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Our Land Our Health 1

The Healthy Places Toolkit and Leadership Academy is designed to help community members better understand how land use policies effect health, engage in the decision-making process, and advocate for policies that will create healthier communities.

James Aranda

on 20 July 2016

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Transcript of Our Land Our Health 1

Built Environment
What is
a Healthy Neighborhood?
What Do YOU
Want YOUR Community To Be?
Helpful Websites

Bernalillo County PLACE MATTERS


Unnatural Causes: Is Inequality Making Us Sick?

Change Lab Solutions: Law & Policy Innovation for the Common Good

Smart Growth America: Making Neighborhoods Great Together

The US Human Rights Network

New Mexico Health Equity Partnership

Design for Health – Planning Information Sheet: Integrating Health into Comprehensive Planning

Pass laws and regulations

Carry out laws and regulations

Provide services to the public

Listen to the public

Roles and Responsibilities

Safe Streets
Public Space and Amenities
Neighborhood design plays a big part in creating more equitable health outcomes or reinforcing existing health disparities
Where we play
Where we work
Where we live
Sample Call Sheet “rap”

PLACE MATTERS seeks to involve community members in our cause as we advocate for for our health and justice, and for communities where everyone has access to what they need to be healthy. As community members begin to engage in the decision-making process, they see the importance in organizing their community.
Research your issue- find any and all information related to your issue
Critically examine your resources- people, organizations, time, etc.

Set goals and targets- start with the person who has the power to give you what you want

Recruit support- neighbors, organizations, community leaders
Strategize and Act- decide what actions will help you achieve your goals
Regroup- evaluate your success and decide next steps
Organizing Your Community
(Source: Design for Health: www.designforhealth.net)

Comprehensive planning is one approach to linking the traditional notions of planning (land use, transportation, community facilities, housing, and parks and open space) with health themes (physical activity, the nature environment, public safety, healthy eating, mental health, social capital, pollutants, and epidemiological issues).

Comprehensive plans can help facilitate decisions about health and the built environment. To do so, it is important to understand state and regional regulations that often require a consistent set of elements where health topics can be interwoven.

There are four approaches to incorporate health into comprehensive planning: plan update, corrective/selective amendments, revised codes and ordinances, and a separate health-related plan.
Health Equity and Planning

Sources: -Prevention Institute – The Built Environment and Health
-Sector Planning and Health for the International District, UNM CRP Program
-A Citizen’s Guide to LEED for Neighborhood Development)

Neighborhood conditions impact our health by making healthy choices easy, difficult, or impossible.

Physical and economic access to sources of healthy food such as community gardens, farmer’s markets, full-service grocery stores, or other sources of fruit and vegetables is associated with higher intakes of health foods and reduced risk of chronic disease.

Access and proximity to parks and open space improves community health by providing opportunities for physical activity, social interaction, mental relaxation, and reduced stress.
Why does land use matter?
When opportunities for walking and biking are limited and time spent traveling in a vehicle increases, overall physical activity is reduced, contributing to obesity and potentially increasing the risk for chronic disease.
Source: A Citizen’s Guide to LEED for Neighborhood Development
What is a Neighborhood?

SAMPLE Call Sheet - Parks Meeting - call in results to : Joe Schmoe, 123-4567 by Wednesday at 7 pm.

"Hi, my name is __________________, and I'm calling for the Mountain View Neighborhood. Do you have children in school?“

IF YES: We're having a meeting about the playground tomorrow night over at the school at 7:30. Have your children ever been injured on the broken equipment? (LISTEN) Have they ever been cut or hurt on the asphalt? (LISTEN) Would you like to have a safe, well equipped facility to send them to? Well, this is what we're working for. We have the head of Parks for the City coming, and we want to show him just how many people want action. Will you be able to come to the meeting?

IF NO: Have you ever been bothered by the kids hanging out on the corners or playing on the street? (LISTEN) Does it bother you that the parks on the other side of the river have brand new equipment, and kids here in Mountain View have to play in the glass and asphalt, on broken swings? Did you know they just spent $28,000 to put grass in the park on Country Club Road, and it's been 14 years since they spent a dime on our park? We're having a meeting about the playground tomorrow night over at the school at 7:30. We have the head of Parks for the City coming, and we want to show him just how many people want action. Will you be able to come to the meeting?

