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Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease American Public Health Association Annual meeting San Francisco 2012

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Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease. American Public Health Association Annual meeting San Francisco 2012 . San Antonio City Council adopts Complete Streets Policy to promote healthy living and safe mobility. - PowerPoint PPT Presentation

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Page 3: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Co Authors

• Marita Roos RLA AICP, City of San Antonio Planning Department

[email protected] • Maggie Thompson R.D. B.D.A, Program Manager, CPPW

[email protected]

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Page 4: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Presenter Disclosures

The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months:

Mary Thomas

“No relationships to disclose”

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Page 5: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

VISION

Promote physical activity options and increase healthy eating

to reduce obesity through local

environmental health initiatives in San Antonio

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Page 6: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

• Discuss the interdisciplinary, multi agency process used for drafting the policy ordinance by Department of Planning and Community development

• Describe some of the benefits to the residents and neighborhoods

• Discuss the benefits to the city administration and businesses

LEARNING OBJECTIVES

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Page 7: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Demography of San Antonio• Population: 1.7 million• Multicultural :59% Hispanic 30% non-Hispanic 7% Afro Americans 3% Asians• South & Westside population:80% Hispanic • Northeast & North central: 30% Hispanic • Persons below 45 years: 79%• Some population have greater burden of health

problems• One in three children and two in three adults are in

unhealthy weight

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Page 8: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

San Antonio Council Districts 1-10

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Page 9: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Bexar County 2010 Populationby Race/Ethnicity

Population Source: U.S. Census Bureau, 2010

59%30%

7% 4%

Hispanic

White NH

African Am.

Other

Total 1.7 Million

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Page 10: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

75000 25000 25000 75000Age 0 to 4 yrs

Age 10 to 14 yrs

Age 20 to 24 yrs

Age 30 to 34 yrs

Age 40 to 44 yrs

Age 50 to 54 yrs

Age 60 to 64 yrs

Age 70 to 74 yrs

Age 80 to 84 yrs

Bexar County 2010 Age Distribution

Population Source: U.S. Census Bureau, 2010

MaleFemale

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Page 11: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Bexar County - Educational Attainment

0%

5%

10%

15%

20%

25%

30%

35%

Less than highschool diploma

High schoolgraduate, GED

Some college Bachelor's degreeor higher

10(Population 25 Years and Over)

Page 12: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

2010 Household Income Bexar County

0% 5% 10% 15% 20% 25% 30%

Less than $25,000

$25,000-$49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $149,999

Above$ 150,000

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Page 13: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Obesity in Bexar CountyOne in 3 children Two in 3 adults

67%

33%

Healthy Weight Unhealthy weight

Children

32%

68%

Normal weight Overweight/Obesity

Adults

Fitness gram data 2009-10 BRFSS 201012

Page 14: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

San Antonio City Council passed

COMPLETE STREETS POLICY

on SEPT 29, 2011http://www.sanantonio.gov/planning/regionalplanning/completestreets.aspx 13

Page 15: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Complete Streets Policy definition

A. Supports roadways that take into account all users, including people driving cars, using transit, riding bikes, walking, and using wheelchairs.

B. Includes people of all ages and abilities, including children, older adults, and persons with disabilities.

C. Considers the function of the road (e.g. local, collector, and arterial) and the level of vehicular, pedestrian, and bicycle traffic will be considered.

D. Road type determined by land use adjacent to the road

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Page 16: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Progression in Complete Streets Policy

• Metropolitan Planning Organization-Transportation Policy - March 2009Supports Complete streets

• City Council Resolution for Mission Verde 2010 -Building a 21st Century Economy

Creation of an integrated efficient, multi-modal surface transportation system

• SA 2020 vision – Community visioningTriple miles of Complete streetsTriple public transportation ridershipTriple pedestrian oriented neighborhoods

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Page 17: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Process in “Complete Streets”

• Created Complete Streets coalition • Participation by Public Works, Office of

Environmental Policy (OEP) Metropolitan Planning Organization (MPO) San Antonio Metropolitan Health District (SAMHD) VIA, AACOG, TXDOT

• Convened workshops to prioritize and set goals to have success and most impact

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Page 18: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Role of Interagency work groups

• Research Complete Streets implementation in other cities

• Conduct photo voice to gain community perspective in San Antonio

• Created unique Complete Streets definition

• Checklist for CS implementation• Assess the built environment in SA

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Page 19: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Interagency working groupVIA TXDOT

Bexar County

MPO

AACOGCPS Energy

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Page 20: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Benefits to the residents and neighborhoods

• Enhance choice of mobility–all modes of travel–bike, walk, car, bus

• Facilitate physical activity for daily needs–pedestrians, Bike Master Plan

• Improve quality of life, health and safety• Neighborhood connectivity to benefit all

members of the city

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Page 21: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Benefits to the residents and neighborhoods

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Page 22: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Downtown: Before & After

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Page 23: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Downtown: Before & After

• Wider sidewalks with pavers and street trees• Bike lanes with traffic separator• On street parking for businesses, hospital 22

Page 24: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Benefits to the city administration and businesses

• Checklists for 2012 Bond projects • Implementation, Assessment and Outreach

(December 2011)• Multi-modal level of services (MMLOS) analysis and training (February 2012)• Will amend some Unified Development codes • Formulate Major Thoroughfare Plan (MTP) for

San Antonio Complete Streets• Build Better Block @ Siclovia (March 2012)

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Page 25: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

MMLOS• Checklist created under

CPPW grant• Multimodal Level of

Service evaluates traffic impacts of pedestrian, bicycle & transit facilities

• Prioritizes Complete Streets components for roadways

• City staff being trained in software to assess streets proposed for Complete Streets

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Page 26: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Building Better Blocks–2012

Building Better Blocks• Temporary on-street

installation March 2012• Demonstrates potential

to create a walkable, vibrant neighborhood center

• Over 20,000 people attended

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Page 27: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Better Block–Siclovia 3/4/2012

• Bicycle lanes and bike parking• Sidewalk cafes and pop-up businesses• Landscape trees and rain gardens 26

Page 28: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

COMPLETE STREETS – 2012 AND BEYOND

Policies are taking the community forward to healthier streets

2011 Complete Streets Policy2011 SA B-cycle bike sharing2012 Pedestrian Safety Action Plan

(MPO)2012 Public Works Traffic Calming

Manual2012 CIMS Design Guidance Manual2012-2015 Hemisfair Complete

Streets design + construction2012-2017 Public investment

through 2012 Bond2012-2022 Housing Authority new

communities27

Page 29: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Acknowledgement with thanks to

• John Berlanga Senior Management Analyst, Metro Health

• Dr. Anil Mangla-Epidemiologist, Metro Health

• Dr. Isabela Lucas, Technical Consultant ICF Macro

• Jeremy Beer, CPPW28

Page 30: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

For more information

Mary Thomas, Senior Management Analyst,

San Antonio Metropolitan Health District,San Antonio TX

[email protected] 207 5371

Page 31: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

THANK YOU

Page 32: Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease

Any questions ?