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Healthy Chicago: An Intergovernmental Approach to Public Health Improvement

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Presentation from NACCHO 2013 Annual Conference featuring Erica Salem, MPH, Deputy Commissioner, Chicago Department of Public Health, Kathleen Dickhut, BA, MSLA, Deputy Commissioner, City of Chicago Department of Housing and Economic Development, Luann Hamilton, BA, MS, Deputy Commissioner, Chicago Department of Transportation, and Stephanie Whyte, MBA, FAAP, Chief Health Office, Chicago Public Schools.

This session highlights how non-public health City of Chicago agencies work with the Chicago Public Health Department to develop and implement a broad array of policy, systems, environmental, and programmatic solutions to public health challenges. While the work is occurring under a unified framework, each agency is able to contribute while fulfilling its unique mission.

Published in: Health & Medicine, Education

Healthy Chicago: An Intergovernmental Approach to Public Health Improvement

  1. 1. An Intergovernmental Approach to Public Health Improvement
  2. 2. IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY
  3. 3. Session Overview • Healthy Chicago Overview • Agency Engagement – Housing and Economic Development – Chicago Public Schools – Transportation – Other City Agency Contributions • Discussion
  4. 4. Healthy Chicago • Released in August 2011 • Blueprint for public health improvement • 12 priorities 193 strategies • Few explicitly identified strategies for other City agencies
  5. 5. It Takes A City • Convened Interagency Implementation Council – Leverage missions to improve public health – Work collectively on policy change – Project-specific partnerships – Heighten awareness of public health impacts of respective work
  6. 6. Healthy Food Chicago: A Recipe for Healthy Places
  7. 7. What type of epidemic is obesity? Non-communicable – looks like a disease of place and environment.
  8. 8. Strategies 1. BUILD HEALTHIER NEIGHBORHOODS: Focus planning and programs in communities with an elevated risk for obesity-related diseases 2. GROW FOOD: Create systems of productive landscapes 3. EXPAND HEALTHY FOOD ENTERPRISES: Support businesses and social enterprises that produce and distribute healthy food 4. STRENGTHEN THE FOOD SAFETY NET: Ensure that residents can eat well regardless of income 5. SERVE HEALTHY FOOD AND BEVERAGES: Change the culture of eating at work meetings, festivals, sports gatherings, community activities and places of worship 6. IMPROVE EATING HABITS: Help people discover appealing, nutritious foods A Recipe for Healthy Places Check out the food plan - www.cityofchicago.org/hed
  9. 9. City of Chicago city licensing data Feeding America data Chicago Department of Public Health data
  10. 10. A Recipe for Healthy Places 1. Build Healthier Neighborhoods Identified communities with elevated risk for obesity- related diseases
  11. 11. 2. Grow Food Create systems of public open spaces for large-scale food growing, job training and food- related education activities A Recipe for Healthy Places
  12. 12. 2. Grow Food Create systems of public open spaces for large- scale food growing, job training and food-related education activities A Recipe for Healthy Places
  13. 13. 60% Population decline 1940 = 375,000 2010 = 147,967 0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 90,000 100,000 Population Englewood West Englewood New City Woodlawn Washington Park Green Healthy Neighborhood Land Use Strategy
  14. 14. Green Healthy Neighborhood Land Use Strategy
  15. 15. • Housing • Retail • Green infrastructure • Cultural and historic resources • Manufacturing • Open space and trails • Productive landscapes Green Healthy Neighborhood Land Use Strategy
  16. 16. Defined Community garden – Growing food for education, recreation or beautification – Permitted use in: • Parks and Open Space (POS) 1&2 • Residential (R) • Business (B) • Commercial (C) • Downtown (D) – Use standards: • Site area – maximum of 25,000 square feet • Accessory structures – maximum of 575 square feet • Incidental sales of produce generated on site is allowed • Composting allowed per 7-28-715 of the Health and Safety Code Zoning Text Amendment for Urban Agriculture Uses Districts that permit community garden uses