Names & Numbers-------------------- Yes -----------No -------------------------Ride

Source: Prevention Institute –
The Built Environment and Health
People in communities with convenient, safe walking paths and accessible sources of fresh fruits and vegetables are more likely to be more physically active and have healthier diets than those in communities with high crime rates, few parks or walking paths, numerous alcohol and tobacco outlets, and little access to fresh food.
Everything around us that we build
buildings, houses, roads, businesses, parks...

Plays a significant role in shaping health

Is the healthy choice the easy choice where you live, work and play?
What is the built environment?

A neighborhood is more than a territory within a boundary drawn on a map. It is a place with its own unique character and function, where people can live, work, shop, and interact with their neighbors.

The most sustainable neighborhoods have high levels of walkability, a sense of place, social cohesion and stability, and neighborhood resiliency amidst changing economic and sociopolitical conditions.


Our Land Our Health
What is in this Toolkit?
The Healthy Places New Mexico Toolkit is a multi-media training and resource manual.

The goal is to give you a better understanding of how LAND USE POLICY and the BUILT ENVIRONMENT effect YOUR HEALTH and give you the information you need to engage in the decision-making process.

Also inside this toolkit are real-world examples of how commuity members in other places have engaged in the land use decision-making process, what the results were, and lessons learned.

*Funding for this Toolkit was made possible (in part) by the Centers for Disease Control and Prevention. The views expressed in written materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsements by the U.S. Government.




Our Land
Our Health
Why a Land Use Toolkit?

Visually, the Toolkit resembles a molecule.

A community also resembles a large molecule made up of people, policies, rights, and relationships, all of which affect our everyday lives.

Like a molecule, the Toolkit is designed to be functional, multidimensional, and adaptable.

Like a molecule, our communities can be changed. The land use decision process can also be changed. We hope this toolkit will help you get involved.

Getting Informed: Legal Ads
Increased vehicular travel, also increases per capita vehicle emissions, which increases exposure to pollutants and the risk of respiratory and cardiovascular diseases.
Public Health
“Planning...works to improve the welfare of people and their communities by creating more convenient, equitable, healthful, efficient, and attractive places for present and future generations”
Source: American Planning Association
What is Planning?
public administration
Urban Design
Law & Policy
Through research and analysis, Planners assess the causes of social, economic, political, and spatial issues and develop goals, objectives, and strategies to address the issues of a place.

To accomplish this, Planners engage policy makers, governmental staff, stakeholders, and the public at large in a planning process where participants develop a vision for the future which in turn becomes the framework for land use policy.
What do Planners Do?
Source: American Planning Association
More to Come!
More to Come!
More to Come!
Healthy Neighborhood Exercise
The purpose of this exercise is to give community members an introduction to the type of analysis conducted in the urban design discipline and help them to identify the things a community needs to be healthy.

Participants will be organized in groups and assigned a neighborhood block within walking distance of the Community Land Use Academy location.

The groups will then observe and analyze their assigned neighborhood for approximately 30 minutes. Groups will then work for about 20-30 minutes to develop a set of recommendations to make the neighborhood a healthier place. After, each group will present their findings and recommendations to the larger group.

Exercise Guidelines:
• Assess the block’s physical/spatial layout, its land uses and ability to foster social interaction and a diversity of uses, and whether it has community resources such as parks, open space, and community services.

• Analyze the healthiness of the neighborhood by determining if its layout and characteristics promote or prohibit access to healthy food and physical activity.

Healthy people need healthy environments, including neighborhoods, schools, childcare centers, and workplaces.

Our environments need to be designed in ways that help us access healthy foods and be physical activity in our daily routines.
Health is influenced by the places where people live, work, play, and learn, as well as through the interaction of a community’s social, physical, economic, and cultural environment.

People organize to:
Improve their lives;

Demonstrate to people their own power;

Alter the relations of power and change institutions.
The Public Hearing

People who want to speak at the hearing must sign in and take a seat in the audience. People who wish to make public comment are called based upon the order of the sign in sheet, and if speaking about a matter on the agenda will have to take an oath to tell the truth.
The Chair is responsible for keeping order and running the hearing.
Call to Order
Sign In
Public comments related to agenda items such as land use requests take place after the applicant makes their case for their request. Board members may or may not ask questions of speakers. Like general public comment, there is usually a time limit of 2-3 minutes.
After testimony has been heard on an agenda item, the Chair may call for a vote.

