Where the rubber hits the road

(1)

Where the rubber

hits the road

Strategies, successes, and

lessons learned in

completing the streets of

the Puget Sound region

Cascade Bicycle Club + Public Health –

Seattle & King County + City of Burien

(2)

Presenters

• Kadie Bell Sata, (formerly) Public Health –

Seattle & King County

• Tessa Greegor, Cascade Bicycle Club

• Max Hepp-Buchanan, Cascade Bicycle Club

• Dori Babcock, (formerly) City of Burien

(3)

Presentation Outline

• Introduction to Communities Putting

Prevention to Work (CPPW)

• Role of Public Health in CPPW and

Complete Streets

• Introduction to Cascade Bicycle Club

• Previous Complete Streets work

(4)

Presentation Outline

• Role of Cascade in CPPW and

Complete Streets

• Case study: City of Burien

• The road ahead: Puget Sound region

and beyond

(5)

Communities Putting

Prevention to Work

• $15m grant funding from the Centers

For Disease Control and Prevention

(CDC) to Public Health – Seattle &

King County

• Objective to lower obesity rates and

reduce health disparities (largest in

the nation)

(6)

Communities Putting

Prevention to Work

• Several areas of intervention: PE

curriculum, healthy foods in cafeterias,

soda tax, safe routes to schools,

healthy food access, land use, joint

use agreements, access to recreation,

etc.

(7)

1999

**Obesity Trends* Among U.S. Adults**

BRFSS, 1990, 1999, 2009

(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2009 1990

(8)

Obesity Trends* Among U.S. Adults

BRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

(9)

Obesity Trends* Among U.S. Adults

BRFSS, 1986

(10)

Obesity Trends* Among U.S. Adults

BRFSS, 1987

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

(11)

Obesity Trends* Among U.S. Adults

BRFSS, 1988

(12)

Obesity Trends* Among U.S. Adults

BRFSS, 1989

(13)

Obesity Trends* Among U.S. Adults

BRFSS, 1990

(14)

Obesity Trends* Among U.S. Adults

BRFSS, 1991

(15)

Obesity Trends* Among U.S. Adults

BRFSS, 1992

(16)

Obesity Trends* Among U.S. Adults

BRFSS, 1993

(17)

Obesity Trends* Among U.S. Adults

BRFSS, 1994

(18)

Obesity Trends* Among U.S. Adults

BRFSS, 1995

(19)

Obesity Trends* Among U.S. Adults

BRFSS, 1996

(20)

Obesity Trends* Among U.S. Adults

BRFSS, 1997

(21)

Obesity Trends* Among U.S. Adults

BRFSS, 1998

(22)

Obesity Trends* Among U.S. Adults

BRFSS, 1999

(23)

Obesity Trends* Among U.S. Adults

BRFSS, 2000

(24)

Obesity Trends* Among U.S. Adults

BRFSS, 2001

(25)

**Obesity Trends* Among U.S. Adults**

BRFSS, 2002

(26)

Obesity Trends* Among U.S. Adults

BRFSS, 2003

(27)

Obesity Trends* Among U.S. Adults

BRFSS, 2004

(28)

Obesity Trends* Among U.S. Adults

BRFSS, 2005

(29)

Obesity Trends* Among U.S. Adults

BRFSS, 2006

(30)

Obesity Trends* Among U.S. Adults

BRFSS, 2007

(31)

Obesity Trends* Among U.S. Adults

BRFSS, 2008

(32)

Obesity Trends* Among U.S. Adults

BRFSS, 2009

(33)

Obesity in King County

• 1 in 5 youth in King County is overweight or

obese

• Although steady since 2004, youth obesity

rates remain unacceptably high

• Rates are highest among males, youth of

color and those in south King County

• Obesity in childhood is likely to continue into

adulthood, and increases the risk for

(34)

Disparities in Childhood

Obesity in King County

(35)

National Attention Turns

to Obesity Prevention

• In 2008, the annual healthcare cost of

obesity in the US was estimated to be

as high as 147 billion dollars a year,

double the amount a decade ago

• Annual medical expenses for the

obese are estimated to be 42%

higher than for a person of a healthy

(36)

National Attention Turns

to Obesity Prevention

• Affordable Care Act expands

healthcare access to 30 million

Americans

(37)

Communities Putting

Prevention to Work

“A historic commitment to wellness

initiatives will keep millions of

Americans from setting foot in

the doctor's office in the first

place -- because these are

preventable diseases and we're

going to invest in prevention.”

– President Barack Obama,

(38)

$2.2 Trillion Spent in 2007

Health

Behaviors

50%

Environment

20%

Access to Care 10%

Genetics

20%

Prevention 4%

Medical

Services

96%

Factors Influencing

Health

National

Health

Expenditures

SOURCE: CDC, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000

(39)

Factors that Affect Health

Examples

Eat healthy, be

physically active

Rx for high blood

pressure, high

cholesterol, diabetes

Poverty, education,

housing, inequality

Immunizations, brief

intervention, cessation

treatment, colonoscopy

Fluoridation, 0g trans

fat, iodization,

smoke-free laws, tobacco tax

Socioeconomic Factors

*And Racism

Changing the Context

to make individuals’ default

decisions healthy

Long-lasting

Protective Interventions

Clinical

Interventions

Counseling

& Education

Smallest

Impact

Largest

Impact

(40)

Changing the Context

with Complete Streets

Making the healthy choice (walking,

(41)

Intro to Cascade

Bicycle Club

• Non-profit organization serving

14,000 members & the Puget

Sound bicycling community

• Mission: to Create a Better

Community Through Bicycling

• Advocacy, Policy & Planning,

(42)

