Green Health English HQ by Public Health Network Cymru

September 2018

Health and Well-being: A walk in the park

Welcome to the September edition of Public Health Network Cymru’s e-bulletin. This month’s theme is ‘Healthy Places and Spaces’. Following technical issues with our ‘National Parks Week’ edition back in June we are now able to publish the content submitted in this edition. We would like to take this opportunity to thank those who submitted articles for the previous edition and apologise for the delay. We are in the process of planning our next Seminar which is due to take place on 11th October 2018 in North Wales. Details can be found in the ‘Grapevine’ section of the ebulletin. Please get in touch with any information you would like to include on the website or e-bulletin by contacting us at publichealth.network@wales. nhs.uk

@PHNetworkCymru

Spotlight on Healthy Places & Spaces

Health & National Park Case Studies - National Resource

The National Parks and Areas of Outstanding Natural Beauty (AONBs), our designated landsc physical well-being and spiritual refreshment.

Supporting the NHS, as a ‘natural health’ service, The National Park and AONB Authorities a duties placed on them by the Well-being of Future Generations Acts by: • providing a wide range of opportunities for increased recreational activity from gentle walk • encouraging healthy lifestyles through growing and eating local produce, learning new activities to specifically health issues working with Primary Healthcare GP Clusters and GP • managing the landscape to ensure a healthy environment of clean air, water and land, for • providing access to tranquil areas in outstanding landscapes and contact with nature for s

There is a growing evidence base that spending time outdoors is good for mental and phys provide significant benefits, those visiting rural, coastal or designated sites like National Parks

These are just a few of a number of examples that have been delivered through our partners National Park Champions – Brecon Beacons National Park Authority

The Brecon Beacons National Park Authority and NRW funded – National Park Champions P often lacking in confidence in visiting the countryside. The aim of this project was to encou organised visits for groups and offered training for group leaders to encourage future visits fr

The Project introduced a number of different groups to the benefits of National Parks includin Powys Carers and Leaving Care Team, Kaleidoscope, Merthyr Housing Association, and othe but had not accessed it before.

Group Leaders rated the resulting: • Mental health benefits for participants at 10/10 • Physical health benefits at 9/10 • Participants from earlier projects were supported to develop skills in the scheme, with one Please visit our website to continue reading this article

es Wales

capes in Wales, provide beautiful landscapes for people to enjoy for recreation, mental and

are well placed to help support the delivery of improving health and well-being under legal

ks to extreme sport; w skills, connecting people with nature, volunteering opportunities and providing targeted P referral schemes; the benefit of local people and visitors; spiritual refreshment and mental well-being.

sical well-being. A new piece of research suggests that although all visits to green-space s, are found to be particularly beneficial.

s the Welsh National Parks.

Project has worked with socially excluded communities unfamiliar with the National Park and urage health and well-being benefits from being active in the Brecon Beacons. The Project rom the communities involved.

ng: Youth Services (Ebbw Vale, Ystradgynlais, Abergavenny, Brecon), Merthyr 3 GPs project, ers. Many live close to or in the National Park

e going on to receive the National Navigation Award.

National Parks Wales: Together for Health and Well-be

Position Statement The three National Parks in Wales deliver health benefits for the nation. They provide intrin provide direct physical and mental health benefits, for local and national communities, from e

Principles To develop the National Park Authorities (Brecon Beacons, Pembrokeshire Coast and Snowd • Everyone is entitled to experience National Parks, this includes the opportunity for easy a • The experiences available within National Parks can reduce the negative impacts of pove • Interaction with nature for the benefit of health and wellbeing to be done sensitively s generations.

Priority Actions National Parks Wales priority actions for Health and well-being are: 1. Raise awareness of the health and well-being benefits opportunities of National Parks 2. Continue to develop evidence-based policy and practice in relation to health and well-be 3. Maximise opportunities for all people in Wales to access the health and well-being benefi To continue reading the Position Statement and Priority Actions please visit our website

‘Time running out’ for UK parks, Government told

A coalition of countryside groups and environmentalists are calling on the government to pro budget cuts.

