Tuesday, November 24

Emergency response times and sprawl

A study on emergency response times to vehicle accidents from University of Virginia researchers has been published in the November issue of the American Journal of Preventative Medicine. Here are the results:

"Urban sprawl is significantly associated with increased EMS response time and a higher probability of delayed ambulance arrival following motor-vehicle crashes in the U.S. The results of this study suggest that promoting of community design and development that follows smart-growth principles and regulates urban sprawl may improve EMS performance and reliability"
Dr. Matthew Trowbridge, an author of the paper, discusses:



The medical profession has been paying close attention to the health implications of land use patterns and design in recent years, and this paper's finding adds to the growing body of literature with similar conclusions. Health Impact Assessments are being used by many communities to apply some of these results to specific places.

One of the benefits of the national conversation about health care we've been having for the last six months is that the public is becoming more aware of how comprehensive health care really is. We've come to understand that no strategy for reducing costs can be successful without paying attention to preventative care. Sadly, the most advanced treatments available may not be of any help if the ambulance is 5 minutes late.

7 comments:

Eric Orozco said...

Emergency response time and street connectivity was a topic brought up at the 2008 CNU Transportation Summit in Charlotte. Charlotte's DOT presented a study pinning emergency response times to the fiscal responsibility of maintaining fire stations in different areas. The study (more here) found, for example, that "...stations in least-connected areas (suburban cul-de-sac neighborhoods) cost $586 to $740 per capita annually; the stations in most-connected areas cost $159 to $206 per capita annually."

We subsidize the cul-de-sac McMansion subdivisions many ways - roads, emergency response, environmental impacts, loss of farm land, etc - in ways that do not pay back for themselves. All those hidden costs (including health care) are grossly out of sync with the return of actual suburban tax revenues...

The first step to global sustainability is to help create neighborhood patterns that are actually sustained by their own communities, not exploiting an unfair transfer of wealth from urban, natural and agricultural locations.

Neil Williamson said...

Facinating study. I believe the concept Dr. Trowbridge spoke of in the video of EMS response scoring may become a reality (just as your homeowners insurance determines the distance to both a hydrant and a fire station).

Armed with this information, some people will choose to live in cul-de-sac McMansions (as Eric described them). I fail to see this as a bad thing. Informed citizens make informed decisions. The return on suburban tax revenues are determied by the locality applying the taxes.

Reading Eric's comment I am concerned that the first step to global sustainability is giving up freedom of choice and movement. I would argue that the first step in global sustainability is to create flexible design criteria and allow creativity to flourish and the market to embrace such living patterns.

Unknown said...

افضل فريق خدمة علاء تجدوه فقط لدينا في صيانة يونيون اير علي اعلي مستوي من خلالنا فقط في جميع مراكز صياناتنا وفي جميع توكيلاتنا المختلفه والمنتشره عبر جميع انحاء جمهورية مصر العربية.

almyaa almyaa said...

اذا كنت تعاني من تلف الاجهزة الكهربائية فالان تستطيع ان تقوم بصيانة الاجهزة الكهربائية علي اعلي مستوي من خلال صيانة يونيفرسال فقط حيث يعتبر لدينا افضل مهندسين الصيانة علي اعلي مستوي والمدربين جيدا فياكبر اماكن الصيانة في مصر وخارج مصر.

asphaltksa said...

شركة اسفلت اكبر شركة متخصصه في مجال سفلته طرق في جميع انحاء المملكة العربية السعودية علي اعلي مستوي حيث نستطيع في شركة اسفلت ان نسفلت الطرق السريعه والعاديه علي اعلي مستوي دون وجود اي حفرات او او انخفاضات عن مستوي سطح الارض.

Syanat 3 said...

احصل علي صيانة علي اعلي مستوي من خلال صيانة وايت ويل علي اعلي مستوي حيث لدينا افضل مهندسين الصيانة والتصليحات في جميع انحاء جمهورية مصر العربيه علي اعلي مستوي من خلالنا فقط وايضا من خلال صيانة وستنجهاوس تستطيع ان تحصل علي افضل خدمات الصيانة وقطع الغيار من خلال مراكزنا وفورعنا في جميع انحاء مصر.


anti.insects7@gmail.com said...

بمناسبه انتشار الحشرات في فصل الصيف والتي ينفر منها جميع الافراد اطفال كانوا او كبار تواصل الان مع الشركة الفرنسية اكبر شركات ابادة الحشرات في جميع انحاء جمهروية مصر العربية حيث تستطيع ان تحصل علي اقوي خدمات الابادة و مكافحة الحشرات في مصر.