Comment
Impact of the Proposed Cut to the Greenbelt on Human Health
Our well-being is dramatically impacted by our neighbourhood design. Hundreds of Canadian studies, including dozens of Ontario-based publications, demonstrate a strong link between our health and various objectively measured community features.1 Our food environment, population density, and green space features impact our physical and mental health.
More than a third of Canadian adults have at least one chronic disease.2 Community design impacts our risk of injury, obesity, high blood pressure, diabetes, cardiovascular disease, cancer, anxiety, and depression.
We owe it to all Ontarians, as well as our future immigrants, to invest in urban design. We must avoid the low-density sprawl that is consuming our best farmland and polluting our air and water. We need walkable communities that promote physical and mental health and social engagement.
Food Security:
Minimizing the distance our food travels from farm-to-table reduces our costs and improves the quality of our diet. Closer proximity to healthy food sources reduces or helps prevent:
- Obesity3-10
- Diabetes11 and metabolic conditions12
- Cardiovascular disease13,14
- Anxiety and depression15,16
- Death14,17
This proposal threatens large tracks of the province’s prime farmland. It removes a significant portion of local food production from the province’s most populated region.
Sensitive Ecosystems:
Destruction of river basins elevates our risk for serious flooding which places human life at direct risk by drowning but also contributes to chronic respiratory disease by creating chronic mold problems within these homes.18,19
These ecosystems filter our drinking water. The loss of this function, and the added chemical run-off from roads and motor vehicles, pesticides and other landscaping uses contribute to a host of illnesses including cancer.20,21
Air Pollution:
The peripheral location of the proposed parcels of land, and the lack of public transportation infrastructure, ensures that the future residents of these proposed communities will be dependent on personal motorized vehicles for transportation. These car centric communities will create massive air pollution. Poor air quality contributes to chronic lung disease, cancer, and atherogenesis.22-26 Atherogenesis is the build up a plaque within blood vessels, which can lead directly to heart attacks and stroke.
Community Design:
Allowing this massive expansion of suburban sprawl in Ontario is bad for our health in other ways as well. The proposed focus on creating low-density single-family dwellings creates large distances between homes and their occupants’ daily destinations, disconnecting neighborhoods, making walking and cycling as a means of transportation unmanageable for the average citizen.
A neighborhood’s walkability is determined by how safe and convenient it is to walk from your house to essential services within the community. For example:
- Shopping and commercial services: grocery stores, pharmacies, and banking
- Community resources: schools, libraries, recreational centres, health and cultural services, and places of worship
- Public transportation (allowing residents to commute to work)
- Green space: natural habitats, recreational facilities, and public parks.
Walkable neighborhoods dramatically improve our health from birth through old age.
Studies have demonstrated a direct impact of green neighborhoods on pregnancy outcomes. A study performed in Vancouver demonstrated that mothers who lived in greener neighborhoods had healthier babies with higher birth weights and a smaller proportion of preterm infants.27
Children and adults in this province who can walk to school, shops, and essential services have better fitness and are less likely to be overweight or obese.3-5,28-36
Studies show that the people of Ontario who can walk their neighbourhoods have fewer chronic diseases like diabetes,11,13,29,32,33,37,38 better blood pressure and cholesterol control,12,39 and are less likely to develop the devastating complications of cardiovascular disease including heart attacks, congestive heart failure, strokes, and death.38,40-42,30-32
Access to parks and recreational facilities reduce the population’s risk of cancer.43
Our mental health is also significantly impacted by our physical environment. Proximity to community resources provides social support through health and cultural services and improves connections between people which helps to reduce anxiety and depression.15,16,39,44
Safety:
Infrastructure allows children and adults to remain mobile and active across their lifespan. Safe neighborhood design reduces the chances that our children are injured or killed while walking or cycling near home. Elderly individuals thrive from social connection, good sidewalk design and maintenance and reduced distances from home to destination decrease the risk of falls another serious injuries.45-56
Summary:
Protecting the environment is good for our health.
