54-57 Allison Street

Digbeth, Birmingham, B5 5TH

0121 632 6753

30/12/2004

References for Acocks Green

 

 

1.        Cycling network & model
The Cycling network & model proposal is based on  ‘Cycling in Towns and Cities’, European Union, http://europa.eu.int/comm/environment/cycling/cycling_en.pdf  

CYCLING and SOCIAL INCLUSION increasing cycling rates can be implemented and does improve social exclusion

The WHO advises similarly Healthy Cities and urban governance but is ignored here in Bham. See
A PHYSICALLY ACTIVE LIFE THROUGH EVERYDAY TRANSPORT


2.        Diabetes

·          Diabetes is increasing at 10% year.

·          There are 26,400 people in Acocks Green (census) = 1/40th population of Birmingham

·          5% of the population are diabetic =1320 diabetics, figures will increase in 100% in 10 years =2640 diabetics in 2015

·          if 25% extra cycle, they will be less likely to become diabetic 2640 x 25% = 330

·          http://www.rcn.org.uk/news/congress2002/congressitems/diabetes.php (1000s of other similar references)

3.        Obesity

·          Obesity costs account for about ~9% of health care costs (causing diabetes, heart disease, arthritis, cancer etc) http://www.idfa.org.uk/publications/HOC_obesity.pdf & http://my.webmd.com/content/article/64/72524.htm

·          Obesity increasing at 70%/decade  =17% in 2015 (http://www.healthaffairs.org/press/mayjune0302.htm)
(but even these will double in the next 10 years, so the savings will be greater…obesity will then cost 24% of the health care budget unless action is taken by 2025)

·          Heath costs of Acocks Green = £1b x 1/40th (£1b is the health cost of the city/year) = £25m/year

·          Obesity costs £25m/year x 17% for Acocks Green = £4.25m will be due to obesity in 2015…

·          if 25% people exercised, then their obesity would be at least in part prevented…£4.25 x 25%= £1.06m

·          Slow speeds increase physical activity: http://www.ncbi.nlm.nih.gov/

4.        Road Traffic Accidents

·          http://www.who.int/world-health-day/2004/infomaterials/world_report/en/
http://www.who.int/world-health-day/2004/infomaterials/world_report/en/main_messages_en.pdf

·          Costs equate to £1m for each death/serious injury

·          120 deaths/serious injuries/year in Birmingham= costs £120m

·          for Acocks Green 120/40 = 3 deaths/serious injury/year, @£3m

·          reducing speeds by 10mph reduces deaths and serious injury by half …saving £3m x ½= £1.5m
(http://www.who.int/world-health-day/2004/infomaterials/world_report/en/speed_en.pdf)

5.        Crime

·          Crime costs the UK £60b/year, so Birmingham’s costs will be about £1b/year,
http://www.gateshead.gov.uk/CrimeAudit5.pdf.

·          £1b x 1/40th  = £25m/Acocks Green

·          Antisocial behaviour is reduced by sport/physical activity:http://www.ncbi.nlm.nih.gov

·          Exercise and sport reduce antisocial behaviour 27-75% http://www.ausport.gov.au/fulltext/2003/aic/rpp49.pdf & here http://www.aic.gov.au/publications/tandi/ti249.pdf

·          Crime costs would be reduced, with a 25% cycling rate, by £2-5m in Acocks Green

·          Birmingham has twice the average crime http://news.bbc.co.uk/1/shared/spl/hi/uk/02/cracking_crime/my_area/results/html/cn.stm

·          Crime rates are much lower in Holland, where cycling is far more popular http://www.justitie.nl/english/press/press_releases/archive/archive_2004/121004Dutch_Cabinet_safer_place.asp

 

6.        Cancer

·          Commuting physical activity prevents cancer
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15496538

·          More evidence that exercise prevents cancer
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Display&dopt=pubmed_pubmed&from_uid=15496538 &
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12442559  

