Planning for Healthy Communities: The State General Plan Guidelines Update Elizabeth Baca, MD, MPA Senior Health Advisor Governor’s Office of Planning and Research February 12, 2014

Overview Health & Planning National Momentum California Context General Plan Update Opportunities & Feedback “We can not solve our problems with the same level of thinking that created them” Albert Einstein

Environmental Challenges to Health ?

Adult Obesity 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

Adult Obesity 1986 No Data <10% 10%–14%

Adult Obesity 1987 No Data <10% 10%–14%

Adult Obesity 1988 No Data <10% 10%–14%

Adult Obesity 1989 No Data <10% 10%–14%

Adult Obesity 1992 No Data <10% 10%–14% 15%–19%

Adult Obesity 1993 No Data <10% 10%–14% 15%–19%

Adult Obesity 1994 No Data <10% 10%–14% 15%–19%

Adult Obesity 1999 No Data <10% 10%–14% 15%–19% ≥20%

Adult Obesity 2000 No Data <10% 10%–14% 15%–19% ≥20%

Adult Obesity 2001 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Adult Obesity 2003 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Adult Obesity 2004 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Adult Obesity 2005 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Adult Obesity 2006 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Childhood Obesity Prevalence 2011 Graph from US Health in International Perspective: Shorter Lives, Poorer Health 2013

State of Health Graphs from ULI Report 2013 Stepwise relationship looks the same for almost all diseases

California Context

Innovation and Momentum American Planning Association American Institutes of Architects & Clinton Global Initiative US Green Building Council Urban Land Institute

Public Health in General Plans American Planning Association: Comprehensive Planning for Public Health. March 2011.

Public Health Topics Included American Planning Association: Comprehensive Planning for Public Health. March 2011.

California General Plan Guidelines Statutory Requirements Circulation Land Use Open Space Noise Safety Housing Conservation Any additional Recommendations, including health, are voluntary and go through a public process Climate Change + Health + Economics + Equity Each county and city must adopt a comprehensive, long-term general plan for the physical development of the county or city Different time lines, only Housing updated on a regular basis Timing will be a challenge, not on a schedule

Health Related Outreach Input from over 120 experts working on planning and health Convenings with nearly 400 people

General Plan Guidelines: Health Themes Active Living & Recreation Food SystemsSocial Cohesion & Safety Health & Economic Opportunity Our Climate & Resiliency Healthy HousingEnvironmental Health & Exposures Health & Human Services

Active Living and Recreation Walkability/Bikeablity and Active Transportation programs  Federal Funding Access to open space and parks Less use of cars, better for the environment Infill & Transit Oriented Development Interconnected transit

Health and Economic Opportunity Health as human capital Many land uses good for health, good for the economy Access to jobs

Our Climate and Resiliency Protection natural disasters Mitigating current changes, urban heat islands Align other climate efforts, SB 375  Co benefits to meet GHG reduction

Additional Considerations Innovative Partnerships & Collaboration Data and mapping

Inspiration to Curate Solutions “We can not solve our problems with the same level of thinking that created them” Albert Einstein Health in the General Plan: Voluntary Different time line Subject to public process Co-benefits Opportunity with SCS goals Idea to Catalyze Healthy Communities

Ideas on effective partnership

Messaging about Co-Benefits

Ideas to best support regional collaboration

California Planning Roundtable “A healthy community is one that strives to meet the basic needs of all residents… Vibrant, livable and inclusive communities provide ample choices and opportunities to thrive economically, environmentally and culturally, but must begin with health.”

Thank You Elizabeth Baca, MD, MPA Senior Health Advisor Governor’s Office of Planning and Research

Food Systems Expanded access to healthy food Urban gardens Food distribution locally Zoning Preservation of Ag land

Social Cohesion and Safety Crime prevention through environmental design Traffic calming measures Shared use space & joint use agreements Street design

Health and Human Services Complete communities Access to health facilities Access to childcare facilities

Environmental Health and Exposures Avoiding toxic sites Pesticide use School Siting (not in per view, but addressed)

Healthy Housing Walkability Aging in place Affordability