
reports
of
asthma
triggers.
F
We
also
Incorporated
data
from
the
2017
U.S
census
on
this
slide,
we're
looking
at
three
Maps
which
break
down
the
incidence
of
asthma,
relevant
housing,
complaints,
racial
demographics
and
the
prevalence
of
asthma,
morbidity
in
the
city
of
Boston
in
all
three
Maps,
the
city
is
split
up
by
census
blocks
in
the
map.
On
the
left,
we
are
mapping
the
rate
of
these
asthma.
Relevant
housing,
complaints
to
ISD
brighter
colors
mean
more
complaints.
Darker
colors
mean
fewer
complaints.
F
As
you
can
see,
the
greatest
concentration
of
these
reports
in
the
city
of
Boston
are
in
the
neighborhoods
of
Dorchester,
Roxbury
and
matapam
in
the
map
in
the
middle.
We're
looking
at
the
proportion
of
white
residents
per
census.
Block
group
greater
intensity
in
the
color
map
here
means
a
higher
proportion
of
white
residents,
while
lower
intensity
means
a
lower
proportion.
F
F
F
Our
statistical
analysis
confirmed
this
important
result
and
showed
that
race
was
the
most
significant
predictor
of
asthma
triggers
by
census,
block
group
after
accounting
for
other
important
covariates
such
as
median
household
income.
Could
we
get
the
next
slide?
Please
now
the
second
question
we
wanted
to
ask
when
performing
this
study
had
to
do
with
the
efficacy
of
isd's
response
to
these
complaints.
F
F
They
also
show
us
that
the
isd's
response
is
measurably
different,
depending
on
the
racial
demographics
of
different
areas
of
the
city,
where
a
municipal
government's
response
is
measurably
and
systematically
slower
and
less
effective
between
neighborhoods
and
varies
by
racial
demographics.
As
our
results
show,
government
action
becomes
a
contributing
factor
towards
disparities
in
housing
quality
and
acts
as
an
element
of
structural
racism
to
ensure
that
their
actions
do
not
contribute
to
systemic
racism.
F
E
It's
a
pleasure
to
be
here
today,
I'll
get
into
it
so
state
law
in
the
form
of
the
Massachusetts
state,
sanitary
code
and
I'm
sure
that
you
all
know
this
105
CMR
410
has
the
following
purpose:
quote:
to
protect
the
health,
safety
and
well-being
of
the
occupants
of
all
housing
and
this
law
deems
it
illegal
for
landlords
to
rent
housing
which
doesn't
meet
this
standard
within
105
CMR
410.
There's
a
class
of
serious
conditions
specified
in
section
410
750,
which
are
always
deemed
a
threat
to
Public
Health.
E
This
section
includes
all
of
the
conditions
which
are
reported
by
tenants
in
our
study,
including
for
insufficient
heat,
the
presence
of
rodents
or
roaches,
an
unremediated,
mold
or
chronic
dampness,
all
of
which,
as
we've
said,
can
trigger
asthma.
So
the
law
says
all
residents
should
have
equal
access
to
prompt,
effective
recourse
when
exposed
to
housing
conditions
that
damage
their
health,
but
our
data
as
Evan
has
just
presented.
E
E
Financial
penalties
for
violating
the
sanitary
code
currently
range
from
ten
dollars
to
five
hundred
dollars.
Given
some
of
the
lack
of
efficacy
we're
observing
in
the
study,
it
seems
clear
that
the
minimum
fine
could
be
increased
and
I
think
data
could
be
made
available
on
the
use
of
these
fines
to
ensure
that
they
are
being
deployed
equitably
and
effectively
across
the
city
next
slide.
E
Second,
tenants
themselves
are
a
major
motive,
Force
to
fix
unhealthy
conditions,
but
they
face
an
uphill
battle
against
far
more
powerful
landlords,
which
is,
of
course,
made
much
worse
by
social
marginalization.
So
City
interventions
which
increase
tenant
leverage
to
get
repairs
made
are
essential
to
reduce
exposure
disparities.
E
Several
studies
have
also
shown
that
tenants,
particularly
marginalized
tenants,
frequently
endure
dangerous
conditions
rather
than
report.
If
they
fear
an
eviction
could
result
so
interventions
that
protect
tenants
from
arbitrary
or
retaliatory
evictions
such
as
just
cause
eviction
protections
right
to
legal
counsel.
Both
would
increase
tenants
ability
to
get
repairs
made
to
protect
their
respiratory
health,
even
when
laws
do
exist
against
retaliatory
evictions,
as
is
the
case
in
Massachusetts.
E
Typically,
tenants
represent
themselves
so-called
per
se
in
eviction
proceedings
and
may
not
be
able
to
correctly
articulate
a
valid
defense
of
retaliatory
eviction
and
may
lose
their
case,
even
if
they
are
retaliated
against
illegally.
To
prevent
this,
the
city
could
enable
tenants
to
bring
preemptive
injunction
actions
which
would
make
retaliatory
evictions
even
more
difficult
next
slide.
E
Finally,
the
city
itself
can
step
in
to
improve
provision
of
city
of
healthy
housing,
most
obviously
by
repairing
upgrading
and
expanding
the
availability
of
high
quality
public
housing.
A
recent
report
estimated
that
comprehensive
repairs
to
New
York
City's
Housing
Authority
units
would
reduce
asthma
rates
among
residents
by
up
to
30
percent
and
there's
every
reason
to
believe
the
same
would
hold
in
Boston.
E
In
the
case
of
code
violations
in
private
housing,
If
a
landlord
refuses
or
cannot
afford
to
make
a
repair.
The
city
may
make
it
directly
in
Los
Angeles.
The
city
is
authorized
to
make
repairs
and
then
require
Property
Owners
to
reimburse
the
city
next,
rather
than
waiting
for
tenants
who,
as
we've
said,
may
be
reluctant
to
report
for
fear
of
retaliation.
The
city
can
identify
bad
conditions
proactively.
E
Dr
Samuels
and
I,
as
she
mentioned
earlier,
recently
published
a
study
in
the
Lancet
Public
Health,
which
showed
that
buildings
with
dangerous
housing
conditions
actually
have
very
elevated
asthma
rates
and
that
monitoring
the
emergency
department
for
asthma
exacerbations
can
detect
bad
conditions
up
to
a
year
in
advance
of
a
failed
inspection.
This
opens
the
way
for
a
proactive
inspection
which
goes
exactly
to
the
right
place
and
can
be
stringent
enough
to
enforce
repairs.
E
Lastly,
data
transparency
is
what
enabled
our
study
and
further
transparency
will
be
essential
to
ensure
outcomes
and
particularly
Equity,
both
improve
across
neighborhoods
with
different
racial
makeups
towards
this,
the
city
should
make
outcome
data
providing
all
of
the
metrics
we
introduce
in
this
study.
They
should
be
public
and
easily
accessible,
and
this
would
include
some
of
the
things
we've
listed
on
the
slide.
E
The
incidence
of
exposure
and
reports
to
ISD
the
length
of
cases
and
their
closure
rates,
the
proportion
of
cases
resulting
in
a
repair,
potentially
the
landlords,
with
the
most
outstanding
reports,
and
also
fine
data
associated
with
each
outstanding
code
violation.
So
with
that,
I'll
conclude
thanks
very
much
for
the
opportunity
to
testify
I'm.
Very
excited
to
see
what
the
city
can
do
to
improve
asthma
outcomes.
B
G
Yes,
thank
you
Ace
Roxbury,
for
the
parents.
Few
years
we
have
focused
on
air
quality
on
a
when
I
recant
breed
campaign
focusing
on
building
emissions
and
air
quality
within
our
neighborhood
I'm
gonna
put
it
past
two
years
we
work
with
online
College
of
Engineering
putting
air
monitoring
both
in
the
neighborhood,
but
also
inside
of
homes,
to
collect
data
on
the
air
quality
of
our
residents
and
Saturday
homes.
G
G
We
know
that
what
we
can't
see
will
injured
or
kill
us.
Roxbury
has
high
asthma,
rape,
Roxbury
also
have
high
rate
of
mortality
through
the
Corvette,
and
the
relationship
between
asthma
and
the
cinemas
of
covet
is
directly
related.
These
are
lessons
learned
that
we
will
never
forget,
so
the
tax
in
front
of
us
is
that
we
have
great
ideas.
We
also
have
great
ideas
on
lead
in
the
impacts
of
lead
and
that's
a
whole
different
conversations.
G
B
Thank
you
so
much
Dwayne
and
thank
you
to
all
of
our
panelists
for
being
here
for
your
presentation
and
for
being
here
with
us
today.
I
would
like
at
this
moment
to
acknowledge
that
we've
been
joined
by
counselor
at
large
Julia
Mejia
counselor
Mahia.
Do
you
have
any
opening
statements,
so
we
are
going
to
start
with
our
first
round
of
questions
and
I'm
gonna
go
in
order
of
arrival
and
then
ask
my
questions
last.
If
that's
okay,
so
president
Flynn,
you
have
the
floor.
B
C
E
Chinatown
would
have
been
included
as
it's
part
of
the
city
of
Boston.
We
didn't
single
it
out.
We
didn't
actually
single
any
specific
neighborhood
out.
It
just
became
immediately
clear
that
there
was
a
link
with
the
percentage
of
white
residents.
So
yes,
it's
part
of
this
study.
No,
we
didn't
call
it
out
specifically.
E
You
can
see
from
in
this
study
we
didn't
directly
measure
asthma,
we're
only
measuring
the
incidence
of
asthma
triggers
as
reported
to
ISD,
but
in
one
of
the
maps
that
Evan
presented
it's
visually
clear
that
there's
a
band
of
high
asthma
incidents
that
goes
up
from
Roxbury
and
includes
Chinatown.
So
it
would
concur
with
what
you
said
in
your
opening
statement
that
there
are
there's
a
high
asthma
right
there.
But
that's
data
from
the
CDC
and
not
new
data.
C
E
C
Yeah,
as
as
you
know,
parts
of
the
South
Ender
very
similar
to
Chinatown
very
close
to
the
highway
system,
very
close
to
the
Mass
Pike
to
South
Station,
train
station
bus
station,
large
public
housing
development
as
well
one
of
the
issues
I've
focused
on,
and
maybe
maybe
it's
getting
off
topic
a
little
bit.
But
one
of
the
issues
I've
focused
on
with
my
colleagues
is
pest
control.
C
C
E
Yeah,
it's
a
good
question
and
I
think
Liz
tried
to
outline
that
there
are
a
range
of
risk
factors
for
asthma.
The
strongest
ones
are
related
to
housing
quality
with
that
there
is
an
exception,
which
is
a
viral
infections
or
strong
risk
factors.
So
upper
respiratory
tract
infections
are
certainly
trigger
a
lot
of
asthma
attacks,
but
the
analysis
of
the
research
literature
is
pretty
clear
that
bad
conditions
associated
with
housing
are
probably
the
strongest
cause
of
asthma
disparities.
E
So
if
you
see
changes
in
announcement
rates
between
different
neighborhoods,
it's
clear
from
analysis
of
the
research
literature
that
that's
associated
with
bad
housing
conditions
and
some
of
the
risk
factors.
We've
talked
about
the
mice,
pests,
those
types
of
things
and
also
it
seems
clear
that
there's
a
component
of
Psychosocial
stress,
associated
with
bad
presence
and
bad
conditions
and
stress,
can
increase
allergic
inflammation
and
make
asthma
more
severe.
E
C
D
In
addition
to
the
factors
that
Adam
outlined,
mold
ventilation,
General
I,
would
say
the
both
the
internal
ventilation
within
the
within
the
home,
but
then
the
there
are
factors
I
think.
Maybe
what
you're
getting
at
are
about.
The
factors
of
the
built
environment
also
have
a
very
large
impact
on
development
of
asthma
that
may
be
related
to
proximity
to
roadway.
That
can
also
be
related
to
toxins
and
pollution
in
the
area,
but
the
internal
home
environment.
C
C
E
Sure
yeah
so
reviewers
for
our
study
won't
ask
the
same
question
and
it's
a
good
question.
So
we
assigned
each
of
the
reports
in
the
ISD
data
to
either
public
or
private
housing
by
comparing
it
with
the
assessors
parcel
data.
So
it's
relatively
straightforward
to
tell
whether
a
report
is
coming
from
public
or
private
housing
and
we
observed
that
there
was
no
significant
change
in
the
incidence
report
rate
between
public
and
private
housing.
E
So
these
conditions
are
happening
just
as
much
in
market
rate
housing
as
they
are
in
public
housing,
and
we
also
included
the
proportion
of
housing
in
each
neighborhood,
which
is
public
as
a
cover
in
the
model.
So
we
adjusted
for
it
and
we
found
that
none
of
the
disparities
that
we
observed
were
explained
by
the
proportion
of
public
housing.
So
it's
not
the
case
that
all
of
these
reports
are
coming
from
a
public
housing
development
and
that's
what
explains
it.
E
C
E
E
F
I
would
if
I
can
just
add
part
of
your
question
is
you're
saying
if
you
compared
public
housing
to
sort
of
like
a
middle
class
neighborhood
or
something
like
that
part
of
that
is
explained
in
our
study,
because
we
also
control
for
median
household
income.
