Urban Design 4 Health - Highlights from 2024!
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We are pleased to announce that Urban Design 4 Health has now been in
business for *over a quarter of a century*! Over these 25 years, we have
experienced a lot of changes in the growth and development of this emerging
field of research and policy linking city planning and public health. UD4H
grew out of our own earlier work in the 90’s that first conceptualized and
then created and applied new methods to measure and quantify connections
between the ways we build our urban environments and our health and
wellness. While this work is well documented in the peer reviewed academic
literature; there is a companion story of UD4H’s efforts along the way
applying new methods and tools in a broad range of community settings
nationwide.
Happy Holidays & New Year!
- Urban Design 4 Health
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About 2024: Understanding health, climate, and equity impacts of
contrasting transportation investments, land use, and urban design
solutions gained momentum this year amidst major federal investment. UD4H
and our partners made several significant advancements in the development
and application of tools in 2024 to document a broader range of health
impacts from a wider set of transportation and land use actions. UD4H
developed a web portal (below) where predicted local results for a range of
health outcomes from our National Public Health Assessment Model (N-PHAM)
can be viewed by communities across the nation.
N-PHAM (below) is based on peer reviewed models that predict a wide range
of health related outcomes and is built off a broad set of social /
cultural and built / natural environment metrics we have constructed across
the nation and can be readily employed anywhere in the nation.
This year N-PHAM passed internal peer review at the US Environmental
Protection Agency allowing it to be more widely used agency-wide and
supported by other end users.
We successfully created the first automated “AI driven” modeling approach
known as the PEDestrian Public Health Assessment Model (PED-PHAM) to detect
and then evaluate health (objectively measured physical activity) benefits
of pedestrian scale complete street features. This prototype was funded by
NIH’s National Heart, Lung, and Blood Institute and done in partnership
with Arizona State University (Dr. Marc Adams) and supported with data
provided by UC San Diego (Dr. James Sallis).
This successful prototype supports further development and
commercialization of a fully operational tool that captures the benefits of
relatively easy to implement pedestrian environment features (sidewalks,
seating, crossings) in addition to other walkability, accessibility,
demographic, and natural environment metrics. This work builds directly on
a patent UD4H received in 2023 and supports the National Public Health
Assessment Model (N-PHAM) platform, which has been used in over a dozen
regions of North America (see map).
This year NPHAM was applied in new locations, including Sacramento, where
the Sacramento Area Council of Governments (SACOG) hired UD4H to document
the relative health effects of contrasting regional growth patterns. Our
work documented reduced risk of diabetes and heart disease from
concentrating future growth into more walkable transit supportive
areas. The figure below shows the allocation of future growth (blue bars)
from the most urban areas “centers and corridors” to “rural.” The red line
represents an increasing prevalence rate for coronary heart disease from
left to right (most to least walkable community environments). Pathway 3
shown is the most transit-oriented walkable future growth pattern or
alternative considered within the long range plan update. Our model
results predict Pathway 3 would likely result in 11.4 percent fewer cases
of coronary heart disease compared with Pathway 1; the least compact, most
car-oriented Pathway.
This information is consistent with other health outcomes tested, including
hypertension and diabetes, and was employed within SACOG’s long range
transportation plan update process. Downstream financial impacts of these
results were estimated and included in this process. This health based
information remains relatively new and innovative for metropolitan planning
organizations (MPOs) to use in their regional transportation plan updates
(RTPs) and helped agency staff, decision makers, and the public understand
the scale of and nexus between health, transportation, and growth
patterns.
UD4H has now done several similar applications of N-PHAM for MPOs across
the nation and has gained insight into how this process can be most
effective. UD4H serves other types of end users within transportation,
including state and local governments, and has applied N-PHAM at the
neighborhood scale. Health based organizations constitute another major
set of end users of N-PHAM and UD4H is currently conducting 3 different
studies for different clients within the health sector which we will report
on in the future.
*Looking ahead to 2025*
We will continue scaling and commercializing our decision support tools.
New, even more capable versions of N-PHAM and now PED-PHAM are being
developed. This will take us even further toward completing the entire
invention covered by a patent we were awarded in 2023.
We are expanding our services to better reach healthcare providers, real
estate developers, and investors, and have created what will become an
effective commercialization plan as we evolve from a traditional consulting
and research entity to a data and software as a service provider.
*Please let us know how we can help you better evaluate and consider health
impacts in your work. Have a wonderful holiday season, and best wishes in
the new year!*
Our Team
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UD4H Alumni Associates
- In 2024, Mr. Eric Fox and Dr. Behram Wali took new positions.
- We thank them both for their contributions to UD4H.
UD4H can help you integrate health, equity, and the environment more fully
into your work. We use our innovative, evidence-based, and objectively
measured data and tools to promote human health, social equity,
environmental resilience, and sustainable economic development.
Learn more about the services we offer *here*
<https://urbandesign4health.us7.list-manage.com/track/click?u=0caef1ba55fc678d9f0bfacfb&id=3ad41d026d&e=f35f00e816>.
*Contact us*
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if you would like to discuss ways we can help.
- The UD4H Team
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Urban Design 4 Health (UD4H) develops evidence and tools to support
healthy, sustainable, energy secure transportation and land use decision
making.
*Visit our website:*
www.ud4h.com
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