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Posts from the "Public Health" Category

Streetsblog DC 11 Comments

This Is Your Brain on Cars—Oh, and Your Lungs and Heart and Gut, Too

Gerontologists in a laboratory at the University of Southern California exposed a group of mice to the same atmospheric conditions that humans encounter when driving along the freeway. Horrifyingly, they discovered that the mice’s brains showed the kind of swelling and inflammation associated with diseases such as Alzheimer’s. The researchers didn’t super-dose to get these results: The mice were exposed to freeway air for the equivalent of 15 hours a week — less than the 18.5 hour average Americans spend in their cars. Jokes aside about getting those darn mice off the road, the study suggests that driving less may reduce our risk of brain damage.

Let’s make not strapping a child into a car seat a symbolic act of love. Photo: Lafayette County Health

For decades, Americans have been hearing about the dangers of air pollution, much of which derives from our fleet of vehicles. Yet as the body of research has grown, clarifying just how damaging automobiles are to human health and the environment, we’ve persisted in spending an astounding amount of time in cars. As a nation, we drove three trillion miles last year. We have developed responses designed to treat , like keeping children indoors when the local ozone level triggers “code red” or “code purple” alerts. But as a whole, we have not responded to the everyday contamination of our bodies by driving less.

Most of us feel powerless to affect air quality. Many feel trapped by the built environment and unable to cut down on driving. Plenty also see no point in changing their behavior when “everyone else” is going to drive as much as they wish to. It’s unsurprising then that news about pollution is brushed aside—as is news about other ills caused by driving, including crash fatalities and injuries, stress, and obesity.

The UCLA mouse study joined other recent reports that highlight the variety of ways in which remaining overly reliant on the private automobile is self-destructive. But these reports should also make clear that changes in individual behavior can alleviate some of the problems. Here’s just a sampling:

  • Sitting for long stretches greatly increases the risk of heart disease – even if you exercise afterwards – according to a study in the Journal of the American College of Cardiology. It may come as no surprise that sitting isn’t good for your health, but what’s shocking is that the raft of articles following the study tended to ignore active transportation while advocating improbable solutions such as standing treadmill desks. What’s more practical than replacing some of our long hours planted in the driver’s seat with walking, biking, or getting by foot to public transit stops?
  • While there was some good news in the American Lung Association’s 2011 State of the Air Report, as one commentator put it, it was “like getting a 53 on your math test after you got a 49 on your last one.” Half of Americans live in areas in which air quality is unhealthy. The ALA points out that the elderly, the young, and the sick are most vulnerable to the effects of pollution. And of course some of the sick—such as those suffering from asthma and heart disease—can trace the very causes of their conditions to air pollution.
  • Read more…

The Nowtopian 13 Comments

New Freeway Revolt Grips Guadalajara

Definitely No to the Freeway! (La Via Express)

Definitely No to the Freeway! (La Via Express)

While the world has gathered in Cancun, Mexico, to discuss again a shared approach to Climate Chaos, action is already being taken in countless communities. On a visit last week to Guadalajara, Mexico, more than a thousand miles west of the Climate Meeting, I had the pleasure of discovering a vibrant grassroots movement to block the construction of a new 23-kilometer elevated freeway through the heart of the city. Interestingly, this movement leans primarily on people who live along the proposed route of the freeway, but found crucial support and activism from Ciudad Para Todos (City For All), a three-year-old group of bicycle and transit activists who are Guadalajara’s most vocal opponents to the reign of the car.

This is the current situation along much of the line. Train tracks down the middle. High tension electric lines on the right, underground gas and oil pipelines under the left.

This is the current situation along much of the line. Train tracks down the middle. High tension electric lines on the right, underground gas and oil pipelines under the left.

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Streetsblog DC 40 Comments

Our Waistlines Are Expanding In Sync With Our Car-Dependence

cdc_map.jpgStates with the highest obesity rates also tend to be where the fewest people bike or walk to work. Image: CDC

Two
reports released last week underscored the increasing severity of
America’s obesity epidemic. And the eye-opening findings add to the
mounting evidence that stopping the spread of obesity and its attendant
health risks will require changes to the nation’s transportation system
as surely as it demands altering our diets.

