Creating Healthy Airports: Enhancing Well-being Through Improved Built Environments

1. Healthy airports Peter Sainsbury Healthy Airport Working Group SWSLHD Population Health CPHCE (UNSW) 16 August 2017 HealthyAirport-Sainsbury-Aug 17

2. Why is ‘Health’ interested in the built environment? • Aspects of built environment harming health • Changes to built environment can improve health • ‘Health’ is an interventionist discipline • WE help individuals to be healthier • WE create environments that make it easier for individuals to be healthier HealthyAirport-Sainsbury-Aug 17

3. Why is ‘Health’ interested in the built environment? • Aspects of built environment harming health • Changes to built environment can improve health • ‘Health’ is an interventionist discipline • WE help individuals to be healthier • WE create environments that make it easier for individuals to be healthier Behaviours and Exposures HealthyAirport-Sainsbury-Aug 17

4. Built environment affects health via • Physical activity • Food supply • Social life • Physical environment HealthyAirport-Sainsbury-Aug 17

5. Scales of the built environment • Building: homes, workplaces, shops, etc. • Street • Neighbourhood/suburb • Town & city • Region • State/Nation HealthyAirport-Sainsbury-Aug 17

6. Scales of the built environment Equity Services • Building • Street • Neighbourhood/suburb • Town & city • Region • State/Nation Place History Community Culture Sense of belonging People Local champions HealthyAirport-Sainsbury-Aug 17

7. Equity Health Collective Decision-making Built Environment Environmental Sustainability HealthyAirport-Sainsbury-Aug 17

8. Questions for CPHCE’s consideration • Just bricks and mortar and/or social and political? • What level(s) of the built environment? • Local and/or global? • Climate change and environmental sustainability? • Integration with current research themes? • Who will you work with? • Description and/or intervention research? HealthyAirport-Sainsbury-Aug 17

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10. Why is ‘Health’ interested in airports? HealthyAirport-Sainsbury-Aug 17

11. Why ‘Health’? • Physical activity and travel • Food supply and nutrition • Social life • Physical environment (air pollution, noise) • Environmental sustainability (global warming) • Life opportunities (housing, employment) HealthyAirport-Sainsbury-Aug 17

12. What are we trying to do? • Determine the features of an airport that create good health and minimises harm to health … • … for passengers (+), workers, visitors, community • and the environment • Not just a freight junction for people and goods • Not just smoke-free, visible stairs and healthy food HealthyAirport-Sainsbury-Aug 17

13. … but a place … • for more than transit and shopping • to go and do exciting interesting things • with energy not exhaustion • that reflects the local people, geography, history and culture • has a physical and civic presence • contributes to local and regional communities • valued by local and regional communities HealthyAirport-Sainsbury-Aug 17

14. What do we hope to achieve? • Principles for creating and operating healthy airports • Guide or checklist to contribute ideas for Western Sydney Airport • Contribute to the literature on healthy airports HealthyAirport-Sainsbury-Aug 17

15. What have we done? • Healthy Airport Working Group • Systematic scoping literature review • ~20 papers and reports relevant to airports and health based on … • social determinants of health perspective • characteristics of Healthy Settings & Cities • Commented on EIA: e.g. air pollution, noise • HIA of community consultations • Conceptual framework for healthy airports HealthyAirport-Sainsbury-Aug 17

16. Scoping review & vision HealthyAirport-Sainsbury-Aug 17

17. Found ‘something’ in 9 domains: • Employment – growth and specialisation • Access - to and within the airport • Environmental sustainability • Social connectivity • Health behaviours – walking and cycling • Mobility and transport – access strategies • Public participation • Governance and policy – access, sustainability • Economy – local, regional & national growth HealthyAirport-Sainsbury-Aug 17

18. … but nothing about: • Stress • Health services or • Equity – who wins and who loses? HealthyAirport-Sainsbury-Aug 17

19. So where has the review and our thinking taken us? • People • Movement • Our expertise is health! • Time • Governance • Aerotropolis and airport region HealthyAirport-Sainsbury-Aug 17

20. Aerotropolis & Airport Region Healthy City Healthy Airport Region HealthyAirport-Sainsbury-Aug 17

21. Health related elements of an airport (De Leeuw 2017) HealthyAirport-Sainsbury-Aug 17

22. 12 dimensions of healthy airports • Environment • Ecosystem • Community • Participation • Services & facilities • Experiences & resources • Economy • Heritage • Form & design • Public health & health care • Transport • Health hazards HealthyAirport-Sainsbury-Aug 17

23. … with assessable elements for each HealthyAirport-Sainsbury-Aug 17

24. What next? • Invite comment on our framework and vision • Develop relationships with developers, regulators, stakeholders • Develop a research strategy • Disseminate: presentations, journals, Conversation • International Healthy Airport Award • Suggestions? HealthyAirport-Sainsbury-Aug 17

25. So … • Promoting health at every opportunity is core business for SWSLHD • Western Sydney Airport is a massive opportunity for health and equity • Population Health – organisation and discipline - has much to offer and is keen to be involved • Research opportunities abound HealthyAirport-Sainsbury-Aug 17

26. Healthy Airport Working Group • Evelyne de Leeuw; Alana Crimeen; Robert Freestone; Stephen Conaty; Maria Beer; Alison Dunshea; Cesar Calalang; Soumya Mazumdar; Elizabeth Millen; John Birkett; Stephanie Fletcher; Peter Sainsbury • Previously Katherine Hirono; Ben Harris-Roxas HealthyAirport-Sainsbury-Aug 17