Health & Planning

ACT Canada SummitDecember 2,2014

Health & Planning• Why concerned about AT and HBE’s?• Leading causes of illness and death• Heart disease, hypertension, stroke, diabetes and

cancer

• PH mandate, responsibility• Improve health, reduce illness and deaths from chronic

disease• PH Standards, Strategic Plan

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Health & Planning

• Conditions linked to:• Low PA• Overweight and obesity • Adults and children• Track forward

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Health & Planning

• Adults• Physical Activity• 150 minutes MVPA/week• YR – 53% inactive

• Weight• 50% overweight/obese

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Health & Planning• Children• Physical Actvity • 60 minutes MVPA/day

• YR - 19% of students grades 7 -12?• Can Health Measures Survey – accelerometry data – 7%

and lower among adolescents

• Weight• 25% overweight or obese• (CHMS = 31.5% - ages 5 -17)

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Health & Planning

• Challenge • Create conditions, environment, policies, facilitate

and support behaviour – partnership, advocacy• Population Health Approach

• Advocacy and partnerships affect conditions influence health

• Policy, social & built environments

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Health & Planning• Communities increasingly car dependent• PA designed out of communities• recreation and sport insufficient

• Design PA back into daily lives – more utilitarian - increase reliance on walking, cycling and public transit• Travel to work, school, shopping, services, health care,

visiting friends & family• Public transit associated with increased AT

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Health & Planning• Effectiveness• Obesity

• High level of AT (> 150 minutes/week)• ↓ risk of hypertension by 24%, DM by 31%

• 150 minutes MVPA• 19% ↓ in mortality – 24% ↓ with 1 hour/day

• Studies in Copenhagen & Shanghai• Regular cyclist commuters ↓mortality rates by 30%

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Health & Planning

• Additional health and economic benefits from decreasing injuries, air pollution and GHG emissions

• City of Toronto (2014)• 1300 premature deaths; 3,550 hospitalizations/year• 42% of deaths; 55% hospitalizations traffic related

• ↓ by shift to walking, cycling, public transit

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Health & Planning• How• Trips < 7km → cycling

< 2km → walking

• More compact community design (smart growth) • Increased density, mixed uses• Street connectivity, complete streets (not just cars)• Safe walking and cycling infrastructure• Green and open spaces

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Health & Planning• How• Partnership• Community and Transportation planners & engineers• Schools, other community groups

• Complementary goals

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Health & Planning• Tools• HEAT - WHO• Healthy Communities Practice Guide – CIP• Intersections – Health & BE – Urban Land Institute• HBE Linkages Toolkit - BC• Active Design Guidelines – NYC• Health & Env. Enhanced Land Use Planning Tool – TPH• Healthy Development Index - Peel

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Health and Planning

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• BC HBE Linkages Toolkit – Linkages summary

Health & Planning• YR Partnerships

• Community and Transportation Planning• Long Range and Strategic Planning• School boards (School Travel Planning )• Building Healthy Communities workgroup

• Activities• Comments – Regional and Municipal Official Plan & Review• MOHLTC Strategic Plan – Healthy Environments, Natural & Built• Public Health & Planning 101 (OPHA, OPPI)• Active Transportation Working Group and Bike Summit• School Travel Planning• Summary of health data related to HBE

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