1. JEANETTE M. BALL, MS A HEALTH IMPACT ASSESSMENT (HIA) ON A PROPOSED “ROAD DIET” AND RE-STRIPING PROJECT IN SPARTANBURG, SC 2012 GEORGIA-LINA BIKE SUMMIT October 20, 2012

2. The South Carolina Institute of Medicine & Public Health (IMPH)  Mission: To collectively inform policy to improve health and healthcare.  Purpose: To serve as a convener to assemble evidence-based information relevant to policy decisions and other actions impacting the health and well-being of all South Carolinians www.imph.org

3. HEALTH IN ALL POLICIES “A sweeping goal that aims to help decision makers understand the links between policies, interventions, health determinants, and the resulting health outcomes in a wide range of focus areas.” Source: American Public Health Association

4. Health Impact Assessment A systematic assessment that combines scientific data, professional expertise, and stakeholder involvement to determine the effects that a potential policy, plan, program, or project might have on the health of a particular population

5. Steps of an HIA 1. Screening 2. Scoping 3. Assessment 4. Develop Recommendations 5. Reporting 6. Monitoring & Evaluation

7. www.healthimpactproject.org Federal HIAs: 2

8. Spartanburg Project  Proposed Road Diet and Re-Striping  Managed by state Department of Transportation

9. Partners  South Carolina Department of Health & Environmental Control (SC DHEC)  South Carolina Institute of Medicine & Public Health (IMPH)  Spartanburg Area Transportation Study (SPATS)  Partners for Active Living (PAL)  Berkeley/Charleston/Dorchester Council of Governments (BCD COG)

10.  Average household income:  SC: $37,082  Spartanburg County:$37,579  zip code 29303: $28,343  zip code 29306: $22,672  Percent of families living below poverty level:  SC: 10.7%  Spartanburg County: 9.2%  zip code 29303: 13.3%  zip code 29306: 25.3% A Vulnerable Population

11. ROAD DIET SECTION BIKE LANE RESTRIPE SECTION

12. Proposed “Road Diet” Section Example before Example after

13. Road Diet Cross Section

14. Proposed Re-Stripe Section Example before Example after

15. Potential health determinants examined: traffic safety access to goods and services air quality physical activity HIA Scoping

16. Safe Bicycle and Pedestrian Paths Reduction in Motor Vehicles Decrease in Motor Vehicle Collisions Decrease in Injury and Deaths Due to Motor Vehicle Collisions Reconfiguration of Lanes Reduction in Speed of Motor Vehicles Traffic Safety: Causal Pathway

17. Traffic Safety: Data Collected  Average Annual Daily Traffic Count  Bicycle Level of Service  Speed  Collisions

18. Safe Bike and Pedestrian Pathways Increased access to: parks, trails, grocery stores, farmer’s markets Increased Opportunity for Physical Activity on Trails and in Parks Decrease in Obesity/Overweight Decrease in cardiovascular disease, diabetes, high blood pressure, cancer Increased Access to Healthy Foods Access to Goods & Services: Causal Pathway

19. Access to Goods & Services: Data Collected  Number and location of healthy food and services locations  Number and location of connections including transit stops  Transit ridership

20. Safe Bike and Pedestrian Paths Reduction in Motor Vehicles Decrease in Air Pollution Decrease in Rates of Asthma and Other Respiratory Illnesses Air Quality: Causal Pathway

21. Air Quality: Data Collected  Days ozone is above level of the standard  Hospital visits with asthma as primary diagnosis (emergency department visits and inpatient visits by zip code)

22. Safe Bike and Pedestrian Paths Increased Opportunity for Physical Activity Decrease in Obesity/Overweight Decrease in cardiovascular disease, diabetes, high blood pressure, hypertension, cancer, etc. Physical Activity: Causal pathway

23. Number of bikes on nearby bicycle racks Number and trend of users of PAL’s bicycle lending program Number of bicyclists and pedestrians on DMA Time that area residents spent biking and walking Physical Activity: Data collected

24. Physical Activity: Data Results Table 4: Bicycles on Nearby Bicycle Racks, April 2011 Date/DayTime Miles Away Number of Bicycles Miles Away Number of Bicycles Total Number 4/14-Thursday3-5pm.2516.25-.52743 4/20- Wednesday3-5pm.2511.25-.51122 4/28- Thursday7-9pm.2516.25-.52238 4/29- Friday7-9pm.2515.25-.51833

25. HIA Recommendations  Road Diet Section  Re-stripe Section  Expand and marketing of bicycle lending program  Provide ample signs  Establish a cycling safety class

26. jeanette@imph.org www.imph.org