1. The Health Economic Assessment Tools (HEAT) for Walking and Cycling: What is it about and the Brussels case study
Florinda Boschetti, Polis network
(Contributions by: Sonja Kahlmeier, University of Zurich, EBPI, Physical Activity and Health Unit; Alberto Castro, University of Zurich; David Rojas, Barcelona ISGlobal; Frederik Depoortere, Brussels-Capital Region)
This project has received funding from the European Union’s Seventh Framework Programme for research; technological development and demonstration under grant agreement no

2. What is HEAT?
“For a given volume of walking or cycling within a defined population what is the economic value of the health benefits?”
Online tool
Economic assessment of health benefits of walking or cycling
Reduced premature mortality ‘only’
Second UK Bike Share conference, September 2017, Manchester

3. Standard approach to transport HIAs - where are the health benefits?
Costs
Benefits
Construction
Congestion
Maintenance
Journey ambience
Inconvenience
CO2
Casualties
Environmental effect
Second UK Bike Share conference, September 2017, Manchester

4. Standard approach to transport HIAs - where are the health benefits?
Costs
Benefits
Construction
Congestion
Maintenance
Journey ambience
Inconvenience
CO2
Casualties
Prevented premature mortality
Environmental effect
Absenteeism
Morbidity
Second UK Bike Share conference, September 2017, Manchester

5. HEAT approach Practical tool designed primarily for transport planners
Recognises importance of economic analysis in transport: benefit-cost ratio is king
Evidence-based
Transparent
Adaptable
‘Do once and share’
Second UK Bike Share conference, September 2017, Manchester

6. Expertise involved – advisory groups
Second UK Bike Share conference, September 2017, Manchester

7. Value the estimated use of the scheme Evaluating past projects
HEAT’s potential uses
Planning new projects
Value the estimated use of the scheme
Evaluating past projects
Value of health benefits of increased use
Modeling
Projections of future levels
Assessments of current use
Eg how much is walking or cycling worth in my city?
Second UK Bike Share conference, September 2017, Manchester

8. Required user input
Protective benefit capped at 45% risk reduction for cycling and 30% for walking
Second UK Bike Share conference, September 2017, Manchester

9. Second UK Bike Share conference, 27-28 September 2017, Manchester

10. Method and user guide Electronic and printed (English only)
English, German, French, Spanish, Finnish, Polish
Updated in August (English only)
Second UK Bike Share conference, September 2017, Manchester

11. The results of the HEAT study in Brussels (1)
A ‘classic’ cost-benefit method was used to estimate direct & indirect benefits of cycling in Brussels.
‘HEAT’ was used mainly to assess indirect benefits, & cross check the conclusions of the first part.
Input data:
2002 reference year ‘0’
2012 current situation, with 4% mode share
% mode share, according to IRIS 2
Second UK Bike Share conference, September 2017, Manchester

12. The results of the HEAT study in Brussels (2)
Currently, cycling already accounts for:
200 jobs
100 million of indirect benefits (mainly public health)
11 million invested/year doesn’t seem that much…
Potentially, if we reach our 2020 goal, benefits amount to:
700 jobs
500 million yearly indirect benefits
Second UK Bike Share conference, September 2017, Manchester

13. The “new” HEAT
The HEAT provides a health economic assessment related to preventable deaths attributable to the increased rate of walking or cycling. The “new” HEAT introduces new health determinants, like traffic incidents, air pollution exposure, and carbon emissions.
Second UK Bike Share conference, September 2017, Manchester

14. What does active mobility mean for health?
The health benefits of physical activity outweigh the estimated detrimental effects of personal air pollution exposure and the risk of traffic incidents.
Increases in active mobility can also help to reduce air pollution and noise levels in cities benefiting the society as a whole.
Second UK Bike Share conference, September 2017, Manchester

15. Florinda Boschetti, Polis Rue du Trone 98 B-1050 Brussels
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This project has received funding from the European Union’s Seventh Framework Programme for research; technological development and demonstration under grant agreement no