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9th Global Conference 
on Health Promotion 

SHANGHAI 2016 


Shanghai 
Consensus on 
Healthy Cities 

2016 


We - more than 100 mayors from around the world - have come 
together on 21 November 2016 in Shanghai, China - united in 
the knowledge that health and sustainable urban development 
are inextricably linked, and steadfastly committed to advancing 
both. We also recognise that health and wellbeing are at 
the core of the United Nations Development Agenda 2030 

and its Sustainable Development Goals. 



Healthy Cities 

MAYORS FORUM 

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Cities working for health and wellbeing are central to sustainable 
development 

Mayors and local leaders can play a defining role in delivering all SDGS. As mayors we have a responsibility to act locally and 
collectively to make our cities inclusive, safe, resilient, sustainable and healthy. We are determined in our resolve to leave no one 
behind: the city belongs to all its residents. 


Health is created at the local level in the settings of everyday life, in the neighbourhoods and communities where people of all 
ages live, love, work, study, and play. Health for all cannot be achieved without local leadership and citizen engagement. The 
good health of its citizens is one of the most powerful and effective markers of any city's successful sustainable development. This 
puts health at the centre of every mayor's agenda. 


We recognize our political responsibility to create the conditions for every resident of every city to lead more healthy, safe and 
fulfilling lives. Cities are places where planning and policy-making is closest to communities - it must, therefore, incorporate 
communities' views, voices and needs. We commit to remove barriers to empowerment - especially for women, children, and 
other potentially vulnerable populations - and to support the full realization of human potential and capabilities at all ages in the 
city environment. 



We commit to good governance for health 


Healthy Cities have been platforms for implementing good governance for health, as well as improving health literacy - that 
is, for promoting health. Building on experience with city-led health initiatives, as mayors, we commit to prioritize the political 
choice for health in all domains of city governance and to measure the health impact of all our policies and activities. Achieving 
the SDGs will require close synergy between the global and national goals, and our local plans and programs. We have agreed 
to base our action on five governance principles which reflect the transformative agenda of the SDGs. 


Our governance principles 

As mayors we commit to five Healthy Cities governance principles: 

1 . Integrate health as a core consideration in all policies: prioritize policies that create cobenefits between health and other 
city policies, and engage all relevant actors in partnership-based urban planning; 

2. Address all - social, economic and environmental - determinants of health: implement urban development planning and 
policies which reduce poverty and inequity, address individual rights, build social capital and social inclusion, and promote 
sustainable urban resource use; 

3. Promote strong community engagement: implement integrated approaches to promoting health in schools, workplaces, 
and other settings; increase health literacy; and harness the knowledge and priorities of our populations through social 
innovation and interactive technologies; 

4. Reorient health and social services towards equity: ensure fair access to public services and work towards Universal Health 
Coverage; 

5. Assess and monitor wellbeing, disease burden and health determinants: use this information to improve both policy and 
implementation, with a special focus on inequity - and increase transparency accountability. 










We commit to a Healthy Cities programme of action 


We recognize that creating Healthy Cities requires a comprehensive approach - it can never be the responsibility of one sector 
alone. 

We also recognize that there is a powerful link between SDG 3 (Good Health for All) and SDG 11 (Make Cities and 
Human Settlements Inclsuive, Safe, Resilient and Sustainable): unlocking the full potential of our cities to promote health and 
wellbeing and reduce health inequities will help to deliver both these goals. 

Cities are at the front line of sustainable development and we are convinced that mayors have the power to make a real 
difference. We must and will be ambitious in localizing the 2030 agenda and we will set health targets to hold ourselves 
accountable. We recognize that everyone in the city will need to do their part to work towards these ambitious priorities. 

Our ten priority Healthy City action areas 

As mayors we commit to ten Healthy Cities action areas which we will integrate fully into our implementation of the 2030 
sustainable development agenda. We will: 

1. work to deliver the basic needs of all our residents (education, housing, employment and security), as well as work 
towards building more equitable and sustainable social security systems; 

2. take measures to eliminate air, water and soil pollution in our cities, and tackle climate change at the local level by 
making our industries and cities green and ensure clean energy and air; 

3. invest in our children, prioritize early child development and ensure that city policies and programs in health, education and 
social services leave no child behind; 

4. make our environment safe for women and girls, especially protecting them from harassment and gender-based violence; 

5. improve the health and quality of life of the urban poor, slum and informal settlement dwellers, and migrants and 
refugees - and ensure their access to affordable housing and health care; 

6. address multiple forms of discrimination, against people living with disabilities or with HIV AIDS, older people, and others; 

7. make our cities safe from infectious disease through ensuring immunization, clean water, sanitation, waste management 
and vector control; 

8. design our cities to promote sustainable urban mobility, walking and physical activity through attractive and green 
neighborhoods, active transport infrastructure, strong road safety laws, and accessible play and leisure facilities; 

9. implement sustainable and safe food policies that increase access to affordable healthy food and safe water, reduce sugar 
and salt intake, and reduce the harmful use of alcohol including through regulation, pricing, education and taxation; 

10. make our environments smoke free, legislating to make indoor public places and public transport smoke-free, and banning 
all forms of tobacco advertising, promotion and sponsorship in our cities. 

We express our firm determination to make bold political choices for 
health 

Many cities are already contributing to the SDGs in city-based networks through determined political action on a new urban 
agenda. We will contribute to this movement through our Healthy City networks. 

We call on all mayors and urban leaders, regardless of whether their cities are big or small, rich or poor, to join this movement. 

We solemnly commit to sharing experiences and best practices with each other, as we aim to bring together global and national 
goals with our local plans and programs, and in doing so journey towards making our cities the healthiest they can be. 

We commit to come together at regular intervals to demonstrate and ensure our political commitment to implement this 
ambitious agenda. We ask the World Health Organization to support us in this effort and to strengthen its healthy city networks 
in all regions.