Healthy Living

Medical studies show that certain urban designs promote healthy lifestyles among Quebecers. Would you like your environment to help you adopt healthy lifestyle habits? Here are the commitments you should ask your candidates to make:

Keep me in shape (How to help me get my 30 minutes of physical activity or my 10,000 steps per day as recommended by my doctor)

• Commitment 2 Improve public transportation services
  • Transit riders are four times more likely to walk the 10,000 steps/day recommended by their doctor than motorists. ¹
  • Targets:
    • Target 1: In urban centers, aim for every citizen to live within 500 m of a transit stop. ²
    • Target 2: In urban centers, aim for two-thirds of urban trips to be made by walking, cycling or public transit by 2040, as in Vancouver. ³
    • Target 3: Provide quality urban and regional public transit service by requiring a one cent per liter gasoline contribution from motorists. ⁴
• Commitment 3 Expand cycling networks
  • People who commute by bicycle get more exercise than motorists; they weigh on average 4 kg less than motorists.⁵ The presence of trees, urban woodlots and other natural features, the safety of the routes and their interconnectedness encourage transportation by bicycle. ^{6 7}
  • Targets:
    • Target 4: Aim for every citizen to live within 300 m of a bike path, as in Barcelona. ⁸
    • Target 5: Provide comfortable and attractive bicycle routes, including trees, shelters, street furniture, public restrooms, water fountains, etc., and map restrooms and water fountains. ⁹
• Commitment 4 Expand pedestrian networks (sidewalks, trails, pedestrian streets)
  • Attractive, tree-lined, ¹⁰ comfortable, safe, continuous, interconnected pedestrian networks with destinations of interest in a dense urban fabric encourage walking.¹¹ Moving to such neighborhoods can increase the amount of time you spend walking by 59%, just for fun! ¹²
  • Targets:
    • Target 6: Aim to have a pedestrian route (sidewalk or marked pedestrian space) in front of every residence in the urban environment. ^{13 14}
    • Target 7: Improve the comfort and attractiveness of pedestrian routes by providing trees, shelters, street furniture, public toilets, water fountains, dog waste dispensers, etc., and map out locations of toilets and water fountains. ¹⁵
• Commitment 5 Develop a city of short distances
  • The location of services (grocery store, pharmacy, community centers, etc.) near citizens encourages walking and cycling. ^{16 17}
  • Target:
    • Target 8: In urban centers, aim for all citizens to reside in a neighborhood with a Walk Score (www.walkscore.com) of at least 70 out of 100. ¹⁸
• Commitment 6 Develop interconnected green spaces close to citizens
  • The presence of green spaces near citizens encourages physical activity. ¹⁹ Good-sized green spaces encourage 30 minutes of physical activity per day in 2 to 2.5 km routes. ²⁰ Their interconnectedness increases biodiversity, which in turn attracts people to walk to discover it. ²¹ People who spend 2 to 3 hours per week in green spaces report better health and well-being. ²²
  • Targets:
    • Target 9: Aim for every citizen to live within 300 m of at least 0.5 to 1 hectare of green space. ²³
    • Target 10: Aim to have at least 12% of the land within the urbanized area and at least 17% of the total land area protected as natural areas by 2030. ²⁴
    • Target 11: Aim to have all-natural areas, green spaces and waterfront parks interconnected by naturalized corridors, the simplest expression of which would be tree-lined streets.
    • Target 12: Aim to substantially increase public access to lakes and rivers for waterfront cities.
• Commitment 7 Take on our winter by promoting walking, cycling and the use of green spaces in all seasons
  • Canadians are less physically active in the winter than in the summer. In winter, 64% of Canadians are inactive. ²⁵ However, we are 3.5 times more likely to be healthy if we visit a park at least once a month in winter. ²⁶
  • Targets:
    • Target 13: Clear snow and maintain all sidewalks, pedestrian links, bike paths, park trails and street furniture clear of snow and ice during the winter months.
    • Target 14: Keep public washrooms open during the winter months.
• Commitment 8 Secure pedestrian and bicycle networks
  • In 2019, more than 300 Quebecers died in road accidents and more than 30,000 were injured. 23% of the deaths were pedestrians or cyclists. ²⁷ A sense of safety encourages people to walk and cycle. ^{28 29} Narrowing the width of the roadway³⁰ and the visual field of motorists, for example, through a canopy of trees, encourages them to slow down. ³¹
  • Targets:
    • Target 15: Achieve Vision Zero (road deaths and serious injuries). ³²
    • Target 16: Construct automobile lanes no wider than 3 m in urban areas on streets with an annual average daily traffic flow of less than 12,000 vehicles. ³³
    • Target 17: Provide curb extensions at intersections and tree canopy at accident-prone locations.
    • Target 18: Reduce the speed limit in residential neighborhoods to 30 km/hr. ³⁴
    • Target 19: Secure bike lanes through recognized means³⁵ and regular maintenance.

Healthy eating for me and my family

• Commitment 9 Promote the availability of healthy food in my neighborhood
  • 45.5% of Quebec’s population lives in areas with poor access to grocery stores.³⁶
  • Target:
    • Target 20: Plan to produce 25% of the municipality’s fruit and vegetable needs within the urban perimeter, similar to Toronto. ³⁷
• Commitment 10 Protect Quebec’s food autonomy
  • There is only 2% of cultivable land in Quebec. ³⁸
  • Targets:
    • Target 21: Protect all agricultural land within my municipality.
    • Target 22: Implement a greenbelt around my municipality to limit urban sprawl on agroforestry lands.

Always think about my health when doing projects in my neighborhood

• Commitment 11 Conduct a health impact assessment³⁹ on significant projects in a living environment
  • The way a neighborhood is developed has a major impact on the health of residents and health care costs.
  • Targets:
    • Target 23: Conduct a health impact assessment for any significant project in my neighborhood such as the extension or addition of a roadway, the destruction of a green space, the massive cutting of urban trees, the installation or expansion of a polluting industry, etc.
    • Target 24: Choose design options that support my well-being and health and reduce health care costs.
    • Target 25: Inform the public about the features and benefits of healthy urban design.

