Presentation from NACCHO 2013 Annual Conference featuring Erica Salem, MPH, Deputy Commissioner, Chicago Department of Public Health, Kathleen Dickhut, BA, MSLA, Deputy Commissioner, City of Chicago Department of Housing and Economic Development, Luann Hamilton, BA, MS, Deputy Commissioner, Chicago Department of Transportation, and Stephanie Whyte, MBA, FAAP, Chief Health Office, Chicago Public Schools. This session highlights how non-public health City of Chicago agencies work with the Chicago Public Health Department to develop and implement a broad array of policy, systems, environmental, and programmatic solutions to public health challenges. While the work is occurring under a unified framework, each agency is able to contribute while fulfilling its unique mission.

1. An Intergovernmental Approach
to Public Health Improvement

2. IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
IT’S ABOUT HOW WE
BEHAVE AS A CITY

3. Session Overview
• Healthy Chicago Overview
• Agency Engagement
– Housing and Economic Development
– Chicago Public Schools
– Transportation
– Other City Agency Contributions
• Discussion

4. Healthy Chicago
• Released in August 2011
• Blueprint for public health improvement
• 12 priorities 193 strategies
• Few explicitly identified strategies for other City
agencies

6. It Takes A City
• Convened Interagency Implementation Council
– Leverage missions to improve public health
– Work collectively on policy change
– Project-specific partnerships
– Heighten awareness of public health impacts of
respective work

8. Healthy
Food Chicago:
A Recipe for Healthy Places

9. What type of epidemic is
obesity? Non-communicable –
looks like a disease of place
and environment.

10. Strategies
1. BUILD HEALTHIER NEIGHBORHOODS: Focus planning and programs in
communities with an elevated risk for obesity-related diseases
2. GROW FOOD: Create systems of productive landscapes
3. EXPAND HEALTHY FOOD ENTERPRISES: Support businesses and social
enterprises that produce and distribute healthy food
4. STRENGTHEN THE FOOD SAFETY NET: Ensure that residents can eat well
regardless of income
5. SERVE HEALTHY FOOD AND BEVERAGES: Change the culture of eating at
work meetings, festivals, sports gatherings, community activities and places
of worship
6. IMPROVE EATING HABITS: Help people discover appealing, nutritious foods
A Recipe for Healthy Places
Check out the food plan - www.cityofchicago.org/hed

11. City of Chicago
city licensing data
Feeding
America
data
Chicago Department
of Public Health data

12. A Recipe for Healthy Places
1. Build Healthier
Neighborhoods
Identified communities with
elevated risk for obesity-
related diseases

13. 2. Grow Food
Create systems of public open
spaces for large-scale food
growing, job training and food-
related education activities
A Recipe for Healthy Places

14. 2. Grow Food
Create systems of public
open spaces for large-
scale food growing, job
training and food-related
education activities
A Recipe for Healthy Places

15. 60% Population decline
1940 = 375,000 2010 = 147,967
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
100,000
Population
Englewood West Englewood New City Woodlawn Washington Park
Green Healthy Neighborhood Land Use Strategy

16. Green Healthy Neighborhood Land Use Strategy

17. • Housing
• Retail
• Green infrastructure
• Cultural and historic resources
• Manufacturing
• Open space and trails
• Productive landscapes
Green Healthy Neighborhood Land Use Strategy

21. Defined Community garden
– Growing food for education, recreation or
beautification
– Permitted use in:
• Parks and Open Space (POS) 1&2
• Residential (R)
• Business (B)
• Commercial (C)
• Downtown (D)
– Use standards:
• Site area – maximum of 25,000 square feet
• Accessory structures – maximum of 575 square feet
• Incidental sales of produce generated on site is allowed
• Composting allowed per 7-28-715 of the Health and Safety
Code
Zoning Text Amendment for Urban Agriculture Uses
Districts that permit community
garden uses

