1. Health & Planning ACT Canada Summit December 2,2014

2. Health & Planning Why concerned about AT and HBE’s? Leading causes of illness and death Heart disease, hypertension, stroke, diabetes and cancer PH mandate, responsibility Improve health, reduce illness and deaths from chronic disease PH Standards, Strategic Plan 2

3. Health & Planning Conditions linked to: Low PA Overweight and obesity Adults and children Track forward 3

4. Health & Planning Adults Physical Activity 150 minutes MVPA/week YR – 53% inactive Weight 50% overweight/obese 4

5. Health & Planning Children Physical Actvity 60 minutes MVPA/day YR - 19% of students grades 7 -12? Can Health Measures Survey – accelerometry data – 7% and lower among adolescents Weight 25% overweight or obese (CHMS = 31.5% - ages 5 -17) 5

6. Health & Planning Challenge Create conditions, environment, policies, facilitate and support behaviour – partnership, advocacy Population Health Approach Advocacy and partnerships affect conditions influence health Policy, social & built environments 6

7. Health & Planning Communities increasingly car dependent PA designed out of communities recreation and sport insufficient Design PA back into daily lives – more utilitarian - increase reliance on walking, cycling and public transit Travel to work, school, shopping, services, health care, visiting friends & family Public transit associated with increased AT 7

8. Health & Planning Effectiveness Obesity High level of AT (> 150 minutes/week) ↓ risk of hypertension by 24%, DM by 31% 150 minutes MVPA 19% ↓ in mortality – 24% ↓ with 1 hour/day Studies in Copenhagen & Shanghai Regular cyclist commuters ↓mortality rates by 30% 8

9. Health & Planning Additional health and economic benefits from decreasing injuries, air pollution and GHG emissions City of Toronto (2014) 1300 premature deaths; 3,550 hospitalizations/year 42% of deaths; 55% hospitalizations traffic related ↓ by shift to walking, cycling, public transit 9

10. Health & Planning How Trips < 7km → cycling < 2km → walking More compact community design (smart growth) Increased density, mixed uses Street connectivity, complete streets (not just cars) Safe walking and cycling infrastructure Green and open spaces 10

11. Health & Planning How Partnership Community and Transportation planners & engineers Schools, other community groups Complementary goals 11

12. Health & Planning Tools HEAT - WHO Healthy Communities Practice Guide – CIP Intersections – Health & BE – Urban Land Institute HBE Linkages Toolkit - BC Active Design Guidelines – NYC Health & Env. Enhanced Land Use Planning Tool – TPH Healthy Development Index - Peel 12

13. Health and Planning 13 BC HBE Linkages Toolkit – Linkages summary

14. Health & Planning YR Partnerships Community and Transportation Planning Long Range and Strategic Planning School boards (School Travel Planning ) Building Healthy Communities workgroup Activities Comments – Regional and Municipal Official Plan & Review MOHLTC Strategic Plan – Healthy Environments, Natural & Built Public Health & Planning 101 (OPHA, OPPI) Active Transportation Working Group and Bike Summit School Travel Planning Summary of health data related to HBE 14