Category Archives: Built environment

Feb 6 2012

Smart Growth is Smart for Health and the Economy

A major theme at last week's New Partners for Smart Growth Conference was "co-benefits." Many sectors and interests were represented at the conference and each took a different tack on the benefits of smart growth, or building communities so that they are walkable, affordable, generate jobs and help people get to where they need to go, including to fresh food markets, to work and play and to green spaces. The co-benefits of this kind of growth include better health, a cleaner and more sustainable environment, and a stronger economy.

The benefits to the economy were the focus of a Friday session at the Smart Growth conference, led by Lee Sobel, Real Estate Development and Finance Analyst at the Office of Sustainable Communities for the U.S. Environmental Protection Agency.

Mitchell Silver, AICP, Planning Director of the City of Raleigh, NC and President of the American Planning Association quoted Chattanooga Mayor Littlefield with an important maxim for smart growth: "If you aren't a city where people want to live, you aren't a city where people want to invest."

Younger generations will demand a different lifestyle, said Silver, and separate office parks will play no part in it. More integrated, mixed land-use areas where people can walk or take public transit to work are becoming more and more attractive to employees—and, importantly, to employers.

While young people used to find a job and then a place to live nearby, more young people today start by finding a city or community they love and then looking for a job where they want to live, said Silver. That means employers want to be where people want to live.

Beyond attracting employers, dense growth means more tax revenue for cities. It would take 150 acres of 600 single-family homes to equal the tax value of Raleigh's Wells Fargo Capitol Center, which sits on 1.2 acre land, said Silver.

A report from Active Living Research, a national program of the Robert Wood Johnson Foundation with direction and technical assistance provided by San Diego State University, found that green spaces have economic pay-offs as well. The existence of a park within 1,500 feet of a home increased its sale price by between $845 and $2,262 (in 2000 dollars). Additionally, as parks increased in size, their impact on property value increased significantly, according to the report.

This builds on parallel research finding that preventive health efforts are sound business decisions:

  • The Healthier Americans for a Healthier Economy report showcases several states and cities that have found that better health for their citizens can also improve their bottom line, in collaboration with local businesses. Read more on the report and a Q&A with Tom Mason, President of Alliance for a Healthier Minnesota, on the business perspective on prevention.
  • An investment of $10 per person annually in proven, community-based public health programs could save the U.S. more than $16 billion within five years—a $5.60 return for every $1 invested. Read more on the report on the return on investment of prevention.
  • Companies that sell "better-for-you" foods perform better financially. Read a Q&A with the report author.

>>Follow our coverage of the New Partners for Smart Growth Conference.

Feb 6 2012

Healthy San Bernardino: Getting Healthier


San Bernardino, Calif., the 100th largest city in the U.S., has several other distinctions: compared to the rest of the state, it has the worst food index (ratio of unhealthy to healthy food index), an average life expectancy that is eight years lower, a homicide rate that is 150% higher, the 2nd highest concentration of alcohol outlets and a 400-acre deficit of parks (two-thirds of residents don't live within a mile of parks or green spaces).

The county of San Bernardino doesn’t fare much better. In the 2011 County Health Rankings, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, San Bernardino ranks 50th out of 56 California counties in health factors and 55th out of 56 in physical environment factors such as access to healthy foods and air pollution days.

San Bernardino is in the midst of a public health crisis.

The Healthy Communities team at the Bernardino County Public Health Department set out to tackle that crisis—on a staff of three. “We knew partnerships would be critical,” said Evelyn Trevino, Program Coordinator for the program. Thus, the Healthy San Bernardino County Healthy Places Coalition was born.

One of the first steps was to conduct an environmental scan, the results of which provided many of the nuggets above, as well as information on parks and recreation space, the food environment, air and water quality and economic opportunities, said Mark Hoffman, Senior Planner for The Planning Center.