A report from the Centers for Disease Control and Prevention released Tuesday
showed the number of obese Americans has increased by 2.4 million since
2007. There are now nine states where more than 30 percent of the
population qualifies as obese — up from three states in 2007. (Just ten
years ago, no state had obesity levels above 30 percent). 

The following day, Gallup released a ranking
of the nation’s most and least obese states as part of a broader index
of well-being. By its accounting, a cluster of states in the southeast
– West Virginia, Kentucky, Mississippi, Arkansas, and South Carolina –
have the highest rates of obesity, while the thinnest states, mainly in
the west and New England, tend to have obesity rates about ten
percentage points lower.

In the CDC ranking of states (which varies slightly from the Gallup
ranking), Colorado and the District of Columbia are the only states
with obesity rates under 20 percent, making their rate nearly 15 points
lower than the most obese states. Their secret? During a press briefing, the CDC’s Bill Dietz speculated
that Colorado’s investment in biking and walking trails, as well as
District residents’ frequent use of public transportation, which goes
hand in hand with walking and thus burns more calories than driving, are
possible factors.

Indeed, if you look at rates of active commuting (walking and
biking) in the most and least obese states, a revealing correlation
emerges. Three of the five most obese states in the Gallup ranking are
also among the five states with the smallest percentage of people who
bike to work. At the other end of the spectrum, four of the ten thinnest
states are among those where people bike to work most frequently. (The
commuting rates come from Census data detailed in this League of American Bicyclists report.)

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Streetsblog DC 5 Comments

The Problems With Ports, or Why We Need a National Freight Act

Maybe you commute by train, or maybe you've switched from driving to biking. But your stuff is still traveling the country by diesel truck.

port_of_oakland_noaa.jpgContainers at the Port of Oakland. Photo: NOAA
Nearly a quarter of transportation-related greenhouse gas emissions come from freight. The movement of goods from port of entry to a store near you throws enough particulate pollution into the air to shorten the lives of 21,000 people each year, according to the Clean Air Task Force.

The freight sector is lumbering under inefficient and outdated systems that cause pollution, public health problems, safety hazards, and delivery delays. There’s never been a coordinated national approach to solving these problems. And with no deliberate strategy, the default approach is often to build more highways.

As Stephen Davis of Transportation for America writes:

If a port is congested or wants to expand, there’s little available federal money to spend directly on rail or any other mode. Your choices are highways or highways. When a state or port does spend to improve operations, there is no accountability to make sure they’re actually reducing port/freight congestion, moving freight faster, or reducing air pollution in surrounding communities.

Enter the FREIGHT Act. (That’s the Focusing Resources, Economic Investment and Guidance to Help Transportation Act of 2010, with true Capitol Hill acronym panache.) The FREIGHT Act was introduced in the Senate toward the end of July and in the House a week later.

The bill focuses on areas known as "connectors," said Kathryn Phillips of the Environmental Defense Fund. “All the literature and studies say it’s the connector areas, the hubs, where you have the most congestion and environmental impacts.” The bill calls for troubleshooting at these bottlenecks, where products are transferred “from boat to truck to another truck to rail” and everything gets bogged down. Trucks get stuck in traffic; trains sit on the tracks; ships idle at port.

Communities near international ports pay the price. In Riverside, California, traffic gets tied up at 26 at-grade rail crossings 128 times a day when trains pass. Add to that the noise and pollution nearby neighborhoods must contend with.

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20 Comments

MTC Adopts Aggressive 15 Percent Target for Reducing Emissions by 2035

2577326999_327ccb7f59.jpgPhoto: Keenahn
The Metropolitan Transportation Commission (MTC), in a historic vote Wednesday that will help guide the future for more sustainable land use and transportation planning in the Bay Area, recommended a 15 percent per capita target for reducing greenhouse gas emissions (GHG) by 2035, the most aggressive goal to date among California's metropolitan planning organizations (MPOs).

"Bay Area residents should be really excited about the 15 percent target. That's because it's high enough to trigger the transportation and land use changes we need to make the region more livable and affordable, especially as our population grows significantly by 2035," said Marta Lindsey, the communications and development director at TransForm.

Lindsey sent out an alert last week urging people to write emails to the MTC, fearing the commission would adopt a lower target of 10 percent, which its planning committee recommended at a meeting earlier this month.