So
when
we're
talking
about
the
difference
between
public
and
private
housing,
we're
comparing
public
and
private
housing
on
a
similar
level
of
income.
D
D
C
B
H
E
Yeah,
that's
a
great
question.
We
didn't
specifically
look
at
the
the
role
of
development.
It
I
understand
that
it's
anecdotally,
true
I,
don't
know
whether
it's
been
studied,
that
that
construction
just
displaces
mice
and
they
move
into
a
new
area.
But
it's
certainly
true
that
there's
a
clear
link
between
the
presence
of
mice
and
mouse
allergen
and
asthma
attacks.
H
Don't
think
anyone
should
be
living
in
in
the
type
of
environments
that
I
have
seen
photos
of,
and
some
of
it
is
mold,
and
some
of
it
is
just
really
poor.
Bad
quality
and
I'm
curious.
As
you
did
this
report,
were
there
any
patterns
of
specific
landlords
or
problematic
people
that
we
need
to
be
mindful
of
that
are
driving
this
sort
of
environment
just
curious.
If
yours
research
got
a
glimpse
of
that.
E
Yeah
again,
it's
not
something
that
we
specifically
looked
at.
We
potentially
may
follow
up
on
it.
The
tax
assessor
records
do
say
for
the
most
part
who
the
landlords
are.
So
it
is
something
we
could
look
at.
I
know
in
a
conversation
with
ISD
a
few
months
ago
that
they
mentioned
that
they
have
a
list
of
particularly
bad
actors
who
continue
to
not
repair
housing.
H
Then
I
know
this
we're
going
to
hear
from
the
administration
soon,
so
I'll
just
keep
my
questions
in
regards
to
this
particular
study.
I
am
curious
if
you
could
just
share
with
us.
You
know
on
a
national
platform
who
are
the
folks
that
are
getting
this
right
in
terms
of
of
really
getting
a
handle
on
addressing
this.
If
you
could
point
to
the
best
of
the
best
who
are
we
competing
with
and
what
we
need
to
do
to
get
there.
E
Yeah,
it's
a
great
question
and
I
tried
to
outline
in
my
presentation
some
of
the
other
municipalities
who
have
been
doing
a
really
good
job.
I
I.
Don't
think
I
could
point
to
a
specific
I
think
that
Urban
asthma
is
a
problem
basically
across
the
board.
It
varies
a
little
bit
by
geography
depending
like
the
risk
factors
are
different
in
the
South
there's
more
mold
things
like
that.
E
But
basically
this
is
a
problem
throughout
the
US
I've
tried
to
provide
specific
aspects
of
legislation
in
other
cities,
which
should
be
looked
at,
for
example,
in
Los
Angeles
having
a
city
maker
repair
If,
a
landlord
can't
afford
it,
something
like
that
or
having
City
run
escrow
mechanisms
to
improve
tenants
ability
to
withhold
rent
to
make
sure
that
conditions
are
repaired
quickly,
but
yeah
like
I,
said
I,
don't
think,
there's
a
particular
municipality.
That's
really
getting
this
right.
Asthma
disparities
exist
throughout
the
us.
Thank.
H
You
for
that,
and
one
last
question
Madam
chair,
I,
think
my
time
is
almost
up
two
minutes.
Okay,
great!
Thank
you!
So
I
I
go
to
a
community
health
center.
That's
where
I
get
my
primary
care
from
and
as
well
as
my
daughter
and
I'm
just
curious.
What,
if
any
engagement
in
terms
of
data
collection
and
interaction
with
some
of
these
smaller
community-based
health
organizations?
H
Have
you
had
any
interactions
with
because
I
know
that
that
is
usually
where
people
go
to
get
their
needs
and
we
don't
end
up
in
the
emergency
room
unless
we
can't
breathe
right
so,
for
the
most
part,
our
maintenance
for
those
who
use
community
health
centers.
That's
where
we
get
our
care
from
and
I'm
just
curious.
What?
D
I
think
that's
a
very
good
and
very
important
Point,
most
of
where
care
is
received,
is
within
the
primary
care
center,
particularly
for
people
who
have
chronic
conditions.
Like
asthma,
we
haven't
been
able.
We
haven't
yet
utilized
Primary
Care
data
to
look
at
asthma
incidence
and
distribution,
but
it
is
an
area
we
think
would
really
add
a
lot
of
depth
of
information
to
help
us
both
I,
identify
and
understand
the
impacts
of
asthma
and
communities,
and
also
how
that
is
associated
with
housing.
H
Yeah,
thank
you.
Thank
you
for
that.
I
just
want
to
just
thank
you
all
for
your
work.
I
as
I
can
only
imagine
for
parents
who
are
listening
in
and
as
someone
who
has
asthma,
how
difficult
it
is
to
be
concerned
and
worried
about
being
able
to
breathe
and
the
fact
that
sometimes
we're
living
in
homes
that
can
literally
kill
us
is
why
this
report
is
so
important.
So
I
look
forward
to
diving
in
with
the
administration
to
see
what
we
as
the
council
can
do
to
help
support.
H
B
I
No
thank
you,
madam
chair
I.
Think
since
I
came
in
at
the
tail
end
of
this
panel,
I
won't
pepper
them
with
questions,
but
I'm
really
grateful
for
them
being
here
and
I'm.
I
I
was
I
caught
the
edge
of
your
presentations
from
my
office
and
I'm
going
to
fully
review
them
after
this,
but
I
think
I'll
I'll
save
questions
for
now.
Thank
you,
madam
chair.
Thank
you.
So
much
counselor.
J
Thank
you
also
to
Chief
Dillon
and
the
commissioner
that
we
haven't
heard
from
them.
Yet
the
administration
team
for
being
here
and
I
apologize
for
my
latest
this
morning,
but
I
really
greatly
appreciate
all
the
work
and
advocacy
that
is
happening.
My
staff,
a
brief
me
and
caught
me
up
to
speed
on
on
this
I'm.
Sorry,
I
missed
your
presentation.
This
morning,
I
have
my
my
question
to
really
focus
more
on
the
administration
and
how
we
how
we
manage
all
of
this.
J
So
that's
what
we're
working
on
to
try
and
fix
I'm,
just
wondering
about
how
you've
how
you
controlled
for
other
environmental
factors
that
may
have
been
in
other
possible
drivers
of
respiratory
disease
in
the
in
the
general
population,
I'm
thinking
about
them,
smoking,
vaping,
working,
occupational
exposure
to
solvents
Etc.
Did
you
factor
in
any
of
that
and
not
to
take
away
from
the
fact
that
there's
a
huge
problem
with
Environmental.
E
We
know
that
asthma
goes
up
in
sort
of
the
pollen
season
and
and
then
down
again
in
the
winter,
and
so
we
we
modeled
that
and
adjusted
for
it
and
found
that
it
basically
averaged
out
over
the
study
period
so
that
didn't
have
an
impact
on
our
results.
We
didn't
specifically
look
at
social
behaviors
in
this
study.
Things
like
smoking
and
vaping,
and
things
like
that
I
will
say
in
our
other
study
that
Liz
was
talking
about
earlier.
E
F
I
would
I
would
also
add
really
quickly
that
in
this
study
we
weren't
really
looking
at
the
association
between
as
triggers
and
Asthma
prevalence.
We
were
looking
at
the
association
between
things
like
racial
demographics
and
the
presence
of
indoor
asthma
triggers.
So
in
that
situation,
it's
not
as
relevant
to
control
for
other
possible
asthma
triggers
because
we're
not
looking
at
the
effect
on
asthma.
We're
looking
at
the
effect
on
this
particular
set
of
indoor
triggers.
J
B
K
Thank
you
I.
Just
you
know,
I
missed
most
of
your
presentation,
but
want
to
thank
you
for
your
work
in
this
space
as
an
at
large
city
councilor
and
as
an
attorney
who
worked
in
Housing
Court.
One
of
the
main
calls
that
I
get
in
my
office,
which
is
similar
to
others,
is
about,
is
about
housing
issues
and
about
unfair
housing
conditions,
and
we
know
that
they're
most
prevalent
in
our
black
and
brown
neighborhoods.
K
So
it's
incredibly
important
that
we
continue
to
hold
ourselves
as
electives,
accountable
and
the
city
accountable
to
making
sure
that
we
are
adequately
adequately
enforcing
our
code
so
that
people
don't
have
to
live
in
unsanitary
conditions.
I
used
to
work,
often
with
in
housing
court
with
Ethan
mass
group,
who
is
now
an
instructor
over
at
bu
on
the
environmental
hazards
that
our
young
kids
especially,
are
living
in.
K
When
we
go
in
and
they
face
eviction,
then
we
counter
claim,
with
all
of
the
subpar
conditions
that
they've
been
forced
to
live
under,
and
so
I
think
that
our
role
here
is
to
think
about
what
we
can
do
as
City
counselors
to
get
ISD
more
resources.
To
do
the
work
of
ensuring
that
our
families
and
black
and
brown
communities
are
able
to
live
in
dignity,
because
this
our
neighborhoods
and
where
people
live,
should
be
dignity,
affirming
and
should
be
complementary
to
one's
Health,
not
detrimental.
K
B
You
counselor
Legion,
so
I'm
gonna
move
with
my
questions
now
before
we
see
a
few
folks
have
a
second
round
and
we'll
move
to
the
administrations
panel.
So
thank
you
all
for
all
of
your
work
and
for
your
partnership
and
collaboration
in
one
clarifying
answering
questions,
not
just
here
for
the
council
but
for
our
office
when
I
saw
this
report,
I
and
and
I
reached
out.
B
I
was
like
oh
okay,
there's
a
there's
a
problem
here
and
you
were
incredibly
responsive
and
have
been
incredibly
helpful
to
our
office
and
understanding
kind
of
what
we're
looking
at
so
we're
seeing
a
three
and
a
half
day
slower
response
time
in
neighborhoods
with
the
highest
proportion
of
people
of
color.
What
would
you
attribute
that
slow
response
time
to.
E
Yeah
I
think
that's
a
question
that
would
be
well
opposed
to
the
administration,
but
I
think
for
from
our
point
of
view,
the
it's
the
this
the
variable
there
is
the
length
of
time
on
average
between
a
case
being
opened
and
it
being
closed.
So
basically,
it's
taking
longer
for
things
to
get
resolved.
B
Thank
you
so
much
and
just
to
be
clear,
14
higher
chances
of
them
being
marked
overdue
right,
so
we're
seeing
a
14
person
we're
seeing
a
three
and
a
half
day
slower
response
time
when
people
are
reporting
it,
and
one
thing
that
we
know
is
that
people,
particularly
from
vulnerable
and
marginalized
communities,
there's
they're
already
now
reporting,
as
often
as
other
people
right.
So
we
know
that
even
the
amount
of
reporting
that
we're
seeing
is
probably
not
it's.
B
It's
not
a
painting,
a
clear
picture
of
the
issues
in
these
neighborhoods,
but
from
the
people
who
are
reporting
and
feel
comfortable
enough
reporting
we're
seeing
that
there's
a
three
and
a
half
day,
slow
response
time,
specifically
in
concentrated
and
Dorchester
Roxbury
and
Mattapan
14
higher
higher
chances
of
it
being
marked
as
overdue.
Do
you
know
what
overdue
is
being
defined
that,
as
can
at
the
administration
this
too?
But
do
you
have
that
information?
No,
it's
just
marked
as
overdue
in
the
data.
Yes
great.
B
F
A
B
B
B
So
the
point
of
the
rental
inspection
program
is
ultimately
to
create
some
process
where
people
have
to
get
their
Apartments
inspected
and
so
on
and
so
forth.
You
know
part
of
it
is
really
to
ensure
that
we
are
providing
safe
housing
for
the
people
in
the
city
of
Boston,
but
in
your
research
it
showed
that
the
rental
inspection
program
actually
didn't
have
any
impact
on
the
housing
code.
Violations
specifically
that
are
considered
asthma
triggers
right.
B
I
want
this
question
is
for
Dr
Samuels,
because
I
know
that
you're
an
emergency
department
doctor.
Can
you
talk
a
little
bit
about
you
know
we
have
the
we
have
programs
like
the
breathe
easy
program.
Can
you
talk
a
little
bit
how
we
can
leverage
the
emergency
department
visits
to
be
responsive
to
this
issue?
How
maybe
we
can
pinpoint
some
of
these
housing
code
violations
and
oh
I?
Ultimately,
I
would
like
to
hear
more
about
how
they
interact
with
each
other.
What
you
see
in
the
emergency
room
and
how
that
ties
back
to
the
housing.
D
D
We
do
see
changes
in
asthma
utilization
both
when
and
there's
an
upper
respiratory
virus
going
around
or
with
seasonality
and
and
allergens
in
the
air,
particularly
pollen,
but
we
do
see
increased
utilization
among
from
people
who
are
coming
related
to
other
environmental
exposures,
including
quality
of
housing.
So
the
other
research
we've
done.
D
We
mapped
a
place
of
residence
of
people
who
were
seen
in
the
emergency
department
for
asthma
and
saw
a
higher
signal
in
few
different
neighborhoods
in
New
Haven,
and
we
actually,
we
did
focus
on
public
housing
in
that
study,
because
that
is
that
is
the
only
type
of
housing
in
New
Haven.