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Physical Health

Medical studies show that certain urban designs can prevent or reduce many of the severe physical illnesses present in Quebecers. Would you like your environment to help protect you against these diseases? Click on the themes to discover the commitments you should ask your candidates:

1. Protect me against lung disease, cardiovascular disease, hypertension, obesity, diabetes and cancer
2. Protect me against drinking water-related illnesses
3. Protect me against pesticide-related illnesses
4. Protect me from heat stroke and climate change
5. Always think about my health when doing projects in my neighborhood

Protect me against lung disease, cardiovascular disease, hypertension, obesity, diabetes and cancer

• Commitment 12 Fight air pollution
  • In Quebec, air pollution causes 4,000 premature deaths per year⁴⁰, about 12 times more than deaths from road accidents.⁴¹ In countries such as Canada, air pollution has been associated with 33% of cardiovascular disease, 16% of chronic obstructive pulmonary disease, 12% of lower respiratory tract infections and 8% of respiratory cancers. ⁴² A Quebec study of over 1 million children showed that air pollution causes asthma in children. ⁴³ The main air pollutants are fine particulate matter (PM), nitrogen oxides (NOx) and ozone. In Quebec, the transportation sector alone is responsible for 62% of all air contaminant emissions, ⁴⁴ which means that air pollution levels are often higher near busy highways and boulevards. Exposure to traffic increases the risk of myocardial infarction (heart attack) within one hour by 3 times.⁴⁵ The economic value of the health impacts of air pollution is estimated at $30 billion per year in Quebec. ⁴⁶ A modal shift to public transit, cycling and walking helps combat air pollution. Urban trees capture about 24% of air pollutants on average. ⁴⁷
  • Targets:
    • Target 26: Aim for zero air pollution days in my neighborhood during the year (air pollutant levels below the Canadian Ambient Air Quality Standards 2025 of the Canadian Council of Ministers of the Environment).
    • Target 27: Prohibit highway construction within 300 m⁴⁸ of my residence, my place of work or my children’s place of study.
    • Target 28: Aim for an optimal canopy of at least 40% of the urbanized area following the lead of Toronto⁴⁹ and the signatories of the 2020 Declaration for Resilience in Canadian Cities. ⁵⁰
    • Target 29: Introduce strong municipal bylaws to protect urban trees, including consideration of existing trees in defining building footprints, protective measures during construction and deterrent fines.
    • Target 1: In urban centers, aim for every citizen to live within 500 m of a transit stop. ⁵¹
    • Target 2: In urban centers, aim for two-thirds of urban trips to be made by walking, cycling or public transit by 2040, as in Vancouver. ⁵²
    • Target 3: Provide quality urban and regional public transit service by requiring a one cent per liter gasoline contribution from motorists. ⁵³
    • Target 4: Aim for every citizen to live within 300 m of a bike path, as in Barcelona. ⁵⁴
    • Target 5: Provide comfortable and attractive bicycle routes, including trees, shelters, street furniture, public restrooms, water fountains, etc., and map out locations of toilets and water fountains. ⁵⁵
    • Target 6: Aim to have a pedestrian route (sidewalk or marked pedestrian space) in front of every residence in urban areas. ^{56 57}
    • Target 7: Provide comfortable and attractive pedestrian routes, including trees, shelters, street furniture, public toilets, water fountains, dog waste dispensers, etc., and map out locations of toilets and water fountains. ⁵⁸
• Commitment 13 Fight noise pollution
  • Road transport noise is the main source of noise pollution in our Quebec cities.⁵⁹ Studies have shown that exposure to transportation noise increases the risk of cardiovascular disease, ⁶⁰ including high blood pressure⁶¹ in people with long-term exposure to high levels of traffic noise.
  • Target:
    • Target 30: Aim for zero noise pollution (noise pollution levels below the threshold levels recommended by the Institut national de santé publique du Québec). ⁶²
• Commitment 14 Green my city
  • People living in very green neighborhoods are more likely to be healthier than people living in concrete and asphalt neighborhoods. In fact, the scientific medical literature shows that an optimal canopy (the area of the city covered by the tops of trees) of at least 40% could reduce the prevalence of diabetes by about 14%, hypertension by 13%,⁶³ obesity by 40%,⁶⁴ asthma by 6%,⁶⁵ cardiovascular mortality by 9%,⁶⁶ pulmonary mortality by 10%,^67,68 cancer mortality by 13%⁶⁹ and premature general mortality by 10% to 20%.⁷⁰ Urban trees protect against ultraviolet rays responsible for skin cancer.⁷¹ Automobiles occupy about 50% of the space in our cities.⁷² Investments in public transit, pedestrian and bicycle networks can free up space for people and greening.
  • Targets:
    • Target 28: Aim for an optimal canopy cover of at least 40% of the urbanized area, following the example of Toronto⁷³ and the signatories of the 2020 Declaration for Resilience in Canadian Cities. ⁷⁴
    • Target 29: Introduce strong municipal bylaws to protect urban trees, including consideration of existing trees in defining building footprints, protective measures during construction and deterrent fines.
    • Target 31: Adopt a Toronto-style shadow code. ⁷⁵
• Commitment 2 Improve public transportation services
  • Transit riders get about 50 more minutes of physical activity per week than motorists. This energy expenditure can reduce weight gain. Public transit^{76 77}, especially if electrified, helps reduce the air pollution ⁷⁸associated with 33% of cardiovascular disease in our cities. ⁷⁹
  • Targets:
    • Target 1: In urban centers, aim for every citizen to live within 500 m of a transit stop. ⁸⁰
    • Target 2: In urban centers, aim for two-thirds of urban trips to be made by walking, cycling or public transit by 2040, as in Vancouver. ⁸¹
    • Target 3: Provide quality urban and regional public transit service by requiring a one cent per liter gasoline contribution from motorists. ⁸²
• Commitment 3 Expand cycling networks
  • Researchers in London have estimated that a shift from car travel to cycling and walking could reduce cerebrovascular disease by 10 to 18%.⁸³ Other researchers have estimated for eleven cities in the mid-western United States that cycling for 50% of trips less than 5 miles would result in annual savings of US$8.7 billion per year due to improved fitness and reduced air pollution.⁸⁴ The presence of trees, urban woodlands and other natural features, the safety of the routes and their interconnectedness encourage cycling. ^{85 86}
  • Targets:
    • Target 4: Aim for every citizen to live within 300 m of a bike path, as in Barcelona. ⁸⁷
    • Target 5: Provide comfortable and attractive bicycle routes, including trees, shelters, street furniture, public restrooms, water fountains, etc., and map out locations of restrooms and water fountains. ⁸⁸
• Commitment 4 Expand pedestrian networks (sidewalks, trails, pedestrian streets)
  • American researchers have estimated that walking and/or cycling for 10 to 149 minutes per week can reduce the risk of diabetes by 32%.⁸⁹ Attractive, tree-lined,⁹⁰ comfortable, safe, continuous, interconnected pedestrian networks with destinations of interest in a dense urban fabric encourage walking.⁹¹ Moving to such neighborhoods can increase the amount of time you spend walking by 59%, just for fun! ⁹²
  • Targets:
    • Target 6: Aim to have a pedestrian route (sidewalk or marked pedestrian space) in front of every residence in urban areas. ^{93– 94}
    • Target 7: Provide comfortable and attractive pedestrian routes, including trees, shelters, street furniture, public toilets, water fountains, dog waste dispensers, etc., and map out locations of toilets and water fountains. ⁹⁵
• Commitment 5 Develop a city of short distances
  • A short-distance city is a compact city where services and destinations are located close to citizens. By promoting walking, biking and public transit, a short distance city could reduce the number of years of disability associated with cardiovascular disease by 15%.⁹⁶
  • Target:
    • Target 8: In urban centers, aim for all citizens to reside in a neighborhood with a Walk Score (www.walkscore.com) of at least 70 out of 100.⁹⁷
• Commitment 6 Develop interconnected green spaces close to citizens
  • A Quebec study has shown that the presence of green spaces near the place of residence can reduce the risk of cerebrovascular diseases by 11% and the risk of diabetes by 9%.⁹⁸ Good-sized green spaces promote 30 minutes of physical activity per day by walking 2 to 2.5 km.⁹⁹ Their interconnectedness promotes biodiversity, which, by its attractiveness to humans, encourages them to walk to discover it. ¹⁰⁰
  • Targets:
    • Target 9: Aim for every citizen to live within 300 m of at least 0.5 to 1 hectare of green space. ¹⁰¹
    • Target 10: Aim to have at least 12% of the land within the urbanized area and at least 17% of the total land area protected as natural areas by 2030. ¹⁰²
    • Target 11: Aim to have all natural areas, green spaces and riverfront parks interconnected by naturalized corridors, the simplest expression of which would be tree-lined streets.
    • Target 12: Aim to substantially increase public access to lakes and rivers for waterfront cities.
• Commitment 7 Take on our winter by promoting walking, cycling and the use of green spaces in all seasons
  • Physical activity can reduce the risk of breast cancer by 16% to 30%.¹⁰³ And in women with breast cancer, exercise can reduce breast cancer mortality by about 40%.¹⁰⁴ A Quebec physician specialist has found that many of her breast cancer patients who are active in the summer stop walking in the winter for safety reasons because the sidewalks on their street are poorly plowed, not de-iced or non-existent. The same is true of pedestrian paths, urban promenades or parks. In addition, in winter, toilets are often closed, public benches are not cleared of snow and, if paths are cleared of snow, they are not accessible on foot from residential areas. According to the specialist, in order to help Quebec women prevent or fight breast cancer, we must pay attention to these details. ¹⁰⁵
  • Targets:
    • Target 13: Clear snow and maintain all sidewalks, pedestrian links, bike paths, park trails and street furniture free of snow and ice during the winter months.
    • Target 14: Keep public washrooms open during the winter months.

