1 00:00:01,280 --> 00:00:05,600 Okay let's go ahead and get started. So 2 00:00:03,760 --> 00:00:07,440 I'm so pleased to welcome you all to the 3 00:00:05,600 --> 00:00:08,800 Division of Nutrition, Physical Activity 4 00:00:07,440 --> 00:00:11,440 and Obesity 5 00:00:08,800 --> 00:00:13,440 Seminar Series. This is our second in the 6 00:00:11,440 --> 00:00:15,280 reboot that we've done of our seminar 7 00:00:13,440 --> 00:00:17,039 series and these will be posted 8 00:00:15,280 --> 00:00:19,760 eventually online so you can watch it 9 00:00:17,039 --> 00:00:22,480 again and check it out. I'm your 10 00:00:19,760 --> 00:00:24,320 moderator today um I'm Janelle Gunn. I 11 00:00:22,480 --> 00:00:27,359 lead the Office of Policy, Partnerships, 12 00:00:24,320 --> 00:00:30,640 and Communications in the division. So 13 00:00:27,359 --> 00:00:32,480 thanks folks who were have been on and 14 00:00:30,640 --> 00:00:34,239 filled out the poll and we'll kind of 15 00:00:32,480 --> 00:00:36,480 we'll get started here. 16 00:00:34,239 --> 00:00:39,440 So just a little bit of housekeeping um 17 00:00:36,480 --> 00:00:41,840 as we get started. So first, this Zoom 18 00:00:39,440 --> 00:00:43,760 seminar call is being recorded so if 19 00:00:41,840 --> 00:00:45,120 you're not comfortable with being on a 20 00:00:43,760 --> 00:00:46,559 recorded call, we ask that you 21 00:00:45,120 --> 00:00:47,920 disconnected this time. And you could 22 00:00:46,559 --> 00:00:50,399 always watch it 23 00:00:47,920 --> 00:00:52,239 on playback later on our website. 24 00:00:50,399 --> 00:00:54,559 To have the best experience, we encourage 25 00:00:52,239 --> 00:00:56,559 you to use the Zoom webinar app or 26 00:00:54,559 --> 00:00:58,559 website to view slides and to 27 00:00:56,559 --> 00:01:01,680 participate in today's meeting. 28 00:00:58,559 --> 00:01:03,440 All participants have been muted. 29 00:01:01,680 --> 00:01:05,600 Following the three presentations, we 30 00:01:03,440 --> 00:01:07,920 will have a Q and A so if you look on your 31 00:01:05,600 --> 00:01:09,840 Zoom and on the bottom you see the Q and A 32 00:01:07,920 --> 00:01:10,799 box. That's a great place for you to 33 00:01:09,840 --> 00:01:12,320 enter your 34 00:01:10,799 --> 00:01:14,640 enter the questions that you have for 35 00:01:12,320 --> 00:01:16,320 our speakers and we'll get through most 36 00:01:14,640 --> 00:01:17,680 of those at the end of the session. So at 37 00:01:16,320 --> 00:01:19,520 any time when you kind of think of your 38 00:01:17,680 --> 00:01:20,400 question, go ahead and put it in and 39 00:01:19,520 --> 00:01:24,320 we'll be 40 00:01:20,400 --> 00:01:26,720 queuing those up for the Q and A portion. 41 00:01:24,320 --> 00:01:29,520 So I'm really excited uh to be joined 42 00:01:26,720 --> 00:01:31,600 today by three great speakers um to have 43 00:01:29,520 --> 00:01:32,960 a whole afternoon focused on, or morning 44 00:01:31,600 --> 00:01:36,640 depending on where you're joining us 45 00:01:32,960 --> 00:01:39,840 from, uh focused on physical activity so 46 00:01:36,640 --> 00:01:41,680 our first speaker is Dr. Jeff Whitfield. 47 00:01:39,840 --> 00:01:43,280 He leads the Epidemiology and 48 00:01:41,680 --> 00:01:45,759 Surveillance team within the Physical 49 00:01:43,280 --> 00:01:47,759 Activity and Health Branch at CDC. 50 00:01:45,759 --> 00:01:49,680 He holds a Master's degree in 51 00:01:47,759 --> 00:01:51,759 exercise physiology and a PhD in 52 00:01:49,680 --> 00:01:54,479 epidemiology from the University of 53 00:01:51,759 --> 00:01:57,119 Texas system. He joined CDC as an EIS 54 00:01:54,479 --> 00:01:58,560 officer in 2013 and his research 55 00:01:57,119 --> 00:02:00,560 interests include 56 00:01:58,560 --> 00:02:02,560 health impacts of transportation related 57 00:02:00,560 --> 00:02:06,560 physical activity environments that 58 00:02:02,560 --> 00:02:06,560 support walking and bicycling 59 00:02:07,360 --> 00:02:10,239 in public health surveillance and 60 00:02:08,640 --> 00:02:12,959 physical activity. 61 00:02:10,239 --> 00:02:14,879 Our next speaker will be uh Ken Rose. Ken 62 00:02:12,959 --> 00:02:16,640 is the Chief of our Physical Activity 63 00:02:14,879 --> 00:02:18,480 and Health Branch in the Division of 64 00:02:16,640 --> 00:02:21,760 Nutrition, Physical Activity, and Obesity 65 00:02:18,480 --> 00:02:23,840 which we call DNPAO. so if you hear DNPAO 66 00:02:21,760 --> 00:02:26,640 throughout the seminar today, you'll know 67 00:02:23,840 --> 00:02:28,319 about what that is. Ken has extensive 68 00:02:26,640 --> 00:02:29,920 experience and policy systems and 69 00:02:28,319 --> 00:02:32,160 environmental supports for physical 70 00:02:29,920 --> 00:02:33,760 activity and manage the creation of 71 00:02:32,160 --> 00:02:35,680 Active People, Healthy Nation. You'll hear 72 00:02:33,760 --> 00:02:37,200 more about that today. He directs the 73 00:02:35,680 --> 00:02:38,879 branch of scientific and partner 74 00:02:37,200 --> 00:02:42,000 strategy and has had 75 00:02:38,879 --> 00:02:44,879 a 25-year career at CDC holding multiple 76 00:02:42,000 --> 00:02:46,640 leadership positions in the agency. 77 00:02:44,879 --> 00:02:49,280 And lastly I'm really pleased to join 78 00:02:46,640 --> 00:02:50,400 Armand Turner. He's a Physical Activity 79 00:02:49,280 --> 00:02:53,280 Program manager 80 00:02:50,400 --> 00:02:55,360 at the YMCA of Coastal Georgia. Here 81 00:02:53,280 --> 00:02:57,840 Armand is working with African-American 82 00:02:55,360 --> 00:03:00,159 people with lower incomes within within 83 00:02:57,840 --> 00:03:02,720 the county to improve their ability to 84 00:03:00,159 --> 00:03:04,560 live healthier and more active lives. 85 00:03:02,720 --> 00:03:06,640 As a professional in recreation in the 86 00:03:04,560 --> 00:03:08,480 recreation field, Armand works to provide 87 00:03:06,640 --> 00:03:10,000 quality recreation and wellness 88 00:03:08,480 --> 00:03:13,280 betterment opportunities for all 89 00:03:10,000 --> 00:03:15,280 populations including, but not limited to, 90 00:03:13,280 --> 00:03:16,080 people with and without disabilities, 91 00:03:15,280 --> 00:03:19,760 youth 92 00:03:16,080 --> 00:03:23,120 adults young adults and seniors. 93 00:03:19,760 --> 00:03:25,680 So our agenda for today we uh as I just 94 00:03:23,120 --> 00:03:27,840 shared, we'll have uh the three speakers 95 00:03:25,680 --> 00:03:29,360 and some Q A. And what we'll be doing is 96 00:03:27,840 --> 00:03:31,120 we'll be walking through recent research 97 00:03:29,360 --> 00:03:32,560 on the benefits of and barriers to 98 00:03:31,120 --> 00:03:34,640 physical activity. 99 00:03:32,560 --> 00:03:37,200 Looking at physical activity. Activity 100 00:03:34,640 --> 00:03:39,120 trends over the past 20 years. 101 00:03:37,200 --> 00:03:41,440 Hear about some new resources and tools 102 00:03:39,120 --> 00:03:43,599 from Active People Healthy Nation. 103 00:03:41,440 --> 00:03:45,440 And lastly how the YMCA of Coastal 104 00:03:43,599 --> 00:03:47,360 Georgia Healthy Savannah is creating 105 00:03:45,440 --> 00:03:48,879 activity-friendly routes to everyday 106 00:03:47,360 --> 00:03:50,799 destinations. 107 00:03:48,879 --> 00:03:52,720 So very exciting. 108 00:03:50,799 --> 00:03:55,280 I'm really excited 109 00:03:52,720 --> 00:03:56,879 for the focus on physical activity today. 110 00:03:55,280 --> 00:03:59,040 Regular physical activity is one of the 111 00:03:56,879 --> 00:04:01,280 best things we can do 112 00:03:59,040 --> 00:04:02,879 do for our health. 113 00:04:01,280 --> 00:04:04,560 And we know that only about half of 114 00:04:02,879 --> 00:04:06,640 adults are meeting physical activity 115 00:04:04,560 --> 00:04:07,840 recommendations and even fewer are 116 00:04:06,640 --> 00:04:09,439 meeting the 117 00:04:07,840 --> 00:04:11,439 additional recommendation of muscle 118 00:04:09,439 --> 00:04:13,360 strengthening activities. 119 00:04:11,439 --> 00:04:15,120 Here in DNPAO, we aim to increase 120 00:04:13,360 --> 00:04:17,680 equitable and inclusive access to safe 121 00:04:15,120 --> 00:04:19,440 places to be physically active. DNPAO 122 00:04:17,680 --> 00:04:20,959 utilizes a broad evidence base to 123 00:04:19,440 --> 00:04:22,960 improve population health and promote 124 00:04:20,959 --> 00:04:25,040 health equity with strategies from the 125 00:04:22,960 --> 00:04:27,360 community guide, the Physical Activity 126 00:04:25,040 --> 00:04:29,360 Guidelines for Americans, and the Surgeon 127 00:04:27,360 --> 00:04:31,840 General's Call to Action to promote 128 00:04:29,360 --> 00:04:33,199 walking and walkable communities. 129 00:04:31,840 --> 00:04:35,440 So let's dig into the benefits of 130 00:04:33,199 --> 00:04:37,440 physical activity. I will now pass the 131 00:04:35,440 --> 00:04:40,880 virtual microphone over to my colleague 132 00:04:37,440 --> 00:04:40,880 Dr Jeff Whitfield. Jeff. 133 00:04:41,360 --> 00:04:46,639 Hey thank you Janelle. I appreciate it um 134 00:04:43,759 --> 00:04:48,000 thanks for the opportunity to talk today 135 00:04:46,639 --> 00:04:49,280 I'm going to start by saying that 136 00:04:48,000 --> 00:04:50,479 physical activity is one of the best 137 00:04:49,280 --> 00:04:51,360 things that people can do for their 138 00:04:50,479 --> 00:04:53,120 health. 139 00:04:51,360 --> 00:04:54,720 Many people are aware of the long-term 140 00:04:53,120 --> 00:04:56,320 benefits that you can see on the right 141 00:04:54,720 --> 00:04:58,639 side of this graphic including 142 00:04:56,320 --> 00:05:00,240 prevention of heart disease diabetes and 143 00:04:58,639 --> 00:05:02,000 several cancers. 144 00:05:00,240 --> 00:05:03,680 But physical activity also has immediate 145 00:05:02,000 --> 00:05:06,479 benefits that can be enjoyed after just 146 00:05:03,680 --> 00:05:09,039 a single episode of physical activity 147 00:05:06,479 --> 00:05:10,960 including improved sleep, reduced anxiety 148 00:05:09,039 --> 00:05:12,400 and reduced blood pressure. 149 00:05:10,960 --> 00:05:14,479 And the bottom line is that physical 150 00:05:12,400 --> 00:05:17,840 activity is an incredibly powerful tool 151 00:05:14,479 --> 00:05:21,600 for improving health and well-being. 152 00:05:17,840 --> 00:05:23,360 In 2018 a group of experts reviewed and 153 00:05:21,600 --> 00:05:24,880 summarized the science on physical 154 00:05:23,360 --> 00:05:27,520 activity and health to determine the 155 00:05:24,880 --> 00:05:29,039 amounts and types of physical activity 156 00:05:27,520 --> 00:05:30,880 that improve health. 157 00:05:29,039 --> 00:05:32,479 And the end result of this process was 158 00:05:30,880 --> 00:05:34,880 the Physical Activity Guidelines for 159 00:05:32,479 --> 00:05:36,400 Americans Second Edition. And i'll point 160 00:05:34,880 --> 00:05:39,360 out a couple of highlights on the screen 161 00:05:36,400 --> 00:05:41,840 here for the various groups for um 162 00:05:39,360 --> 00:05:43,840 for youth and adolescents daily physical 163 00:05:41,840 --> 00:05:45,440 activity is important. And some of that 164 00:05:43,840 --> 00:05:46,880 physical activity should be at vigorous 165 00:05:45,440 --> 00:05:48,639 intensity. 