1. Built Environment-Policies & Collaborations to improve Health Behaviors & Reduce Chronic Disease American Public Health Association Annual meeting San Francisco 2012

2. San Antonio City Council adopts Complete Streets Policy to promote healthy living and safe mobility MARY THOMAS M.B.& B.S., M.P.H. Communities Putting Prevention to Work San Antonio Metropolitan Health District San Antonio Texas 1

3. Co Authors Marita Roos RLA AICP, City of San Antonio Planning Department Marita.roos@sanantonio.gov Maggie Thompson R.D. B.D.A, Program Manager, CPPW maggie.thompson@sanantonio.gov 2

4. Presenter Disclosures The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: Mary Thomas “No relationships to disclose” 3

5. VISION Promote physical activity options and increase healthy eating to reduce obesity through local environmental health initiatives in San Antonio 4

6. Discuss the interdisciplinary, multi agency process used for drafting the policy ordinance by Department of Planning and Community development Describe some of the benefits to the residents and neighborhoods Discuss the benefits to the city administration and businesses LEARNING OBJECTIVES 5

7. Demography of San Antonio Population: 1.7 million Multicultural :59% Hispanic 30% non-Hispanic 7% Afro Americans 3% Asians South & Westside population:80% Hispanic Northeast & North central: 30% Hispanic Persons below 45 years: 79% Some population have greater burden of health problems One in three children and two in three adults are in unhealthy weight 6

8. San Antonio Council Districts 1-10 7

9. Bexar County 2010 Population by Race/Ethnicity Population Source: U.S. Census Bureau, 2010 Total 1.7 Million 8

10. Bexar County 2010 Age Distribution Population Source: U.S. Census Bureau, 2010 MaleFemale 9

11. Bexar County - Educational Attainment 10 (Population 25 Years and Over)

12. 2010 Household Income Bexar County 11

13. Obesity in Bexar County One in 3 children Two in 3 adults ChildrenAdults Fitness gram data 2009-10BRFSS 2010 12

14. San Antonio City Council passed COMPLETE STREETS POLICY on SEPT 29, 2011 COMPLETE STREETS POLICY on SEPT 29, 2011 http://www.sanantonio.gov/planning/regionalplanning/comp letestreets.aspx 13

15. Complete Streets Policy definition A. Supports roadways that take into account all users, including people driving cars, using transit, riding bikes, walking, and using wheelchairs. B. Includes people of all ages and abilities, including children, older adults, and persons with disabilities. C. Considers the function of the road (e.g. local, collector, and arterial) and the level of vehicular, pedestrian, and bicycle traffic will be considered. D. Road type determined by land use adjacent to the road 14

16. Progression in Complete Streets Policy Metropolitan Planning Organization- Transportation Policy - March 2009 Supports Complete streets City Council Resolution for Mission Verde 2010 -Building a 21 st Century Economy Creation of an integrated efficient, multi-modal surface transportation system SA 2020 vision – Community visioning Triple miles of Complete streets Triple public transportation ridership Triple pedestrian oriented neighborhoods 15

17. Process in “Complete Streets” Created Complete Streets coalition Participation by Public Works, Office of Environmental Policy (OEP) Metropolitan Planning Organization (MPO) San Antonio Metropolitan Health District (SAMHD) VIA, AACOG, TXDOT Convened workshops to prioritize and set goals to have success and most impact 16

18. Role of Interagency work groups Research Complete Streets implementation in other cities Conduct photo voice to gain community perspective in San Antonio Created unique Complete Streets definition Checklist for CS implementation Assess the built environment in SA 17

19. Interagency working group Capital Improvements CIMS Planning & Community Development MetroHealth Office of Environmental Policy Parks & Recreation Public Art Office of Historic Preservation VIATXDOT Bexar County MPO AACOGCPS Energy 18

20. Benefits to the residents and neighborhoods Enhance choice of mobility–all modes of travel–bike, walk, car, bus Facilitate physical activity for daily needs–pedestrians, Bike Master Plan Improve quality of life, health and safety Neighborhood connectivity to benefit all members of the city 19

21. Benefits to the residents and neighborhoods 20

22. Downtown: Before & After 21

23. Downtown: Before & After Wider sidewalks with pavers and street trees Bike lanes with traffic separator On street parking for businesses, hospital 22

24. Benefits to the city administration and businesses Checklists for 2012 Bond projects Implementation, Assessment and Outreach (December 2011) Multi-modal level of services (MMLOS) analysis and training (February 2012) Will amend some Unified Development codes Formulate Major Thoroughfare Plan (MTP) for San Antonio Complete Streets Build Better Block @ Siclovia (March 2012) 23

25. MMLOS Checklist created under CPPW grant Multimodal Level of Service evaluates traffic impacts of pedestrian, bicycle & transit facilities Prioritizes Complete Streets components for roadways City staff being trained in software to assess streets proposed for Complete Streets 24

26. Building Better Blocks–2012 Building Better Blocks Temporary on-street installation March 2012 Temporary on-street installation March 2012 Demonstrates potential to create a walkable, vibrant neighborhood center Demonstrates potential to create a walkable, vibrant neighborhood center Over 20,000 people attendedOver 20,000 people attended 25

27. Better Block–Siclovia 3/4/2012 Bicycle lanes and bike parking Sidewalk cafes and pop-up businesses Landscape trees and rain gardens 26

28. COMPLETE STREETS – 2012 AND BEYOND Policies are taking the community forward to healthier streets 2011 Complete Streets Policy 2011 SA B-cycle bike sharing 2012 Pedestrian Safety Action Plan (MPO) 2012 Public Works Traffic Calming Manual 2012 CIMS Design Guidance Manual 2012-2015 Hemisfair Complete Streets design + construction 2012-2017 Public investment through 2012 Bond 2012-2022 Housing Authority new communities 27

29. Acknowledgement with thanks to John Berlanga Senior Management Analyst, Metro Health Dr. Anil Mangla-Epidemiologist, Metro Health Dr. Isabela Lucas, Technical Consultant ICF Macro Jeremy Beer, CPPW 28

30. For more information Mary Thomas, Senior Management Analyst, San Antonio Metropolitan Health District, San Antonio TX mary.thomas@sanantonio.gov 210 207 5371

31. THANK YOU

32. Any questions ?