  17. 17. Zoning Text Amendment for Urban Agriculture Uses Defined Urban farm – Indoor, outdoor and rooftop growing – Permitted uses in: • Indoor: B3, C1 - C3, DS, all M, all PMDs • Outdoor: C1 - C3, DS, M2&M3, PMD 9,10&13 • Rooftop: (S) B3, C1-C3, all D, M1-M3, all PMDs – Use standards: • Accessory retail sales – maximum 3000 square feet (In M and PMD) • More flexible screening and landscape requirements • Parking requirement of 1 space per 4 employees • Composting allowed per 7-28-715 of the Health and Safety Code Districts that permit urban farm uses
  18. 18. Stephanie A. Whyte, MD, MBA Chief Health Officer Chicago Public Schools
  19. 19. Alignment with Citywide Agenda Tobacco Obesity Adolescent Health Access to Care Violence Comm. Diseases HIV Infrastructure
  20. 20. CPS Chief Health Officer • First ever. Dually positioned...a member of CPS Senior Leadership as well as direct report to Commissioner of Health Department • Oversees the CPS newly created Office of Student Health and Wellness (OSHW). • Responsible for Healthy CPS – an initiative of Healthy Chicago • External partnerships & intentional collaborations. • Two main responsibilities: o Prioritize student health and wellness with district. o Create a Healthy Chicago Public School system. May 29, 2013
  21. 21. Office of Student Health and Wellness • The Office of Student Health and Wellness aims to remove health-related barriers to learning such that students may succeed in college and career. • Our vision is “the Chicago Public School district will become the national benchmark for student health and wellness.” • Our primary objectives: Health policy Health education Health promotion Direct services May 29, 2013
  22. 22. May 29, 2013
  23. 23. LEAD FOCUS MOVE PLAY EAT DINE REWARDFUNDRAISECELEBRATE
  24. 24. Physical Education • Increase quality • Scope and sequence • Curriculum map • Professional development • Increase quantity • High school PE pilot • 30+20+10 • Minds in Motion
  25. 25. February 2013 30 Sexual Health Education Policy • Revised in February 2013 to align topic areas with new National Sexuality Education Standards (January 2012). • Education that builds foundation of knowledge and skills related to human development, relationships, decision- making, abstinence, medically-recommended contraception and disease prevention. • Teaches sexual health education beginning in Kindergarten through 12th grades with minimum teaching minutes for all grades. – Grades K-4 - foundational instruction including: anatomy and physiology, reproduction, healthy relationships and personal safety. – Grades 5-12 - expands on the foundational instruction to include: abstinence, healthy relationships (including informed decision-making, sexual orientation, gender identity and personal safety) medically-recommended contraceptives, transmission and prevention of sexually transmitted infections (including HIV).
  26. 26.  Student oral health services increased 18%  113,000 students served in 2011-2012  Services expanding to 106 high schools Public Schools and Public Health  City invests $1.4M in new vision program  30,000 students to get optometry exam and eyeglasses as needed
  27. 27. Access to Care, Adolescent Health, Violence • From 28 schools to 40+ • 6147 tested in 2011-2012 • 436 positive; 98% treated STI Education/Screening • 9,900 students, parents, educators • 12 high need middle/high schools • Evidence-based curricula, social media, youth ambassadors Teen Dating Violence • 4500 students in 28 schools • 18 topical lessons • Peer group meetings • Community service projects Teen Pregnancy
  28. 28. Collaboration with City Agencies Transportation Public Health Park District
  29. 29. Complete Streets Chicago
  30. 30. Complete streets - designing streets for all users Implementing safety strategies from Pedestrian Plan Managing vehicle speeds through automated enforcement 100 miles of innovative bike lanes in Mayor Emanuel’s first term Bike share bringing 4,000 bikes to 400 stations Summer 2013 Make streets safe for all users
