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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% obese entering K US average % obese entering10th grade

US average

Rural NKY School Obesity Rate

More Obese Over Time

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Obesity & Overweight on the State Level

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% 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 obesity 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

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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 MonitoringSource: CDC

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Community healthin 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 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.

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HDWG – Developing Policies

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http://www.howdowegrow.org/land-use/http://www.howdowegrow.org/land-use/

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

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.

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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 ExamplesSafe 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 201362%

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Better Infrastructure, Better Walking Rates

782

1037

0

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

% M

SP

co

mp

lete

d

Year

Pedestrian Count by Year and % of MSP Completion

Total Ped. Count

% MSP completed

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14 31 29 50 59 34

166124

156 151

360

193

441

627

457

542

756

810

0

100

200

300

400

500

600

700

800

900

2007 2008 2009 2010 2011 2012

Pe

de

stri

an

Co

un

t

Year

Pedestrian Count by Year and Number of Destinations

May and September

1 Destination

2-5 Destinations

6 or More Destinations

More PedFriendly 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

0

200

400

600

800

1000

1200

1400

2007 2008 2009 2010 2011 2012

Ga

s P

rice

Pe

de

stri

an

Co

un

t

Year

Pedestrian Count and Gas PricesFor 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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http://www.cincyredbike.org/

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 Bluewayin 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

Mai

nst

rass

e vil

lage

com

munit

y g

arden

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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.html

National Association of County & City Health Officials http://www.naccho.org/toolbox/

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http://www.oki.org/rpf/http://www.countyhealthrankings.org/http://www.cdc.gov/obesity/strategies/community.htmlhttp://www.naccho.org/toolbox/

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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