166 00:05:46,880 --> 00:05:50,160 Also muscle strengthening and bone 167 00:05:48,639 --> 00:05:52,639 strengthening activities are important 168 00:05:50,160 --> 00:05:55,199 for youth and adolescence. 169 00:05:52,639 --> 00:05:58,240 For adults the guidelines recommend at 170 00:05:55,199 --> 00:06:00,639 least 150 minutes per week of moderate 171 00:05:58,240 --> 00:06:02,880 intensity aerobic physical activity 172 00:06:00,639 --> 00:06:04,720 plus muscle strengthening activity on at 173 00:06:02,880 --> 00:06:06,080 least two days per week. 174 00:06:04,720 --> 00:06:08,080 And then for older adults the 175 00:06:06,080 --> 00:06:11,120 recommendation is the same for adults 176 00:06:08,080 --> 00:06:12,639 but it adds balance exercises. 177 00:06:11,120 --> 00:06:14,319 So those are the those are the amounts 178 00:06:12,639 --> 00:06:17,919 and types of physical activity that are 179 00:06:14,319 --> 00:06:20,160 important for maximizing health benefits. 180 00:06:17,919 --> 00:06:22,000 Unfortunately many people don't get the 181 00:06:20,160 --> 00:06:24,240 levels of physical activity they need to 182 00:06:22,000 --> 00:06:26,240 achieve health benefits. Only about one 183 00:06:24,240 --> 00:06:28,240 in four adults and one in six high 184 00:06:26,240 --> 00:06:30,960 school students fully meet the physical 185 00:06:28,240 --> 00:06:34,240 activity guidelines. And about 37 percent 186 00:06:30,960 --> 00:06:36,080 of adults age 65 or older are inactive. 187 00:06:34,240 --> 00:06:38,080 That is they they report no leisure time 188 00:06:36,080 --> 00:06:40,000 physical activity. 189 00:06:38,080 --> 00:06:41,680 In addition to the benefits noted before 190 00:06:40,000 --> 00:06:44,400 there's emerging evidence that physical 191 00:06:41,680 --> 00:06:46,960 activity improves immune function and 192 00:06:44,400 --> 00:06:49,360 may prevent severe outcomes for people 193 00:06:46,960 --> 00:06:51,440 diagnosed with COVID-19. 194 00:06:49,360 --> 00:06:52,400 What you see here is an excerpt from one 195 00:06:51,440 --> 00:06:54,479 of those 196 00:06:52,400 --> 00:06:58,319 studies. This study in particular looked 197 00:06:54,479 --> 00:07:00,000 at almost 50 000 people with COVID-19 who 198 00:06:58,319 --> 00:07:02,400 also reported their physical activity 199 00:07:00,000 --> 00:07:04,479 levels at least three different times in 200 00:07:02,400 --> 00:07:06,880 medical visits that occurred before they 201 00:07:04,479 --> 00:07:08,400 were diagnosed with COVID-19. 202 00:07:06,880 --> 00:07:10,639 And the researchers then classified 203 00:07:08,400 --> 00:07:12,400 these people into three categories. 204 00:07:10,639 --> 00:07:14,319 Those who were inactive so they 205 00:07:12,400 --> 00:07:15,599 consistently reported little to no 206 00:07:14,319 --> 00:07:17,680 activity. 207 00:07:15,599 --> 00:07:19,360 Those that were inconsistently active so 208 00:07:17,680 --> 00:07:21,039 sometimes they reported activity. And 209 00:07:19,360 --> 00:07:23,120 then those who were consistently active. 210 00:07:21,039 --> 00:07:24,880 That was the most active group that that 211 00:07:23,120 --> 00:07:26,800 always reported being physically active 212 00:07:24,880 --> 00:07:28,880 at those at those visits. 213 00:07:26,800 --> 00:07:31,440 What you see on the screen here is that 214 00:07:28,880 --> 00:07:33,759 among the most inactive patients with 215 00:07:31,440 --> 00:07:36,960 COVID-19, 10 and a half percent were 216 00:07:33,759 --> 00:07:40,160 hospitalized. 2.8 went into the intensive 217 00:07:36,960 --> 00:07:42,160 care unit. And 2.4 percent died. 218 00:07:40,160 --> 00:07:45,039 Now when we add in the inconsistently 219 00:07:42,160 --> 00:07:46,720 active, remember they did some activity, 220 00:07:45,039 --> 00:07:48,800 we can see that they were slightly less 221 00:07:46,720 --> 00:07:50,160 likely to have each outcome. And then 222 00:07:48,800 --> 00:07:52,960 when we add in those who were 223 00:07:50,160 --> 00:07:54,400 consistently physically active. 224 00:07:52,960 --> 00:07:56,560 We can see that they were much less 225 00:07:54,400 --> 00:07:59,280 likely to be hospitalized be admitted to 226 00:07:56,560 --> 00:08:01,120 the ICU or to die of COVID-19 than their 227 00:07:59,280 --> 00:08:02,800 less active peers. 228 00:08:01,120 --> 00:08:04,879 And it's important to note also that in 229 00:08:02,800 --> 00:08:06,960 this study and in others even after 230 00:08:04,879 --> 00:08:10,000 adjusting for things like smoking, past 231 00:08:06,960 --> 00:08:12,800 medical history, age, etcetera this effect was 232 00:08:10,000 --> 00:08:14,800 still present. In fact, being inactive 233 00:08:12,800 --> 00:08:17,360 carried a similar risk for severe 234 00:08:14,800 --> 00:08:19,360 outcomes from COVID-19 as other 235 00:08:17,360 --> 00:08:22,240 well-established risk factors for severe 236 00:08:19,360 --> 00:08:24,639 COVID-19 like diabetes or or even having 237 00:08:22,240 --> 00:08:26,720 had an organ transplant. 238 00:08:24,639 --> 00:08:29,599 So physical activity protects against 239 00:08:26,720 --> 00:08:31,520 severe COVID-19 outcomes but there is 240 00:08:29,599 --> 00:08:32,479 evidence that some U.S. adults have 241 00:08:31,520 --> 00:08:34,320 gotten 242 00:08:32,479 --> 00:08:35,680 less physical activity during the 243 00:08:34,320 --> 00:08:38,240 pandemic. 244 00:08:35,680 --> 00:08:41,519 For example this study or this report 245 00:08:38,240 --> 00:08:43,839 from CDC shows that in June of 2020 246 00:08:41,519 --> 00:08:45,519 nearly one-third of U.S. adults reported 247 00:08:43,839 --> 00:08:47,839 decreased physical activity levels 248 00:08:45,519 --> 00:08:49,760 during the COVID-19 pandemic 249 00:08:47,839 --> 00:08:52,080 compared to White people. Decreased 250 00:08:49,760 --> 00:08:54,399 activity was more likely among Black and 251 00:08:52,080 --> 00:08:56,640 Hispanic people who are also known to be 252 00:08:54,399 --> 00:08:59,120 at risk for severe COVID- 253 00:08:56,640 --> 00:09:01,920 severe illness due to COVID-19 and have 254 00:08:59,120 --> 00:09:03,760 higher rates of chronic diseases. 255 00:09:01,920 --> 00:09:05,279 Notably these groups may not have 256 00:09:03,760 --> 00:09:07,200 adequate neighborhood supports for 257 00:09:05,279 --> 00:09:08,880 physical activity. So this finding really 258 00:09:07,200 --> 00:09:11,440 speaks to the urgent need to make sure 259 00:09:08,880 --> 00:09:15,440 everyone has access to safe and 260 00:09:11,440 --> 00:09:17,600 convenient places for physical activity. 261 00:09:15,440 --> 00:09:19,040 As you may imagine the health benefits 262 00:09:17,600 --> 00:09:21,440 of physical activity can add up to 263 00:09:19,040 --> 00:09:25,279 considerable health care savings. 264 00:09:21,440 --> 00:09:27,680 In an analysis spanning 2006 to 2011 CDC 265 00:09:25,279 --> 00:09:30,000 authors estimated that about 11 266 00:09:27,680 --> 00:09:32,880 of healthcare expenditures among adults 267 00:09:30,000 --> 00:09:34,800 or an amount equivalent to 117 billion 268 00:09:32,880 --> 00:09:36,080 dollars per year is associated with 269 00:09:34,800 --> 00:09:37,839 inadequate physical activity 270 00:09:36,080 --> 00:09:40,720 participation. 271 00:09:37,839 --> 00:09:42,959 Additionally a recent study from the NIH 272 00:09:40,720 --> 00:09:44,320 the National Institutes of Health and 273 00:09:42,959 --> 00:09:45,920 CDC 274 00:09:44,320 --> 00:09:49,200 looked at the physical activity history 275 00:09:45,920 --> 00:09:51,200 of over 20 000 AARP members and their 276 00:09:49,200 --> 00:09:52,240 medicare medicare expenditures later in 277 00:09:51,200 --> 00:09:54,480 life. 278 00:09:52,240 --> 00:09:57,040 They compared people who became active 279 00:09:54,480 --> 00:09:58,800 as adults uh to those who were 280 00:09:57,040 --> 00:10:01,279 consistently inactive throughout their 281 00:09:58,800 --> 00:10:02,959 life and found substantial cost savings 282 00:10:01,279 --> 00:10:05,200 of eight hundred to eighteen hundred 283 00:10:02,959 --> 00:10:07,680 dollars per person per year 284 00:10:05,200 --> 00:10:09,680 where uh early adoption of physical 285 00:10:07,680 --> 00:10:12,160 activity in adulthood was associated 286 00:10:09,680 --> 00:10:13,680 with the larger decrease. 287 00:10:12,160 --> 00:10:15,440 And the important takeaways from this 288 00:10:13,680 --> 00:10:17,680 study were number one if you're 289 00:10:15,440 --> 00:10:19,680 physically active stay that way 290 00:10:17,680 --> 00:10:22,160 and number two adults can benefit from 291 00:10:19,680 --> 00:10:24,160 becoming active later in life and the 292 00:10:22,160 --> 00:10:25,680 earlier the better. 293 00:10:24,160 --> 00:10:27,040 So it's very clear that physical 294 00:10:25,680 --> 00:10:29,839 activity improves the health of 295 00:10:27,040 --> 00:10:31,680 individuals and groups of people but 296 00:10:29,839 --> 00:10:33,760 activity friendly communities experience 297 00:10:31,680 --> 00:10:35,040 additional benefits beyond personal 298 00:10:33,760 --> 00:10:36,800 health. 299 00:10:35,040 --> 00:10:38,959 The types of changes that make a 300 00:10:36,800 --> 00:10:41,920 community activity friendly so think 301 00:10:38,959 --> 00:10:43,360 about sidewalks or walkable or walkable 302 00:10:41,920 --> 00:10:44,160 or bikeable main streets that kind of 303 00:10:43,360 --> 00:10:46,079 thing 304 00:10:44,160 --> 00:10:47,760 can also bring economic improvements 305 00:10:46,079 --> 00:10:50,079 safety improvements and increase 306 00:10:47,760 --> 00:10:52,320 productivity. 307 00:10:50,079 --> 00:10:54,079 All right so uh we've established the 308 00:10:52,320 --> 00:10:56,000 health and other benefits of physical 309 00:10:54,079 --> 00:10:57,680 activity. So now let's take a look at how 310 00:10:56,000 --> 00:10:59,760 physical activity participation is 311 00:10:57,680 --> 00:11:01,200 changing in the U.S. and if anyone's 312 00:10:59,760 --> 00:11:03,519 interested in a deeper dive on this 313 00:11:01,200 --> 00:11:04,800 subject I'll refer you to the um the 314 00:11:03,519 --> 00:11:06,160 supplement mentioned at the bottom of 315 00:11:04,800 --> 00:11:06,959 the screen here 316 00:11:06,160 --> 00:11:09,519 that 317 00:11:06,959 --> 00:11:11,040 that contains 13 different papers on 318 00:11:09,519 --> 00:11:13,279 this subject that are all freely 319 00:11:11,040 --> 00:11:14,480 available on the internet. 320 00:11:13,279 --> 00:11:17,040 Okay so we're going to start with 321 00:11:14,480 --> 00:11:18,880 physical activity among adults. 