In today’s cities, both human accommodation and stormwater management are imperative, but their different requirements compete for the function and character of urban places. This paper explains examples of conflicts between them, and resolution of the conflict through integral design. The information is based on photographs and notes from approximately 1,000 stormwater facilities and urban sites collected during the last 35 years in North America and overseas, and the author’s experience on multi-disciplinary design teams.
This document outlines a municipal planning approach to promote public health through community design. It discusses forming partnerships between state health and planning departments to integrate health considerations into planning. A new program called Healthy Places by Design will provide training, guidance and funding to help 3 pilot municipalities develop "Healthy Communities Plans" through public engagement. The plans will establish goals around walkability, access to greenspace and healthy foods. Feedback from the pilot projects will evaluate how well the process worked at adopting health-supportive policies into local comprehensive plans with community partnerships.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Presentation for resit of mediaaaaaaaaasophieroberts
1) The colors and layout of the first contents page effectively draw the reader's attention. Photographs show different activities to interest readers.
2) The second contents page uses a formal black and white color scheme to suggest a professional school environment. However, it lacks an introduction.
3) The third contents page is disorganized with scattered and uneven dialogue sizes. The obscured logo and lack of symmetry do not follow conventions.
This document provides an overview of the grade 2 vocal and instrumental music program at SAS Pu xi Elementary School. It outlines the areas of focus, which include melodic, harmonic, and rhythmic development. It also discusses the music standards and assessments used to evaluate students' growth in selected standards. Several performances are noted, including a full grade 2 concert in November and assemblies throughout the year. A music blog and calendar are also referenced.
1) The magazine front cover uses bright colors and clear writing to attract its target audience. Key information like the school name, location, and slogan are prominently displayed.
2) Photographs show students enjoying various activities, which would appeal to parents considering sending their kids to the school. There are also hyperlinks to access more online information.
3) Overall the cover provides essential details in an eye-catching layout that would attract and inform its intended readers.
Este documento proporciona información sobre el diseño de sitios web y el uso de tablas, etiquetas HTML5, hojas de estilo en cascada (CSS), diseño responsivo y medios queries. Recomienda usar tablas para datos y no para diseño, evitar tablas anidadas, y que las actualizaciones de sitios son costosas. Además, explica nuevas etiquetas HTML5 como <header>, <footer>, <nav> y <section>, y cómo enlazar hojas de estilo CSS externas e internas y usar medios queries para diseño adaptable a
A empresa de tecnologia anunciou um novo smartphone com câmera aprimorada, tela maior e bateria de longa duração por um preço acessível. O dispositivo tem como objetivo atrair mais consumidores em mercados emergentes com suas especificações equilibradas e preço baixo. Analistas esperam que as melhorias e o preço baixo impulsionem as vendas do novo aparelho.
In today’s cities, both human accommodation and stormwater management are imperative, but their different requirements compete for the function and character of urban places. This paper explains examples of conflicts between them, and resolution of the conflict through integral design. The information is based on photographs and notes from approximately 1,000 stormwater facilities and urban sites collected during the last 35 years in North America and overseas, and the author’s experience on multi-disciplinary design teams.
This document outlines a municipal planning approach to promote public health through community design. It discusses forming partnerships between state health and planning departments to integrate health considerations into planning. A new program called Healthy Places by Design will provide training, guidance and funding to help 3 pilot municipalities develop "Healthy Communities Plans" through public engagement. The plans will establish goals around walkability, access to greenspace and healthy foods. Feedback from the pilot projects will evaluate how well the process worked at adopting health-supportive policies into local comprehensive plans with community partnerships.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Presentation for resit of mediaaaaaaaaasophieroberts
1) The colors and layout of the first contents page effectively draw the reader's attention. Photographs show different activities to interest readers.
2) The second contents page uses a formal black and white color scheme to suggest a professional school environment. However, it lacks an introduction.
3) The third contents page is disorganized with scattered and uneven dialogue sizes. The obscured logo and lack of symmetry do not follow conventions.
