A National Active Transportation Strategy can Reduce Chronic Diseases & Health Care Costs

Eight national health organizations have sent a letter to the Federal Minister of Health asking her to invest in the development of a National Active Transportation StrategySignatories to the joint letter include Heart & Stroke, Diabetes Canada, Canadian Cancer Society, The Canadian Lung Association, Asthma Canada, the Alzheimer Society of Canada, Upstream, and CAPE.

The joint letter outlines a powerful public health and financial case for active transportation. Chronic diseases consume 67 per cent of the health care budget in Canada. These diseases cost Canadians $190 billion annually: about $65 billion in treatment and $135 billion in lost productivity.  Further, chronic disease rates are increasing rapidly, by about 14 per cent a year.  As a result, health care costs threaten to overwhelm provincial budgets across the country.

Fortunately, active transportation can help stem the tide. Physical activity reduces the risk of over 25 chronic health conditions, including coronary heart disease, stroke, hypertension, breast cancer, colon cancer, Type 2 diabetes, and osteoporosis.  It also benefits mental health and arthritis.  Unfortunately, fewer than one in five Canadian adults get the 150 minutes of physical activity needed to achieve health benefits and fewer than one in 10 Canadian children get the 60 minutes a day of physical activity needed for healthy growth and development.  Changes to the built environment and other measures can increase physical activity, significantly reducing chronic diseases and their costs. One study found that the risk of premature death from all causes can be decreased by 28 per cent among people who cycle three hours per week and by 22 per cent among people who walk 29 minutes per day, seven days a week.

Increased walking and cycling can also reduce air pollution and its associated health impacts by replacing short car trips.  Investments in active transportation and public transit can also increase access to jobs, services, and recreational opportunities among those who are unable to drive or cannot afford a car.  Changes such as speed reductions, separated bike lanes, and improved pedestrian crossings can also significantly reduce vehicle-related injuries and deaths among pedestrians and cyclists while also encouraging greater levels of physical activity.

A national alliance of active transportation organizations, including Green Communities Canada (Canada Walks), Canada Bikes, and the National ASRTS Working Group, have offered to lead the development of a National Active Transportation Strategy. This coalition would identify infrastructure funding and policies, design standards to be implemented, and support on-going partnerships and community action.

While the Federal Government has announced significant investments in public transit, green infrastructure, and transportation systems, without a National Active Transportation Strategy, we fear that we will miss the opportunity to maximize the health benefits that could result from these federal investments.

Let your Federal Member of Parliament know that you support the development of a National Active Transportation Strategy by emailing your MP today (Federal MP contact list).

Link to English and French versions of the Letter.

Prepared by Kim Perrotta, Executive Director, CAPE

Advertisements

A National Cycling Strategy: A Triple Win for Public Health

On June 1, 2017, CAPE participated in the National Bike Summit organized by Canada Bikes where we declared our support for the development of a National Cycling Strategy. Here is why.

A National Cycling Strategy would be a triple win for public health. It would help us to reduce the rate of chronic diseases in Canada. Chronic diseases such as diabetes and heart disease are escalating at alarming rates across the country. They place a heavy burden on the health care system while also producing pain, disability, and premature deaths for hundreds of thousands of Canadians each year. For example, cardiovascular disease alone costs $12 billion each year in Canada.

Physical activity is one of the most effective “treatments” for chronic diseases. We know that one hour of moderate to vigorous activity per week can reduce the risk of premature death by 4 to 9%. And yet, most Canadian do not get the 2.5 hours of physical activity required to maintain good health. Time—or the lack of it—has been identified as the number one barrier to physical activity.

Active modes of transportation—such as cycling—overcome this barrier. They allow people to get the “exercise” they need while travelling to work or school. One study found that people who cycle or walk to work reduce their risk of developing a chronic disease by 11%. But we know that most people, particularly women and children, will not ride to school or work unless cycling routes feel safe. Experience in other jurisdictions has demonstrated that many people will cycle for travel if they have protected bike lanes that look and feel safe.