Protect me against drinking water-related illnesses

• Commitment 15 Reduce sewage overflows into waterways
  • Heavy rains cause sewage overflows into waterways, putting drinking and bathing water quality at risk. U.S. researchers have shown that more than half of all outbreaks of diseases that can be linked to drinking water occurred after heavy rainfall. The majority of these were cases of acute gastroenteritis.¹⁰⁶ Impervious soils, i.e., the asphalt and concrete of our cities, cause rainwater to quickly run off into our sewer systems and cause overflows. Preserving wetlands, planting trees, creating rain gardens, designing parking lots with permeable materials, and building green roofs help retain rainwater and infiltrate it into the ground rather than entering sewer systems and waterways.
  • Targets:
    • Target 32: Adopt a sustainable stormwater management policy based primarily on green infrastructure. ¹⁰⁷
    • Target 33: Fully conserve wetlands within my municipality.

Protect me against pesticide-related illnesses

• Commitment 16 Fight pesticide exposure
  • Occupational exposure to pesticides has been associated with an increased risk of developing amyotrophic lateral sclerosis, Alzheimer’s disease and Parkinson’s disease.¹⁰⁸ Pesticides can enter drinking water through runoff into waterways.¹⁰⁹
  • Target:
    • Target 34: Ban the use of all chemical plant protection products throughout the urbanized area, following the example of Paris and other cities.¹¹⁰

Protect me from heat stroke and climate change

• Commitment 17 Fight heat islands
  • Heat waves can cause heat stroke, cardiovascular and respiratory problems and even death.¹¹¹ 12% of Quebecers seek medical attention when it is hot enough to sleep poorly at night.¹¹² Each heat wave costs approximately $55 million in medical care in Quebec.¹¹³ Mineralized surfaces increase air temperature, which is why they are called heat islands. Heat islands are more prevalent in some neighborhoods and are often linked to socio-economic disadvantage.¹¹⁴ The shade provided by street trees can reduce the temperature felt by 12 to 22^oC.¹¹⁵
  • Targets:
    • Target 35: Achieve zero heat islands for residential, school or work environments by prioritizing socio-economically disadvantaged neighborhoods.
    • Target 28: Aim for an optimal canopy cover of at least 40% of the urbanized area, following the example of Toronto¹¹⁶ and the signatories of the 2020 Declaration for Resilience in Canadian Cities. ¹¹⁷
    • Target 29: Introduce strong municipal bylaws to protect urban trees, including consideration of existing trees in defining building footprints, protective measures during construction and deterrent fines.
    • Target 36: Remove any minimum number of parking spaces per dwelling unit¹¹⁸ from the by-law and impose a maximum number of parking spaces.
    • Target 37: Reduce large surface parking lots by requiring the construction of underground or multi-story parking lots.
    • Target 38: Require the application of BNQ 3019-190 on surface parking lots.
    • Target 39: Mandate green or white roofs, as adopted by the City of Toronto and several Montreal boroughs, for flat or low-slope roofs.^119,120
    • Target 31: Adopt a Toronto-style shadow code. ¹²¹
• Commitment 18 Reduce greenhouse gas (GHG) emissions that cause climate change
  • Climate change is having a significant impact on the health of the population. An Ouranos study estimates that there will be more than 20,000 additional deaths caused by an increase in temperature in the next 50 years in Quebec. ¹²²
  • Targets:
    • Target 40: Aim for a reduction of at least 37.5%, and preferably at least 55% (https://ec.europa.eu/clima/policies/strategies/2030_en), in GHG emissions from 1990 levels by 2030. ¹²³
    • Target 41: Aim to have all public transit and vehicles in the city electrified. ¹²⁴
    • Target 2: In urban centers, aim for two-thirds of urban trips to be made by walking, cycling or public transit by 2040, as in Vancouver.¹²⁵
    • Target 3: Provide quality urban and regional public transit service by requiring a one cent per liter gasoline contribution from motorists.¹²⁶
    • Target 42: Divest from fossil fuels (municipal employee pension fund, municipal investments).
    • Target 43: Eliminate fuel oil and other non-renewable fossil fuels as energy sources for municipal buildings.
    • Target 8: In urban centers, aim for all citizens to reside in a neighborhood with a Walk Score (www.walkscore.com) »>http://www.walkscore.com/ »>(www.walkscore.com) of at least 70 out of 100. ¹²⁷
    • Target 44: Make all new construction carbon neutral by 2030, building on the City of Vancouver’s strategy. ¹²⁸
    • Target 45: Ban lighting in public buildings, store and exhibition windows between 1:00 a.m. and 7:00 a.m., and in offices one hour after the last employee leaves, using France as a model. ¹²⁹
    • Target 46: Adopt a travel management policy that promotes sustainable mobility for the municipality’s employees, including a teleworking policy.
    • Target 47: Evaluate the feasibility of integrating renewable energy (e.g. solar, geothermal) into all new municipal building projects.
    • Target 48: Use urban trees to reduce heating and cooling needs of buildings. ¹³⁰
    • Target 49: Fight overconsumption of energy by banning disposable plastic bags, charging for drinking water and waste materials, and promoting the circular economy.

