Health Impact Assessment Working Group Meeting #3

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1 Health Impact Assessment Working Group Meeting #3 January 31, 2018 Casselberry City Hall Multi-Purpose Room

2 Introductions and Icebreaker 2

3 Agenda SR 436 Transit Corridor Study Update Primary Indicator Baseline Assessment Vulnerable Populations Identification Quality of Life Survey Next Steps

4 I-4 Study Area 23 Miles along SR 436 Regional and gateway corridor Connects 7 jurisdictions 11 LYNX routes along and 8 LYNX routes across the corridor 3 SuperStops SR 434 Red Bug Lake Aloma SR 50 SR 408 Curry Ford Hoffner OIA 4

5 Schedule What are the issues, opportunities, & objectives? What are our alternatives? Which alternatives best meet our goals & objectives? How will the project impact the health of the corridor communities? Which alternatives do we want to move forward? How can we best fund & implement the preferred alternative? 7/17-6/ Jan Mar May Jul Sep Nov 2018 Mar May

Park Casselberry Chamber of Commerce Business Expo Casselberry Jazz Fest Baldwin Park First Friday

6 Community Events EVENTS Gateway Orlando Rebranding Semoran Block Party Full Sail SCA Networking Summit Casselberry EarthFest Neighborhood Leadership Council Orlando Gateway Guardian Active Living Expo Winter Park Casselberry Chamber of Commerce Business Expo Casselberry Jazz Fest Baldwin Park First Friday OktoberFest Bravo Grocery Store Outreach 3 SuperStop / Transit Stop Outreaches District 2 Fall Festival and more! 6

7 Tiered Alternatives Analysis Level 1 Modes Level 2 Alignments Segments Level 3 Prep Operating scenarios & feeder service Stations Multimodal access (Complete Streets) Identify Screen Select 7

mile to one mile) May include transit signal priority Usually includes distinct

8 Modes: Limited-Stop Bus Sometimes referred to as BRT Lite or enhanced bus Often overlaid with local bus service Runs in mixed-traffic Longer stop spacing (~half mile to one mile) May include transit signal priority Usually includes distinct branding and image Could qualify for funding under FTA s Corridor-Based BRT program 8

9 Modes: BRT Corridor Based Runs on dedicated lanes for most of the route length Enhanced stations Includes transit priority at intersections Premium vehicles and branding 9

pedestrian and bicyclist access around station areas Near-level boarding Turn

10 Modes: BRT Fixed Guideway Runs on physically separated or demarcated lanes for most of the route length Enhanced stations with off-board ticketing Strong emphasis on pedestrian and bicyclist access around station areas Near-level boarding Turn restrictions and other transit priority at intersections Premium vehicles and branding 10

11 Level 2 Candidate Alternatives (Alignments/Segments) US 17/92 to SR 434 (purple) ~ 5 mi Aloma Ave to Altamonte Mall (orange) ~ 7 mi OIA to SR 50 (blue) ~ 10 mi OIA to Aloma Ave (green) ~ 13 mi OIA to SunRail (black) ~ 19 mi OIA to SR 434 (red) ~ 23 mi 11

12 Level 1 - Modes Level 2 - Alignments 12

13 Level 3 Alternatives SR 434 Local bus Final bus stop spacing to be determined. Common stop spacing for local bus ranges from 0.25 to 0.5 miles. OIA LYNX in Orlando, Florida 13

14 Level 3 Alternatives SR 434 Limited-Stop Bus (With TSP and queue jumps) Aloma Ave Final bus stop spacing to be determined. Common spacing for limited-stop bus ranges beyond 0.5 mile. OIA PalmTran s Bolt bus in West Palm Beach, Florida 14

15 Level 3 Alternatives SR 434 BRT Bronze (With Partial BAT Lanes) SR 50 Aloma Ave Final bus stop spacing to be determined. Common spacing for BRT ranges from 1to 3 miles (dependent on land use context). OIA International Drive in Orlando, Florida 15

16 Level 3 Alternatives BRT Silver (With BAT Lanes or median-running lanes - TBD) Aloma Ave SR 50 Final bus stop spacing to be determined. Common spacing for BRT ranges from 1to 3 miles (dependent on land use context). OIA Cleveland Healthline, Cleveland, Ohio 16

