CDC priorities to promote physical activity policy, system, and environmental (PSE) approaches: Plan4Health

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1 CDC priorities to promote physical activity policy, system, and environmental (PSE) approaches: Plan4Health Claire Heiser, MS, RD Public Health Advisor Program Development and Evaluation Branch Division of Nutrition, Physical Activity, and Obesity National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention June 2017

2 Land Use for Cars National No Walk Campaign Drive thru for everything Adapted from Howard Frumkin, PhD

Leading Causes of Death - Heart disease - Cancer - Chronic lower respiratory diseases - Stroke - Unintentional injuries (crashes) - Alzheimer's disease; diabetes Transportation

3 Leading Causes of Death - Heart disease - Cancer - Chronic lower respiratory diseases - Stroke - Unintentional injuries (crashes) - Alzheimer's disease; diabetes Transportation Contributors - Air pollution (CVD; respiratory diseases; cancers) - Crashes (safety of active transport) - Lack of physical activity (chronic diseases)

CDC Transportation and Health Policy Recommendations Active Transport/Healthy Community Design Evaluate and promote promising practices Safe and convenient opportunities for physical activity

5 CDC Transportation and Health Policy Recommendations Active Transport/Healthy Community Design Evaluate and promote promising practices Safe and convenient opportunities for physical activity Increased resources to non-motorized transportation Incentives to reduce vehicle miles traveled Pedestrian and bicycle master plans Encourage smart growth, complete streets and safe routes to schools Safe, convenient, and affordable transportation options Policies to protect pedestrians and bicyclists from motor vehicle crashes Bicycling and walking accessibility to public transit Increase resources for public transit

6 Transportation and Health Tool Data on 14 transportation and health indicators for US states, metropolitan areas, and urbanized areas Indicators measure how transportation affects health through: Safety Active transportation Air quality Connectivity to destinations Equity 25 evidence-based policies, strategies, and interventions for improving health outcomes through transportation investments

Goal 1. Make Walking a National Priority Encourage people to promote walking and make their communities more walkable. Create a walking movement to make walking and walkability a national priority.

7 Goal 1. Make Walking a National Priority Encourage people to promote walking and make their communities more walkable. Create a walking movement to make walking and walkability a national priority. Goal 2. Design Communities that Make It Safe and Easy to Walk for People of All Ages and Abilities -Design and maintain streets and sidewalks so that walking is safe and easy. -Design communities that support safe and easy places for people to walk. Goal 3. Promote Programs and Policies to Support Walking Where People Live, Learn, Work, and Play Promote programs and policies that make it easy for students to walk before, during, and after school. Promote worksite programs and policies that support walking and walkability. Promote community programs and policies that make it safe and easy for residents to walk. Goal 4. Provide Information to Encourage Walking and Improve Walkability Educate people about the benefits of safe walking and places to walk. Develop effective and consistent messages and engage the media to promote walking and walkability. Educate relevant professionals on how to promote walking and walkability through their profession. Goal 5. Fill Surveillance, Research, and Evaluation Gaps Related to Walking and Walkability Improve the quality and consistency of surveillance data collected about walking and walkability. Address research gaps to promote walking and walkability. Evaluate community interventions to promote walking and walkability.

8 Community Preventive Services Task Force recommendation on Built Environment Approaches Combining Transportation System Interventions with Land Use and Environmental Design

9 Health begins where we live, work, learn and play. Change the situations around people and communities to facilitate healthy behaviors.

10 Plan4Health The Plan4Health community envisions the full integration of planning and public health where we live, work, and play.

11 DNPAO Program Investments State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors, and Promote School Health (1305) State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke (1422) A Comprehensive Approach to Good Health and Wellness in Indian Country (1421) Public Health Actions to Prevent and Control Diabetes, Tobacco Use, Heart Disease, and Associated Chronic Disease Risk Factors and improve health in the US Affiliated Pacific Islands, Virgin Islands, and Puerto Rico

12 Programs to Reduce Obesity in High Obesity Areas (1416 & 1613) CDC s Partnership with Land Grant University Extension Services to Reduce Obesity in High Risk Areas

13 Our Land Grant University Partners

14 Physical Activity Gaps

15 Lack of sidewalks and crosswalks

16 Unsafe conditions that discourage physical activity

17 Physical Activity Assets

19 Community Challenges Poor Quality Housing

20 Drug abuse, trafficking Gambling

21 Community Approach Needs Assessments Community-Selected Interventions Communit y Coalitions

22 Future Directions: Community Interventions & Coalition Empowerment & Sustainability

23 Plan4Health

Thank You The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers

24 Thank You The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention or the Agency for Toxic Substances and Disease Registry Claire Heiser, MS, RD Public Health Advisor

Active People, Healthy Nation Creating an Active America, Together

National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition, Physical Activity, and Obesity Active People, Healthy Nation Creating an Active America, Together December 13,