LA County’s Approach to Health in All Policies

LA County Dept. of Public Health PLACE Program

Policies for Livable Active Communities and Environments

Louisa Franco, MPH Policy Analyst

lfranco@ph.lacounty.gov September 2012

LA County Strategic Goals County: Create a physical

environment that is conducive to good health by encouraging and enabling residents to make healthy choices

DPH: Address elements of the physical environment to improve population health and reduce disparities.

PLACE: Foster policy change that supports the development of healthy, active environments

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Cities/Communities with Lowest and Highest Childhood Obesity Prevalence, 2008

*Table excludes cities/communities where number of students with BMI data < 500. Source: California Physical Fitness Testing Program, California Department of Education. Includes 5th, 7th, and 9th graders enrolled in LA County public schools; 2000 Census

Top 10*

City/Community Name Obesity

Prevalence (%)

Rank of Economic Hardship (1 - 128)

Manhattan Beach 3.4 2 Calabasas 5.0 8 Hermosa Beach 5.1 1 Agoura Hills 5.3 10 Beverly Hills 5.4 19 Malibu 5.9 4 Palos Verdes Estates 7.3 5 San Marino 7.8 15 Rolling Hills Estate 8.4 9 La Canada Flintridge 8.5 18 Average 10 lowest 6.2% Ave Median Household Income $99,555

Bottom 10*

City/Community Name Obesity

Prevalence (%)

Rank of Economic Hardship (1 - 128)

West Athens 30.6 94 South Gate 30.7 110 Florence-Graham 31.0 128 West Whittier-Los Nietos 31.1 81 West Carson 31.4 56 Vincent 32.2 69 East Los Angeles 32.9 117 Hawaiian Gardens 33.4 107 South El Monte 34.5 111 Walnut Park 38.7 113 Average 10 highest 32.7% Ave Median Household Income $37,747

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Foster Change in Cities & Communities

The Whittier Greenway Trail

1. Comment on city, county and regional plans

2. Fund cities and nonprofits

3. Partner with cities

1. Comment on City, County and Regional Plans

• County’s General Plan • Southern California Association of

Government (SCAG) Regional Transportation Plan (RTP) – Dept. of Public Health estimated cost to build

bikeable, walkable communities in SCAG region: $37 Billion to $59 Billion

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2. Fund Cities and Nonprofits to Create Healthy Environments

• County funds • Federal grant funds

– First CDC grant $16 million (2 years) – Second CDC grant $10 million (5 years)

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What Have We Funded?

• Bicycle and Pedestrian Master Plan • Health Element of a General Plan • Complete Streets Policies • Joint-Use Policies • Healthy Vending, Corner Store

Conversions

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Upcoming HEAL Grants • Funded by Community Transformation

Grant ―Part of the Affordable Care Act

• Fund up to 8 agencies to develop HEAL strategies ―Active Transportation Plans ―Open Streets Events

• $125K per year for approx. 4 years • Grantees announced in late 2012

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Additional Active Living Strategies Funded by CTG

• Promote increased transportation funding for pedestrian and bike infrastructure

• Adopt and implement a health and wellness element in LA City General Plan and enact health-enabling ordinances

• Expand the Parks After Dark Program

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3. Partner with Cities

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Childhood Obesity Prevalence in Los Angeles County Cities (2008)

*Table excludes cities/communities where number of students with BMI data < 500.

Source: California Physical Fitness Testing Program, California Department of Education. Includes 5th, 7th, and 9th graders enrolled in LA County public schools.

10 Lowest*

City Obesity

Prevalence (%)

Manhattan Beach 3.4

Calabasas 5.0

Agoura Hills 5.3

Beverly Hills 5.4

Palos Verdes Estates 7.3

Rolling Hills Estates 8.4

Arcadia 10.1

South Pasadena 10.2

Glendora 10.9

El Segundo 11.4

Average 10 lowest 7.7%

10 HPI Cities*

City Obesity

Prevalence (%)

Palmdale 23.1

Inglewood 26.8

Gardena 27.3

San Fernando 27.4

Lynwood 27.7

La Puente 27.8

Pomona 28.6

Compton 29.0

Huntington Park 30.3

South Gate 30.7

Average 27.9%

Healthy Policies Initiative

• 10 cities with high childhood obesity rates – outreach and presentations

• 4 of these cities – free technical assistance for policy change efforts

• PLACE staff working with City staff (and electeds) to offer assistance to make one policy change

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City of Lynwood – Bike and Pedestrian Master Plan

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City of Pomona Active Transportation Plan

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Huntington Park and South Gate Safe Routes to School Plans

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Focus Bike and Ped Efforts in High Need Communities

• Low-income communities with high rates of childhood obesity need the most help

• Crime and violence (real or perceived) • Cities have limited resources

– Matching funds – Grant writers

• Bike and pedestrian issues are not a top priority for residents

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Louisa Franco

DPH PLACE Program www.ph.lacounty.gov/place lfranco@ph.lacounty.gov