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Healthy airports. Peter Sainsbury Healthy Airport Working Group SWSLHD Population Health CPHCE (UNSW) 16 August 2017. Why is ‘Health’ interested in the built environment?. Aspects of built environment harming health Changes to built environment can improve health
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Healthy airports Peter Sainsbury Healthy Airport Working Group SWSLHD Population Health CPHCE (UNSW) 16 August 2017 HealthyAirport-Sainsbury-Aug 17
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
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
Built environment affects health via • Physical activity • Food supply • Social life • Physical environment HealthyAirport-Sainsbury-Aug 17
Scales of the built environment • Building: homes, workplaces, shops, etc. • Street • Neighbourhood/suburb • Town & city • Region • State/Nation HealthyAirport-Sainsbury-Aug 17
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
Equity Health Collective Decision-making Built Environment Environmental Sustainability HealthyAirport-Sainsbury-Aug 17
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
Why is ‘Health’ interested in airports? HealthyAirport-Sainsbury-Aug 17
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
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
… 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
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
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
Scoping review & vision HealthyAirport-Sainsbury-Aug 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
… but nothing about: • Stress • Health services or • Equity – who wins and who loses? HealthyAirport-Sainsbury-Aug 17
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
Aerotropolis & Airport Region Healthy City Healthy Airport Region HealthyAirport-Sainsbury-Aug 17
Health related elements of an airport (De Leeuw 2017) HealthyAirport-Sainsbury-Aug 17
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
… with assessable elements for each HealthyAirport-Sainsbury-Aug 17
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
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
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