Westwood Health Impact Assessment

Scoping Workshop

March 26, 2015 12:30-2:30pm SWIC , Westwood, Denver

Denver Department of Environmental Health Community Planning & Development

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HIA Definition

What is a Health Impact Assessment (HIA)?

A way to judge how a project or plan will affect a

group’s health, and to identify actions that can

prevent or manage the harmful health effects.

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Definición del HIA

¿Que es una Evaluación de los Impactos a la Salud (HIA)?

Una forma de juzgar las maneras que un proyecto o plan afectará

la salud de un grupo, y para identificar acciones que pueden

prevenir o controlar los efectos peligrosos para la salud.

What is Health?

Health is the state of complete physical, mental and social well-being and not merely the absence of disease or infirmity

- World Health Organization

What is the built environment?

All the human-made settings and surroundings that comprise our communities: homes, schools, office buildings, parks, transportation networks, utility systems

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Factors Responsible for Population Health

Health status is determined by: Genetics: up to 30%Clinical Care: ~15% Health Behaviors: ~20%Environmental Conditions: ~5%Social and Economic Factors ~30%

Booske, et. al. 2010. County Health Rankings Weighting Methodology

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Los Factores que son Responsables por la Salud

El estado de la salud se determina por: Las genéticas ~30%; La atención medica ~15%Comportamientos de salud~20%Condiciones amibentales ~5%Condiciones sociales y económicas ~30%

Booske, et. al. 2010. County Health Rankings Weighting Methodology

Health determinants = factors that lead to health outcomes

HIA SCOPE:

Which health determinants are important to Westwood that

can be impacted by the Neighborhood Plan?

- Housing (quality, affordability)– Community safety (injury accidents, crime, lighting, safe places

for kids to play)– Health care services (incl. mental health)– Healthy food– Physical activity (parks, bike & walk, recreation)– Transportation (bus service, biking, sidewalks)– Jobs and employment– ??

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What is the HIA Process?Step of HIA Description Timeline for Westwood

Neighborhood Plan HIA

Screening Do we need an HIA? Would it be valuable?

Yes (per City Council 2014 Priorities)

Scoping Clarify and prioritize issues to focus on Steering Committee and Public Input – Feb-Mar 2015

Assessment Two parts:

1) Conduct background research on health in the neighborhood

2) Identify potential effects on health if the project happens

City Staff, Steering Committee, Public Input - Mar-May 2015

Recommen-dations

Identify actions to address the harms identified

City Staff, Steering Committee, Public Input – June-Aug 2015

Reporting Write a report as public comment with recommendations

City Staff ,Steering Committee, Public Input –Fall 2015 (before Neighborhood Plan is complete)

Monitoring Track impacts on decision-making processes, the actual decision, and effects of the project on health

2016

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¿Cuál es el proceso de la HIA?Paso de HIA Descripción Cronología por HIA de

Westwood

Filtración ¿Por qué necesitamos HIA? Sería valioso?

Si – por City Council

Inquisición Clarificar y dar prioridad a los temas de enfoque

March 2015

Evaluación Dos partes:

1) Conducir investigación historial sobre la salud de la vecindad

2) Identificar los posibles efectos a la salud si el proyecto se lleva a cabo

March-April-May 2015

Recomenda-ciones

Identificar las acciones para hacer frente a los peligros identificados

June-July-August 2015

Presentación de informes

Escribir un informe con recomendaciones para usar como testimonio publico

El otoño 2015(antes Neighborhood Plan)

Monitoreo Monitorizar los impactos en la toma de decisiones, la actual decisión, y los efectos del proyecto en la salud

2016

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Potential Changes from

the Neighborhood

Plan

Intermediate Outcome

Near-Term Outcome

Long-TermOutcome

∆ Access To Resources• Safe Spaces for Recreation,

Gathering• Healthy Foods & Beverages• Retail stores & services• Youth Activities•Quality Schools

