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.

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. 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. Determinants of Health
Health
Behaviors
30%
Clinical Care
20%
Social &
Economic
Factors
Physical
Environment
10%
40%
Health
Factors
= 50%
Policies &
Programs
50% =

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. 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. 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. WHERE ARE WE NOW?

8. MHHM Infrastructure
LMPHW
Leadership
Team
Community
Coalition

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. 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. 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. 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. Key Takeaway
RELATIONSHIPS

14. Contact Info
LaQuandra S. Nesbitt, MD, MPH
Director, LMPHW
laquandra.nesbitt@louisvilleky.gov
@DrLNesbitt

15. ADDITIONAL SLIDES

16. Continuum of Engagement
Coalition
of the
Willing
Coalition
of the
Curious
Coalition
of the
Necessary