The group has put forward a “Charter for Parks”which calls on ministers in England, Wa maintained and managed to a “good standard.”

It also calls on them “to recognise the right of every citizen to have access within walking dis

Dave Morris, Chair of the National Federation of Parks and Green Spaces, said “time was run

“Budget cuts to staffing and maintenance are leaving them vulnerable to neglect and deteri taining local parks and open spaces but unfortunately, unlike waste collection, that’s not the

He said the charter called on politicians “to take action to ensure these essential and highlyrent and future generations.”

He added: “As the voice of the movement of more than 6,000 local Friends of Parks Groups t are playing. Now it’s time for government to show an equal commitment to act. The public w

In 2017 an inquiry into the future of parks by MPs found that they were at a “tipping point”, and into disrepair and neglect as a result of budget cuts. While 90% of families with children aged park managers had had their budgets cut and 95% were facing further reductions. For more information please visit The Charter for Parks Website

eing

nsic health benefits such as improved air-quality, carbon storage and biodiversity. They also enjoyment of the environment.

donia) activities to support public health and social well-being we believe that: access to National Parks, erty and improve opportunities for social inclusion and better health, so as not to compromise the special qualities and landscape of National Parks for future

eing and the natural environment and landscape features fits of the natural environment and landscape features of National Parks

otect the UK’s parks and green spaces which are at “crisis point” following years of swingeing

ales and Scotland to make it a legal requirement for all parks and green spaces to be

stance to a good-quality public green space.”

nning out” for the UK’s parks.

ioration, or even sell offs. Many people think local councils are legally responsible for maincase yet.”

-popular public resources are properly funded, managed, maintained, and protected for cur-

throughout the UK we recognise the immense contribution that these community volunteers will not forgive political leaders who let the sun set on the UK’s parks.”

d in 2016 a separate study from the Heritage Lottery Fund found the UK’s parks risked falling d under five had used their local park at least once in the past month, the study said, 92% of

Managing Green Spaces with Well-Being in Mind

A 3 year study at Bangor University is lo health and well-being of the participants. programme has been developed, taking activities such as mindfulness, green woodwo and whether a project like this can promote environment. Research on the benefits of tak pockets of good practice, it is still far from main independent use of the countryside is less we

This is what researcher Heli Gittins has set out of Natural Sciences (Dr Sophie Wynne-Jones) mental well-being and countryside access hab discover more depth about the impact of the s after the programme has finished to see how k changed.

Participant on the Ceredigion Actif Woods Project

Amie Andrews, Coed Lleol Manager said: ‘Coed Lleol are proud to support woodlan social prescribing is growing. Woodlands community, exercise and skill developmen research will help us to develop our program woodland activities.’

Early feedback from participants reveals how the course has motivated some to get a career with the support from the woodland mentors playing an important role in the success of the

Actif Woods Wales have been running programmes such as these since 2002 and benefit a project pond dipping, to a long running collaboration with Mind. Expanding the social fores The research project is an EU KESS (Knowledge Economy Skills Scholarship) funded projec in partnership with the Woodland Trust on the project, who are keen to understand how w the Woodland Trust. Our goal is to see a UK rich in woods and trees for people and wildlife ways in which people can benefit from woodland. Evidence from this study will also reveal h information which we can use to inform our work.’ Christine Tansey, Research and Evidence

Projects such as this which use green spaces for well-being can be win-win, with lasting envi include conservation tasks. They can also play a key role in decreasing anti-social behaviour, community pride.

ooking at how a woodland activity programme run by Coed Lleol impacts on the The Actif Woods Wales project uses woodland sites across Wales and a 12 week referrals from a range of health partners. The programme incorporates different orking and woodland gym. It also asks questions about how people use the countryside more independent access in the future, by developing confidence and knowledge of the king a dose of nature are well established, and although there are signs of progress and nstream. How programmes impact on people’s longer term behaviour and their habits around ell known.