Always think about my health when doing projects in my neighborhood

• Commitment 11Conduct a health impact assessment¹³¹ on significant projects in a living environment
  • The way a neighborhood is developed has a major impact on the health of residents and health care costs.
  • Targets:
    • Target 23: Conduct a health impact assessment for any significant project in my neighborhood such as the extension or addition of a roadway, the destruction of a green space, the massive cutting of urban trees, the installation or expansion of a polluting industry, etc.
    • Target 24: Choose design options that support my well-being and health and reduce health care costs.
    • Target 25: Inform the public about the features and benefits of healthy urban design.

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Mental Health

Medical studies show that certain urban designs can prevent or reduce many of the mental illnesses present in Quebecers. Would you like your environment to help protect you against these illnesses? Click on the themes to discover the commitments you should ask your candidates:

1. Protect me from stress, depression and anxiety and help my child with attention deficit hyperactivity disorder
2. Protect me from dementia and my child from autism and cognitive delays
3. Protect me from loneliness
4. Always think about my health when doing projects in my neighborhood

Protect me from stress, depression and anxiety and help my child with attention deficit hyperactivity disorder

• Commitment 14 Green my city

• The people living in very green neighborhoods are more likely to have good mental health than people living in concrete and asphalt neighborhoods. In fact, the scientific medical literature shows that an optimal canopy (the area of the city covered by the tops of trees) of at least 40% could reduce the prevalence of stress by about 39%¹³² and depression by 7%.¹³³ Other health benefits have also been reported, such as a reduction in anxiety and symptoms of Attention Deficit and Hyperactivity Disorder (ADHD). ^{134 135}
• Targets:
  • Target 28: Aim for an optimal canopy cover of at least 40% of the urbanized area, following the example of Toronto¹³⁶ and the signatories of the 2020 Declaration for Resilience in Canadian Cities. ¹³⁷
  • Target 29: Introduce strong municipal bylaws to protect urban trees, including consideration of existing trees in defining building footprints, protective measures during construction and deterrent fines.
  • Target 31: Adopt a Toronto-style shadow code. ¹³⁸

Protect me from dementia and my child from autism and cognitive delays

• Commitment 12 Fight air pollution
  • Recent medical studies link air pollution to dementia¹³⁹ in the elderly and possibly to autism and cognitive delays in children.^{140 141 142} In Quebec, the transportation sector alone is responsible for 62% of all air contaminant emissions¹⁴³, which means that air pollution levels are often higher near busy highways and boulevards. The economic value of the health impacts of air pollution is estimated at $30 billion per year in Quebec. ¹⁴⁴ A modal shift to public transit, cycling and walking helps fight air pollution. Urban trees capture about 24% of air pollutants on average. ¹⁴⁵
  • Targets:
    • Target 26: Aim for zero air pollution days in my neighborhood during the year (air pollutant levels below the Canadian Ambient Air Quality Standards 2025 of the Canadian Council of Ministers of the Environment).
    • Target 27: Prohibit highway construction within 300 m of my residence, ¹⁴⁶ my place of work or my children’s place of study.
    • Target 1: In urban centers, aim for every citizen to live within 500 m of a transit stop. ¹⁴⁷
    • Target 2: In urban centers, aim for two-thirds of urban trips to be made by walking, cycling or public transit by 2040, as in Vancouver. ¹⁴⁸
    • Target 3: Provide quality urban and regional public transit service by requiring a one cent per liter gasoline contribution from motorists. ¹⁴⁹
    • Target 4: Aim for every citizen to live within 300 m of a bike path, as in Barcelona. ¹⁵⁰
    • Target 5: Provide comfortable and attractive bicycle routes, including trees, shelters, street furniture, public restrooms, water fountains, etc., and map out locations of toilets and water fountains. ¹⁵¹
    • Target 6: Aim to have a pedestrian route (sidewalk or marked pedestrian space) in front of every residence in urban areas. ^{152 153}
    • Target 7: Provide comfortable and attractive pedestrian routes, including trees, shelters, street furniture, public toilets, water fountains, dog waste dispensers, etc., and map out locations of toilets and water fountains. ¹⁵⁴
    • Target 28: Aim for an optimal canopy cover of at least 40% of the urbanized area, following the example of Toronto¹⁵⁵ and the signatories of the 2020 Declaration for Resilience in Canadian Cities. ¹⁵⁶
    • Target 29: Introduce strong municipal bylaws to protect urban trees, including consideration of existing trees in defining building footprints, protective measures during construction and deterrent fines.

