North West Public Health Observatory

30th October 2000 Volume 1, Issue 5

Knock - on health benefits The future Next time ???

HEADLINES

  • The recent fuel crisis has made us realise the fragility of our lifestyle and how dependent we are on fossil fuels and particularly the car. The changes we were forced to make then can be used to help us adopt healthier living and working practices in the longer term.

Healthy side to the fuel crisis

Introduction by John R Ashton CBE Regional Director of Public Health

Crises are opportunities. The recent fuel blockade took many people by surprise and revealed weaknesses in the contingency plans and business continuity arrangements for many organisations - not least those involved with health and social care. The immediate priority at the time was to insure that people in need of medical and social care – from community or voluntary services or specialist surgical intervention – did not come to harm as a result of the disruption to everyday life. However, what is revealed in this Bulletin are some of the opportunities for protecting and improving health that could be ours if we begin to take the green transport agenda seriously and put in place comprehensive alternatives to individual fossil fuel powered personal transport. Our analysis indicates the potential benefits for improved air quality with less respiratory illness and reduced levels of personal injury and death from road traffic accidents. But there are other benefits too – if we learn from what happened in September. Public private and voluntary organisations should take this opportunity to review their policies for emergencies, and encourage staff to adopt a greener attitude to transport and other working practices such as home working.

The Chinese word for crisis indicates that you can go in one of two directions. Progressive deterioration and collapse or revival. Such was the outcome with classical pneumonia when the crisis with a very high temperature was followed by death or recovery.

We can use this recent crisis to effect positive change. Lets do it

Impact of the fuel crisis [top]

The 11th to the 15th September 2000 will go down as the week of the British Fuel Crisis.

This was the week when petrol pumps ran dry and the fragility of our dependence on fossil fuels to maintain the living standards we enjoy and are now accustomed to, was engraved on all our minds.

Once the public realised what was happening, general panic resulted in long queues to grab whatever was left of the fuel, and this was quickly followed by panic buying at the supermarkets causing shortages of some basic food supplies such as bread and milk.

Other negative sides to the crisis were clearly displayed on our television screens and in the media. People living in rural areas found that their public buses were stopped and that taxis would not come out to them. Some of the taxis that were able to get fuel put up their fares to compensate for lost business.

There was overcrowding on public transport. Some people could not get in for hospital appointments and as a result the waiting lists grew longer.

Undoubtedly had the crisis continued for much longer there would have been increasingly serious disruption to health and emergency services. District nurses, doctors, health visitors, the police and emergency services would be have become increasingly paralysed and unable to provide the level of service required. Public transport would soon have ground to a standstill.

The other side to the fuel crisis [top]

But that’s not all. The crisis presented an opportunity to observe the effects of the changes in the Region’s transport network during an exceptional episode. Twenty nine percent of car users were unable to use their cars because they ran out of fuel. (The Guardian 19th September 2000.) Despite the obvious negative effects mentioned above there was a positive impact on our overall health and well being. The way we travel has many effects on our health, quality of life and the environment. In Britain an average individual travels approximately 6,800 miles a year and 82% of this is by car. The proportion of households without access to a car in Great Britain fell from 34% in 1989 to 28% in 1999 with a corresponding increase from 27% to 45% in the proportion of households having two or more cars. (www.transtat.detr.gov.uk) This change in road traffic has resulted in increased levels of congestion and pollution with a consequent decrease in air quality and increase in noise.

Public transport [top]

On Merseyside there was an increase in the use of public transport (ferry, rail and bus). Both Greater Manchester Passenger Transport Authority (GMPTA) and ‘Arriva’ bus company reported a significant increase in patronage during the week of the fuel crisis, but were unable to obtain figures to substantiate this. Likewise Cheshire County Council did not have passenger usage statistics available but reported that their telephone information line received over 1000 calls at the peak of the crisis. Normally they receive about 120 calls during the same period of time.

Discussions with staff at ‘Mersey Travel’ revealed that train services were operating normally and there was a greater number of passengers using rail services. Staff also commented that more passengers were travelling with bicycles.

Mersey Ferries reported an overall increase in use of 28% during the 7.00am to 9.45am peak commuter period. The number of people travelling during the day – mainly tourists was reduced.

Again, staff reported an increase in the number of people using bicycles, with racks that normally contain three or four cycles filled to capacity (around ten) and with cycles locked to lamp posts and railings adjacent to terminal buildings.

People in rural areas found that they were increasingly isolated as many taxis refused to travel outside the urban areas.

Road traffic [top]

Lancashire County Council reported that overall traffic levels were reduced by 15% in town centres and up to 23% in rural areas.

Greater Manchester Passenger Transport Authority reported reduced flow of traffic within the Greater Manchester area, with levels reaching their lowest on the Wednesday and Thursday of the crisis week. Daily traffic flow was reduced by between 20 – 37% on ‘A’ roads and up to 39% on the M60 between junctions 13 and 14. Traffic volume around Avro Way near a World Cargo Centre accessed by a high proportion of goods vehicles was unaffected.

