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. HealthyAirport-Sainsbury-Aug 17
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

9. HealthyAirport-Sainsbury-Aug 17

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

11. 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

12. 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

13. 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

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. 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

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. HealthyAirport-Sainsbury-Aug 17
… 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
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

24. 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

25. 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

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