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VISIT Building Healthy Communities Building Healthy Communities Healthy Communities & the Built...

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VISIT http://parc.ophea.net Building Healthy Building Healthy Communities Communities Healthy Communities & the Built Environment Ontario Healthy Communities Coalition
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VISIThttp://parc.ophea.net

Building Healthy Building Healthy CommunitiesCommunities

Healthy Communities & the Built Environment

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Special thanks to

Lisa TolentinoProject Coordinator

Robb MacDonald

Consultant Ontario Healthy Communities Coalition

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net

Presented by:

Louise DawPARC Consultant

Physical Activity Resource Centre

[email protected] 519.646.2121

www.parc.ophea.net

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net

Presentation OutlinePresentation Outline

Healthy Communities Overview

Impacts of built environment on health

Connections and history between health,

land use planning & design

OHCC Healthy Communities & the Built

Environment Project

Ongoing Resources and Supports

Discussion on what is happening in your

community

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net

The Physical Activity Resource Centre (PARC)

Managed by Ontario Physical

Health and Education

Association (Ophea)

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net

PARC services

Responding to requests for information

Referrals

Consultations – email, phone & face to face

Training to Physical Activity Promoters

Annual Physical Activity Symposium

Adaptable Workshops

Quarterly mailings

Physical Activity Monthly Matters

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

How to stay connected

Join the PARC listserv

Here’s how:

http://parc.ophea.net/listserv-sign

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Healthy Community Overview

World Health Organization (WHO) and Ottawa

Charter of Health Promotion

Health is a state of complete physical, mental

and social well-being, and not merely the

absence of disease

First Healthy Cities pilot projects started in 1986

under the WHO umbrella

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Healthy Community Origins

Over 7500 communities/cities, national and

regional networks which have adopted the

Healthy Cities/Healthy Community model

Canadian Institute of Planners, the Canadian

Public Health Association, and the Federation of

Canadian Municipalities

Ontario Professional Planners Institute, the

Ontario Public Health Association, and the Ontario

Landscape Architects were among our founding

members

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Ontario Healthy Communities Coalition

Mission:

To work with the diverse communities of Ontario

to strengthen their social, environmental and

economic well being

Ontario Healthy Communities Coalition

VISITwww.ophea.net/parc

VISIT

http://parc.ophea.net

A New Patient

42 year old male in for check up

Complains of low energy

28 pounds overweight

Blood pressure 145/92

Blood glucose elevated

Urine normal

Cholesterol elevated

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

The Doctor Learns…

He is married with two children

Drives 85 km each way to work

Works 60 hours a week (plus 9 hours of

commuting time)

Last vacation was 18 months ago, for one week,

and linked to a business trip

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

The Doctor Recommends…

Meeting with a nutritionist

Name of a good psychotherapist

Weight loss program

Exercise club membership

Pedometer: 10,000 steps a day

Easing back on work and life commitments

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

After 2 MonthsPatient Reports…

Insurance only covers one visit with nutritionist

& short term counselling

No place to walk

No time for exercise

Day is already too full

Marriage is on the rocks

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

One Year Later Patient Is Being Medicated With…

Antihypertensive medication

Oral Hypoglycemic agent

Antidepressant

Cholesterol lowering agent

E.D. medication

Monthly medication costs of $385 are covered by insurance

Dr. Richard Jackson, Former California State Public Health Officer at the California Department of Health Services

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

“When so many of our patients have the

same problems, we must realize that poor health

is not caused only by a lack of discipline,

but may be the result of the built environments

in which we live.”

(Jackson, 2003)

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

The Determinants of Health

Income and Social Status

Social Support Networks

Education

Employment and Working Conditions

Social Environments

Physical Environment

Gender

Culture

Personal Health Practices and Skills

Healthy Child Development

Health Services

Biology and Genetic Endowment

Health Canada, Population and Public Health Branch AB/NWT

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Definition of Health

“Health is a state of complete physical, mental

and social well-being, and not merely the

absence of disease or infirmity.”

(World Health Organization - WHO)

Health is determined by the complex

interactions between individual characteristics,

social and economic factors and physical

environments.

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

The Built Environment…

“…includes the land-use planning and policies

that impact our communities in urban, rural,

and suburban areas. It encompasses all

buildings, spaces, and products that are

created or modified by people. It includes our

homes, schools, workplaces, parks/recreation

areas, business

areas and roads.”

(Health Canada)

Ontario Healthy Communities Coalition

VISITwww.ophea.net/parc

VISIT

http://parc.ophea.net

Health Issues Today

Asthma & other respiratory illnesses

Cardiovascular disease, heart disease

Diabetes, obesity

Cancer

Arthritis, joint pain

Road collision injuries and fatalities

Depression & other mental health issues

(Health Canada, Ministry of Health Promotion, Ont. Public Health Assoc., Heart & Stroke Foundation )

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Health Impacts of Sprawl

Ontario College of Family Physicians

Urban Sprawl and Public Health Report (2005)

- Environmental Health Committee

Four booklets for distribution to public health

departments and family physicians

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Areas of Focus

1. Air Pollution

2. Road Injuries & Fatalities

3. Obesity (Healthy Weight and Physical Activity)

4. Social & Mental Health

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Healthy Weight & Physical Activity

Sprawl => reduced walking or cycling

Reduced walking or cycling => reduced

physical activity

Reduced physical activity => overweight

Overweight => heart disease, hypertension,

arthritis/joint pain, diabetes, cancer

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

From: The Neptis Foundation – Travel and Housing Costs in the greater Toronto area 1986-1996

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Someone who spends

2 hours each day driving

will, in one year, spend

the equivalent of

11, 40-hour weeks

sitting in their car

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

We need to encourage mixed land uses, more

compact development, alternate modes of

transportation, walkable neighbourhoods, and

access to green space,

so as to address many of the chronic diseases that

have recently emerged and/or increased in

occurrence.