Protect me from loneliness

• Commitment 4 Expand pedestrian networks (sidewalks, trails, pedestrian streets)
• Attractive, tree-lined, ¹⁵⁷ comfortable, safe, continuous, interconnected pedestrian networks with destinations of interest in a dense urban fabric encourage walking.¹⁵⁸ People who walk have more social interaction than those who travel by automobile. ¹⁵⁹
• Targets:
  • Target 6: Aim to have a pedestrian route (sidewalk or marked pedestrian space) in front of every residence in urban areas. ^{160 161}
  • Target 7: Improve the comfort and attractiveness of pedestrian routes by providing trees, shelters, street furniture, public toilets, water fountains, dog waste dispensers, etc. and map out locations of toilets and water fountains. ¹⁶²

Commitment 5 Develop a city of short distances

• A city of short distances encourages walking. People who walk have more social interaction than those who drive. ¹⁶³
Target:

Target 8: In urban centers, aim for all citizens to reside in a neighborhood with a Walk Score (www.walkscore.com) of at least 70 out of 100. ¹⁶⁴

• Commitment 6 Develop interconnected green spaces close to citizens
  • Green spaces help break social isolation by creating meeting places. ¹⁶⁵
  • Targets:
    • Target 9: Aim for every citizen to live within 300 m of at least 0.5 to 1 hectare of green space. ¹⁶⁶
    • Target 10: Aim to have at least 12% of the land within the urbanized area and at least 17% of the total land area protected as natural areas by 2030. ¹⁶⁷
    • Target 11: Aim to have all natural areas, green spaces and waterfront parks interconnected by naturalized corridors, the simplest expression of which would be tree-lined streets.
    • Target 12: Aim to substantially increase public access to lakes and rivers for lakeside towns.

Always think about my health when doing projects in my neighborhood

• Commitment 11 Conduct a health impact assessment¹⁶⁸ on significant projects in a living environment
  • The way a neighborhood is developed has a major impact on the health of residents and health care costs.
  • Targets:
    • Target 23: Conduct a health impact assessment for any significant project in my neighborhood, such as the extension or addition of automobile lanes, the destruction of green space, the massive cutting of urban trees, the installation or expansion of a polluting industry, etc.
    • Target 24: Choose design options that support my well-being and health and reduce health care costs.
    • Target 25: Inform the public about the features and benefits of healthy urban design.

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Health and Well-being at Work and School

Medical studies show that the way we design our work or study environments can have an impact on our health and well-being. While municipalities cannot do everything, they can help create healthy workplaces and learning environments. Do you want your workplace and your child’s place of study to be conducive to your health and well-being? Click on the themes to find out what commitments you should ask your candidates to make:

1. Promote my health and well-being at work
2. Support my child’s health and well-being at school
3. Always think about my health when working or studying near my place of work

Promote my health and well-being at work

• Commitment 19 Green my workplace
  • Biophilic architecture is defined, among other things, as architecture that connects individuals to the outdoors by providing access to views of nature or natural elements. ¹⁶⁹ Biophilic architecture improves employee well-being by reducing stress and inducing more positive emotional functioning, better concentration and faster mental recovery.¹⁷⁰ This translates into multiple benefits for businesses: increased workforce productivity by 7-12%¹⁷¹, reduced mental fatigue by 10-25%¹⁷², reduced absenteeism by 19%¹⁷³, and increased attraction and retention of qualified employees. ¹⁷⁴
  • Targets:
    • Target 50: Require exterior walls with windows for all new office construction.
    • Target 51: Require a minimum of one tree per 200 m² of undeveloped land including outdoor parking areas for my workplace. ¹⁷⁵
    • Target 28: Aim for an optimal canopy cover of at least 40% of the urbanized area, following the example of Toronto¹⁷⁶ and the signatories of the 2020 Declaration for Resilience in Canadian Cities. ¹⁷⁷

Support my child’s health and well-being at school

• Commitment 20 Green my child’s school
  • Biophilic architecture is defined, among other things, as architecture that connects individuals to outdoor conditions by providing access to views of nature or natural features. ¹⁷⁸ Among students, green cover acts positively by reducing body mass index and increasing outdoor physical activity.¹⁷⁹ Green spaces also have an impact on their mental health by reducing stress and promoting calmness, attention and concentration in the school environment, especially for students with attention deficit disorder. Medical studies have shown that green spaces near schools improve academic performance, ^{180 181 182} decrease depressive symptoms in adolescents,¹⁸³ and reduce behavioral problems.¹⁸⁴

• Targets:
  • Target 51: Require a minimum of one tree per 200 m² of undeveloped land including outdoor parking areas for my child’s school. ¹⁸⁵
  • Target 28: Aim for an optimal canopy cover of at least 40% of the urbanized area, following the example of Toronto¹⁸⁶ and the signatories of the 2020 Declaration for Resilience in Canadian Cities. ¹⁸⁷

Always think about my health for projects close to my workplace or my child’s school

• Commitment 11 Conduct a health impact assessment¹⁸⁸ on significant projects in a living environment
  • The way a neighborhood is developed has a major impact on the health of residents and health care costs.
  • Targets:
    • Target 23: Conduct a health impact assessment for any significant project in my neighborhood such as the extension or addition of a roadway, the destruction of a green space, the massive cutting of urban trees, the installation or expansion of a polluting industry, etc.
    • Target 24: Choose design options that support my well-being and health and reduce health care costs.
    • Target 25: Inform the public about the features and benefits of healthy urban design.

1^ Senera IN, Leea RJ, and Elgartb Z. Potential Health Implications and Health Cost Reductions of Transit-Induced Physical Activity. J Transp Health. 2016;3(2):133-140. doi:10.1016/j.jth.2016.02.002

2^ 3^ 4^ 5^ Dons E, et al. Male Car Drivers Are 4kg Heavier Than Cyclists: Results from a Cross-Sectional Analysis in Seven European Cities. Journal of Transport & Health. 2017; 5: S27-S8.

6^ Mertens L, Compernolle S, and Deforche B. Built environmental correlates of cycling for transport across Europe. Health Place. 2017;44:35-42. doi: 10.1016/j.healthplace.2017.01.007.

7^ Porter AK, Kohl HW, and Pérez A. Perceived Social and Built Environment Correlates of Transportation and Recreation-Only Bicycling Among Adults. Prev Chronic Dis. 2018;8(15):E135. doi: 10.5888/pcd15.180060.

8^ 9^ 10^ Giometto MG, Christen A, and Egli PE. Effects of trees on mean wind, turbulence and momentum exchange within and above a real urban environment. Advances in Water Resources. 2017;106:154. doi:10.1016/j.advwatres.2017.06.018

11^ Mah SM, Sanmartin C et al. Active living environments, physical activity and premature cardiometabolic mortality in Canada: a nationwide cohort study. BMJ Open. 2020; 10(11): e035942.

12^ Wasfia RA, Dasgupta K et al. Exposure to walkable neighborhoods in urban areas increases utilitarian walking: Longitudinal study of Canadians. Journal of Transport & Health. 2016;3(4):440-447.

