Friday, 2 May 2014

Is now the time for health & wellbeing in the Transition Movement (part 1 of 4)



Just noticed this tweet and it reminded me to write a blog on health and transition. 

Professionals in healthcare (NHS) and public health (independent Directors of Public Health and Departments of Public Health in Local Government) are getting political; for example denouncing the aspiration that food and drink corporates can regulate themselves with ‘responsibility deals’. Whilst it is now well established that the social aspects of our lives affects our health and length of life (social determinants of health), a new concept has emerged; the corporate determinants of health. This concept is more outspoken indicating that large corporates, including multinationals, almost inevitably, are blind to the detriments to health that their activity causes. It’s another argument to reinforce the view that the global capitalist, neoliberal, model is not benefitting the majority of people, in health terms, as well as other living standards. I see Transition Movement as a 'viable alternative', if you like, to corrosive capitalism.

I was really pleased that Transition Network have chosen to focus on Health and Wellbeing as it’s theme of May 2014. Here’s my thoughts on how transition initiatives could consider how they currently benefit health of their locality, and how health benefits could be maximised.



Let’s start with what’s currently happening out there in Transitionland...

I’ve been involved on and off with several Transition Initiatives in England over the last 6 years. My feeling is that many of the projects may already have benefits for health and wellbeing which may not be explicitly recognised and valued. I’ll just run through 2 of the most common examples; food and home insulation. 

Growing food primarily may have nutritional benefits, but there may be further benefits from the whole project; the physical activity of horticulture, vitamin D from being out in the sunshine (but wear a hat and sunscreen in intense sunshine!) Then there are social and mental wellbeing benefits of interacting with fellow gardeners, a feeling of productivity and self-sufficiency, and a tendency to direct attention to nature for a while, rather than the self-absorption that consumerism encourages. Most tenuously, perhaps, using a permaculture type approach may reduce rainwater run-off and hence protect from flooding and the negative impacts of health that this causes. 

How many transition food projects value and shout about the many health and wellbeing benefits that they bring? (Five Ways to Wellbeing can be a useful way of capturing these benefits). I should add that gardening is not only for those who are fit and able, as the paragraph above might imply, but should aim to be inclusive. Gardening programmes have enabled people with disability or dementia, for example, to benefit.

Home insulation can improve housing conditions. Poor housing is a key factor for ill health, recognised as one of the social determinants of health. Damp can lead to mould spores and irritation of breathing difficulties. Excess heat or cold can worsen health conditions and lead to premature death for vulnerable people. Poor energy efficiency leads to money wasted on energy that could otherwise be spent on improving nutrition or necessary medicine. No surprises that poor housing leads to poor mental wellbeing. So do your housing projects capture benefits for health and wellbeing? As mentioned the social determinants of health may be the best approach for estimating these benefits.

In next blogs I'll go on to discuss:

Healthy communities and prevention

Influencing sustainability of local health and social care services

Adaptation to protect health

Wider political aspects and Language

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