This document provides an overview of the grade 2 vocal and instrumental music program at SAS Pu xi Elementary School. It outlines the areas of focus, which include melodic, harmonic, and rhythmic development. It also discusses the music standards and assessments used to evaluate students' growth in selected standards. Several performances are noted, including a full grade 2 concert in November and assemblies throughout the year. A music blog and calendar are also referenced.
1) The magazine front cover uses bright colors and clear writing to attract its target audience. Key information like the school name, location, and slogan are prominently displayed.
2) Photographs show students enjoying various activities, which would appeal to parents considering sending their kids to the school. There are also hyperlinks to access more online information.
3) Overall the cover provides essential details in an eye-catching layout that would attract and inform its intended readers.
Este documento proporciona información sobre el diseño de sitios web y el uso de tablas, etiquetas HTML5, hojas de estilo en cascada (CSS), diseño responsivo y medios queries. Recomienda usar tablas para datos y no para diseño, evitar tablas anidadas, y que las actualizaciones de sitios son costosas. Además, explica nuevas etiquetas HTML5 como <header>, <footer>, <nav> y <section>, y cómo enlazar hojas de estilo CSS externas e internas y usar medios queries para diseño adaptable a
A empresa de tecnologia anunciou um novo smartphone com câmera aprimorada, tela maior e bateria de longa duração por um preço acessível. O dispositivo tem como objetivo atrair mais consumidores em mercados emergentes com suas especificações equilibradas e preço baixo. Analistas esperam que as melhorias e o preço baixo impulsionem as vendas do novo aparelho.
This document discusses the relationship between the built environment and public health. It provides statistics showing that driving is associated with negative health outcomes, while walking and biking are beneficial. Rates of obesity, diabetes, and other chronic diseases have increased as communities have been designed primarily for automobiles. Redesigning cities and neighborhoods to encourage physical activity, such as by building light rail systems and removing freeways, can significantly improve health. The built environment is now recognized as a major determinant of public health.
Designing Healthy Communities by Dr. Richard JacksonAVPH
This document discusses the health issues faced by a 10-year-old boy who is overweight, has high blood pressure, and signs of depression. The doctor's treatment plan includes referrals to weight loss programs and exercise, as well as prescribing several medications. However, two months later the boy has only lost one pound and is facing barriers to making healthy lifestyle changes. The document argues that the built environment and societal factors are "rigged against" making healthy choices and that doctors feel powerless to address the root causes of health issues.
This document discusses the health impacts of the built environment and lifestyle factors. It summarizes research showing that medical care accounts for only a small portion of increased life expectancy, while lifestyle factors like obesity, physical inactivity, and diet play a much larger role. It also shows trends over time demonstrating increasing rates of obesity, diabetes, and physical inactivity among Americans. The document advocates for designing communities that encourage physical activity and healthy behaviors through features like walkable streets, access to nature, and mixed-use development.
EOA2016: Healthy Community Design, Dr. Richard JacksonPIHCSnohomish
Our lunch keynote, Dr. Richard Jackson, joined the 2nd annual Edge of Amazing conference in Snohomish County, where he talked about the conditions needed in a community, to be healthy. He laid out the health challenges and some of the 'treatments' needed to assist everyone in our communities in being healthy.
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation with David Law of Joy-Southfield Community Development Corporation, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
Walking Mississippi-A Suggested Health Campaign Against ObesityEydie Pullman
The document proposes a health campaign called "Walking Mississippi" to address obesity in the state. It recommends starting walking programs through schools and health departments, funding communities that host walking events, and improving parks and recreation areas. Challenges include a high illiteracy rate and hot summer weather. Tracking data from health organizations can help monitor trends and promote healthier habits. The campaign aims to get Mississippi residents to be more active through low-cost walking programs.
The document discusses the vision of the Kansas Department of Health and Environment to promote healthier residents living in safe environments. It notes that chronic illnesses and diseases account for most health care costs in the US. Risk factors for chronic diseases include behaviors like tobacco use, poor nutrition, and physical inactivity. The document presents data on obesity trends in the US from 1985 to 2008, which have significantly increased over that time period.
This research was performed for the University of Washington graduate course: Design Thinking Studio. The content of this presentation is on the topic of nutritional health in urban Seattle.
