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The built environment, climate change and health Professor Anthony Capon National Centre for Epidemiology and Population Health, ANU Healthy Built Environments Program, UNSW WATERVIEW CONVENTION CENTRE BICENTENNAL PARK 1 ABS estimates 2 | LANDCOM 2011 SUSTAINABILITY CONFERENCE An urbanising landscape 3 | LANDCOM 2011 SUSTAINABILITY CONFERENCE Phases of concern about cities and health 19th Century – rapid urbanisation and epidemics of infections and respiratory disease Edwin Chadwick: Health of Towns movement Other phases of concern: Garden Cities Ebenezer Howard WHO Healthy Cities Leonard Duhl, Trevor Hancock 4 | LANDCOM 2011 SUSTAINABILITY CONFERENCE Contemporary urban health challenges Sedentary way of life – transport, work, recreation Obesity arises from an energy imbalance – too much in, too little out Obesity and chronic disease are consequences of maladaptation to the ready availability (and low cost) of fossil fuel energy Need integrative ways of understanding – somatic and extrasomatic energy flows in cities 5 | LANDCOM 2011 SUSTAINABILITY CONFERENCE 2006 AAS Fenner Conference Urbanism, Environment and Health 6 | LANDCOM 2011 SUSTAINABILITY CONFERENCE Framework for urban sustainability and population health Urban ecological footprint Economy and work Transport and urban form Housing and buildings Nature and landscape Media and communication Culture and spirituality Food security Physical activity Safety Family relationships Social capital 7 | LANDCOM 2011 SUSTAINABILITY CONFERENCE Human health and wellbeing Air, water, noise, infection, chemical exposures, local climate Boyden’s biosensitivity triangle 8 | LANDCOM 2011 SUSTAINABILITY CONFERENCE Co-benefits for health Lancet Series on Health and Climate Change http://www.thelancet.com/series/health-and-climate-change Low-carbon ways of living are healthy ways of living Energy generation Mobility Food choices Housing 2010 AAS Fenner Conference http://www.publish.csiro.au/nid/226/paper/NB10032.htm 9 | LANDCOM 2011 SUSTAINABILITY CONFERENCE Healthy Built Environments Program UNSW Cities Futures Research Centre A/Prof Susan Thompson NSW Health Department funding 1. Education and workforce capacity 2. Policy- and practice-relevant research 3. Leadership and advocacy 10 | LANDCOM 2011 SUSTAINABILITY CONFERENCE http://www.health.nsw.gov.au/pubs/2010/hud_checklist.html 11 | LANDCOM 2011 SUSTAINABILITY CONFERENCE New book Aug 2011 12 | LANDCOM 2011 SUSTAINABILITY CONFERENCE