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Healthy Hounslow But Richer Richmond

Todays Evening Standard shows a jogger in Richmond Park illustrating a new report ranking Richmond 2nd in the UK for “future health”.  Delving into last years detailed report from CACI/TNS (this years not available) I found that the report concludes  Hounslow is quite healthy but has some demographic risk of losing this in the future. I reproduce some statistics which use demographics and heath risk correlations for the conclusions.  I compared Hounslow with Richmond, Elmbridge, Ealing and Hammersmith. The report has 3 Unhealthy categories (now, future, possible future) and 1 Healthy category and ranks boroughs 1 to 408.  The Evening Standard considered the Unhealthy Future for its article. Unhealthy rank 1 is bad but Healthy rank 1 is good.1 Unhealthy Now :    Hou 322, Rich 379, Elm 380, Eal 357, Ham 2862 Unhealthy Future:  Hou 124, Rich 381, Elm 374, Eal 182, Hamm 523 Unhealthy Possible Hou 330,Rich  26,  Elm   6, Eal 367, Hamm 4044 Healthy            Hou   30,Rich 206, Elm  316, Eal  5, Hamm   7These categories/groups 1 to 4 are defined in more detail as:-1. high levels of serious illness and poor diet & consumption patterns2. high levels of severely unhealthy lifestyles likely to lead to serious illness3. generally healthy but with some potentially unhealthy lifestyle traits4. good health with few lifestyle issuesThe reason why Hounslow, Ealing and Hammersmith are so healthy is that we have so many metropolitan, young, affluent, health-conscious professionals.  Richmond and Elmbridge lose out because of the high proportion of affluent professionals living there with high alcohol consumption and who like eating out.I focused on the areas of Hounslow’s demographics which make a difference in its rankings.  These are subdivided in the 4 categories as:-2.4 Metropolitan, multi-ethnic, smokers and overweight3.4 Affluent professionals, high alcohol consumption, dining out3.5 Low income families with some smokers4.1 Mixed ethnic metropolitan areas with good health and diet4.2 Metropolitan, affluent, healthy professionals4.4 Towns and villages with average health and diet4.6 Affluent towns and villages with excellent health and diet2.4 Hou 5.7, Rich    .7, Elm     .8, Eal 6.0, Ham 10.6 %3.4 Hou 8.3, Rich 29.2, Elm 41.1, Eal 7.7, Ham   2.5   %3.5 Hou 7.8, Rich   2.3, Elm   3.2, Eal 5.8, Ham   6.7 %4.1 Hou 6.3, Rich   1.0, Elm   1.8, Eal 6.1, Ham  21.0 %4.2 Hou 13.7 Rich  2.2, Elm   6.2, Eal 14.9, Ham 24.9  %4.4 Hou 11.8,Rich  4.9, Elm   8.2, Eal 15.9, Ham   4.7 %4.6 Hou 16.7,Rich 13.2, Elm  9.9, Eal 17.2, Ham   3.0  %

Michael Fletcher ● 6413d4 Comments

Thanks for your note about the conference which is very interesting and I have viewed the HofL report.  Like you two years ago I accessed Government mortality figures for Brentford data but found I think the most detailed cell was Hounslow.  I would be very interested if you can provide other information from the conference.One point of interest in the HofL report is that Hammersmith life expectancy seems to have improved more than any other of the bottom 10 rising from say 71 to 76 - I suppose this is due to gentrification and demographic change (the other boroughs seem to have stayed the same).An important point which arises from the "causes" of increased lifespan is that the factors tend to cluster together if one adopts a healthy or sports-oriented lifestyle.  To perform a sport well one needs good nutrition, absence of excess alcohol or food consumption a healthy lifestyle (correct sleep, absence of external stresses...).  That leaves only social class/income  as a risk factor apart from genetics.  And by definition a healthy and longer life proceeds from these.  But then again I think sportsmen from surveys don't live very much longer than the general population - maybe they have increased environmental risk eg cars or increased wear-and-tear eg arthritis.  Bit of a puzzle that and I'm surprised statistics gathering seems so primitive (eg subjective rating of healthy life expectancy).The HofL report didn't present detailed statistics of the effect of social class/income though it mentioned about a 10 year difference between top and bottom categories.To my mind the economic problem arising from improved longevity hasn't really been tackled by governments.  In particular supply side.  Do you remember some 20 or 30 years ago when it was predicted that work would be increasingly automated?  - though there's nothing new about that as more than 100 years ago Marx predicted the same.  Now the focus is on encouraging the workforce to work well beyond 65 years.

Michael Fletcher ● 6411d

I'm just back from the Association of Science Education conference in Liverpool (thanks Glaxo Smith Kline for the sponsorship !) where there was a fascinating lecture by Tom Kirkwood , Director of the Institute for Aging and Health at the University of Newcastle. His "hook" for the lecture was the astonishing fact that life expectancy is increasing by 5 hours every 24 hours !He also noted that life expectancy figures are now available on an electoral ward basis (though I have yet to find them at the Office of National Statistics) and contrasted unhealthy Liverpool, Glasgow and Newcastle with other areas with much longer life expectancy figures.He linked aging as the result of a lifelong battle between a  high rate of random molecular cell damage arising from various environmental stresses and poor nutrition offset by the natural repair processes in the body promoted by factorslike good nutrition. Genetic makeup accounted for only 25% of the variability ; what you did with the body you were born with and the environment it was put in accounted for 75%.I liked his definition that "old" starts for  anyone at 15 years older than themselves. And his pictures of the world record holder ( a French lady who died a few years ago aged 127 I think).(More related reading at the House of Lords report on Aging athttp://www.publications.parliament.uk/pa/ld200506/ldselect/ldsctech/20/2002.htmwhere Tom was the Scientific Adviser - or buy his books !)After the applause at the end, I found the Nuffield Foundation-sponsored reception lunch rather incongrous. Instead of the Mediterranean-diet ideal which had been advocated, we were served lots of ham sandwiches and fried samosas. Though people did say that the red wine might make up for it,  with the thought of the return drive I was not tempted to have a glass. After quite a while a few cartons of orange juice appeared.

Tim Henderson ● 6411d