Mary Singler Emi Randall, AICP, RLA Sharmili Reddy, AICP Health - - PowerPoint PPT Presentation

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Mary Singler Emi Randall, AICP, RLA Sharmili Reddy, AICP Health - - PowerPoint PPT Presentation

Mary Singler Emi Randall, AICP, RLA Sharmili Reddy, AICP Health Promotion Manager Senior Planner, Land Use Planning Manager 1 Presentation Outline The Public Health Crisis What Can Be Done Incorporating Health in Planning


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Sharmili Reddy, AICP Planning Manager Emi Randall, AICP, RLA Senior Planner, Land Use Mary Singler Health Promotion Manager

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Presentation Outline

 The Public Health Crisis  What Can Be Done  Incorporating Health in Planning  Healthy Community Programs & Examples

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[ep•i•dem•ic]

An outbreak of a disease that spreads rapidly and widely.

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13 15 23 18 % obese entering K US average % obese entering 10th grade US average

Rural NKY School Obesity Rate

More Obese Over Time

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Obesity & Overweight on the State Level

36 36 % Obese & Overweight KY HS Students % Obese & Overweight NKY School

NKY HS Students vs. KY HS Students

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Kentucky high school students have the worst

  • besity rate in United

States, and rank # 5 for adults.

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Adult Obesity Rank in top 10 in the Nation, Indiana and Ohio Not Far Behind KY(5th), IN (9th), OH 16th

27.00% 28.00% 29.00% 30.00% 31.00% 32.00% 33.00% 34.00% 35.00% 36.00% Mississippi West Virginia Arkansas Tennessee Kentucky Louisiana Oklahoma Alabama Indiana South Carolina Michigan Iowa Delaware North Dakota Texas

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What Is Killing Us?

Then

 Pneumonia  Tuberculosis  Diarrhea & Enteritis

Now

  • Heart Disease
  • Cancer
  • Stroke

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What is Actually Killing Us?

JAMA.1993 Nov 10;270(18):2207-12. Actual causes of death in the United

  • States. McGinnis JM, Foege WH

DATA SYNTHESIS: The two highest prominent contributors to mortality in the United States were tobacco, diet and activity patterns.

Inactivity, diets high in fats and sugars, and smoking

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Not Rocket Science

 More calories  Less movement

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Strong Links Between the Built Environment and Health

 Having a variety of destinations (shopping, education, work, and

recreation) close by has been positively associated with walking and bicycling for transportation.1-5

 Proximity to parks and commercial areas is associated with higher

active transportation.6&7

 Active commuters to school (walkers) have significantly lower body

mass index than nonactive commuters 8

 NY city dwellers living in areas evenly balanced between residences and

commercial use had significantly lower BMIs compared to New Yorkers who lived in mostly residential or commercial areas 9

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Show of Hands - Emi

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Components of public health in planning

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Components of public health

Improving bicycle and pedestrian accessibility

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Components of public health

Improving access to parks and open spaces

Licking River Greenway & Trails Wolsing Woods 15

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Components of public health

Encouraging access to compact and mixed-use development

www.building-cincinnati.com

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Components of public health

Improving access to healthy food

www.ocfrealty.com

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Components of public health

Improving air and water quality

Cincinnati Enquirer

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Components of public health

Developing Health Impact Assessments

Helps communities make informed choices about

improving public health through community design.

Screening Scoping Assessing risks and benefits Developing recommendations Reporting Monitoring

Source: CDC 19

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Community health in regional, county & local planning Efforts

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OKI’s How Do We Grow From Here?

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HDWG –Developing the SRIs

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HDWG – SRI # 31

 Strategic Issue # 31

The impacts of the built environment and mobility

  • ptions on public health have implications for where

and how we choose to live, work and play, and are not always considered when communities make land use decisions.

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HDWG – Developing Policies

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Rank the following community health factors from most important to least important by dragging and dropping the choices.

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SRI# 31

 Objective 31.EE

 Local governments should consider public health in the land use

and development decision making process.

 Policy Recommendations

 31.EE.1. OKI will convene local planning agencies and public health

  • rganizations to identify strategies for considering public health in

the land use and development decision making process.

 31.EE.2. OKI will develop model guidelines and technical assistance

for communities to enable considering the impacts of the built environment and mobility options on public health in local planning processes. Impacts of the built environment and mobility

  • ptions on public health can include potential health hazards,

access to healthcare, healthy foods, and spaces for physical activity.

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What does this mean?

