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Health, Equity and the Built Environment: What do Healthy Communities Look Like?
- 1. Health, Equity, and the Built Environment Advancing Health Equity: From Theory to Practice Richmond, VA September 10, 2009 Howard Frumkin, M.D., Dr.P.H., Director National Center for Environmental Health / Agency for Toxic Substances and Disease Registry Centers for Disease Control and Prevention
- 2. The sense of place
- 4. Ten Leading Causes of Deaths, US (2004) Affected by the Built Environment
- 10. Selected substandard housing conditions 2005 American Housing Survey Tables 2-2 (Height and Condition of Buildings) and 2-7 (Additional Indicators of Housing Quality) http://www.census.gov/hhes/www/housing/ahs/ahs05/tab2-2.xls and http://www.census.gov/hhes/www/housing/ahs/ahs05/tab2-7.xls PER CENT
- 15. Active transport to school, 1969 and 2001 Source: CDC. Kids Walk-to-School: Then and Now—Barriers and Solutions. www.cdc.gov/nccdphp/dnpa/kidswalk/then_and_now.htm
- 16. Two approaches to school siting Hubbard Lake Elementary School Hubbard Lake, Michigan "Outstanding in Its Field"
- 17. Safe Routes to School
- 18. The “food environment” at school
- 27. Trees and urban Life
- 31. Places to explore and play
- 32. Play in natural settings
- 34. Arabia Mountain Trail, Georgia
- 45. Gentrification
- 46. American Journal of Psychiatry 1996;153:1516-23/
- 48. Transportation
- 58. Pharmacies
- 59. Dry Cleaners
- 60. Fine Food
- 61. Coffee
- 62. Tunnel of Vows Drive-Thru Wedding Chapel Las Vegas, NV
- 63. Funerals Gardner Memorial Chapel Davidson, TN Junior Funeral Home Pensacola, FL Adams Funeral Parlor Compton, CA
- 64. The next frontier of drive-thru: Health care?
- 66. Parking
- 67. ?
- 68. April 22, 2003 The result
- 71. Transportation and air quality: The Atlanta Olympics Friedman et al. JAMA 2001;285:897-905 Peak traffic 23% Peak ozone 28% Acute asthma among children 11-44%
- 72. Less driving, fewer fatalities Ewing et al. Am J Public Health 2003;93:1541-45 Sivak. UMTRI-2008-39, July 2008
- 77. Complexity Reality (simplified)
- 78. Climate change
- 79. Peak petroleum Source: Hubbert, 1956
- 81. The courage to paddle upstream
- 85. Beyond the short term Hau de no sau nee (the Six Nations Iroquois Confederacy): planning for the seventh generation
- 86. Care for the individual patient Care for the community Care for future generations THE CLINICAL APPROACH THE PUBLIC HEALTH APPROACH THE LEGACY APPROACH
- 89. Co-benefits: Food and nutrition
- 90. Co-benefits: Transportation Physical activity Air pollution And by the way… Infrastructure costs Social capital CO 2 emissions Depression Injuries Osteoporosis
- 96. Thank you!
Hinweis der Redaktion
- Changes in land use from farm, field, and forest to residential.
- Individual lots can be very large.
- Same here—monotony and isolation. Wherever you want to go, you have to go by car.
- Low connectivity.
- Friedman MS, Powell KE, Hutwagner L, Graham LM, Teague WG. Impact of changes in transportation and commuting behaviors during the 1996 summer Olympic games in Atlanta on air quality and childhood asthma. JAMA 2001;285:897-905
- Ewing R, Schieber R, Zegeer C. Urban sprawl as a risk factor in motor vehicle occupant and pedestrian facilities Am J Public Health 2003;93:1541-45. Sivak M. Is the U.S. on the Path to the Lowest Motor Vehicle Fatalities in Decades? University of Michigan Transportation Research Institute Report # UMTRI-2008-39, July 2008. Available: http://deepblue.lib.umich.edu/bitstream/2027.42/60424/1/100969.pdf.
- Public Street Improvements and Infill Development COLFAX AVENUE, DENVER, COLORADO: Done in association with Space Analytics, LLC for Colfax on the Hill, Inc., funded in part by the Denver Foundation 1 - Existing conditions 2 - Mixed-use buildings on one corner 3 - Public street improvements: street trees, street lamps, decorative traffic signals, sidewalk bulbouts 4 - Additional mixed-use development, remodeling of existing buildings
- Infill Development on declining shopping center EL CERRITO, CALIFORNIA: Done to demonstrate infill development potential on shopping center site. 1 - existing conditions 2 - Additional Stores built up to the street , Mixed-use architecture (office space above retail), zebra-striped crosswalks, street trees, street lamps added 3 - Mixed-use architecture (residential added above office space) 4 - Additional infill accommodates pedestrians and improves visibility for merchants
- Traffic Calming on Neighborhood Street NAPLES PARK, FLORIDA: Done with Dover, Kohl & Partners and Glatting Jackson, Inc. to demonstrate traffic calming techniques for Collier County, Florida 1 - existing conditions 2 - Neighborhood traffic circle added, sidewalks and zebra-stripped crosswalks added, landscaped with palm trees OR 3 - landscaped with shade trees