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Building Healthy Communities Healthy Communities & the Built Environment. Ontario Healthy Communities Coalition. Special thanks to. Lisa Tolentino Project Coordinator Robb MacDonald Consultant Ontario Healthy Communities Coalition. Ontario Healthy Communities Coalition. Presented by:.

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Building healthy communities healthy communities the built environment

Building Healthy CommunitiesHealthy Communities & the Built Environment

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net


Building healthy communities healthy communities the built environment

Special thanks to

  • Lisa Tolentino

  • Project Coordinator

    • Robb MacDonald

    • Consultant

    • Ontario Healthy Communities Coalition

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net


Building healthy communities healthy communities the built environment

Presented by:

Louise Daw

PARC Consultant

Physical Activity Resource Centre

[email protected]

519.646.2121

www.parc.ophea.net

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net


Presentation outline

Presentation Outline

  • Healthy Communities Overview

  • Impacts of built environmenton 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

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

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

VISIThttp://parc.ophea.net


How to stay connected

How to stay connected

Join the PARC listserv

Here’s how:

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

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net


Healthy community overview

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

VISIThttp://parc.ophea.net


Healthy community origins

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

VISIThttp://parc.ophea.net


Ontario healthy communities coalition

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

VISIThttp://parc.ophea.net


Building healthy communities healthy communities the built environment

VISITwww.ophea.net/parc


A new patient

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

VISIThttp://parc.ophea.net


The doctor learns

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

VISIThttp://parc.ophea.net


The doctor recommends

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

VISIThttp://parc.ophea.net


After 2 months patient reports

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

VISIThttp://parc.ophea.net


One year later patient is being medicated with

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

VISIThttp://parc.ophea.net


Building healthy communities healthy communities the built environment

“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

VISIThttp://parc.ophea.net


The determinants of health

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

VISIThttp://parc.ophea.net


Definition of health

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

VISIThttp://parc.ophea.net


The built environment

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

VISIThttp://parc.ophea.net


Building healthy communities healthy communities the built environment

VISITwww.ophea.net/parc


Health issues today

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

VISIThttp://parc.ophea.net


Health impacts of sprawl

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

VISIThttp://parc.ophea.net


Areas of focus

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

VISIThttp://parc.ophea.net


Healthy weight physical activity

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

VISIThttp://parc.ophea.net


Building healthy communities healthy communities the built environment

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

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net


Building healthy communities healthy communities the built environment

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

VISIThttp://parc.ophea.net


Building healthy communities healthy communities the built environment

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

VISIThttp://parc.ophea.net


The response

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

VISIThttp://parc.ophea.net


Healthy communities the built environment project

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

VISIThttp://parc.ophea.net


Project partners

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

VISIThttp://parc.ophea.net


Project components

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

VISIThttp://parc.ophea.net


Literature review

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

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

VISIThttp://parc.ophea.net


Environmental scan1

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

VISIThttp://parc.ophea.net


Environmental scan2

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 scan3

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

VISIThttp://parc.ophea.net


Active and safe routes to school walking school bus

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

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net


Indicators case studies

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

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

VISIThttp://parc.ophea.net


Sharing

Sharing

  • What is going on in your community?

VISIThttp://parc.ophea.net


Ontario healthy communities coalition1

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

VISIThttp://parc.ophea.net


Thank you

Thank you

Please contact Louise Daw for further information:

Louise Daw

PARC Consultant

[email protected]

519.646.2121

Ontario Healthy Communities Coalition

VISIThttp://parc.ophea.net


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