322 00:11:17,040 --> 00:11:20,560 And uh we'll start with the national 323 00:11:18,880 --> 00:11:23,279 health interview survey 324 00:11:20,560 --> 00:11:25,600 which consistently assessed uh leisure 325 00:11:23,279 --> 00:11:27,519 time aerobic physics and aerobic and 326 00:11:25,600 --> 00:11:30,640 muscle strengthening activity among 327 00:11:27,519 --> 00:11:32,959 adults from 1998 to 2018. 328 00:11:30,640 --> 00:11:35,440 And during this time the proportion of 329 00:11:32,959 --> 00:11:37,839 adults that reported meeting both 330 00:11:35,440 --> 00:11:39,440 the aerobic guideline and the muscle 331 00:11:37,839 --> 00:11:41,920 strengthening guidelines so fully 332 00:11:39,440 --> 00:11:44,320 meeting both guidelines 333 00:11:41,920 --> 00:11:47,360 increased albeit somewhat inconsistently 334 00:11:44,320 --> 00:11:50,880 from 14 in 1998 335 00:11:47,360 --> 00:11:54,000 to 24 in 2018. 336 00:11:50,880 --> 00:11:56,480 And um importantly in in this paper or 337 00:11:54,000 --> 00:11:58,959 in this analysis a really key finding 338 00:11:56,480 --> 00:12:00,480 was that these increases were evident in 339 00:11:58,959 --> 00:12:02,240 all the subgroups that we looked at 340 00:12:00,480 --> 00:12:04,959 including by age 341 00:12:02,240 --> 00:12:07,760 sex race ethnicity and education which i 342 00:12:04,959 --> 00:12:09,920 think we can all agree is is great news. 343 00:12:07,760 --> 00:12:11,600 However despite these widespread 344 00:12:09,920 --> 00:12:13,680 increases, some important differences 345 00:12:11,600 --> 00:12:16,000 remain. And what you see 346 00:12:13,680 --> 00:12:17,600 on the screen here is a deeper dive into 347 00:12:16,000 --> 00:12:19,519 the proportion of adults who meet the 348 00:12:17,600 --> 00:12:21,760 aerobic guidelines. So we're focusing in 349 00:12:19,519 --> 00:12:23,680 on that aerobic guideline now and we've 350 00:12:21,760 --> 00:12:25,680 separated it by income and race 351 00:12:23,680 --> 00:12:27,120 ethnicity at the same time. 352 00:12:25,680 --> 00:12:29,279 And there's a few important takeaways 353 00:12:27,120 --> 00:12:31,680 from this analysis. The first is that 354 00:12:29,279 --> 00:12:33,519 regardless of income level non-hispanic 355 00:12:31,680 --> 00:12:35,519 white people are more likely to report 356 00:12:33,519 --> 00:12:38,399 meeting the aerobic guideline than our 357 00:12:35,519 --> 00:12:40,320 non-hispanic black or Hispanic people. 358 00:12:38,399 --> 00:12:42,480 And this means that 359 00:12:40,320 --> 00:12:44,240 Black and Hispanic people at high income 360 00:12:42,480 --> 00:12:46,399 levels that's the far right side of the 361 00:12:44,240 --> 00:12:48,000 screen have similar activity levels to 362 00:12:46,399 --> 00:12:50,399 White people at moderate income levels 363 00:12:48,000 --> 00:12:52,639 that's in the middle of the screen 364 00:12:50,399 --> 00:12:54,880 and uh Black and Hispanic people at 365 00:12:52,639 --> 00:12:56,000 moderate income levels. So now in the in 366 00:12:54,880 --> 00:12:57,760 the middle of the screen there have 367 00:12:56,000 --> 00:13:00,000 similar activity levels to White people 368 00:12:57,760 --> 00:13:01,519 at lower income levels um on the left 369 00:13:00,000 --> 00:13:03,519 side of the screen. 370 00:13:01,519 --> 00:13:05,680 These analyses also showed that some of 371 00:13:03,519 --> 00:13:06,639 these differences by race ethnicity and 372 00:13:05,680 --> 00:13:08,880 income 373 00:13:06,639 --> 00:13:10,399 have in fact narrowed over time but 374 00:13:08,880 --> 00:13:11,920 important work remains to ensure that 375 00:13:10,399 --> 00:13:13,600 everyone has the opportunity to be 376 00:13:11,920 --> 00:13:15,440 physically active. 377 00:13:13,600 --> 00:13:17,760 Now there's likely many reasons for 378 00:13:15,440 --> 00:13:18,959 these persistent differences and Ken is 379 00:13:17,760 --> 00:13:20,639 going to talk a little bit more about 380 00:13:18,959 --> 00:13:22,639 how to address those in a few moments. 381 00:13:20,639 --> 00:13:24,880 But as i mentioned before, 382 00:13:22,639 --> 00:13:27,279 differences in access to safe and 383 00:13:24,880 --> 00:13:29,760 convenient places for physical activity 384 00:13:27,279 --> 00:13:31,360 are likely a key factor. 385 00:13:29,760 --> 00:13:33,279 Now keep in mind that the previous 386 00:13:31,360 --> 00:13:35,360 slides showed physical activity in 387 00:13:33,279 --> 00:13:37,200 leisure time and 388 00:13:35,360 --> 00:13:39,760 think about going for a walk or playing 389 00:13:37,200 --> 00:13:41,440 basketball jogging etc. 390 00:13:39,760 --> 00:13:43,519 But physical activity occurs in other 391 00:13:41,440 --> 00:13:44,399 contexts as well including during work 392 00:13:43,519 --> 00:13:46,480 time 393 00:13:44,399 --> 00:13:48,480 during household upkeep and during 394 00:13:46,480 --> 00:13:50,000 transportation. 395 00:13:48,480 --> 00:13:51,839 Now the national health and nutrition 396 00:13:50,000 --> 00:13:53,199 examination survey so we're changing 397 00:13:51,839 --> 00:13:55,279 data sources here and we're looking at 398 00:13:53,199 --> 00:13:57,519 something else the uh NHANES as we 399 00:13:55,279 --> 00:13:59,040 call it has asked adults about these 400 00:13:57,519 --> 00:14:02,240 different types of physical activity 401 00:13:59,040 --> 00:14:04,800 since 2007. 402 00:14:02,240 --> 00:14:06,880 Overall and after some ups and downs the 403 00:14:04,800 --> 00:14:09,279 proportion of adults who who meet the 404 00:14:06,880 --> 00:14:10,720 aerobic guideline when combining all of 405 00:14:09,279 --> 00:14:11,839 these different contexts of physical 406 00:14:10,720 --> 00:14:13,920 activity 407 00:14:11,839 --> 00:14:16,959 it has increased slightly but 408 00:14:13,920 --> 00:14:19,040 significantly from about 64 of adults in 409 00:14:16,959 --> 00:14:23,040 2007-2008. 410 00:14:19,040 --> 00:14:25,360 to 68 percent in 2017-2018. 411 00:14:23,040 --> 00:14:27,440 These data also suggest that although 412 00:14:25,360 --> 00:14:28,959 non-hispanic white people report more 413 00:14:27,440 --> 00:14:31,199 physical activity than non-hispanic 414 00:14:28,959 --> 00:14:33,680 black and Hispanic people 415 00:14:31,199 --> 00:14:35,600 differences in recent years are smaller 416 00:14:33,680 --> 00:14:37,360 than differences in early in the 417 00:14:35,600 --> 00:14:39,040 monitoring period. 418 00:14:37,360 --> 00:14:41,199 These data also showed that physical 419 00:14:39,040 --> 00:14:42,880 activity during transportation is a 420 00:14:41,199 --> 00:14:46,000 potentially underutilized source of 421 00:14:42,880 --> 00:14:47,199 physical activity among U.S. adults. 422 00:14:46,000 --> 00:14:49,519 And then I'll close with a couple of 423 00:14:47,199 --> 00:14:51,839 remarks on youth physical activity. 424 00:14:49,519 --> 00:14:54,000 So every two years the Youth Risk 425 00:14:51,839 --> 00:14:55,839 Behavior Survey asks high school 426 00:14:54,000 --> 00:14:57,279 students about their past week physical 427 00:14:55,839 --> 00:14:58,720 activities and that includes both 428 00:14:57,279 --> 00:15:00,160 aerobic and muscle strengthening 429 00:14:58,720 --> 00:15:02,079 activities. 430 00:15:00,160 --> 00:15:04,480 The results over the past several years 431 00:15:02,079 --> 00:15:06,320 are concerning with decreases among both 432 00:15:04,480 --> 00:15:08,240 boys and girls. 433 00:15:06,320 --> 00:15:10,880 The decreases were particularly evident 434 00:15:08,240 --> 00:15:13,680 in 2019 which is obviously before the 435 00:15:10,880 --> 00:15:14,959 COVID-19 pandemic which raises concerns 436 00:15:13,680 --> 00:15:16,800 about the potential for further 437 00:15:14,959 --> 00:15:19,360 decreases during the pandemic and the 438 00:15:16,800 --> 00:15:20,880 associated disruptions. 439 00:15:19,360 --> 00:15:22,399 So that concludes my remarks on 440 00:15:20,880 --> 00:15:24,399 monitoring physical activity. I'm going 441 00:15:22,399 --> 00:15:26,160 to pass it over now to Ken 442 00:15:24,399 --> 00:15:26,959 to talk about Active People, Healthy 443 00:15:26,160 --> 00:15:29,360 Nation. 444 00:15:26,959 --> 00:15:32,160 Thank you so much Jeff I appreciate uh 445 00:15:29,360 --> 00:15:33,279 your your great presentation there 446 00:15:32,160 --> 00:15:37,360 um. 447 00:15:33,279 --> 00:15:40,240 So today I am going to talk about 448 00:15:37,360 --> 00:15:42,800 Active People, Healthy Nation our work to 449 00:15:40,240 --> 00:15:44,880 get 27 million people more physically 450 00:15:42,800 --> 00:15:46,880 active by 2027. 451 00:15:44,880 --> 00:15:49,519 I'm going to provide an overview 452 00:15:46,880 --> 00:15:52,160 of Active People, Healthy Nation what 453 00:15:49,519 --> 00:15:53,759 DNPAO supports highlight some recent data 454 00:15:52,160 --> 00:15:56,320 related to 455 00:15:53,759 --> 00:15:59,199 our strategies to support that work 456 00:15:56,320 --> 00:16:00,800 and then review some recent uh resources 457 00:15:59,199 --> 00:16:01,759 as well as uh 458 00:16:00,800 --> 00:16:03,519 some 459 00:16:01,759 --> 00:16:06,079 cut off the process active people 460 00:16:03,519 --> 00:16:07,600 releases so 461 00:16:06,079 --> 00:16:09,759 as you can see here Active People, 462 00:16:07,600 --> 00:16:11,920 Healthy Nation supports a set of 463 00:16:09,759 --> 00:16:14,959 seven evidence-based strategies that 464 00:16:11,920 --> 00:16:18,079 work for increasing physical activity. 465 00:16:14,959 --> 00:16:20,959 It's critical to note that equity and 466 00:16:18,079 --> 00:16:23,920 inclusion should form the foundation for 467 00:16:20,959 --> 00:16:26,160 all of this work. 468 00:16:23,920 --> 00:16:27,920 If you go to our website you can find 469 00:16:26,160 --> 00:16:30,959 additional information and resources 470 00:16:27,920 --> 00:16:34,079 about each of these strategies. 471 00:16:30,959 --> 00:16:36,480 Today I'm going to talk a lot about the 472 00:16:34,079 --> 00:16:38,320 our work to make safe and 473 00:16:36,480 --> 00:16:40,639 convenient physical activity available 474 00:16:38,320 --> 00:16:42,959 to everyone through a strategy of what 475 00:16:40,639 --> 00:16:44,800 we call activity-friendly routes to 476 00:16:42,959 --> 00:16:45,600 everyday destinations. 477 00:16:44,800 --> 00:16:48,800 So 478 00:16:45,600 --> 00:16:50,959 as Janelle started our remarks DNPAO 479 00:16:48,800 --> 00:16:53,440 was our division and so I'll refer to 480 00:16:50,959 --> 00:16:55,279 either DNPAO or our division 481 00:16:53,440 --> 00:16:57,360 to reference the work that we do within 482 00:16:55,279 --> 00:16:59,680 our part of CDC. 483 00:16:57,360 --> 00:17:02,079 Um as Jeff 484 00:16:59,680 --> 00:17:03,920 briefly mentioned in his presentation, we 485 00:17:02,079 --> 00:17:05,760 support work to increase physical 486 00:17:03,920 --> 00:17:07,520 activity through walking 487 00:17:05,760 --> 00:17:09,120 in support of the Surgeon General's Call 488 00:17:07,520 --> 00:17:11,039 to Action to promote walking and 489 00:17:09,120 --> 00:17:13,039 walkable communities 490 00:17:11,039 --> 00:17:14,400 which recognizes that walking and 491 00:17:13,039 --> 00:17:16,400 rolling 492 00:17:14,400 --> 00:17:18,559 are the most approachable forms of 493 00:17:16,400 --> 00:17:20,640 physical activity. 