Health Considerations for urban development and renewal in the Sydney Local Health District

Transcription

1 Health Considerations for urban development and renewal in the Sydney Local Health District Dr Kleete Simpson Medical Epidemiologist Public Health Unit

2 Building Better Health (BBH) Health considerations for urban development and renewal in the Sydney Local Health District Background - why did we need this guide? Overview of guide Examples of healthy urban development principles Sydney Local Health District (LHD) Distribution and use Implications for Sydney LHD and the health of our community

3 Why development? The evidence Built environment has significant influence on health Generally accepted now with ever increasing evidence base Direct influence on chronic diseases Overweight & obesity Type 2 diabetes Heart disease Respiratory diseases Mental health Health hazards and risks air pollution, contaminated land or water and toxins, wastewater, waste, noise, injury

4 Why development? The evidence - 2 Built environment and health Direct/Indirect influence via climate change: mitigation and adaptation - new developments need consider effects of heatwaves (e.g. urban heat island effect, insulation, ventilation), floods, more frequent extreme weather events, droughts, rising sea-levels Equity!!!! Presents opportunity for broad based positive health effects across an entire population as all interacts with their environment Health services appropriate/accessible

5 Sydney rapid development Urban development in SLHD rapid ++!! WestConnex (the champ) Western Harbour Tunnel Sydney Metro Sydney Metro West Green Square Waterloo The Bays Precinct Rhodes East Parramatta Road Transformation Sydenham to Bankstown urban renewal corridor MacDonaldtown (Central Eveleigh) Central Park..

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14 Why another healthy development guide? Unprecedented rate of development - inner Sydney focus on local environment, issues and use short + easy to use

15 SLHD needed a song book SLHD increasingly asked to provide input into planning issues Different parts SLHD asked to input into different planning projects No clear agreed common objectives-inconsistent input Ensure input is evidenced based NSW Healthy Urban Development Checklist great but long, broad, ageing

16 Objectives of guide To develop a guide for use discussions across the District, by any SLHD staff that might be talking about urban development Emphasises link - health and environment Evidence based short + easy to use specifically relevant for local environment, issues and use Target audience: SLHD staff + stakeholders in development (planners, councils, developers, community )

17 SLHD - the population and environment urbanised high population density green space traffic congestion air pollution (for Aus) noise potential urban heat island effect safety concerns (perceived/real) large culturally and linguistically diverse (CALD) population large Aboriginal population many areas industrial past - known + unknown contaminated sites early adoption of new technologies (water, power, waste) many institutions of state/national/international significance Significant differences in health status (especially chronic disease) AND..

18 Big differences - socioeconomic status 10 s! About 10% of suburbs in SLHD are amongst the 10% most advantaged in Australia and 10% of suburbs are amongst the 10% most disadvantaged

19 Short guide (8 pages) Evidence-based Available online Range of health domains to consider routinely: Health promotion Health protection Health equity Does not cover Health Service development Being updated!!

20 health promotion Create an environment that supports healthy living by: Facilitating physical activity Having sufficient public open space (green space and natural areas) Promoting active travel (walking or cycling) Advocating for public transport Providing safe streets, public spaces, recreational facilities Providing social infrastructure (childcare, medical centre, local shops) Encouraging social interaction and connectivity Offering quality employment Availability of healthy food

21 Example: Green square Pedestrian and cycle friendly development Variety of open green spaces Increased lighting for streets - safety Public transport Social infrastructure

22 Protection: health hazards of development Some of the environmental health risks include: Construction of developments impact on surrounding communities Past and existing land use possible contamination Operation of developments impact (e.g. WestConnex) Air quality outdoor and indoor (in-tunnel) Noise and vibration Water quality drinking water, recycled water, recreational water (swimming, fishing) Waste and sewage potentially hazardous Public health pests including insects Climate change and sustainability more marginalised populations with less resources more vulnerable to these impacts

23 Example: Central Park Recycled water network incorporated into building design - assure safety Water recycling plant operates with minimal noise Sustainability (40-50% less drinking water use; solar panels reduce energy consumption)

24 Health equity in development planning Healthy built environments mean: Access to all aspects of a community environment (+ve AND ve) is fair to all residents Equal access to health promoting aspects of development including open space, safe pedestrian and cycling environments, gathering places and natural areas Equal access too health, education, employment and social support

25 Health Equity and development Ensuring developments support health equity requires focus on: Consider the needs of vulnerable (disadvantaged /marginalised) populations Consider children and the elderly Ensure community representation Undertake health impact assessments Provide affordable housing Provide broad-based employment opportunities Ensure equity of access to social and community infrastructure

26 Distribution of BBH All councils within SLHD Government departments UrbanGrowth Big developers (e.g. Mirvac) Other LHDs, MoH Website

27 Impact to date BBH well received Positive feedback from City of Sydney Council and being used by City of Canada Bay Council Approached to use and adapt for local use by other LHDs (SESLHD & WSLHD) We routinely recommended its use in planning requirements SLHD quality award from SLHD Annual General Meeting and selected for NSW Health Awards under the Keeping People Healthy category Guide being used by SLHD staff in interactions with other agencies Building Better Health forum 2016

28 Where next? Aim - BBH becomes required reference for health and environmental impact assessments and broader planning processes affecting SLHD Updating this year - new topics (universal design, density, alcohol, social housing, injury, housing displacement)

29 Summary Evidence-based template for local discussions - urban development and health Expectation that it will be written into HIA processes and broader planning processes Intent to ensure all SLHD input to development is evidence based, locally relevant and equity focused Currently updating

30 Acknowledgements Angela Balafas Pam Garrett Suzanne Gleeson Leena Gupta Isabel Hess Liz Harris Anna Whelan SLHD Public Health Observatory

31 Questions?