We
had
publicly
available
some
type
of
metric
of
housing
quality,
so
that
was
the
HUD
inspection
scores.
D
So
we're
able
to
see
whether
asthma
visits
were
elevated
or
correlated
with
a
otherwise
objective
assessment
of
the
quality
of
that
housing,
and
what
we
saw
is
that
emergency
department
visits
from
those
housing
complexes
with
poor
scores
increased
almost
a
year
before
a
housing
unit
had
a
failed
score.
So
you
they're
really
a
signal
that
you
can
monitor
in
advance
of
a
home
inspection.
It
could
direct
proactively
direct
inspections
at
housing
units
that
may
be
problematic.
D
It
is
you
know
it
is
more
specific
than
it
is
sensitive,
but
so
far
we
have
a
lot
of
work
to
do
in
terms
of
figuring
out
and
Adam
can
talk
a
little
bit
more
about
the
the
study
model
and
And.
In
regards
to
the
earlier
comment
that
initial
analysis
doesn't
include
Primary
Care
information,
which
would
would
provide
more
holistic,
robust
information
about
asthma
incidents
and
we're
and
worsening
asthma
amongst
individuals
for
Community
Health.
Overall,
so
I
do
think
emergency
departments
I
mean
we.
D
We
are
like
a
if
you're,
the
canary
in
the
coal
mine
of
Public
Health
and
in
population
Health
when
it
when
there
are
changes,
even
small
changes
in
community
health
conditions.
We
see
that
in
the
emergency
department-
and
it
really
is
just
a
matter
of
whether
we're
utilizing
those
data
which
are
already
available
and
elected
to
direct
community-based
Public
Health
initiatives.
B
And
so
you
think
that
there's
an
opportunity
to
use
emergency
department
data
data
from
community
health,
centers
Primary
Care
Providers
to
remove
the
onus
from
the
renter
to
kind
of
signal,
either
inspection
or
some
sort
of
hey.
There's,
like
you,
said
they're.
Something
preemptively
is
happening
here
in
this
home
and
you
do
you
think
that
there's
a
possibility
for
us
to
be
able
to
go
hospital,
Private,
Hospital,
non-profit
hospital.
D
I
I
think
that
there
there
is
a
lot
of
there
are
a
lot
of
complexities
in
terms
of
the
health
I.T,
but
I
think
it
is
possible
to
have
a
centralized
dashboard
if
you
will,
or
a
way
that
data
could
be
organized
into
a
dashboard
that
could
be
used
to
identify
signals
of
potentially
unhealthy
housing
and
direct
Home
Inspections.
Shifting
that
burden
of
reporting
off
of
the
resident
and
even
shifting
you
know,
I
know
listening
to
the
kind
of
how
it
is
very.
D
If
you
have
a
limited
Workforce
of
inspectors
who
are
able
to
do
the
Home
Inspections,
you
can
increase
the
frequency
of
inspections.
All
you
want,
but
if
there's
not
the
workforce
to
do
it,
it's
very
challenging
to
do
one
other
thing
that
we
notice
actually
in
this
one
particular
housing
complex
in
New
Haven,
is
that
the
residents
did
file
complaints,
but
then,
when
the
inspectors
came,
they
were
only
shown
better
units
compared
to
units
that
were
actually
damaged.
D
B
Them
to
do
and
so
kind
of
thing,
what
are
the
Crea
and
one
the
rental
inspection
program
has
shown
to
be
ineffective,
at
least
in
controlling
for
these
kinds
of
asthma
triggers
and
these
kind
of
violations
and
Rental
housing.
So
I'm
also,
you
know
kind
of
oscillating
between
how
much
how
much
energy
we
put
into
this
thing
that
you
know
might
have
minimal
return
on
investment.
B
B
If-
and
this
is
my
understanding
of
the
report
and
of
the
study
from
looking
at
it,
so
please
correct
me
if
I'm
wrong,
it's
my
understanding
that,
if
low
level
of
Workforce
or
an
understaffed,
inspectional
Services
Department,
we
would
see
that
they
would
be
a
similar
delay
across
the
city,
because
we
just
have
less
people
all
things
equal,
we
would
say
we
would
say
across
the
board.
Inspectional
Services
is
having
a
delayed
response
all
across
the
city,
because
we
don't
just
have
enough
people
now
they
don't.
B
B
K
Councilor
illusion
I
just
have
one
question
with
respect
to
so
I'll.
Let
me
first
give
you
a
little
bit
of
background
on
why
I'm
asking
my
office
has
been
doing
a
lot
of
work
around
absentee
landlords
and
overrun
dumpsters
in
our
neighborhoods,
and
if
you
track
a
lot
of
it
tracks
with
you
know
our
black
and
brown
neighborhoods
in
Mattapan
Dorchester.
K
You
see
it
in
certain
areas
of
Charlestown,
East,
Boston,
high
Park
and
it's
neglect,
and
sometimes
what
ends
up
happening
is
when
folks
who
live
in
community
and
neighborhoods
are
used
to
systems
not
responding
to
them.
They
are
no
longer
reporting
issues
and
problems
to
systems
right.
So
you
have
people
who
live
in
more
affluent
white,
neighborhoods
reporting
and
using
systems
because
that
they
know
that
they
work
for
them
and
we
don't
see
the
same
thing
you.
K
Maybe
in
some
situations
you
see
Under
reporting
in
neighborhoods
where
people
like
well
they're
not
going
to
listen
or
do
anything
anyway.
So
what
is
the
use
in
using
my
time
to
report
an
overrun
dumpster
or
to
report
that
there
are
poor
condition
where
I
live,
etc,
etc?
Did
you
or
have
you
seen
that
anywhere
in
your
research,
that
sort
of
apathy
that
builds
as
a
result
of
of
structural
neglect
rooted
oftentimes
in
discrimination,
racism,
but
feeling
that
systems
aren't
built
to
be
responsive
to
our
needs?
E
Yeah,
so
we're
only
looking
at
the
cases
where
people
do
report,
so
we
can't
detect
that
other
Studies
have
definitely
shown
what
you're
saying-
and
it's
been
it's
very
clear-
that
people
marginalized
communities
are
not
reporting
conditions,
partly
because
they're
they
don't
want
to
interact
with
the
landlord
potentially
is
going
to
retaliate
or
they're,
going
to
interact
with
police
or
potentially
going
to.
Who
knows
so.
That's
clearly
the
case,
but
it's
not
something
we're
able
to
detect,
because
we're
only
looking
at
reports
that
do
come
in.
B
G
Well,
what
I
think
is
kind
of
branding
it
as
his
feasibility?
This
has
been
a
generational
issue
within
our
communities,
so
as
when
the
counselor
said
before
the
on
the
reporting
will
be
a
constant.
So
you
know
in
my
mind
it's
very
important,
every
good,
attractive
and
the
lack
of
ISD.
Then
what
is
the
budget
changes
where
they
will
have
more
capacity
to
execute
these
jobs?
One
two:
how
do
we
protect
residents
for
recording
this
for
the
retaliation
against
landlords
and
the
housing
crisis,
where
the
main
objective
is
to
be
housed?
G
B
Thank
you
so
much
strength
and
in
terms
of
improving
the
court
enforcement
here
we
have
increasing
accountability
for
landlords.
One
of
the
solutions
that
was
presented
is
using
the
rental
registry
to
block
evictions.
If
code
violations
are
not
addressed,
have
you
seen
that
implemented
anywhere
else?
Yeah.
B
E
B
You
so
much,
and
so
that's
increasing
I
kind
of
believe
for
landlords
and
stronger
penalties
for
outstanding
violations.
I
think
that
that's
obvious
in
terms
of
what
happens,
if
you
don't
correct
the
violations
and
counselor
illusion
and
counselor
councilor
illusion
and
Dwayne
Mr
Tyndall
have
shared.
We
are
there's
Under
reporting
and
so
there's
also
some
proactive
work
that
needs
to
happen
there,
because
that's
this
is
only
going
to
function
for
the
people
who
are
reporting
to
ISD
for
increasing
the
leverage
of
tenants.
B
Obviously,
we
have
protect
tenants
from
evictions,
Just
Cause
right
to
council
Council,
because
ultimately,
the
lack
of
these
things
make
it
so
that
people
are
less
likely
to
report
right.
That's
a
part
of
it
is
that
they're
worried
about
retaliation
and
that's
something
that
we're
hoping
to
work
on
with
attendance
Bill
of
Rights
and
with
the
mayor's
work.
That's
already
happening
at
the
state
house,
but
on
here
you
say:
increasability
and
ease
of
tenants
to
withhold
rent
when
there
are
unsafe
conditions
that
are
present,
and
you
talked
about
in
your
presentation.
E
Sure,
as
I
mentioned
in
the
presentation,
I
guess
for
those
who
who
missed
it,
I
believe
it's
the
case
that
in
Massachusetts
it's
technically
legal
to
withhold
your
rent
if
conditions
don't
meet
certain
standards,
yes,
but
I,
think
anecdotally.
People
really
need
legal
advice
to
actually
pull
that
off.
A
E
Marginalized
people
don't
have
legal
advice,
there's
like
if
you
go
to
housing.
I
know
that
you
all
have
been
to
Housing
Court.
The
vast
majority
of
tenants
are
per
se
they're
representing
themselves,
so
that
action
that
Avenue
is
really
not
available
to
the
people.
Who
are
you
know,
being
exposed
to
these
conditions.
E
So
in
other
cities,
there's
been
a
mechanism
put
in
place
to
kind
of
systematize
and
institutionalize
rent
withholding
in
a
way
that
makes
it
accessible
to
everyone,
and
that
would
clearly
make
it
a
more
effective
tool
for
marginalized
People
for
People
from
black
communities,
Latin,
X
communities
or
poor
communities
to
actually
be
able
to
use
to
make
sure
that
a
landlord
is
not
repairing.
Something
is
under
more
pressure
to
actually
do
so.
B
Thank
you
and
this
question
is
for
Dr
Samuels,
one
of
the
suggestions
in
terms
of
increasing
provisions
and
repair
for
healthy
housing
for
government,
which
is
the
longest
list.
Thank
you
on
here
is
to
proactive
inspections
based
on
increased
asthma
incidents,
and
so
we
just
talked
about
how
emergency
department
visits
and
information
from
primary
care.
Doctors
can
really
Aid
in
proactive
inspection
based
on
increased
asthma
incidences.
Can
you
talk
a
little
bit
about
how
you
envisioned
that
happening?.
D
Absolutely
so
yeah
in
the
emergency
department,
we
collect
data
at
every
emergency
department
visit,
so
we
know
how
many
people
were
seeing
that
day
with
asthma
that
month
that
year
and
a
lot,
then
we
collect
a
lot
of
information
to
direct
the
health
care
of
that
individual
oftentimes
and
in
some
instances
those
data
are
used
for
population
Health,
particularly
for
infectious
diseases
like
we
can
see
when
there's
rises
in
flu,
we
use
it
for
cobit
all
the
time.
I
think
people
got
very
used
to
seeing
our
community
covered
rates.
D
A
lot
of
those
data
are
drawn
from
emergency
department
visits
and
hospitalizations,
as
well
as
other
testing
people
you
can.
We.
We
have
shown
that
you
can
use
emergency
department
visits
for
asthma
exacerbations,
so
these
would
be
discrete
emergency
department
visits
for
worsening
of
asthma,
as
opposed
to
your
new
diagnoses
or
the
number
of
people
with
asthma
in
a
population.
These
would
be
people
are
having
more
severe
Health
crises
related
to
their
asthma
and
going
to
the
emergency
department.
D
So
you
could
foresee
somebody
dashboard
with
like
a
map
that
you
could
have
a
set
threshold.
The
number
of
visits
over
which
that
would
CR
would
look
like
an
increased
signal
that
you
would
say
it
looks
like
there's
a
problem
in
this
housing
complex
we're,
seeing
increased
Ed
visits
for
asthma
from
that
building
and
we
should
go.
Send
someone
out
you
should
go
see.
What's
going
on
in
that
house?
Is
there
did
it
pipe?
First?
D
Is
there
mold
their
mice
or,
like
I,
wrote
an
infestation
of
some
type
that
needs
to
be
remediated
and
that
would
really
be
removed
again.
The
onus
would
be
removed
from
the
resident
in
terms
of
filing
that
complaint
that
they've
seen
mold,
that
they
now
have
mice
that
there's
now
roaches
Etc
and
that
they
would
be
able
to
be
a
bit
more
Pro
proactive
based
off
of
increase
the
utilization
for
asthma
exacerbations.
D
Now
you
know,
ideally,
those
triggers
could
be
seen
before
someone
even
develops
an
asthma
exacerbation
related
to
it,
but
sometimes
people
can't
see
the
actual
trigger
who
was
a
who's
a
resident?
Maybe
a
layperson
who
lives
in
that
home,
but
someone
who
is
trained
in
home
inspection
will
be
able
to
identify
and
then
mediate
that
problem.
B
F
B
B
Okay,
we're
gonna
move
on
to
our
second
panel
from
the
administration.
