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Innovation-in-Europes-Cities_Bloomberg-Mayors-Challenge1

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Five Core ThemesHealth and Well-be<strong>in</strong>gAid<strong>in</strong>g healthy liv<strong>in</strong>g<strong>Cities</strong> across Europe are <strong>in</strong>creas<strong>in</strong>gly concernedthat the health and well-be<strong>in</strong>g of their residents doesnot live up to what might fairly be expected of oneof the most economically advanced regions of theworld. A number of proposals focused on promot<strong>in</strong>gimprovements <strong>in</strong> physical and mental health toenable a better quality of life and – at the same time– reduce healthcare costs and <strong>in</strong>crease productivity.<strong>Cities</strong> like Sa<strong>in</strong>t-Étienne, France wantedto stimulate demand for exercise by <strong>in</strong>stall<strong>in</strong>g<strong>in</strong>frastructure to support more active lifestyles.Sheffield, United K<strong>in</strong>gdom proposed distribut<strong>in</strong>gfree activity-monitor<strong>in</strong>g devices and runn<strong>in</strong>gmass events with prizes to encourage walk<strong>in</strong>g andsocial cohesion. Lyon, France planned to providepersonalised walk<strong>in</strong>g routes via a website, whileLarissa, Greece proposed us<strong>in</strong>g NFC (near-field“Improvements <strong>in</strong> physicaland mental health enable abetter quality of life, reducehealthcare costs and <strong>in</strong>creaseproductivity.”communication) technology to track and developbetter walk<strong>in</strong>g routes. Brighton & Hove, UnitedK<strong>in</strong>gdom even suggested a smartphone applicationthat could be used to avoid mental health problemsby encourag<strong>in</strong>g positive behavioural changes<strong>in</strong> at-risk people. A slightly different approachto improv<strong>in</strong>g happ<strong>in</strong>ess was Limassol, Cyprus’sM<strong>in</strong>istry of Laughter, a dedicated department thatwould <strong>in</strong>crease well-be<strong>in</strong>g by help<strong>in</strong>g people tolaugh more.Prevail<strong>in</strong>g concerns about obesity, <strong>in</strong>creas<strong>in</strong>glevels of diabetes and a lack of access to healthyfood is reflected <strong>in</strong> a series of proposals for growyour-ownschemes and partnerships with localfarms to <strong>in</strong>crease access to affordable and healthyfood. Programmes often featured an educationalcomponent that would <strong>in</strong>crease the uptake ofhealthy menus or improved eat<strong>in</strong>g habits. Coimbra,Portugal planned to teach children how to eat well<strong>in</strong> social, family-style environments, while Gdynia,Poland wanted to use experimental gardens to helpchildren develop a taste for fresh produce. Otherideas to promote the benefits of a healthy diet wereput forward by San Sebastián, Spa<strong>in</strong> and Leicester,United K<strong>in</strong>gdom, which suggested ways of tackl<strong>in</strong>gfood security through local grow<strong>in</strong>g which – as theplans put forward by Alicante, Spa<strong>in</strong> confirmed –could help grow the local economy.Several cities proposed measures that wouldfocus on the requirements of <strong>in</strong>dividuals withspecial needs. This would save lives while alsosav<strong>in</strong>g money by reduc<strong>in</strong>g the cost burden onwelfare services. Elche, Spa<strong>in</strong> presented an ideaof tra<strong>in</strong><strong>in</strong>g 50% of the population <strong>in</strong> cardiopulmonaryresuscitation to reduce the risk of dy<strong>in</strong>gfrom cardiac arrest outside hospitals. Bruges,Belgium and Ed<strong>in</strong>burgh, United K<strong>in</strong>gdom madeplans to use technology and citizen support to maketheir cities dementia-friendly by help<strong>in</strong>g patientsnavigate the city. Hels<strong>in</strong>ki, F<strong>in</strong>land sought to allowpsychiatric patients to fill <strong>in</strong> their own ‘transferticket’ when transferr<strong>in</strong>g to out-based care. Thiswould give patients more control over an oftendifficult process.F<strong>in</strong>alist proposalsBristol, United K<strong>in</strong>gdomBristol identified a lack of access to quality foodas a major source of <strong>in</strong>equality, and is concernedabout the consequences of <strong>in</strong>creasedobesity <strong>in</strong> poorer areas. The Learn, Grow, EatRevolution proposes encourag<strong>in</strong>g local foodproduction and the establishment of healthyfood shops at exist<strong>in</strong>g community project sites,and also new food outlets and pop-up shops <strong>in</strong>deprived areas. Local grow<strong>in</strong>g decreases ‘foodmiles’, reduc<strong>in</strong>g carbon emissions and also<strong>in</strong>creas<strong>in</strong>g the number of people who eat foodgrown by themselves or by people they know.This feeds <strong>in</strong>to plans to partner with local chefsand school grow<strong>in</strong>g projects to teach residentshow to cook healthier meals. While someelements of the idea are fairly established <strong>in</strong>other cities, the scale and complexity proposed<strong>in</strong> Bristol would <strong>in</strong>crease the <strong>in</strong>novativeness ofthis comprehensive farm-to-fork programme.London, United K<strong>in</strong>gdomHalf of Londoners are cl<strong>in</strong>ically obese andthe next generation is show<strong>in</strong>g signs thatthe trend will worsen. This will likely <strong>in</strong>crease therisk of Type-2 diabetes, and place additionalstra<strong>in</strong> on an already stretched healthcaresystem. London Lives is a home-based careprogramme that proposes us<strong>in</strong>g technologyalready available <strong>in</strong> people’s homes to developa hyper-local understand<strong>in</strong>g of chronic andat-risk patients, <strong>in</strong>clud<strong>in</strong>g children. This willreduce the cost of treat<strong>in</strong>g patients and reducethe likelihood that the technology implementedwill become obsolete. It will also targetprevention and use data collection to improvethe quality of treatment. An open sourceplatform is expected to make it easier to expandthe programme to <strong>in</strong>clude other at-risk groups<strong>in</strong> future. While many cities have establisheddiabetes prevention programmes that workwith the families of diabetes sufferers, few havestarted to comprehensively <strong>in</strong>tegrate thesenew technologies <strong>in</strong>to municipal healthcarestrategies at the scale that London proposes.28

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