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The Health Dividend: 
Designing the Healthy City 
LaQuandra S. Nesbitt, MD, MPH 
Director, Louisville Metro Department of ...
What is Health? 
“Health is a state of complete physical, 
mental, and social well-being and not 
merely the absence of di...
Determinants of Health 
Health 
Behaviors 
30% 
Clinical Care 
20% 
Social & 
Economic 
Factors 
Physical 
Environment 
10...
Snapshot of Louisville Metro Health Status 
• 1 in 3 adults in Louisville are overweight or obese 
– Increased risk for hi...
Mayor’s Healthy Hometown 
• In 2004, Louisville Metro created the Mayor’s 
Healthy Hometown Movement 
Goal is to create a ...
Early Accomplishments 
• Community events related to physical activity 
– Semi-annual Hike, Bike, and Paddle 
• Grassroots...
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 ...
Successes 
• Infrastructure 
– Created governance structure for community 
coalition 
– Developed process for interaction ...
Successes 
• Policy & Program 
– Established voluntary smoke-free parks and 
smoke-free multi-unit housing 
– Train over 4...
Successes 
• Built Environment 
– Expansion of bike lanes and all purpose trails 
– Expansion of urban agriculture/communi...
Key Takeaway 
RELATIONSHIPS
Contact Info 
LaQuandra S. Nesbitt, MD, MPH 
Director, LMPHW 
laquandra.nesbitt@louisvilleky.gov 
@DrLNesbitt
ADDITIONAL SLIDES
Continuum of Engagement 
Coalition 
of the 
Willing 
Coalition 
of the 
Curious 
Coalition 
of the 
Necessary
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The Health Dividend: Designing the Healthy City, by Dr. LaQuanda Nesbitt, , Louisville Metro Department of Public Health and Wellness

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.

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The Health Dividend: Designing the Healthy City, by Dr. LaQuanda Nesbitt, , Louisville Metro Department of Public Health and Wellness

  1. 1. The Health Dividend: Designing the Healthy City LaQuandra S. Nesbitt, MD, MPH Director, 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 Meeting November 5, 2014
  2. 2. 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
  3. 3. Determinants of Health Health Behaviors 30% Clinical Care 20% Social & Economic Factors Physical Environment 10% 40% Health Factors = 50% Policies & Programs 50% =
  4. 4. 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
  5. 5. 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 Louisville Vision 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.
  6. 6. 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
  7. 7. WHERE ARE WE NOW?
  8. 8. MHHM Infrastructure LMPHW Leadership Team Community Coalition
  9. 9. 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
  10. 10. 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
  11. 11. 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 smokefree ordinance 10/16-17/2014 Population Health 11
  12. 12. 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
  13. 13. Key Takeaway RELATIONSHIPS
  14. 14. Contact Info LaQuandra S. Nesbitt, MD, MPH Director, LMPHW laquandra.nesbitt@louisvilleky.gov @DrLNesbitt
  15. 15. ADDITIONAL SLIDES
  16. 16. Continuum of Engagement Coalition of the Willing Coalition of the Curious Coalition of the Necessary

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