GOVERNMENT, LAW, ANO PUBLIC HEALTH PRACTICENeighborhood Di.docxwhittemorelucilla
GOVERNMENT, LAW, ANO PUBLIC HEALTH PRACTICE
Neighborhood Disparities in Access to Healthy Foods
and Their Effects on Environmental Justice
Angela Hilmers, MD, MS, David C. Hilmers, MD, MPH, and Jayna Dave, PhD
Environmental justice is
concerned with an equitable
distribution of environmen-
tal burdens. These burdens
comprise immediate health
hazards as well as subtle in-
equities, such as limited ac-
cess to healthy foods.
We reviewed the literature
on neighborhood disparities
in access to fast-food out-
lets and convenience stores.
Low-income neighborhoods
offered greater access to food
sources that promote un-
healthy eating. The distribu-
tion of fast-food outlets and
convenience stores differed
by the racial/ethnic character-
istics of the neighborhood.
Further research is needed
to address the limitations
of current studies, identify
effective policy actions to
achieve environmental jus-
tice, and evaluate interven-
tion strategies to promote
lifelong healthy eating ha-
bits, optimum health, and
vibrant communities. {Am
J Public Health. 2012;102:
1644-1654. doi:10.2105/AJPH.
2012.300865)
ENVIRONMENTAL JUSTICE HAS
been defined as
fair treatment and meaningful in-
volvement of all people regardless
of race, ethnidty, income, national
origin, or educational level in
the development, implementation,
and enforcement of
environmental laws, regulations,
and poUdes.'*"
Fair treatment signifies that "no
population, due to policy or eco-
nomic disempowerment, is forced
to bear a disproportionate expo-
sure to and burden of harmful
environmental conditions." " P "
The concept of environmental
justice, which has its roots in the
fight against toxic landfills in eco-
nomically distressed areas, can be
similarly applied to the inequitable
distribution of unhealthy food
sources across socioeconomic and
ethnic strata.' The neighborhood
environment can help promote
and sustain beneficial lifestyle
patterns or can contribute to the
development of unhealthy behav-
iors, resulting in chronic health
problems among residents.^"'* The
higher prevalence of obesity
among low-income and minority
populations has been related to
their limited access to healthy
foodŝ "'® and to a higher density
of fast-food outlets and conve-
nience stores where they live.*''̂ " '̂
These environmental harriers to
healthy living represent a signifi-
cant challenge to ethnic minorities
and underserved populations
and violate the principle of fair
treatment
Several studies have investi-
gated disparities in the distribution
of neighborhood vegetati
the proximity of residences to
playgrounds,^'' and the
accessibility of supermarkets and
grocery stores,̂ '''̂ ® but fewer
have examined access to fast-food
outlets cind convenience stores as
a function of neighhorhood racial
and socioeconomic demographics.
To our knowledge, our review is
the first to expand the focus of
environmental justice fi-om envi-
ronmental hazards and toxic ex-
posures to issues of the food en-
vironment ...
The document discusses trends showing increasing sedentary lifestyles and obesity in the US population. It notes that television viewing has increased to over 7 hours per day on average, and technology and indoor activities have replaced active outdoor time. Obesity rates and rates of diabetes and other health issues associated with obesity have been rising sharply over the past few decades according to surveys. The document argues that parks and open spaces can help counter these trends by providing places for physical activity and exercise and connecting people to nature.
The document discusses the growing epidemic of childhood obesity in the United States. It provides statistics showing that approximately 1 in 3 adults and 1 in 6 children are obese. Childhood obesity can lead to health issues like heart disease, diabetes, and other chronic diseases. Factors that are contributing to rising obesity rates include increased screen time, marketing of unhealthy foods, lack of physical activity, and larger portion sizes. Addressing this epidemic will require improvements to prevention programs, education efforts, and the healthcare system.
How can tools like the Internet support changing complicated and complex behaviours like cigarette smoking? This presentation outlines the way an eHealth promotion strategy can help people quit smoking and prevent others from starting using illustrations from the Smoking Zine program developed by the Youth Voices Research Group at the University of Toronto
Urban sprawl contributes to long commute times, which can have negative health effects. How can those with extended commute times lessen the negative effects and be as healthy as urban commuters?
