Jim McManus: Better Lives in the West Midlands

Better Lives in the West Midlands

Jim McManus

Joint Director of Public Health for Birmingham

27th 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

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

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…

Key figures for life style Deprivation in Birmingham, West Midlands and England

Year Birmingham West Midlands England

Adults who smoke 2003/5 24.9% 24.0% 24.1%

Binge drinking adults* 2003/ 2005 17.8% 17.9% 18.0%

Healthy eating adults** 2003/ 2005 25.1% 25.1% 26.3%

Physically active adults*** 2007/8

16.9% 19.1% 21.3%

Obese adults**** 2003/ 2005 23.4% 26.5% 23.6%

Obesity by Ethnicity in Children

Obesity in Year 0 Children School Year 2007-2008

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

White including British White

Bangladeshi

Indian

Pakistani

Asian including British Asian

Black Somali

Black African

Black Caribbean

Black Other

Mixed/Dual Heritage

Other Ethnic Groups

Unknown

Grand Total

Percentage

Normal

Overweight

Obese

Obesity by Ethnicity in ChildrenObesity in Year 6 Children School year 2007-2008

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

White including British White

Bangladeshi

Indian

Pakistani

Asian including British Asian

Black Somali

Black African

Black Caribbean

Black Other

Mixed/Dual Heritage

Other Ethnic Groups

Unknown

Grand Total

Percentage

Normal

Overweight

Obese

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

Average active

number of scheme

participants PCT 18+

Population

18+ ACAAM* Deaths (2005/7

Avg)Expected Lives Saved directly

attributable to the scheme

SBPCT

15,324

267435 3135.67 62.89

HOBPCT

11,797

188610 1758.67 38.50

BENPCT

16,844

302984 3820.00 74.33

Total 43,965

175.71

Analysis: John Denley, South Birmingham PCT

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

1g/m3 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

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

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