A healthy environment: how do we get there? The Environment and Planning Act calls for a greater focus on healthy environments, but what does that actually mean? And how do we go about it in the midst of major challenges such as climate adaptation, energy transition and the housing crisis? It may feel like just another task, especially with so much already on our agenda.
But health offers a unique opportunity to connect different ambitions. Imagine densification that creates more pleasant living environments, or urban designs that prioritize nature and well-being. In this newsletter, we explore how a healthy living environment can be realized, drawing on insights from both research and practice, from the impact of densification on healthy lifestyles to a municipality that has made health the driver of its environmental vision. We also share practical tools and innovative ideas for improving the spatial aspects of well-being.
Our health is deeply intertwined with the environment in which we live. So Living Healthy Together benefits everyone - find out how in this issue of our newsletter!
Urban densification: opportunities and risks for our health
The housing shortage is putting pressure on urban densification, but what is the real impact on the health of residents? Researchers Mariëlle Beenackers (ErasmusMC) and Annemarie Ruijsbroek (RIVM) investigated how densification affects our living environment and our health. Their findings shed new light on the complex dynamics between the two.
The research takes a systems-based approach to urban densification. "Health in an urban environment does not work according to a simple cause-and-effect relationship; different factors constantly influence each other," Beenackers argues. For example, while densification can promote physical activity because it often brings more amenities within walking distance, it can also cause stress because of a lack of quiet, green spaces.
What would urban development look like if we put health first? - Together with the province of South Holland, we explored this question in 2023. Through design research in the Sterrenburg district of Dordrecht, we came to a surprising conclusion: we would design almost "reverse". Not from quantity, but from the networks and layers that contribute the most to positive health - and at the same time take the most time to grow: the green-blue network and social connections.
Starting from these slow layers requires a different approach than we are used to. People are similar to trees in this respect. Both need time to develop roots and grow together. So start with quality and a healthy living environment, rather than just quantity of housing. Our research shows that this not only leads to healthier living, but can even create more housing than current plans provide.
Healthier living and more living space in the same area: you can do both.
Which spatial building blocks should we consider when we talk about a healthy living environment?
Together with the Province of Zuid-Holland and the GGD, PosadMaxwan has developed practical building blocks for a healthy living environment. They are a spatial translation of the positive health framework of the Institute for Positive Health. The building blocks provide concrete guidance on what we should pay attention to when designing a healthy living environment. In doing so, they show how it touches and reinforces many other issues and transitions.
Get involved with health and use the building blocks as inspiration or as design elements to explore how healthy a neighborhood or community already is or could be!
Want to dive deeper into the methodology? The building blocks are part of a practical, step-by-step plan that allows you to make health a guiding principle in your design process. In five concrete steps, you will learn how to integrate health into urban designs and visions at every scale - from an environmental vision to a detailed master plan.
How can health set the course for the development of a new municipality? This question is central to the municipality of Dijk en Waard, formerly the separate municipalities of Langedijk and Heerhugowaard, and now with 90,000 inhabitants on its way to 100,000. At the end of 2022, together with Berenike van Lohuizen and her team, we started an expedition: "How do we create an ambitious environmental vision for this new municipality, where we actually make spatial decisions and choose a strong, new course? In this episode, we talk to alderman Nils Langedijk and area developer Berenike van Lohuizen about their experiences and the role of health as a driver for change. Please note that this podcast is in Dutch.
“Our microbiomes are a reflection of our diet and environment. They "show" that we are literally an inseparable part of the city in which we live.”
Why are nature-inclusive cities so important for our health? High biodiversity in a city results in a wide range of microorganisms. This diversity contributes to the development of healthy microbiomes in us as residents. Human microbiomes are communities of microorganisms, such as bacteria, found on our skin and in our gut. The composition of these microbiomes affects our overall health.
A city that incorporates nature leads to greater biodiversity, resulting in a wider range of microorganisms. This diversity is not only found in the soil and green spaces, but also in our bodies. A diverse microbiome is the foundation of a functioning immune system and our overall health. It increases our body's resilience and reduces the risk of chronic diseases like asthma and allergies, as well as acute infections like the flu.
Unfortunately, our microbiome is not doing well today. Because of the declining biodiversity in which we live, the microbiomes in our bodies are becoming poorer. This makes them less able to protect us from disease.
“Fighting loneliness and affordable housing together, it can be done!”
Making the Netherlands a little more liveable by providing affordable housing for young and old is what drives Amanda Schiltmans-Molter. She is the creator and initiator of the innovative housing concept Duo-Living. In 2019, she founded Stichting Statiegeld op Jeugd (literally translated as ‘Deposit on Youth Foundation’) to work on this challenge and offer a concrete solution.
What exactly is Duo-Living? Duo-Living allows seniors to live independently for longer in their rental or owner-occupied homes by structurally splitting the homes; creating two independent homes. This makes better use of the current housing stock. Downstairs, the senior lives entirely on the ground floor, equipped with his or her own facilities. Upstairs, a unit of +/- 50 m2 is created, with its own facilities and entrance, where a young adult lives, who also provides assistance to the senior.
Curious about new perspectives on healthy urban development? In March, we are organizing an event with Pakhuis de Zwijger to spotlight innovative thinkers, doers and inspiring initiatives.
With a growing aging population and a significant housing challenge, we must ensure that our living and playing environments remain truly healthy. How can we prioritize the healthiest choices over the fast and easy solutions? Together with the province of South Holland, we are testing the "reverse design" approach in five new locations, including Capelle and Alphen a/d Rijn. Our goal is to have a robust, proven approach to healthy urbanization by 2025 that can inspire other communities and provinces.
Health is also at the forefront of our own projects. Whether it's mobility or the integration of nature, we always apply a health lens to ensure that our designs contribute to a healthy living environment for all.
The health challenge is significant and we cannot tackle it alone. We invite you to actively participate in initiatives such as Bac2Nature, DuoWonen and other projects that promote a healthy living environment. Hope to see you at Pakhuis de Zwijger in March!
Do you have any questions or would you like to collaborate?