13^ 14^ 15^ 16^ Mah SM, Sanmartin C et al. Active living environments, physical activity and premature cardiometabolic mortality in Canada: a nationwide cohort study. BMJ Open. 2020; 10(11): e035942.

17^ Dadpour S, Pakzad J and Khankeh H. Understanding the Influence of Environment on Adults’ Walking Experiences: A Meta-Synthesis Study. Int J Environ Res Public Health. 2016;13(7):731.

18^ Wasfi RA, Dasgupta K et al. Exposure to walkable neighborhoods in urban areas increases utilitarian walking: Longitudinal study of Canadians. Journal of Transport & Health. 2016;3(4):440-447.

19^ Beaudoin and Levasseur. Verdir les villes pour la santé de la population, INSPQ 2017, 103 pages.

20^21^ Connecting global priorities: biodiversity and human health: a state of knowledge review. World Health Organization and Secretariat of the Convention on Biological Diversity, 2015, 365 p.

22 https://www.nature.com/articles/s41598-019-44097-3

23^ 24^ 25^ Merchant AT, Dehghan M, and Akhtar-Danesh N. Seasonal variation in leisure-time physical activity among Canadians. Can J Public Health. 2007;98(3):203-8.

26^ Thompson CW, Aspinall P et al. Mitigating Stress and Supporting Health in Deprived Urban Communities: The Importance of Green Space and the Social Environment. Int J Environ Res Public Health. 2016;13(4):440. Published online 2016 Apr 22. doi: 10.3390/ijerph13040440.

27^ 28^ Porter AK, Kohl HW and Pérez A. Perceived Social and Built Environment Correlates of Transportation and Recreation-Only Bicycling Among Adults. Prev Chronic Dis. 2018;15:E135. doi: 10.5888/pcd15.180060.

29^ Dadpour S, Pakzad J and Khankeh H. Understanding the Influence of Environment on Adults’ Walking Experiences: A Meta-Synthesis Study. Int J Environ Res Public Health. 2016;13(7): 731.

30^ Bowman S. (2013). Road diets: slimmer, healthier public roads. Montreal, Quebec: National Collaborating Centre for Healthy Public Policy.

31^ Naderi, Kweon et al. The Street Tree Effect and Driver Safety. ITE Journal. February 200869-73.

32^ 33^ Bowman S. (2013). Road diets: slimmer, healthier public roads. Montreal, Quebec: National Collaborating Centre for Healthy Public Policy.

34^ Bowman S. (2013). Road diets: slimmer, healthier public roads. Montreal, Quebec: National Collaborating Centre for Healthy Public Policy.

35^ 36^ Geographic Accessibility to Food Stores in Quebec: Situation Analysis and Intervention Perspectives. INSPQ. July 2013. p. 1

37^ Suzuki D. How much food can cities produce? 2016. 38^ 39^ 40^ Health Impacts of Air Pollution in Canada, Estimated Morbidity and Premature Deaths, Report 2021, Health Canada, Publ: 200424, 62 pages.

41^ 42 Landrigan, Fuller et al. The Lancet Commission on Pollution and Health.( Published online October 9, 2017 http://dx.doi.org/10.1016/S0140-6736(17)32345-0 See Table 4 on page 28.

43^ Tétreault et al. Childhood Exposure to Ambient Air Pollutants and the Onset of Asthma: An Administrative Cohort Study in Quebec. Environmental Health Perspectives. 2016;124(8):1276-1282.

44^ MINISTÈRE DU DÉVELOPPEMENT DURABLE, DE L’ENVIRONNEMENT ET DE LA LUTTE CONTRE LES CHANGEMENTS CLIMATIQUES. 2011. Inventory of emissions of the main atmospheric contaminants in Quebec in 2008 and evolution since 1990 Quebec, Ministère du Développement durable, de l’Environnement et de la Lutte contre les changements climatiques, Direction des politiques de la qualité de l’atmosphère, 30 p.

45^ Peters A, von Klot S et al. Triggering of acute myocardial infarction by different means of transportation. European Journal of Preventive Cardiology. 2012, 20(5) 750-758.

46^ Health Impacts of Air Pollution in Canada, Estimated Morbidity and Premature Deaths, Report 2021, Health Canada, Publ: 200424, 62 pages.

47^ Planting Healthy Air, The Nature Conservancy, 2017, 128 pages. 48^ Review of evidence on health aspects of air pollution – REVIHAAP Project: Technical Report [Internet]. WHO Regional Office for Europe. Copenhagen: WHO Regional Office for Europe; 2013. 49^ 50^ 51^ 52^ 53^ 54^ 55^ 56^ 57^ 58^ 59^ Martin R, Deshaies P and Poulin M. Avis sur une politique québécoise de lutte au bruit environnemental : pour des environnements sonores sains. INSPQ. 2015. Publication number: 2048.

60^ WORLD HEALTH ORGANIZATION (2011). Burden of disease from Environmental noise, Regional office for Europe.

61^ Van Kempen and Babisch. The quantitative relationship between road traffic noise and hypertension: a meta-analysis. Journal of hypertension. 2012;30(6).

62^ Martin R, Deshaies P and Poulin M. Avis sur une politique québécoise de lutte au bruit environnemental : pour des environnements sonores sains.INSPQ. 2015. Publication number: 2048.

63^ Brown SC, Lombard J et al. Neighborhood Greenness and Chronic Health Conditions in Medicare Beneficiaries. Am J Prev Med. 2016;51(1):78-89.

64^ Brown SC, Lombard J et al. Neighborhood Greenness and Chronic Health Conditions in Medicare Beneficiaries. Am J Prev Med. 2016;51(1):78-89. (SAME AS REF #63)

65^ Vida S. Urban Green Spaces and Health. National Institute of Public Health, 2011. Reference cited: Ellaway et al, 2005.

66^ Rao M, George LA, et al. Assessing the Potential of Land Use Modification to Mitigate Ambient NO₂ and Its Consequences for Respiratory Health. Int J Environ Res Public Health. 2017;10;14(7). pii: E750. doi: 10.3390/ijerph14070750.

67^ Crouse D, Pinault L et al. Urban greenness and mortality in Canada’s largest cities: a national cohort study. The Lancet Planetary Health. 2017;1(7):e289-e297.

68^ James P, Hart JE, Banay RF et al. Exposure to greenness and mortality in a nationwide prospective cohort study of women. Environ Health Perspect. 2016;124:1344-1352.

69^ Crouse D, Pinault L et al. Urban greenness and mortality in Canada’s largest cities: a national cohort study, The Lancet Planetary Health. 2017;1(7):e289-e297.

