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On the benefits of walkable communities to pregnant women

I break the series on MCIA Terminal 1 to share this interesting article relating walkable communities to healthier pregnancies:

https://www.unh.edu/unhtoday/news/release/2023/08/17/researchers-find-walkable-communities-are-healthier-both-mom-and-baby

To quote from the article:

“The study, published in the journal of Economics and Human Biology, found that expectant mothers living in walkable counties tend to engage in more walking and exercise and have fewer issues with premature births, low birth weight, gestational diabetes and hypertension. Walking is often recommended as a safer, more moderate activity for pregnant women, so the authors reasoned that living in a more walkable area could have health benefits for them.”

If you’re interested in the details of the study referred to in the article, here is the link to the paper entitled “You’ll never walk alone – the effects of walkability on pregnancy behaviors and outcomes” in the journal Economics & Human Biology:

https://doi.org/10.1016/j.ehb.2023.101269

On one’s exposure to noise

Here is another article on noise, relating about how it affects our health (e.g., “noise can damage your heart as well as your hearing”). The article also includes reference to an app developed by the US National Institute for Occupational Safety and Health (NIOSH) – a sound level meter iOS app that utilizes sound energy, and has its accuracy verified in an acoustics lab.

 

To quote from the article something related to transport and traffic:

“As a general rule of thumb, the World Health Organization considers average road traffic noise levels above 53 decibels and average aircraft noise levels above 45 dB to be associated with adverse health outcomes, though their metrics are weighted slightly differently than the average on your screen.

Nighttime noise is considered particularly harmful because it can fragment your sleep and prompt a stress response, even if you don’t remember waking up. The W.H.O. has long recommended less than 30 dB of nighttime noise inside your bedroom for high-quality sleep.”

We tend to dismiss or take for granted the noise from transport and traffic. While it seems that it does not have an effect on our health and well-being, it will eventually catch up with us and cost us health-wise. I have downloaded and installed the NIOSH app on my phone and occasionally monitor the noise around me whether I am at home or at the office. It can get pretty loud during my commutes and I drive so am curious how loud it can be for those taking public transportation. I have experienced riding in jeepneys blaring loud music. A daily dose of that for long periods each way of the commute will surely affect one’s hearing and overall health. Exposure, after all, isn’t just about the intensity of the noise but how long you experience or endure it.

On noise and how it affects your health

I am sharing this article on noise that was recently published in The New York Times:

Baumgaertner, E., et al (June 9, 2023) “Noise Could Take Years Off Your Life. Here’s How,” The New York Times, https://www.nytimes.com/interactive/2023/06/09/health/noise-exposure-health-impacts.html?smid=url-share [Last accessed: 6/13/2023]

To quote from the article:

“European countries have far outpaced the rest of the world in regulating noise. The European Union requires member nations to monitor and assess sound levels across regions and to produce new action plans every five years to address communities at greatest risk. The E.U. now mandates quiet brake locks on rail freight fleets and noise labels on outdoor power equipment; it also requires noise reduction in car manufacturing and mitigation efforts at airports.

Individual cities and countries have taken additional measures. Paris has installed noise cameras that measure the sound level of vehicles and fine drivers who exceed them. Berlin has used new bike lanes to reduce the flow of engine-powered vehicles and move the source of the noise to the center of the road, away from houses. Switzerland has introduced national “quiet hours” — overnight, one midday hour on weekdays, and all day on Sundays.

While scientists say it’s too soon to make a prediction about the effects of these policies on cardiovascular health, several European countries have reported tens of thousands fewer residents exposed to major sources of noise.

Like many health issues, protection against noise would be economically advantageous. Economists who analyzed health care spending and productivity loss because of heart disease and hypertension have argued that a 5 dB reduction in U.S. noise could result in an annual benefit of $3.9 billion.”

Not everyone is aware of how noise may affect our health. Most of us are exposed to noise of different levels and lengths of time (i.e., duration). We probably take for granted, for example, the noises we hear during our commutes or perhaps the noises in our workplaces. These actually take a toll not just on our hearing (e.g., long time factory workers likely have hearing problems after they retire) but other aspects of our health as well. Long commutes inside jeepneys blaring music can do damage to your health. Noise from busy streets will cause damage to the health of those residing along these streets. Are we doing anything to mitigate such noise in the Philippines?

On air quality in subways

I saw this article on Wired and immediately read it as the topic to me was interesting. I have been using when I lived in Japan in the 1990s and in Singapore in 2010-2o12. I have used the transit system in many other cities including in the US and Europe. And so the topic of air quality in subways (particularly the stations and inside the trains) got my attention. I guess this is not entirely an issue for ground-level and overhead systems like what most of Lines 1, 2 and 3 and the PNR are. Only Line 2 has one underground station (Katipunan Station) and perhaps has that issue. Here is the article about the air in subways:

Baraniuk (April 24, 2023) “The Filthy Truth About Subway Air,” Wired, https://www.wired.com/story/subway-air-health/ [Last accessed: 4/25/2023]

To quote from the article:

“The big unknown is whether all of this particulate matter is actually causing health problems for people. Millions of commuters use metro systems, in many cases for multiple hours a day, five days a week, for years on end. And thousands of transport workers spend even longer in the tunnels. But there are no widespread signs of severe or acute health problems among these populations, even if pollution levels in subways exceed recommended limits. Could there be more subtle, chronic effects, however—impacts on lung, brain, or heart function?”