This document summarizes a workshop on bridging public health and urban forestry. It discusses how trees and green space can impact health outcomes related to air quality, water management, energy use, and physical activity. A research project called Green Rx studied associations between urban tree canopy cover and health issues using survey and GIS data. Preliminary results found relationships between trees and conditions like ADHD, BMI, diabetes, and blood pressure. The workshop recommends partnerships between tree organizations and public health groups to further leverage urban greening for community health.
This document appears to be a nutrition education guide created by Craig S Aronoff for a class. It contains 9 units that provide information on various topics related to diet and nutrition, including dietary trends, food choices, economics of food choices, and contemporary weight loss programs. Each unit provides key information to remember, resources such as websites and books, and suggested tools. The resources listed include websites from government organizations, universities, and other sources that provide additional information on the topics discussed in each unit.
The document discusses the relationship between public health and urban planning. It notes that factors in the built environment like land use, transportation systems, and zoning regulations can influence human health by impacting access to healthcare, education, food, economic opportunities, social interaction, air/water quality, and physical activity. The document advocates for smart growth principles that encourage walkable communities and transportation choices to address issues like physical inactivity and obesity.
K. Srinath Reddy - Health in the Era of Sustainable DevelopmentGlo_PAN
Prof. K Srinath Reddy presented on health in the era of sustainable development. He discussed how health is impacted by social determinants, the physical environment, and political and economic systems. Key themes included urban design and transport, air pollution, agriculture and food systems, and climate change. Reddy emphasized the need for multisectoral approaches and highlighted several challenges, including the growing burden of non-communicable diseases, air pollution's impact on health, and the effects of climate change on health, nutrition, and food systems.
1) The document discusses guidelines for communicating about climate change effectively.
2) It emphasizes focusing on simple, clear messages repeated by trusted sources, knowing the audience, and framing messages around public health, energy security, local impacts, and solutions.
3) Effective communication involves social learning, dialogue, and making the issues local and relevant while offering adaptive solutions.
This document discusses the declining physical activity levels and increasing obesity rates among children. It highlights statistics showing that most children do not meet physical activity guidelines and are less active as they age. The document argues that modern environments promote sedentary behaviors and unhealthy eating, and identifies factors contributing to childhood obesity like sugary drinks, urban sprawl, and lack of active transportation. It advocates for policies and environments that encourage physical activity, such as active school programs, walkable neighborhoods, and allowing children to play outside.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
This document discusses the relationship between the built environment and public health. It provides statistics showing that driving is associated with negative health outcomes, while walking and biking are beneficial. Rates of obesity, diabetes, and other chronic diseases have increased as communities have been designed primarily for automobiles. Redesigning cities and neighborhoods to encourage physical activity, such as by building light rail systems and removing freeways, can significantly improve health. The built environment is now recognized as a major determinant of public health.
Designing Healthy Communities by Dr. Richard JacksonAVPH
This document discusses the health issues faced by a 10-year-old boy who is overweight, has high blood pressure, and signs of depression. The doctor's treatment plan includes referrals to weight loss programs and exercise, as well as prescribing several medications. However, two months later the boy has only lost one pound and is facing barriers to making healthy lifestyle changes. The document argues that the built environment and societal factors are "rigged against" making healthy choices and that doctors feel powerless to address the root causes of health issues.
This document discusses the health impacts of the built environment and lifestyle factors. It summarizes research showing that medical care accounts for only a small portion of increased life expectancy, while lifestyle factors like obesity, physical inactivity, and diet play a much larger role. It also shows trends over time demonstrating increasing rates of obesity, diabetes, and physical inactivity among Americans. The document advocates for designing communities that encourage physical activity and healthy behaviors through features like walkable streets, access to nature, and mixed-use development.
EOA2016: Healthy Community Design, Dr. Richard JacksonPIHCSnohomish
Our lunch keynote, Dr. Richard Jackson, joined the 2nd annual Edge of Amazing conference in Snohomish County, where he talked about the conditions needed in a community, to be healthy. He laid out the health challenges and some of the 'treatments' needed to assist everyone in our communities in being healthy.