Peggi Hazlett, Assistant to the Mayor of the City of San Bernardino, lives and raises two children in the area, and has been committed to making it a healthier, happier place to live for her own family and future generations. It’s a constant struggle, though. The week of the conference, there were three homicides within a 20-block radius, including a stray bullet that slayed a 15-year-old. “Welcome to my world,” said Hazlett.

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Feb 6 2012

Walkability Audit with Dan Burden

Burden Dan Burden, "walkability guru," on a walking audit of San Diego

This weekend at the New Partners for Smart Growth Conference, NewPublicHealth attended a walkability audit of downtown San Diego with the inventor of the tool and "Johnny Appleseed of walkability," Dan Burden. In 2001, TIME magazine named Burden one of the world’s six most important civic innovators. He is currently a senior urban designer and executive director of the Walkable and Livable Communities Institute, and previously co-founded Walkable Communities, Inc., and the Bicycle Federation of America. Burden has worked in more than 3,000 communities and led more than 4,000 walking audits throughout North America.

Burden-transit Walk audit participants check out San Diego's well-designed transit system

Walking audits have been happening for about 25 years now, though they are a skill and a field now coming into their pinnacle—the first official course on walkability audits was taught recently in Tucson to a mix of health, planning and engineering professionals. “A very big part of the walkability audit is to start to break down the walls between disciplines. It really helps open people’s eyes. It’s been a very powerful tool.”

A walking audit is an assessment of the walkability or pedestrian access of the built environment in a community. Burden created this tool to help communities understand how their environment encourages or discourages its residents from walking.

“America became something different. We lost our focus. We stopped designing cities for people,” explained Burden.

Dan Burden began to run walking audits about 25 years ago during his tenure at the Florida Department of Transportation. He realized that the engineers never went out and walked the streets they’d designed. “As we went out, we realized more and more how wrong the designs were.”

Burden-parking A less-than-ideal parking lot in San Diego, which Burden says should have some green space separating it from the sidewalk

In his presentation, Burden shows photos of places that make you want to stay inside your house (or get in a car) rather than walk anywhere—deteriorating or no sidewalks, dangerous intersections built for cars that leave scarcely enough time for a healthy person to cross, acres of asphalt littered with bottles and trash with no green space in sight, and unlit alleyways that seem built to shelter crime.

“Over 80 percent of Americans want to be able to seamlessly switch modes of transportation,” said Burden. “That’s not what we’re funding.” In fact, he said, less than 1 percent of federal transportation dollars go toward supporting walking and biking infrastructure, and even those scarce funds are under threat.

Burden typically takes anywhere from one to 100 people with him on his walkability audits (though he recommends a group of 30 for less seasoned walkability gurus), inviting city planners, elected leaders, citizens, advocates, police officers, persons with disabilities and public health officials—anyone with a vested interest in creating a better community.

Before he brings in the whole group, though, Burden tries whenever he can to take a first pass through a neighborhood on his own to connect with residents, kids and local retailers to get their take about what’s working and not working in the community. One six-year-old told him all she wanted to do was to walk to school and play with her friends, but she was afraid to be outside by herself. The goal of the walkability audit is to find out what steps the community needs to take to get it to be a place its residents can be proud of and happy to live in.

Burden-measure Burden measures street width in San Diego

The components of a walkability audit get very nitty gritty: the exact width of the “walk-and-talk zone” of a sidewalk (ideally four feet, leaving another two to four feet on either side as a buffer and a place for sidewalk “furniture” such as benches, bus stops and street lamps), the number and width of lanes for cars, the average speed of cars and average traffic volume on each block, and more. But what’s most critical is not the sidewalks or traffic patterns—it’s how the land is used, how connected are the hubs of activity, and how much open space there is. While sidewalks are important, they’re useless if they don’t lead somewhere people want to go, said Burden.