494 00:17:18,559 --> 00:17:22,720 Walking is also the most common physical 495 00:17:20,640 --> 00:17:24,319 activity people report doing. For example 496 00:17:22,720 --> 00:17:26,720 data from the national health interview 497 00:17:24,319 --> 00:17:28,400 survey showed that three out of four U.S. 498 00:17:26,720 --> 00:17:30,840 adults who meet federal physical 499 00:17:28,400 --> 00:17:33,600 activity guidelines report walking for 500 00:17:30,840 --> 00:17:35,200 transportation or leisure. 501 00:17:33,600 --> 00:17:37,520 Our work seeks to integrate 502 00:17:35,200 --> 00:17:39,039 opportunities to walk into daily living 503 00:17:37,520 --> 00:17:40,400 through a strategy we call 504 00:17:39,039 --> 00:17:43,280 activity-friendly routes to everyday 505 00:17:40,400 --> 00:17:45,600 destinations. It focuses on creating safe 506 00:17:43,280 --> 00:17:48,400 and convenient routes like sidewalks 507 00:17:45,600 --> 00:17:50,480 to places people typically go like parks 508 00:17:48,400 --> 00:17:52,320 schools or stores 509 00:17:50,480 --> 00:17:55,200 and it recognizes the importance of 510 00:17:52,320 --> 00:17:57,440 improving safety for people walking 511 00:17:55,200 --> 00:18:00,880 and reducing the distance with which 512 00:17:57,440 --> 00:18:01,760 they must walk to reach destinations. 513 00:18:00,880 --> 00:18:04,480 But 514 00:18:01,760 --> 00:18:06,480 it it addresses it is important to 515 00:18:04,480 --> 00:18:08,480 understand that these are fundamental 516 00:18:06,480 --> 00:18:10,400 problems in this country. 517 00:18:08,480 --> 00:18:13,039 Our strategy addresses the lack of 518 00:18:10,400 --> 00:18:14,799 access to safe streets. 519 00:18:13,039 --> 00:18:16,559 For example in one national sample 520 00:18:14,799 --> 00:18:18,480 neither data just a sample of data that 521 00:18:16,559 --> 00:18:20,080 support the strategy that many may not 522 00:18:18,480 --> 00:18:22,400 have seen already. 523 00:18:20,080 --> 00:18:24,080 For example in one national sample only 524 00:18:22,400 --> 00:18:26,400 30 percent of people reported that they 525 00:18:24,080 --> 00:18:29,600 had access to safe streets. 526 00:18:26,400 --> 00:18:32,080 And only about one in seven 527 00:18:29,600 --> 00:18:33,840 or 14 percent reported that they had 528 00:18:32,080 --> 00:18:36,080 access to both 529 00:18:33,840 --> 00:18:38,640 streets that make walking safe and easy 530 00:18:36,080 --> 00:18:41,679 safe streets and safe and convenient 531 00:18:38,640 --> 00:18:44,400 access to locations that support walking 532 00:18:41,679 --> 00:18:46,400 like walking trails or parks and 533 00:18:44,400 --> 00:18:47,280 recreational facilities. 534 00:18:46,400 --> 00:18:49,120 Um 535 00:18:47,280 --> 00:18:51,200 and it should it should be noted these 536 00:18:49,120 --> 00:18:53,200 data were roughly consistent across race 537 00:18:51,200 --> 00:18:55,440 and ethnicity with Blacks reporting 538 00:18:53,200 --> 00:18:58,559 slightly higher access 539 00:18:55,440 --> 00:19:00,080 to um what we call safe and convenient 540 00:18:58,559 --> 00:19:00,960 locations 541 00:19:00,080 --> 00:19:03,440 which 542 00:19:00,960 --> 00:19:05,280 which implies something else is at work 543 00:19:03,440 --> 00:19:08,559 there. 544 00:19:05,280 --> 00:19:10,559 So in another national sample only 33 545 00:19:08,559 --> 00:19:13,039 percent of people reported that they 546 00:19:10,559 --> 00:19:15,280 lived in neighborhoods where drivers 547 00:19:13,039 --> 00:19:16,799 actually follow the posted speed limits 548 00:19:15,280 --> 00:19:17,760 and we all know that sometimes speed 549 00:19:16,799 --> 00:19:19,520 limits 550 00:19:17,760 --> 00:19:21,280 are maybe too high for the environment 551 00:19:19,520 --> 00:19:22,960 they need to be in. 552 00:19:21,280 --> 00:19:24,799 And i should also say these data were 553 00:19:22,960 --> 00:19:26,640 roughly consistent across race and 554 00:19:24,799 --> 00:19:28,880 that's ethnicity. 555 00:19:26,640 --> 00:19:31,200 And almost half of parents reported 556 00:19:28,880 --> 00:19:33,200 dangerous traffic conditions as a 557 00:19:31,200 --> 00:19:34,480 barrier for letting children walk to 558 00:19:33,200 --> 00:19:36,080 school. 559 00:19:34,480 --> 00:19:38,160 People who reported being non-white 560 00:19:36,080 --> 00:19:40,240 reported this very slightly higher rates 561 00:19:38,160 --> 00:19:42,960 than people who reported as White. 562 00:19:40,240 --> 00:19:45,120 And you'll note here that distance also 563 00:19:42,960 --> 00:19:47,840 was reported as a significant barrier to 564 00:19:45,120 --> 00:19:48,559 walking to school. 565 00:19:47,840 --> 00:19:51,840 So 566 00:19:48,559 --> 00:19:54,160 traffic congestion is often cited as a 567 00:19:51,840 --> 00:19:55,760 rationale for creating these dangerous 568 00:19:54,160 --> 00:19:57,760 traffic conditions. 569 00:19:55,760 --> 00:19:58,799 But when we asked in another national 570 00:19:57,760 --> 00:20:01,679 sample, 571 00:19:58,799 --> 00:20:04,559 over 80 percent of adults reported 572 00:20:01,679 --> 00:20:06,799 favoring or strongly favoring 573 00:20:04,559 --> 00:20:08,400 safer street design even if it made 574 00:20:06,799 --> 00:20:09,520 driving slower. 575 00:20:08,400 --> 00:20:11,440 And it should be noted that Black 576 00:20:09,520 --> 00:20:14,159 respondents reported the support at even 577 00:20:11,440 --> 00:20:14,159 higher rates. 578 00:20:14,559 --> 00:20:19,039 The data analysis we supported with 579 00:20:17,039 --> 00:20:20,480 Smart Growth America showed that these 580 00:20:19,039 --> 00:20:23,360 perceptions 581 00:20:20,480 --> 00:20:25,520 are all too real. 582 00:20:23,360 --> 00:20:27,840 In a report published by Smart Growth 583 00:20:25,520 --> 00:20:29,679 America using these data called 584 00:20:27,840 --> 00:20:32,880 dangerous by design 585 00:20:29,679 --> 00:20:35,360 they showed that people who are walking 586 00:20:32,880 --> 00:20:36,640 are much more likely to die. 587 00:20:35,360 --> 00:20:40,559 The faster 588 00:20:36,640 --> 00:20:42,640 the faster cars are able to travel 589 00:20:40,559 --> 00:20:45,919 on the streets around them 590 00:20:42,640 --> 00:20:48,559 and that too many people and especially 591 00:20:45,919 --> 00:20:51,679 too many people of color are being 592 00:20:48,559 --> 00:20:51,679 killed while walking. 593 00:20:52,000 --> 00:20:55,840 So it's important to note that while 594 00:20:54,159 --> 00:20:59,440 perceptions generally 595 00:20:55,840 --> 00:21:02,799 uh perceive these dangers 596 00:20:59,440 --> 00:21:04,640 equally or in similar levels the danger 597 00:21:02,799 --> 00:21:07,120 is actually 598 00:21:04,640 --> 00:21:09,919 disproportionately impacting communities 599 00:21:07,120 --> 00:21:11,600 of color and it is why we focus our 600 00:21:09,919 --> 00:21:13,440 activity friendly roots to everyday 601 00:21:11,600 --> 00:21:16,320 destination strategy 602 00:21:13,440 --> 00:21:18,080 in those communities because it improves 603 00:21:16,320 --> 00:21:19,600 these safety conditions and protects 604 00:21:18,080 --> 00:21:21,360 human life today 605 00:21:19,600 --> 00:21:23,679 by preventing traffic related injuries 606 00:21:21,360 --> 00:21:26,000 and deaths but it also promotes quality 607 00:21:23,679 --> 00:21:28,559 of life and prevents disease by 608 00:21:26,000 --> 00:21:33,039 providing access to physical activity 609 00:21:28,559 --> 00:21:36,640 and and its profound health benefits. 610 00:21:33,039 --> 00:21:38,640 So DNPAO funds over 60 recipients in 611 00:21:36,640 --> 00:21:41,760 state and communities across three key 612 00:21:38,640 --> 00:21:43,280 programs to promote these strategies 613 00:21:41,760 --> 00:21:45,760 State Physical Activity and Nutrition 614 00:21:43,280 --> 00:21:47,360 program, the High Obesity Program and 615 00:21:45,760 --> 00:21:49,280 Racial and Ethnic Approaches to 616 00:21:47,360 --> 00:21:52,080 Community Health. Many of you probably 617 00:21:49,280 --> 00:21:52,960 represent those programs on the webinar 618 00:21:52,080 --> 00:21:54,640 today. 619 00:21:52,960 --> 00:21:56,559 Some examples of the work conducted by 620 00:21:54,640 --> 00:21:59,360 these partners include city-wide 621 00:21:56,559 --> 00:22:01,120 comprehensive plans that support walking 622 00:21:59,360 --> 00:22:02,880 adding more sidewalks and multi-use 623 00:22:01,120 --> 00:22:04,480 paths and communities 624 00:22:02,880 --> 00:22:06,240 adopting and implementing complete 625 00:22:04,480 --> 00:22:09,679 streets policies 626 00:22:06,240 --> 00:22:11,600 and improving park access. 627 00:22:09,679 --> 00:22:13,440 Our last speaker Armand Turner will talk 628 00:22:11,600 --> 00:22:15,520 about a local example of how they have 629 00:22:13,440 --> 00:22:17,760 used Active People Healthy Nation to 630 00:22:15,520 --> 00:22:20,080 support this critical work in Savannah 631 00:22:17,760 --> 00:22:20,080 Georgia. 632 00:22:20,240 --> 00:22:23,760 In addition we've been working with a 633 00:22:22,080 --> 00:22:26,159 wide range of national partners to 634 00:22:23,760 --> 00:22:29,280 advance the science and practice to 635 00:22:26,159 --> 00:22:31,280 promote this strategy. As recent examples 636 00:22:29,280 --> 00:22:32,240 Smart Growth America worked with us to 637 00:22:31,280 --> 00:22:35,280 publish 638 00:22:32,240 --> 00:22:37,039 a decision support tool for local policy 639 00:22:35,280 --> 00:22:39,039 makers 640 00:22:37,039 --> 00:22:41,280 that they can use to estimate the 641 00:22:39,039 --> 00:22:43,760 positive health and other positive 642 00:22:41,280 --> 00:22:46,240 impacts of implementing complete streets 643 00:22:43,760 --> 00:22:48,000 policies. 644 00:22:46,240 --> 00:22:50,559 The National Collaborative on Childhood 645 00:22:48,000 --> 00:22:54,400 Obesity Research works with us and other 646 00:22:50,559 --> 00:22:56,400 leaders in the field to identify 10 key 647 00:22:54,400 --> 00:22:58,720 economic measures to promote and 648 00:22:56,400 --> 00:23:00,640 evaluate the benefits of our built 649 00:22:58,720 --> 00:23:02,559 environment strategy. 650 00:23:00,640 --> 00:23:03,840 And we are currently working on a 651 00:23:02,559 --> 00:23:05,600 complementary 652 00:23:03,840 --> 00:23:07,840 piece of research with the Physical 653 00:23:05,600 --> 00:23:08,880 Activity Policy Research and Evaluation 654 00:23:07,840 --> 00:23:11,440 Network 655 00:23:08,880 --> 00:23:14,000 to highlight possible policies that 656 00:23:11,440 --> 00:23:18,240 decision makers can consider to prevent 657 00:23:14,000 --> 00:23:19,679 and mitigate gentrification concerns. 