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Assessing health in mobility measures

Assessing health in mobility measures. Erna van Balen National Institute for Public Health and the Environment (RIVM) ECOMM, 13-15 May 2009. ‘Health in MM is too complicated’ ‘Health effects are not based on evidence’ ‘MM is mainly aimed at reducing traffic flows’. Health and mobility.

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Assessing health in mobility measures

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  1. Assessing health in mobility measures Erna van Balen National Institute for Public Health and the Environment (RIVM) ECOMM, 13-15 May 2009

  2. ‘Health in MM is too complicated’ ‘Health effects are not based on evidence’ ‘MM is mainly aimed at reducing traffic flows’

  3. Health and mobility

  4. Transport-related health effects: some key figures EU Air pollution from road transport: 8.6 months shorter life-expectancy 127,000 deaths and 2.4 million injuries/year Physical inactivity : 600,000 deaths/year More than 30% of the EU15 population exposed to noise levels > 55 dB(A)

  5. General framework for health impact assessment (HIA)

  6. Example: Traffic-related burden of disease: before and after reduction of speed limit (10 hotspots motorways) Source: Kempen et al, 2008

  7. Methods • Selection of cases from ELTIS with impact on health • Screening for availability of before-after measurements • 3 assessors to reach agreement • Direct health impacts and indirect health impacts • Assessment of effects and assigning scores • Assessment of other implementation issues

  8. Some examples (1) • Travel plan for Addenbrooke’s hospital campus: promotion of car sharing, improving cycling infrastructure, staff-discounted bus tickets  staff car use from 74% to 38%, bus travel from 4% to 25%, cycling from 17% to 26%

  9. Some examples (2) • I WALK Club: competition for children to walk to school instead of being driven  walking to school from 50% to 68%

  10. Some examples (3) • Cycle Plan San Sebastian: better facilities for cyclists (parking spaces, bicycle paths), campaigns and regulation  bicycle use tripled within 6 years

  11. Key messages Health in MM is not complicated, but a positive side-effect of mobility interventions Other effects have an impact on health MM can be aimed at achieving health benefits

  12. And further… • See www.healthytransport.com for inspiring examples, evidence briefings and info on ‘what works’. In development: please let us know your comments! • Join the international Health Impact Assessment conference 14-16 October 2009 in Rotterdam, The Netherlands. Theme: ‘on the move’ www.hia09.nl • This work was conducted in the framework of THE PEP (Transport, Health and Environment: Pan-European Program) www.thepep.org, coordinated by WHO/UNece • Thanks to financial support from the Dutch ministries of transport, environment & spatial planning and public health Thank you for your attention!

  13. Options for policy: where can health benefit be achieved?

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