Health Economic Assessment Tool (HEAT) for cycling and walking

World Health Organisation (WHO) Health Economic Assessment Tool for Walking and Cycling are running free online training courses on the 1st (in English) and 9th (in German) of April – sign up click here

To facilitate evidence-based decision-making, WHO has developed, in collaboration with experts, an online tool to estimate the value of reduced mortality that results from regular walking or cycling.

The health and economic assessment tool (HEAT) for cycling and walking:

  • is intended to be part of comprehensive cost–benefit analyses of transport interventions or infrastructure projects;
  • complements existing tools for economic valuations of transport interventions, for example on emissions or congestion;
  • can also be used to assess the current situation or past investment;
  • is based on best available evidence, with parameters that can be adapted to fit specific situations. Default parameters are valid for the European context.
  • HEAT calculates the answer to the following question: if x people cycle or walk y distance on most days, what is the economic value of mortality rate improvements?

A guidance book and summary address practitioners and experts, focusing on approaches to the economic valuation of positive health effects related to cycling and walking.

Applications

HEAT can be applied in many situations, for example:

  • to plan a new piece of cycling or walking infrastructure: it models the impact of different levels of cycling or walking, and attaches a value to the estimated level when the new infrastructure is in place;
  • to value the mortality benefits from current levels of cycling or walking, such as benefits from cycling or walking to a specific workplace, across a city or in a country;
  • to provide input into more comprehensive cost–benefit analyses, or prospective health impact assessments: for instance, to estimate the mortality benefits from achieving national targets to increase cycling or walking, or to illustrate potential cost consequences of a decline in current levels of cycling or walking.

The tool has already been applied in several countries.

Health economic assessment tools (HEAT) for walking and for cycling. Methodology and user guide. Economic assessment of transport infrastructure and policies. 2014 Update

HEAT for cycling and walking
Access the tool to estimate the value of reduced mortality that results from regular walking or cycling

Development of the health economic assessment tools (HEAT) for walking and cycling
WHO/Europe, 2014

Acknowledgements
HEAT was developed within the Transport, Health and Environment Pan-European Programme (THE PEP) and in close collaboration with HEPA Europe

Health in All Policies in practice: guidance and tools to quantifying the health effects of cycling and walking
Article in the Journal of Physical Activity and Health presents guidance and some practical applications of HEAT.

Examples of applications of HEAT
How countries have used the health economic assessment tool (HEAT) for cycling

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