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The Intersection of Community Development and Health September 28, 2011. Housing. Jobs. Education. Health Outcomes. Health Inputs. Community cohesion. Environment. Safety. Life Expectancy in the U.S. (1900 – 2009). Mortality Rate. Epidemiologic Transition.
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The Intersection of Community Development and HealthSeptember 28, 2011
Housing Jobs Education Health Outcomes Health Inputs Communitycohesion Environment Safety
Mortality Rate Epidemiologic Transition Leading causes of death – United States 2010 Heart Disease Cancer Stroke 1900 Pneumonia Tuberculosis Diarrhea
King County Board of Health Guidelines: Planning for Healthy Communities • Safe pedestrian paths, sidewalks, and streets • Well designed and safe bicycle paths and lanes • Building and design standards that create safe, healthy, and accessible indoor environments
Project Goals Increase availability of healthy food and beverage products in target communities Increase in capacity of businesses to effectively participate in WIC/EBT Increase capacity of store owners to profitably sell healthy food Increase demand for healthy products in the participating businesses 8
Services Provided Financial Incentives Provided • Up to $700 for baskets, produce scales, shop vac, small shopping carts • Up to $7500 (with 20% owner investment) for refrigeration, signage • Low cost loans for larger store improvements • Merchandising, store layout • Produce handling, inventory management • Distribution/supply chain development • WIC/EBT application • Bookkeeping and financial systems • Marketing and store events 9
BEFORE AFTER
Swim upstream Upstream Midstream Downstream Pro-Equity Policies Incarceration Good Paying Jobs Physical Activity Obesity Affordable Housing Quality Education Safe Neighborhoods Fair Standards of Living Homelessness Access to Healthcare Untreated Mental Illness Low Birth Weight Poor Health Status No Racism Healthy Environment Access to Transportation Action at Societal Level Action at Individual and Family Level Action at Community Level
We believe Washington State can make aglobal difference. Global to Local
Global to Local Compared to King County, Tukwila and SeaTac have: • 1.5 times higher poverty and foreign-born • 2.8 times higher teen birth rate • 2.0 times higher rate of students receiving free lunch
Communities Count:Social and Health Indicators in King County • Data collected across 5 domains • Basic Needs and Well-Being (e.g. a safe place with parks, libraries, schools, transportation) • Positive Development through Life Stages (e.g. school readiness, quality & affordable childcare) • Safety and Health (e.g. crime, infant mortality, tobacco use, teen births) • Natural and Built Environment (e.g. air & water quality, commute choices) • Arts and Culture (e.g. participation, funding, employment)
Moving Forward • What Public Health Offers • Health is highly valued by the public • Data • Existing relationships with the community • Community Development • Understanding of finance and lending mechanism • Models of public and private funding models • Relationships with business and private sector
You must be the change you want to see in the world. -Mahatma Gandhi Dennis E. Worsham Regional Health Officer Public Health- Seattle & King County dennis.worsham@kingcounty.gov