London Borough of Barking and Dagenham

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London Borough of Barking and Dagenham
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Introduction
The ‘London Borough of Barking and Dagenham’ is found in East London in England. It
is situated 9 miles or 14.4 km East Central-London. This place is London’s outer borough while
its South is in London’s Riverside area of Thames Gateway. This place has become an urban
regeneration priority for the government. By the end of the year 2011, a population census
showed 187,000 people in the area with a large number of them found in Becontree state (Alex
and Schreurs, 2015). ‘Barking and Dagenham London Borough Council’ is the area’s local
authority. This place is quite underdeveloped with many challenges seen in transportation and
the physical environment which leads to health problems to its residents (Alex and Schreurs,
2015).
These challenges resulted in the formulation of public health initiatives by the council by
the 21st century. These initiatives targeted improving the environment to ensure that its residents
had good health through enhancing Londoner’s wellbeing, health, improve service and business
prosperity and finally enhance resilience in the community. These initiatives concentrated on
environmental issues and their link to health. The issues included active transport and travel,
green space, air quality, healthy food, fuel poverty and many other concerns (Ashton, 2017).
Green Spaces and How it Impacts Health
Green space which is accessible gets considered as a factor which determines or plays a
role in good health. Evidence shows that areas outside houses or working places affect the
mental and physical health of their residents significantly (Ashton, 20172). When looking at
green space both use and access are considered and their availability is both a determinant and
indicator. In Barking and Dagenham, 34% of the land surface is green. Further, at least 50% of
its households can access nature (at least four wards out of the entire 17 wars) (Ashton, 2017).
Data shows that 15% of the population engages in physical activities 5 times a week for about 30
minutes while almost 45% participate in these activities once weekly. Further, the place has
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29%, obese adults. This rate is higher than the 21% London rate as well as the 24% national rate
(Ashton, 2017).
Access to these green places has a significant effect on the health of individuals. Safe and
accessible green sites reduce to a significant level depression, mental distress as well as ADHD
or ‘Attention Deficit Hyperactivity Disorder’ signs in young people or children (Gale et al.,
2011). Research shows that access to green places or gardens and having the possibility to cause
environmental improvements are related to the general wellbeing and mental health
improvement as well (Gale et al., 2011). Both NICE and Marmot Review have demonstrated
evidence supporting the relationship between green quality outdoor spaces and motivation for
physical activity (Jones et al., 2007) where these activities are crucial for several health issues
like cardiovascular diseases, diabetes type 2, obesity and physical/mental health. Improving and
increasing green urban areas have other secondary advantages or effects on people’s health
through more extensive health environmental determinants like air quality, risks of surface flood
and heat-island impacts in urban areas (Jones et al., 2007) .
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Recommendations
After seeing the critical relationship between green space and health in urban areas, the
council has formulated an ‘all London Green Grid Supplementary Planning Guidance’ which
aims at enhancing function biodiversity as well as green space connectivity (Stewart and Bushell,
2011). Further, they have come up with the ‘Green Flag Award’ mechanism which aims at
improving green space quality as well as promotion (WHO, 2016). It also became recommended
that the residents engage in physical activity and other outdoor events like guided walking and
gyms for them to recover from illnesses such as cardiovascular diseases (WHO, 2016).
Active Travel and Transport
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Travel is crucial in connecting individuals to recreation, employment, community
services, health, and education. Many people in this area journey daily which makes it a
component of their daily living and can consequently affect their health significantly (Alex and
Screurs, 2015). Travel also include cycling and walking, employing private vehicles, goods and
public transport vehicles. At least 80% of Londoner’s journey on the road by either, bikes, motor
vehicles or on foot which makes the street environment and transport to affect their well-being
and health significantly (Taylor, 2017).
Evidence shows the presence of inequalities in how health is affected by transport with a
majority of deprived individuals as well as those depended upon roads (which get heavily
trafficked) getting affected health-wise (Goldsteen et al., 2011). Only some London boroughs
incorporate dedicated transport in a ‘Joint Strategic Needs Assessment or JSNA,’ thereby
suggesting that the current measure of how transportation affects health might be an
underestimation. About Barking and Dagenham, around 280,000 trips are made daily by
individuals from this area (Landon, 2016). A few people, however, take part in active travel with
a higher proportion of them cycling to employment places.
