Where the rubber hits the road

Transcription

1 Cascade Bicycle Club + Public Health Seattle & King County + City of Burien Where the rubber hits the road Strategies, successes, and lessons learned in completing the streets of the Puget Sound region

2 Presenters Kadie Bell Sata, (formerly) Public Health Seattle & King County Tessa Greegor, Cascade Bicycle Club Max Hepp-Buchanan, Cascade Bicycle Club Dori Babcock, (formerly) City of Burien

3 Presentation Outline Introduction to Communities Putting Prevention to Work (CPPW) Role of Public Health in CPPW and Complete Streets Introduction to Cascade Bicycle Club Previous Complete Streets work around the region

4 Presentation Outline Role of Cascade in CPPW and Complete Streets Case study: City of Burien The road ahead: Puget Sound region and beyond Question and answer roundtable

5 Communities Putting Prevention to Work $15m grant funding from the Centers For Disease Control and Prevention (CDC) to Public Health Seattle & King County Objective to lower obesity rates and reduce health disparities (largest in the nation)

6 Communities Putting Prevention to Work Several areas of intervention: PE curriculum, healthy foods in cafeterias, soda tax, safe routes to schools, healthy food access, land use, joint use agreements, access to recreation, etc.

7 Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2009 (*BMI 30, or about 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

8 Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14%

14 Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14 15% 19%

16 Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

20 Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20%

23 Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14 15% 19% 20%

24 Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25%

27 Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14 15% 19% 20% 24% 25%

28 Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

33 Obesity in King County 1 in 5 youth in King County is overweight or obese Although steady since 2004, youth obesity rates remain unacceptably high Rates are highest among males, youth of color and those in south King County Obesity in childhood is likely to continue into adulthood, and increases the risk for diabetes and heart disease

34 Disparities in Childhood Obesity in King County

35 National Attention Turns to Obesity Prevention In 2008, the annual healthcare cost of obesity in the US was estimated to be as high as 147 billion dollars a year, double the amount a decade ago Annual medical expenses for the obese are estimated to be 42% higher than for a person of a healthy weight

36 National Attention Turns to Obesity Prevention Affordable Care Act expands healthcare access to 30 million Americans

37 Communities Putting Prevention to Work A historic commitment to wellness initiatives will keep millions of Americans from setting foot in the doctor's office in the first place -- because these are preventable diseases and we're going to invest in prevention. President Barack Obama, February 17, 2009

38 $2.2 Trillion Spent in 2007 Health Behaviors 50% Environment 20% Genetics 20% Access to Care 10% Factors Influencing Health Prevention 4% Medical Services 96% National Health Expenditures SOURCE: CDC, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000

39 Factors that Affect Health Examples Smallest Impact Largest Impact Counseling & Education Clinical Interventions Long-lasting Protective Interventions Changing the Context to make individuals default decisions healthy Socioeconomic Factors *And Racism Eat healthy, be physically active Rx for high blood pressure, high cholesterol, diabetes Immunizations, brief intervention, cessation treatment, colonoscopy Fluoridation, 0g trans fat, iodization, smokefree laws, tobacco tax Poverty, education, housing, inequality

40 Changing the Context with Complete Streets Making the healthy choice (walking, biking, transit) the easy and safe choice

41 Intro to Cascade Bicycle Club Non-profit organization serving 14,000 members & the Puget Sound bicycling community Mission: to Create a Better Community Through Bicycling Advocacy, Policy & Planning, Education, Events & Rides

42 Previous Complete Streets Work Since 2007, Cascade has worked with communities across the central Puget Sound region to develop, adopt & implement Complete Streets ordinances First ordinance adopted in Kirkland, WA (2007) 19 jurisdictions have a Complete Streets policy (WA)

43 Complete Streets Central Puget Sound Region

44 The Impact Planned Complete Streets Project (Before) Linden Ave, Seattle

45 The Impact Planned Complete Streets Project (After) Linden Ave, Seattle

46 The Impact Complete Streets Project (Before) Sedro Wooley, Washington

47 The Impact Complete Streets Project (After) Sedro Wooley, Washington

48 Role of Cascade in CPPW 6 focus jurisdictions in King County Communities with high rates of health disparities Burien, SeaTac, Des Moines, Snoqualmie, Federal Way & Kent To provide technical guidance and education around the adoption of active transportation policies