t to find out in a unique collaboration which brings together expertise from both the Schools ) and Psychology (Dr Val Morrison). The project has already collected baseline data on the bits of 95 service users, and will capture them again as courses end. Focus groups will help to scheme on the people who take part. Crucially, the study will catch up with people 3 months key measures such as mental wellbeing and the way people use the countryside might have

nd wellbeing research by Bangor University at a crucial time when GP interest in s offer tangible and life-changing benefits to all, including nurturing confidence, nt, particularly to those with work limiting health conditions. We hope that this mme, offer opportunities for future partnership and crucially change people’s lives through

and the extent to which it is a big deal just to get up and out each week to attend the project, project.

a wide range of people, from taking a group of over 80 year olds from a supported housing stry sector by reconnecting people with woodland in Wales is at the core of what they do. ct, which joins Welsh universities with industry partners. Bangor and Coed Lleol are working woods can have positive impacts on wellbeing: ‘Heli Gittins’ research is of great interest to e, and this research partnership with Coed Lleol will help improve our understanding of the how the independent use of woods may change through participating in woodland activities, Co-ordinator at the Woodland Trust.

ironmental benefits. Activities are low impact, and often enhance sites, as many programmes linking people with sites on their doorstep and bringing them back into use, whilst increasing

Marketing Fund to Inspire Kids to Eat More Vegetables

A new fund has been launched 3rd May to tackle the critical issue of veg consumption w marketing fund that will use the top people in the advertising industry to create im supporting the creation of the fund and believes this is a real chance to use ‘advertis dren are leaving primary school obese or overweight, leaving them at higher risk of d POWER is being backed by celebrity chefs, medical experts, food producers and teache digital content it will inspire children to embrace and love the huge variety of vegetables support and help parents by offering an alternative to the junk food advertising that kids are Parents and children are bombarded with advertising and promotions and currently only 1.2%

Jamie Oliver said: "I'm a parent and like everyone else, I want my kids to have a proper balanced diet, packe challenge, so we need to get them really excited about veg by celebrating all the beautiful, c

Hugh Fearnley-Whittingstall said "80% of our children are not eating enough veg and it's impacting their health. There's end something really amazing. Let’s power up the next generation with vegetables!"

Dan Parker, who is assisting the Food Foundation, is a former advertising executive and know 2 diabetic, is planning to use impactful and appealing content to get kids pestering for peas “Advertising works, which is why companies spend so much money to promote their product vegetables with smiley faces. It’s about making veg cool and contemporary in a way that me There is already evidence that targeting advertising of fruit and vegetables has impact. Sinc risen from £370m to £1.26 Billion.

The long-term goal is for VEG POWER to be sustainably funded by Government and the Food children’s attitudes and offer health benefits leading to huge savings across the NHS by redu year treating Type 2 Diabetes alone. It will also support our farmers to produce more vegeta up to Brexit and beyond. A Crowdfund goes live today appealing to veg lovers, parents, gro Oliver, Hugh Fearnley-Whittingstall and Dr Rangan Chatterjee all appear in the Crowdfunding

Katie Palmer of Food Cardiff, the Wales arm of Peas Please said “We will be supporting Veg Power in Wales and will be using all the tools and networks we h on the health of our children and the wider population”

For more information: Web: www.vegpower.org.uk Facebook: @VegPowerUK Twitter: @Veg

which is contributing to 20,000 premature deaths every year in the UK. VEG POWER is a mpactful, innovative digital campaigns aimed at children. Sir John Hegarty has been sing for good’. We have hit crisis point with our children’s diets and 1 in 3 of our childeveloping diet related diseases such as Type 2 Diabetes. Action is needed now. VEG ers and will aim to transform children’s current attitude to vegetables. With strong simple on offer. Currently 80% of our kids are not eating enough vegetables. The fund will also exposed to everyday. 86% of children are reported by parents to pester them for junk food. % of food and drink advertising spend goes on vegetables.

