assessing health in mobility measures
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/1.jpg)
National Institutefor Public Healthand the Environment
Assessing health in mobility measuresErna van BalenNational Institute for Public Health and the Environment (RIVM)ECOMM, 13-15 May 2009
![Page 2: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/2.jpg)
National Institutefor Public Healthand the Environment
‘Health in MM is too complicated’
‘Health effects are not based on evidence’
‘MM is mainly aimed at reducing traffic flows’
![Page 3: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/3.jpg)
National Institutefor Public Healthand the Environment
Health and mobility
![Page 4: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/4.jpg)
National Institutefor Public Healthand the Environment
Transport-related health effects: some key figures EU
127,000 deaths and 2.4 127,000 deaths and 2.4 million injuries/yearmillion injuries/year
Air pollution from road Air pollution from road transport: 8.6 months transport: 8.6 months shorter life-expectancyshorter life-expectancy
Physical inactivity : Physical inactivity : 600,000 deaths/year600,000 deaths/year
More than 30% of the More than 30% of the EU15 population EU15 population exposed to noise levels > exposed to noise levels > 55 dB(A) 55 dB(A)
![Page 5: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/5.jpg)
National Institutefor Public Healthand the Environment
General framework for health impact assessment (HIA)
Selection of healthendpoints
Assessment ofpopulation exposure
Identification ofexposure-effect relations
Estimation of thenumber of cases
Calculation of diseaseburden
Population density,modelled ormeasuredexposure levels
Meta-analysis, pooled analysisepidemiologicalstudies
Prevalence,incidence data,demographics
INPUT
HIA-PROCESS
INPUT
Severity weights, duration
Price tags:health costs percase, life year,
![Page 6: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/6.jpg)
National Institutefor Public Healthand the Environment
Example: Traffic-related burden of disease: Example: Traffic-related burden of disease: before and after reduction of speed limitbefore and after reduction of speed limit (10 (10 hotspots motorways)hotspots motorways)
0
100
200
300
400
500
600
700
800
900
Before After Before After Before After
Road traffic noise Traffic-related airpollution
Traffic accidents
DA
LY
s (
abso
lute
)
Source: Kempen et al, 2008
![Page 7: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/7.jpg)
National Institutefor Public Healthand the Environment
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
![Page 8: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/8.jpg)
National Institutefor Public Healthand the Environment
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%
![Page 9: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/9.jpg)
National Institutefor Public Healthand the Environment
Some examples (2)
• I WALK Club: competition for children to walk to school instead of being driven walking to school from 50% to 68%
![Page 10: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/10.jpg)
National Institutefor Public Healthand the Environment
Some examples (3)
• Cycle Plan San Sebastian: better facilities for cyclists (parking spaces, bicycle paths), campaigns and regulation
bicycle use tripled within 6 years
![Page 11: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/11.jpg)
National Institutefor Public Healthand the Environment
![Page 12: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/12.jpg)
National Institutefor Public Healthand the Environment
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
![Page 13: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/13.jpg)
National Institutefor Public Healthand the Environment
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!
![Page 14: Assessing health in mobility measures](https://reader034.vdocuments.us/reader034/viewer/2022051417/56814e41550346895dbbb211/html5/thumbnails/14.jpg)
National Institutefor Public Healthand the Environment
Options for policy: where can health benefit be achieved?
Intervention Road traffic accidents
Air pollution Noise Physical inactivity
CO2
Emission reduction: particle filters
Emission reduction: tyres
Technology: energy-efficient
Cleaner fuels
Speed limit reduction
+/-
Effective public transport
+/- +/-
Infrastructure
Promoting walking/cycling