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 Healthy Community Programs & Examples 2
[ep•i•dem•ic] An outbreak of a disease that spreads rapidly and widely. 3
More Obese Over Time Rural NKY School Obesity Rate 23 18 15 13 % obese entering K US average % obese entering US average 10th grade 4
Obesity & Overweight on the State Level NKY HS Students vs. KY HS Students 36 36 % Obese & Overweight KY HS Students % Obese & Overweight NKY School 5
Kentucky high school students have the worst obesity rate in United States, and rank # 5 for adults. 6
Adult Obesity Rank in top 10 in the Nation, Indiana and Ohio Not Far Behind KY(5 th ), IN (9 th ), OH 16th 36.00% 35.00% Mississippi 34.00% West Virginia 33.00% Arkansas Tennessee 32.00% Kentucky 31.00% Louisiana 30.00% Oklahoma Alabama 29.00% Indiana 28.00% South Carolina 27.00% Michigan Iowa Delaware North Dakota Texas 7
What Is Killing Us? Then Pneumonia Tuberculosis Diarrhea & Enteritis Now • Heart Disease • Cancer • Stroke 8
What is Actually Killing Us? Inactivity, diets high in fats and sugars, and smoking 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. 9
Not Rocket Science Less movement More calories 10
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 11
Show of Hands - Emi 12
Components of public health in planning 13
Components of public health Improving bicycle and pedestrian accessibility 14
Components of public health Improving access to parks and open spaces Wolsing Woods Licking River Greenway & Trails 15
Components of public health Encouraging access to compact and mixed-use development www.building-cincinnati.com 16
Components of public health Improving access to healthy food www.ocfrealty.com 17
Components of public health Improving air and water quality Cincinnati Enquirer 18
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 Monitoring Reporting Source: CDC 19
Community health in regional, county & local planning Efforts 20
OKI’s How Do We Grow From Here? 21
HDWG – Developing the SRIs 22
HDWG – SRI # 31 Strategic Issue # 31 The impacts of the built environment and mobility options 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. 23
HDWG – Developing Policies 24
Rank the following community health factors from most important to least important by dragging and dropping the choices. 25
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 organizations 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 options on public health can include potential health hazards, access to healthcare, healthy foods, and spaces for physical activity. 26
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 27
Direction 2030 Kenton County Comprehensive Plan Included research on public health Developed a health goal category 28
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. 29
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Planning sets the stage: $632,000 32
Examples: Improving Bike & Pedestrian Accessibility 33
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 34
Children Walking/Biking to School Change in Baseline Rates Baseline Baseline walking/biking walking/biking in 2005 in 2013 12% 62% Percent of Tichenor Students Walking or Biking to School during the "Walking and % of students walking to Wheeling Wednesday school over one year of Safe Challenge" Routes to School (Miles and January 2013 Tichenor) 100% 100% 90% 80% 80% 70% 60% 74% 68% 60% 64% 63% 63% 40% 50% 20% 40% 25% 12% 30% 0% 20% 2005 2006 10% 0% 35
Better Infrastructure, Better Walking Rates Pedestrian Count by Year and % of MSP Completion 35.0 1200 30.0 1000 1037 25.0 800 % MSP completed 782 20.0 600 Total Ped. Count 15.0 % MSP completed 400 10.0 200 5.0 0.0 0 2008 2009 2013 Year 36
Pedestrian Count by Year and More Ped Number of Destinations May and September Friendly 900 Destinations, 800 810 756 700 More 600 Pedestrian Count 627 500 542 Pedestrians 1 Destination 457 400 441 2-5 Destinations 360 6 or More Destinations 300 200 193 166 156 151 100 124 14 31 29 50 59 34 0 2007 2008 2009 2010 2011 2012 Year 37
Higher Gas Prices, More Pedestrians Pedestrian Count and Gas Prices For May and September 1400 $4.50 $4.00 1200 $3.50 1000 $3.00 Pedestrian Count 800 Gas Price $2.50 Pedestrian Count Gas Price $2.00 600 $1.50 400 $1.00 200 $0.50 0 $0.00 2007 2008 2009 Year 2010 2011 2012 38
Cincinnati’s Bike Share Program 39
Cincinnati’s Bike Share Program 40
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 41
Queen City Bike Club 42
Bike Friendly Destinations 43
Examples: Improving Access to Parks & Open Space 44
Licking River Greenway & Trails Green way and Blueway in NKY Region 45
Other Initiatives 46
Examples: Encouraging Access to Compact & Mixed-Use Development 47
The Banks 48
OTR 49
OTR 50
Examples: Improving Access to Healthy Food 51
Southern Kenton County Southern Kenton County Efforts Community planning efforts Kenton County Harvest Tour 52
Southern Kenton County Incorporation of supports to local farms (Southern Kenton County) 53
Community Gardens Mainstrasse village community garden 54
Use of an HIA to Preserve Greenspace, Grow Food and Recreate 55
Mobile Produce Zones 56
Examples: Improving Air & Water Quality 57
Banklick Watershed Efforts Land Conservation Septic system repairs Detention basin retrofits Agriculture runoff 58
Taking Root Campaign 59
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/ 60
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