"It's a realistic target given MTC's modeling and the kinds of investments and policies we already know really move the needle in terms of how much people drive their cars," said Lindsey.

Under the groundbreaking anti-sprawl bill, SB 375, most of the state's 18 MPOs are required to set a target for reducing greenhouse gas emissions for passenger vehicles and light trucks by 2020 and 2035. The California Air Resources Board (CARB) recently adopted a set of draft targets (PDF) for the four largest MPOs (the Bay Area, Sacramento, Los Angeles and San Diego), which represent 80 percent of the state's population. Each MPO will then be required to development a Sustainable Communities Strategy (SCS) to show how it will meet its target. CARB is expected to adopt final targets in September.

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Streetsblog DC 8 Comments

Car-Dependent States Hit Hardest by Obesity Epidemic

driving_obesity.pngStates where more people drive to work
face an even worse obesity crisis. Graphic: Noah Kazis and Carly Clark

Transportation
is a public health issue. As profiled in the recently released report
from the Trust for America’s Health, "F as in Fat,"
obesity rates continue to rise across the nation, increasing the risk
of serious health problems like diabetes and hypertension. To solve the
obesity epidemic, the data suggest, we need to rethink our dependence on
the automobile. 

"F as in Fat" breaks out obesity numbers state by state. After
glancing at their
map
, it seemed like transit and pedestrian-friendly states were
doing better than the national average. To get more precise, we decided
to compare adult obesity rates, as gathered in the report, to commuting
statistics in the U.S. Census. You
can download our spreadsheet here

The result is the scatterplot shown above, which clearly shows that
states where more people drive to work have higher obesity rates.
Caveats abound — correlation isn’t causation and state-level data can
obscure important patterns visible only through a closer microscope –
but the result is provocative. The two outliers are D.C. and New York
State; they imply that while a large shift away from driving can make a
big difference, it can’t solve the obesity crisis on its own.

Although "F as in Fat" doesn’t analyze transportation behavior
itself, the authors agree that moving away from a reliance on the
automobile is a critical component in curbing obesity. Their
recommendations include: passing
legislation supporting non-motorized transportation
, such as an
expansion of the Safe Routes to School program or a national complete
streets bill; building more safe pedestrian space and bike paths to
encourage active transport; and supporting mixed-use, walkable, and
transit-oriented development.

The Nowtopian 25 Comments

Say What?

cable_car_at_columbus_and_powell_7316.jpgThe vibrations and rumble of cable cars used to occur on many of San Francisco's streets.

We are often attracted to city life for the energy, the boisterousness, the noise. I am a city guy having lived all my life in cities (born in Brooklyn, Chicago until age 10, Oakland until 17, and San Francisco since I was 20). I often make the joke that "nature is trying to kill me," when one of my friends suggests we go camping. Back in the late 1970s and early 1980s I was a punk rock fan, and went to dozens of shows with ear-splitting volumes. I've been to plenty of other events through the years with overwhelming noise, from other concerts to major sports events, etc. Maybe that's why I have had a ringing in my ears for the last two years (tinnitus). And perhaps not surprisingly, I've become increasingly frustrated at the oft-overlooked urban problem of noise pollution.

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Streetsblog DC No Comments

Detroit Residents Press EPA for Stronger Air Pollution Monitoring

In Washington, "grassroots lobbying" is more often associated with industry-funded issue campaigns than ground-up local advocacy. But residents of Detroit's industrial southwest neighborhoods took the term back to its roots on Friday, getting a personal visit from Environmental Protection Agency (EPA) officials after a groundswell of complaints about decaying air quality.

sm_DSC01515.JPGCyclists in southwest Detroit. (Photo: Detroit Synergy)
From the Detroit Free Press' report:
Environmental Protection Agency officials watched intently Friday as a computer that measures air pollution on the spot showed spikes around industrial plants in southwest Detroit. ...

Next to the plants in the 48217 ZIP code and nearby areas are whole neighborhoods boxed in by oil recycling plants, asphalt makers, a steel plant, a stinky composting yard, a salt factory and an expanding oil refinery.

"This is what we live with," said [Jayne] Mounce, who lives near Marathon's oil refinery and petroleum terminals.

