the health dividend: designing the healthy city, by dr. laquanda nesbitt, , louisville metro...
DESCRIPTION
Panel discussion explores how cities can be designed and built to promote a culture of health and increase opportunities for active, social and healthy living. For more info, visit ceosforcitiesnationalmeeting.org.TRANSCRIPT
The Health Dividend:Designing the Healthy City
LaQuandra S. Nesbitt, MD, MPHDirector, Louisville Metro Department of Public Health and Wellness
Assistant Professor, University of Louisville School of Public Health and Information Sciences
CEOs for Cities 2014 National MeetingNovember 5, 2014
What is 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
Determinants of Health
Health Behaviors
30%
Clinical Care20%
Physical Environment
10%
Social & Economic
Factors40%
Health
Factors
= 50%
Policies &Programs
50% =
Snapshot of Louisville Metro Health Status
• 1 in 3 adults in Louisville are overweight or obese– Increased risk for high blood pressure, diabetes, some
cancers, arthritis/joint pain
• 25% of Louisville Metro adults still use tobacco products– Increased risk for lung disease, cancer, heart attack
and stroke, and poor wound healing
• Louisville Metro’s rate of deaths for heart disease, cancer, diabetes, stroke are higher than the death rates for Kentucky and the US
Mayor’s Healthy Hometown
• In 2004, Louisville Metro created the Mayor’s Healthy Hometown Movement
Goal is to create a culture of health and wellness in LouisvilleVision of becoming one of the healthiest cities in America Preventing disease and maintaining good health is easier when people and communities are surrounded by environments where the healthy choice is the easy choice.
Early Accomplishments
• Community events related to physical activity
– Semi-annual Hike, Bike, and Paddle
• Grassroots activities for food justice
• Healthy in a Hurry corner store project
• Worksite Wellness awards
• Mayor’s CEO breakfast to promote employee wellness
WHERE ARE WE NOW?
MHHM Infrastructure
LMPHW
Leadership Team
Community
Coalition
MHHM Leadership Team
• Public Health & Wellness• Metro Parks• Public Works• Codes & Regulations• Human Resources• Economic Growth &
Innovation• Louisville Metro Police
Department• Community Services and
Revitalization
• Transit Authority of River City
• Jefferson County Public Schools
• Human Relations Commission
• Louisville Metro Council• Housing Authority• Emergency Management
Agency• Air Pollution Control
District
Successes
• Infrastructure
– Created governance structure for community coalition
– Developed process for interaction between community and Louisville Metro government leadership re: health in all policies
– Healthy Louisville 2020 plan completed
Successes
• Policy & Program
– Established voluntary smoke-free parks and smoke-free multi-unit housing
– Train over 40 hospital employees to facilitate smoking cessation classes in their facilities
– Passed ordinance restricting sales of e-cigarettes and herbal shisha to minors
– Enhanced enforcement of existing smokefreeordinance
10/16-17/2014 Population Health 11
Successes
• Built Environment– Expansion of bike lanes and all purpose trails
– Expansion of urban agriculture/community gardens
– Conversion of vacant and abandoned properties in to healthier community assets
– Goal to convert complete streets manual in to a complete streets policy
– Develop health chapter in our comprehensive land development plan by 2018
Key Takeaway
RELATIONSHIPS
Contact Info
LaQuandra S. Nesbitt, MD, MPH
Director, LMPHW
@DrLNesbitt
ADDITIONAL SLIDES
Continuum of Engagement
Coalition of the Willing
Coalition of the Curious
Coalition of the Necessary