We
have
Sean
Lyden,
the
commissioner
for
inspectional
services,
Sheila
Dillon,
the
chief
of
the
mayor's
office
of
housing,
Leon
Bethune
from
the
Boston
Public
Health
commission,
who
is
the
director
of
the
Bureau
of
community
initiatives
and
Paul
Williams.
The
assistant
commissioner
for
the
housing
division
for
ISD.
A
B
B
L
Thank
you
very
much
good
morning
my
name
is
Sean
Lyden
the
commissioner
inspection
and
services
department
for
the
city
of
Boston,
for
us
I'd
like
to
say
thank
you
very
much
for
accommodating
us
here
and
for
hearing
us
and
thank
you
to
the
gentleman
and
the
doctor.
Good
doctor
brought
attention
to
this
very
serious
matter.
L
L
L
The
goal
of
ISD
in
conjunction
with
Boston
Public
Health
and
my
colleagues
throughout
ISD
in
in
once
again
the
Boston
Public,
Health
and
Department
of
neighborhood
development
and
chief
Dylan
and
the
city
council
and
other
resources,
is
to
educate,
identify
and
help
remediate
the
health
hazard
being
a
father
of
three
with
two
of
my
children.
Many
times
to
the
emergency
rooms.
I
am
well
aware
of
asthma
and
and
what
it
does
to
kids.
L
In
particular
well
aware,
our
Focus
has
to
be
on
goals
to
educate
resources,
to
help
mitigate
and
once
again
bring
the
awareness
of
the
long-term
effects
of
mold,
particularly
and
other
hazards
within
the
homes.
Enforcement
is
done
through
identification
from
inspectional
services,
but
the
enforcement
ultimately
sometimes
has
to
come
from
the
courts.
Isd
cannot
impose
fines
without
judicial
interferment.
L
Sometimes
it's
the
lack
of
awareness
of
mold
throughout
the
city
and
once
again,
these
programs
have
to
come
available
to
through
education
and
a
lot
of
times
through
these
different
parts
of
the
city,
they're
owner
occupied
structures,
the
resources
may
not
be
there
to
mold
comes
in
many
many
different
ways
into
a
house.
Obviously,
first
and
foremost,
it's
moisture,
that
is
the
biggest
problem
with
mold.
In
my
understanding
that
can
be
backed
up
by
Leon.
Beside
me,
moisture
is
the
biggest
culprit
as
far
as
the
introduction
of
mold
into
a
household
many
times.
L
The
moisture
is
introduced
through
either
windows
foundations,
with
a
very
costly
repairs
to
remediate
the
the
water
problem
in
the
first
place.
The
moisture
problem
in
the
first
place
is
the
programs
have
to
be
available
to
individuals
throughout
these
parts
of
the
city
to
help
remediate
these
problems.
Otherwise
it
goes
to
court
and
what
happens
in
the
court.
That's
what
takes
a
long
time
and
the
courts
are
not
are
not
it's
not
a
three-day
process
that
might
be
implicated
fix
this
in
three
days.
Isd
will
respond
in
three
days.
L
We
can't
fix
it
in
three
days.
We
can
identify
it
with
the
help
of
Boston
Public
Health.
We
can
see
this
mold,
we
don't
know
what
type
of
mold
we
can.
We
can
identify
it
and
three-day
response.
Time
is
not
a
bad
time
when
you're
and
it's
not
a
matter
of
throwing
more
Personnel.
In
my
opinion,
it's
a
matter
of
helping
fix
the
problem,
you
kill
a
snake,
you
cut
his
head
off
and
that's
that's.
M
M
The
the
prevention
and
management
of
asthma
is
a
critical
public
health
issue
and
a
priority
for
the
commission.
For
over
20
years,
we've
supported
all
Boston
residents
impacted
by
asthma,
particularly
those
partially
affected
by
by
this
disease,
children
and
the
Elder
black
and
brown
residents,
immigrants
and
residents
living
in
public
and
other
affordable
housing.
M
Oh
excuse
me,
the
breathe
easy
program
at
home
works
to
tackle
housing
and
equity
for
families
impacted
by
asthma.
It
was
launched
in
2006
as
Dr
Samuels
alluded.
You
know.
Housing
conditions
and
indoor
air
quality
majority
affects
asthma
control
and
management.
Exposure
to
asthma
has
a
strong
association
with
asthma
severity
and,
according
to
the
research
40
percent
of
asthma,
episodes
are
caused
by
housing
base
triggers
mold,
roaches
mice.
M
So
to
talk
about
Breeze,
Visa
program,
breathe,
easy
is
a
web-based
referral
system
that
allows
doctors,
nurses
or
other
health
professionals
to
refer
their
patients
with
asthma
for
a
home
inspection
conducted
by
the
Boston
inspectional
service
department.
The
program
works
with
landlords
to
ensure
that
the
housing
violations
are
repaired.
M
To
date,
we
use
either
served
over
3
000
families
and
then
conducted
over
7
000
inspections
to
make
sure
common
household
triggers
such
as
mold
cockroaches,
mice,
poor
ventilation,
old
and
damaged,
carpets
and
other
triggers
are
eliminated
in
the
home.
In
our
partnership
you
know
we
we
would
make
the
referrals
you
know,
you
know
between
breathe,
easy
and
our
asthma
program.
We
conduct
regular
trainings.
We
disseminate
critical
housing
resources
to
support
residents
and
landlords.
M
Some
some
stats
about
30
percent
of
breathe.
Easy
cases
are
for
clients
living
in
about
30
percent
of
our
Breezy
cases.
Our
clients
living
in
Boston,
Housing,
Authority
properties,
BHA,
has
been
a
strong
partner
of
resistance.
Since
the
program
was
launched
and
through
this
collaboration,
BHA
adopted
important,
important,
important,
healthy
housing
policies
to
improve
asthma
and
overall
health
for
of
residents
in
2000
BHA
adopted
integrated
Pest
Management
as
the
only
Pest
Control
policy
through
funding
and
support
by
the
commission.
M
We
also
make
sure
that
there's
also
a
a
asthma
care
coordination
and
management
with
all
these
folks,
and
so
over
20.
The
past
20
years,
we've
raised
over
20
million
in
federal
funding
to
developed,
strong
and
sustainable
Public
Health
infrastructure
in
Boston
to
prevent
asthma
and
and
just
an
asthma
disparity
related
outcomes.
We're
intent,
we're
intentional
and
we're
focused
on
allocating
resources
to
the
unserved
community
with
the
highest
asthma
asthma
rates.
M
So
one
of
the
things
that
we,
our
asthma
program
does
is
we
do
direct
service
and
we
provide
free
asthma
home
visits
to
all
residents
across
the
city.
We
conduct
Community
trainings
for
community
health
workers.
We
also
provide
education
support,
low-cost
supplies,
referrals
to
reduce
environmental
asthma
triggers
in
the
homes
through
our
development.
M
We
also
developed
the
Boston
Housing
visiting
collaborative,
which
is
a
multi-partnership
and
very
with
various
Community
Partners,
and
so
we
can
expand
our
reach
and
address
asthma
coordination
more
effectively
with
with
communities
experience
the
highest
burden
of
asthma.
So
this
is
like
the
the
the
the
highest
zip
codes,
where
there's
actually
asthma
on
the
day-to-day
basis.
M
So
this
is
really
the
has
helped
our
cross
referral
in
case
management
of
our
common
clients.
So
the
date
the
commission
has
conducted
over
20,
000
home
visits
and
we've
provided
and
our
partners
have
provided
an
additional
8
000
visits
and
four
to
a
total
of
28
000
over
28
000
home
visits
delivered
to
the
most
common
language
was
spoken
in
Boston,
which
is
Cape,
Verdean,
Creole,
Portuguese,
Spanish,
Chinese,
Haitian,
Creole,
Vietnamese
and
Somali.
M
The
other
thing
we've
done
is
we
are
working
to
address
asthma
home
visiting
and
to
provide
a
Workforce
capacity
in
by
with
funding
from
the
Massachusetts
Department
of
Public
Health.
We've
provided
asthma,
home
visiting
training
for
community
health
workers
and,
to
date,
we've
trained
over
a
thousand
community
health
workers.
M
M
So
I'm
going
to
cite
the
latest
data
analysis
we've
done
from
2017
to
2021
and
to
the
highest
to
in
our
progress,
reducing
asthma
outcomes
in
Boston,
so
I'll
talk
about
emergency
room
visits
and
and
on
hospitalization.
So
with
the
age-adjusted
asthma
emergency
room,
business
per
10,
000
residents
was
decreased
by
52
percent
overall
for
Boston
residents
and
by
58.5
for
Asian
residents,
44.9
for
black
residents,
56
for
latinx
residence
and
57
for
white
residents.
As
for
asthma,
emergency
department
visits-
and
this
is
like
done
by
on
an
age
specific
rate.
M
M
M
As
I
said,
you
know
we're
we're
seeing
huge
progress
in
asthma,
related
outcomes
and,
as
we
collaborate
with
you
know,
our
partners,
ISD
the
health
centers
and
and
and
our
Community
Partners
we're
trying
to
make
sure
that
these
gains
are
experienced
Equity
across
the
community.
Thank
you
again
for
giving
me
the
opportunity
to
testify
today.
I
would
be
happy
to
answer
any
questions
you
have
thank.
N
Good
morning,
counselors,
let
me
put
my
glasses
off.
My
name
is
Paul
Williams
I'm,
the
assistant
Commissioner
of
housing
for
inspectional
services
at
the
instructions
and
services
department,
I've
been
adding
special
services
for
about
four
years.
In
the
last
two
years,
I've
been
the
assistant
commissioner,
there
previous
to
that
I
worked
in
this
building
in
the
budget
office
for
12
years
as
an
analyst,
and
during
that
that
time
I
was
inspectional.
Services
was
one
of
my
principal
departments.
N
I
want
to
thank
the
council
for
the
opportunity
to
talk
about
isd's
housing
division,
his
work
with
respect
to
inspections,
with
respect
to
inspecting
the
city's
rental
housing
stock.
Our
inspections
are
and
dispensable
part
of
keeping
rent
renters
housed
in
units
that
meet
the
state's
sanitary
code.
Our
requirements
and
our
inspectors
are
relied
on
seven
days
a
week
to
not
only
visit
and
inspect
units,
but
also
to
reach
out
to
landlords
and
management
companies
to
address
problems
as
soon
as
possible.
N
N
The
inspection
process.
Key
to
our
work,
of
course
is
is
a
reactive
inspection
process.
Isd
receives
inspection
requests
through
311
requests,
direct
phone
calls
to
our
call
center
and
emails
through
the
city's
website.
All
of
these
requests
trigger
the
creation
of
of
an
inspection
case.
Initial
inspections
are
scheduled
by
the
our
department
Clerks.
N
Inspectors
are
encouraged
to
work,
work,
their
cases
to
get
the
quickest
resolution.
This
often
means
direct
conversations
with
landlords
and
property
managers
if
improvements
aren't
made
in
a
reasonable
amount
of
time,
cases
are
referred
to
the
legal
department
for
prosecution
before
the
I
closed.
My
remarks
I
just
want
to
say
that
when
we
heard
about
this
study
and
saw
the
study
we
ourselves
were
alarmed
not
only
by
what
was
said,
but
primarily
the
connection
that
was
made
between
our
enforcement
and
the
prevalence
of
prevalence
of
asthma
in
the
city.
N
N
N
N
N
N
That's
not
what
response
means,
though,
in
this
study
in
this
study
response
is
the
case
duration,
how
long
it
takes
between
when,
particularly
for
the
study,
when
someone
makes
a
complaint
to
3-1-1
and
when
a
case
is
closed,
that
is
not
a
response.
That's
the
case.
Duration.
However,
in
this
in
this
study,
it's
called
a
response,
and
so,
if
a
case
takes
a
long
time,
it
looks
like
there
is
a
long
response.
O
Floor,
oh
thank
you
and,
and
my
for
the
record.
My
name
is
Sheila
dill
and
I'm,
chief
of
housing
for
the
city
of
Boston
and
while
I
don't
have
a
direct
role
in
overseeing
building
conditions
or
working
with
our
health
institutions
on
building
health
issues,
I
have
felt
that
this
morning
was
very
informative
for
me,
and
I
I
was
just
actually
sitting
back
and
reacquainting
myself
and
thinking
about
building
condition
and
and
health
related
aspects.
O
So
it's
it's
was
great,
so
thank
you,
I
think
so
much
of
what
we
do
these
days
is
try
to
build
as
much
affordable
housing
and
for
for
our
residents
and
then
work
with
our
residents
to
keep
them
in
housing
and
sometimes
that
work
eclipses.
You
know
the
the
connections
between
health
and
housing,
so
I
really
do
appreciate
it
appreciate
it
if
it
was
good
for
me,
it
was
good
for
me
just
a
couple
of
comments
on
what
our
office
is
doing
on
this
issue.
O
We
really
do
have
to
have
the
proper
ventilation,
otherwise
we'll
have
moisture
issues
very
focused
on
the
materials
used
these
days
and
making
sure
they're
low,
VOC
and
always
discouraging
or
eliminating
or
not
or
or
not,
allowing
any
kind
of
carpet
in
our
in
our
housing.
So
this
is
it's.