Burden-street A San Diego street well-designed for walking, according to Burden

While the walkability audit of San Diego at the Smart Growth conference was quite literally, at times, a walk in the park on a beautiful, sunny day, that’s not always typical. Burden’s longest audit spanned 16 miles on a day when the temperature peaked at 120 degrees. Another audit could only be conducted 10 minutes at a time because the temperature dipped below a frigid –54 degrees. Yet on the 16-mile, 120-degree day, a woman in a wheelchair stuck it out for the entire audit to help show her community the challenges she faced daily in navigating a city that simply was not built for her.

What makes a community work? Five key aspects, said Burden:

  1. Security
  2. Convenience
  3. Efficiency
  4. Comfort
  5. Welcome

There’s both an art and a science to walkability. The science involves a set of measures and ratings, described in detail in the Environmental Protection Agency’s Walking Audit tool, co-designed by Burden (and admittedly still “in beta”—more will likely be added to the tool as it is continually tested and refined).

Though health is not the primary goal of a walking audit, it is a critical outcome of a walkable community.

>>Read more NewPublicHealth coverage from the New Partners for Smart Growth Conference.

Feb 2 2012

NewPublicHealth Q&A: Barbara McCann of the National Complete Streets Coalition

Barbara Mccann

Town and city streets are an important part of the livability of communities, says Barbara McCann, Executive Director of the National Complete Streets Coalition and a presenter and moderator at this week’s New Partners for Smart Growth conference in San Diego. McCann says streets ought to be for everyone, whether young or old, motorist or bicyclist, walker or wheelchair user, bus rider or shopkeeper. “But too many of our streets are designed only for speeding cars, or worse, creeping traffic jams.”

But in communities across the country, a movement is growing to complete the streets and these communities are asking planners and engineers to build road networks that are safer, more livable, and welcoming to everyone.

Instituting a complete streets policy, according to McCann, ensures that transportation planners and engineers consistently design and operate the entire roadway with all users in mind. NewPublicHealth caught up with McCann in advance of this week’s conference.

NewPublicHealth: What is the scope of Complete Streets?

Barbara McCann: Complete Streets is about getting communities around the country to adopt policies to ensure that streets work for all users, and we have focused quite a lot on policy adoption. We’re seeing success in more half of the states and in about 300 local communities. And now we’re turning our attention towards implementation. What do communities need to do once they have a policy in order to actually make changes on the ground that creates a safer environment for walking and bicycling and taking the bus and other really active transportation?

NPH: How quickly have you seen changes recently?

Barbara McCann: Well, certainly in policy adoption it’s been going great guns. We’ve pretty much doubled the number of policies adopted every year for the past three years, from close to zero where we started this in 2006. So the policies are really, really spreading. Implementation of actually seeing change on the ground is a long haul process in most places because Complete Streets policy must make sure that every future project is done differently, and so that means that you’re not going to see an overnight change in your community, but it does mean that as investments move forward, every transportation investment will start to make a difference.

There are communities that have been doing this for a number of years and we do see improvements in facilities, we see public support or some of the innovations that are happening on the roadways really rising. We see safety improving and we see an increase in biking and walking in some of the places that have taken this approach.

NPH: What community would you hold up as a model for Complete Streets?

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Feb 1 2012

New Partners for Smart Growth Conference Begins Tomorrow

Anderson Geoffrey Anderson, Smart Growth America

The eleventh annual New Partners for Smart Growth Conference begins tomorrow in San Diego. The conference is a national, multi-disciplinary smart growth gathering presented by the Local Government Commission. The conference draws experts including local elected officials, city and county staff, developers and builders, planners, transportation professionals, public health professionals, architects, bankers, realtors, urban designers, parks and recreation professionals, advocates for social and environmental equity, school superintendents, board members and facilities staff, advocates for older adults and youth, bicycle and pedestrian advocates, environmentalists, crime prevention professionals and many others committed to building safer, healthier and more livable communities everywhere.

In advance of the conference, NewPublicHealth spoke with several presenters about the conference and the growing efforts to use smart growth to help improve the lives of all Americans.