A National Cycling Strategy would reduce acute and chronic health impacts associated with air pollution. In 2008, the CMA estimated that air pollution produces 21,000 premature deaths each year in Canada. We know these deaths are the tip of the iceberg. They represent a broad array of adverse health impacts including lung cancer, asthma, stroke, and heart disease. The CMA estimated that air pollution costs Canadians $10 billion per year in direct health care costs and lost time, and that was based on a limited number of health impacts for which the evidence was the strongest.

The transportation sector is one of the most significant sources of air pollution in Canada, particularly in large urban centres and along major traffic corridors. Modelling studies have demonstrated that we can significantly reduce air pollution, adverse health impacts, and health care costs by getting residents to use their bikes, instead of their cars, for short trips.

A National Cycling Strategy would also reduce greenhouse gases that contribute to climate change. The World Health Organization (WHO) has called climate change the most significant public health threat of the 21st century. It has estimated that 250,000 people will die prematurely each year by 2030 from climate change unless dramatic action is taken to significantly reduce our carbon emissions. Climate change is already claiming the lives of tens of thousands of people each year from heat stress, diarrhea, malaria, and malnutrition. Many of the victims are children and the elderly living in some of the poorest countries in the world. While Canadians will not experience the worst of these impacts, we are not be immune to the impacts of climate change.

Already, in Canada, we are experiencing health impacts from wild fires, floods droughts, heat waves, and severe storms that are increasing in frequency and intensity; from insect-borne diseases such as West Nile Virus and Lyme Disease that are spreading as the climate warms; and from injuries and deaths resulting from melting permafrost and shifting snow cover. The transportation sector in Canada is responsible for about one quarter of all greenhouse gas emissions. Modelling studies have demonstrated that we can significantly reduce these emissions by getting people to replace short car trips with bike trips.

A National Cycling Strategy is the holy grail of public health; the public policy the serves many public health goals with one investment. It is an investment that will pay for itself many times over in health care savings alone.

Prepared by Kim Perrotta, CAPE Executive Director, June 2017

Read more:

Canada Bike’s National Cycling Strategy

Prescribing Active Travel for Healthy People and a Healthy Planet: A Toolkit for Health Professionals

The Fight for a Bike and Pedestrian Highway Overpass in Montreal

[version français ici]

Above: Félix Gravel, Sylvie Bernier, and Dr. Eric Notebaert at a rally in support of the Turcot Dalle-Parc project in June 2017.

A MAJOR PUBLIC HEALTH AND ENVIRONMENTAL CHALLENGE FOR MONTRÉAL: THE RETURN OF THE ‘DALLE-PARC’ IN THE TURCOT INTERCHANGE

This spring, the Canadian Association of Physicians for the Environment is partnering with the Conseil Régional de l’Environnement de Montréal and several environmental groups in a major campaign to promote active transportation: the Return of the Turcot Dalle-Parc project.

Dr Éric Notebaert, CAPE board member, speaking at the campaign’s launch event.

The Turcot Interchange, a major highway interchange in southwest Montreal, is currently under renovation. This is a major infrastructure project—costing more than $4 billion—which originally included a large, green overpass connecting two zones of Montreal in the plans. This overpass, the “Dalle-Parc”, is a project that connects the upper part of the city (Notre-Dame-de-Grâce–Westmount) and the lower part (Verdun–Pointe-Saint-Charles). This slab that passes over the highway and the railway is a structure that can allow pedestrians and cyclists to cross this area in a safe way. It is a great project that greatly benefitspedestrians and cyclists, and is also connected to a rail shuttle service to the Montreal airport in Dorval.

Dalle-Parc Turcot
Image of the planned overpass for pedestrians and cyclists from the 2010 project plan.

This Dalle-Parc project not only greatly favours active transportation, but it will give people in many neighbourhoods easier and safer access to hospitals and other employment and development centers. If it is not implemented, cyclists will have to make a 10km detour to traverse a distance of barely 1km. The Dalle-Parc project will also significantly reduce pollution and greenhouse gases emitted by the city.