658 00:23:18,240 --> 00:23:21,840 I encourage you to visit our Active 659 00:23:19,679 --> 00:23:24,320 People, Healthy Nation national partner 660 00:23:21,840 --> 00:23:26,240 network website to learn about the range 661 00:23:24,320 --> 00:23:29,280 of work that national organizations are 662 00:23:26,240 --> 00:23:32,080 doing in this area. 663 00:23:29,280 --> 00:23:34,000 So we are also evaluating approaches to 664 00:23:32,080 --> 00:23:36,480 address other barriers to physical 665 00:23:34,000 --> 00:23:38,559 activity specific to communities of 666 00:23:36,480 --> 00:23:41,120 color. 667 00:23:38,559 --> 00:23:42,320 Examples often reported 668 00:23:41,120 --> 00:23:46,080 include 669 00:23:42,320 --> 00:23:47,600 community safety and fear of police 670 00:23:46,080 --> 00:23:50,720 as one example. We are currently 671 00:23:47,600 --> 00:23:52,240 conducting a rapid review of published 672 00:23:50,720 --> 00:23:54,240 evidence on 673 00:23:52,240 --> 00:23:57,919 over policing 674 00:23:54,240 --> 00:24:00,480 physical inactivity and health. 675 00:23:57,919 --> 00:24:02,799 We are also exploring ways to modernize 676 00:24:00,480 --> 00:24:05,120 our data so that we can acquire and 677 00:24:02,799 --> 00:24:07,840 analyze data for decision making 678 00:24:05,120 --> 00:24:09,360 more quickly with greater geographic 679 00:24:07,840 --> 00:24:12,240 precision. 680 00:24:09,360 --> 00:24:14,960 As one example we are exploring ways in 681 00:24:12,240 --> 00:24:19,279 which we can better measure walking 682 00:24:14,960 --> 00:24:22,640 by using big data processed from GPS 683 00:24:19,279 --> 00:24:22,640 enabled devices. 684 00:24:23,120 --> 00:24:28,480 So this highlights new releases 685 00:24:26,080 --> 00:24:30,559 for Active People Healthy Nation 686 00:24:28,480 --> 00:24:32,880 on this slide but to reach a goal where 687 00:24:30,559 --> 00:24:36,240 everyone can be physically active 688 00:24:32,880 --> 00:24:37,360 regardless of age race socioeconomic 689 00:24:36,240 --> 00:24:39,120 status 690 00:24:37,360 --> 00:24:40,320 disability status and geographic 691 00:24:39,120 --> 00:24:42,240 location 692 00:24:40,320 --> 00:24:44,960 we have to create the supportive 693 00:24:42,240 --> 00:24:46,480 environments I've discussed. 694 00:24:44,960 --> 00:24:51,440 But 695 00:24:46,480 --> 00:24:51,440 we have to do so much more than that. 696 00:24:51,679 --> 00:24:55,760 It means we have to engage 697 00:24:53,679 --> 00:24:58,320 other sectors to support all of the 698 00:24:55,760 --> 00:25:00,640 strategies that work i mentioned at the 699 00:24:58,320 --> 00:25:02,480 start of my presentation. 700 00:25:00,640 --> 00:25:03,760 We have developed sector-specific 701 00:25:02,480 --> 00:25:06,240 strategies 702 00:25:03,760 --> 00:25:09,120 real-world examples 703 00:25:06,240 --> 00:25:11,840 and resources listed in color here and 704 00:25:09,120 --> 00:25:13,679 more are coming later this year. I really 705 00:25:11,840 --> 00:25:15,679 encourage you to check these out. They're 706 00:25:13,679 --> 00:25:17,919 new on our active people website. They've 707 00:25:15,679 --> 00:25:20,880 got some great suggestions for these 708 00:25:17,919 --> 00:25:26,000 these sectors and um just really great 709 00:25:20,880 --> 00:25:26,000 work from uh folks on staff at CDC. 710 00:25:26,480 --> 00:25:29,760 One example taken from the government 711 00:25:28,720 --> 00:25:32,080 sector 712 00:25:29,760 --> 00:25:33,600 is the Active People Healthy Nation 713 00:25:32,080 --> 00:25:35,840 proclamation. 714 00:25:33,600 --> 00:25:38,799 Pictured here are examples of 715 00:25:35,840 --> 00:25:41,360 proclamations cities and states have 716 00:25:38,799 --> 00:25:42,799 already adopted to support Active People, 717 00:25:41,360 --> 00:25:45,360 Healthy Nation. 718 00:25:42,799 --> 00:25:48,080 Draft language for this proclamation is 719 00:25:45,360 --> 00:25:50,880 on our government sector web page 720 00:25:48,080 --> 00:25:53,440 and states that cities can adapt it for 721 00:25:50,880 --> 00:25:55,440 their own unique needs. 722 00:25:53,440 --> 00:25:56,400 So far proclamations have been adopted 723 00:25:55,440 --> 00:25:58,240 that cover 724 00:25:56,400 --> 00:26:00,159 over 5 million people in the United 725 00:25:58,240 --> 00:26:02,880 States. 726 00:26:00,159 --> 00:26:04,799 The Maricopa Association of Governments 727 00:26:02,880 --> 00:26:07,120 representing Phoenix Arizona 728 00:26:04,799 --> 00:26:09,200 representing the Phoenix Arizona region 729 00:26:07,120 --> 00:26:10,720 was the first place to adopt one of 730 00:26:09,200 --> 00:26:13,600 these proclamations 731 00:26:10,720 --> 00:26:14,640 followed by Buckeye Arizona, Decatur 732 00:26:13,600 --> 00:26:16,880 Georgia, 733 00:26:14,640 --> 00:26:18,480 the state of South Dakota, and Kent 734 00:26:16,880 --> 00:26:20,799 County, Michigan. 735 00:26:18,480 --> 00:26:23,679 We cannot wait to see who from this 736 00:26:20,799 --> 00:26:26,320 webinar will be the next place to adopt 737 00:26:23,679 --> 00:26:28,000 one of these resolutions. 738 00:26:26,320 --> 00:26:29,919 There are many resources that can help 739 00:26:28,000 --> 00:26:31,760 you with your work to support Active 740 00:26:29,919 --> 00:26:33,520 People, Healthy Nation 741 00:26:31,760 --> 00:26:35,200 including fact sheets 742 00:26:33,520 --> 00:26:37,840 print and digital 743 00:26:35,200 --> 00:26:39,840 advertisements and social media posts 744 00:26:37,840 --> 00:26:42,400 shown on this slide. 745 00:26:39,840 --> 00:26:45,279 In addition you can look up physical 746 00:26:42,400 --> 00:26:47,919 activity indicators in a variety of ways 747 00:26:45,279 --> 00:26:51,039 at the local at the local state and 748 00:26:47,919 --> 00:26:55,440 national levels on the data trends 749 00:26:51,039 --> 00:26:55,440 and maps section of our website. 750 00:26:55,600 --> 00:26:58,960 If you haven't joined Active People, 751 00:26:57,600 --> 00:27:01,440 Healthy Nation yet 752 00:26:58,960 --> 00:27:03,440 scan this qr code to stay in the loop 753 00:27:01,440 --> 00:27:05,679 about what we're up to and how you can 754 00:27:03,440 --> 00:27:07,200 join active people 755 00:27:05,679 --> 00:27:09,440 how you can join this Active People 756 00:27:07,200 --> 00:27:11,600 Healthy Nation national movement 757 00:27:09,440 --> 00:27:13,360 by joining which is really simply just 758 00:27:11,600 --> 00:27:14,880 entering your email address 759 00:27:13,360 --> 00:27:17,520 you are saying that you 760 00:27:14,880 --> 00:27:20,159 believe physical activity is important 761 00:27:17,520 --> 00:27:23,120 and you support the goal of getting more 762 00:27:20,159 --> 00:27:25,120 people active in this country. 763 00:27:23,120 --> 00:27:27,600 You will also receive early access to 764 00:27:25,120 --> 00:27:29,760 resources and information through a 765 00:27:27,600 --> 00:27:31,679 monthly Active People, Healthy Nation 766 00:27:29,760 --> 00:27:33,520 newsletter and you can connect to a 767 00:27:31,679 --> 00:27:35,520 network of others supporting Active 768 00:27:33,520 --> 00:27:38,720 People, Healthy Nation at the national 769 00:27:35,520 --> 00:27:41,360 tribal state and local levels. 770 00:27:38,720 --> 00:27:42,960 You can join as an individual influencer 771 00:27:41,360 --> 00:27:45,120 a professional who works for an 772 00:27:42,960 --> 00:27:47,200 organization doing this work or if you 773 00:27:45,120 --> 00:27:49,919 are a state or local policy maker as a 774 00:27:47,200 --> 00:27:52,880 community champion. 775 00:27:49,919 --> 00:27:56,000 And now I'll pass it over to Armand 776 00:27:52,880 --> 00:27:57,360 Turner who is an incredible leader in 777 00:27:56,000 --> 00:27:59,679 our field 778 00:27:57,360 --> 00:28:02,480 and he's just doing amazing work in 779 00:27:59,679 --> 00:28:05,120 Savannah, Georgia. Take it away Armand. 780 00:28:02,480 --> 00:28:08,399 Thank you so much Ken. Um good afternoon 781 00:28:05,120 --> 00:28:10,640 everybody. I'm extremely excited to tell 782 00:28:08,399 --> 00:28:12,880 you all what what we got going on here 783 00:28:10,640 --> 00:28:14,960 in Savannah. 784 00:28:12,880 --> 00:28:17,279 Yeah so this is Active People Healthy 785 00:28:14,960 --> 00:28:19,840 Savannah. I'll explain a little bit later 786 00:28:17,279 --> 00:28:22,640 how we came up with that name and why 787 00:28:19,840 --> 00:28:25,440 it's so cool for us to use. 788 00:28:22,640 --> 00:28:29,120 So a little bit about the REACH Savannah 789 00:28:25,440 --> 00:28:31,120 and Savannah in general. So Savannah is 790 00:28:29,120 --> 00:28:33,520 pretty cool in that it's known as 791 00:28:31,120 --> 00:28:37,360 America's first planned city. 792 00:28:33,520 --> 00:28:41,200 And this is because in 1733 when James 793 00:28:37,360 --> 00:28:43,760 Oglethorpe founded the state and the city 794 00:28:41,200 --> 00:28:46,240 of Savannah he used the sort of 795 00:28:43,760 --> 00:28:47,600 blueprint um to guide them and this 796 00:28:46,240 --> 00:28:50,480 included 797 00:28:47,600 --> 00:28:53,600 creating these squares which were green 798 00:28:50,480 --> 00:28:56,159 spaces in which housing and retail was 799 00:28:53,600 --> 00:28:57,679 all built around them. And obviously it 800 00:28:56,159 --> 00:29:00,480 allowed for 801 00:28:57,679 --> 00:29:03,520 easy walkability within the city and 802 00:29:00,480 --> 00:29:06,399 even today 22 of those original 24 803 00:29:03,520 --> 00:29:07,919 squares still stand here in our downtown 804 00:29:06,399 --> 00:29:10,240 area. And 805 00:29:07,919 --> 00:29:12,399 because of that, our downtown area is 806 00:29:10,240 --> 00:29:14,000 still our most walkable portion of the 807 00:29:12,399 --> 00:29:14,880 city. 808 00:29:14,000 --> 00:29:16,799 Um 809 00:29:14,880 --> 00:29:18,960 how we came about REACH was through a 810 00:29:16,799 --> 00:29:21,200 collaboration with the YMCA of Coastal 811 00:29:18,960 --> 00:29:23,840 Georgia and a local non-profit called 812 00:29:21,200 --> 00:29:25,440 Healthy Savannah in order to address a 813 00:29:23,840 --> 00:29:27,200 lot of the health disparities that we're 814 00:29:25,440 --> 00:29:28,960 seeing throughout the city because 815 00:29:27,200 --> 00:29:31,520 though our downtown is extremely 816 00:29:28,960 --> 00:29:33,200 walkable, the same can't be said about 817 00:29:31,520 --> 00:29:35,520 many of the other neighborhoods and 818 00:29:33,200 --> 00:29:37,279 communities throughout Savannah. So now 819 00:29:35,520 --> 00:29:39,520 we're in year four of our REACH grant 820 00:29:37,279 --> 00:29:42,159 and we've done some pretty good things 821 00:29:39,520 --> 00:29:42,159 thus far. 822 00:29:42,480 --> 00:29:47,200 So some of those health disparities um 823 00:29:45,039 --> 00:29:51,600 one of the major ones is our lack of 824 00:29:47,200 --> 00:29:53,600 sidewalks. So here in Savannah only 70 825 00:29:51,600 --> 00:29:55,679 percent of our streets actually lack 826 00:29:53,600 --> 00:29:57,600 sidewalks on either side. 827 00:29:55,679 --> 00:30:00,080 Um this makes obviously getting to 828 00:29:57,600 --> 00:30:04,159 places that people need to get to 829 00:30:00,080 --> 00:30:06,720 extremely difficult. Um 35 000 Savannians 830 00:30:04,159 --> 00:30:09,039 live a mile or more from a grocery store 831 00:30:06,720 --> 00:30:11,600 so that creates these food deserts or as 832 00:30:09,039 --> 00:30:13,679 we like to call them food apartheids 833 00:30:11,600 --> 00:30:15,200 throughout our city and county. 