This week, Mounce said she had taken her own air samples with the help of national environmental monitoring group Global Community Monitor and found lead-laden dust, which could come from a steel mill nearby. A few months ago, similar sampling found a dangerous chemical in the air -- methyl ethyl ketone, a gas that can cause numbness, tremors and gait problems.

The story notes that EPA officials have "fewer than 50 air monitors" in the entire state of Michigan, where the industrial base has shrunk in recent years but remains a prime economic mover -- and generator of air pollution. Nonetheless, the Detroit residents' plea for stronger air quality standards is an unusual sight compared with the more common practice of localities seeking more lax rules or more time to comply with EPA pollution limits.

Methyl ethyl ketone, the gas found in local air sampling, is commonly found in manufacturing plant emissions as well as specific products such as industrial glue and the exhaust of cars and trucks, according to the Centers for Disease Control's toxic substances registry. In 2005 it was removed from the list of hazardous air pollutants regulated by the EPA under the Clean Air Act after a federal appeals court ruling that endorsed the move.
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First Lady Launches Childhood Obesity Push With Nod to Biking & Walking

First Lady Michelle Obama took to the mikes this afternoon to kick off a national campaign to combat childhood obesity, emphasizing new initiatives to promote biking and walking alongside a strong focus on healthier food options in schools.

alg_michelle_obama_sesame_street.jpgThe first lady visited "Sesame Street" last fall as part of her push to fight childhood obesity. (Photo: NYDN)

Mrs. Obama appeared with six Cabinet members, the Surgeon General, and several lawmakers and mayors to mark the president's official creation of a new Task Force on Childhood Obesity. As part of the first lady's new effort, the White House plans to expand the President's Council on Physical Fitness and Sports, while setting up a Safe and Healthy Schools Fund during hte next reauthorization of federal elementary education law.

In her remarks to the press this afternoon, Mrs. Obama paid particular attention to the lifestyle shifts that have led many kids to a more sedentary routine -- and helped contribute to obesity rates of 17 percent for children and teens, according to the Journal of the American Medical Association. (The same study found that one of every three U.S. kids are oversight.)

The first lady said:

In my home, we weren't rich. The foods we ate weren't fancy. But there was always a vegetable on the plate. And we managed to lead a pretty healthy life.

Many kids today aren't so fortunate. Urban sprawl and fears about safety often mean the only walking they do is out their front door to a bus or a car. Cuts in recess and gym mean a lot less running around during the school day, and lunchtime may mean a school lunch heavy on calories and fat. For many kids, those afternoons spent riding bikes and playing ball until dusk have been replaced by afternoons inside with TV, the Internet, and video games.
Mrs. Obama highlighted the presidential budget proposal for $400 million in financing to develop supermarkets and farmers' markets in neighborhoods that currently lack a walkable healthy food option, but she did not directly mention Safe Routes to School, the federal program that helps carve out local routes for children to bike and walk from home to class every day.
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Study Finds Livable Streets Even More Important for Kids than Adults

IMG_1459.jpgFewer cars means more walking and healthier kids.

By most measures, San Francisco is a great place to walk and bike, with its compact street grid, mixed-use neighborhoods and relatively mild weather. But a new study conducted by UC Berkeley professor Michael Jerrett suggests the city may need to focus on taming traffic before kids will get the full health benefits of that dense development.

Streetsblog New York's Noah Kazis reports on the study, which links traffic volumes to youth obesity:

Jerrett shows that not only does the built environment matter, but traffic volumes matter too. His team's long-term study tracked children from across Southern California, starting from ages 9-10 and continuing through high school. Controlling for a wide variety of factors, they compared the children's body mass indexes (BMI) to the density of traffic near their homes.

Children living within 150 meters of high-traffic areas were found to have, on average, BMIs five percent higher than those living near low-traffic areas. Only the immediate surroundings seem to matter: Traffic levels within 300 or 500 meters didn't affect BMI.

The researchers put forward two reasons for why traffic volumes contribute to obesity. High asthma rates could be part of the equation, making kids less likely to engage in physical activity. Kids - and their parents - also seem to be especially sensitive to the real or perceived danger from cars, much more so than adults.

To put the findings in context, a regular San Francisco block is about 600 feet, or about 180 meters. If kids live on a street with a lot of traffic, or if the next cross street is overrun with cars, there's a real chance they'll be less likely to bike or walk.

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