∆ Access to Transportation (walk, bike, drive, bus, pedestrian safety)

∆ Injuries

∆ Chronic Disease:

• Obesity• Diabetes• Cardiovascular

Disease• Cancer

∆ Land Uses (residential, commercial,

gathering spaces)

∆ Transportation Infrastructure

∆ Public Resources

(parks, recreation)

∆ Other Resources (food

stores, health clinics)

∆ Acute Illnesses

∆ Lead Poisoning

∆ Asthma

∆ Allergies

∆ Community Safety Infrastructure• Street Lighting • Crime reporting• Crime Prevention Through

Environmental Design (CPTED)

∆ Chronic Stress

∆ Social Support

∆ Mental Health

Westwood Neighborhood Plan HIA Pathway Diagram

∆ Physical Activity• Kids walking

to/from school

∆ Healthy Eating

∆vehicle/pedestrian conflicts

∆ Housing crowding, displacement

∆ Lead, mold exposure

∆ Social isolation

∆ Crime & violence (actual & perceived)

• Burglaries• Graffiti• Loose Animals

∆ Substance Abuse / Youth Access

• Alcohol • Tobacco• Marijuana

∆ Access to health services• Quality, affordable medical

care•Mental health care• Prenatal care• Family resource programs

∆ Infant and child health

∆ Access to Quality Housing (safe, affordable, adequate space)

∆ Access to Jobs, Income

DRAFT 3-26-15

Cambios Potenciales para

el Plan Comunitario

Resultados a Mediano Plazo

Resultados a Corto Plazo

Resultados a Largo Plazo

∆ Acceso a los Recursos• Lugares seguros para recreación

y esparcimiento • Alimentos y Bebidas Saludables • Pequeños Negocios y Servicios• Actividades para jóvenes•Escuelas de calidad

∆ Acceso a Transportación (Caminando, bicicleta, manejando, autobús, seguridad peatonal)

∆ Lesiones

∆ Enfermedades Crónicas:

• Obesidad• Diabetes• Enfermedad

cardiovascular• Cáncer

∆ Uso de suelo (residencial,

comercial, lugares de esparcimiento)

∆ Infraestructura de

Transportación

∆ Lugares Públicos (parques,

recreacionales)

∆ Otros Recursos (Tiendas de

comida, clínicas de salud) ∆ Enfermedades

Agudas

∆ Envenenamiento por plomo

∆ Asma

∆ Alergias

∆ Infraestructura Comunitaria Segura• Iluminación de calles• Reporte de crimen • Prevención de crimen a través de

diseños ambientalistas(CPTED)

∆ Estrés Crónico

∆ Ayuda Sociológica

∆ Salud Mental

Plan Comunitario de Westwood HIA Diagrama Direccional

∆ Actividad Física• Niños caminando a la

escuela

∆ Alimentación Saludable

∆ Conflictos peatonal/ vehicular

∆ Casas sobrepobladas, desplazamientos

∆ Exposición al plomo y hongo(moho)

∆ Aislamiento Social

∆ Crimen &Violencia (actualmente & percibido)

• Robos• Grafiti• Animales sueltos

∆ Abuso de Sustancias / Acceso a los Jóvenes• Alcohol• Tabaco• Marihuana

∆ Acceso a los servicios de salud• Calidad, cuidado médico económico•Cuidado de salud mental • Cuidado prenatal• Programas de recursos para la

familia

∆ Salud Infantil

∆ Acceso a Vivienda de Calidad (segura, económica, espacios adecuados)

∆ Acceso a Empleos e Ingresos

DRAFT 3-26-15

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Westwood HIA

Identify health “scope” Feb-Mar 2015Steering Committee + Public Input

Conduct research; share draft recommendationsSummer 2015Steering Committee + Public Input

Draft HIA reportEarly fall 2015Steering Committee + Public Input

Final HIA reportFall 2015