7.      Education

·         Education, Birmingham, £1b/year, £1b x 1/40th  = £25m/Acocks Green

·         Educational achievement increases 18% with sports programs

·         If 25% cycle regularly , there will be a (£25m x 25%  x 18% =) £1.125 saving http://www.aic.gov.au/publications/tandi/ti249.pdf

·         Health behaviours predictors of educational level in adulthood http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12821008  & http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=10396520

·          Exercise, good health, and educational level are all linked http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15539045

 

8.        Mental Health

·          Depression is prevented by regular exercise
http://www.ncbi.nlm.nih.gov/ ,  http://www.ncbi.nlm.nih.gov /,    http://www.ncbi.nlm.nih.gov/

·           

·          http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14643742

·          exercise produces a 50% improvement in mental health

·          http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15543228

·          by 45% http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15446645

·          Mental health costs are £3m/year in Acocks Green…
is 25% extra people cycled, they would be 50% less likely to be depressed, a saving of about £0.3m in Acocks Green

·          physical exercise improves self-efficacy (this is an indirect measure of mental health/substance abuse etc)
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15514962

                       http://www.countrysiderecreation.org.uk/CRN%20exec%20summary.pdf

 

9.        Drug Use

·          Physical exercise reduces problem behaviour http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12395145

·          Reduction is about 30% http://www.aic.gov.au/publications/tandi/ti249.pdf in those that exercise, so a 25% increase in cycling would reduce drug use by 7.5%

·          Sport and unhealthy lifestyle
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15230503  &
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=10387502

·          smoke more, exercise less:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=9158910 & http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11582610

·          Sport improves health
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=2218637 & http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=2255968

10.   Ethnicity

·          Some ethnic groups exercise little (for instance few Asian women cycle in Birmingham..leading to poor health) and should be targeted http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=9813874

 

11.   Cities

·          Far more people walk in Paris than most cities...their health is better
A new way to compare health systems: avoidable hospital conditions in Manhattan and paris

11. Blindness/partial sight

·          Age-related macular degeneration (ARMD)

This affects 33% of those over age 85

600 people>85y in Acocks Green, one third, that is, 200 will have visual loss from ARMD,

http://www.goodhope.org.uk/departments/eyedept/armdepidemiology.htm

 

the number of elderly is will increase by 50% by 2015,

http://www.sghms.ac.uk/depts/gm/Adminstration/Academic/student/fourth.htm

so by 2015, 300 will have visual loss from ARMD

(in Acocks Green)

About 50% of this will have causes similar to those causing cardiovascular changes =300 x 50% =150

8% of Birmingham’s cardiovascular disease is due to particulates (from pollution), so 8% x 150 = 15 people will have poor sight due to ARMD & cardiovascular disease,

if 25% people cycled, particulates would be reduced by 25%, so 3 (~15 x 25%) people fewer would be blind/poorly sighted due to ARMD,
so with a cycle network in Acocks Green instead of 150 ARMD sufferers with poor sight, there would be 147

·          Diabetic retinopathy and blindness.

There are 1300 people with diabetes, 2% will be blind, =26 total

In 2015, with no increase in cycling/walking………….= 52

If 25% cycle/walk, in 2015                                                    = 46

6 fewer people will be blind from diabetic retinopathy if 25% cycle/walk by 2015.

 

So in total, 3+6 = 9 fewer people would be blind/partly sighted in Acocks Green with a cycle network/25% cycling.

12.   Investment

    It is well known that people prefer to live in areas with good quality education and pleasant surroundings. Improving the quality of education in schools particularly would help to attract and retain many parents and would-be-parents. Until recently 11% of children left the city's schools unable to read...there has been a massive improvement, but there are many weak areas. For instance, there are very few apprenticeships-with-prospects available to less academic children....engineering in the city remains poorly paid, with unpleasant working conditions, and little investment in the shop floor.

           Similarly, pleasant surroundings, such as those seen in a few UK cities, and many European cities will help to retain the educated children and students, many of whom leave Birmingham at the first opportunity.