Geoffrey Anderson is the President and CEO of Smart Growth America and previously ran the Smart Growth Program at the U.S. Environmental Protection Agency. At the Smart Growth conference, he will be presenting in the training session, "Achieving the Prosperity Benefits of Transit and Smart Growth."

NewPublicHealth: What does smart growth mean and what are the strategies for making it happen?

Geoffrey Anderson: It really means building urban, rural and suburban communities with transportation and housing choices near jobs, shops and schools. So it’s about building complete neighborhoods so that you can get most of what you need to do on a day-to-day basis done nearby and have a high quality of life.

NPH: What is it that’s kept that from happening?

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Jan 27 2012

Designing Healthy Communities: NewPublicHealth Q&A with Richard Jackson

Richard by crane Oakland Dr. Richard Jackson, "Designing Healthy Communities"

"Designing Healthy Communities,” a four-part series funded in part by the Robert Wood Johnson Foundation, debuts this month and next on many Public Broadcasting stations. The program looks at the impact the built environment has on key public health problems such as obesity, diabetes, heart disease, asthma, cancer and depression. In the series, host Richard Jackson, MD, MPH, professor and chair of environmental health science at the UCLA School of Public Health, connects bad community design with burgeoning health costs, then analyzes and illustrates what citizens are doing about this crisis by looking upstream for innovative solutions.

NewPublicHealth recently caught up with Dr. Jackson, who will also be a featured speaker at the New Partners for Smart Growth Conference in San Diego next week, leading a session on “Health as a Messaging Tool.” Dr. Jackson received the New Partners for Smart Growth Lifetime Achievement Award in 2008.

Follow NewPublicHealth coverage on-site at the Smart Growth conference here and on twitter @RWJF_PubHealth.

NewPublicHealth: What prompted the "Designing Healthy Communities" series?

Dr. Jackson: My background is that I’ve worked in environmental health in one form or another for over 30 years. I started out as a pediatrician and have become more and more focused on the whole mix of environment and health and the outcomes and the impacts on our population, acute impacts such as asthma, car injuries, all the way through to chronic diseases, cancer and birth defects, and I’ve investigated all of them. And then beyond chronic diseases, long-term health impacts such as endocrine disrupters in the environment and health effects of global climate change.

I spent nine years as the Director for the National Center for Environmental Health and I was State Health Officer for California for a year and a half, and I’ve become increasingly convinced that I’m sitting at the end of the disease pipeline waiting for somebody to come in the door with obesity-related diabetes, with injuries related to a bad urban design or for that matter a lack of adequate crosswalks. Asthma and even heart disease are related to very poor air quality. That it is not feasible for the future of our country. When I was a young doctor, seven percent of all the money in the United States that was going to medical care. It’s now more than 17 percent, and the U.S. is still ranked about number 50 in life expectancies worldwide.

So, we’re not doing something right, and I would assert that what we’re not doing right is we’re failing to really operate in the realm of prevention. We’re not going far enough upstream in thinking about what things are affecting our health. What I would assert is a big driver that’s affecting our health but it’s also affecting our happiness, our prosperity, and our future is how we have built America. We have built it for the needs of cars and other short-term needs, maximizing sale of commodity foods of various kinds and we have not built it with an eye towards people and an eye towards future generations.

I co-wrote a book ten years ago called “Urban Sprawl and Public Health,” and then became much more focused on these issues of built environment and co-wrote a textbook, where we very deeply document the impact of the built environment on everything that you would imagine, but also further upstream to obesity and lack of fitness, and even further upstream to unhappiness, to depression, and we began to think that just as this damaged environment can have multiple negative health outcomes, creating health environments should have positive health outcomes. And that’s why the television series is called “Designing Healthy Communities."

Ten years ago there really was very little recognition of this issue, but that’s changing. There were almost 300 sessions that either had the words “built environment” or “land use” at the last American Public Health Association National Meeting in early November in Washington, DC.

NPH: What’s driving that increasing interest?

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