It
is
top
of
mind
when
we
are
investing
millions
of
dollars
in
in
new
housing
we've
also,
as
Leon
mentioned
working
with
the
Boston
Public
Health
com.
O
Sorry
Boston
our
Boston
Health
Housing
Authority
on
taking
down
a
lot
of
the
very
obsolete
public
housing
or
renovating
it
extensively
and
I'd,
be
very
interested
to
to
know
more
about
the
correlations
between
Boston's
public
housing
and
the
asthma
triggers
and
data
and
see,
as
we
plan
with
the
Housing
Authority.
If
we,
if
we
could
use
some
of
that
data
to
to
help
our
planning
and
what
what
projects
are
renovated,
when
so,
I
thought
that
would
be.
That
would
be
very,
very
good
data
to
get
and
analyze.
O
It
is
harder
when
we're
working
with
the
private
market
and
I
and
I
do
believe
that
ISD
is
doing
a
very
good
job,
responding
to
a
lot
of
tenant
complaints.
We
have
the
office
of
housing
stability,
as
you
know,
and
and
residents
are
coming
in
every
single
day
every
single
week
and
saying
that
they've
got
condition
issues
and,
and
we
are
giving
legal
advice
to
them
or
getting
them
in
touch
with
Greater
Boston
Legal,
Services
Etc.
But
it's
it's
very
tricky
they're.
O
O
I
am
very
happy
that
we
did
pass
thanks
to
you
all
our
rent,
stabilization
home
rule
petition,
which
would
provide
and
allow
Boston
to
have
a
just
cause
just
to
Just
Cause
eviction,
ordinance
and
would
allow
us
to
really
make
the
rental
registry
more
robust,
and
we
would
use
that
also
for
tracking
rents
in
the
city.
So
I
think
the
home
rule
petition
would
provide
us
resources
right
now
that
we
that
we
don't
have
finally
I
just
I.
O
B
Thank
you
so
much
Chief,
Dylan
and
so
I
I'm,
going
to
start
off
with
a
first
round
of
questions
in
the
order
of
arrival
and
this
time,
I'm
actually
going
to
go.
First
now,
Mr
Williams
and
commissioner
Leiden
you've
both
referenced
This
research
and
commissioner
lyland
you've
referenced
specifically
that
a
fellow
from
MIT
has
reviewed
This
research.
Yes,.
L
B
N
Yeah,
if
I
can
elaborate
so
the
reason,
the
distinction
between
case
duration
and
response
time
is
important
because
of
how
we
operate
and
I'll
say
part
of
part
of
our
our
initial
issue
with
society
and
again
I,
don't
delay
with
the
issue
of
the
study,
but
when
it
first
came
to
us
our
first
question
was:
if
you're
going
to
do
a
study,
you
might
want
to
have
a
conversation
with
us
about
how
we
operate.
So
you
actually
understand
what
the
data
is
that
you're
looking
at
all
right.
N
So
the
assumption
is
that
a
short,
a
short
duration
case
is,
is
good
and
a
long
duration
is
bad,
but
that's
actually
not
how
we
operate
truth
of
the
matter
is.
If
someone
calls
us
about
a
problem,
we
send
an
inspector
out
inspector,
looks
at
the
problem
and
determines
how
long
he
or
she
thinks
that
the
the
problem
should
take
to
remediate
and
assigns
that
on
our
order
on
our
notification
to
repair.
N
If
it's
not
done,
then
we
go
back
out
and
do
another
inspection
right
and
if
it's
not,
then
there's
a
judgment
call
is
a
work
in
process.
All
right
is
the
landlord
just
just
not
cooperating.
Do
we
have
to
make
a
decision
about
whether
or
not
we
have
to
send
this
to
court,
because
once
we
send
this
to
court,
this
is
not
a
that's,
not
a
short
process,
so
we
actually
prefer
to
have
our
inspectors
work
the
case
right
to
get
it
done,
because
we're
trying
to
get
this
thing
done.
N
L
Correct
if
I
made
the
code
is
remedial
housing
code
building
code
to
code
for
media
Design's
work
is
moving
forward
and
they're
trying
to
fix
the
situation.
Okay,
remedy
the
situation,
ISD
will
work
on
the
assistant.
Commissioner,
Williams
has
said
much
much
better
off
keeping
it
in-house
and
letting
it
go
to
court
now.
Resources
are
spent
on
court
from
the
homeowner.
A
lot
of
these
once
again
are
home
are
owner
occupied
structures.
If
we're
depleting
resources
that
could
be
to
mediate.
L
B
B
I
can
tell
you
that
there
is
absolutely
an
inequity
in
how
you
are
like
you.
You
just
have
every
single
counselor
here
will
say.
That
is
absolutely
not
correct
because
we
have
experience
being
on
the
ground,
so
you
know
outside
of
whatever
your
opinions
are
on
the
Merit
of
this
document.
Specifically,
we
do
have
a
problem
doctor.
Please
you
have
the
flu.
E
Sure,
I
guess
A
lot's
been
raised,
it's
difficult
to
know
exactly
what
to
respond
to,
but
to
the
question
of
duration
versus
response.
Oh,
is
this
not
on
closer?
Oh
sorry
to
the
question
of
duration
versus
response,
I
think
I
take
the
point
that
that
I'm,
sorry
I
forgot
internet
that
you
made
that
Paul
Williams
made
that
the
difference
in
time
the
time
length
between
a
case
being
open
and
a
case
being
closed
could
maybe
be
called
a
duration
and
not
a
response.
That's
fair
enough.
E
We
could
maybe
have
been
clearer
about
that.
There
is
also
a
flag
in
the
data
for
a
case
being
marked
as
overdue,
which
speaks
more
directly
to
a
response
time
and
as
we
presented
earlier,
that
overdue
flag
is
also
different
and
it's
different
in
the
same
in
a
consistent
way
to
the
cases
having
a
longer
duration.
So
our
interpretation
of
that
data
was
that
the
case
is
both
drag
on
for
longer
and
are
more
likely
to
be
overdue,
which
is
which
is
a
question
of
response
time.
E
That
was
the
most
immediate
sort
of
rebuttal.
I
wanted
to
make
I'm,
also
curious.
If
there
is
more
data,
we
talked
about
this
in
our
conversation,
if
there's
more
data
that
wasn't
public,
we
would
love
to
have
it
be
public
so
that
we
can
analyze
it.
But
certainly
the
question
is:
if
the
data
that
was
made
public
isn't
representative
of
the
last
10
years,
then
you
know
I'm
not
sure
why
that
would
would
be,
but
from
the
data
that
was
made
public
we're
happy
to
share
our
code.
The
results
are
very
clear.
B
Thank
you
so
much
doctor,
and
so
given
that
we
don't
have
anything
presented
to
us
on
the
contrary
and
that
if
I'm
correct,
this
is
a
peer
reviewed
study
that
has
been
made
public,
then
we
are
going
to
continue
having
this
hearing
as
if
the
data
that
is
presented
to
us
is
true.
So
now
I
move
on
to
my
questions.
B
I
would
like
to
know
please
what
happens,
because
I
do
have
questions
about
how
you
function.
Can
you
share
what
happens
when
a
tenant
complain
from
beginning
to
end
when
attending
complaint
or
request
for
an
inspection
comes
into
ISD?
What's
your
process,
how
do
you
prioritize
it?
Is
it
the
same
process
for
rental
units,
Section
8
BHA?
Can
you
just
tell
me
from
the
moment
that
somebody
calls
ISD?
What
is
the
process
that
it
goes
through
internally
in
your
office.
N
B
N
And
so
what
we
do
is
we
simply
assign
it
based
on
what
the
what
the
ward
is,
and
currently
we
have
we've
broken
up
our
with
these
are
22
words,
but
we
have
we're
teams,
so
we
don't
just
have
one
inspector
per
award,
okay
I
will
have
say
Ward
three
four
and
five
together
and
we'll
have
three
inspectors
that
work
that
work.
That
way,
if
someone's
out
that
day,
we
can
have
someone
cover.
N
You
know
we
reschedule
based
on
availability
and
so
forth.
So
it
gives
us
a
lot
more
flexibility
to
have
teams
of
inspectors,
rather
than
have
a
single
inspector
per
award,
and
we
asked
attendants:
do
they
prefer
an
AM
or
or
PM
visit,
because
we're
trying
to
accommodate
those
schedules
as
best
as
possible?
And
you
know,
depending
on
availability
of
the
inspectors,
we
try
to
get
inspectors
out
immediately
certain
things
we
do
classify
as
as
emergency.
N
Okay,
heat
complaints,
our
emergency
complaints,
those
we
get
out
to
immediately
honestly
most
of
those
are
best
handled
on
the
phone.
Someone
calls
and
makes
a
complaint
about
an
inspect
about
the
fact
that
the
heat
is
out.
The
quickest
thing
to
do
is
call
the
landlord,
because
we
last
the
tenant
have
you
spoke
to
the
landlord
and
often
they'll
say
no,
so
that's
that's
sort
of
a
tricky
thing,
so
we'll
call
the
landlord
and
optimally
say
well.
N
I
didn't
know
that
you
take
care
of
it
and
we'll
call
you
back
to
make
sure
it
gets
fixed
all
right,
so
some
things
we
will
handle
immediately
because
again
part
of
what
we're
trying
to
do
is
get
it
done
as
quickly
as
possible.
There's
no
point
scheduling
a
heat
emergency
for
three
days,
three
days
from
now,
when
someone's
in
the
cold.
N
So
again
we
just
try
to
try
to
schedule
as
quickly
as
possible,
get
the
inspector
out
there
as
soon
as
the
inspector
is
there
we
inspect
with
the
tenant
by
the
way
we
never
inspect
with
the
with
the
landlord
or
the
property
management.
The
tenant
calls
us
to
attendant
makes
a
complaint
we
inspect
with
the
tenants.
So
the
tenants
in
the
position
to
let
us
know
not
only
what
they're
particularly
complaint
is,
but
we
can
look
at
the
entire
apartment
to
see
if
there
are
other
code
fire
code
code
violations
right.
N
N
N
B
B
So
one
I
want
to
make
a
formal
request
as
the
chair
for
the
ward
map
that
might
be
made,
public
I
haven't
seen
it,
but
if,
if
you
can
just
point
me
in
the
right
direction
or
send
it
to
me,
because
I
would
love
to
one
impose,
the
map
and
I
would
like
to
know
the
assignments
of
the
team
members.
I
know
you
have
open
positions,
but
if
you
have
21
people
or
28
people
whoever's
working
there,
how
the
assignments
are
split
between
the
wards,
I
would
yeah.
N
So,
interestingly,
we
used
to
work.
We
used
to
use
a
a
Google
Calendar
to
do
this,
but
one
of
one
of
the
things
I've
tried
to
do
since
I've,
been
into
the
department
in
the
department,
is
to
try
to
get
us
as
computerized
as
possible
and
even
initially
built
a
database
myself,
but
we've
recently
transitioned
this
into
into
Hansen
and
as
of
December.
B
Thank
you.
That's
really,
that's
really
helpful,
so
they're
assigned
by
Wards,
you
have
award
teams,
commissioner
or
I,
think
Mr
Williams
either
one.
Can
you
clarify
for
me
what
the
penalties
are
for
outstanding
violations
right
now,
so
you
go,
there
is
a
landlord
who
is,
you
know,
I,
think
the
plan,
the
way
you
just
outlined
in
terms
of
the
process.
It's
like
all
things
being
great
talk
to
me
about
the
you
go
to
the
place.
You
find
a
violation.
The
landlord
is
unresponsive,
they're,
not
fixing
it.
You
got
to
come
back
multiple
times.
N
N
L
B
Day
after
got
it
so
okay
I
mean
so
those
that
I'm
noticing
here
one
I
like
that
it
is
a
judgment
call
because,
like
you
said,
it's
easier
to
get
something
fixed
if
you're
kind
of
like
working
with
the
landlord
and
I
understand.
Now
what
you're
saying
in
terms
of
how
long
a
case
is
open
and
the
duration,
if
you
are
trying
to
negotiate
to
get
something
fixed
and
also
some
of
that
could
be
remedied.
B
If
there
is
a
process
of
you
know,
still
making
the
Judgment
call
and
kind
of
negotiating,
but
bringing
it
to
leak
sooner
like
make
reporting
them
sooner
right.
So
now,
I'm
now
I'm
getting
a
picture
of
where
there
are
some
places
where
it
could
cause
things
to
look
like
they're,
be
they're,
taking
longer
or
not
being
resolved,
and
so
on
and
so
forth.
B
O
So
first
you're
correct.
First
there
was
a
an
Emergency
declaration
that
the
state
that
governor
Patrick
then
took
and
and
that
allowed
evictions
or
required
the
evictions
were
not
allowed
when
that
expired.
The
Boston
Public
Health
commission
all
declared
had
an
emergence
Declaration
of
their
own
that
because
of
the
pandemic,
because
of
we
didn't
want
to
see
our
shelters
become
more
crowded.
They
they
put
forth
on
emergence
declaration
that
didn't
allow
evictions
that
that
eventually
expired.
B
And
so
the
city
of
Boston,
as
a
municipality
having
the
power
to
prevent
evictions,
doesn't
require
an
emergency
that
either
the
Boston
Public
Health,
commissioner
or
the
city
like
you
said
they.
They
made
a
statement
that
this
was
a
public
health
emergency
that
did
not
allow
evictions.
Is
that
what
is
required
in
order
to
say
you
cannot
evict
this
person
in
the
city
of
Boston
outside
of
the
legal
system.
O
Yeah
and
it's
and
I'm,
not
an
attorney
so
I
know
there
was
a
lot
of
debate
in
within
the
Corporation
Council
and
the
Boston
Public
Health
commission
to
ensure
to
make
sure
there
was
standing
to
actually
make
that
declaration,
and
they
they
didn't
do
it
lightly,
because
it
can
be
legally
challenged
and
it
was
legally
challenged.
Although
it
stood
up
for
quite
some
time,
but
it
was
very
my
understanding.
It
was
very
clear
right.
We
had
a
pandemic,
we
were
able
to
point
to
the
pandemic.
O
B
And
the
reason
why
I'm
asking
is
you
know
not
because
I'm
hoping
for
a
declaration
of
a
public
health
emergency,
but
because
one
of
the
solutions
you
know
like
like
I
said
this
is
not
on
LISD.
We
have
to
figure
out
how
to
get
the
how
to
get
the
issues
fixed
is
in
terms
of
how
we
can
increase
accountability
for
landlords.
B
Easy
is
an
incredible
program
and
I
think
that
it's
you
know
the
the
way
that
you
directly
work
with
the
emergency
room
departments,
but
also
the
primary
care
providers
is
really
foundational
for
this
idea
that
we're
thinking
right.
How
do
we?
How
do
we
kind
of
how
does
if
people
don't
feel
comfortable
either
calling
ISD
or
reporting
to
their
local
government?
B
How
do
we
use
the
increased
reporting
and
Asthma
triggers
to
kind
of
preempt
a
call
to
ISD
to
kind
of
go
and
see
if
there's
an
asthma
trigger
in
in
the
house,
now
doing
great
work?
You
mentioned
some
of
the
numbers
in
terms
of
the
reduction
in
asthma
in
the
city.
Have
we
seen
any
reduction
in
the
inequity,
meaning
when
looked
when
you
look
at
the
rates
of
asthma
in
black
and
brown
communities
and
the
rates
of
asthma
for
predominantly
predominantly
white
communities?
B
There
is
an
inequity,
meaning
that
there
are
higher
rates
of
asthma
in
black
and
brown
communities.
Has
the
numbers
that
you
shared
were
an
overall
reduction
in
asthma
in
the
city?
Have
we
seen
a
reduction
in
the
percentage
difference
between
asthma
rates
between
black
and
brown
people
and
white
residents
in
the
city
of
Boston.
M
M
B
O
No
I
was
just
wondering:
I
mean
one
thing:
I
wrote
down
and
I
think
we
should
explore,
and
maybe
the
Boston
Public
Health
commission
is
already
doing
this,
but
I'd
like
to
be
more
involved
in
it.
Can
we
use
the
data?
That's
coming
from
hospitals
or
health,
centers
and
I
know
they
follow
up
immediately
and
and
get
into
the
the
apartments
or
homes,
but
is
there
a
way
that
we
can
use
that
data
to
see?
If
there's
Trends
are
the
particular
owners?
O
Are
there
larger,
affordable
housing
projects
that
may
be
partners
of
ours
that
maybe
need
to
work
on
whatever
it
is,
is
causing
the
the
condition
so
I
I
think
it?
There
is
a
there
is
something
that
I'd
like
to
follow
up
on
as
we
plan
and
how
we
use
our
our
funding
for
preservation
activities.
So
it
is
something
that
I'd
like
to
follow
up
on.
B
H
Thank
you,
chair,
I'll,
be
quick
because
I
have
a
12
30.,
but
I
I
would
just
kind
of
I
have
two
questions
and
before
I
ask
I
just
want
to
make
a
statement.
I
think
it's
important
as
we
continue
to
build
trust
right
and
work
across
different
city
agencies.
Is
that
always
to
come
into
this
chamber
with
assuming
best
intentions,
right
and
I?
H
Think
that
sometimes
you
know
they're
the
the
data
might
be
conflicting
or
whatever
the
case
is,
but
at
the
end
of
the
day
the
bottom
line
is,
is
that
we
can
all
agree
that
we
want
our
residents
to
be
healthy
to
be
well
taken
care
of
and
that
the
response
rate,
regardless
of
whether
it's
from
the
moment,
the
case
opens
to
the
moment.
The
case
closes
that
at
the
end
of
the
day,
the
goal
is
to
respond
to
people
in
an
efficient
manner
right
and
for
them
to
feel
like
their
case
matters
right.
H
Can
you
talk
to
me
a
little
bit
about
the
training
that
the
inspectors
get
before
they
go
out
like
kind
of
just
give
me
an
understanding
of
the
onboarding
process
and
what
are
the
things
that
you
get
them
to?
You
know
understand
kind
of
if
you
can
walk
me
through
the
onboarding
process
and
also
just
kind
of
what
that
looks
like
yeah.
N
Sure
so
we
don't
hire
inspectors
in
Mass.
Very
often
so,
usually
what
happens
is
inspections
are
hard
one
at
a
time
and
so
forth.
So
there
there
isn't
a
sort
of
a
a
formal
training
training
resume
that
we
would
put
groups
of
people
through
a
lot
of
our
inspectors
that
have
been
there
been
there
for
decades.
What
we
do
do
is
is
first
require
them
to
know
the
state
sanitary
code,
and
so
the
first
couple
weeks
is
nothing
more
than
studying
the
state's
sanitary
code.
N
Reviewing
the
state
country
The
increased
on
the
state's
senatory
code,
because
that's
the
basis
of
their
work
right
after
that,
it's
one-on-one
training
with
a
principal
inspector
where
they
go
out
with
the
principal
inspector
view,
the
principal
inspector
doing
doing
that
job
and
then
they're.
Finally,
then,
going
out
and
doing
the
job
with
the
principal
inspector
sort
of
a
review
and
their
work
and
they
don't
go
out
and
do
instructors
on
their
own
until
the
managers
and
principal
inspectors
believe
one.
They
understand
the
code.
The
two
are
capable
of
conducting
inspections
on
their.
N
This
is
the
state
Association
of
housing
inspectors
and
they
regularly
put
on
courses
and
our
inspectors
go
to
those
all
of
our
inspectors.
Certified
in
LED
inspections,
the
code
itself
doesn't
change
very
often,
and
so,
if
you
know
the
code,
you
know
the
code.
Interestingly,
the
code
recently
was
updated
and
all
of
our
all
our
all
our
inspectors
were
required
to
go
to
training
on
the
updates
of
the
code
and.
N
N
We're
not
we're
not
in
a
we're,
not
in
a
position
to
sort
of
hold
someone
accountable
for
sort
of
some
sort
of
past
violation.
You
have
to
deal
with
the
violation
at
the
moment
right
and
so,
like
I
said,
wherever
you
are
in
the
process,
with
your
current
violation,
if
it's
not
being
resolved,
it'll
it'll
go
report.
H
H
You
are
not
really
doing
your
due
diligence
to
making
sure
that
you're
maintaining
up
to
code,
and
you
are
impacting
people
in
their
social,
emotional
and
physical
well-being.
Is
there
a
a
space
for
us
to
create
a
fund
that
exists
that
where
we
would
sanction
and
and
provide
fees
to
these
landlords
and
then
utilize
that
fund
to
help
support
residents?
Who
are
you
know
going
through
the
eviction
process
or
going
through?
You
know,
Medical
Health
bills
like
what
what
opportunities
exist
for
that.
L
If
I,
if
I
may
accounts,
that
would
take
legislative
action
in
order
to
accommodate
that
type
of
that
type
of
monetary
imposition
onto
homeowners,
landowners,
absentee
landlords,
but
at
the
same
time,
through
the
judicial
process,
individuals
are
well
known
to
the
court
systems,
who
repeat?
Offenders
and
the
courts
do
take
into
consideration
past
practice
of
these
people
of
these
individuals
who
do
not
habitually
maintain
their
properties
and
they
pay
the
price
for
it
through
the
court
system
and
that's
that's
our
recourse
isd's
recourse
is
through
to
do
the
court
system.
I.
J
I
I
have
to
leave
at
one.
So
if
you
don't
mind,
I'd
like
to
put
my
questions
in
the
record-
and
you
know
we
can
have
follow-up
responses
later.
If
that's
okay,
thank
you!
So
I
really
I
I,
I,
really
I'm
glad
that
we're
really
trying
to
focus
on
on
getting
to
some
remedial
actions
that
will
improve
the
situation
and
I
know.
J
J
The
city
ordinance
says
that
an
authorized
inspector
must
have
a
demonstrated
Proficiency
in
the
application
of
the
city
called
and
to
satisfactorily
complete
an
ISD
certification
program
so
and
I
know
you're
saying
that
sort
of
like
and
almost
like
you
come
in
and
you
you
study
the
cold
and
then
you
work
with
an
experienced
an
experienced
inspector,
and
then
you
you're
sort
of
let
out
on
your
own.
That's
that's
one
so
and
just
to
reuse.
N
So
the
words
are
based
on
his
or
history
of
the
amount
of
inspections
per
award,
and
then
we
basically
sort
of
put
them
together.
One
of
the
things
you
have
to
consider
is:
is
the
amount
of
driving
inspectors
have
to
do
yeah
in
terms
of
doing
their
job?
So
we
don't
want
to
assign
you
to
award
over
here
and
award
over.
A
N
J
J
Well,
that's
good
to
know
so,
then
you
know
we
looked
at
the
analyze,
Boston
Hub
and
looked
at
violations
to
the
sanitary
code
and
it
reported
2800
cases
that
are
currently
open
between
2021
and
23.
And
does
it
does
that
sound
about
right
for
the
LA
that
period
of
time?
The
last
two
years,
cases
that
are
currently
open.
J
Data
yeah,
no,
that's
fine,
I!
Don't
expect
necessarily
expect
an
answer
right
now
and
then
some
of
the
addresses
are
repeated
five
to
ten
times
of
the
same
on
the
same
date.
Does
that
mean
what
does
that
mean
if,
if
there's
a
violation
recorded
and
the
it's
it's
repeated
like
five
times?
Is
that
five
seven
complaints
or
is
it
five
five
different
issues
that
you're
trying
to
address?
What
what's
the?
Why
is
it
recorded
multiple
times?
Well,.
N
N
L
J
And
I
know:
we've
had
a
conversation
about
chronic
offenders
like
what's
the
best
way.
You
know
to
identify
the
folks
to
try
and
you
know,
keep
keep
their
feet
to
the
fire
to
sort
of
speak,
that's
a
terrible
analogy,
but
you
know
just
in
terms
of
keeping
the
chronic
offenders.
There
are
some
persistent
landlords
that
management
companies
that
just
you're
constantly
on
the
radar.
What's
the
best
way
to
tackle
that
and
again
I
I'm
zipping.
Through
my
questions,
Madam
chair,
more
importantly,
I
think
we
had
a
conversation.
J
You
said
here
you
had
a
four-part
farm,
a
pen
and
paper.
Is
that
a
pen
and
paper
report,
like
you,
you
give
a
it's.
It's
four
forms
you
fill
it
out.
You
give
a
copy
to
the
the
tenant,
the
landlord
you
have.
Some
goes
back
to
the
office
and
then
an
inspector
keeps
one
we
we
talked
about
this
we've
been
talking
about
this
for
a
few
years
and
I
was
wondering
you
know
in
this
day
and
age.
Have
we
moved
anyway?
N
I
was
actually
the
analyst
here
when
this
all
came
about
and
that
technology
was
funded
and
it
was
built
into
the
process
of
our
rental
inspections,
so
rental
inspection
shows
up
with
basically
a
cell
phone.
Does
these
does
the
inspections
by
the
time
that
person
leaves?
You
know,
that's
that
stuff
has
has
gone
into
gone
into.
J
J
The
rental
registration
system
seems
to
work
better,
like
in
terms
of
The
Chronic
offender,
where
we
really
have
the
pain
point
in
terms
of
premises
that
are
not
up
to
up
to
up
to
code
Etc
and
then
to
register
into
really
record
a
chronic
offender
point
system.
It
seems
like
we
need
to
do
some
work
on
that
particular
space,
so
I
know
we're
gonna.
This
is
a
this
is
one
little
moment
in
time
and
I
want
to
follow
up
with
talking
to
you
folks
at
ISD
about
how
we
could
how
we
could
improve
that
system.
N
I,
remember
that
report
and
previous
to
my
getting
there
four
years
ago,
ISD
had
one
I.T
person.
Basically,
the
his
capacity
was
was
only
enough
to
run
around
and
make
sure
that
people's
computers
were
working
yeah,
that's
what
that
was
it
today.
We've
got
a
dedicated
team
of
folks
there,
our
head
of
administration
and
I.T.
She
has
two
analysts,
actually
three
analysts
that
works
on
on
it
projects
and
an
IT
manager
and
to
I.T
sort
of
tech.
Folks,
so
I
think
we
have
a
team
of
six
or
seven
people
now.
A
N
J
Two
questions:
do
you
utilize
the
gis
system?