22. Zoning Text Amendment for Urban Agriculture Uses
Defined Urban farm
– Indoor, outdoor and rooftop growing
– Permitted uses in:
• Indoor: B3, C1 - C3, DS, all M, all PMDs
• Outdoor: C1 - C3, DS, M2&M3, PMD
9,10&13
• Rooftop: (S) B3, C1-C3, all D, M1-M3, all
PMDs
– Use standards:
• Accessory retail sales – maximum 3000
square feet (In M and PMD)
• More flexible screening and landscape
requirements
• Parking requirement of 1 space per 4
employees
• Composting allowed per 7-28-715 of the
Health and Safety Code
Districts that permit urban farm
uses

23. Stephanie A. Whyte, MD, MBA
Chief Health Officer
Chicago Public Schools

24. Alignment with Citywide Agenda
Tobacco
Obesity
Adolescent Health
Access to Care
Violence
Comm. Diseases
HIV
Infrastructure

25. CPS Chief Health Officer
• First ever. Dually positioned...a member of CPS
Senior Leadership as well as direct report to
Commissioner of Health Department
• Oversees the CPS newly created Office of Student
Health and Wellness (OSHW).
• Responsible for Healthy CPS – an initiative of Healthy
Chicago
• External partnerships & intentional collaborations.
• Two main responsibilities:
o Prioritize student health and wellness with district.
o Create a Healthy Chicago Public School system.
May 29, 2013

26. Office of Student Health and Wellness
• The Office of Student Health and Wellness aims to
remove health-related barriers to learning such that
students may succeed in college and career.
• Our vision is “the Chicago Public School district will
become the national benchmark for student health
and wellness.”
• Our primary objectives:
Health policy
Health education
Health promotion
Direct services
May 29, 2013

27. May 29, 2013

28. LEAD FOCUS MOVE
PLAY EAT DINE
REWARDFUNDRAISECELEBRATE

29. Physical Education
• Increase quality
• Scope and sequence
• Curriculum map
• Professional development
• Increase quantity
• High school PE pilot
• 30+20+10
• Minds in Motion

30. February 2013 30
Sexual Health Education Policy
• Revised in February 2013 to align topic areas with new
National Sexuality Education Standards (January 2012).
• Education that builds foundation of knowledge and skills
related to human development, relationships, decision-
making, abstinence, medically-recommended contraception
and disease prevention.
• Teaches sexual health education beginning in Kindergarten
through 12th
grades with minimum teaching minutes for all
grades.
– Grades K-4 - foundational instruction including: anatomy and physiology,
reproduction, healthy relationships and personal safety.
– Grades 5-12 - expands on the foundational instruction to include: abstinence,
healthy relationships (including informed decision-making, sexual orientation,
gender identity and personal safety) medically-recommended contraceptives,
transmission and prevention of sexually transmitted infections (including HIV).

31.  Student oral health services increased 18%
 113,000 students served in 2011-2012
 Services expanding to 106 high schools
Public Schools and Public Health
 City invests $1.4M in new vision program
 30,000 students to get optometry exam and
eyeglasses as needed

32. Access to Care, Adolescent Health, Violence
• From 28 schools to 40+
• 6147 tested in 2011-2012
• 436 positive; 98% treated
STI Education/Screening
• 9,900 students, parents,
educators
• 12 high need middle/high
schools
• Evidence-based curricula, social
media, youth ambassadors
Teen Dating Violence
• 4500 students in 28 schools
• 18 topical lessons
• Peer group meetings
• Community service projects
Teen Pregnancy

33. Collaboration with City Agencies
Transportation
Public Health
Park District

34. Complete Streets Chicago

35. Complete streets - designing streets for all users
Implementing safety strategies from Pedestrian Plan
Managing vehicle speeds through automated enforcement
100 miles of innovative bike lanes in Mayor Emanuel’s first term
Bike share bringing 4,000 bikes to 400 stations Summer 2013
Make streets safe for all users