17 Complete Streets Improvements 17

18 HIA Primary Indicator Assessment 18

19 HIA Goal The goal of the HIA is to better understand the impacts of the potential SR 436 transit improvements on the overall health of the communities that would be served by this proposed transit investment. This would include potential impacts of improvements on: 1. Enhanced transit experience to support current customers, increase ridership from a wider range of potential users, and increase access to community assets 2. Safe, comfortable, and accessible walking and bicycling environments 3. Transportation investments that encourage development and redevelopment consistent with community goals 4. Reliable and safe vehicular mobility 19

20 Health Indicators Pathway Diagram Exercise during WG Meeting #1 Long List Indicators Strongest Relationships to Goals, Outcomes, and Public Preference Short List Indicators Data Availability Primary Indicators Final Pathway Diagram

21 Long List of Indicators Asthma / Air Quality Socioeconomic Status Physical Activity Sleep disturbance, stress, hypertension Chronic Disease (Diabetes, Obesity, Heart Disease) Range of Motion Cognition Mental Health / Depression Sense of Community / Quality of Life Bicyclist and Pedestrian Fatality Rates Crime Rates Disposable Income Health Costs Health Insurance Coverage Poverty Levels Mortality / Morbidity Rental Costs / Housing Cost Burden Economic Return on Investment Number of Jobs Crash Rates

22 Short List of Indicators Transit Commute Time to Work Transit Access to Health Mental Health & Depression Chronic Disease Diabetes, Obesity, Hypertension Bicyclist and Pedestrian Injury and Fatality Rates Transportation and Housing Affordability Economic Return on Investment (Property Value) Sense of Community / Quality of Life Asthma / Air Quality Income and Poverty Levels Transit Access to Education Transit Access to Healthy Food

23 Primary Indicators Transit Commute Time to Work Transit Access to Health Mental Health & Depression Chronic Disease Diabetes, Obesity, Hypertension Bicyclist and Pedestrian Injury and Fatality Rates Transportation and Housing Affordability Economic Return on Investment (Property Value) Sense of Community / Quality of Life Asthma / Air Quality Income and Poverty Levels Transit Access to Education Transit Access to Healthy Food

24 Primary Indicators Indicator Source Data Resolution Access to Health and Employment Transit Commute Time to Work Transit Access to Health Census (2016 ACS 5-year estimates) Orange County Health Department, Seminole County Health Department, LYNX Census Tract, County, State Census Tract Physical Health Indicators Mental Health Chronic Disease Obesity, Diabetes, Hypertension Behavioral Risk Factor Surveillance System (BRFSS) Behavioral Risk Factor Surveillance System (BRFSS) Census Tract, County, State, National Census Tract, County, State, National Cyclist and Pedestrian Safety Bike and Pedestrian Crash Rates (Injury and Fatality) FDOT CARS and Signal Four Analytics ( ) Location-Specific Economic Health Transportation & Housing Affordability Economic Return on Investment (Property Value) Center for Neighborhood Technology Seminole and Orange County Tax Collectors, Florida DOR Census Tract, CBSA, National Parcel, County Quality of Life Quality of Life & Sense of Community HIA Survey Zip Code (Survey)

25 Transit Commute Time to Work SR 434 I-4 Red Bug Lake Aloma Literature BRT improvements shorten commutes and enhance job access (University of Minnesota, 2016) SR 50 Average Commute Time Via Transit (2016) 1 SR 436 Corridor Seminole County Orange County Florida 43 minutes 41 minutes 44 minutes 41 minutes 1 For census tracts with twenty or more transit riders Tracts with long transit commutes (more than 60 minutes) are predominantly to/from*: Downtown Orlando Disney Orlando International Airport *US Census (2015) OIA SR 408 Curry Ford Hoffner

transportation access reduces health care

facilities that typically serve vulnerable

2 Defined as above the MSA average in 2 or

26 Transit Access to Health SR 434 I-4 Red Bug Lake Aloma Literature Lack of transportation access reduces health care use among vulnerable populations (Statistic Brain, 2017) SR 50 SR 408 SR 436 Corridor (2016) Curry Ford Average number of health care destinations 1 accessible to vulnerable populations 2 via 30 minute transit ride 2 Health Care Destinations Hoffner 1 Includes Federally Qualified Healthcare Facilities, Hospitals, DOH facilities, and other facilities that typically serve vulnerable populations. 2 Defined as above the MSA average in 2 or more of the following categories: minority population, zero car households, and living at or below 150% of the poverty line OIA