834 00:30:13,679 --> 00:30:16,799 Um 29 percent 835 00:30:15,200 --> 00:30:19,520 obesity rate 836 00:30:16,799 --> 00:30:22,080 and 19 and 26 percent 837 00:30:19,520 --> 00:30:25,039 of adults and children um don't have a 838 00:30:22,080 --> 00:30:27,520 reliable source of affordable food 839 00:30:25,039 --> 00:30:29,520 or nutritious food and so these are 840 00:30:27,520 --> 00:30:31,840 things we saw and these are things that 841 00:30:29,520 --> 00:30:33,919 prompted us to really go after this 842 00:30:31,840 --> 00:30:36,720 REACH grant so that we can start 843 00:30:33,919 --> 00:30:39,120 addressing them. 844 00:30:36,720 --> 00:30:40,799 One of the things that I've been able to 845 00:30:39,120 --> 00:30:42,799 sort of oversee 846 00:30:40,799 --> 00:30:46,320 is the physical activity portion of our 847 00:30:42,799 --> 00:30:48,000 grant and that includes creating 848 00:30:46,320 --> 00:30:50,640 those routes to those everyday 849 00:30:48,000 --> 00:30:51,760 destinations. Some cool examples that 850 00:30:50,640 --> 00:30:53,840 we've done 851 00:30:51,760 --> 00:30:56,240 include our Price Street bike lane which 852 00:30:53,840 --> 00:30:58,960 is that picture on the right. Uh we just 853 00:30:56,240 --> 00:31:00,240 had that installed about a year and a 854 00:30:58,960 --> 00:31:02,559 half ago 855 00:31:00,240 --> 00:31:04,399 with the green paint which was a very 856 00:31:02,559 --> 00:31:07,519 big deal for us at the time. 857 00:31:04,399 --> 00:31:10,080 Um and it's getting used constantly. 858 00:31:07,519 --> 00:31:12,320 Also to the left is a picture of our 859 00:31:10,080 --> 00:31:14,480 Truman Linear Park Trail. 860 00:31:12,320 --> 00:31:17,600 So, this picture right here is part of a 861 00:31:14,480 --> 00:31:20,640 three mile stretch that leads from one 862 00:31:17,600 --> 00:31:22,240 of our major parks to a very popular 863 00:31:20,640 --> 00:31:25,440 school in the area 864 00:31:22,240 --> 00:31:28,799 and it's all off-road and um used 865 00:31:25,440 --> 00:31:30,960 heavily by people of all races and we've 866 00:31:28,799 --> 00:31:34,720 done the surveys to really verify that. 867 00:31:30,960 --> 00:31:36,559 So it's been a great success thus far. 868 00:31:34,720 --> 00:31:39,279 So both of those pictures that i just 869 00:31:36,559 --> 00:31:41,360 showed you are actually a part of a much 870 00:31:39,279 --> 00:31:44,559 larger larger vision. 871 00:31:41,360 --> 00:31:47,279 So, what Tide to Town is is a 30 plus 872 00:31:44,559 --> 00:31:49,039 mile walking and biking trail network 873 00:31:47,279 --> 00:31:51,679 that we want to see built for the city 874 00:31:49,039 --> 00:31:54,000 of Savannah that will eventually um 875 00:31:51,679 --> 00:31:55,760 stretch out to the surrounding cities 876 00:31:54,000 --> 00:31:58,799 within Chatham County. 877 00:31:55,760 --> 00:32:01,120 Um the Truman Linear Park Trail is the 878 00:31:58,799 --> 00:32:02,240 very first segment of this larger 879 00:32:01,120 --> 00:32:04,480 network. 880 00:32:02,240 --> 00:32:06,960 And right now it's three miles but we 881 00:32:04,480 --> 00:32:09,919 are expecting an additional three miles 882 00:32:06,960 --> 00:32:12,320 to be built within the next year 883 00:32:09,919 --> 00:32:14,640 also we've been able to 884 00:32:12,320 --> 00:32:17,120 get approved for one million dollars in 885 00:32:14,640 --> 00:32:19,519 funding through our city's special 886 00:32:17,120 --> 00:32:21,600 purpose local option sales tax. 887 00:32:19,519 --> 00:32:23,919 And we're hoping to basically leverage 888 00:32:21,600 --> 00:32:26,399 those funds for a little bit more 889 00:32:23,919 --> 00:32:29,679 funding down the road. We're estimating 890 00:32:26,399 --> 00:32:33,200 that a trail of this magnitude will come 891 00:32:29,679 --> 00:32:36,240 around 25 to 30 million dollars to see 892 00:32:33,200 --> 00:32:39,440 it fully coming to fruition. 893 00:32:36,240 --> 00:32:42,320 Uh once completed we expect for it to 894 00:32:39,440 --> 00:32:45,120 we expect for it to touch every single 895 00:32:42,320 --> 00:32:47,279 automatic district within the city and 896 00:32:45,120 --> 00:32:50,440 connect our neighborhoods especially 897 00:32:47,279 --> 00:32:52,240 those pivotal neighborhoods in which our 898 00:32:50,440 --> 00:32:55,279 African-American or low-wealth 899 00:32:52,240 --> 00:32:58,559 population resides to the places they 900 00:32:55,279 --> 00:33:01,120 need to go such as school work church 901 00:32:58,559 --> 00:33:03,919 the grocery store or the corner store 902 00:33:01,120 --> 00:33:03,919 and so forth. 903 00:33:04,159 --> 00:33:09,360 One of the major parts of this whole 904 00:33:06,640 --> 00:33:11,600 idea and vision and work that we do um 905 00:33:09,360 --> 00:33:14,159 includes neighborhood and community 906 00:33:11,600 --> 00:33:17,600 outreach. So one of the big things that 907 00:33:14,159 --> 00:33:19,279 we want to address and be sure to to do 908 00:33:17,600 --> 00:33:21,679 ahead of time is really talk to the 909 00:33:19,279 --> 00:33:24,880 communities and explain what Tide to 910 00:33:21,679 --> 00:33:26,799 Town is and what the health benefits 911 00:33:24,880 --> 00:33:30,880 actually are. 912 00:33:26,799 --> 00:33:33,519 So what we do is we team up with local 913 00:33:30,880 --> 00:33:35,600 community members and community leaders 914 00:33:33,519 --> 00:33:38,720 neighborhood associations and other 915 00:33:35,600 --> 00:33:40,960 non-profit organizations and basically 916 00:33:38,720 --> 00:33:43,519 we set up events in which we can meet 917 00:33:40,960 --> 00:33:44,480 with them socially distance 918 00:33:43,519 --> 00:33:46,720 and 919 00:33:44,480 --> 00:33:48,640 walk their neighborhood with them. So 920 00:33:46,720 --> 00:33:50,399 through these walks we identify what 921 00:33:48,640 --> 00:33:52,799 barriers exist, 922 00:33:50,399 --> 00:33:54,640 what issues are they seeing, what issues 923 00:33:52,799 --> 00:33:57,519 are they hearing from other community 924 00:33:54,640 --> 00:33:58,399 members and how can we address this 925 00:33:57,519 --> 00:34:00,480 through 926 00:33:58,399 --> 00:34:03,200 partnerships with the city. So getting 927 00:34:00,480 --> 00:34:06,640 those um issues to the city so they can 928 00:34:03,200 --> 00:34:08,159 be begin addressing them but also 929 00:34:06,640 --> 00:34:10,639 getting that information back to the 930 00:34:08,159 --> 00:34:11,760 community members. 931 00:34:10,639 --> 00:34:14,079 So 932 00:34:11,760 --> 00:34:16,480 one of the cool ways that we've um sort 933 00:34:14,079 --> 00:34:18,720 of progressed this is through an app 934 00:34:16,480 --> 00:34:21,919 that one of our partners, Barge Design 935 00:34:18,720 --> 00:34:25,200 helped develop and this app is basically 936 00:34:21,919 --> 00:34:27,280 taking that biking and walking audit um 937 00:34:25,200 --> 00:34:29,839 forms that we usually see and usually 938 00:34:27,280 --> 00:34:32,320 get filled out with tons of data 939 00:34:29,839 --> 00:34:35,119 and putting it into an easy to use app. 940 00:34:32,320 --> 00:34:36,800 And so we asked our community members 941 00:34:35,119 --> 00:34:39,119 that we're partnering with to download 942 00:34:36,800 --> 00:34:41,359 this app and they can identify these 943 00:34:39,119 --> 00:34:43,440 barriers that they're seeing directly 944 00:34:41,359 --> 00:34:44,800 onto the app and we get that data back 945 00:34:43,440 --> 00:34:47,200 in real time. 946 00:34:44,800 --> 00:34:49,520 Um it works great because it allows us 947 00:34:47,200 --> 00:34:51,599 to social distance because 948 00:34:49,520 --> 00:34:53,599 these um community members can go off 949 00:34:51,599 --> 00:34:55,119 and do it at their own leisure or they 950 00:34:53,599 --> 00:34:56,960 can do it while they're already walking 951 00:34:55,119 --> 00:34:57,839 to school or to the bus stop and so 952 00:34:56,960 --> 00:34:59,839 forth. 953 00:34:57,839 --> 00:35:02,160 And so far we've met with two different 954 00:34:59,839 --> 00:35:04,160 communities and it's been a huge success 955 00:35:02,160 --> 00:35:06,400 thus far. 956 00:35:04,160 --> 00:35:09,359 Some other work that we've done include 957 00:35:06,400 --> 00:35:11,920 um updating our zoning ordinance so the 958 00:35:09,359 --> 00:35:14,560 new zoning ordinance goes by NuZo 959 00:35:11,920 --> 00:35:17,119 New Zoning Ordinance and basically 960 00:35:14,560 --> 00:35:19,359 allows for more walkable neighborhoods. 961 00:35:17,119 --> 00:35:21,440 It allows for increasing mixed use 962 00:35:19,359 --> 00:35:24,560 within our neighborhoods and a higher 963 00:35:21,440 --> 00:35:26,560 more appropriate density as well. 964 00:35:24,560 --> 00:35:29,040 We also work with the school system and 965 00:35:26,560 --> 00:35:31,440 the associated police department to 966 00:35:29,040 --> 00:35:34,160 really establish walking school buses so 967 00:35:31,440 --> 00:35:36,960 students can walk to and from school and 968 00:35:34,160 --> 00:35:38,720 large groups chaperoned by 969 00:35:36,960 --> 00:35:39,760 adult volunteer. 970 00:35:38,720 --> 00:35:42,160 And 971 00:35:39,760 --> 00:35:44,400 our main focus with those school buses 972 00:35:42,160 --> 00:35:45,760 are with our Title 1 schools so the 973 00:35:44,400 --> 00:35:47,520 ones who need that type of 974 00:35:45,760 --> 00:35:49,200 infrastructure and programs in their 975 00:35:47,520 --> 00:35:51,359 neighborhoods the most. 976 00:35:49,200 --> 00:35:53,920 Um and lastly we've done a great job at 977 00:35:51,359 --> 00:35:56,320 partnering with Chatham Area Transit which 978 00:35:53,920 --> 00:35:59,119 is our local bus system. A cool thing 979 00:35:56,320 --> 00:36:01,520 we've done with them is we 980 00:35:59,119 --> 00:36:04,160 basically partnered to have these signs 981 00:36:01,520 --> 00:36:07,280 installed in inside every bus in their 982 00:36:04,160 --> 00:36:09,920 fleet and these signs have a QR code 983 00:36:07,280 --> 00:36:12,880 that one scan actually takes the scanner 984 00:36:09,920 --> 00:36:14,960 to a web page that lists all of our 985 00:36:12,880 --> 00:36:17,520 nutrition destinations as we like to 986 00:36:14,960 --> 00:36:20,640 call them so the local farmers market 987 00:36:17,520 --> 00:36:23,119 that we partner with the farm truck the 988 00:36:20,640 --> 00:36:26,160 corner stores that actually have 989 00:36:23,119 --> 00:36:28,560 healthy and nutritious food within them. 990 00:36:26,160 --> 00:36:31,119 They can see that full list right on 991 00:36:28,560 --> 00:36:32,800 that web page and get from that just by 992 00:36:31,119 --> 00:36:35,440 scanning while they're already riding 993 00:36:32,800 --> 00:36:37,359 the bus. So our idea is that while 994 00:36:35,440 --> 00:36:39,040 they're on the bus they can begin you 995 00:36:37,359 --> 00:36:41,040 know mapping out how they'll get to 996 00:36:39,040 --> 00:36:44,640 these locations using the bus system 997 00:36:41,040 --> 00:36:47,200 that they're already using. 