 

Indeed, metros or subway systems have been operating for over a century and so far there is limited that we know about the health risks concerning their use by passengers. But this is something to keep in mind as the Philippines builds its first subway line in Metro Manila. The depots and the situation of workers thought may be a different matter. I recall one of my colleagues at the university doing a quick study of the Line 3 depot, which is underground (i.e., underneath the Trinoma Mall), and measurements showed the air quality to be quite bad. Imagine working there and being exposed to that everyday. Those conditions merit further study but require immediate action to improve working conditions considering the impact to health.

Noise, air pollution and your health

Here is another quick share of an article relating transportation and health:

Hunter, M. (March 27, 2023) “Road Noise Might Be One Reason Why Your Blood Pressure is High,” Medium.com, https://medium.com/beingwell/road-noise-might-be-one-reason-your-blood-pressure-is-high-5f6c7bd69ad8 [Last accessed: 3/29/2023]

To quote from the article:

“After a median of 8.1 years, the researchers discovered a dose-response relationship: The higher the noise exposure, the greater the risk of having a diagnosis of hypertension.

For every 10 decibel increase (in average 24-hour road traffic noise level), there was a 1.07 times rise in the chances of having high blood pressure. The researchers adjusted the data for fine particles (PM2.5) and nitrogen dioxide (NO2) exposure.

Exposure to air pollution and traffic noise exposure led to the highest high blood pressure risk.”

Both air pollution and noise are mentioned as issues to be addressed by implementing programs for sustainable transport. Sustainable transport includes low carbon transport as well as the reduction of noise generated by traffic.

Child’s perspective of road safety

As adults, many of us seem to have forgotten how it was to be a child and to see things from a child’s perspective. This perspective is important in many cases, situations or scenarios. One area where we can use this perspective to improve how things are is in road safety. As they say, streets that are safe for children are safe for everyone else. I am sharing this guide that also includes a project involving coming up with a reverse periscope. The reverse periscope is intended for an adult to have the view of a child.

How Do Kids Experience Streets? The Reverse Periscope Companion Guide

This guide would be something that can be used in road safety seminars or workshops that include some field activities. Participants can use the reverse periscope to simulate being a child as they walk and cross streets. An activity can be designed for transport and highway officials, even local government staff involved in planning, design and assessment of streets.

On getting started on bike commuting

Here is another article on bike commuting. It really is a challenge to get people into bike commuting even if their workplaces or schools are close to their homes. What more for people who have to travel longer distances between their homes and workplaces or schools?

Bassett, E. (December 1, 2022) “The No B.S. Guide to Getting Started Bike Commuting,” Medium, https://erikbassett.medium.com/the-no-b-s-guide-to-getting-started-bike-commuting-5dd0cbb87e5b [Last accessed:

To quote from the article:

“Assume you’re invisible until proven otherwise.

Like every city I’ve lived or ridden in, yours probably paints pictures on the ground and calls them “bicycle infrastructure.” Road designs encourage excess speed; vehicles aren’t meaningfully separated from cyclists and pedestrians; there are conflicting rights-of-way at intersections, driveways, and so forth.

And that is not right. It’s a sad commentary on urban “planning” in most places that anything but car use requires this degree of paranoia. It points to a profound dysfunction that few (with any serious influence) are willing or even interested to change…yet.

But unless or until it improves, the only viable response is to assume you don’t exist in the eyes of whoever’s driving nearby. “If I weren’t here, would they gun it to make a right turn on red?” Well, assume they will. “If I weren’t here, would they merge up there?” You guessed it: assume they will.

This is unquestionably the worst aspect of bike commuting, and if it’s too stressful in your situation, that’s perfectly fine. But in the spirit of a “no-B.S.” guide, I’d be remiss not to drive home a life-saving lesson that all these years of cycling have so deeply ingrained in me.”

The author also states the difference between bike commuting and sports biking including noting the differences in the objectives or goals for each.

Why do we keep widening roads?

I’m just going to share this article here. The article from The NY Times asks a question that has been bugging planners and engineers, particularly those who are in government and perhaps under the agencies like the DPWH, DOTr and NEDA. This also applies to planners, engineers and those from other disciplines involved in transportation infrastructure development and particularly roads or highways.

 

On having daily walks to improve health and wellness

We begin October with an article about walking, health and wellness. I can relate to this article as we take daily walks, usually in the mornings. One positive outcome of the COVID-19 pandemic and the shift to more hours from home (rather than at the workplace) is that we have been able to schedule and increase time for our walks. And this has led to a healthier lifestyle for us.

To quote from the article:

“When it comes to brisk walking, “at these moderate levels of effort, you are able to increase your aerobic capacity,” Dr. Singh said. In addition to the long-term health benefits, such intensity would also lower blood pressure, moderate blood sugar levels and lower the risk for heart attacks and strokes.

The key is to walk at an intensity that is manageable but also slightly pushes the boundaries of what is a comfortable pace.

“That constant slow stress on your body is what leads to fitness gains,” Dr. Singh said. “If you’re just getting started, this is probably the easiest way to get started and stay committed, consistent and injury-free.””

Star ratings for bicycles

I just wanted to do a quick share of a new method for evaluating road and bicycling infrastructure – cycleRAP. This was developed by the International Road Assessment Program (iRAP), which has established a star rating system as the international standard for road safety assessments. We currently use their Star Ratings for Schools (SR4S) to evaluate the school environment towards ensuring safe journeys for school children. Here’s the link to their website:

https://irap.org/cyclerap/

To quote from the site: “CycleRAP is an easy, affordable and fast method of evaluating road and bicycling infrastructure for safety. It aims to reduce crashes and improve safety specifically for bicyclists and other light mobility users by identifying high risk locations without the need for crash data.”