1. E. Ramona Trovato USEPA, Office of Children’s Health Protection National Governor’s Association Center for Best Practices Emerging Growth Issues Workshop June 26, 2001 Healthy Environment, Healthy Communities & Healthy Families

2. Children are not little adults….

3. Climbing Asthma Rates in Children

4. Atlanta Experience Traffic during 1 hr morning peak 22% One hr peak ozone concentration 27% Emerg. care & hosp for children 1-16 41.6%

5. Blood Lead Levels in Children

6. Obesity Health Effects of Obesity Increased hypertension Increased type II Diabetes Increased heart disease Increase in some types of cancer

7. Prevalence of Obesity* among U.S. Adults in 1985, 1995, 1998 Sources: Mokdad,AH, et al. JAMA 1999;282:16. *Approximately 30 pounds overweight <10% 10%-15% >15%

8. Environmental and Health Impacts of Growth Patterns

9. Smart Growth Planning Includes Protection from exposure to toxics An environment that promotes walking and safe play Providing clean water for drinking, fishing and recreation Actions to promote clean air – outdoor and indoor

10. Healthy Environment, Healthy Communities & Healthy Families Clean Water Combined Sewer Overflow Source Water Protection Clean Beaches Fish Advisories Brownfields Restoration Waste Management Solid Waste Management Superfund Recycling Reducing Exposure to Pesticides & Toxics Integrated Pest Management Lead Poisoning Prevention Clean Air Transportation Air Quality Standards

11. Brownfields

12. Revitalizing Inner City Neighborhoods

13. Transportation

14. Clean Water

15. Beaches

16. Smart Growth Opportunities Improve Children’s Environmental Health through Smart Growth decisions Enhance state and local Smart Growth teams by including health and environment players. Use integrated environment and health data to inform smart growth decisions