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation with David Law of Joy-Southfield Community Development Corporation, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
Walking Mississippi-A Suggested Health Campaign Against ObesityEydie Pullman
The document proposes a health campaign called "Walking Mississippi" to address obesity in the state. It recommends starting walking programs through schools and health departments, funding communities that host walking events, and improving parks and recreation areas. Challenges include a high illiteracy rate and hot summer weather. Tracking data from health organizations can help monitor trends and promote healthier habits. The campaign aims to get Mississippi residents to be more active through low-cost walking programs.
The document discusses the vision of the Kansas Department of Health and Environment to promote healthier residents living in safe environments. It notes that chronic illnesses and diseases account for most health care costs in the US. Risk factors for chronic diseases include behaviors like tobacco use, poor nutrition, and physical inactivity. The document presents data on obesity trends in the US from 1985 to 2008, which have significantly increased over that time period.
This research was performed for the University of Washington graduate course: Design Thinking Studio. The content of this presentation is on the topic of nutritional health in urban Seattle.
GOVERNMENT, LAW, ANO PUBLIC HEALTH PRACTICENeighborhood Di.docxwhittemorelucilla
GOVERNMENT, LAW, ANO PUBLIC HEALTH PRACTICE
Neighborhood Disparities in Access to Healthy Foods
and Their Effects on Environmental Justice
Angela Hilmers, MD, MS, David C. Hilmers, MD, MPH, and Jayna Dave, PhD
Environmental justice is
concerned with an equitable
distribution of environmen-
tal burdens. These burdens
comprise immediate health
hazards as well as subtle in-
equities, such as limited ac-
cess to healthy foods.
We reviewed the literature
on neighborhood disparities
in access to fast-food out-
lets and convenience stores.
Low-income neighborhoods
offered greater access to food
sources that promote un-
healthy eating. The distribu-
tion of fast-food outlets and
convenience stores differed
by the racial/ethnic character-
istics of the neighborhood.
Further research is needed
to address the limitations
of current studies, identify
effective policy actions to
achieve environmental jus-
tice, and evaluate interven-
tion strategies to promote
lifelong healthy eating ha-
bits, optimum health, and
vibrant communities. {Am
J Public Health. 2012;102:
1644-1654. doi:10.2105/AJPH.
2012.300865)
ENVIRONMENTAL JUSTICE HAS
been defined as
fair treatment and meaningful in-
volvement of all people regardless
of race, ethnidty, income, national
origin, or educational level in
the development, implementation,
and enforcement of
environmental laws, regulations,
and poUdes.'*"
Fair treatment signifies that "no
population, due to policy or eco-
nomic disempowerment, is forced
to bear a disproportionate expo-
sure to and burden of harmful
environmental conditions." " P "
The concept of environmental
justice, which has its roots in the
fight against toxic landfills in eco-
nomically distressed areas, can be
similarly applied to the inequitable
distribution of unhealthy food
sources across socioeconomic and
ethnic strata.' The neighborhood
environment can help promote
and sustain beneficial lifestyle
patterns or can contribute to the
development of unhealthy behav-
iors, resulting in chronic health
problems among residents.^"'* The
higher prevalence of obesity
among low-income and minority
populations has been related to
their limited access to healthy
foodŝ "'® and to a higher density
of fast-food outlets and conve-
nience stores where they live.*''̂ " '̂
These environmental harriers to
healthy living represent a signifi-
cant challenge to ethnic minorities
and underserved populations
and violate the principle of fair
treatment
Several studies have investi-
gated disparities in the distribution
of neighborhood vegetati
the proximity of residences to
playgrounds,^'' and the
accessibility of supermarkets and
grocery stores,̂ '''̂ ® but fewer
have examined access to fast-food
outlets cind convenience stores as
a function of neighhorhood racial
and socioeconomic demographics.
To our knowledge, our review is
the first to expand the focus of
environmental justice fi-om envi-
ronmental hazards and toxic ex-
posures to issues of the food en-
vironment ...
