The new WHO Health Economic Assessment Tool for Walking and Cycling - a sneak preview

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1 The new WHO Health Economic Assessment Tool for Walking and Cycling - a sneak preview Nick Cavill, University of Oxford, UK. Francesca Racioppi, WHO Regional Office for Europe; Sonja Kahlmeier, University of Zurich, EBPI, Physical Activity and Health Unit Rutter H,, Schweizer C, Goetschi T, Kelly P, Brand C, Rojas Rueda D, Woodcock J, Lieb C/Sommer H, Oja P, Foster C

2 A collaborative project Harry Rutter, Francesca Racioppi, Sonja Kahlmeier, Thomas Götschi, Nick Cavill, Paul Kelly, Christian Brand, David Rojas Rueda, James Woodcock, Christoph Lieb/Heini Sommer, Pekka Oja, Charlie Foster Karim Abu-Omar, Lars Bo Andersen, Hugh Ross Anderson, Finn Berggren, Olivier Bode, Tegan Boehmer, Nils-Axel Braathen, Hana Bruhova- Foltynova, Fiona Bull, Alberto Castro-Fernandez, Dushy Clarke, Andy Cope, Baas de Geus, Audrey de Nazelle, Ardine de Wit, Rune Elvik, Mark Fenton, Jonas Finger, Francesco Forastiere, Richard Fordham, Virginia Fuse, Eszter Füzeki, Frank George, Regine Gerike, Eva Gleissenberger, George Georgiadis, Anna Goodman, Maria Hagströmer, Mark Hamer, Thiago Herick de Sa, Max Herry, Marie-Eve Heroux, Gerard Hoek, Luc Int Panis, Nicole Iroz-Elardo, Eva Heinen, Meleckidzedeck Khayesi, Michal Krzyzanowski, I-Min Lee, Christoph Lieb, Brian Martin, Markus Maybach, Irina Mincheva Kovacheva, Hanns Mooshammer, Marie Murphy, Nanette Mutrie, Bhash Naidoo, Mark Nieuwenhuijsen, Åse Nossum, Laura Perez, Randy Rzewnicki, Gabe Rousseau, David Rojas Rueda, Candace Rutt, Kjartan Saelensminde, Tom Schmid, Christian Schweizer, Elin Sandberg, Alexander Santacreu, Lucinda Saunders, Daniel Sauter, Peter Schantz, Christoph Schreyer, Peter Schnohr, Joe Spadaro, Dave Stone, Jan Sørensen, Gregor Starc, Robert Thaler, Marko Tainio, Miles Tight, Sylvia Titze, Wanda Wendel Vos, Paul Wilkinson, Mulugeta Yilma Software development and design: Tomasz Szreniawski, Alberto Castro Fernandez, Ali Abbas, Vicki Copley, Duy Dao Expertise involved: Epi / Public Health Environmental Science Air pollution Health Economics Transport Economics Transport Planning Policy making Practice / Advocacy

3 A collaborative project Harry Rutter, Francesca Racioppi, Sonja Kahlmeier, Thomas Götschi, Nick Cavill, Paul Kelly, Christian Brand, David Rojas Rueda, James Woodcock, Christoph Lieb/Heini Sommer, Pekka Oja, Charlie Foster Karim Abu-Omar, Lars Bo Andersen, Hugh Ross Anderson, Finn Berggren, Olivier Bode, Tegan Boehmer, Nils-Axel Braathen, Hana Bruhova- Foltynova, Fiona Bull, Alberto Castro-Fernandez, Dushy Clarke, Andy Cope, Baas de Geus, Audrey de Nazelle, Ardine de Wit, Rune Elvik, Mark Fenton, Jonas Finger, Francesco Forastiere, Richard Fordham, Virginia Fuse, Eszter Füzeki, Frank George, Regine Gerike, Eva Gleissenberger, George Georgiadis, Anna Goodman, Maria Hagströmer, Mark Hamer, Thiago Herick de Sa, Max Herry, Marie-Eve Heroux, Gerard Hoek, Luc Int Panis, Nicole Iroz-Elardo, Eva Heinen, Meleckidzedeck Khayesi, Michal Krzyzanowski, I-Min Lee, Christoph Lieb, Brian Martin, Markus Maybach, Irina Mincheva Kovacheva, Hanns Mooshammer, Marie Murphy, Nanette Mutrie, Bhash Naidoo, Mark Nieuwenhuijsen, Åse Nossum, Laura Perez, Randy Rzewnicki, Gabe Rousseau, David Rojas Rueda, Candace Rutt, Kjartan Saelensminde, Tom Schmid, Christian Schweizer, Elin Sandberg, Alexander Santacreu, Lucinda Saunders, Daniel Sauter, Peter Schantz, Christoph Schreyer, Peter Schnohr, Joe Spadaro, Dave Stone, Jan Sørensen, Gregor Starc, Robert Thaler, Marko Tainio, Miles Tight, Sylvia Titze, Wanda Wendel Vos, Paul Wilkinson, Mulugeta Yilma Software development and design: Tomasz Szreniawski, Alberto Castro Fernandez, Ali Abbas, Vicki Copley, Duy Dao Expertise involved: Epi / Public Health Environmental Science Air pollution Health Economics Transport Economics Transport Planning Policy making Practice / Advocacy

