Westwood
Health Impact Assessment
Scoping Workshop
March 26, 2015
12:30-2:30pm
Denver Department of Environmental Health
Community Planning & Development
SWIC , Westwood, Denver
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.
3
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
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
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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 place
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
City Staff, Steering
Committee, Public Input -
Recommendations
2) Identify potential effects on health if
the project happens
Mar-May 2015
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 March 2015
de enfoque
Evaluación
Dos partes:
1) Conducir investigación historial sobre
la salud de la vecindad
March-April-May 2015
2) Identificar los posibles efectos a la
salud si el proyecto se lleva a cabo
Recomendaciones
Identificar las acciones para hacer
frente a los peligros identificados
June-July-August 2015
Presentación Escribir un informe con
de informes
recomendaciones para usar como
testimonio publico
El otoño 2015
(antes Neighborhood Plan)
Monitoreo
2016
Monitorizar los impactos en la toma
de decisiones, la actual decisión, y
los efectos del proyecto en la salud
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Westwood Neighborhood Plan HIA Pathway Diagram
Potential
Changes from
the
Neighborhood
Plan
∆ Land Uses
(residential,
commercial,
gathering spaces)
∆ Transportation
Infrastructure
∆ Public
Resources
(parks, recreation)
∆ Other
Resources (food
stores, health
clinics)
Near-Term
Outcome
Long-Term
Outcome
∆ Physical Activity
∆ Chronic
Disease:
∆ Access To Resources
• Safe Spaces for Recreation,
Gathering
• Healthy Foods & Beverages
• Retail stores & services
• Youth Activities
•Quality Schools
∆ Access to Jobs, Income
∆ Access to Quality Housing
(safe, affordable, adequate
space)
∆ Access to Transportation
(walk, bike, drive, bus, pedestrian
safety)
∆ Community Safety
Infrastructure
• Street Lighting
• Crime reporting
•Crime Prevention Through
Environmental Design
(CPTED)
∆ Access to health services
DRAFT 3-26-15
Intermediate
Outcome
• Quality, affordable medical
care
•Mental health care
• Prenatal care
• Family resource programs
• 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
• Obesity
• Diabetes
• Cardiovascular
Disease
• Cancer
∆ Lead
Poisoning
∆ Asthma
∆ Allergies
∆ Injuries
∆ Chronic Stress
∆ Social Support
∆ Mental Health
∆ Acute Illnesses
∆ Infant and child
health
Plan Comunitario de Westwood HIA Diagrama Direccional
Cambios
Potenciales para
el Plan
Comunitario
∆ Uso de suelo
(residencial,
comercial, lugares
de esparcimiento)
∆ Infraestructura
de
Transportación
∆ Lugares
Públicos
(parques,
recreacionales)
∆ Otros Recursos
(Tiendas de
comida, clínicas de
salud)
Resultados a
Corto 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 Empleos e
Ingresos
∆ Acceso a Vivienda de Calidad
(segura, económica, espacios
adecuados)
∆ Acceso a Transportación
(Caminando, bicicleta, manejando,
autobús, seguridad peatonal)
∆ Infraestructura Comunitaria Segura
• Iluminación de calles
• Reporte de crimen
• Prevención de crimen a través de
diseños ambientalistas(CPTED)
∆ Acceso a los servicios de salud
DRAFT 3-26-15
• Calidad, cuidado médico económico
•Cuidado de salud mental
• Cuidado prenatal
• Programas de recursos para la
familia
Resultados a
Mediano
Plazo
∆ Actividad Física
• Niños caminando a la
escuela
∆ Alimentación Saludable
∆ Conflictos peatonal/
vehicular
Resultados a
Largo Plazo
∆ Enfermedades
Crónicas:
• Obesidad
• Diabetes
• Enfermedad
cardiovascular
• Cáncer
∆ Casas sobrepobladas,
desplazamientos
∆ Envenenamiento
por plomo
∆ Asma
∆ Alergias
∆ Exposición al plomo y
hongo(moho)
∆ Lesiones
∆ Aislamiento Social
∆ Crimen &Violencia
(actualmente & percibido)
• Robos
• Grafiti
• Animales sueltos
∆ Abuso de Sustancias /
Acceso a los Jóvenes
• Alcohol
• Tabaco
• Marihuana
∆ Estrés Crónico
∆ Ayuda
Sociológica
∆ Salud Mental
∆ Enfermedades
Agudas
∆ Salud Infantil
Westwood HIA
Identify health “scope”
Feb-Mar 2015
Steering Committee + Public Input
Conduct research; share
draft recommendations
Summer 2015
Steering Committee + Public Input
Draft HIA report
Early fall 2015
Steering Committee + Public Input
Final HIA report
Fall 2015
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Slide 1 - City and County of Denver