  31. 31. CDOT Goals • Eliminate traffic crash fatalities in ten years • Reduce pedestrian and bike crash injuries 50% in five years • Reach 50% of commute trips made by walking, biking, transit, and working from home by 2030 (currently 38%)
  32. 32. Driving is down; transportation choices up Annual Vehicle Miles Traveled Chicago Annual Vehicle Miles
  33. 33. Complete Streets Policy (2006) “The safety and convenience of all users of the transportation system including pedestrians, bicyclists, transit users, freight, and motor vehicle drivers shall be accommodated and balanced in all types of transportation and development projects and through all phases of a project so that even the most vulnerable - children, elderly, and persons with disabilities - can operate safely within the public right of way.”
  34. 34. Partners • Complete Streets Guide and Make Way for Play made possible by Healthy Places, initiative of Healthy Chicago • Collaboration between Chicago Department of Public Health, and Consortium for Lowering Obesity in Chicago Children (CLOCC) at Lurie Children’s Hospital of Chicago • Funded by Centers for Disease Control and Prevention’s Communities Putting Prevention to Work
  35. 35. Complete Streets Design Guide
  36. 36. Modal Hierarchy: Pedestrian First
  37. 37. The people of Chicago cultivate, encourage, and enjoy mutual respect on our streets. People choose to be pedestrians because the experience is the safest, most connected, accessible, and above all, the most enjoyable. Because we are committed to a strong pedestrian environment as an essential part of our complete transportation system, we area a healthier, more livable city. Visionstatement
  38. 38. Tools for Safer Streets
  39. 39. Safety our goals › Eliminate pedestrian fatalities in ten years › Reduce serious pedestrian injuries by 50% every five years how we’ll do it › Design and build safer streets for pedestrians › Encourage and enforce safe driving, walking, and biking behaviors › Make Chicago’s streets secure from crime and violence
  40. 40. Health our goals › Increase the number of pedestrian trips for enjoyment, school, work, and daily errands › Increase the mode share of pedestrian trips for enjoyment, school, work, and daily errands how we’ll do it › Develop and support pedestrian programs and events › Develop and support pedestrian encouragement policies
  41. 41. Livable Streets: Placemaking in the Public Way Photo: Bike Walk Lincoln Park Mike Chino Gordon Walek Doug Knuth Bike Walk Lincoln Park
  42. 42. Make Way for Play
  43. 43. Bicycle Planning in Chicago The Bike 2000 Plan •1992 “Plan to make Chicago bicycle-friendly by 2000” •29 recommendations on education, encouragement, engineering & enforcement • Chicago Streets for Cycling Plan 2020 • 2012 citywide network plan of 600 miles of bike facilities • Safe and comfortable for all Chicagoans • Focus on protected bike lanes and neighborhood greenways Bike 2015 Plan •2006 “Vision to make bicycling an integral part of daily life in Chicago” •150 strategies to increase bicycle use and reduce crashes
  44. 44. Dearborn Street Complete Street Dearborn Street - Before Dearborn Street - After
  45. 45. Bike Sharing in Chicago Summer 2013 4,000 bikes 400 stations
  46. 46. Safe Routes Ambassadors • Pedestrian and bicycle safety training for 2nd and 5th graders – in-class presentation – outdoor on-foot activity • Priority to high pedestrian crash areas • 125-150 schools & 12- 16,000 students/year • Evaluation report fall 2013
  47. 47. Stay In Touch! Website www.chicagodot.org Twitter @ChicagoDOT Facebook facebook.com/CDOTNews 53
  48. 48. IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY
  49. 49. FOOD ACCESS
  50. 50. FOOD ACCESS
  51. 51. Tobacco Use
  52. 52. Other Priorities
  53. 53. Key Supports
  54. 54. facebook.com/ChicagoPublicHealth@ChiPublicHealth 312.747.9884 www.CityofChicago.org/Health HealthyChicago@CityofChicago.org

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