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

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

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 MARY THOMAS M.B.& B.S., M.P.H.

Communities Putting Prevention to Work San Antonio Metropolitan Health District San Antonio Texas 1

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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Presenter Disclosures

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

“No relationships to disclose”

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VISION

Promote physical activity options and increase healthy eating to reduce obesity through local environmental health initiatives in San Antonio

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LEARNING OBJECTIVES

• 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

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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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San Antonio Council Districts 1-10 7

Bexar County 2010 Population by Race/Ethnicity 7% 4% 30% 59% Total 1.7 Million Hispanic White NH African Am.

Other

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Population Source: U.S. Census Bureau, 2010

Bexar County 2010 Age Distribution

Age 80 to 84 yrs Age 70 to 74 yrs Age 60 to 64 yrs Age 50 to 54 yrs Age 40 to 44 yrs Age 30 to 34 yrs Age 20 to 24 yrs Age 10 to 14 yrs Age 0 to 4 yrs 75000 Female 25000 Population Source: U.S. Census Bureau, 2010 25000 Male 75000 9

Bexar County - Educational Attainment

35% 30% 25% 20% 15% 10% 5% 0% Less than high school diploma High school graduate, GED Some college Bachelor's degree or higher (Population 25 Years and Over) 10

2010 Household Income Bexar County

Above$ 150,000 $100,000 to $149,999 $75,000 to $99,999 $50,000 to $74,999 $25,000-$49,999 Less than $25,000 0% 5% 10% 15% 20% 25% 30% 11

33% Obesity in Bexar County One in 3 children Two in 3 adults Children Adults 32% 67% 68% Healthy Weight Unhealthy weight Fitness gram data 2009-10 Normal weight Overweight/Obesity BRFSS 2010 12

San Antonio City Council passed COMPLETE STREETS POLICY on SEPT 29, 2011

http://www.sanantonio.gov/planning/regionalplanning/comp letestreets.aspx

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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

road adjacent to the

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Progression in Complete Streets Policy

• Metropolitan Planning Organization Transportation Policy - March 2009 Supports Complete streets • City Council Resolution for Mission Verde 2010 -Building a 21 st Century Economy Creation of an integrated efficient, multi-modal surface transportation system • SA 2020 vision – Community visioning Triple miles of Complete streets Triple public transportation ridership Triple pedestrian oriented neighborhoods

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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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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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VIA

Interagency working group

MPO Public Works Capital Improvements CIMS Planning & Community Development TXDOT Development Services MetroHealth Bexar County Office of Historic Preservation Public Art CPS Energy Office of Environmental Policy Parks & Recreation

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AACOG

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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Benefits to the residents and neighborhoods 20

Downtown: Before & After

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Downtown: Before & After

• • •

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

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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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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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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Better Block –Siclovia 3/4/2012

• • •

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

COMPLETE STREETS – 2012 AND BEYOND Policies are taking the community forward to healthier streets 2011 Complete Streets Policy 2011 SA B-cycle bike sharing 2012 Pedestrian Safety Action Plan (MPO) 2012 Public Works Traffic Calming Manual 2012 CIMS Design Guidance Manual 2012-2015 Hemisfair Complete Streets design + construction 2012-2017 Public investment through 2012 Bond 2012-2022 Housing Authority new communities 27

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, CPPW

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For more information

Mary Thomas, Senior Management Analyst, San Antonio Metropolitan Health District, San Antonio TX [email protected]

210 207 5371

THANK YOU

Any questions ?