70^ Crouse D, Pinault L et al. Urban greenness and mortality in Canada’s largest cities: a national cohort study. The Lancet Planetary Health. 2017;1(7):e289-e297.

71^ Heisler GM and Grant R. Ultraviolet radiation in urban ecosystems with consideration of effects on human health. Urban Ecosystems. 2000;4:193-229.

72^ 73^ 74^ 75^ Shade Guidelines, Toronto, 2010, 162 pages.

76^ Collins PA and Agarwal A. Impacts of public transit improvements on ridership, and implications for physical activity, in a low-density Canadian city. Prev Med Rep. 2015; 2: 874-879. doi: 10.1016/j.pmedr.2015.10.001

77^ Edwards RD. Public transit, obesity, and medical costs: assessing the magnitudes. Prev Med. 2008;46(1):14-21. doi: 10.1016/j.ypmed.2007.10.004.

78^ 79 Landrigan, Fuller et al. The Lancet Commission on Pollution and Health. Published online October 9, 2017 http://dx.doi.org/10.1016/S0140-6736(17)32345-0 See Table 4 on page 28.

80^ 81^ 82^ 83^ Woodcock J, Edwards P et al. Public health benefits of strategies to reduce greenhouse-gas emissions: urban land transport. The Lancet. 2009;374(9705):1930-1943.

84^ Grabow ML, Spak SN et al. Air Quality and Exercise-Related Health Benefits from Reduced Car Travel in the Midwestern United States. Environmental Health Perspectives. 2012;120(1):68-76.

85^ Mertens L, Compernolle S and Deforche B. Built environmental correlates of cycling for transport across Europe. Health Place. 2017;44:35-42. doi: 10.1016/j.healthplace.2017.01.007.

86^ Porter AK, Kohl HW and Pérez A. Perceived Social and Built Environment Correlates of Transportation and Recreation-Only Bicycling Among Adults. Prev Chronic Dis. 2018;15:E135. doi: 10.5888/pcd15.180060.

87^ 88^ 89^ Zwald ML, Fakhouri THI et al. Trends in active transportation and associations with cardiovascular disease risk factors among U.S. adults, 2007-2016. Prev Med. 2018;116:150-156. doi: 10.1016/j.ypmed.2018.09.008

90^ Giometto MG, Christen A and Egli PE. Effects of trees on mean wind, turbulence and momentum exchange within and above a real urban environment. Advances in Water Resources. 2017;106:154. doi:10.1016/j.advwatres.2017.06.018

91^ Mah SM, Sanmartin C et al. Active living environments, physical activity and premature cardiometabolic mortality in Canada: a nationwide cohort study. BMJ Open. 2020; 10(11): e035942.

92^ Wasfia RA, Dasgupta K et al. Exposure to walkable neighborhoods in urban areas increases utilitarian walking: Longitudinal study of Canadians. Journal of Transport & Health. 2016;3(4):440-447.

93^ 94^ 95^ 96^ Stevenson M, Thompson J et al. Land-use, transport and population health: estimating the health benefits of compact cities. Lancet. 2016;388(10062):2925-2935. doi: 10.1016/S0140-6736(16)30067-8

97^ Wasfia RA, Dasgupta K et al. Exposure to walkable neighborhoods in urban areas increases utilitarian walking: Longitudinal study of Canadians. Journal of Transport & Health. 2016;3(4):440-447.

98^ Ngom R, Gosselin P et al. Type and Proximity of Green Spaces Are Important for Preventing Cardiovascular Morbidity and Diabetes-A Cross-Sectional Study for Quebec, Canada. Int. J. Environ. Res. Public Health. 2016;13:423. doi:10.3390/ijerph13040423

99^100^ Connecting global priorities: biodiversity and human health: a state of knowledge review. World Health Organization and Secretariat of the Convention on Biological Diversity, 2015, 365 p.

101^ 102^ 103^ Gonçalves AK, Florencio G and Maisonnette MJ et al. Effects of Physical Activity on Breast Cancer Prevention: A Systematic Review. J Phys Act Health. 2014;11(2):445-54. doi: 10.1123/jpah.2011-0316.

104^ Hamer J and Warner E. Lifestyle modifications for patients with breast cancer to improve prognosis and optimize overall health.CMAJ. 2017;189:E268-74. doi: 10.1503/cmaj.160464

105^ Synopsis for television program Ça marche Doc! », MAtv, 2019.

106^ Currier FC, Patz JA et al. The Association Between Extreme Precipitation and Waterborne Disease Outbreaks in the United States, 1948-1994. Am J Public Health. 2001;91(8):1194-1199.

107^108^ Gunnarsson LG and Bodin L. Occupational Exposures and Neurodegenerative Diseases-A Systematic Literature Review and Meta-Analyses. Int J Environ Res Public Health. 2019;16(3): 337.

109^ Syafrudin M, Kristanti RA et al. Pesticides in Drinking Water-A Review. Int J Environ Res Public Health. 2021;18(2): 468.

110^ 111^ 112^ 113^ 114^ 115^ Klok L, Rood N and Kluck J. Assessment of thermally comfortable urban spaces in Amsterdam during hot summer days. Int J Biometeorol. 2019;63(2):129-141. doi: 10.1007/s00484-018-1644-x.

116^ 117^ 118^ 119^ 120^ 121^ Shade Guidelines, Toronto, 2010, 162 pages.

122^ Larrivée et al. Assessment of the impacts of climate change and their costs for Quebec and the Quebec state, Ouranos. 2015. (Is this a journal article? No other details?)

123^ 124^ 125^ 126^ 127^ Wasfi RA, Dasgupta K et al. Exposure to walkable neighborhoods in urban areas increases utilitarian walking: Longitudinal study of Canadians. Journal of Transport & Health. 2016;3(4):440-447.

128^ 129^ 130^ Akbari and Taha. The impact of trees and white surfaces on residential heating and cooling energy use in four Canadian cities. Energy. 1992;17(2):141-149.

131^ 132^ Beaudoin and Levasseur. Verdir les villes pour la santé de la population. INSPQ. 2017, 103 pages. Reference cited: Townsend, Ilvento, and Barton, 2016.

133^ Shanahan DF, Bush R, Gaston KJ et al. Fuller Health Benefits from Nature Experiences Depend on Dose. Scientific Reports. 2016;6:28551.

134^ Beyer KM, Kaltenbach A et al. Exposure to neighborhood green space and mental health: evidence from the survey of the health of Wisconsin. Int J Environ Res Public Health. 2014;11(3):3453-72. doi:10.3390/ijerph110303453.