About 7% of London’s population use dedicated vehicles to work. Evidence shows that
averagely, five fatalities and 604 casualties occurred in this place in 2005 through 2009 which is
below the entire London’s average (Marmot, 2010). The A13 road is currently heavily used with
about 115,000 automobiles daily (Marmot, 2010). Now, Borough has one dedicated cycle
highway. The health of people is often improved by a public transport network which is
comprehensive with many benefits seen because of increased services access, declined social
isolation and raised social and working opportunities. In London, travel has enabled individuals
to regularly do physical activity through cycling and walking on their daily trips to workplaces.
Only about 20% of Londoner’s meet the 150 minute and weekly recommended physical activity
(Jones et al., 2007). Regular physical exercise is essential for mental and physical health and
helps prevent many diseases like obesity and diabetes type 2 as well as cardiovascular illnesses
and cancer (Townsend and Lake, 2017).
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The adverse effects of transport get found in the most trafficked roads with high vehicle
concentrations which result in noise and air pollution as well as raised risks of injury (Marmot
and Wilkinson, 2005). These establish a picture of an environment which is hostile for cycling
and walking which can exacerbate inequalities in health. Automobile contributes to 41-60% air
pollution in the United Kingdom which results in respiratory and cardiovascular diseases.
Residents using roads which get heavily trafficked are the ones who are severely affected
(Marmot and Wilkinson, 2005).
Recommendations and Actions
The government needs to design or come up with street environment models which
encourage cycling and walking, engineered and designed to decrease automobile speed as well as
implement 20mph-areas appropriately. There is need to promote paths and roads which are
convenient and safe for physical exercises such as walking and cycling. These activities can also
become improved through hire schemes for the bike, maps, and information as well as ensuring
safety of roads which are heavily trafficked particularly those linked to most of the health risks
(Public health England, 2014).
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Air Quality
The quality of air has long become the principal good health requirement. ‘Quality
Standards Regulations 2000,’ the UK’s quality air legislation which got updated in the year 2010
controls some pollutants which get regarded as dangerous to the environment and human health.
This legislation has EU values and limits or control Sulphur dioxide pollution, nitrogen
dioxide/oxides and particulate matter like PM2.5 and PM10, benzene, lead, Carbon Monoxide,
ozone and benzo (a) pyrene pollution (Friis, 2012). Much attention to the quality of air gets put
on particulate matter and nitrogen dioxide. Particulate matter is a mixture of particles which are
non-gaseous and have unique chemical and physical composition (Friis, 2012). The PM becomes
ranked by the particulates size. There are several sources of PM for instance from road traffic,
exhaust emissions, brake wear, and tire as well as dust from the surface of roads. Further, there
are boilers and older furnaces which affect the quality of air too mainly in houses. Poor air
quality can compromise the well-being and health of people (Marmot and Wilkinson, 2005).
Evidence shows that there are high NO2 levels on the roads of Barking and Dagenham
above limits which get recommended. Scientists are still applying their statistical tools in
attempting to understand how different factors affect mortality. They have found that Barking
and Dagenham is number 14 least places in London regarding air quality (Stewart and Bushell,
2011). Prolonged exposure to air that is polluted has been found to result in chronic illnesses and
can raise respiratory diseases risks. It gets estimated that 4,267 deaths occurred in 2008 in
London due to PM2.5 exposure (Friis, 2012). However, these results do not link to real people as
it is a mere statistical construct with amalgamated health effects due to air pollution. Because
everybody inhales the same air, realistic interpretations are that potential risks get distributed
evenly in the entire population with the cumulative mortality outcomes of the concentration
equal to the death number or rate. High levels of NO2 can cause inflammation in an individual’s
breathing tubes, and extended exposure can harm lung function as well as cause respiratory
symptoms or asthma (Friis, 2012). Cardiovascular and respiratory conditions get aggravated by
PM where smaller PM or particles go deeper and become deposited inside respiratory tracts.
Polluted air affects individuals with heart challenges, those working close to the contaminated
area as well as those with respiratory problems (Public health England, 2014).
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Recommended Actions
It is necessary to encourage more people to do cycling and walking than use vehicles or
public transport. These measures will reduce air pollution and improve air quality (Stuteley and
Parish, 2010). It is also necessary to promote the efficiency of energy in homes, commercial and
public offices. Individual steps could also be taken such as minimizing engine idling and
decreasing exposure risks where it can potentially harm health especially in individuals with
vulnerabilities (Goldsteen et al., 2011).
