1 The Intersection of Community Development and Health September 28, 2011

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4 Environment Jobs Community cohesion Education Housing Health Inputs Safety

5 Life Expectancy in the U.S. (1900 – 2009)

6 Leading causes of death – United States Mortality Rate Epidemiologic Transition 1900 Pneumonia Tuberculosis Diarrhea 2010 Heart Disease Cancer Stroke

7 King County Board of Health Guidelines: Planning for Healthy Communities Safe pedestrian paths, sidewalks, and streets Well designed and safe bicycle paths and lanes Building and design standards that create safe, healthy, and accessible indoor environments

8 Project Goals Increase availability of healthy food and beverage products in target communities Increase in capacity of businesses to effectively participate in WIC/EBT Increase capacity of store owners to profitably sell healthy food Increase demand for healthy products in the participating businesses 8

9 Services Provided 9 Merchandising, store layout Produce handling, inventory management Distribution/supply chain development WIC/EBT application Bookkeeping and financial systems Marketing and store events Up to $700 for baskets, produce scales, shop vac, small shopping carts Up to $7500 (with 20% owner investment) for refrigeration, signage Low cost loans for larger store improvements Financial Incentives Provided

10 BEFORE AFTER

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12 UpstreamMidstreamDownstream Pro-Equity Policies No Racism Affordable Housing Access to Transportation Good Paying Jobs Quality Education Healthy Environment Low Birth Weight Incarceration Action at Societal Level Action at Individual and Family Level Safe Neighborhoods Obesity Untreated Mental Illness Access to Healthcare Poor Health Status Homelessness Fair Standards of Living Physical Activity Action at Community Level Swim upstream

13 Global to Local We believe Washington State can make a global difference.

14 Global to Local Compared to King County, Tukwila and SeaTac have: 1.5 times higher poverty and foreign-born 2.8 times higher teen birth rate 2.0 times higher rate of students receiving free lunch

15 Communities Count: Social and Health Indicators in King County ● Data collected across 5 domains 1. Basic Needs and Well-Being (e.g. a safe place with parks, libraries, schools, transportation) 2. Positive Development through Life Stages (e.g. school readiness, quality & affordable childcare) 3. Safety and Health (e.g. crime, infant mortality, tobacco use, teen births) 4. Natural and Built Environment (e.g. air & water quality, commute choices) 5. Arts and Culture (e.g. participation, funding, employment)

16 Communities Count Sample results

17 Moving Forward What Public Health Offers  Health is highly valued by the public  Data  Existing relationships with the community Community Development  Understanding of finance and lending mechanism  Models of public and private funding models  Relationships with business and private sector

18 You must be the change you want to see in the world. -Mahatma Gandhi Dennis E. Worsham Regional Health Officer Public Health- Seattle & King County