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The Intersection of
Community Development
and Health
September 28, 2011
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100 or more
50–9920–49
10–19
Less than 10
No data
Per 1,000
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King CountyWashington State
Seattle
Legend
Estimated Number of Uninsured14 - 736
737 - 1,503
1,504 - 2,649
2,650 - 4,124
4,125 - 6,374
100 or more
50-99
20-49
10-19
Less than 10
Per 1,000
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Environment
Jobs
Community cohesion
Education
Housing
Health Inputs
Safety
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Life Expectancy in the U.S. (1900 – 2009)
78.277.476.875.875.474.773.772.6
70.870.269.769.668.265.9
62.961.759.759
54.154.55048.747.3
0
10
20
30
40
50
60
70
80
90
Exp
ecte
d Y
ears
of
Lif
e at
Bir
th
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Leading causes of death – United States
Mor
talit
y R
ate
Epidemiologic Transition
1900
Pneumonia
Tuberculosis
Diarrhea
2010
Heart Disease
Cancer
Stroke
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King County Board of Health Guidelines: Planning for Healthy Communities
Safe pedestrian paths, sidewalks, and streets
Well designed and safe bicycle paths and lanes
Building and design standards that create safe, healthy, and accessible indoor environments
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Project Goals Increase availability of healthy food and
beverage products in target communities
Increase in capacity of businesses to effectively participate in WIC/EBT
Increase capacity of store owners to profitably sell healthy food
Increase demand for healthy products in the participating businesses
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Services Provided
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• Merchandising, store layout • Produce handling, inventory management• Distribution/supply chain development• WIC/EBT application• Bookkeeping and financial systems • Marketing and store events
• Up to $700 for baskets, produce scales, shop vac, small shopping carts
• Up to $7500 (with 20% owner investment) for refrigeration, signage
• Low cost loans for larger store improvements
Financial Incentives Provided
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BEFORE
AFTER
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Upstream Midstream DownstreamPro-Equity Policies
No Racism
Affordable Housing
Access to Transportation
Good Paying Jobs
Quality Education
Healthy Environment
Low Birth Weight
Incarceration
Action at Societal Level
Action at Individual and Family Level
Safe Neighborhoods
Obesity
Untreated Mental Illness
Access to Healthcare
Poor Health Status
HomelessnessFair Standards of
Living
Physical Activity
Action atCommunity Level
Swim upstream
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Global to Local
We believe Washington State
can make a global difference.
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Global to Local
Compared to King County, Tukwila and SeaTac have:
1.5 times higher poverty and foreign-born
2.8 times higher teen birth rate
2.0 times higher rate of students receiving free lunch
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Communities Count:Social and Health Indicators in King County
● Data collected across 5 domains
1. Basic Needs and Well-Being (e.g. a safe place with parks, libraries, schools, transportation)
2. Positive Development through Life Stages (e.g. school readiness, quality & affordable childcare)
3. Safety and Health (e.g. crime, infant mortality, tobacco use, teen births)
4. Natural and Built Environment (e.g. air & water quality, commute choices)
5. Arts and Culture (e.g. participation, funding, employment)
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Communities CountSample results
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Moving Forward
What Public Health Offers Health is highly valued by the public Data Existing relationships with the community
Community Development Understanding of finance and lending mechanism Models of public and private funding models Relationships with business and private sector
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You must be the change you want to see in the world.
-Mahatma GandhiDennis E. WorshamRegional Health OfficerPublic Health- Seattle & King [email protected]