The urban burden of disease estimation for policymaking in 1000 European cities

Abstract In Europe, over 70% of the population lives in urban areas. Cities promote innovation and wealth creation; however, they are also a main source of pollution, disease and mortality, to some extent linked with suboptimal urban and transport planning practices. The aim of the project is to improve the estimation of health impacts and socioeconomic costs of environmental stressors related to urban and transport planning, advance modelling approaches and strengthen evidence-based policy-making. The analyses focus on air pollution, noise, temperature/heat and lack of green spaces for nearly 1000 European cities. We are (1) developing an overall urban burden of disease impact assessment framework; (2) identifying health and wellbeing indicators; (3) obtaining exposure-response relationships for environmental stressors and health outcomes of interest; (4) developing tools and guidelines for cost-benefit analyses; (5) obtaining health and environmental stressors data for cities for 2015, 2018, 2021 and 2024 and (6) calculating health and socioeconomic impacts and monitor trends. Specific urban and transport planning scenarios will be developed for case-studies cities (Barcelona, Brussels, Manchester, Munich, Utrecht, Sofia, Warsaw and Zagreb) and include additional aspects such as mobility, physical activity and inequities. The science-to-policy translation is a strong component of this research project where we are conducting consultation with and providing knowledge translation to cities and stakeholders, and sharing good practices, for greater science-policy impact. We strive to make the change on city-level policy and action plans, as well as on national and EU level policy making. By improving health impact and socioeconomic costs estimations and engaging with stakeholders we expect to generate impact and promote healthier urban and transport planning practices in European cities.