36. CDOT Goals
• Eliminate traffic crash fatalities in ten years
• Reduce pedestrian and bike crash injuries 50% in five years
• Reach 50% of commute trips made by walking, biking, transit,
and working from home by 2030 (currently 38%)

37. Driving is down; transportation choices up
Annual Vehicle
Miles Traveled
Chicago Annual Vehicle Miles

38. Complete Streets Policy (2006)
“The safety and convenience of all users of the transportation
system including pedestrians, bicyclists, transit users, freight,
and motor vehicle drivers shall be accommodated and
balanced in all types of transportation and development
projects and through all phases of a project so that even the
most vulnerable - children, elderly, and persons with
disabilities - can operate safely within the public right of way.”

39. Partners
• Complete Streets Guide and Make Way for Play made
possible by Healthy Places, initiative of Healthy Chicago
• Collaboration between Chicago Department of Public Health,
and Consortium for Lowering Obesity in Chicago Children
(CLOCC) at Lurie Children’s Hospital of Chicago
• Funded by Centers for Disease Control and Prevention’s
Communities Putting Prevention to Work

40. Complete Streets Design Guide

41. Modal Hierarchy:
Pedestrian First

43. The people of Chicago cultivate,
encourage, and enjoy mutual
respect on our streets.
People choose to be pedestrians
because the experience is the
safest, most connected,
accessible, and above all, the
most enjoyable.
Because we are committed to a
strong pedestrian environment
as an essential part of our
complete transportation system,
we area a healthier, more
livable city.
Visionstatement

44. Tools for Safer Streets

45. Safety
our goals
› Eliminate pedestrian fatalities in ten
years
› Reduce serious pedestrian injuries by
50% every five years
how we’ll do it
› Design and build safer streets for
pedestrians
› Encourage and enforce safe driving,
walking, and biking behaviors
› Make Chicago’s streets secure from
crime and violence

46. Health
our goals
› Increase the number of pedestrian trips
for enjoyment, school, work, and daily
errands
› Increase the mode share of pedestrian
trips for enjoyment, school, work, and
daily errands
how we’ll do it
› Develop and support pedestrian
programs and events
› Develop and support pedestrian
encouragement policies

47. Livable Streets: Placemaking in the Public Way
Photo: Bike Walk Lincoln
Park
Mike Chino
Gordon Walek
Doug Knuth
Bike Walk Lincoln Park

48. Make Way for Play

49. Bicycle Planning in Chicago
The Bike 2000 Plan
•1992 “Plan to make Chicago bicycle-friendly by 2000”
•29 recommendations on education, encouragement,
engineering & enforcement
• Chicago Streets for Cycling Plan 2020
• 2012 citywide network plan of 600 miles of bike facilities
• Safe and comfortable for all Chicagoans
• Focus on protected bike lanes and neighborhood greenways
Bike 2015 Plan
•2006 “Vision to make bicycling an integral part of daily life in
Chicago”
•150 strategies to increase bicycle use and reduce crashes

50. Dearborn Street Complete Street
Dearborn Street - Before Dearborn Street - After

51. Bike Sharing in
Chicago
Summer 2013
4,000 bikes
400 stations

52. Safe Routes Ambassadors
• Pedestrian and bicycle
safety training for 2nd
and 5th
graders
– in-class presentation
– outdoor on-foot activity
• Priority to high pedestrian
crash areas
• 125-150 schools & 12-
16,000 students/year
• Evaluation report fall 2013

53. Stay In Touch!
Website
www.chicagodot.org
Twitter
@ChicagoDOT
Facebook
facebook.com/CDOTNews
53

54. IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
IT’S ABOUT HOW WE
BEHAVE AS A CITY

55. FOOD ACCESS

56. FOOD ACCESS

57. Tobacco Use

58. Other Priorities

59. Key Supports

60. facebook.com/ChicagoPublicHealth@ChiPublicHealth
312.747.9884
www.CityofChicago.org/Health
HealthyChicago@CityofChicago.org