(Ont. Public Health Assoc.)

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

The Response

Healthy and sustainable community planning needs to become a priority to address significant public health issues and make the links between health, land-use planning, development and design

Collaboration across municipal/regional bodies and between professional disciplines (e.g., public health, planning, environment, education, etc.)

Establish concrete and meaningful relationships among various sectors within the community to develop policies and plans for the long-term

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Healthy Communities & the Built Environment Project

Goal: "to improve the health of Ontarians and reduce health care costs through health promotion and chronic disease prevention strategies linking health and the built environment"

This project was aimed at creating healthy communities that optimize human health and prevent chronic diseases by promoting policies and practices that promote community characteristics such as:

Ontario Healthy Communities Coalition

safe, compact and

walkable

easily accessible services

efficient public

transportation systems

readily available options

for active transportation

preservation of natural

surroundings and wildlife

greenspaces that are

easily accessible by foot,

bicycle, wheelchair or

buggy

social gathering areas

VISIT

http://parc.ophea.net

Project Partners

Ontario Healthy Communities Coalition

Ontario Inclusion Learning Network

Ontario Public Health Association

Ontario Professional Planners Institute

Ontario Smart Growth Network

Region of Waterloo Public Health

Simcoe Muskoka District Health Unit

Waterloo Healthy Communities Coalition

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Project Components

Literature review of Canadian research relating to health and the built environment

Environmental scan of current strategies and approaches to improving the built environment across Ontario

Community workshops and regional forums

Indicators of successful collaborations, and case studies of promising practices

Publication and dissemination of information

All components are available here: http://www.ohcc-ccso.ca/en/building-healthy-communities-project-components

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Literature Review

Significant research emerging that addresses the connections between health and the built environment

Aim to highlight what exists and to present it in a manner that people can use in short and long term (annotat. bib. & database); among the themes that can be searched are physical activity, air pollution, collision injuries & fatalities, food choices & healthy eating, mental health

Focus on ‘evidence’ of the connections between health and the built environment/land use planning; wide range of works exploring the connections, but very complex and hard to determine cause/effect

Over & over researchers noted that there is a sufficient amount of quality evidence to call for action

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net

Environmental Scan

Gain an understanding of the scope and involvement of public health units, environmental groups and community agencies in addressing the impacts of the built environment on health

Gather information on strategies, programs and practices (as well as any resources, tools and research) currently being used/conducted by these groups across Ontario

Initiatives covered a range of topics such as providing information on air pollution/clean air, strategies to promote physical activity (e.g., walking & cycling), community gardening, pesticide reduction, climate change, food access and shopping locally

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Environmental Scan

Lack of knowledge/understanding about land

use issues and their impact on health

Lack of knowledge/understanding regarding the

role of public health in land use planning and

policy decision-making (by the public,

governments, planners/engineers, and even

within some public health units themselves)

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Environmental Scan

Respondents described the success of policies, programs and initiatives as being attributed to:

Community support and awareness

Public buy-in and media coverage

Strong partnerships

Commitment of membership

Other policies, programs and initiatives were less successful as a result of inadequate or a lack of:

Leadership

Skilled staff and resources

Budget

Follow-up programs

Professional planning resources and government support

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net

Environmental Scan

Common areas of research:

accessible parks, paths and trails

alternate transportation

water and air quality

preservation of green space / agricultural land

Barriers to conducting research:

Lack of funding

Lack of human resources

Lack of organizational capacity

Lack of partnerships/community support

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Active and Safe Routes to School – “Walking School Bus”

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Indicators & Case Studies

Most successful initiatives aimed at improving health through changes in land use planning and policy a result of multi-sector collaboration

A set of indicators developed to assess collaborative, multi-sectoral initiatives consistent with healthy community principles and processes

Indicators can be used to assess and inform projects currently underway, as well as to assist in the design of new projects

Five to ten case studies/stories to be profiled; eight stories currently pulled together

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net

Publication

A popular piece aimed at health promoters, planners and community volunteers

Overview of major impacts of the built environment on health (positive and negative)

Collection of modules relating to particular aspects of how the built environment impacts on health (e.g., walkable communities, injuries/fatalities, etc.)

Outline of various roles for each sector/profession

Summary of project components, learnings and conclusions with links to additional information

List of other tools and resources

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Sharing

What is going on in your community?

VISIT

http://parc.ophea.net

Ontario Healthy Communities Coalition

Contact Info:

Hélène Lussier (Services Coordinator)

– Services Coordinator 416-408-4841 / 1-800-766-

3418 ext. 3

[email protected]

http://www.ohcc-ccso.ca/

Ontario Healthy Communities Coalition

VISIT

http://parc.ophea.net

Thank you

Please contact Louise Daw for further information:

Louise Daw

PARC Consultant

[email protected]

519.646.2121

Ontario Healthy Communities Coalition


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