In the initial project to renovate the Turcot Interchange in 2010, this Dalle-Parc was the only truly interesting environmental aspect of this huge construction site. The Dalle-Parc therefore had the support of all the environmental groups and citizens of the city. However, in the latest version from the Quebec Ministry of Transport (MTQ) in 2015, the Dalle-Parc was simply gone. No one at the MTQ seems to be able to explain this decision. It is important to note that the cost of the Dalle-Parc is estimated at $40 million, or 1-2% of the total cost of refurbishing of the interchange.

Left: 2010 project plan, including the Dalle-Parc. Right: 2015 project plan, the Dalle-Parc has disappeared.

We are asking the MTQ for the reinstatement of the Dalle-Parc. The current campaign has several components: meeting with municipal, provincial and federal politicians; social, festive, cultural, and sporting events; meeting with local groups; meeting with the media; etc.

This campaign will certainly last several months. But it will last as long as it takes. We are absolutely determined to win this battle for the health of the population… and the planet.

Dr Éric Notebaert 21.03.2017

Retour de la Dalle-Parc Turcot

[English version here]

Ci-dessus: Félix Gravel, Sylvie Bernier, et Dr. Eric Notebaert lors d’un rassemblement à l’appui du Dalle-Parc Turcot en juin 2017.

UN ENJEU MAJEUR DE SANTÉ PUBLIQUE ET D’ENVIRONNEMENT POUR MONTRÉAL : LE RETOUR DE LA ‘DALLE-PARC’ DANS L’ÉCHANGEUR TURCOT

Ce printemps, l’Association Canadienne des Médecins pour l’Environnement s’associe au Conseil Régional de l’Environnement de Montréal et à plusieurs groupes environnementaux dans une importante campagne de promotion du transport actif.  Il s’agit du projet Retour de la Dalle-Parc Turcot.

Dr Éric Notebaert, membre du conseil d’administration de l’ACME, en parlant à l’événement de lancement de la campagne.

Le grand échangeur routier du sud-ouest de Montréal, l’échangeur Turcot est actuellement en réfection. Il s’agit d’un projet majeur de plus de 4 milliards de dollars, dans lequel une grande plate forme verte entre 2 zones de Montréal était initialement prévue dans les plans. Cette plate forme, la Dalle-Parc est un projet qui permet de relier la partie haute de la ville : Notre Dame de Grâce-Westmount et la partie basse : Verdun-Pointe St-Charles. Cette dalle qui passe au dessus de l’autoroute et de la voie ferrée est un ouvrage qui peut permettre aux piétons et cyclistes de traverser cette zone de façon sécuritaire. Il s’agit d’un beau projet qui favorise grandement les piétons et cyclistes, et qui est, de plus, en lien avec une navette ferroviaire dans l’axe Montréal-Aéroport de Dorval.

Dalle-Parc Turcot
Image du Dalle-Parc Turcot prévu tiré du plan de projet de 2010.

Ce projet de Dalle-Parc permet non seulement de favoriser grandement le transport actif, mais grâce à lui, les citoyens et citoyennes de plusieurs quartiers ont plus facilement accès aux centres hospitaliers et autres pôles d’emplois et de développement, et ce, de façon très sécuritaire. S’il n’est pas réalisé, les cyclistes auront à faire un grand détour de 10 Km pour parcourir une distance d’à peine 1Km. Le projet de la Dalle-Parc permet en outre de diminuer de façon substantielle la pollution et les Gaz à Effet de Serre émis par la ville.

Dans le projet initial de réfection de l’échangeur Turcot en 2010, cette Dalle-Parc était le seul aspect véritablement intéressant au niveau environnemental de ce gigantesque chantier. La Dalle-Parc avait donc le soutien de tous les groupes environnementaux et des citoyens et citoyennes de la ville. Or dans la dernière version du Ministère des Transports du Québec (MTQ) en 2015, la Dalle-Parc était tout simplement disparue. Personne au MTQ ne semble pouvoir expliquer cette décision. Il est important de souligner que le coût de la Dalle-Parc est estimé à 40 millions de dollars, soit 1-2% du budget total de réfection de l’échangeur.