ed full of lovely veg! But we all know that encouraging kids to eat more greens can be a colourful, fun things you can do with them."

dless junk food advertising but why aren't we marketing the good stuff to our kids? Let’s do

ws how to use digital and advertising to inspire people's food choices. Parker, himself a Type not pudding. Dan Parker said ts. People buy happiness not health, so this is no longer about the health message & cartoon eans kids don’t need to be bribed with dessert to finish their greens”. ce British Summer Fruits launched their PR campaign in 2002 the annual sales of berries has

d Industry and VEG POWER aims to prove that investing in promoting vegetables will change ucing the cost of treating diet related disease. The NHS currently spends over £10 billion per ables in the UK and support jobs and the economy. This will be hugely important in the lead owers and sellers across the UK to support the fund. The aim is to raise £100,000. Jamie g video.

have, both at the city level and National level, to ensure Veg Power has the maximum impact

gPowerUK Instagram: @VegPowerUK Crowdfund: www.crowdfunder.co.uk/vegpower

Homes and Communities That Meet the Needs of Old

The importance of age friendly communities The features that make a place desirable to live in can change as people get older and it is e

An age friendly community is one that has the capacity to support older people to retain thei are accessible, including public and community transport, to enable older people to enjoy he

Helping older people to live independently at home within an age friendly community can al

The accommodation needs of people may also change as they get older, so it is important tha and active lives, and their home or location may need to adapt to their changing needs. Mos possible.

Enabling an active social life Being able to take part in community life, with good access to local services and facilities, off people from taking part in community life can lead to less social interaction, a reduced qualit

Sadly, our research shows that many older people face considerable barriers to independen • • • • •

poorly maintained pavements and street ‘clutter’ inadequate street lighting lack of public seating lack of public toilets lack of places to meet

With local authorities facing shrinking budgets, many basic services and facilities are unde communities.

Enabling older people to remain living in their own homes One of the main tenets of the Welsh Government agenda in relation to housing and social ca

To achieve this goal, much of Wales’ current housing stock will need to be adapted. Howev homes safe and suitable for later life.

Some older people would rather opt for specialist retirement housing that enable independe within a safe and secure environment. Such environments can also provide suitable social a an older person’s quality of life.

Locations for retirement housing should be carefully chosen to ensure that residents have fu services and facilities, as well as their friends and relatives, so that they do not become isola community.

We want communities that help older people live safely, with good physical and mental heal full participation.

der People

essential that the built environment in our communities is age friendly.

ir independence and enjoy a good quality of life. It should include facilities and services that ealth and wellbeing, as well as full participation in society.

lso limit demand on local health and social care services.

at we have a range of good quality options. People need to be able to live safe, independent st people want to be supported to continue living independently in their home for as long as

ffers a lifeline for many older people. However, an inaccessible built environment that deters ty of life, and even an increased risk of poor physical and mental health.

nt living on a daily basis. We found potential barriers regarding:

er threat. The cumulative effect of such cutbacks will gradually take the heart out of local

are is that people should be supported to stay in their homes for as long as possible.

ver, many people currently have to wait a long time for the adaptations that will make their

ent living for longer activities that improve

ull access to local ated within a gated

lth, and enable

Green Health in North Wales

North Wales has a range of natural outdoor assets important for sustaining health and well-being. Our appro these assets is through a partnership approach as part of the Let’s Get Moving (LGM) Collaborative. The aim o range of factors, which combine to increase physical activity and reduce sedentary behaviour, so that being a

Let’s Get Moving North Wales uses a systems leadership approach, bringing together a network of partners have pledged to share their skills, knowledge, experience and resources to maximise the impact of our collecti vision.

