Improving Air Quality — House of Commons, 2018-06-28
Topic: Health
Andrew Edmund Armstrong Selous (Conservative, Centre-right): I could not agree more. As someone who over the Easter recess cycled from my home to my constituency office along the busy A5, with juggernauts going fairly close to me, I completely understand what the hon. Lady says. We need safe cycling, and all the evidence shows that more people will cycle if it is safer. That is especially true for children going to school from all the new housing developments. When we build new housing, it is essential that we have safe cycle routes to the schools. That will result in healthier children, less childhood obesity and better communities Let me go quickly through the full list of health problems associated with poor air quality. It includes: premature birth; reduction in foetal growth; low birth weight; increased risk of death during the first year of life, particularly from respiratory illnesses; exacerbation of the effects of respiratory infections in young children; and effects on the normal growth of lung function during childhood. There is really shocking evidence that if a child’s lung capacity is damaged when it is young, it may never recover. From a social justice point of view, it is even worse, because it is the poorest kids who are breathing in the worst air. That is why this issue matters so much The list also includes cardiovascular disease, heart attacks, hypertension and stroke. Poor air quality also leads to chronic obstructive pulmonary disease; pneumonia; accelerated decline in lung function and lung cancer in adulthood; the development of early onset asthma, which the hon. Member for Central Ayrshire (Dr Whitford) mentioned just now, as well as exacerbating asthma in those already living with the condition; impaired cognition; dementia—a big Canadian study showed a link with dementia; and other neuro-degenerative disorders as well as type 2 diabetes, obesity and metabolic syndrome. I think that we can say that that is a pretty concerning list Public Health England is a very fine body, which I admire very greatly. Its chief executive, Duncan Selbie, does very good work, but we need more action from the organisation. It needs to be engaged in this issue. What it has done so far has been quite high level and quite strategic; it has not really come down to the level of the citizen, which is where we need it to be active One recommendation of the joint report of the Select Committees was that Public Health England should deliver an effective and appropriate campaign by this September, but Public Health England has told us that that is not possible in the timescale. That is despite the fact that the World Health Organisation has called this issue a public health emergency. I ask PHE to redouble its efforts on this issue and really try to get this information down to local levels so that people are, first, informed and, secondly, know what they can do to protect themselves best, and to stop being part of the problem and to start contributing to the issue I was pleased to see in the foreword to the Government’s 2018 clean air strategy, the statement by the Secretary of State that there would be a new goal that takes into account the World Health Organisation guidelines. There was also a commitment to primary legislation. I know that the Under-Secretary of State for Environment, Food and Rural Affairs, my hon. Friend the Member for Macclesfield (David Rutley), cares a lot about these matters. When he responds, could he please give us a little bit more detail on this issue? There are specific World Health Organisation guidelines on the amount of particulate matter—PM2.5 —that we should not exceed on a daily basis. When the Government talk about taking into account the guidelines, I hope that they will go into that level of detail, bearing in mind what I said about the briefing from the British Heart Foundation about the increased risk of heart attack from elevated exposure to poor air quality just within a 24-hour period Winter pressure in the national health service is a huge issue that concerns every single Member here and I know the national health service is taking it extremely seriously as we head towards next winter. I have just been in the Upper Waiting Hall speaking to Dr Hugh Coe from Manchester University as part of evidence week, which is a very welcome intervention, as the top academics and scientists who know about these issues take the time and trouble to come down to Parliament to brief Members so that we are properly informed and can make good decisions on these matters. Dr Hugh Coe confirmed what the clinical chair of Bedfordshire clinical commissioning group said to me quite recently, which was that part of the increase in winter pressures, much of which is caused by older people going into hospital with respiratory problems, is from poor air quality. When we have cold weather in winter, the air is clammy and a bit foggy, which means that the pollution gets stuck in it. We breathe it in. It affects us more as we breathe it in. The same happens when it is very hot in the summer because the sun exacerbates the pollution. Again, I do not think that it is well known that there is this link between poor air quality, higher levels of respiratory problems and the winter pressures that we are all concerned about—a further reason for action My final issue is how we energise this issue at a local level. The Government talk about monitoring levels of air quality around schools. I would add old people’s homes as well. There are many other places where it is very important that we know the level of air quality. That information is really important to inform local residents, so that when they are looking to elect people to public office, either to Parliament or to local authorities, they can let them know how seriously they take this issue and the fact that they want something to be done about it Finally, we had a meeting on air quality and active travel in my constituency not so long ago. An older lady who had never smoked and who had led a pretty healthy life came up to me and said, "I am here today. I have just been diagnosed with chronic obstructive pulmonary disease. Where did that come from?" She had never smoked. The chances were, I am afraid, that she got it from breathing in poor quality air. That will greatly affect the last years of her life. Sometimes we talk in statistics and percentages, but I want to end my contribution with that one lady and the impact on her remaining years.