Healthier Ontario Communities by Design

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Presentation transcript:

Healthier Ontario Communities by Design AMO 2016: Designing the Built Environment, Improving Quality of Life Charles Gardner, MD, CCFP, MHSc, FRCPC Medical Officer of Health

Acknowledgement Assistance (and much leadership) from Peel Public Health

Community Planning Impacts Health. Physical Activity and related Chronic Diseases Air Quality Road Safety Accessibility Food Systems/Food Access Social Capital & Connectivity

Prevention Power of Walking and Cycling Decreased risk of death from all causes by 22 % (29 minutes/day * 7 days/week) Decreased risk of diabetes by 30 % (2.5 hours/week) Decreased risk of death from all causes by 28 % (3 hours/week * 36 weeks/year) Cycling

Yet we have engineered physical activity out of our lives.

A Dramatic Increase in Obesity

Physical Inactivity in Canada and Ontario In Canada, between 2012 and 2013 91% of children (aged 5 to 17) 78% of adults (aged 18-79) did not achieve the recommended physical activity levels

Increasing Diabetes in Ontario Source: ICES † Projected rates for 2005/2006 onwards are based on straight line projection of age-adjusted prevalence rates for 1995/1996 to 2004/2005 ‡ Age- and sex-adjusted

Recreation alone is not the answer.

In Ontario, people living in walkable neighborhoods… drive less walk, cycle and use public transit more Booth, G, Creatore M, Glazier R, et al. Association of Neighborhood Walkability With Change in Overweight, Obesity, and Diabetes. JAMA. 2016;315(20).

In Ontario, people living in walkable neighborhoods… and have a lower risk of diabetes:

Europe More walking/cycling From: Promoting Safe Walking and Cycling to Improve Pubic Health: Lessons from the Netherlands and Germany. Pucher, J, & Dijkstra, L. American Journal of Public Health. Public Health Matters, Sept 2003, Volume 93, No. 9.

…because it’s a lot safer.

Green space in our communities Is good for health Reduces heat island effect Can provide opportunities for local nutritious food production Increases physical activity Improves health outcomes (reduced BP, blood cortisol, surgery recovery time) Improves psychological / cognitive wellbeing / child development Increases social wellbeing Improves air quality and reduces related illness

A Happy Coincidence Healthy design also mitigates climate change. LEED for Neighborhood Development criteria: Walkable Streets Compact Development Connected and Open Community Mixed-Use Neighborhood Centers Mixed-Income Diverse Communities Reduced Parking Footprint Street Network Transportation Demand Management Transit Facilities Access to Civic and Public Spaces Access to Recreation Facilities Local Food Production Tree-Lined and Shaded Streets Neighborhood Schools Green Infrastructure and Buildings

A Shared Vision for Ontario

Many Advocating for Healthy Built Environments.

Projected Health Benefits from GTHA Transit Investment *Under-estimate health impacts

Video used with permission from “Bicycle Dutch.” Final Thoughts In Ontario we have unwittingly created communities that challenge our health gains. Places to Grow helped launch a surge of activity for healthy built environments throughout the province. Public Health has joined the call to remake our communities for health. Video used with permission from “Bicycle Dutch.”