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

2. 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. How does Urban Planning affect health?
L o c a l H o s p i t a l ?
Find a poignant image / poem / quote

4. How does Urban Planning affect health?
Physical factors
(some examples)
Links
Associated 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
WHO Collaborating Centre for Healthy Cities and Urban Policy

5. Healthy Urban Planning in Manchester A century ago towing planning and public health were working closely together but then they went their separate ways
“Traffic will be to 21st century public health what sewage was to 19th century public health”
1853
2003
Typhoid
Cholera
Dysentery
Scrofula
Asthma
Obesity
Stress & mental health
Heart disease
Examples of good practice: Manchester
clear understanding of the HUP agenda
recognises the potential of HUP at a political level and has developed a clear assessment of areas of weakness
identified a programme of training for internal planning officers and key city stakeholders with the aim to better integrate health into the planning application process and urban planning in general
I'm involved in the preparation of the LDF, for example, but there's little in the way of images coming out of this yet; I've been contributing to some local guidance, including the Development Guide and various Strategic Regeneration Frameworks, but again the result of this tends to be wording changed or included in documents. I'd like to say that the Development Guide is a good example of getting health considerations explicitly included in planning strategy documents, but as negotiations are still ongoing about the content of the guide I'm not sure it I've been successful in getting it changed the way we want it!
WHO Collaborating Centre for Healthy Cities and Urban Policy

6. The health map

7. How does Urban Planning affect health?

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

11. Types of tools
Conceptual development
Political
Strategic
Technical

12. Healthy Urban Planning The twelve key health objectives
Do planning policies and proposals promote and encourage ? 1.
Personal lifestyles 7.
Safety 2.
Social cohesion 8.
Equity 3.
Housing quality 9.
Air and aesthetics 4.
Access to work
10.
Water 5.
Accessibility 11
Land and minerals 6
Food
12.
Climate stability
Barton & Tsourou 2000

13. 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 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. 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. 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. 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. 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. 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