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Other people’s shoes

Other people’s shoes. Harry Rutter | @harryrutter. Health benefits of active travel greatly outweigh the risks. Median benefit to risk ratio: 9:1. N. Mueller et al. / Preventive Medicine 76 (2015) 103–114 http://dx.doi.org/10.1016/j.ypmed.2015.04.010.

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Other people’s shoes

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  1. Other people’s shoes Harry Rutter | @harryrutter

  2. Health benefits of active travel greatly outweigh the risks Median benefit to risk ratio: 9:1 N. Mueller et al. / Preventive Medicine 76 (2015) 103–114 http://dx.doi.org/10.1016/j.ypmed.2015.04.010

  3. Source: The Lancet, Volume 378, Issue 9798, Pages 1202 - 1203, 1 October 2011

  4. “What is the economic value of the health benefits from a given volume of walking or cycling within a defined population?”

  5. Harry Rutter, Francesca Racioppi, Sonja Kahlmeier, Nick Cavill, Pekka Oja, Heini Sommer, Hywell Dinsdale,Charlie Foster, Paul Kelly, Thomas Götschi, Christian Schweizer, James Woodcock, Karim Abu-Omar, Lars Bo Andersen, Hugh Ross Anderson, Finn Berggren , Tegan Boehmer, Nils-Axel Braathen, Dushy Clarke,Andy Cope, Audrey de Nazelle, Mark Fenton, Jonas Finger, Francesco Forastiere, Richard Fordham,Eszter Füzeki, Frank George, Regine Gerike, Mark Hamer, Max Herry, Marie-Eve Heroux, Gerard Hoek, Luc Int Panis, Michal Krzyzanowski, I-Min Lee, Christoph Lieb, Brian Martin, Markus Maybach, Christoph Schreyer, Marie Murphy, Nanette Mutrie, Mark Nieuwenhuijsen, Laura Perez, Gabe Rousseau, David Rojas Rueda, Candace Rutt, Tom Schmid, Elin Sandberg, Mulugeta Yilma, Daniel Sauter, Peter Schantz, Peter Schnohr, Dave Stone, Jan Sørensen, Gregor Starc, Robert Thaler, Marko Tainio, Sylvia Titze, Wanda Wendel Vos, Paul Wilkinson

  6. If all citizens in the EU aged 20-74 cycled or walked an additional 15 minutes per day, 100,000 premature deaths could be prevented each year

  7. Cycling 7 studies, 187,000 individuals and 2.1 million person-years Mean age = 56 Mean follow-up = 14.2 years Relative risk for all cause mortality: 0.90 (0.87 to 0.94) in groups who cycle 11.25 MET.hrs/week (675 MET.minutes/week) Risk of premature mortality reduced by 10%

  8. The HEAT approach: key principles • Designed for transport and urban planners to integrate health in economic analyses • Minimal data required from users • Evidence-based and transparent • Based on conservative assumptions • Adaptable and modular

  9. Worldwide use • Project website visited over 700,000 times by more than 41,000 visitors since 2011

  10. Usage England Part of official toolbox for the assessment of transport projects (WebTAG) Austria Health effects of national cycling masterplan Sweden Used by the Swedish Transport Administration USA Evaluation of non-motorized transport projects Recommendation for using HEAT in business cases in London Plus: Barcelona, Boston, Brighton and Hove, Florence, Glasgow, Kuopio, Modena, Nantes, Pärnu, French Healthy Cities…

  11. On the way… • Air pollution • Requires background PM2.5 and location of walking/cycling • Assesses marginal difference relative to not travelling • CO2 • Changes in CO2 emissions resulting from mode shift • Injuries • Morbidity - under consideration

  12. Requires user input

  13. Conclusions • Huge health, social and environmental benefits • More cycling is safer cycling • Glass box, not black box • Easy to use tool • Focus on policy relevance • Step into other people’s shoes

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