The document discusses trends showing increasing sedentary lifestyles and obesity in the US population. It notes that television viewing has increased to over 7 hours per day on average, and technology and indoor activities have replaced active outdoor time. Obesity rates and rates of diabetes and other health issues associated with obesity have been rising sharply over the past few decades according to surveys. The document argues that parks and open spaces can help counter these trends by providing places for physical activity and exercise and connecting people to nature.
The document discusses the growing epidemic of childhood obesity in the United States. It provides statistics showing that approximately 1 in 3 adults and 1 in 6 children are obese. Childhood obesity can lead to health issues like heart disease, diabetes, and other chronic diseases. Factors that are contributing to rising obesity rates include increased screen time, marketing of unhealthy foods, lack of physical activity, and larger portion sizes. Addressing this epidemic will require improvements to prevention programs, education efforts, and the healthcare system.
How can tools like the Internet support changing complicated and complex behaviours like cigarette smoking? This presentation outlines the way an eHealth promotion strategy can help people quit smoking and prevent others from starting using illustrations from the Smoking Zine program developed by the Youth Voices Research Group at the University of Toronto
Urban sprawl contributes to long commute times, which can have negative health effects. How can those with extended commute times lessen the negative effects and be as healthy as urban commuters?
This document summarizes a workshop on bridging public health and urban forestry. It discusses how trees and green space can impact health outcomes related to air quality, water management, energy use, and physical activity. A research project called Green Rx studied associations between urban tree canopy cover and health issues using survey and GIS data. Preliminary results found relationships between trees and conditions like ADHD, BMI, diabetes, and blood pressure. The workshop recommends partnerships between tree organizations and public health groups to further leverage urban greening for community health.
This document appears to be a nutrition education guide created by Craig S Aronoff for a class. It contains 9 units that provide information on various topics related to diet and nutrition, including dietary trends, food choices, economics of food choices, and contemporary weight loss programs. Each unit provides key information to remember, resources such as websites and books, and suggested tools. The resources listed include websites from government organizations, universities, and other sources that provide additional information on the topics discussed in each unit.
The document discusses the relationship between public health and urban planning. It notes that factors in the built environment like land use, transportation systems, and zoning regulations can influence human health by impacting access to healthcare, education, food, economic opportunities, social interaction, air/water quality, and physical activity. The document advocates for smart growth principles that encourage walkable communities and transportation choices to address issues like physical inactivity and obesity.
K. Srinath Reddy - Health in the Era of Sustainable DevelopmentGlo_PAN
Prof. K Srinath Reddy presented on health in the era of sustainable development. He discussed how health is impacted by social determinants, the physical environment, and political and economic systems. Key themes included urban design and transport, air pollution, agriculture and food systems, and climate change. Reddy emphasized the need for multisectoral approaches and highlighted several challenges, including the growing burden of non-communicable diseases, air pollution's impact on health, and the effects of climate change on health, nutrition, and food systems.
1) The document discusses guidelines for communicating about climate change effectively.
2) It emphasizes focusing on simple, clear messages repeated by trusted sources, knowing the audience, and framing messages around public health, energy security, local impacts, and solutions.
3) Effective communication involves social learning, dialogue, and making the issues local and relevant while offering adaptive solutions.
This document discusses the declining physical activity levels and increasing obesity rates among children. It highlights statistics showing that most children do not meet physical activity guidelines and are less active as they age. The document argues that modern environments promote sedentary behaviors and unhealthy eating, and identifies factors contributing to childhood obesity like sugary drinks, urban sprawl, and lack of active transportation. It advocates for policies and environments that encourage physical activity, such as active school programs, walkable neighborhoods, and allowing children to play outside.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
7. Mean Mentally Unhealthy Days
US Population – from national BRFSS
0.1-1.0 million interviews per year
2.93.4 days per month (17% increase)
http://apps.nccd.cdc.gov/HRQOL/TrendV.asp?State=1&Category=1&Measure=3
9. “Problem” List
• Physical exam unremarkable
• Ht 54” (50%)
• Wt 115# (95%)
• BP 140/90
• Blood glucose elevated, urine normal
• Cholesterol 220
• Signs of Depression
10. Treatment Plan
• Referral to “overweight” clinic
• Weight loss program
• TV out of the bedroom; no soft drinks in
the house
• Exercise program; Encourage sports
11. Two Months Later…
• Lost One pound
• Can’t change the food at school
• Day is already too full
• No Time for exercise; “not good at
sports”
• No place to Walk
12. – Antihypertensive
medication
– Oral Hypoglycemic
agent
– Antidepressant
– Cholesterol lowering
agent
• Monthly medication
costs:
– $385
2 months later the patient is taking:
13. • The “environment” is rigged against
the child…
• And the doctor,
• And the rest of US.