The Green Health Working Group is one of three LGM subgroups developing work in partnership across the Park, the National Trust, Local Authorities, Sport Wales, Health and Third Sector organisations. Individual orga and whilst these assets are well used, the people that stand to benefit most from having access to them are stil awareness of what is available and support more people to use our green spaces.

In addition, the BCUHB Local Public Health Team has begun to define global best practice with regard to Gre recommendations for how to embed Green Health within public health topics, and work with PSB’s, local dev

Some examples of Green Health Partner Activities in North Wales include: 1. The Outdoor Partnership is a dynamic and innovative organisation that enables people of all ages and a instructors, support the running of outdoor clubs, work with hard to reach communities and provide opport awareness of the benefits of being active outdoors; and the partnership facilitate regular events and taste www.outdoorpartnership.co.uk/

2. Snowdonia National Park works closely with the communities within their catchment and provide a rolling pr within them. They manage access to walking and cycling routes throughout the park, and have developed wardens are out in the green spaces each day and have a wealth of knowledge and experience to inform sensory impairments, and the park is currently consulting with all stakeholders on its next partnership plan www.eryri.llyw.cymru/

3. The National Trust have an extensive portfolio of assets across North Wales, most of which are set in garde for sustaining good health and well-being, with different sites offering a range of opportunities to particip range of volunteering options that people can get involved with. The National Trust are currently conside

4. Actif Woods Wales programme runs a range of innovative and accessible woodland activities to help pe conservation, exercise in the forest, learning about the biodiversity in the woodlands and create opportu population groups and have extensive experience of working to sustain improvements in mental well-bein University to evaluate the outcomes. www.coedlleol.org.uk/

5. North Wales Wildlife Trust (NWWT) is working to protect and preserve the wildlife and the habitats they de on some of the sites across the region. The Living Landscapes project currently operates in three location www.northwaleswildlifetrust.org.uk/living-landscapes

The Trust is also involved in recent partnership development work with Natural Resources Wales, BCUHB explore the potential of Green Prescribing within a Social Prescribing model. A PhD Researcher at Bango

6. Groundwork North Wales delivers hundreds of projects across North Wales facilitating conservation projec sites to provide better quality green space. They have a vibrant volunteer network and are working with p work is the My Back Yard programme in Conah’s Quay, Flintshire that is a Big Lottery funded 12-week pro The project started in August 2017 and will run for 5 years. Groundwork North Wales.org.uk

7. Menter Môn MM) is a not for profit company that works with communities, individuals and businesses to de and contribute to a sustainable future. MM recognises the value of the resources that North Wales holds and built environment, cultural heritage, the agricultural and food sectors and most importantly local peop Anglesey. Started in September 2017, this 7-year Big Lottery and Welsh Government project is working Medrwn Môn. https://www.mentermon.com/en/priosectau/cwlwm-seiriol/

oach to maximising the benefits of of the Collaborative is to tackle the active become the norm.

s from different organisations that ive efforts and achieve our shared

e region. Members include a range of organisations such as Natural Resources Wales, Snowdonia National anisations are already doing a great deal of work across the region to manage and protect our green spaces, ll the least likely to do so. The group is working to identify a range of opportunities to increase local people’s

een Health and what this means for the team in North Wales. A short report has been developed to identify velopment plans and planning applications.

abilities to be active in the outdoors. They also provide training for people to become leaders and activity tunities for people to volunteer. They also have a well-established network of young ambassadors that raise er sessions that are open to all throughout the year.

rogramme of education for schools and groups about the natural resources they manage and the biodiversity d a set of route grading symbols to help users decide what level best suits them when they visit. The park’s m and advise visitors planning time in the landscape. Sensory walks have been developed for visitors with n for the park Cynllyn Eryri.