          There is minimal investment in green manufacturing in the city....the city would have a much more sustainable economy if manufacturing switched from making very large fast cars...new industries might include solar panel manufacture, for every single home in the city...we need to harness, focus and develop such ideas or even better proposals.

         IT investment is haphazard...it is not clear that the city is doing as much as it can to attract investment. Tourism, similarly, a lot has been done...but we are building extremely ugly buildings, losing our trees and green space, despite the fact that we have square miles of brown field sites...and this will put many tourists off.

         With these measures more jobs will be created...and higher employment reduces crime and improves health etc.

  

13. Conflict resolution and problem handling

   There are many new psychological techniques that help improve people's health and prevent criminal behaviour. These are incorporated into good schooling, but where this has failed/was or was not sufficient, they can be used outside schools with great benefit.

 

14. Facilities & planning

   Goverment statements here point out the problems or poor urban design, but Birmingham is (with a few exceptions) not learning the lessons, and a city with ugly surroundings (eg the Middleway environs) and without facilities will not attract investment. Simialry, poor urban design contributes to crime...this is not being addressed by the city's planners (other then a small area in the city centre).

          Lack of facilities... many areas have no local library or swimming pool, and are set to lose those they have. Occasionally new facilities are built, but there is always a gap of many years when the first (such as the Science museum) is closed, and the new one (Think Tank) opened. Even central Birmingham has no reasonably sized swimming pool.

           The Central library has 3 large groups or readers...those working in the city centre, ~16y old young people, and unpaid people. None of these will make the journey to the new site...a site 30 minutes walk away for the centre, 20 minutes from the main bus stop. This is an example of the lack of joined up thinking, particularly as concerned to planning, in the city.

           As far as cycling is concerned, there is not even a north>south cycle route through the city centre..this is an impossible journey. The suburbs are not better, and are simply not safe for young cyclists, with very fast traffic driving very close to cyclists. The same happens in many cities ...planners are not learning.

           There are a few skateboarding factilities, but even some of these are set to close....what exercise are young people to have?

14. Good Housing
   Birmingham has made great efforts in improving the quality of its housing stock, but has some way to go. Greener homes, better insulated, needing less energy will cause less pollution.
Better housing reduces urban deprivation, but it does need to be accessible on foot. cycle, and bus.  See and here
 

Figures for Acocks Green

2005

2015
no increase in cycling

2015
25% extra cycle/walking

Saving/year

Diabetes  

1320

2640

2310

330 fewer people diabetic

Obesity costs/year

£2.5m/year

£4.25m/year

£3.19m

£1.06m/year

Obesity disability ~

400

800

750

50 fewer

disabled due to poor mental health

160

160

144

16 fewer

Mental health costs

£3m/year

£3m

£2.7m

£0.3m/year

Drug use 16-25years

Use drugs each year

3000

3000

2775

225 fewer users

Cost of drug use

£25m

£25m

£23.125m

£1.875/year

Deaths from particulates

~12

~12

~8

4 deaths

Educational achievement

9000 with qualifications

9000

9405

405 extra people with qualifications

Educational achievement £££

 

£25m

£25m

£25m+£0.45m  ↑ value

£0.45m/year

Crime : (Acocks Green has 170% x UK average)

710 recorded crimes-serious

710

639

71 fewer crimes/year

Cost of crime

£25m

£25m

£22.5m

£2.5m/year

Road accidents/year

3 serious injury/death

3 serious injury/death /year

1.5 serious injury/death /year

1.5 fewer disabilities
/death/year

Cost of these accidents

£3m

£3m

£1.5m

£1.5 m/year

Blindness/partial sight (ARMD & diabetic  retinopathy only)

 

202

193

9 fewer blind/partially sighted/year

Cost for safe cycling

 

£8-11m (one off cost)

 

 

Acocks Green MP, Roger Godsiff, Population 26,400