998 00:36:44,640 --> 00:36:49,200 Yeah and so finally um throughout all 999 00:36:47,200 --> 00:36:50,560 the work that we do and all the material 1000 00:36:49,200 --> 00:36:52,560 that we produce 1001 00:36:50,560 --> 00:36:55,119 we're able to put the Active People 1002 00:36:52,560 --> 00:36:57,680 Healthy Savannah or healthy nation 1003 00:36:55,119 --> 00:37:00,000 design element onto our work. 1004 00:36:57,680 --> 00:37:02,720 And basically this came about through a 1005 00:37:00,000 --> 00:37:05,040 collaboration with the CDC who helped us 1006 00:37:02,720 --> 00:37:07,440 sort of transform the design element to 1007 00:37:05,040 --> 00:37:09,440 better reflect the city of Savannah and 1008 00:37:07,440 --> 00:37:11,280 the work that we already do. As I 1009 00:37:09,440 --> 00:37:13,200 mentioned earlier, one of the 1010 00:37:11,280 --> 00:37:16,000 organizations that received the REACH 1011 00:37:13,200 --> 00:37:18,400 grant is called Healthy Savannah so 1012 00:37:16,000 --> 00:37:20,720 it was a no-brainer to put Active People 1013 00:37:18,400 --> 00:37:23,040 Healthy Savannah so that people see that 1014 00:37:20,720 --> 00:37:25,119 color they see the name Healthy Savannah 1015 00:37:23,040 --> 00:37:26,720 and they they can instantly recognize 1016 00:37:25,119 --> 00:37:29,200 the work that we've already done and 1017 00:37:26,720 --> 00:37:31,200 done for years and associated with these 1018 00:37:29,200 --> 00:37:33,599 great physical activity 1019 00:37:31,200 --> 00:37:37,520 programs and initiatives that we're 1020 00:37:33,599 --> 00:37:39,839 pushing throughout the city today. 1021 00:37:37,520 --> 00:37:42,000 And one of the things that we do with 1022 00:37:39,839 --> 00:37:44,560 the design element we've added it to a 1023 00:37:42,000 --> 00:37:46,640 backdrop for taking pictures at some of 1024 00:37:44,560 --> 00:37:47,920 our larger events like our annual 1025 00:37:46,640 --> 00:37:51,040 meeting 1026 00:37:47,920 --> 00:37:52,400 such as this which was in 2019 as well 1027 00:37:51,040 --> 00:37:54,880 as putting it on stuff like our 1028 00:37:52,400 --> 00:37:57,440 centerpieces at those meetings. So we try 1029 00:37:54,880 --> 00:38:00,160 to get real creative of course we use it 1030 00:37:57,440 --> 00:38:01,359 all throughout our social media but 1031 00:38:00,160 --> 00:38:02,960 these are some of the other more 1032 00:38:01,359 --> 00:38:05,599 creative ways we've been able to 1033 00:38:02,960 --> 00:38:08,400 implement the design element um in our 1034 00:38:05,599 --> 00:38:08,400 everyday use. 1035 00:38:08,800 --> 00:38:13,359 So, I look forward to answering some of 1036 00:38:10,320 --> 00:38:15,839 you guys questions um later on 1037 00:38:13,359 --> 00:38:18,880 and with that I'll hand it back off so 1038 00:38:15,839 --> 00:38:21,119 thank you guys. 1039 00:38:18,880 --> 00:38:24,160 Thank you Armand. We're now reaching the 1040 00:38:21,119 --> 00:38:26,240 point of our seminar today for Q A. 1041 00:38:24,160 --> 00:38:28,240 So I have some questions here in the Q A 1042 00:38:26,240 --> 00:38:30,560 box if you haven't uh submitted your 1043 00:38:28,240 --> 00:38:32,320 question yet there's still time to do so 1044 00:38:30,560 --> 00:38:34,960 if you click on the Q A we'll try to 1045 00:38:32,320 --> 00:38:36,000 take as many as we can. And I struggled a 1046 00:38:34,960 --> 00:38:37,440 little bit with the poll at the 1047 00:38:36,000 --> 00:38:39,920 beginning but I got the highlights of 1048 00:38:37,440 --> 00:38:42,400 the results. So the first question was 1049 00:38:39,920 --> 00:38:45,359 what motivates you the most. 80 percent of you 1050 00:38:42,400 --> 00:38:47,440 all said improvement in quality of life. 1051 00:38:45,359 --> 00:38:49,359 The second polling question was what 1052 00:38:47,440 --> 00:38:51,280 type of activities do you generally do 1053 00:38:49,359 --> 00:38:53,680 to be physically active and 1054 00:38:51,280 --> 00:38:55,599 walking and hiking ranked number one. And 1055 00:38:53,680 --> 00:38:57,520 the third was uh what gets in your way 1056 00:38:55,599 --> 00:39:00,720 of being physically active and maybe not 1057 00:38:57,520 --> 00:39:02,960 surprising but 71 percent of you said time as a 1058 00:39:00,720 --> 00:39:05,359 barrier. So uh thanks for filling that 1059 00:39:02,960 --> 00:39:07,200 out and we'll jump into the um 1060 00:39:05,359 --> 00:39:09,599 questions and Armand the first question 1061 00:39:07,200 --> 00:39:11,760 is for you. So the question came in that 1062 00:39:09,599 --> 00:39:14,400 the app that you shared is pretty cool 1063 00:39:11,760 --> 00:39:16,240 so is it just for your area or is it 1064 00:39:14,400 --> 00:39:17,839 open to other people? 1065 00:39:16,240 --> 00:39:19,920 Yeah so that's actually a common 1066 00:39:17,839 --> 00:39:21,839 question that we get so at this very 1067 00:39:19,920 --> 00:39:23,920 moment it's just for 1068 00:39:21,839 --> 00:39:26,160 the area in which we're using and that's 1069 00:39:23,920 --> 00:39:27,760 simply because the 1070 00:39:26,160 --> 00:39:30,480 organization or the company that we 1071 00:39:27,760 --> 00:39:34,079 partner with doesn't currently have the 1072 00:39:30,480 --> 00:39:36,079 the manpower to do it sort of nationwide 1073 00:39:34,079 --> 00:39:38,480 but it is something that they um are 1074 00:39:36,079 --> 00:39:40,880 exploring in the future so once we do 1075 00:39:38,480 --> 00:39:42,800 reach that point, I'll be sure to um 1076 00:39:40,880 --> 00:39:45,040 share that as much as possible because 1077 00:39:42,800 --> 00:39:48,320 we do want people to use the app and it 1078 00:39:45,040 --> 00:39:48,320 has been helpful thus far 1079 00:39:48,560 --> 00:39:52,400 thank you. 1080 00:39:49,839 --> 00:39:54,480 Jeff the next question is for you and uh 1081 00:39:52,400 --> 00:39:55,920 someone I think who is 1082 00:39:54,480 --> 00:39:57,839 understands their surveillance so the 1083 00:39:55,920 --> 00:39:59,599 question is if you can speak to the 1084 00:39:57,839 --> 00:40:02,240 change in collecting physical activity 1085 00:39:59,599 --> 00:40:03,920 data in BRFSS the change of cycle from 1086 00:40:02,240 --> 00:40:05,920 two years to four years 1087 00:40:03,920 --> 00:40:08,400 and uh what do you think practitioners 1088 00:40:05,920 --> 00:40:11,839 should use in lieu of the data that 1089 00:40:08,400 --> 00:40:11,839 won't be coming every two years? 1090 00:40:12,560 --> 00:40:17,040 Yeah, uh always a good question about um 1091 00:40:15,440 --> 00:40:20,160 changes in surveillance systems. We know 1092 00:40:17,040 --> 00:40:21,520 that's a a tough topic um I 1093 00:40:20,160 --> 00:40:24,079 having not been personally involved in 1094 00:40:21,520 --> 00:40:25,920 the change with BRFSS I can't speak 1095 00:40:24,079 --> 00:40:27,040 too much to it. I would refer 1096 00:40:25,920 --> 00:40:28,880 folks to the 1097 00:40:27,040 --> 00:40:31,359 to the Division of 1098 00:40:28,880 --> 00:40:33,920 Population Health here at CDC that 1099 00:40:31,359 --> 00:40:34,960 administers BRFSS. 1100 00:40:33,920 --> 00:40:37,440 But I think 1101 00:40:34,960 --> 00:40:39,359 more generally, we're constantly in 1102 00:40:37,440 --> 00:40:40,960 the surveillance world especially in 1103 00:40:39,359 --> 00:40:42,880 questionnaire-based surveillance. We're 1104 00:40:40,960 --> 00:40:46,880 constantly wrestling with 1105 00:40:42,880 --> 00:40:49,280 respondent burden and um 1106 00:40:46,880 --> 00:40:51,520 just the um the amount of time that it 1107 00:40:49,280 --> 00:40:52,640 takes to complete a questionnaire so I 1108 00:40:51,520 --> 00:40:55,040 think we're all 1109 00:40:52,640 --> 00:40:57,040 familiar or many of us will be familiar 1110 00:40:55,040 --> 00:40:58,960 with the problems of 1111 00:40:57,040 --> 00:41:00,640 of 1112 00:40:58,960 --> 00:41:02,800 response rates that have been decreasing 1113 00:41:00,640 --> 00:41:05,440 over time and so trying to reduce the 1114 00:41:02,800 --> 00:41:07,280 burden on respondents is a key factor. 1115 00:41:05,440 --> 00:41:08,720 Unfortunately sometimes that means that 1116 00:41:07,280 --> 00:41:10,400 we 1117 00:41:08,720 --> 00:41:12,319 reduce the frequency of questions or 1118 00:41:10,400 --> 00:41:15,680 reduce the number of questions asked per 1119 00:41:12,319 --> 00:41:17,920 year and uh and that can create some 1120 00:41:15,680 --> 00:41:20,400 some gaps and so 1121 00:41:17,920 --> 00:41:22,400 I think that speaks also to 1122 00:41:20,400 --> 00:41:23,760 a larger 1123 00:41:22,400 --> 00:41:25,440 problem that we're trying to address 1124 00:41:23,760 --> 00:41:26,400 with our data modernization initiatives. 1125 00:41:25,440 --> 00:41:28,880 So 1126 00:41:26,400 --> 00:41:31,040 looking for these 1127 00:41:28,880 --> 00:41:33,359 other data sources like GPS enabled 1128 00:41:31,040 --> 00:41:36,720 devices that we can use to augment those 1129 00:41:33,359 --> 00:41:37,839 those regular data collections 1130 00:41:36,720 --> 00:41:40,079 for 1131 00:41:37,839 --> 00:41:42,160 other data sources that that people can 1132 00:41:40,079 --> 00:41:44,880 use in the interim between those those 1133 00:41:42,160 --> 00:41:47,040 four year periods of assessment in BRFSS. 1134 00:41:44,880 --> 00:41:48,640 I would point out that the uh the 1135 00:41:47,040 --> 00:41:50,319 physical inactivity question is still 1136 00:41:48,640 --> 00:41:52,880 going to be asked every year so that one 1137 00:41:50,319 --> 00:41:54,079 that one is still usable. 