ens, parkland or extensive grounds. This green space is pro-actively marketed and promoted as a resource pate in green activities, including mindfulness courses, guided walks, miles of open access footpaths and a ering how they can offer ‘well-being’ membership packages as a part of their developing offer.

eople maintain good physical and mental well-being. These include sessions on bush craft and woodland unities for people to socialise in a safe and supportive environment. The programme works with different ng. They provide opportunities in Anglesey, Gwynedd, Wrexham and Flintshire, and are working with Bangor

epend upon. They provide advice to planners on ecosystems and have a large group of volunteers working ns – Mold, Anglesey and Wrexham, to ensure the conservation of habitats that sustain wildlife in those areas.

local public health and primary care teams in the West, and Anglesey and Gwynedd PSB representatives to or University leads this work.

cts, working with hard to reach population groups, developing their confidence and skills, and regenerating partners from the public and the private sector to make a difference to people’s lives. One example of their ogramme based on extensive consultation with the community in the town to determine what they wanted.

eliver meaningful projects, that harness their strengths to find solutions to the challenges facing rural Wales s and seeks to unlock their potential and add value to them for the benefit of all. These include the natural ple. One example of their work is the Cwlwm Seiriol project that focuses on the Seiriol Ward in South East to develop a green prescribing scheme that will dovetail into the social prescribing system developed by

Creating healthier places and spaces for our present and future generations Public Health Wales has published a helpful, easy-touse guide on how we can make the built environment healthier. This resource has been created to support Public Services Boards, public bodies, cross sector organisations and individuals take forward actions that address and enhance the health and wellbeing opportunities afforded by the natural and built environment. Green spaces, access to healthy food, and clean air are just some of the things that can help communities thrive. Creating Healthier Places and Spaces for our Present and Future Generations

Walking the Talk: Wales Sustainability Health and Wellbeing Initiatives

Further to our Health & Sustainability roadshows in the Spring, and in line with the theme of this edition of the ebulletin, we have created this online brochure showcasing some of the excellent initiatives being delivered across Wales. To celebrate these we are running a Twitter campaign right through October showcasing a different initiative from the brochure each day.

wATCH, lISTEN and Learn Podcasts We are pleased to announce that we have a new series of podcasts available for you to listen to on our website. Public Health Network Cymru have worked with a number of organisations to produce podcasts which can be downloaded and listened to on the go. All the podcasts are available in the ‘Get Involved’ section of the website. In our first briefing in the ‘Sustainability Series’, we talk to Sue Toner, Public Health Wales and Bronia Bendall, Natural Resources Wales about a new evidence-based resource on the health and well-being opportunities afforded by the natural and built environment.

Invitation to join “Public Health Advocates” (an email-list / Google-Group of early-mid career public health advocates) Why? To connect, to learn from each other, to become more effective advocates. Because “advocacy” is a skill which can be learned, but which is rarely part of formal public health education. Who? Early to mid career public health professionals who define themselves as “advocates” (which can e.g. mean to be regularly in the media or to be part of a campaign or NGO). Participants are from different countries and focus on different issues (e.g. tobacco control or climate change). What? In this group, participants can share different kind of information, experiences and questions. E.g. articles about advocacy skills, stories about effective advocacy campaigns and questions about how to get covered by the media. How to join? Joining the email-list is without obligations and can be cancelled at any time. If you are interested, just contact florian.stigler@medunigraz.at . If you have any questions, please don’t hesitate to ask.

