1. Building on the Linkages Transportation and Public Health Chris Quigley – Transport Policy Division, TransLink ACT Canada Summit – December 2 nd, 2014 1

2. Summary The linkages are clear – what next? Quantifying the health impacts is evolving TransLink beginning to use a health lens Transportation referendum in 2015 – critical for public health Partnership working can grow between the sectors 2

3. 1. Transport and Health Linkages 3

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6. Why Now? Why is the transport and health linkage coming to the fore? – Rising city agenda, growing urban population. – Both disciplines reconnecting with their past? – Transportation financing challenges alongside increasing health expenditures. – Growth of joined-up government. – Advances in data collection demonstrate linkages. – Trends: demographic; chronic health conditions; changing mobility patterns. 6

7. The Result 7

8. 2. Bringing a Health Lens to Decisions 8

9. 30 Year Strategy & 10 Year Plan 9

10. Strategic Health Impact Assessment AIM: “The Strategic Health Impact Assessment (SHIA) is an attempt to understand how the proposed RTS investment and policy packages perform with respect to impacts on public health outcomes.” OBJECTIVES: 1.To obtain directional input on how different strategic investment and policy packages perform, including performance across different population groups and geographical areas; 2.To understand what is the range of impact from different strategic investment and policy packages and are these ranges meaningful? 3.Generate some key health messages for the development of the RTS Implementation Plan; and 4.Learn lessons for future health impact assessments on strategic plans. 10

11. The SHIA Matrix – initial draft 11

12. Refining The SHIA Matrix External Expert review of the SHIA Matrix Key Question – how can the metrics be more meaningful to public health? Experts included: Dr Paul Hasselback (Island Health)Karen Lee Olivier Bellefleur, Francois Benoit, Julie Castonguay (NCCHPP) Roger Parsonage (Interior Health) Aimee Powell (Peel)Shelagh Graham, Deanna Betteridge (Winnipeg RHA) 12

13. The SHIA Matrix 13

14. Key Findings 1.Transport data is collected for transport reasons. Tension between aggregate regional numbers v individuals. 2.‘Alternatives’ with greater VKT reduction led to better health outcomes. 3.The SHIA should take greater account for land use changes. 4.Equity is both a separate objective and a lens for all other objectives. 5.Working at the regional level cannot account for site-specific (‘design’) variations. 14

15. 3. Informing the 10-Year Vision 15

16. 3. Informing the 10-Year Vision 16

17. 4. A Path Forward Near-term: – What is the role of public health in the upcoming referendum? Ongoing: – Working in partnership through the Transportation and Health Agency Working Group. – HIA sub-committee developing guidelines for practice. – Opportunities to grow the partnership, inc. Ministry of Health. 17