4 What is the (existing) HEAT? Online tool Designed for transport planners Economic assessment of health benefits of walking or cycling Effects on mortality only Evidence-based Transparent Adaptable

5 What can you use it for? Project evaluation: new or old projects Value of health benefits of investements Assess current use What is walking/cycling worth now in my city, region, country? Modeling projected future walking/cycling How much value walking/cycling can have

6 The question If x people walk/cycle an amount of y on most days, what is the economic value of the health benefits that occur as a result of the reduction in mortality due to their physical activity? New HEAT options - How much do air pollution or crashes affect these results? - What are the carbon effects?

Walking and/or cycling Impacts (Physical activity, air

modes) Time and spatial scale Data inputs Volumes of

share/shift Population size Adjustment of data inputs New

transport or recreation (AP, carbon) In traffic vs.

default values (Uptake period, trip/step length, speeds,

values Physical activity benefit Reduced mortality risk

walking and/or cycling 1 RR AP exposure of active mode

cycling. Countrywide fatal crashes Countrywide vol.

of active mode Carbon Reduction in emissions from

of active modes shifted from motorized modes carbon

Aggregated Mode and pathway specific Monetization Value of

7 Basic functioning of the new HEAT 4.0 User inputs What do you want to assess? Walking and/or cycling Impacts (Physical activity, air pollution, crash risk, carbon emissions -> motorized modes) Time and spatial scale Data inputs Volumes of travel Duration/distance/trips/steps New: Frequency / Mode share/shift Population size Adjustment of data inputs New vs. reassigned Shifted from other modes (carbon) For transport or recreation (AP, carbon) In traffic vs. away from traffic (AP) Calculation parameters Changeable default values (Uptake period, trip/step length, speeds, mortality rate, air pollution level) Other background values Physical activity benefit Reduced mortality risk from walking and/or cycling 1 RR Local vol. of active mode Reference vol. of active mode Air pollution risk Mortality risk when walking and/or cycling 1 RR AP exposure of active mode users Reference AP exposure Crash risk Mortality risk when cycling. Countrywide fatal crashes Countrywide vol. of active mode Local vol. of active mode Carbon Reduction in emissions from substituting motorized modes Local vol. of active modes shifted from motorized modes carbon emission factors Reduced mortality/carbon emissions Aggregated Mode and pathway specific Monetization Value of statistical life (VSL ) or Social costs of carbon. (SCC) RR = relative risk of death in underlying studies (walking: 0.89 and cycling: 0.90). relative risk of death per 10 µg/m3 increase in PM2.5 in underlying studies (1.07) walking module work in progress

8 Interested? We need testers of the new HEAT AND feedback on the old HEAT Online tool early October Test, play, complete feedback survey Come and see us or

9 This project has received funding from the European Union s Seventh Framework Programme for research; technological development and demonstration under grant agreement no

10 The question If 1,000 people start to cycle for 10 minutes per day, what is the economic value of the health benefits that occur as a result of the reduction in mortality due to their physical activity (and increase in mortality due to crash risk)?

The new WHO Health Economic Assessment Tool for Walking and Cycling - an introduction

The new WHO Health Economic Assessment Tool for Walking and Cycling - an introduction Francesca Racioppi, WHO Regional Office for Europe Sonja Kahlmeier, University of Zurich, EBPI, Physical Activity and