We
do
you
do
yeah,
because
I
feel
I
understand
that
they're
very
short
staffed
and
a
lot
of
folks
have
left
in
that
department
or
that
particular
division.
So
you
know
I'm
really
trying
to
ensure
that
we
we
have
high
expectations
and
new
folks
have
high
expectations
of
what
how
you
do
your
job,
professionally
and
I
just
want
to
make
sure
that
we're
giving
you
the
resources.
So
you
can
actually
execute
your
mission.
J
And
then
to
have
it
have
data
systems
that
actually
talk
to
each
other,
which
are
really
really
pushing
on
the
gis
infrastructure
in
the
city
across
it's
an
incredibly
powerful
tool
that
can
we
can
use
across
departments
to
to
Really,
inform
our
work
and
and
make
better
well-informed
decisions.
So
I'm,
really
conscious
of
my
time
and
I
appreciate
Madam
chair
that
you
allowed
me
to
offer
these
questions.
J
I
would
be
happy
I
I
we
have.
We
may
follow
up
with
further
questions,
commissioner
Lyden
and
we'd
love
to
have
a
more
in-depth
conversation
about
this
whole,
holding
our
landlords
accountable
to
really
address
these
sanitary
code
violations
going
forward
and
seeing
if
we
can
make
improve
the
health
of
our
residents.
Thank
you.
Thank.
I
I
So
an
observation
that
I
have
about
this
whole
system
and-
and
it's
true
I
would
say
about
like
just
about
every
bureaucratic
system.
That
I
know
is
that
the
weak
points
are
often
handoffs
and
and
so
I'm
kind
of
I'm
interested
in
ways
that
you
all,
especially
because
we
have
you
all
here
together
kind
of
commissioner
like
how
you
guys
are
working
on
both
the
handoffs,
even
within
ISD,
between
like
building
and
housing
and
environmental,
because
sometimes
we
definitely
find
just
as
an
office
that
it
feels
like
you
know.
I
If
people
are
lucky
enough
to
have
the
right
inspector
go
out
in
the
right
category,
the
first
time,
then
things
start
moving,
but
if
it's
sort
of
not
in
their
bailiwick-
and
it
has
to
be
oh,
these-
the
building
folks
need
to
come
out
or
the
housing
folks
need
to
come
out.
Like
sometimes,
if
I
think
for
constituents,
it
can
feel
like
you're,
repeating
yourself
again
and
again,
and
that
can
sometimes
lead
to
that.
I
That
sense
of
like,
what's
even
the
point
of
this
and
so
things
kind
of
get
stuck
in
neutral,
whereas
for
if
folks
had
a
navigator
for
which
subpart
of
ISD
they
needed
to
talk
to,
it
would
be
more
effective.
But,
like
fundamentally,
we
want
City
systems
where
you
don't
have
to
be
an
expert
in
our
bureaucracies
to
navigate
them.
So
I'm
sort
of
curious
about
that
internal,
those
internal
handoffs
and
then
specifically
with
bphc.
I
It
has
seemed
to
us
as
though,
like
it's
great,
to
have
bphc
involved,
but
sometimes
when,
for
instance,
there
is
like
a
claim
about
asbestos
or
something
and
it's
getting
kind
of
passed
off
to
the
bphc
technical
expertise.
The
ISD
folks
are
not
able
to
kind
of
like
reliably
follow
up
on
what
the
timing
is
likely
to
be
from
bphc.
I
And
if
you
happen
to
you
know,
you
could
hire
people
who
have
done
a
lot
of
this
before
and
they
would
know.
Oh
you
really
have
to.
You
really
have
to
poke
the
Health
commission
at
this
juncture,
or
you
really
need
to
make
sure
the
right
person
at
ISD
is
handing
this
or
you
know
you
got
to
get
them
to
really
escalate
and
look
at
the
question
of
whether
this
needs
to
be
passed
to
legal.
I
At
this
point
and
I
think
like,
although
there's
a
there's
always
going
to
need
to
be
a
lot
of
role
for
discretion
to
me,
it
seems
like
the
sort
of
differential
ability
of
residents
to
have
to
have
access
to
almost
like
a
kind
of
minder
of
this
process
is
part
of
what
gives
us
differential
results.
So
I
would
love
if
both
on
the
bphc
and
the
ISD
side,
you
could
talk
a
little
bit
about
that
handoff
problem
and
and
what
the
department
is
doing
on.
L
L
If,
obviously,
individuals
do
not
know
what
entity,
what
be
it
housing,
be
it
Health
Department,
be
it
the
building
department.
Electrical
mechanical
within
the
department
itself
is
going
to
handle
this
particular
type
of
situation
when
it
goes
across
to
the
supervisors
it's
expected
and
it
will,
as
we
can
attest
too,
it
will
get
dispersed
through
the
supervisors
to
the
right
supervisor.
L
It's
up
to
that
individual
to
trickle
down
to
get
to
the
right
individual,
be
it
no
heat,
be
it
building
collapsing,
be
it
illegal,
Apartments
smell
of
gas
short
circuits
whatever
it
is,
it
does
get
down
it'll
when
it
goes
to
the
supervisor,
not
the
supervisor's
job,
to
disperse
and
figure
out
who
this
is
supposed
to
go
to
a
lot
of
times.
What
happens?
Is
you
see?
L
These
calls
come
in
these
emails,
come
in
they're,
looking
for
a
different
entity
in
the
city
altogether,
and
we
can
try
and
put
them
in
touch
with
the
right
individual
right
persons
right
department-
and
they
say
this
is
the
fifth
time
they've
been
here
and
maybe
the
case
that
we
don't
have
help.
We
don't
have
reasons
we
have
an
individual,
for
example
the
collapse
in
the
North
End.
How
come
it's
taken
so
long?
L
The
Department
of
Environmental
Protection
has
to
do
with
State
entities
and
that's
in
process,
and
it's
frustration
on
behalf
of
the
constituents,
but
this
process
and
the
safety
is
the
first
and
foremost
concern
and
follow
through
I
can
guarantee
you
if
it's
coming
into
ISD
through
3-1-1,
it's
getting
it's
getting
attention.
I
can
guarantee
you
that,
because
it
goes
throughout
the
supervisors
and
if
it
doesn't
get
attention
it
comes
in
again
it
is
brought
to
the
supervisor's
attention
What's
Happening
Here.
L
N
It
says
in
terms
of
I
think
what
you're
you're
asking
some
of
some
of
the
issues
that
comes
most
of
the
things
that
comes
are
sort
of
are
direct.
If
a
housing
issue
housing
a
building
issues
building,
you
know,
you've
got
a
restaurant
issue.
Doesn't
some
things
are
complex?
There
are
a
bunch
of
things
together,
and
so
we
actually
have
an
ie
INE
team
and
there
it's
a
sort
of
across
distance
disciplinary
team.
There's
a
there's,
a
housing
inspector
there's
a
building,
inspect
they're
all
and
they
actually
go
out
to
the
problem
together.
N
All
right
and
they're
used
to
looking
at
at
complex
problems
and
deciding
okay.
Who
needs
to
be
involved?
Do
we
need
to
call
Public
Health
all
right,
I
think
that
team
does
a
really
good
job
at
doing
that,
handoff
that
you're
talking
about,
because
it's
not
like
a
housing
inspector
shows
up
and
it's
like
well
I,
don't
know
the
whole
team
shows
up
and
they
are.
They
are
if
there's
something
that
one
of
the
people
on
the
team
can
deal
with,
they
will
otherwise.
I
Can
you
speak
to
how
because
I
agree,
I
think
the
INE
team,
when
they
go
out,
is
fantastic.
I
think
that
I'm
curious
about
how
the
decision
gets
made
in
terms
of
the
supervisor
Cascade.
You
were
talking
about,
commissioner,
like
to
send
out
INE,
because
because
what
I
would
say
is
if,
when
INE
goes
out
together,
that's
great.
What
we
have
often
seen
in
my
district
is
that
somebody
calls
in-
and
this
is
not
by
the
way,
a
blame
thing
at
ISD.
It's
just
someone
calls
in
what
sounds
like
a
building
issue.
I
You
send
the
building
person,
the
building
person
shows
up
and
says:
oh,
this
isn't
technically
building
violations,
but
it
kind
of
looks
like
there's,
probably
a
bunch
of
housing
violations,
but
I'm,
not
the
housing
inspector,
so
I
sort
of
need
to
pass
it
off
over
to
housing
and
and
I.
Guess
that
and
then
there's
a
sub
point.
This
is
more
of
a
tangent,
but
just
what
we
found
is
in
particular
condo
buildings,
where
almost
all
the
condos
are
being
rented
out
seem
to
be
not
like.
I
Oh,
this
isn't
so
much
my
thing,
I'm
going
to
send
it
to
the
housing
person,
but
the
question
of
does
a
bunch
of
the
information
that
they've
picked
up
along
the
way,
get
also
transferred
to
the
housing
person.
Or
does
it
just
go
to
housing
with
minimal?
To
look
like
a
sort
of
start
over
from
scratch
has
seemed
to
be
a
an
issue
that
we've
observed.
L
If,
if
it
comes
in
a
form
of
email,
then
accountability
is
there.
That
is
the
best
best
form
of
communication,
because
then
individuals
are
held
accountable
to
that
email
and
there's
no
there's.
No,
no
Escape.
You
either
did
your
job
and
you
pass
it
the
right,
individual
or
you
didn't
phone
obviously
is
much
more
non-traceable
put
it
that
way
and
accountability
is
there
for
everybody:
I
want
to
focus
on
the
INE
team.
L
I
And
I
wonder,
and
by
the
way,
as
a
shout
out
to
Lisa
coveny
who's
been
fantastic
in
Mission
Hill,
helping
us
with
some
excellent
some
of
those
and
she's
really
wonderful,
I!
Wonder
if
you
could
speak
a
little
bit
to
the
bphc
sort
of
like
test
reporting
thing,
because
that's
that's
been
a
place
where
we've
seen
sort
of
like
we're
not
going
to
court
on
this,
because
we're
waiting
for
the
bphc
report
to
come
back
but
then
figuring
out
how
to
track.
That's
been
a
little
bit
challenging.
M
Yeah
I
think
just
a
I
I
remember
this
system
with
the
asbestos
case
that
that
happened,
so
so
I
think
ISD
would,
you
know,
went
out
and
and
their
their
inspector
realized.
It
was
in
asbestos
case,
so
we
got
it
through
bphc
and
it
was
given
to
our
environmental
hazard
program,
and
so
we
sent
that,
and
so
what
we
do
is
we'll
we'll
you
know
we
have.
We
have
a
database,
we'll
assign
an
inspector
and
we'll
send
that
inspector
out
to
go.
Take
a
look
at
the
problem.
M
M
That
was
the
issue
because
usually
those
those
asbestos
violations,
don't
don't
don't
take
that
long
and
it
was
you
know,
threatening
to
go
to
court
until
you
know
we
got
the
landlord
because-
and
the
other
thing
is
too
based
on
what
we
found
there-
the
the
there
wasn't
a
significant,
imminent
health
hazard,
because
if
it
was
we
would
have,
we
would
have
evacuated
that
whole
building.
But
since
it
was
just
isolated,
we
we
and
it
was
controlled.
We
and
it
was
an
exposing
anyone.
M
We
worked
with
the
the
condo
trust
to
to
resolve
that,
but
basically
any
any
environmental
hazards
that
come
through
our
office.
You
know
we
triage
them
within
24
hours
and
we
try
to
resolve
them
within
30
days,
so
and-
and
we
have
that
feedback
loop
with
with
the
inspection
services,
especially
if
they
gave
them.
If
the
referral
came
from
them,
we
will
close
it
out
with
them.
I
Make
sure,
oh
sure,
yes,
absolutely!
Can
you
guys
then
just
speak
to
yeah
and
maybe
I'll
follow
up
on
this
question
of
sort
of
like
buildings
that
look
like
condo
buildings,
but
then
are
actually
rental
buildings
because,
like
I
said,
I
think
we
found
some
weirdnesses
with
that,
but
in
terms
of
like
escalating
things
to
court,
we've
really
appreciated
times
when
we've
worked
with
your
your
department,
commissioner,
about
times
when
it's
just
like
clear
that
that's
what
needs
to
happen
here.
I
Do
you
guys
have
a
sort
of
like
routine
triage
where
you
look
at
all
of
the
cases
that
are
kind
of
like
overdue?
In
that
sense,
like
the
flag
mentioned
with
the
data
and
sort
of
say
like
this,
probably
is
at
the
point
where
it
needs
to
get
escalated
to
court
like
how
I
know
that
that
happens,
when
particular
folks
focus
on
particular
cases,
but
I'm
curious,
if
there's
kind
of
a
default
triage
for
figuring
out
when
to
escalate
through
legal,
the.
L
Individual
inspectors
of
they're
they're
responsible
for
their
their
Court
reports
in
our
legal
department
on
the
downstairs
will
ask
for
court
reports
when
we
are
when
we
do
put
them
into
court
and
then
repeated
there's
something
that
brought
that
inspector
out
there.
In
the
first
place,
the
reminders
will
be
inherently
within
the
system
or
from
the
neighborhood,
which
will
trigger
the
call
to
action.
