Integration of health in transport planning: the Health Economic Assessment Tools (HEAT) for walking and cycling

• Practical tool for transport planners to estimate the economic value of the health benefits of regular walking and cycling

• Recognition of the importance of economic analysis in transport planning

• Effects on premature mortality ‘only’

• Evidence-based, transparent, adaptable and conservative

Health Economic Assessment Tools (HEAT) for walking and cycling

http://www.heatwalkingcycling.org

A collaborative project

Harry Rutter, Francesca Racioppi, Sonja Kahlmeier, Nick Cavill, Pekka Oja, Heini Sommer, Hywell Dinsdale, Charlie Foster, Paul Kelly, Thomas Götschi, Christian SchweizerKarim Abu-Omar, Lars Bo Andersen, Hugh Ross Anderson, Finn Berggren , Tegan

Boehmer, Nils-Axel Braathen, Dushy Clarke, Andy Cope, Audrey de Nazelle, Mark Fenton, Jonas Finger, Francesco Forastiere, Richard Fordham, Eszter Füzeki, Frank George, Regine

Gerike, Mark Hamer, Max Herry, Marie-Eve Heroux, Gerard Hoek, Luc Int Panis, Michal Krzyzanowski, I-Min Lee, Christoph Lieb, Brian Martin, Markus Maybach, Christoph Schreyer, Marie Murphy, Nanette Mutrie, Mark Nieuwenhuijsen, Laura Perez, Gabe

Rousseau, David Rojas Rueda, Candace Rutt, Tom Schmid, Elin Sandberg, Mulugeta Yilma, Daniel Sauter, Peter Schantz, Peter Schnohr, Dave Stone, Jan Sørensen, Gregor Starc,

Marko Tainio, Sylvia Titze, James Woodcock, Wanda Wendel Vos, Paul Wilkinson

Applications of HEAT

• Project website visited over 40,000 times by over 26,000 visitors;

• Online trainings• Modelling; interventions;

‘steady state’• Used by policymakers;

academics; advocates• Method adopted by

Sweden, England and London

Dissemination events in 2015

• Webinars (English and German) in collaboration with ECF– Interactive, over 400 participants so fa, building a community of users

• Through European Commission (DG SANCO, DG MOVE, DG EAC)– PASTA project (7 case study cities)

• VeloCity 2015• THE PEP workshop in Irkutsk (September 2015)• 1st International Conference on Transport and Health (July

2015)• Informal Council of transport ministers on cycling

(Luxembourg, 7 October 2015)• Polis 2015 Annual Conference (November 2015)

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EU Transport Council, October 2015: Declaration on Cycling

Success: case studies

• England– Part of official toolbox for the assessment of

transport projects (WebTAG)

• Austria– Health effects of national cycling master

plan

• USA– Evaluation of 4 FHWA non-motorized

transportation pilot projects

• London– Action plan, recommendation for using HEAT

in business cases

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Recent and ongoing updates in 2014/15

• Keep HEAT abreast of scientific developments Updated relative risks

functions

Updated VSL (OECD)

• Expanding functionality Air pollution

Injuries

Morbidity

CO2 emissions

• Improve accessibility Translate to French and

German

Air pollution update

Air pollution effect estimates• Health impact in travellers• Based on the difference in the

intake of PM2.5 while cycling/walking compared to not travelling

• Only input required:

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• Background PM2.5 or converted PM10• Where the cycling/walking takes place

• Linear dose-response function (w/c RR adjusted to AP)• Default values for ventilation rates, conversion factors

for PM2.5

Copyright: Harry Schiffer

Air pollution update

Other updates

• Updated population mortality rates

• Updated national VSL estimates

• Usability improvements• German and French translations

(thanks to France and Switzerland)

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Copyright: Harry Schiffer

Next events

• Launch of air pollution module (December 2016)• Translations to French (France) and German

(Switzerland) (January 2016)• Dissemination: webinars, conferences• Scoping exercise on next steps

– User consultation on strengths and weaknesses– Comparison with other models

• Core group meeting on scope of next update (Feb 2016)

• Beyond 2016: further development through EC (DG RESEARCH) project PASTA to address injuries, morbidities and CO2