À gauche: projet présenté en 2010, avec la Dalle-Parc. À droite: projet présenté en 2015, la Dalle-Parc a disparu.

Nous demandons dont au MTQ la réinsertion de la Dalle-Parc. La campagne actuelle a plusieurs volets : rencontre avec les politiciens municipaux, provinciaux et fédéraux; rencontre avec les groupes locaux, événements sociaux, festifs, sportifs, culturels, rencontre avec les médias, etc…

Cette campagne durera certainement plusieurs mois. Mais elle durera le temps qu’il faudra. Nous sommes absolument déterminés à gagner cette bataille. Il en va de la santé de la population…et de la planète.


Dr Éric Notebaert 21.03.2017

 

Prescribing Active Travel for Healthy People and a Healthy Planet: A Toolkit for Health Professionals

As health professionals, we know how important it is for our patients to be physically active. After all, physical activity is known to reduce the risk of chronic diseases such heart disease and diabetes. It also improves mental health and provides some relief from arthritis. But we also know that many people have difficulty finding the time to get the levels of physically activity needed to maintain good health. Studies bear this out; the number one barrier to physical activity is time. This is particularly true for women with young children. This is where active modes of transportation (such as walking and cycling) and transit use come in. Research has demonstrated that many people can fold physical activity into their lives if they combine it with other activities such as errands, commuting to work, or taking the kids to school.

As health professionals, we are well positioned to encourage our patients to think about active transportation as a way to get the physical activity they need to stay healthy. When we use the phrase “active transportation”, we mean any activity used to get people from one destination to another that involves physical activity. It can include skate boarding or in-line skating, but usually involves walking or cycling. When we use the phrase “active travel”, we are referring to transit use as well as active transportation because many trips on transit begin or end with walking or cycling.

Unfortunately, many communities across Canada have not been designed to encourage and foster active modes of transportation or transit. Many were built during a time when it was considered wise to separate homes and schools from workplaces and amenities. This led to communities designed around cars; sprawling neighbourhoods with winding roads and cul-de-sacs separated from shopping malls that grouped all amenities into one place. Experience and research has demonstrated the problem with this thinking. We now understand the need for compact neighbourhoods that have enough people in them to support efficient transit service and attract restaurants, stores, and other services. We know that streets built on a grid encourage people to walk and cycle to nearby amenities. We know that streets lined with sidewalks encourage walking by making it safer and easier to do. And we know that busy streets with separated bike lanes are safer for cyclists and encourage more people to ride their bicycles.

But changing the design of communities and streets can be difficult. Resistance can come from a number of different sources. As health professionals, we can play an important role in community decisions. We can help educate the public and decision-makers about the many health benefits of community and street designs that support and foster a healthy lifestyle.

CAPE has produced a new toolkitPrescribing Active Travel for Healthy People and a Healthy Planet: A Toolkit for Health Professionals—to help health professionals become advocates of active transportation and transit with their patients and in their communities. The toolkit is designed with five stand-alone modules so people can focus on the ones of most interest to them. Module 1 describes the health, environmental and social benefits of active travel. Module 2 provides strategies to motivate patients to use active travel. Module 3 explains the links between active transportation and community design. Module 4, designed for health professionals in southern Ontario, focuses on Ontario’s Growth Plan and how it impacts active travel. Module 5 provides strategies for promoting change in one’s community. The toolkit also includes two factsheets and brochures that health professionals can give to their patients, two backgrounders that can be used in meetings with the public or decision-makers, and a series of memes that can be used on Twitter or Facebook to make people think about the many benefits of walking, cycling, and transit for society as a whole.

The toolkit and its various supporting documents can be found at https://cape.ca/active-travel-toolkit/

Prepared by Kim Perrotta, Executive Director, CAPE, March 20, 2017