On the Grapevine

Invitation to join “Public Health Advocates”

Encouraging start for new HIV prevention drug in Wales Health Secretary Vaughan Gething has welcomed the encouraging response to a new HIV prevention drug, after the first year of providing it through the NHS in Wales. Health boards in Wales started providing Pre-Exposure Prophylaxis (PrEP) in July last year through sexual health clinics as part of a three year study. The antiretroviral medication can be provided to at risk, uninfected people to prevent them getting HIV. The Welsh Government asked Public Health Wales and an independent HIV expert group to run the study to provide evidence for the acceptability and effectiveness of PrEP in HIV prevention. In the first year of the study (July 2017 to end of June 2018) 559 people have started the treatment and no-one on PrEP has contracted HIV. The national approach to PrEP and HIV prevention in Wales contrasts with England, where a national approach is not being taken and a charity is looking to raise funds for PrEP treatment. PrEP is only part of the strategy to reduce new infections of HIV. The reduction in new infections continues to fall, with the latest data (May 2018) showing that new cases of HIV fell by 24% in the last quarter of 2017 compared to the last quarter of 2016. Health Secretary, Vaughan Gething, said: “I am pleased that sexual health services in Wales have embraced the opportunity that PrEP provides and the early results from the study are encouraging. No new cases of HIV have been reported in those who have started taking the medication. “Wales has seen a sustained decrease in new HIV cases. There is no doubt that PrEP reduces rates of HIV infection when taken correctly and supported by wider, preventative sexual health services. It can help to reduce overall HIV transmission and infection rates. I look forward to seeing further results as they emerge. “Making PrEP available in Wales is only one aspect of our wider approach to HIV and STI prevention in Wales. To help implement the recommendations in Public Health Wales’ recent sexual health review, I have approved funding for a number of interventions to improve sexual health in Wales including a pilot for online STI testing and a project to provide self-sampling HIV tests to those attending for PrEP clinics. This work will provide valuable insight into the acceptability and logistics of on-line and self- testing and will help inform future developments in sexual health service provision. ”

The Headlines

Healthy and Active Fund A new Healthy and Active Fund (HAF) is being launched. Welsh Government, Sport Wales and Public Health Wales have come together to deliver the Healthy and Active Fund (HAF) which seeks to improve people’s mental health and physical health by enabling them to adopt healthy and active lifestyles.

Work begins on step change in emotional and mental health support in schools A new focus on a ‘whole school’ approach to mental health and wellbeing for children and young people has been announced by the Welsh Government to support the wider and ongoing reform of mental health support.

Enabling Natural Resources and Well-Being in Wales 2019-2023 – Call for Grant Proposals The Welsh Government is setting in place revised grant arrangements to support implementation of the Natural Resources Policy, making clearer links between Wales’ natural resources and well-being.

3.7 million children in the UK live in households for whom a healthy diet is increasingly unaffordable New analysis “Affordability of the Eatwell Guide” from independent think tank The Food Foundation finds that around 3.7 million children in the UK are part of families who earn less than £15,860 and would have to spend 42% of their after-housing income on food to meet the costs of the Government’s nutrition guidelines, making a healthy diet most likely unaffordable.

Launch of new global estimates on levels of physical activity in adults New data published in The Lancet Global Health show that more than one in four adults globally (28% or 1.4 billion people) are physically inactive. However this can be as high as one in three adults inactive in some counties.

Alcohol Children and Young People Communities Education Environment Gambling Gender Homelessness Lifestyle Maternal and Newborn Mental Health Noncommunicable Diseases Nutrition Older People Oral Health Parents People with disabilities Pharmacy Physical Activity Policy Poverty Prisoners Research and Evidence Sexual Health Sexuality Smoking Substance Misuse Unemployment Veterans Violence and Abuse Work

Whats on in

October

International Healthy Cities Conference: Changing Cities to Change the World

Belfast

2nd Symposium on the Future of Sustainable Agriculture in the EU: Assessing the Role of Pesticides and Biocides

Old and Alone: Not just an Isolated Incident

Thon Hotel - Brussels

Neuadd Reichel, Bangor University

7th International Society for Physical Activity and Health Congress (ISPAH)

Queen Elizabeth II Centre, London

Holiday Inn, Cardiff

Eurochild Conference 2018: Building a Better Europe with Children: All Aboard!

Opatija, Croatia

Spirit 2018 : Play in Public Space

In the next issue stress awareness