Another monitoring point in the Region reported in increase of 86% in bicycle traffic and a reduction of 11% in motor vehicle flow.

During the week of the fuel crisis the number of cars on the roads was reduced and although we do not have evidence, people appeared to be driving more slowly.

There was less certainly less congestion and traffic flowed more smoothly.

Positive health effects [top]

The ability to access good quality transport permits the lifestyle many of us enjoy. Transport allows us to access essential services and engage in work and social activities. However, associated with these benefits are health risks due to noise and air pollution as well as increased risk of death or disability due to road traffic accidents.

According to Lancashire County Council, the number of fatal and serious road accidents was reduced by 58% during the week of the fuel crisis. Police forces throughout the Region all reported a reduction in serious and fatal accidents during this week.

Data from hospitals throughout the region show that the number of people seen in accident and emergency departments as a result of a road traffic accident was reduced for the first three weeks of September this year compared to previous years. Numbers of casualties include pedestrians as well as car users and people suffering from minor as well as major injuries. See

Click to view Table 1. The reduction appeared to be more noticeable in hospitals in close proximity to motorways. The results speak for themselves and reversed what had become a steadily increasing trend over the last five years.

Air quality and health [top]

Monitoring systems are in place at strategic points within the Region. The automatic network monitoring points at Manchester Piccadilly and Bury roadside (Junction 17 of M62) showed that levels of carbon monoxide particulates (PM10) and nitrogen dioxide were considerably lower during the fuel crisis week than the corresponding week in 1999. Many factors such as weather can affect air pollution data, so definitive conclusions should not be drawn from these data, but they do add another piece to the emerging jigsaw puzzle picture.

Knock - on health benefits [top]

During the week of the fuel crisis many other things happened that have potential knock – on health benefits;

  • People walked or cycled to work. This provided an opportunity for increased physical activity, with its consequent health benefits such as a reduction in heart disease, obesity and osteoporosis. It has been estimated that a 10% increase in the number of people cycling regularly would lead to a 4% reduction in the number of people with heart disease, saving the National Health Service around £200 million a year. (http://www.doingyourbit.org.uk/yourbit/transport_facts.html)
  • Car sharing increased and again it has been estimated that if all motorists shared a car one day a week polluting emissions from cars would be considerably reduced.
  • A North West Company that had previously been reluctant to allow home working, realised its potential benefits. The company found that home working was popular and worked so well that it has now adopted a positive policy, encouraging regular home working.
  • Another North West company bought a fleet of bikes and encouraged workers to borrow a bicycle and use it to get to and from work. Again this proved so successful that a project started as a reaction to the crisis continued and as a result many workers who took up the option remain happier and healthier.

Buses

 

The future... [top]

The fuel crisis demonstrated that when faced with little or no alternative, people did leave their cars at home and where necessary managed to use other forms of transport. We cannot prove that the positive health results we found were a direct result of the fuel crisis, but as the evidence builds up an increasingly clear picture emerges. We cannot be sure whether the reduction in road traffic accidents in the North West was a result of less traffic or of the traffic moving more slowly, but whichever, the result was good for the public’s health.

The fuel crisis forced people to use innovative ways to get around their transport problems. Many of these ideas were successful and should be considered and encouraged in the longer term – such as car sharing, cycling and walking, as well as more home working. If everyone who drives to work on their own every day were to catch a lift with someone just once a week, commuting car journeys would be reduced by 25% (www.nationalcarshare.co.uk)

Many tasks in the modern workplace can be completed at home utilising modern electronic forms of communication, and the Department of Environment, Transport and the Regions advises that companies should encourage home working policies and practices on a regular basis. Secure cycle parking with adequate changing facilities; financial assistance for the purchase of public transport season tickets; support for home working are examples of the many other ways that employers can make the healthier choices the easier choices for their employees. Cycle lanes, adequate street lighting, and adequate public transport are also needed to facilitate the public move towards a healthier culture that is less dependent on the car.

Next time ??? [top]

Emergency plans have been prepared so that if another fuel crisis develops, emergency services will be able to continue operations without undue disruption and consequent risks to health for the general public. As part of these preparations a new web site will be launched on www.emergency-nw.org.uk. The web site is there to help everyone and provide the public and workforce with one port of call containing easy to access information and links relevant to the emergency, which in the case of another fuel crisis will be to ;

  • sites about fuel conservation
  • alternative sources of transport – such as car sharing schemes
  • public transport
  • up to date information on fuel station status especially for designated staff.

Acknowledgements

Helen Casstles, Senior Lecturer at John Moores University collected the data and prepared this report and can be contacted on 0151 231 4438.

We would also like to thank the following for providing data;

Cheshire Constabulary
Cheshire County Council
Greater Manchester Passenger Transport Authority
Greater Manchester Police

Merseyside Police
Merseytravel
Respondents from NHS Acute Hosptial Trusts in the North West Region
Sefton MBC

 
Page last updated Monday, January 19, 2004