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WHO Centre for Urban Health Healthy Urban Planning: in-road to local health development WHO Healthy Cities Geoff Green Elisabeth Bengtsson Agis Tsouros.

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Presentation on theme: "WHO Centre for Urban Health Healthy Urban Planning: in-road to local health development WHO Healthy Cities Geoff Green Elisabeth Bengtsson Agis Tsouros."— Presentation transcript:

1 WHO Centre for Urban Health Healthy Urban Planning: in-road to local health development WHO Healthy Cities Geoff Green Elisabeth Bengtsson Agis Tsouros

2 WHO Centre for Urban Health Challenges in Cities Growing health concerns in cities include  Poverty and social exclusion  Violence and Safety  Pollution of air, water and land  Substandard housing and unhealthy planning  Poor employment conditions  Stress and Sedentary lifestyles  Poor quality food  The unmet needs of vulnerable groups  Lack of public involvement in decisions  Growing inequalities

3 WHO Centre for Urban Health How does Urban Planning affect health? L o c a l H o s p i t a l ?

4 WHO Collaborating Centre for Healthy Cities and Urban Policy How does Urban Planning affect health? Physical factors (some examples) LinksAssociated health issues Road severance Lack of facilities in neighbourhood (shops, places to go) Lack of local informal recreational opportunities (allotments, play parks) Unattractive, poorly designed pedestrian routes (road traffic dominated routes) Poor insulation, waste of solar insolation Lack of opportunity for food growing Lack of opportunity for informal interaction in the community Isolation Mental wellbeing Air-polluted local walking environments Fuel poverty Respiratory disease Lack of regular exercise Food deserts, poor diet Heart disease and Obesity issues

5 WHO Collaborating Centre for Healthy Cities and Urban Policy Healthy Urban Planning in Manchester A century ago towing planning and public health were working closely together but then they went their separate ways Typhoid Cholera Dysentery Scrofula Asthma Obesity Stress & mental health Heart disease “Traffic will be to 21 st century public health what sewage was to 19 th century public health”

6 WHO Centre for Urban Health The health map

7 WHO Centre for Urban Health How does Urban Planning affect health?

8 WHO Centre for Urban Health

9 WHO Centre for Urban Health

10 Healthy Urban Planning Key Principles: Equity Intersectoral cooperation Community involvement Sustainability International action

11 WHO Centre for Urban Health Types of tools Conceptual development Political Strategic Technical

12 WHO Centre for Urban Health Healthy Urban Planning The twelve key health objectives Do planning policies and proposals promote and encourage ? 1.1. Personal lifestyles7.Safety 2.2. Social cohesion8.Equity 3.3. Housing quality9.Air and aesthetics 4.4. Access to work10. Water 5.5. Accessibility11Land and minerals 6Food12. Climate stability Barton & Tsourou 2000

13 WHO Centre for Urban Health 4 elements of action for health and sustainable development at city level Political Commitment to the values and principles of health and sustainable development; equity and solidarity Articulate a long term vision for your city based on these qualities Systematic action to tackle the social and environmental determinants of health including Integrating health considerations Into urban planning and design Institutional processes to support partnership-based work and participative governance Local, national and international cooperation and networking

14 WHO Centre for Urban Health WHO Working with European cities: Themes and Tools Healthy Ageing Health Impact Assessment Healthy Urban Planning Physical Activity and Active Living City Health Profiles City Health Development Plans

15 WHO Centre for Urban Health Healthy Urban Planning Priorities Transport and mobility Healthy Ageing Neighbourhoods Physical Activity Strategic and Master Plans Cross-cutting links Health Impact Assessment Tools-commitment-innovation awareness-capacity-applications-mainstreaming

16 WHO Centre for Urban Health How to increase physical activity in an urban environment Transport –Cycling : Cycle paths, Cycle parks Walking –Pedestrian areas –Walking buses –Safety of walking Leisure time facilities –Parks –Open schools –Public or subsidised sport facilities –Safety of playgrounds Building design –Stairs Urban design –Positioning of services in walking distance Traffic restrictions on weekends

17 “Obesity: an epidemic without treatment” Urban Design can make a huge difference in supporting physical activity

18 Handy PPT Bursa, Turkey

19 WHO Centre for Urban Health Open space, Health and Urban planning Physical exercise & recreation Social and cultural aspects – community & relationships Psychological effects Wildlife in cities Organic urban food production Air quality and noise Water management

20 WHO Centre for Urban Health Neighbourhoods What does the neighbourhood mean? Community decision making Housing – social inclusion and diversity Access to jobs, shopping, education and health facilities Planning for movement Public spaces and open space

21 WHO Centre for Urban Health Walking and Cycling City wide level – policies to promote walking and cycling as part of a wider transport strategy Neighbourhood level – a mix of uses and maximum opportunity to walk or cycle Assessing a project – a checklist addressing localised issues of movement and accessibility

22 WHO Centre for Urban Health

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