27 Mental Health SR 434 I-4 Red Bug Lake Aloma Literature Increasing physical activity decreases anxiety and depression (Atkinson, 2008) SR 50 SR 408 Percentage of Adults Ever Diagnosed with Depression (2013) SR 436 Orange Seminole Florida U.S. Corridor County County 17.3% 17.5% 17.1% 16.8% 17.5% Curry Ford Hoffner OIA

28 Chronic Disease - Obesity SR 434 I-4 Red Bug Lake Aloma Literature Obesity rates tend to decrease among people who use alternative modes (walking, cycling, public transit) (Litman, 2014). SR 50 SR 408 Percent of Adults Reporting to be Obese (BMI of 30 or Greater ) SR 436 Orange Seminole Florida Corridor County County U.S. Curry Ford Hoffner 29.3% 29.4% 28.5% 26.5% 27.9% OIA

29 Chronic Disease - Diabetes SR 434 I-4 Red Bug Lake Aloma Literature Compared with those who drive to work, participants who use public transportation are less likely to have diabetes (Atkinson, 2008) SR 50 SR 408 Percent of Adults Ever Diagnosed with Diabetes (2013) Curry Ford SR 436 Corridor Orange County Seminole County Florida U.S. 12.4% 12.3% 12.5% 11.2% 10.1% Hoffner OIA

30 Chronic Disease - Hypertension SR 434 I-4 Red Bug Lake Aloma Literature Researchers observed a 42 percent lower risk of hypertension among those who moved from low- to high-walkability neighborhood. (Chiu, 2015) SR 50 SR 408 Percent of Adults Ever Diagnosed with High Blood Pressure (2013) SR 436 Orange Seminole Florida U.S. Corridor County County Curry Ford Hoffner 34.9% 34.5% 37.2% 34.6% 32.0% OIA

31 4 Bicyclist and Pedestrian Injury and Fatality Rates SR 434 I-4 Red Bug Lake 5 Aloma Literature Safe, welcoming streetscapes increase walking, biking and transit ridership (Safe Transportation Research & Education Center, 2014) Where are the most bike-ped crashes happening on SR 436 ( )? 1 2 SR 50 SR No. Intersection Location Injuries + Fatalities per Intersection Segment Location Injuries + Fatalities per mile Curry Ford SR Curry Ford Rd 12 SR 50 to Orange County Fire Station 66 La Costa Dr. to Stonewall Jackson Rd X mph Hoffner 3 Old Cheney Hwy 11 Grant St. to Curry Ford Rd Oxford Rd 10 Driggs Dr. to Aloma Ave Howell Branch Rd 9 Curry Ford Rd. to La Costa Dr. 17 OIA

32 4 Bicyclist and Pedestrian Injury and Fatality Rates SR 434 I-4 Red Bug Lake 5 Aloma SR 50 SR 408 Curry Ford X mph Hoffner OIA

33 Transportation and Housing Affordability SR 434 I-4 Red Bug Lake Aloma Literature Neighborhoods with greater mobility options spend less on transportation (VTPI, 2017) SR 50 Housing + Transportation Costs % Income (2015) SR 408 SR 436 Corridor 63% Curry Ford Orlando-Kissimmee-Sanford CBSA 58% Affordable H+T Costs* 45%* Hoffner *As defined by the Center for Neighborhood Technology OIA

Economic Return on Investment Literature SR

reductions & improvements with new transit

to stations (EMBARQ, 2013) SR 50 Average

3% Curry Ford Orange County (2016) $22.5 3.

34 Economic Return on Investment Literature SR 434 I-4 Red Bug Lake Aloma Travel time reductions & improvements with new transit = willingness to pay premium to be closer to stations (EMBARQ, 2013) SR 50 Average Just Property Value ($/Sq. Ft.)* Percent of Parcels $80/Sq. Ft.* SR 408 SR 436 Corridor (2016) $ % Curry Ford Orange County (2016) $ % Seminole County (2016) $ % Hoffner *Calculations exclude public land OIA

Quality of Life & Sense of Community Literature Health is an important part of overall quality of life, but there are other elements as well, including jobs, housing, schools and the neighborhood