49 Role of Cascade in CPPW Integrated Multimodal LOS Framework (2010 HCM) User Type AM PK Hr Auto C E Transit B C Bicycle D C Pedestrian C D PM PK Hr Complete Streets Best practices for policy & design Case studies Multimodal Level of Service Bicycle, Transit and Pedestrian LOS models Local examples Focus tool: 2010 Highway Capacity Manual (integrated MMLOS framework)

50 Role of Cascade in CPPW Non-motorized Transportation Project Prioritization Methodologies Tools for quantifying and prioritizing nonmotorized projects based on health, safety, environment, mobility & equity benefits Focus tool: King County Transportation Programming Tool

51 Transportation Programming Tool Examples Demand (Net Residential Density) Total Score

52 Workshops Conducted 13 workshops Key participants City staff (Public Works, Planning, Community & Economic Development) Elected Officials Local advocates and community stakeholders, residents

53 Workshops

54 Guides Developed and distributed 3 comprehensive user guides on each key policy/planning topic

55 Early Outcomes

56 Ongoing Support Continue to serve as a technical resource for each community around active transportation plans, policies and infrastructure designs Provide community engagement to build local bicycle advocacy base

57 Ongoing support: Community Engagement

58 Role of Cascade in CPPW Education of the community Education of city staff Education of elected officials Holding elected officials accountable

59 Holding Elected Officials Accountable Where the education of the community comes full-circle Organization of residents to ensure elected officials do what they say they are going to do

60 Holding Elected Officials Accountable Letter writing/ campaign Lobby meetings Testimony at public hearings Publicly thank or spank

61 Case Study: City of Burien Population: 47,000 Most diverse community within Washington state Life Expectancy King County Burien/ Des Moines SeaTac/ Tukwila Bellevue Mercer Diabetes 5.4 % 5.6% % 2.7% No LPA in % 19.8% 22.2% 15.2% 8.3% Obese/OW 55.3% 61.9% 62.3% 51% 46.3%

62 Case Study: City of Burien Grant process City objectives CPPW in Burien

63 Case Study: City of Burien Complete Streets in Burien Assessed needs Interdepartmental collaboration Leveraging of all resources (City and CPPW)

64 Case Study: City of Burien Complete Streets in Burien Collaboration and innovation Education of City Planning Commission, City Council, staff, and community Recommendations and Complete Streets adoption

65 Case Study: City of Burien Lessons Learned Interdepartmental collaboration Timeline agreement with all moving parts Communication to ALL stakeholders

66 The road ahead: Complete Streets in the Puget Sound region and beyond State level work HB 1071 HB 1700 Federal work

67 House Bill 1071 Created the Complete Streets and Main Street Highways grant program Signed into law on May 5, 2011 Provides local jurisdictions with incentives to adopt Complete Streets ordinances Directs WSDOT to work with local communities to create safe roadway environments on main street highways

68 House Bill 1700 Modifying the requirements related to designing various transportation projects Signed into law on March 23, 2012 Gives cities and counties the flexibility to use updated guidelines for designing bicycle and pedestrian projects

69 Federal Complete Streets Work In-district and D.C. meetings with each member of the WA delegation Meetings with our Bike Business Forum Alerts, s, communications Collaboration with national partners

70 Federal Complete Streets Work Groundswell of support Cascade augmented work of our national partners with 428 supportive s to Senator Cantwell (D-WA, on Commerce Committee)

71 Federal Complete Streets Work The outcome Amendment S.1950 passed unanimously out of committee so that the Senate s bill, MAP-21, includes Complete Streets policy

72 Federal Complete Streets Work The details Gives guidance (and requirement) to states without Complete Streets policies States with compliant Complete Streets policies get federal waiver U.S. Transportation Secretary shall establish standards to ensure accommodation of motorized and nonmotorized users