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

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

HealthyAirport-Sainsbury-Aug 17

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

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

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

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

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

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 Dimension Element Ecosystem Protects as much as possible of the natural ecosystems within and beyond the airport boundaries Community Ensures an inclusive, respectful and mutually supportive community through consultative processes Services & facilities Ensures that potable plain water is available free throughout the airport Economy Makes a vital and innovative contribution to the economy of the region around the airport Provides equitable employment HealthyAirport-Sainsbury-Aug 17

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

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