35 Quality of Life & Sense of Community Literature Health is an important part of overall quality of life, but there are other elements as well, including jobs, housing, schools and the neighborhood (CDC, 2016) In a comprehensive survey of Minnesotans, MnDOT found that transportation emerged as a key quality of life factor (MnDOT, 2013) Stay tuned for more on our quality of life survey UPDATE INDICATORS VULNERABLE POPULATIONS STATION DEMO NEXT STEPS

36 Vulnerable Populations Identification 36

Vulnerable Populations Rates of serious conditions such as obesity, heart disease, cancer and stroke are substantially higher in the poorest parts of the county (NASEM, 2017) Racial health

37 Vulnerable Populations Rates of serious conditions such as obesity, heart disease, cancer and stroke are substantially higher in the poorest parts of the county (NASEM, 2017) Racial health disparities are projected to cost health insurers $337 billion between 2009 and 2018 (NASEM, 2017) Millions of Americans, especially people with low incomes, the elderly, people with disabilities, and other transit-dependent populations, have difficulty accessing fresh, nutritious food. (Vallianatos, 2002) Pedestrian deaths by race/ethnicity relative to U.S. Population ( ) White Non-White (incl. Hispanic) 34.9% 46.1% 53.1% 62.8% Percentage of Population Percentage of Pedestrian Deaths 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%

38 Corridor Demographics Non-White and/or Hispanic 49% Population at or below 150% of Poverty Line 30% Limited English Proficiency 11% Non-Working Age (<18, 65+) 34% Under 18 Seniors 13% 21% Non-SOV Commuters Zero-Car Households Transit Commuters 3% 6% 16% Orlando MSA Study Area Source: ACS data Note: Updated on 4/13/2017 after the meeting had been held 0% 20% 40% 60% 80% 100%

Corridor Demographics Non-White and/or Hispanic 49% Population at or below 150% of Poverty Line 30% Limited English Proficiency 11% Non-Working Age (<18, 65+) 34% Under 18 Seniors 13% 21%

39 Corridor Demographics Non-White and/or Hispanic 49% Population at or below 150% of Poverty Line 30% Limited English Proficiency 11% Non-Working Age (<18, 65+) 34% Under 18 Seniors 13% 21% Non-SOV Commuters Zero-Car Households Transit Commuters 3% 6% 16% Orlando MSA Study Area Source: ACS data Note: Updated on 4/13/2017 after the meeting had been held 0% 20% 40% 60% 80% 100%

40 Transit Riders Annual Household Income Basic Demographics Less than $10,000 $10,000 $19,999 $20,000 $29,999 $30,000 $39,999 18% 18% 21% 22% Not White Non Hispanic Zero Car Households Limited English Proficiency 11% 54% 71% $40,000 $49,999 11% Non Working Age (<18, 65+) 9% $50,000 $74,999 $75,000 $99,999 $100,000 or more 1% 2% 8% Orlando MSA SR 436 Transit Riders Seniors Under 18 6% 3% Orlando MSA SR 436 Transit Riders 0% 10% 20% 30% 0% 20% 40% 60% 80% 100% Source: LYNX Onboard Survey ( ) 40

41 Transit Riders Annual Household Income 80% Basic Demographics Less than $10,000 $10,000 $19,999 $20,000 $29,999 $30,000 $39,999 18% 18% 21% 22% Not White Non Hispanic Zero Car Households Limited English Proficiency 11% 54% 71% $40,000 $49,999 11% Non Working Age (<18, 65+) 9% $50,000 $74,999 $75,000 $99,999 $100,000 or more 1% 2% 8% Orlando MSA SR 436 Transit Riders Seniors Under 18 6% 3% Orlando MSA SR 436 Transit Riders 0% 10% 20% 30% 0% 20% 40% 60% 80% 100% Source: LYNX Onboard Survey ( ) 41

3 2.Azalea Park East, Curry Ford West, &

Winter Park, Aloma East, & Howell Branch

42 Vulnerable Populations 1.South Pershing and South Lake George Azalea Park East, Curry Ford West, & Monterey 2 3.Winter Park, Aloma East, & Howell Branch East 4.Altamonte North & Casselberry (North & South) 1 5.Weathersfield & Lake Orienta

