1. Health in All Policies (HiAP): Environmental Health Perspective The What, Why and How Presenter Date [DELETE THIS FOR ACTUAL PRESENTATION] Possibly include images here of community health (both positive and negative)

2. Purpose of this talk 1. What is health and what determines our health? 2. What is Health in All Policies (HiAP) and why do we need it? 3. What approaches can we take to improve health in our community?

3. What is health? Health is the state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. - World Health Organization Source: http://who.int/about/definition/en/print.html

4. Snapshot of health in our community  SEE NOTES SECTION  DELETE THIS SLIDE FOR ACTUAL PRESENTATION

5. What factors determine our health? Family Health History Behaviors/Lifestyles Environment [DELETE THIS FOR ACTUAL PRESENTATION] Possibly include image of a family [DELETE THIS FOR ACTUAL PRESENTATION] Possibly include image of an environmental positive or negative [DELETE THIS FOR ACTUAL PRESENTATION] Possibly include image of a behavior that impacts health (e.g. eating fruits, smoking, exercising, etc.)

6. Behaviors & Environment 70% Medical Care 10% Genetics 20% Prevention, 4% Medical Services 96% $ $2.2 Trillion Factors Influencing Health National Health Expenditures What factors determine our health? Adapted from Srikantharajah. 2011. Promoting Community Based Prevention through Health Reform. Prevention Institute.

7. How does our environment impact our health? [DELETE THIS FOR ACTUAL PRESENTATION] Possibly include image of how environment impacts our health [DELETE THIS FOR ACTUAL PRESENTATION] Possibly include image of how environment impacts our health [DELETE THIS FOR ACTUAL PRESENTATION] Possibly include image of how environment impacts our health

8. How does our environment impact our health? Water Quality Traffic-Related Crashes Physical Activity Levels Access to Healthy Foods Climate Change / Extreme Weather Social Capital Social Equity Air Quality Exposure to Toxins & Chemicals

9. How does our environment impact our health? [DELETE THIS FOR ACTUAL PRESENTATION] Possibly include image of a street scene with people walking, riding bicycles, and taking public transportation

10. How can decisions impact our health? Policies & Programs Encourage people to make healthy choices

11. How can decisions impact our health: walking and biking? Stakeholders  Elected Officials  Transportation Department  Planning Department  Police Department  Health Department  Non-Profit Organizations Health Outcomes  Physical Activity  Air Quality  Climate Change  Social Capital  Traffic-Related Injuries

12. How can decisions impact our health? Planning Department Elected officials Housing Transportation Department Schools Police Health Department Public Works Public safety

13. Definitions of HiAP  WHO: HiAP assists leaders and decision makers to integrate considerations of health, well-being and equity during the development, implementation, and evaluation of policies and services  ASTHO: HiAP is a collaborative approach that integrates and articulates health considerations into policy making across sectors, and at all levels, to improve the health of all communities and people.  NACCHO: HiAP is a change in the systems that determine how policy decisions are made and implemented by local, state, and federal government to ensure that policy decisions have beneficial or neutral impacts on the determinants of health.

14. The how-to of HiAP  Objectives:  Safer environment with fewer risk factors  Improved health equity  Increased health and well-being  Multiple non-health sectors: the sectors that shape social and physical determinants of health  Decision making processes: development, implementation, and evaluation

15. The how-to of HiAP  Health considerations in the decision making process  How does a prospective decision potentially impact population health?  HiAP is upstream – the focus is on addressing potential health impacts early in the decision processes  HiAP is comprehensive – all sectors, all stages of policy processes, all levels of government

16. Tactics for Implementing HiAP  Convene a cross-sector collaborative or task force  Consider health in the policy making process  Establish accountability structures

17. Local examples of HiAP  “The City of Richmond aims to create policies that maximize health outcomes and reduce health disparities. This will be done by implementing strategies for considering health impacts in all city policies.”  From Richmond, CA, Health in City Government Initiative

18. Local examples of HiAP  “Facilitate accountability, capacity, and coordination across all agencies, branches, and departments of county government to implement the fair and just principle of the countywide strategic plan, identify opportunities for cross-county collaboration, and provide a forum for exchange of information.”  From King County, WA strategic plan

19. How can HiAP help our community?

20. What next steps can we take to implement HiAP?  SEE NOTES SECTION  DELETE THIS SLIDE FOR ACTUAL PRESENTATION

21. Thank you  Contact Information  Phone number:  Email address: