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Sustainable Development and the Public Health. Dr Rashmi Shukla Regional Director of Public Health & Medical Director DH West Midlands NHS West Midlands West Midlands Excellence Conference in Public Health International Centre Telford, 8 th May 2007. The Health Map.
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Sustainable Development and the Public Health Dr Rashmi Shukla Regional Director of Public Health & Medical Director DH West Midlands NHS West Midlands West Midlands Excellence Conference in Public Health International Centre Telford, 8th May 2007
The Health Map Barton & Grant 2006. WHO Collaborating Centre for Healthy Cities University of the West of England
If we don’t act… • Many potential adverse consequences for health including: • Environmental degradation • Loss of greenspace & biodiversity • Climate change impacts • Resource shortage • Unequal access to resources • Social stresses
climate change health scenarios • Increase in mean UK annual temperature of c. 2.5-30C by end of century • Cold periods less common, heat waves more common • Periods of sudden heavy rain • Increase flood risk • Vector-borne disease impact uncertain • Possibility of malaria - other European countries • Warmer summers • Possible increase in food-borne disease • Air pollution • Many pollutants will decline, but ozone concentration may rise DH & HPA. Draft Report. Health Effects of Climate Change in the UK. 2007. Update of the DH report 2001/02.
Policy frameworks are in place • ‘Securing the Future’ UK SD Strategy • Has four priorities • Sustainable consumption and production • Climate change and energy • Natural resource protection & environmental enhancement • Sustainable communities • WM Regional SD Framework • and work of the Regional Assembly
StF health indicators are also our priorities • Health Inequality: • Infant Mortality & Life Expectancy • Mortality Rates • Circulatory disease, Cancer, Suicides • Smoking • Childhood Obesity • Diet • And we still have some way to go in WM
and it is all connected From: The Urban Environment. Royal Commission on Env Pollution 2007
Take…being obese • Massive future medical impact • Heart disease, cancer, arthritis, diabetes • Linked to: • Trends in food & drink production • Trends in eating habits • Declining physical activity • some trends...
Children & Travel ONS Social Trends 34
Action on obesity • Focus on children includes: • Better data – measurement • Healthy start • Healthy schools -supportive environment • Healthy school meals • Physical activity • Targeted interventions in primary care and other settings • Reduced car use & reduced consumption • Save resources and reduce emissions • But will it do enough?
And resilience is not equal Birmingham tornado
Taking it forward in the West Midlands • Regional Health and Well-being Strategy – sustainability an integral part • NHS West Midlands Strategic Framework – section on NHS as Good Corporate Citizen • Support for the Regional Assembly pledge on climate change
Regional Health and Well-Being Strategy • Planning & Transport • Housing • Environment • Economy • Culture & Physical Activity • Safer Communities • Children & Young People • Later Life
RHWB Strategy – some sections • Planning & Transport • Health implications of transport • Active travel planning • Promoting improved transport links • Environment • Promoting good quality greenspace • Increasing physical activity • Protect indoor & outdoor environment