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Healthy Food
Healthy food or diet is a crucial health determinant in the broader environmental. It is,
therefore, necessary to improve the current food environment by enhancing nutritious food
availability and appreciating the link between dietary patterns and food geography retailing
(Goldsteen et al., 20115). The process of production, food processing, and its delivery must all
become considered. The focus of policy has become placed on measures of local planning and
how it affects supermarkets, planting farms, physical environment, and training on a healthy diet
(Pruss-Ustun et al., 2016). Numerous factors influence food availability. Low income and
unhealthy food predominance may collaboratively work with elements within the location to
limit food access (Pruss-Ustun et al., 2016). Access/availability of food can become determined
using indicators like quality, cost, transportation means, socio-economic factors, physical
proximity, and geography.
Barking and Dagenham has 29% obesity rate in adults which is higher than the 21%
London’s average rate and the 24% national rate (Gale et al., 2011). The school children of the
area (under six years) are 26% obese, higher than 19% national rate and 23% London rate. About
25% to 31% of the entire population uses five vegetable and fruit portions in a day. Further, 15%
of the place’s population physically exercises for 20 minutes while almost 45% practice once per
week. Availability of quality food has many health effects. For instance, cheap and ready
unhealthy diet raises the risk of consumption of high sugars, salt, saturated fats, low fruits and
vegetables (Gale et al., 2011). Consequently, people using these types of food are more likely to
be obese and develop cardiovascular illnesses, some cancers and diabetes type 2 (Jones et al.,
2007). The NOO or ‘National Obesity Observatory’ found that the UK obesity and overweight
economy was at 15.8 billion pounds each year which affects adults and children. Research shows
that increased number of outlets dealing in fast foods is linked directly to higher BMI or ‘body
mass index (Landon, 2006)
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Recommended Action
The nation should come up with developing schemes which will deal with promoting
easily accessible local healthy food outlets. Besides, there should be planning controls which will
regulate fast food retail shops proliferation particularly near schools and high streets
(Macdonald, 2005).
Fuel Poverty
Evidence shows a relationship between fuel poverty and health of individuals. Indeed,
three factors have become associated with causing or resulting to fuel poverty. These factors are
poor efficiencies in energy particularly in resident’s homes, low income and inflated prices of
fuel (Marmot, 2010). A house can be referred to as fuel poor when its total earnings are under the
line of poverty considering costs of housing energy as well as more expensive energy as
compared to the typical household costs. In Barking and Dagenham, older populations are
predicted to grow from 19,7000 in 2012 to 24,700 in 2025, and by 2040, the number will be
35,900 (Neighborhoods Green, 2014). The risks of fuel poverty have risen, and even though
there are no significant variations between London’s wards, six wards of Barking and Dagenham
are highly exposed to fuel poverty (Neighborhoods Green, 2014). Fuel poverty affects resident’s
health significantly as can be seen by the evidence which shows adverse health effects in this
area particularly in people who have underlying illnesses (Neighborhoods Green, 2014).
The adverse effects of fuel poverty are cold residents or homes, respiratory and
cardiovascular conditions which become exacerbated, influenza and rheumatic arthritis as well as
mental health (Norman and McDonnel, 2007). Fuel poverty effects might become compounded
by adverse emotional wellbeing, social isolation, poor diet and decreased mobility. Homes that
are cold have also become linked to impaired cognitive performance (Norman and McDonnel,
2007). Cost estimates in the UK connected to cold dwellings were at 1.36 billion pounds each
year excluding extra social service costs of care (PHE, 2004).
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Conclusion
This essay has illustrated the location of Barking and Dagenham borough as well as its
estimated population acquired through a census. It has demonstrated that ‘London Borough of
Barking and Dagenham’ is found in East London in England. It is situated 9 miles or 14.4 km
eastern Central London. This place is London’s outer borough while its South is in London’s
Riverside area of Thames Gateway. We have seen that the government has given this place urban
regeneration priority. Further, it has been illustrated that by the end of the year 2011, a
population census showed 187,000 people in the area with a large number of them found in
Becontree state. Moreover, the essay has demonstrated the physical factors found in this area and
has shown how such factors affect health of the local residents. Evidence on the relationship
between spaces outside the houses or working places and mental and physical health of residents
has become discussed. Other factors such as active travel and transport, air quality, availability
of food and fuel poverty have become discussed as well especially how these factors affect
resident’s health.
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