Vulnerable Populations South Pershing and

$31,000 40-55% live below 150% of poverty

+ Housing Average Transit Commute Time > 60

43 Vulnerable Populations South Pershing and South Lake George Areas (CT , & ) Median Household Income = $27,000 - $31, % live below 150% of poverty line 76-82% of income spent on Transportation + Housing Average Transit Commute Time > 60 minutes 2 or less health care facilities within 30-minute transit ride Above average obesity and diabetes

44 Vulnerable Populations Azalea Park East, Curry Ford West, & Monterey (CT , , 133, ) Median Household Income = $31,000-$42,000 Up to 50% live below 150% of poverty line 58-74% of income spent on Transportation + Housing Above average obesity, diabetes, hypertension, and depression

Vulnerable Populations Winter Park, Aloma East, &

08) Median Household Income = $29,000 $44,000

income spent on Transportation + Housing Average

high bike-ped injury/fatality segment (University

45 Vulnerable Populations Winter Park, Aloma East, & Howell Branch East (CT , & ) Median Household Income = $29,000 $44, % live below 150% of poverty line 64-78% of income spent on Transportation + Housing Average Transit Commute Time > 60 minutes Within ½ mile of high bike-ped injury/fatality segment (University Blvd to Aloma Ave) Above average diabetes, hypertension, and depression

Vulnerable Populations Altamonte North & Casselberry (North

05) Median Household Income = $33,000 $74,000 30-57% live

Transportation + Housing Average Transit Commute Time > 60

transit ride Within ½ mile of high bike-ped injury/fatality

46 Vulnerable Populations Altamonte North & Casselberry (North & South) (CT , , , & ) Median Household Income = $33,000 $74, % live below 150% of poverty line 58-77% of income spent on Transportation + Housing Average Transit Commute Time > 60 minutes 2 or less health care facilities within 30-minute transit ride Within ½ mile of high bike-ped injury/fatality intersection (Oxford Rd) Above average diabetes, obesity, hypertension, and depression

47 Vulnerable Populations Weathersfield & Lake Orienta (CT , & ) Median Household Income = $44,000 $87,000 2 or less health care facilities within 30-minute transit ride Above average diabetes, obesity, and hypertension

48 Indicator Assessment Health Indicator Direction Magnitude Likelihood Distribution Access to Health and Employment Transit Commute Time to Work Positive Medium Likely Transit Access to Health Positive Medium? Possible Mental Health Positive Low Possible Physical Health Indicators Chronic Disease Obesity, Diabetes, Hypertension Positive Medium Likely Relatively higher affect on vulnerable populations, children, elderly, people with disabilities Relatively higher affect on vulnerable populations, children, elderly, people with disabilities Relatively higher affect on elderly, auto-dependent communities Relatively higher affect on autodependent communities Cyclist and Pedestrian Safety Bike and Pedestrian Crash Rates (Injury and Fatality) Positive High Possible The entire corridor, especially high speed areas; and vulnerable populations Economic Health Transportation & Housing Affordability Economic Return on Investment (Property Value) Positive & Negative High Likely Positive Low Possible In station areas and auto dependent neighborhoods, Relatively higher affect in station areas, areas of low land value, where supportive land use policy exists Quality of Life Quality of Life & Sense of Community Positive Unknown* Possible Unknown* * Will be seen through Quality of Life Survey

49 Quality of Life Survey 49

50 Quality of Life Survey UCF Planning Healthy Communities Class Where? Tentative locations 5 LYNX SuperStops/High Ridership Stops Bravo Supermarket Online at When? February 19 th -March 5 th Share the SurveyMonkey site via the website!

51 Homework Vulnerable populations Share any new/ongoing efforts related to improving health and wellbeing in any of the five vulnerable population areas Mobile health clinics Share the address or location of any of the mobile health clinics occurring along or near the SR 436 corridor Recommendations Brainstorm recommendations on how we can optimize the positive influence of transit and complete streets on community health

52 Next Steps Visit and share our website: Fill out our surveys Check out upcoming events Download and read study documents Demonstration Area Assessment Recommendations Next Working Group Meeting Spring 2018

53 Questions? UPDATE INDICATORS VULNERABLE POPULATIONS STATION DEMO NEXT STEPS

Health Impact Assessment Working Group Meeting #2

Health Impact Assessment Working Group Meeting #2 October 18, 2017 LYNX Central Station LYNX Board Room Introductions and Icebreaker 2 Agenda SR 436 Transit Corridor Study Update HIA Pathway Diagram /