 OKI will convene and educate  Provide best practice information and keep the

conversation alive

 Will provide tech assistance to communities  Develop guidelines and tools

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Direction 2030

Kenton County Comprehensive Plan

 Included research on public health  Developed a health goal category

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Direction 2030

Kenton County Comprehensive Plan

 Goals and objectives

  • Preserve and enhance the viability of the rural heritage of southern

Kenton County by encouraging the preservation of elements of the landscape which contribute to the rural character and removing barriers to support local agricultural operations.

  • Increase the convenience and efficiency of using multiple modes of

transportation including driving, transit, walking or biking.

  • Promote viable transportation options for all demographics.

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Planning sets the stage: $632,000

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Examples: Improving Bike & Pedestrian Accessibility

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Local Examples

Safe Routes to School - Snapshot one community 5 “Es” – Engineering, Education, Enforcement, Encouragement, Evaluation

 Engineering – Community with support from PDS.

Where are the children, what are the routes? Master sidewalk (pedestrian) plan

 Grant making – City and Health Department  Building infrastructure – City. Enforcement - City  Program & Evaluation – Schools and Health Dept

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Children Walking/Biking to School Change in Baseline Rates

12% 25% 0% 20% 40% 60% 80% 100% 2005 2006

% of students walking to school over one year of Safe Routes to School (Miles and Tichenor)

63% 64% 63% 68% 74% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Percent of Tichenor Students Walking or Biking to School during the "Walking and Wheeling Wednesday Challenge" January 2013

Baseline walking/biking in 2005 12% Baseline walking/biking in 2013 62%

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Better Infrastructure, Better Walking Rates

782 1037 200 400 600 800 1000 1200 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 2008 2009 2013 % MSP completed Year

Pedestrian Count by Year and % of MSP Completion

Total Ped. Count % MSP completed

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14 31 29 50 59 34 166 124 156 151 360 193 441 627 457 542 756 810 100 200 300 400 500 600 700 800 900 2007 2008 2009 2010 2011 2012 Pedestrian Count Year

Pedestrian Count by Year and Number of Destinations

May and September

1 Destination 2-5 Destinations 6 or More Destinations

More Ped Friendly Destinations, More Pedestrians

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$0.00 $0.50 $1.00 $1.50 $2.00 $2.50 $3.00 $3.50 $4.00 $4.50 200 400 600 800 1000 1200 1400 2007 2008 2009 2010 2011 2012 Gas Price Pedestrian Count Year

Pedestrian Count and Gas Prices

For May and September

Pedestrian Count Gas Price

Higher Gas Prices, More Pedestrians

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Cincinnati’s Bike Share Program

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Cincinnati’s Bike Share Program

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Cincinnati's Bike Share

 http://www.cincyredbike.org/  30 Stations  60 minutes of ride time for each

check out, $4 each additional 30 minutes

 Passes for $8/Day or $80/Year

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Queen City Bike Club

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Bike Friendly Destinations

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Examples: Improving Access to Parks & Open Space

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Licking River Greenway & Trails

 Green way

and Blueway in NKY Region

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Other Initiatives

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Examples: Encouraging Access to Compact & Mixed-Use Development

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The Banks

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OTR

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OTR

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Examples: Improving Access to Healthy Food

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Southern Kenton County

Southern Kenton County Efforts

Kenton County Harvest Tour Community planning efforts

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Southern Kenton County

 Incorporation of supports to local farms (Southern

Kenton County)

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Community Gardens

Mainstrasse village community garden

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Use of an HIA to Preserve Greenspace, Grow Food and Recreate

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Mobile Produce Zones

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Examples: Improving Air & Water Quality

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Banklick Watershed Efforts

 Land Conservation  Septic system repairs  Detention basin retrofits  Agriculture runoff

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Taking Root Campaign

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Resources and Information

 http://www.oki.org/rpf/

 Regional Planning Forum Library

  • Planning Guidance and Tools
  • Community Health in Planning

 County Health Rankings -

http://www.countyhealthrankings.org/

 Center for Disease Control -

http://www.cdc.gov/obesity/strategies/community.ht ml

 National Association of County & City Health Officials

http://www.naccho.org/toolbox/

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Additional Resources

 HealthyAmericans.org  Stateofobesity.org  HealthierGeneration.org  ActiveLivingByDesign.org  PedBikeImages.org

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It takes a everybody…

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If health is identified…..

 It helps community coalitions to take the next step  It helps funders to support the project  It sets the stage for a more livable community  It makes sense to leaders and policy makers (usually)  Other benefits

…it begins the conversation

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