The
the
result
in
moving
the
moving
forward
going
to
court
and
from
that
point
on
the
court
actions
are
revisits
per
request
per
demand
of
the
court
itself.
I
We
have
a
lot
of
major
Bad
actors
who
have
a
lot
of
properties,
and
so
we
continue
to
sort
of
feel
like
being
able
to
collate
all
this
good
work
that
your
inspectors
are
doing
and
really
measure
hey
like
here
are
the
folks
who
just
are
having
all
these
violations
and
here's
where
they
all
are,
would
really
it
would
really
help
us.
You
know
also
Focus
some
deserved
outrage
on
some
of
the
worst
offenders
here,
understood.
K
Have
a
question
vote,
commissioner,
Williams
I
believe
you
stated
that
last
year
there
were
20
000
inspections
done
that
were
both
reactive
and
proactive.
Do
you
have
a
sense
of
breakdown
between
which
ones
like
what
percentage
of
the
calls
which
were
spent
percentage
of
the
inspections
were
reactive
and
which
were
proactive.
N
Yeah,
it's
not
exactly
50
50,
but
it's
it's
pretty
close
and
those
those
include
re-inspections,
not
only
so.
There
are
initial
inspections
in
the
content
times.
You
have
to
go
back
out
and
re-inspect
properties,
so
yeah
we
don't
do
as
many
re-inspections
of
the
the
rentals
as
we
do
of
the
initials,
because
usually
this
there's
problems
we
find
aren't
that
severe
on
rentals.
N
K
N
N
It's
a
sort
of
a
sort
of
a
yes
and
no
to
that
I.
You
know
I
think
we've
avoided
targeting
neighborhoods
because
there's
one
thing
to
sort
of
Target
a
neighborhood
and
say
yeah.
There
are
problems
here,
so
we
want
to
focusing
and
then
there's
targeting
a
neighborhood
where
people
think
that
you're
you're
sort
of
sort
of
coming
off
of
folks
sort
of
unnecessarily
so
we're
not
in
the
business
of
targeting
neighborhoods,
but
we're
probably.
K
Verb
Choice,
then
let
me,
let
me
I
I,
didn't
mean
it
to
say
like
a
Target
as
in
a
bullseye,
but
are
you
so
like
when
we
think
about
this?
We're
talking
about
black
and
brown
communities,
we're
talking
about
the
work
of
equity,
we're
talking
about
centralizing
folks
that
have
been
historically
excluded
because
that's
corrective
action
that
we
need
to
take
as
a
city
and
when
we're
doing
that
corrective
action.
K
It
requires
us
to
put
our
time
and
our
resources
in
those
neighborhoods
that
have
been
historically
ignored,
excluded
that
face
a
disproportionate
number
of
health
risks
that
have
a
high
percentage
of
renters
that
unfortunately
end
up
living
in
squalor
or
in
uninhabitable,
uninhabitable
conditions
or
who
are
disproportionately.
You
know
an
eviction
Court
raising
counter
claims
based
on
these
conditions.
So
that's
what
I
mean.
K
Courage
you
to
think
about
what
it
would
look
like
to
be
more
intentional
in
that
work
to
be
responsive
to
communities
that
haven't
that
that
you
know
that
have
an
increased
number
of
units
where
we
see
our
young
kids
and
our
communities
are
being
exposed
to
health
risk
disproportionately
or
where
we're
seeing
an
increased
number
of
calls
that
that
are
are
calling
for
our
inspectors,
because
I
think
you
know
that's
not
bad
targeting
I!
Think
that's
good!
K
N
Exactly
anyway,
I
actually
agree
with
you
the
way
the
ordinance
was
written,
I
personally
I
think
it
was.
It
has
part
of
the
process,
I
thought
it
was
written
sort
of
overly
Broad
and
the
way
it
written
it's
written,
we're
required
to
you
know.
If
an
apartment
was
built
a
year
ago
in
the
seaport,
we're
required
to
look
at
it
as
well
right.
It
says
it's
almost
a
drain
of
resources,
but
that's
the
way
the
the
ordinance
is
written.
We're
required
to
look
at
everything
where
you
know.
N
K
Commissioner,
Lyden
I
I
just
think,
and
this
is
for
everyone
I.
Just
think
that
the
work
is
so
incredibly
important
that
all
of
you
do
and
I
want
to.
Thank
you
and
all
the
inspectors,
because
you
play
a
critical
role
in
letting
residents
and
tenants
know
that
it
is
like
they
don't
deserve
to
live
in
in
units
that
are
subject
to
mole
that
exposes
their
children
to
asthma
and
I.
Think
so
much
of
this
work
is
about
reminding
folks
of
what
they
do
and
don't
deserve,
and
inspectors.
K
Even
in
that
interaction,
you
are
a
government
interaction
that
a
renter
may
have
that
they
don't
otherwise
have
exposure
to
and
how
important
it
is
for
inspectors
in
this
work
that
kids
often
seems
so
routine
or
another
call
to
Mattapan
about
X,
Y
and
Z.
Here,
I.
Go
that
that
work
is
so
important
for
our
residents
to
feel
seen
and
heard
in
this
system
and
I
hope.
K
You
know
on
the
question
of
training
when
we
think
about
out
how
sometimes
work
that
you
do
every
day
you
some
sort
of
you,
can
sort
of
lose
sight
of
how
important
it
is
for
us
and
our
touches
with
residents
to
remind
them
that
this
is
not
permissible.
I
think
about
my
own
work
and
I.
Think
Chief,
Dylan
and
other
folks
were
talking
about
trying
to
encourage
folks
to
believe
that
they
have
the
right
to
withhold
rent.
Should
they
not
be
getting
what
they
are
required
to
get
pursuant
to
their
lease
and
people.
K
Just
think
it's
important
for
us
for
inspectors
to
really
think
about
what
training
looks
like
and
what
retraining
looks
like
and
what
implicit
bias
looks
like
in
the
process
so
that
we
don't
become
numb
to
the
conditions
that
our
residents
themselves
too
often
become
numb
to,
because
we
are
not
reminding
them
of
what
they
deserve
and
our
individual
touches,
either
with
housing
inspectors
or
with
different
agencies.
It
is
our
duty
and
Our
obligation
to
remind
them
what
they
deserve
and
so
I.
K
L
And
I
I,
thank
you
for
your
for
your
accolades
counselor
and
what
I'd
like
to
do
is
invite
you
down
to
1010
Mass
Avenue
and
spend
a
day
spend
a
Monday,
spend
the
Friday
from
eight
o'clock
in
the
morning
until
four
o'clock
in
the
afternoon
and
look
at
the
interface
and
perhaps
go
in
the
field
with
some
of
the
inspectors.
I
would
say,
as
as
assistant
commissioner
William
said,
78
of
of
10
10
are
minority.
L
Yeah
I
was
eventually
to
say,
probably
95
of
10
10
live
in
the
city
of
Austin
We're
a
community
in
1010,
and
there
are
Outreach.
Our
human
touch
is
is
prevalent
and
virtually
everything
we
do
anything
you
do.
You
have
what
they
call
bad
apples.
You
have
10,
you
have
10
in
the
military,
you
have
10
who's,
not
going
to
do
their
job.
Ten
percent
they're
accounted
for
and
that's
a
given.
That's
going
to
be
in
any
Walk
of
Life.
K
I
appreciate
that,
commissioner,
just
as
a
reminder,
I've
worked
a
lot
with
inspectors
as
a
housing
attorney
in
these
neighbors
of
Mattapan
Dorchester
High
Park
East
Boston,
where
we
had
to
rely
on
ISD
in
order
to
get
what,
in
order
to
hold
landlords
accountable.
So
I'm
not
saying
this
as
someone
who
has
not,
in
fact
I'm
saying
as
someone
who
knows
how
difficult
the
jobs
are
of
inspectors
and
someone
who
knows
that
our
systems,
even
when
there
are
black
and
brown
folks
running
them,
we
too
are
subject
to
becoming
numb
to
some
of
these
issues.
K
K
M
Thank
you,
I
have
to
say
that
you
know
one
thing
that
these
guys
with
they
come
in
with
all
the
work
that
they
do.
Is
that
you
know
the
other
difficult
thing
I
think
you
guys
mentioned
is
like
99
of
the
of
the
landlords
that
are
out.
There
are
small
landlords
with
limited
resources,
and
so,
when
you
look
at
you
know
the
duration
of
of
of
a
case
and
getting
things
to
be
fixed,
you
know
there's
that
resource
issue
and
and
I
think
we're
we're.
You
know
we.
M
B
Thank
you.
Thank
you.
One
of
the
solutions
that
we
are
exploring
to
this
issue
is
looking
at
how
the
city
can
support
these
type
of
landlords
to
really
make
sure
that
we're
giving
them
the
resources
that
we
need,
and
what
does
that
look
like
in
terms
of
who
who
is
eligible?
That
is
on
our
list
of
things
as
I've
mentioned
before.
This
is
not
an
issue
that
is
an
is
just
not
an
ISD
issue
to
correct.
B
So
there
are
a
number.
There
are
a
number
of
things
that
we're
doing,
and
so
I
want
to
close
us
out
before
we
leave
and
I
want
to
just
bring
us
back
to
kind
of
circle
out
everything
that
we've
heard.
I
know
that
we've
had
much
General
conversation
just
about
ISD
the
rental
inspection
program
and
how
everything
works.
B
B
That
is
the
thing
with
structural
racism.
Is
that
it's
not
about
individual
people?
It's
about
how
our
policies
and
our
practices
make
it
so
that
it
can
exist.
So
it's
not
about
the
fact
that
your
staff
is
majority
of
people
of
color.
There
could
be
not
one
white
person
working
at
ISD
and
structural
racism
would
be
there,
because
it's
not
about
individual
people.
Nobody
thinks
that
your
inspectors
are
making
decisions
to
take
longer
to
respond
to
a
certain
neighborhood
and
so
on
and
so
forth.
B
Right
because,
like
you
said
these
people
come
from
these
neighborhoods,
these
are
people
that
live
there.
They
understand
what
these
issues
are.
They
know
the
importance
of
it.
What
I
am
seeing
is
that
there
is
too
much
being
left
to
judgment
and
discretion
and
when
you
leave
too
much
to
judgment
and
discretion,
it
opens
up
the
space
for
bias,
whether
it
be
implicit
or
explicit
in
the
sense
that,
like
counselor
Legion
mentioned
there
are
specific
neighborhoods
that
need
more,
and
so,
although
you
might
be
saying
hey,
we
treat
everybody
the
same.
B
B
We
need
to
think
about
hey
in
a
neighborhood
where
we
have
all
of
those
things
to
be
true
and
there's
also
a
higher
rate
of
absentee
landlords.
There's
also
a
higher
rate
of
slumlord
and
there's
also
a
higher
rate
of
people
who,
you
know
might
not
want
to
be
responsive
to
the
kind
of
people
that
live
in
their
buildings
or
in
their
neighborhood.
B
That
you
need
a
different
kind
of
approach,
meaning
that
the
the
solution
that
I
see,
for
example,
when
you're
you're
talking
about
this
54
in
terms
of
how
long
the
case
is
open.
It's
about
how
fast
these
are
getting
resolved,
and
there
is
a
policy
change
that
can
happen
legislative
either
with
the
city
or
inside
of
ISD.
B
The
landlord
is
working
on
it
and
so
I
think
that,
in
collaboration
with
the
city,
where
your
inspectors
can
identify
a
landlord
who
might
be
taking
a
slower
time
to
make
the
changes
because
they
don't
have
the
financial
resources
that
there's
a
place
where
they
can
go
out
to
the
city
to
get
that.
So
they
can
move
that
faster
and
in
the
places
where
people
are
being
unresponsive
or
maybe
work
is
moving.
B
You
know,
I,
think
that
this
in
terms
is
for
ISD.
There's
talking
about
the
Boston
Public
Health
commission
right.
How
do
we
expand
the
breathe
easy
program?
How
do
we
make
sure
that
that
is
up
to
date?
How
do
we
make
sure
that
we
have
resources
for
small
landlords?
How
do
we
make
sure
that
ISD
has
everything
that
they
need,
whether
it
be
more
inspectors
so
that
people
have
to
wait
less
time
for
an
inspector?
B
However,
whatever
that
looks
like
and,
however,
it
shakes
out
in
terms
of
making
sure
that
you
have
the
technology
during
the
budget
season,
I
am
willing
and
able
to
do
that
because,
like
councilor
Legion
said
and
I
think
everybody
sent
him
in
here,
the
focus
is
our
constituents,
and
so
whatever
you
need,
whatever.
We
need
to
do
collectively
to
make
sure
that
we
are
correcting
the
problem.
B
Then
that
is
what
I
am
going
to
give
you,
and
if
you
tell
me
to
bring
the
moon
down,
then
I
will
try
my
hardest
to
bring
it
down
to
make
sure
that
we
fix
it.
But
nonetheless,
I
am
grateful
for
your
work.
I'm
grateful
for
your
time.
I
know
that
you
take
your
job
very
seriously
and
I
know
that
when
things
like
this
pop
up,
it
is
difficult
to
not
one
internalize
it
or
take
it
personal,
but
I
just
want
to
again
reiterate
that
this
is
about
the
people
of
the
city
of
Boston.