Healthy Toronto by Design
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1 Healthy Toronto by Design 50 th International Making Cities Livable Conference June 23-27, 2013 Dr. David McKeown Medical Officer of Health
2 Toronto City of Toronto: 2.7 million population 50% immigrants 50% visible minority Toronto Public Health: Municipal Public Health Service Agency Board of Health
3 Public Health: Then Public Health: Then Top Ten Causes of Death in 1900: Flu or Pneumonia Tuberculosis Gastrointestinal infections Heart disease Stroke Kidney disease Accidents Cancer Dementia Diphtheria
4 Current Public Health System Public Health Progress Issues
5 Public Health Now Top 10 Causes of Death (2009): Photo: Parent, Worldneighbourhoods.com Heart disease Dementia Lung cancer Stroke Cancer of colon Respiratory disease Diabetes Cancer of lymph & blood Influenza and pneumonia Kidney disease
6 Health Status in Toronto 40% eat the recommended servings of vegetables and fruits (2008) 4 out of 10 adults & 1 in 5 teenagers overweight (2008) 40% of Torontonians met recommended physical activity (2008)
7 Health Inequities
8 Healthy Toronto by Design Urban Environments Influence: Levels of physical activity Rate of vehicle-related collisions Access to nutritious food Access to jobs, services, Air quality Urban heat Neighbourhood safety Social inclusion
9 Transportation and Obesity
10 Diabetes and Green Space Access
11 Active City Toronto Key Strategies to Create an Active City: Higher densities Shorter distances to destinations Connectivity Walkable neighbourhoods Cycling & pedestrian infrastructure Open spaces and recreational facilities Public Transit
12 Healthy Toronto by Design Creating a Healthy Toronto through City Planning Tools Advancing Health Through: Building evidence Municipal collaboration Civic engagement Public policy development 12
13 Improving Walking and Cycling Walking is the number one physical activity Lack of time is the most common barrier to walking Active transportation, such as utilitarian walking or cycling, allows people to accomplish two tasks at the same time
14 Walkable Compared to Less Walkable Neighbourhoods Most Walkable vs. Least Walkable Neighbourhoods: Utilitarian walking 2.7 times as often Use transit 2.5 times as much Drive 4 times less often Drive 45 vs. 278 km/wk BMI one point lower
15 Transportation Planning for a Healthy Toronto
16 Health Equity & the Built Environment Health Equity and Transportation Neighbourhood design has a greater impact on the health and well-being of low income populations Photo: Ontario Growth Secretariat, Ministry of Infrastructure Walkable & transitsupported neighbourhoods can reduce health inequities by increasing access to jobs, health services, food stores and recreational facilities
17 Active Transportation Demonstration Projects Goals: Demonstrate that active transportation interventions are feasible and effective Build strong partnerships and work to improve active transportation in Toronto 4 sites selected An area-wide approach is proposed
18 Toronto Food Strategy
19 Toronto Food Strategy
20 Photo: CUG+R / ERA Architects Diverse Suburban Neighbourhoods
21 Income Distribution in Toronto Source: THE THREE CITIES WITHIN TORONTO Income Polarization Among Toronto s Neighbourhoods, BY J. DAVID HULCHANSKI, UNIVERSITY OF TORONTO
22 Walkability in Toronto
23 Access to Public Transit Martin Prosperity Institute (MPI) Transit Score 2012, Toronto
24 Diabetes Prevalence in Toronto Neighbourhoods Booth GL, Creatore M, Gozdyra P and Glazier R. Patterns of Diabetes Prevalance, Complications and Risk Factors In: In: Glazier RH, Booth GL, Gozdyra P, Creatore MI, Tynan AM, editors. Neighbourhood Environments and Resources for Healthy Living A Focus on Diabetes in Toronto: ICES Atlas. Toronto: Institute for Clinical Evaluative Sciences; p. 23. Data Source: Ontario Diabetes Database
25 vertical poverty POVERTY BY POSTAL CODE 2 Apartment Neighbourhoods Declining Income, Housing Quality and Community Life in Toronto s Inner Suburban High-Rise Apartments January 2011
26 Apartment Neighbourhoods
27 Apartment Neighbourhoods Photo: CUG+R / ERA Architects Improve Apartment Neighbourhoods: Commercial activities New building structures Reallocation of parking space Access to green space Infrastructure for walking & cycling Urban agriculture Accessible public space New Residential Apartment Commercial (RAC) Zoning Photo: CUG+R / ERA Architects
28 "Healthy Cities don t just happen. They happen by design through intentional and thoughtful investment and provision of infrastructure, programs and services with health in mind."
29
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