20. Health Challenges of the
21st Century
• Chronic Diseases and Costs of Care for
Aging Populations.
• Overweight, Obesity, Diabetes II, Heart
Disease
• Mental Disorders: Depression, Anxiety,
Developmental, Substance Abuse
• Macro-environment: Climate, Conflict
29. Automobile fatality rates by city, 1998
(excluding pedestrian fatalities; deaths/100,000/year)
9.80
10.52
11.33 13.12
Source: NHTSA
2.51
New York
3.76
San Francisco
6.55
Portland
9.80
Houston
10.52
Phoenix
11.33
Dallas
13.12
Atlanta
5.36
Philadelphia
30. Number of Lives Saved per year
if National Car Fatality Rate same as:
• New York City 24,000
• Portland 15,000
• Atlanta None– 15,000 additional
31. Commuting by driving is mostly not good for you.
Traffic along LA freeways and Wilshire Blvd.
32. Are More Deaths in America
Caused By:
Vehicle Crashes?
Vehicular Air Pollution?
33. Most Air Polluted Cities
Ozone, “Year Round Particle”, “Short-term Particle”
American Lung Association 2011 “Share the Air”
36. More time in a car Higher probability of obesity
37. 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%
38. 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%
39. Obesity Trends* Among U.S. Adults
BRFSS, 2010
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
40. Supersizing Jet Fuel Use
• Mean weight gain of Americans in 1990s:
10 pounds
• Airline distance flown in 2000 in US:
515 billion passenger-miles
• Weight transported 1 mile by 1 gallon of fuel:
7.3 tons (passengers or cargo)
• Jet fuel to transport added weight in 2000:
350 million gallons
• Cost of extra fuel: $1.4 billion
• (Sept 2008 prices)
• CO2 emissions from extra fuel:
3.8 million tons
Data sources: NCHS; US Dept. of Transportation
41. Fast Food
Restaurants
• “ black/low income”
neighborhoods ~
2.4 per sq. mile
• “white”
neighborhoods:
1.5 per sq. mile
American Journal of Preventive Medicine,
October 2004
42. “Supersizing” a fast-food meal –
the real costs
• Paying 67 cents to supersize an order
— 73% more calories for only 17%
more money
• A Bargain!
University of Wisconsin-Madison, Rachel N. Close and Dale A. Schoeller
43. “Supersizing” a fast-food meal –
the real costs
• Paying 67 cents to supersize an order — 73%
more calories for 17% more money
• — adds an average of 36 grams of
adipose tissue.
• The future medical costs for that
“bargain” would be $6.64 for an obese
man and $3.46 for an obese woman.
University of Wisconsin-Madison, Rachel N. Close and Dale A. Schoeller
44. Theresa Devine & Amy Vetal
BILLBOARDS VS. HEALTH: Considering the Impact of
Billboards on Health
BILLBOARD TYPES
• ALCOHOL: 12
• ENTERTAINMENT: 26
• FOOD: 1
• PRODUCT: 16
• WEIGHTLOSS: 0
• OTHER: 10
TOTAL 65
SUNSET BLVD (HOLLYWOOD)
45. Theresa Devine & Amy Vetal
BILLBOARDS VS. HEALTH: Considering the Impact of Billboards on Health
Case Study LaBrea, Hawthorne
46. Theresa Devine & Amy Vetal
BILLBOARDS VS. HEALTH
CASE STUDY: LA BREA HAWTHORNE)
BILLBOARD TYPES
• ALCOHOL: 17
• ENTERTAINMENT: 3
• FOOD: 4
• PRODUCT: 3
• WEIGHTLOSS: 4
• OTHER: 4
TOTAL 35
47. 0
25
50
75
100
Relationship Between BMI and Risk
of Type 2 Diabetes
Chan J et al. Diabetes Care 1994;17:961.
