Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
Dr Jeffrey Pong
(MBChB, MSc, PHD, FRCS, FCOphHK, FHKAM)
Chairman
Hygienic, Healthy, Dynamic City Promotion Committee
Wanchai District Council
Wanchai Healthy City:
Our Experience and Challenges
Healthy City concept
“a healthy city is one that is continually
creating and improving those physical and
social environments and strengthening those
community resources which enable people to
mutually support each other in performing all
the functions of life and achieving their
maximum potential”
- Duhl and Hancock, 1986
Healthy City concept
• WHO suggests that an ideal healthy city should possess the
following 11 functions:
1. Provide a clean, safe and high quality living environment
2. Possess a stable and sustainable ecosystem
3. Possess a strong and cohesive community
4. Possess a community that is highly participative in policies affecting living standards
and welfare
5. Able to provide residents with basic needs
6. Residents are able to obtain different experiences and resources through numerous
channels
7. Economic activities that are diverse, vibrant and creative
8. Able to preserve historical monuments and respect local cultures
9. Possess a prospective city plan and is a city with unique qualities
10. Provide residents with quality sanitation and health services
11. Residents are in good health conditions.
Applying healthy cities concept in
Hong Kong
• 1100 km2
• Population - 7 million
• 18 district councils
• Home affairs department and
other government departments
in close collaborations with
district councillors
• Government - district council -
people
Wanchai District
• Area: 976 hectares
• Population: 160,000
• Centrally located on the northern shore of Hong Kong
Island, Wanchai is known for its unique and harmonious
blend of old traditions and new developments.
• Hygiene vs Healthy vs Dynamic
Wanchai Hygienic, Healthy,
Dynamic City (HHDC)
Promotion Committee
• One of the first districts apply for memberships
under Western Pacific Healthy cities
• First established in 2003
• Committee Structure:
– Comprise of 6 district councillors on 4-year term
– Committee Meeting every 2-month interval with
government officials and supporting organizations
Aims of HHDC
Promotion Committee
• Promotion of healthy cities concepts in the community
• Improving environmental and hygienic standards and
living standards, promoting healthy lifestyles and
development of healthy communities
• Organize activities with different government or non-
government organizations
• Conjoint events with other committees in public health
campaigns
• Report to Wanchai District Council on progress of
promotion
• Community diagnosis 2003
• Middle aged health survey 2009
• Roadside air pollution study 2010
• Mental survey 2014
灣仔區人生中期健康意見調査
Wanchai middle aged health survey
2009 目標對象為年齡介乎30-60 歲,在灣仔居住或上班上學的人士
Middle Aged working or living population of the district
Results:
• 對自己健康的平均評分為6.9 分, 較<保栢健康指標意見調查2007> 全港市民自我生理健康評分6.5略佳。
Overall health index in wanchai is 6.9 better than HK average
• 男性的生理健康評分有7.3 分,較女性的6.6 分為高
Male health index better than female
• 年紀越大,生理健康的評分越低。
Health index depreciates with age
• 分別有約九成及七成有關人士沒有吸煙或飲酒的習慣
90% nonsmoker and 70% nondrinkers in this study
• 只有兩成二的灣仔市民稱不會做運動,遠比《保栢調查》的四成多
Only 22% respondents claim they never exercise
• 平均每星期運動3 小時,當中又以50-60 歲的居民運動最多,一星期平均花上4.3小時
On average respondents exercise 3 hours / week
• 被訪者平均一星期外出用膳約5 次
On average respondents dining out 5 times / week
• 被訪者的開心指數平均為6.8 分,數字與全港市民的心理健康自我評分相約
Emotional index is 6.8 in this survey, similar to HK average.
• 大約六成市民滿意灣仔的「治安」及「交通」
Around 60% respondents are satisfied with the public security and traffic conditions
• 少於三成滿意灣仔的「環境質素」
Only less than 30% are satisfied with the environmental conditions of Wanchai
• 只有三成半滿意區內的「社會服務」而給予正面評價
Only 35% of respondents are satisfied with the social services provided
• 不足四成滿意區內的「文娛康樂設施」
Less than 40% are satisfied with the recreational and cultural facilities of the district
• 區內流動人口對各個項目的滿意程度,全部都低於居住人口
Respondents of the working population rated poorer than those who are living in the district
Areas which respondents consider
Wanchai need improvement most…
• 「空氣質素」air pollution
• 「人口密度」high population density
• 「交通擠塞」traffic congestion
• 「街道清潔」streets hygiene
• 「公園或休憩地方」park and recreation area
• 「行人路闊度」pedestrian kerbs dimensions
• 「噪音」noise pollution
• 「綠化環境」greeneries
• 「過路設施不足」facilities for crossings
政策建議 Suggestions
空氣質素 Air pollution
當局可以考慮進行更多小型綠化工程,例如在路邊圍欄上加設植物,推行屋頂綠化
District council should consider more facilities with plantations and greenery
人口密度 Population density
灣仔區議會自2008 年開始提倡「公私營機構合作活化灣仔舊區」, 以便
提供更多公共休憩空間、培育多元化的營商環境等。
在活化舊區的同時,可以在「商住混合區」的規劃內,有系統地把商廈和住宅分割,
改善人流分佈
Improvement of recreation and resting facilities, clearer distinction between commercial
areas and residental area during revitalisation of old buildings
交通擠塞 Traffic congestion
研究隊進一步建議,在重組路線時,當局應該減少位於狹窄道路的巴士站數目。
當局亦應把所有公共交通服務一併考慮,例如提供某些轉乘優惠服務,改善灣仔區的
交通問題。
Public transportation such as bus routes should be modified in order to prevent redundancy.