We must protect our most productive farmland, invest in public transportation, and ensure adequate healthcare, education, and recreational infrastructure to support neighbourhood growth and well-being. As we welcome new immigrants to our beautiful province, they deserve to be full participants in our communities and not live in marginalized peripheral regions that lack the infrastructure and the social supports necessary to allow these Ontarians to excel in their new environment.
It is irresponsible to hastily construct 50,000 homes while ignoring the marked detrimental effect the proposed community design will have on the health and well-being of the citizens who will live there. It is unconscionable to ignore the damage this construction will inflict on the health of the rest of Ontarians impacted through the destruction of our best farmland and pollution. Such poor design will reduce our quality of life and ultimately cost our healthcare system.
Avoid the suburban sprawl and save the Greenbelt.
References:
1. McCormack GR, Cabaj J, Orpana H, et al. A scoping review on the relations between urban form and health: a focus on Canadian quantitative evidence. Health Promot Chronic Dis Prev Can 2019;39(5):187-200. (In eng
fre). DOI: 10.24095/hpcdp.39.5.03.
2. The 2017 Canadian Chronic Disease Indicators. Health Promot Chronic Dis Prev Can 2017;37(8):248-251. (In eng
fre). DOI: 10.24095/hpcdp.37.8.03.
3. Lebel A, Kestens Y, Pampalon R, Thériault M, Daniel M, Subramanian SV. Local context influence, activity space, and foodscape exposure in two canadian metropolitan settings: is daily mobility exposure associated with overweight? J Obes 2012;2012:912645. (In eng). DOI: 10.1155/2012/912645.
4. Prince SA, Kristjansson EA, Russell K, et al. A multilevel analysis of neighbourhood built and social environments and adult self-reported physical activity and body mass index in Ottawa, Canada. Int J Environ Res Public Health 2011;8(10):3953-78. (In eng). DOI: 10.3390/ijerph8103953.
5. Prince SA, Kristjansson EA, Russell K, et al. Relationships between neighborhoods, physical activity, and obesity: a multilevel analysis of a large Canadian city. Obesity (Silver Spring) 2012;20(10):2093-100. (In eng). DOI: 10.1038/oby.2011.392.
6. Hollands S, Campbell MK, Gilliland J, Sarma S. Association between neighbourhood fast-food and full-service restaurant density and body mass index: a cross-sectional study of Canadian adults. Can J Public Health 2014;105(3):e172-8. (In eng). DOI: 10.17269/cjph.105.4287.
7. Kestens Y, Lebel A, Chaix B, et al. Association between activity space exposure to food establishments and individual risk of overweight. PLoS One 2012;7(8):e41418. (In eng). DOI: 10.1371/journal.pone.0041418.
8. Minaker LM, Raine KD, Wild TC, Nykiforuk CI, Thompson ME, Frank LD. Objective food environments and health outcomes. Am J Prev Med 2013;45(3):289-96. (In eng). DOI: 10.1016/j.amepre.2013.05.008.
9. Polsky JY, Moineddin R, Dunn JR, Glazier RH, Booth GL. Absolute and relative densities of fast-food versus other restaurants in relation to weight status: Does restaurant mix matter? Prev Med 2016;82:28-34. (In eng). DOI: 10.1016/j.ypmed.2015.11.008.
10. Spence JC, Cutumisu N, Edwards J, Raine KD, Smoyer-Tomic K. Relation between local food environments and obesity among adults. BMC Public Health 2009;9:192. (In eng). DOI: 10.1186/1471-2458-9-192.
11. Polsky JY, Moineddin R, Glazier RH, Dunn JR, Booth GL. Relative and absolute availability of fast-food restaurants in relation to the development of diabetes: A population-based cohort study. Can J Public Health 2016;107(Suppl 1):5312. (In eng). DOI: 10.17269/cjph.107.5312.
12. Paquet C, Dubé L, Gauvin L, Kestens Y, Daniel M. Sense of mastery and metabolic risk: moderating role of the local fast-food environment. Psychosom Med 2010;72(3):324-31. (In eng). DOI: 10.1097/PSY.0b013e3181cdf439.
