Building on the Linkages
Transportation and Public Health
Chris Quigley – Transport Policy Division, TransLink
ACT Canada Summit – December 2nd, 2014
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Summary
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The linkages are clear – what next?
Quantifying the health impacts is evolving
TransLink beginning to use a health lens
Transportation referendum in 2015 –
critical for public health
• Partnership working can grow between the
sectors
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1. Transport and Health Linkages
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1. Transport and Health Linkages
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1. Transport and Health Linkages
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Why Now?
• Why is the transport and health linkage
coming to the fore?
– Rising city agenda, growing urban population.
– Both disciplines reconnecting with their past?
– Transportation financing challenges alongside
increasing health expenditures.
– Growth of joined-up government.
– Advances in data collection demonstrate linkages.
– Trends: demographic; chronic health conditions;
changing mobility patterns.
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The Result
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2. Bringing a Health Lens to Decisions
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2. Bringing a Health Lens to Decisions
30 Year Strategy & 10
Year Plan
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Strategic Health Impact Assessment
AIM:
“The Strategic Health Impact Assessment (SHIA) is an attempt to
understand how the proposed RTS investment and policy packages
perform with respect to impacts on public health outcomes.”
OBJECTIVES:
1. To obtain directional input on how different strategic investment and
policy packages perform, including performance across different
population groups and geographical areas;
2. To understand what is the range of impact from different strategic
investment and policy packages and are these ranges meaningful?
3. Generate some key health messages for the development of the RTS
Implementation Plan; and
4. Learn lessons for future health impact assessments on strategic
plans.
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The SHIA Matrix – initial draft
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Refining The SHIA Matrix
• External Expert review of the SHIA Matrix
• Key Question – how can the metrics be more
meaningful to public health?
• Experts included:
Dr Paul Hasselback (Island Health)
Karen Lee
Olivier Bellefleur, Francois Benoit, Julie
Castonguay (NCCHPP)
Roger Parsonage (Interior Health)
Aimee Powell (Peel)
Shelagh Graham, Deanna Betteridge
(Winnipeg RHA)
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The SHIA Matrix
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Key Findings
1. Transport data is collected for transport reasons.
Tension between aggregate regional numbers v
individuals.
2. ‘Alternatives’ with greater VKT reduction led to
better health outcomes.
3. The SHIA should take greater account for land
use changes.
4. Equity is both a separate objective and a lens for
all other objectives.
5. Working at the regional level cannot account for
site-specific (‘design’) variations.
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3. Informing the 10-Year Vision
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3. Informing the 10-Year Vision
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4. A Path Forward
• Near-term:
– What is the role of public health in the upcoming
referendum?
• Ongoing:
– Working in partnership through the Transportation
and Health Agency Working Group.
– HIA sub-committee developing guidelines for
practice.
– Opportunities to grow the partnership, inc. Ministry
of Health.
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