其他建議
盡速改善街道清潔,增加休憩地方,綠化環境,減低噪音,
和改善行人通道
Improvement of sanitation on public places, more plantations
with sound barriers, and improvement of pedestrian pavement
should be considered.
即時增加對區內市民宣傳和教育,傳遞「環境清潔,你我
有責」的訊息
Public education on environmental preservation should be reinforced.
增加區內的小型休憩場所,和改善應有公園和街道的綠化程度。
More resting areas with more plantations should be built.
由於跑步,包括緩步跑,是被訪巿民最常做的運動,區議會可以
盡快增加緩跑徑,或提高現有設施的使用率。
Jogging is considered as one of favourite sports in the survey and
more jogging paths should be built within the district.
Roadside Air Pollution study
• Measurement of air pollutants in 15
roadside sites throughout the district
– Carbon monoxide
– Respirable suspended particle
Roadside Air Pollution study
• Results:
– CO level within local standard limits
– RSP level exceeds local and USEPA/WHO
standards
Roadside Air Pollution study
• Recommendations
– Promote phase-out of high-emission vehicles
– Traffic management to reduce congestion
– Enforcement on heavy polluters
– Tree planting to alleviate pollution
Mental Health Survey 2014
• July – Sept 2014
• Survey on 800 of residents living and / or
working in Wanchai district
• Asked about their mental health via WHO 5
Questionnaires, and their satisfaction to
different aspects of Wanchai district
18
Collaborators
• Baptist Oi Kwan Social services
• Centre for the advancement of Social
service Research
• Wanchai District Council
20
Results
• 3 out of 10 people interviewed failed the passing mark of
WHO -5
• Overall 62 marks for residents in Wanchai , compared to
53 marks for working population in Wanchai
21
WHO-5 Score Distribution Score in residents
vs. working population
Results
• Air pollution and noise pollution is still the
worst problems highlighted by the
interviewees
• Over 20% respondents not satisfied with
Recreational and cultural facilities
22
Problems most wanted for improvement
Conclusion
• Suggest to direct more resources in working population
of the districts, middle aged population is the worst
• Aim to improve noise, air pollution, and frequency of
construction work and parking facilities
• Need to improve the qualities and amount of Cultural and
recreational facilities within the district
23
Healthy and Joyous
Living Wanchai
• Quarterly publication
• Promoting healthy city concept in the district
• Articles on health-related issues
• Updates in health promotion activities
Social inclusiveness
• Equity to people of different age, gender, race,
disabilities, etc
• Promotes Equity in health
“Catering with Inclusion
and Compassion” • Wan Chai - highest abundance of restaurants
• Aim of the Scheme
– Promote social inclusiveness in catering sector
“Friendly Wanchai Project”
• Engaged restaurants in the area to
participate in the project
• promote standards in hardware (facilities)
and software (services) perspectives to
people with disabilities, ethnic minorities,
and elderly population
Participating organizations
• Promotion Committee of "Hygienic, Healthy &
Dynamic City", Wan Chai District Council
• Hong Kong Federation of Handicapped Youth
• Sponsored by The Hong Kong Jockey Club Charities
Trust
• Supported by AFHC China Hong Kong Chapter
Phase 1 – Survey of Restaurants
• Surveys to approximately 100 restaurants in
the district from July to September 2014
• Survey team consists of representative from
minority groups
– Physical/hearing/visual disabilities
– Ethnic minorities
“Single blinded”Assessment
– Consists of different teams of secret
investigators doing assessment on the list of
participated restaurants
– Rated according to the list of requirement
(hardware and software)
Items for assessment in survey
• “Hardware” – Facilities
– Ramp for mobility impaired
– Food ordering form for hearing
impaired
– Multi-language menus for
ethnic minorities, etc
Items for assessment in survey • “Software” – Services
– Procedures to accommodate special needs from customers
• e.g. verbal description of food items for visually impaired
– Attitude of staff towards customers with special needs
• e.g. presence of guide dogs
40
• Entrance with slope
• Presence of chair rest
• Mobile chairs
• Enough aisle spaces
• Menu available
• Waiters ready to assist
hearing disabled person
• Chit for placing orders
• Menu with high contrast
• Waiters ready to assist
visually disabled person
• Guided dogs allowed
• Prepare menu in
different languages
• Pictures within menu
• Enough signage for
entrance window/ glass
door
• Disabled toilet up to
standard
• services
Phase 2 - Commendation Ceremony • on 25th October 2014
• Hon Dr Ko WM from Food and Health Bureau as Guest of Honour
• Commendation of Restaurants with outstanding performance in survey in phase 1
• Total number or restaurant with commendation: 84 – 21 with Bronze awards
– 22 with Silver awards
– 11 with Gold awards
Survey report –
“Friendly Restaurants in Wan Chai”
• Booklet to introduce
“Friendly
Restaurants” in the
district to public
• Include information
of restaurants with
satisfactory
performance in survey
Expected outcomes
• Improved public awareness on social
inclusiveness
• Incentive for catering sector on providing
inclusive environment
• Acting as role model for promotion of
social inclusiveness
Future Directions
• To continue to promote the social
inclusiveness within society in other
sectors, eg public transportation, public
facilities, other shops
• To provide platform for other districts to
conduct similar programs
44