135^ Donovan GH, Michael YL and Gatziolis D. Association between exposure to the natural environment, rurality, and attention-deficit hyperactivity disorder in children in New Zealand: a linkage study. The Lancet Planetary Health. 2019;3(5):e226-e234.

136^ 137^ 138^ Shade Guidelines, Toronto, 2010, 162 pages.

139^ Cheng et al. (FIRST INITIAL?) Living near major roads and the incidence of dementia, Parkinson’s disease, and multiple sclerosis: a population-based cohort study. The Lancet. 2017. 140^ Calderón-Garcidueñas L, Mukherjee PS, Kulesza RJ et al. Mild Cognitive Impairment and Dementia Involving Multiple Cognitive Domains in Mexican Urbanites. Research Universidad del Valle de México UVM Group. J Alzheimers Dis. 2019;68(3):1113-1123. doi: 10.3233/JAD-181208.

141^ Schraufnagel DE, Balmes JR et al. Air Pollution and Noncommunicable Diseases: A Review by the Forum of International Respiratory Societies’ Environmental Committee. Part 2: Air Pollution and Organ Systems. Chest. 2019;155(2):417-426. doi: 10.1016/j.chest.2018.10.041.

142^ Sram RJ, Veleminsky M Jr, Veleminsky M Sr and Stejskalová J. The impact of air pollution to central nervous system in children and adults. Neuro Endocrinol Lett. 2017;38(6):389-396.

143^ MINISTÈRE DU DÉVELOPPEMENT DURABLE, DE L’ENVIRONNEMENT ET DE LA LUTTE CONTRE LES CHANGEMENTS CLIMATIQUES. 2011. Inventory of emissions of the main atmospheric contaminants in Quebec in 2008 and evolution since 1990 Quebec, Ministère du Développement durable, de l’Environnement et de la Lutte contre les changements climatiques, Direction des politiques de la qualité de l’atmosphère, 30 p.

144^ MINISTÈRE DU DÉVELOPPEMENT DURABLE, DE L’ENVIRONNEMENT ET DE LA LUTTE CONTRE LES CHANGEMENTS CLIMATIQUES. 2011. Inventory of emissions of the main atmospheric contaminants in Quebec in 2008 and evolution since 1990 Quebec, Ministère du Développement durable, de l’Environnement et de la Lutte contre les changements climatiques, Direction des politiques de la qualité de l’atmosphère, 30 p.

145^ Planting Healthy Air, The Nature Conservancy, 2017, 128 pages. 146^ Review of evidence on health aspects of air pollution – REVIHAAP Project: Technical Report [Internet]. WHO Regional Office for Europe. Copenhagen: WHO Regional Office for Europe; 2013. 147^ 148^ 149^ 150^ 151^ 152^ 153^ 154^ 155^ 156^ 157^ Effects of trees on mean wind, turbulence and momentum exchange within and above a real urban environment. M.G. Giometto, A. Christen, P.E. Egli, Advances in Water Resources, 2017; 106: 154 DOI: 10.1016/j.advwatres.2017.06.018

158^ Mah SM, Sanmartin C et al, Active living environments, physical activity and premature cardiometabolic mortality in Canada: a nationwide cohort study. BMJ Open. 2020; 10(11): e035942.

159^ Dadpour S, Pakzad J, and Khankeh H. Understanding the Influence of Environment on Adults’ Walking Experiences: A Meta-Synthesis Study. Int J Environ Res Public Health. 2016;13(7):731. doi: 10.3390/ijerph13070731

160^ 161^ 162^ 163^ Dadpour S, Pakzad J, and Khankeh H. Understanding the Influence of Environment on Adults’ Walking Experiences: A Meta-Synthesis Study. Int J Environ Res Public Health. 2016;13(7):731. doi:10.3390/ijerph13070731

164^ Wasfi RA, Dasgupta K et al. Exposure to walkable neighborhoods in urban areas increases utilitarian walking: Longitudinal study of Canadians. Journal of Transport & Health. 2016;3(4):440-447.

165^ Beaudoin and Levasseur. Verdir les villes pour la santé de la population, INSPQ 2017, 103 pages.

166^ 167^ 168^ 169^ McLennan J. The Philosophy of Sustainable Design, Kansas City, Ecotone. 2004.

170^ Ryan CO, Browning WD et al. Biophilic Design Patterns. Emerging Nature-Based Parameters for Health and Well-Being in the Built Environment. International Journal of Architectural Research. 2014;8(2):62-76.

171^ Windows and Offices: A Study of Office Worker Performance and the Indoor Environment, California Energy

Commission, 2003, p. 138.

172^ Windows and Offices: A Study of Office Worker Performance and the Indoor Environment, California Energy

Commission, 2003, p. 138.

173^ Elzeyadi I. Daylighting-Bias and Biophilia: Quantifying the Impacts of Daylight on Occupants Health. In: Thought and Leadership in Green Buildings Research. Greenbuild 2011 Proceedings. Washington, DC: USGBC Press. 2011. 174^ 175^ 176^ 177^ 178^ McLennan, J. The Philosophy of Sustainable Design, Kansas City, Ecotone. 2004.

179 Beaudoin and Levasseur. Verdir les villes pour la santé de la population. INSPQ. 2017, 103 pages. https://www.inspq.qc.ca/sites/default/files/publications/2265_verdir_villes_sante_population.pdf

180^ Wu CD et al. Linking student performance in Massachusetts elementary schools with the « greenness » of school surroundings using remote sensing. PLoS One. 2014;13;9(10):e108548. doi: 10.1371/journal.pone.0108548.

181^ Matsuoka RH, Student performance and high school landscapes: Examining the links. Landscape and Urban Planning. 2010;97:273-282.

182^ Sivarajah S et al. Tree cover and species composition effects on academic performance of primary school students. PLoS One. 2018;23;13(2):e0193254. doi: 10.1371/journal.pone.0193254.

183^ Vanaken GJ and Danckaerts M. Impact of Green Space Exposure on Children’s and Adolescents’ Mental Health: A Systematic Review. Int J Environ Res Public Health. 2018;27;15(12). pii: E2668. doi: 10.3390/ijerph15122668.

184 Beaudoin and Levasseur. Verdir les villes pour la santé de la population. INSPQ. 2017, 103 pages. https://www.inspq.qc.ca/sites/default/files/publications/2265_verdir_villes_sante_population.pdf

185^ 186^ 187^ 188 http://collectivitesviables.org/articles/l-evaluation-d-impact-sur-la-sante-eis.aspx