Better Lives in the West Midlands Jim McManus Joint Director of Public Health for Birmingham 27 th February 2009

Acknowledgements West Midlands Public Health Observatory West Midlands Regional Observatory Birmingham Public Health Information Team Health Protection Agency John Denley, South Birmingham PCT

West Midlands Public Health Observatory

West Midlands Regional Observatory

Birmingham Public Health Information Team

Health Protection Agency

John Denley, South Birmingham PCT

Purpose Look at lives in West Midlands Identify Key differences between us and England and within West Midlands Identify role of environment from review of research Suggest Action

Look at lives in West Midlands

Identify Key differences between us and England and within West Midlands

Identify role of environment from review of research

Suggest Action

Health, Regeneration and Environmentalists in a room together….

Better Lives…better than what? http://www.wmpho.org.uk/resources/HIequalities.pdf

Better Lives…better than what?

Better Lives…better than what?

Better Lives…better than what?

West Midlands Comparison Spearheads Birmingham Sandwell Walsall Dudley Stoke Coventry Tamworth Nuneation & Bedworth

West Midlands Comparison Spearheads Birmingham Sandwell Walsall Dudley Stoke Coventry Tamworth Nuneation & Bedworth

West Midlands Comparison Spearheads Birmingham Sandwell Walsall Dudley Stoke Coventry Tamworth Nuneation & Bedworth

Leading Causes of Death, all ages

Data, data everywhere… 23.6% 26.5% 23.4% 2003/ 2005 Obese adults**** 21.3% 19.1% 16.9% 2007/8 Physically active adults*** 26.3% 25.1% 25.1% 2003/ 2005 Healthy eating adults** 18.0% 17.9% 17.8% 2003/ 2005 Binge drinking adults* 24.1% 24.0% 24.9% 2003/5 Adults who smoke England West Midlands Birmingham Year Key figures for life style Deprivation in Birmingham, West Midlands and England

Obesity by Ethnicity in Children

Obesity by Ethnicity in Children

Adult synthetic estimates Estimates suggest that around 140,000 adults in Birmingham are estimated to be obese The trends in adult prevalence of obesity are upwards, and the Foresight report predicted a significant increase in adult obesity. Amongst men over 40 attending screening clinics last year, 17% of smokers and 22% of non smokers were obese

Birmingham

Lives we could save by Activity Analysis: John Denley, South Birmingham PCT 175.71 43,965 Total 74.33 3820.00 302984 16,844 BENPCT 38.50 1758.67 188610 11,797 HOBPCT 62.89 3135.67 267435 15,324 SBPCT Expected Lives Saved directly attributable to the scheme 18+ ACAAM* Deaths (2005/7 Avg) PCT 18+ Population Average active number of scheme participants

Environmental pollution 57 children per 1,000 have long term lung function problems due to this 36 children and 30 adults per 1,000 have pollution-related asthma 1  g/m 3 drop in PM air pollution could reduce CVD deaths by over 100 As much as 30% of acute asthma attacks and hospitalisations are atttributable to air pollution 46% of acute bronchitis

57 children per 1,000 have long term lung function problems due to this

36 children and 30 adults per 1,000 have pollution-related asthma

1  g/m 3 drop in PM air pollution could reduce CVD deaths by over 100

As much as 30% of acute asthma attacks and hospitalisations are atttributable to air pollution

46% of acute bronchitis

Cardiovascular Disease

Action Air Quality Environmental Infrastructure Trees, microclimate,green space Apply the URGENT research Sustainable activity as default Walking, stairs evident before lifts,cycle paths, disincentives to driving Integrate Green Flag Status

Air Quality

Environmental Infrastructure

Trees, microclimate,green space

Apply the URGENT research

Sustainable activity as default

Walking, stairs evident before lifts,cycle paths, disincentives to driving

Integrate

Green Flag Status

Well designed public green space Encourages physical activity Can reduce feelings of fear of crime Can increase social contact Can improve air quality Can create cooling microclimates Can aid in alleviating stress Is therapeutic

Encourages physical activity

Can reduce feelings of fear of crime

Can increase social contact

Can improve air quality

Can create cooling microclimates

Can aid in alleviating stress

Is therapeutic

Building http://www.heartforum.org.uk/downloads/BuildingHealth_Main.pdf Urban Planning Streets and Public Realm Walking and cycling Outdoor playing space Building Design Strategic Planning

Urban Planning

Streets and Public Realm

Walking and cycling

Outdoor playing space

Building Design

Strategic Planning