Possible actions are to APPROVE, DENY, or TABLE (delay) a decision.
The Clerk is responsible for recording the meeting and accepting testimony and documents into the public record.
Voting or Other Action
The Chair calls the hearing to order, explains the rules, and calls for the first item on the agenda.
Public comments on matters unrelated to specific agenda items usually have a designated time during the hearing (At the Chair's discretion, but usually take place between general business and action items). General public comments usually have a time limit of 2-3 minutes.
Public Comment
Public comments usually will be limited to two minutes and will be recorded, so having your message
organized is important
The public hearing is your opportunity to present your opinion, relevant information, and findings on the matter under consideration.

To have the most impact, your testimony should be honest, concise, and include any suggestions that you believe should be considered before any action is taken.
Making Public Comments
Testimony can be made in person and/or in written form through returned notices, letters, faxes, or e-mails.

Generally, appearing in person will have the most impact, but you will still want a hard copy of your commentary to be included in the official record.

There is no way to accurately predict the number of persons who may present testimony, and the amount of testimony and the complexity of the debate sets the meeting timetable.
Organizing Your Public Comment
healthful food comes from a food system where food is produced, processed, transported, and marketed in ways that are environmentally sound, sustainable and just.

Healthful Food Principles
Healthful Food is wholesome.

It includes whole and minimally processed fruits, vegetables, whole grains, legumes, nuts, seeds, eggs, dairy, meats, fish, and poultry.
It contains naturally occurring nutrients (e.g., vitamins, minerals, phyto-nutrients)
It is produced without added hormones or antibiotics.
It is processed without artificial colors or flavors or unnecessary preservatives.
Healthful Food is produced, processed, and transported in a way that prevents the exploitation of farmers, workers, and natural resources, and the cruel treatment of animals. The process of healthful food production:

Upholds the safety and quality of life of all who work to feed us.
Treats all animals humanely.
Protects the finite resources of soil, water, air, and biological diversity.
Supports local and regional farm and food economies.
Replaces fossil fuels with renewable energy sources.
Healthful Food should be available, accessible, and affordable to everyone.

Distributed equitably among all communities.
Available and emphasized in children's environments such as childcare, school, and after-school settings.
Promoted within institutions and workplaces, in cafeterias, vending machines, and at meetings and events.
Reflective of the natural diversity found in traditions and cultures.

Consider this when preparing your comments:
If you have never been to a public hearing before, attend one to observe what happens
Create an outline of what you want to say.
You only have time to
make 2 or 3 key points.
Practice your comments
so you know how long they will take.
Begin with your name, address and your affiliation to any relevant groups.
Clearly state your position (for or against) the issue at hand.
Tell the Board about any professional expertise that is important for the issue at hand.
Coordinate your comments with your neighbors
Whenever possible, show how the issue (permit, zone change...) agrees with or does not agree with the local area plan
It is great to show the Board your passion for the issue
Be respectful even if you think certain Board members disagree with you
Giving Your Comments to a Board or Commission



Should encourage physical activity
Access to healthy food
farmers markets
When people have easy access to healthy foods, people tend to eat healthy diets
Do you have easy access to healthy food where you live and work?
People walk more when they feel safe on the sidewalk and crossing the road.
Regular walking lowers stress, lowers obesity, is great for the heart, and helps you connect with others.
what I eat
what I eat
Is healthy food near me?
Do I live or work in a
"food desert"?
community design,
time to cook
knowledge to cook
Do I have someone to teach me or
the resources to learn on my own?
How many jobs
do I have?
addiction to salty &
fatty foods
cost of food
healthy food costs
more than fast food
policies that subsidize
certain ingredients
(watch Weight of a Nation chap 4)
my budget
income (s)
tax laws
business owner
or employee
tax laws
family culture
& support
Health in All Policies
enough income for bills,
housing costs
Neighborhood associations
need to push City and County
government to adopt
health in all policies
Community painted crosswalks & intersections
Call 857-8680 to have a street evaluated
Walkability tools
Many examples exist online
Do you walk for leisure or to get where you need to go?
Full transcript