The Transportation Public Health Link (TPH Link) organized the International Conference on Transport & Health (ICTH) which is a direct participatory event. Policy-makers, practitioners and academics from multiple disciplines involved in transport planning and engineering, public health, urban planning, spatial and architectural design, environmental planning, economics and beyond took place on Mackinac Island, Northern Michigan, on 24-27 June 2018. The theme for ICTH 2018 – Mackinac Island focused on contrasting rural and urban transport and the environmental factors that impact quality of life, health and well-being; making rural transport sexy.