13. Chum A, P OC. Contextual determinants of cardiovascular diseases: overcoming the residential trap by accounting for non-residential context and duration of exposure. Health Place 2013;24:73-9. (In eng). DOI: 10.1016/j.healthplace.2013.07.007.
14. Alter DA, Eny K. The relationship between the supply of fast-food chains and cardiovascular outcomes. Can J Public Health 2005;96(3):173-7. (In eng). DOI: 10.1007/bf03403684.
15. Gariepy G, Thombs BD, Kestens Y, Kaufman JS, Blair A, Schmitz N. The Neighbourhood Built Environment and Trajectories of Depression Symptom Episodes in Adults: A Latent Class Growth Analysis. PLoS One 2015;10(7):e0133603. (In eng). DOI: 10.1371/journal.pone.0133603.
16. Gariepy G, Blair A, Kestens Y, Schmitz N. Neighbourhood characteristics and 10-year risk of depression in Canadian adults with and without a chronic illness. Health Place 2014;30:279-86. (In eng). DOI: 10.1016/j.healthplace.2014.10.009.
17. Daniel M, Paquet C, Auger N, Zang G, Kestens Y. Association of fast-food restaurant and fruit and vegetable store densities with cardiovascular mortality in a metropolitan population. Eur J Epidemiol 2010;25(10):711-9. (In eng). DOI: 10.1007/s10654-010-9499-4.
18. Dales RE, Burnett R, Zwanenburg H. Adverse health effects among adults exposed to home dampness and molds. Am Rev Respir Dis 1991;143(3):505-9. (In eng). DOI: 10.1164/ajrccm/143.3.505.
19. Dales RE, Zwanenburg H, Burnett R, Franklin CA. Respiratory health effects of home dampness and molds among Canadian children. Am J Epidemiol 1991;134(2):196-203. (In eng). DOI: 10.1093/oxfordjournals.aje.a116072.
20. Essien EE, Said Abasse K, Côté A, et al. Drinking-water nitrate and cancer risk: A systematic review and meta-analysis. Arch Environ Occup Health 2022;77(1):51-67. (In eng). DOI: 10.1080/19338244.2020.1842313.
21. Benmarhnia T, Delpla I, Schwarz L, Rodriguez MJ, Levallois P. Heterogeneity in the Relationship between Disinfection By-Products in Drinking Water and Cancer: A Systematic Review. Int J Environ Res Public Health 2018;15(5) (In eng). DOI: 10.3390/ijerph15050979.
22. Libby P. The changing landscape of atherosclerosis. Nature 2021;592(7855):524-533. (In eng). DOI: 10.1038/s41586-021-03392-8.
23. Lechner K, von Schacky C, McKenzie AL, et al. Lifestyle factors and high-risk atherosclerosis: Pathways and mechanisms beyond traditional risk factors. Eur J Prev Cardiol 2020;27(4):394-406. (In eng). DOI: 10.1177/2047487319869400.
24. Münzel T, Gori T, Al-Kindi S, et al. Effects of gaseous and solid constituents of air pollution on endothelial function. Eur Heart J 2018;39(38):3543-3550. (In eng). DOI: 10.1093/eurheartj/ehy481.
25. Wang M, Aaron CP, Madrigano J, et al. Association Between Long-term Exposure to Ambient Air Pollution and Change in Quantitatively Assessed Emphysema and Lung Function. Jama 2019;322(6):546-556. (In eng). DOI: 10.1001/jama.2019.10255.
26. Spalt EW, Curl CL, Allen RW, et al. Factors influencing time-location patterns and their impact on estimates of exposure: the Multi-Ethnic Study of Atherosclerosis and Air Pollution (MESA Air). J Expo Sci Environ Epidemiol 2016;26(4):341-8. (In eng). DOI: 10.1038/jes.2015.26.
27. Hystad P, Davies HW, Frank L, et al. Residential greenness and birth outcomes: evaluating the influence of spatially correlated built-environment factors. Environ Health Perspect 2014;122(10):1095-102. (In eng). DOI: 10.1289/ehp.1308049.