Colditz G et al. Ann Intern Med 1995;122:481.
Age-AdjustedRelativeRisk
Body Mass index (kg/m2)
Women
Men
<22 <23 23
-
23.9
24
-
24.9
25
-
26.9
27
-
28.9
29
-
30.9
31
-
32.9
33
-
34.9
35+
1.0
2.9
1.0
4.3
1.0
5.0
1.5
8.1
2.2
15.8
4.4
27.6
40.3
54.0
93.2
6.7
11.6
21.3
42.1
51. “The Status of
Baby Boomers’
Health in the
United States:
The Healthiest
Generation?”
JAMA Internal
Medicine
February 4, 2013
52. Overall Health Status US
Persons Aged 46-64
NHANES 1988-1994 NHANES 2007-2010
Report “excellent” health
32% 13%
Limitations to Life Functions
9% 14%
Using Walking Assist (wheelchair, cane, etc)
3% 7%
71. 10,000 steps
• 3234 people with IGT (Pre-Diabetes)
• walked or exercised five times a week
for 30 minutes
• lost 5% to 7% of their body weight
• reduced their risk of diabetes by 58%
72. Gain in Longevity for a 45-Year Old Male
5.8 years
8.7 years
0
2
4
6
8
10
Low vs Moderate Low vs High
Years of added life
Additional years of Life:
Moving from Low to Moderate Fitness -- 5.8 years
From Low to High –- 8.7 years.
74. Research Landmarks
1988-2000: 12,600 2001-2013: 31,400
1992-2002: 230 results
2003-2013: 3,870 results
2013
September 1, 2003,
Volume 93, Issue 9
The National Institute of Environmental Health Sciences of the National
Institutes of Health and other funding agencies sponsored a range of studies
and in 2003, Richard J. Jackson, as guest editor, drew upon this body of work
for the September issue of The American Journal of Public Health, “The
Impact of the Built Environment on Health: An Emerging Field.”
2003
77. APHA National Meeting 2002-2003
Abstracts with “land use” - 0
2002 2003
A Big Shift in Public Health’s Awareness of Built
Environment as a Core Determinant of Health
83. • The use of Light Rail Transit to
commute to work:
• Average reduction of 1.18 BMI points
–For a person who is 5’5” equivalent
to a relative weight loss of 6.45 lbs.
• 81% reduced odds of becoming
obese over time.
93. Complete Streets Bring Equity to
Community and Transportation
• Complete Streets
– social equity, aesthetics, walking, improved
local sales, community building
94. Likely Results of a Sugar Sweetened
Beverage (SSB) Tax
• “A national tax of 1 cent per
ounce on sugar-sweetened
beverages (SSBs) would
decrease consumption by 23%
and raise $14.9 billion in the
first year alone.”
• About $20 billion per year
Brownell KD, et al. The public health and economic benefits of taxing sugar-sweetened beverages.
NEJM. 2009;361(16):1599-1605.
106. Our patient starts to walk or bicycle
to school 1 mile 4 days per week
• The family car ran 1280 fewer miles in
one year.
• Reduces gasoline use 64 gallons
• Saves $704
107. The New “Active” Commuter
• 30 minute walk or bicycle trip burns 125
calories each way (for a 130 pound child)
• 4 days per week = 1000 calories per week,
40,000 calories for school year.
• Converts to 11.5 pounds of body fat/yr.
108. The New walk/bike Student
Two year follow up (age 12)
• Height – 59” (50%ile)
• Weight – 110# (65%ile)
• BP - 130/78
• Blood sugar – Normal
• Cholesterol – 175
• Energy level and Mood – Good
• Doing better in School and is Learning Better
109. Richard J Jackson MD MPH
FAAP HonASLA HonAIA
dickjackson@ucla.edu
Systemic Disorders
Require Systemic Treatments
http://designinghealthycommunities.org/