Previous Complete

Streets Work

• Since 2007, Cascade has worked with

communities across the central Puget

Sound region to develop, adopt &

implement Complete Streets ordinances

• First ordinance adopted in Kirkland, WA

(2007)

• 19 jurisdictions have a Complete Streets

policy (WA)

(43)

Complete Streets

Central Puget

Sound Region

(44)

The Impact

Planned Complete Streets Project (Before)

Linden Ave, Seattle

(45)

The Impact

Planned Complete Streets Project (After)

Linden Ave, Seattle

(46)

The Impact

Complete Streets Project (Before)

Sedro Wooley, Washington

(47)

The Impact

Complete Streets Project (After)

Sedro Wooley, Washington

(48)

Role of Cascade in

CPPW

• 6 focus jurisdictions in King County

– Communities with high rates of health

disparities

– Burien, SeaTac, Des Moines, Snoqualmie,

Federal Way & Kent

• To provide technical guidance and

education around the adoption of

active transportation policies

(49)

Role of Cascade in

CPPW

• Complete Streets

– Best practices for policy & design

– Case studies

• Multimodal Level of Service

– Bicycle, Transit and Pedestrian LOS

models

– Local examples

– Focus tool: 2010 Highway Capacity

Manual (integrated MMLOS

framework)

Integrated Multimodal LOS Framework (2010 HCM) User Type AM PK Hr PM PK Hr Auto C E Transit B C Bicycle D C Pedestrian C D

(50)

Role of Cascade in

CPPW

• Non-motorized Transportation

Project Prioritization Methodologies

– Tools for quantifying and prioritizing

non-motorized projects based on health,

safety, environment, mobility & equity

benefits

– Focus tool: King County Transportation

Programming Tool

(51)

Transportation Programming Tool Examples

Total Score

Demand (Net Residential Density)

(52)

Workshops

• Conducted 13 workshops

• Key participants

– City staff (Public Works, Planning,

Community & Economic Development)

– Elected Officials

– Local advocates and community

stakeholders, residents

(53)

(54)

Guides

• Developed and distributed

3 comprehensive user

guides on each key

policy/planning topic

(55)

(56)

Ongoing Support

• Continue to serve as a technical

resource for each community

around active transportation plans,

policies and infrastructure designs

• Provide community engagement to

(57)

Ongoing support:

(58)

Role of Cascade in

CPPW

Education of the community

Education of city staff

Education of elected officials

Holding elected officials

(59)

Holding Elected

Officials Accountable

• Where the education of the

community comes full-circle

• Organization of residents to ensure

elected officials do what they say

they are going to do

(60)

Holding Elected

Officials Accountable

• Letter writing/email campaign

• Lobby meetings

• Testimony at public hearings

• Publicly “thank” or “spank”

(61)

• Population: 47,000

• Most diverse community within Washington state

Case Study: City of Burien

King

County Des Moines Burien/ SeaTac/ Tukwila Bellevue Mercer

Life

Expectancy

81.0

79.8

78.4

83.7

85.3 Diabetes

5.4 %

5.6%

8.3 4.1%

2.7%

No LPA in 0

15.2%

19.8%

22.2%

15.2%

8.3%

(62)

Case Study: City of Burien

• Grant process

• City objectives

• CPPW in Burien

(63)

Case Study: City of Burien

Complete Streets in Burien

• Assessed needs

• Interdepartmental collaboration

• Leveraging of all resources (City

(64)

Case Study: City of Burien

Complete Streets in Burien

• Collaboration and innovation

• Education of City Planning

Commission, City Council, staff, and

community

• Recommendations and Complete

Streets adoption

(65)

Case Study: City of Burien

Lessons Learned

• Interdepartmental collaboration

• Timeline agreement with all moving

parts

• Communication to ALL

stakeholders

(66)

The road ahead: Complete

Streets in the Puget Sound

region and beyond

• State level work

– HB 1071

– HB 1700

(67)

House Bill 1071

• Created the Complete Streets and Main

Street Highways grant program

• Signed into law on May 5, 2011

• Provides local jurisdictions with incentives to

adopt Complete Streets ordinances

• Directs WSDOT to work with local

communities to create safe roadway

environments on main street highways

(68)

House Bill 1700

• “Modifying the requirements related to

designing various transportation

projects”

• Signed into law on March 23, 2012

• Gives cities and counties the flexibility to

use updated guidelines for designing

(69)

Federal Complete

Streets Work

• In-district and D.C.

meetings with each member

of the WA delegation

• Meetings with our Bike

Business Forum

• Alerts, emails,

communications

• Collaboration with national

partners

(70)

Federal Complete

Streets Work

• Groundswell of support

– Cascade augmented work of our

national partners with 428 supportive

emails to Senator Cantwell (D-WA, on

Commerce Committee)

(71)

Federal Complete

Streets Work

• The outcome

– Amendment S.1950 passed

unanimously out of committee so that

the Senate’s bill, MAP-21, includes

Complete Streets policy

(72)

Federal Complete

Streets Work

• The details

– Gives guidance (and requirement) to states

without Complete Streets policies

– States with compliant Complete Streets

policies get federal waiver

– U.S. Transportation Secretary “shall

establish standards…to ensure…

accommodation… of motorized and

non-motorized users”

(73)

“This is the end of favoring

motorized transportation

at the expense of

non-motorized.”

– Sec. Ray LaHood,

USDOT

(74)

Question and Answer/

Discussion Panel

(75)

Contact Info

Feel free to follow up by email

• Max Hepp-Buchanan

(MaxHB@cascadebicycleclub.org)

• Tessa Greegor

(Tessa.Greegor@cascadebicycleclub.org)

• Kadie Bell Sata (Kadie.Bell@gmail.com)

• Dori Babcock (Dori.Babcock@wsu.edu)