28. O'Campo P, Wheaton B, Nisenbaum R, Glazier RH, Dunn JR, Chambers C. The Neighbourhood Effects on Health and Well-being (NEHW) study. Health Place 2015;31:65-74. (In eng). DOI: 10.1016/j.healthplace.2014.11.001.
29. Glazier RH, Creatore MI, Weyman JT, et al. Density, destinations or both? A comparison of measures of walkability in relation to transportation behaviors, obesity and diabetes in Toronto, Canada. PLoS One 2014;9(1):e85295. (In eng). DOI: 10.1371/journal.pone.0085295.
30. Pouliou T, Elliott SJ. Individual and socio-environmental determinants of overweight and obesity in Urban Canada. Health Place 2010;16(2):389-98. (In eng). DOI: 10.1016/j.healthplace.2009.11.011.
31. Pouliou T, Elliott SJ, Paez A, Newbold KB. Building obesity in Canada: understanding the individual- and neighbourhood-level determinants using a multi-level approach. Geospat Health 2014;9(1):45-55. (In eng). DOI: 10.4081/gh.2014.5.
32. Booth GL, Creatore MI, Moineddin R, et al. Unwalkable neighborhoods, poverty, and the risk of diabetes among recent immigrants to Canada compared with long-term residents. Diabetes Care 2013;36(2):302-8. (In eng). DOI: 10.2337/dc12-0777.
33. Creatore MI, Glazier RH, Moineddin R, et al. Association of Neighborhood Walkability With Change in Overweight, Obesity, and Diabetes. Jama 2016;315(20):2211-20. (In eng). DOI: 10.1001/jama.2016.5898.
34. Chiu M, Shah BR, Maclagan LC, Rezai MR, Austin PC, Tu JV. Walk Score® and the prevalence of utilitarian walking and obesity among Ontario adults: A cross-sectional study. Health Rep 2015;26(7):3-10. (In eng).
35. Ross NA, Tremblay S, Khan S, Crouse D, Tremblay M, Berthelot JM. Body mass index in urban Canada: neighborhood and metropolitan area effects. Am J Public Health 2007;97(3):500-8. (In eng). DOI: 10.2105/ajph.2004.060954.
36. Wasfi RA, Dasgupta K, Orpana H, Ross NA. Neighborhood Walkability and Body Mass Index Trajectories: Longitudinal Study of Canadians. Am J Public Health 2016;106(5):934-40. (In eng). DOI: 10.2105/ajph.2016.303096.
37. Chum A, O'Campo P. Cross-sectional associations between residential environmental exposures and cardiovascular diseases. BMC Public Health 2015;15:438. (In eng). DOI: 10.1186/s12889-015-1788-0.
38. Ngom R, Gosselin P, Blais C, Rochette L. Type and Proximity of Green Spaces Are Important for Preventing Cardiovascular Morbidity and Diabetes--A Cross-Sectional Study for Quebec, Canada. Int J Environ Res Public Health 2016;13(4):423. (In eng). DOI: 10.3390/ijerph13040423.
39. Kardan O, Gozdyra P, Misic B, et al. Neighborhood greenspace and health in a large urban center. Sci Rep 2015;5:11610. (In eng). DOI: 10.1038/srep11610.
40. Chiu M, Rezai MR, Maclagan LC, et al. Moving to a Highly Walkable Neighborhood and Incidence of Hypertension: A Propensity-Score Matched Cohort Study. Environ Health Perspect 2016;124(6):754-60. (In eng). DOI: 10.1289/ehp.1510425.
41. Matheson FI, Creatore MI, Gozdyra P, Park AL, Ray JG. A population-based study of premature mortality in relation to neighbourhood density of alcohol sales and cheque cashing outlets in Toronto, Canada. BMJ Open 2014;4(12):e006032. (In eng). DOI: 10.1136/bmjopen-2014-006032.
42. Villeneuve PJ, Jerrett M, Su JG, et al. A cohort study relating urban green space with mortality in Ontario, Canada. Environ Res 2012;115:51-8. (In eng). DOI: 10.1016/j.envres.2012.03.003.
43. Demoury C, Thierry B, Richard H, Sigler B, Kestens Y, Parent ME. Residential greenness and risk of prostate cancer: A case-control study in Montreal, Canada. Environ Int 2017;98:129-136. (In eng). DOI: 10.1016/j.envint.2016.10.024.
44. Gariepy G, Kaufman JS, Blair A, Kestens Y, Schmitz N. Place and health in diabetes: the neighbourhood environment and risk of depression in adults with type 2 diabetes. Diabet Med 2015;32(7):944-50. (In eng). DOI: 10.1111/dme.12650.
45. Strauss J, Miranda-Moreno LF, Morency P. Mapping cyclist activity and injury risk in a network combining smartphone GPS data and bicycle counts. Accid Anal Prev 2015;83:132-42. (In eng). DOI: 10.1016/j.aap.2015.07.014.
46. Aultman-Hall L, Kaltenecker MG. Toronto bicycle commuter safety rates. Accid Anal Prev 1999;31(6):675-86. (In eng). DOI: 10.1016/s0001-4575(99)00028-7.
47. Cripton PA, Shen H, Brubacher JR, et al. Severity of urban cycling injuries and the relationship with personal, trip, route and crash characteristics: analyses using four severity metrics. BMJ Open 2015;5(1):e006654. (In eng). DOI: 10.1136/bmjopen-2014-006654.
48. Miranda-Moreno LF, Morency P, El-Geneidy AM. The link between built environment, pedestrian activity and pedestrian-vehicle collision occurrence at signalized intersections. Accid Anal Prev 2011;43(5):1624-34. (In eng). DOI: 10.1016/j.aap.2011.02.005.
49. Morency P, Gauvin L, Plante C, Fournier M, Morency C. Neighborhood social inequalities in road traffic injuries: the influence of traffic volume and road design. Am J Public Health 2012;102(6):1112-9. (In eng). DOI: 10.2105/ajph.2011.300528.
50. Richmond SA, Willan AR, Rothman L, et al. The impact of pedestrian countdown signals on pedestrian-motor vehicle collisions: a reanalysis of data from a quasi-experimental study. Inj Prev 2014;20(3):155-8. (In eng). DOI: 10.1136/injuryprev-2012-040717.
51. Rifaat SM, Tay R, de Barros A. Effect of street pattern on the severity of crashes involving vulnerable road users. Accid Anal Prev 2011;43(1):276-83. (In eng). DOI: 10.1016/j.aap.2010.08.024.
52. Romanow NT, Couperthwaite AB, McCormack GR, Nettel-Aguirre A, Rowe BH, Hagel BE. Environmental determinants of bicycling injuries in Alberta, Canada. J Environ Public Health 2012;2012:487681. (In eng). DOI: 10.1155/2012/487681.
53. Rothman L, Howard AW, Camden A, Macarthur C. Pedestrian crossing location influences injury severity in urban areas. Inj Prev 2012;18(6):365-70. (In eng). DOI: 10.1136/injuryprev-2011-040246.
54. Rothman L, Slater M, Meaney C, Howard A. Motor vehicle and pedestrian collisions: burden of severe injury on major versus neighborhood roads. Traffic Inj Prev 2010;11(1):43-7. (In eng). DOI: 10.1080/15389580903452340.
55. Teschke K, Dennis J, Reynolds CC, Winters M, Harris MA. Bicycling crashes on streetcar (tram) or train tracks: mixed methods to identify prevention measures. BMC Public Health 2016;16:617. (In eng). DOI: 10.1186/s12889-016-3242-3.
56. Teschke K, Harris MA, Reynolds CC, et al. Route infrastructure and the risk of injuries to bicyclists: a case-crossover study. Am J Public Health 2012;102(12):2336-43. (In eng). DOI: 10.2105/ajph.2012.300762.
Supporting documents
Submitted November 24, 2022 11:41 PM
Comment on
Decision on proposed amendments to the Greenbelt Area boundary regulation
ERO number
019-6217
Comment ID
73194
Commenting on behalf of
Comment status