1138 00:41:52,880 --> 00:41:55,920 And then 1139 00:41:54,079 --> 00:41:58,000 there are some other data sources I'm 1140 00:41:55,920 --> 00:41:59,760 thinking primarily of the American 1141 00:41:58,000 --> 00:42:01,599 Community Survey that provides some 1142 00:41:59,760 --> 00:42:04,240 information on walking and bicycling to 1143 00:42:01,599 --> 00:42:06,480 work at the state and local levels and 1144 00:42:04,240 --> 00:42:08,400 that is uh 1145 00:42:06,480 --> 00:42:10,800 administered by the U.S. census and and 1146 00:42:08,400 --> 00:42:12,400 is and is done annually. So a couple of 1147 00:42:10,800 --> 00:42:14,880 options there but I would also just stay 1148 00:42:12,400 --> 00:42:16,319 tuned to uh to the field in general as 1149 00:42:14,880 --> 00:42:17,920 we move forward with these modernized 1150 00:42:16,319 --> 00:42:20,720 data measurements or 1151 00:42:17,920 --> 00:42:22,000 modernized measurement sources and 1152 00:42:20,720 --> 00:42:24,240 I think there's a lot more to come in 1153 00:42:22,000 --> 00:42:26,319 that area. 1154 00:42:24,240 --> 00:42:27,440 Thanks Jeff. Ken the next question is for 1155 00:42:26,319 --> 00:42:29,920 you. I'm going to pair a couple of 1156 00:42:27,440 --> 00:42:32,480 questions together so the first question 1157 00:42:29,920 --> 00:42:34,480 is what role do you see coalitions 1158 00:42:32,480 --> 00:42:36,000 playing in Active People Healthy Nation 1159 00:42:34,480 --> 00:42:38,800 and then related what role do you see 1160 00:42:36,000 --> 00:42:38,800 partners playing. 1161 00:42:40,960 --> 00:42:43,520 Well 1162 00:42:41,839 --> 00:42:45,440 certainly 1163 00:42:43,520 --> 00:42:47,280 partners and coalitions are really part 1164 00:42:45,440 --> 00:42:49,440 of the same continuum. 1165 00:42:47,280 --> 00:42:51,359 We can't do this work by ourselves like 1166 00:42:49,440 --> 00:42:54,240 there's no way that our little 1167 00:42:51,359 --> 00:42:57,520 initiative at CDC is going to do this 1168 00:42:54,240 --> 00:42:58,880 alone. It absolutely requires partners in 1169 00:42:57,520 --> 00:43:00,880 the public health sector and as I 1170 00:42:58,880 --> 00:43:02,800 mentioned in the slide set a lot of 1171 00:43:00,880 --> 00:43:04,960 other sectors. 1172 00:43:02,800 --> 00:43:07,200 And not only that, it requires coalition 1173 00:43:04,960 --> 00:43:08,000 building at the local state national 1174 00:43:07,200 --> 00:43:09,040 level 1175 00:43:08,000 --> 00:43:11,040 to 1176 00:43:09,040 --> 00:43:12,720 promote physical activity and to be 1177 00:43:11,040 --> 00:43:13,520 honest at the end of the day like if it 1178 00:43:12,720 --> 00:43:15,200 is 1179 00:43:13,520 --> 00:43:17,599 if it is something that is going to 1180 00:43:15,200 --> 00:43:19,599 support physical activity but the 1181 00:43:17,599 --> 00:43:21,760 message needs to be different whether 1182 00:43:19,599 --> 00:43:23,520 it's an economic message or or some 1183 00:43:21,760 --> 00:43:25,599 other type of message you know. 1184 00:43:23,520 --> 00:43:27,440 Coalitions know the best answer to that 1185 00:43:25,599 --> 00:43:29,839 question what is going to work in their 1186 00:43:27,440 --> 00:43:31,839 own environments to speak to decision 1187 00:43:29,839 --> 00:43:33,839 makers so that's why I think coalition 1188 00:43:31,839 --> 00:43:35,440 building is so important 1189 00:43:33,839 --> 00:43:37,599 along with 1190 00:43:35,440 --> 00:43:41,640 certainly cultivating partners at the 1191 00:43:37,599 --> 00:43:41,640 local state and national levels. 1192 00:43:41,680 --> 00:43:47,200 Thank you. Armand has COVID changed how 1193 00:43:45,040 --> 00:43:48,000 you work with your community. 1194 00:43:47,200 --> 00:43:50,560 Oh 1195 00:43:48,000 --> 00:43:53,680 dramatically. 1196 00:43:50,560 --> 00:43:56,240 Um early on we were able to of course 1197 00:43:53,680 --> 00:43:57,200 meet with people in in person. 1198 00:43:56,240 --> 00:43:59,440 And 1199 00:43:57,200 --> 00:44:01,040 what a lot of our communities especially 1200 00:43:59,440 --> 00:44:04,240 our neighborhood associations for 1201 00:44:01,040 --> 00:44:06,640 example they have a much older um 1202 00:44:04,240 --> 00:44:09,119 population within them and so once we 1203 00:44:06,640 --> 00:44:11,280 have to start switching to online there 1204 00:44:09,119 --> 00:44:13,119 was a gap in which it was sort of 1205 00:44:11,280 --> 00:44:15,040 difficult to 1206 00:44:13,119 --> 00:44:16,800 maintain those links that we had with a 1207 00:44:15,040 --> 00:44:19,839 lot of community members. 1208 00:44:16,800 --> 00:44:22,480 Um but as time went on I think we found 1209 00:44:19,839 --> 00:44:24,880 that a lot of those same people learned 1210 00:44:22,480 --> 00:44:27,359 to use things like Zoom and these online 1211 00:44:24,880 --> 00:44:30,640 platforms and they also began exploring 1212 00:44:27,359 --> 00:44:33,200 other things such as um these large just 1213 00:44:30,640 --> 00:44:35,119 conference calls. Um 1214 00:44:33,200 --> 00:44:37,520 one quick example is 1215 00:44:35,119 --> 00:44:39,359 so a community who hasn't been able to 1216 00:44:37,520 --> 00:44:42,160 meet uh we want to tell them a little 1217 00:44:39,359 --> 00:44:44,560 bit more about Tide to Town and give our 1218 00:44:42,160 --> 00:44:46,079 you know usual presentation on it but we 1219 00:44:44,560 --> 00:44:47,520 couldn't because we couldn't meet with 1220 00:44:46,079 --> 00:44:48,560 them in person and they weren't using 1221 00:44:47,520 --> 00:44:50,640 online. 1222 00:44:48,560 --> 00:44:53,200 And so what we began to do is start 1223 00:44:50,640 --> 00:44:55,599 printing out um creating them printing 1224 00:44:53,200 --> 00:44:57,359 out basically short presentations on 1225 00:44:55,599 --> 00:44:58,880 paper and then we'll give them to the 1226 00:44:57,359 --> 00:45:01,200 addresses of that neighborhood 1227 00:44:58,880 --> 00:45:03,440 association's executive board and then 1228 00:45:01,200 --> 00:45:05,920 we'll hold a phone conference to really 1229 00:45:03,440 --> 00:45:08,880 discuss the material that they they've 1230 00:45:05,920 --> 00:45:11,599 read so um it's become a little more 1231 00:45:08,880 --> 00:45:13,440 difficult but it also I think has 1232 00:45:11,599 --> 00:45:15,599 expanded our reach 1233 00:45:13,440 --> 00:45:18,960 because a lot of people can't show up to 1234 00:45:15,599 --> 00:45:19,839 a neighborhood meeting at you know 5 p.m 1235 00:45:18,960 --> 00:45:21,680 if they're 1236 00:45:19,839 --> 00:45:23,599 dropping off kids that's I mean picking 1237 00:45:21,680 --> 00:45:26,079 up kids from school and coming off for 1238 00:45:23,599 --> 00:45:28,880 work and whatnot. By having these more 1239 00:45:26,079 --> 00:45:30,640 flexible online meetings, we have been 1240 00:45:28,880 --> 00:45:33,839 able to reach I think more people in the 1241 00:45:30,640 --> 00:45:33,839 long run. 1242 00:45:34,079 --> 00:45:37,760 Excellent. 1243 00:45:35,520 --> 00:45:39,280 Jeff, questions for you. So you covered 1244 00:45:37,760 --> 00:45:41,440 some of the surveillance data for the 1245 00:45:39,280 --> 00:45:44,920 past 28 years did anything in the data 1246 00:45:41,440 --> 00:45:44,920 surprise you. 1247 00:45:46,880 --> 00:45:51,280 Yeah I um 1248 00:45:49,119 --> 00:45:55,040 I think one of the 1249 00:45:51,280 --> 00:45:57,440 one of the surprises for me was the 1250 00:45:55,040 --> 00:45:59,040 the consistency of 1251 00:45:57,440 --> 00:46:00,640 increases that we observed in the 1252 00:45:59,040 --> 00:46:02,480 National Health Interview Survey. So that 1253 00:46:00,640 --> 00:46:04,640 was the survey that covered the big 1254 00:46:02,480 --> 00:46:07,680 21-year span from 1255 00:46:04,640 --> 00:46:09,920 1998 to uh to 2018. 1256 00:46:07,680 --> 00:46:12,079 And just to see such consistent 1257 00:46:09,920 --> 00:46:14,079 increases across you know every way that 1258 00:46:12,079 --> 00:46:15,920 we slice and dice the data we saw these 1259 00:46:14,079 --> 00:46:17,599 increases in reported physical activity. 1260 00:46:15,920 --> 00:46:20,000 So I think that was that was one of the 1261 00:46:17,599 --> 00:46:21,839 more encouraging findings um but you 1262 00:46:20,000 --> 00:46:24,319 know I point out that that that those 1263 00:46:21,839 --> 00:46:26,319 findings were limited to adults and um 1264 00:46:24,319 --> 00:46:29,359 and and we weren't quite so lucky among 1265 00:46:26,319 --> 00:46:29,359 uh among youth. 1266 00:46:30,000 --> 00:46:34,400 Thank you. 1267 00:46:31,520 --> 00:46:36,560 Um Ken, so many of the obstacles 1268 00:46:34,400 --> 00:46:38,319 described are consequences of focus on 1269 00:46:36,560 --> 00:46:40,079 vehicles and mobility planning and 1270 00:46:38,319 --> 00:46:41,839 construction, 1271 00:46:40,079 --> 00:46:44,480 how can the best practices of road 1272 00:46:41,839 --> 00:46:46,400 design and traffic flow expectations 1273 00:46:44,480 --> 00:46:48,960 that are baked into urban planning to 1274 00:46:46,400 --> 00:46:51,440 adjust to provide for safety of walking 1275 00:46:48,960 --> 00:46:51,440 and biking. 1276 00:46:51,760 --> 00:46:55,880 Sorry, that was a full question. 1277 00:46:57,680 --> 00:47:01,520 Maybe you could ask me again. 1278 00:46:59,599 --> 00:47:03,440 Uh sure no problem. 1279 00:47:01,520 --> 00:47:05,119 So, it's describing that some of the the 1280 00:47:03,440 --> 00:47:07,040 consequences or the obstacles that have 1281 00:47:05,119 --> 00:47:08,720 been uh were described in the 1282 00:47:07,040 --> 00:47:10,880 presentations today are a result of kind 1283 00:47:08,720 --> 00:47:12,400 of a car focused 1284 00:47:10,880 --> 00:47:16,000 world that we're in or country that 1285 00:47:12,400 --> 00:47:17,839 we're in so the question is how can 1286 00:47:16,000 --> 00:47:21,200 some of the road design and traffic flow 1287 00:47:17,839 --> 00:47:25,040 expectations marry our interest in 1288 00:47:21,200 --> 00:47:27,599 face pedestrian and biking. 1289 00:47:25,040 --> 00:47:28,880 Yeah so I think that 1290 00:47:27,599 --> 00:47:30,640 well a lot of people in the 1291 00:47:28,880 --> 00:47:32,559 transportation land use world that 1292 00:47:30,640 --> 00:47:34,800 support our work would say 1293 00:47:32,559 --> 00:47:36,319 that we are um 1294 00:47:34,800 --> 00:47:37,839 that road design hasn't caught up with 1295 00:47:36,319 --> 00:47:39,280 public opinion 1296 00:47:37,839 --> 00:47:43,119 and certainly 1297 00:47:39,280 --> 00:47:45,520 in places where people live 1298 00:47:43,119 --> 00:47:48,240 people want safer roads 1299 00:47:45,520 --> 00:47:51,599 and so I think it means then that we 1300 00:47:48,240 --> 00:47:54,480 have to really understand and appreciate 1301 00:47:51,599 --> 00:47:57,200 the broader perspective of what people 1302 00:47:54,480 --> 00:47:58,079 do in those neighborhoods and understand 1303 00:47:57,200 --> 00:47:59,599 from a 1304 00:47:58,079 --> 00:48:02,079 from a transportation engineering 1305 00:47:59,599 --> 00:48:04,559 perspective really push for 1306 00:48:02,079 --> 00:48:06,240 what they call context sensitive design. 1307 00:48:04,559 --> 00:48:08,880 So anybody that is in a public health 1308 00:48:06,240 --> 00:48:10,559 coalition showing up at a local uh 1309 00:48:08,880 --> 00:48:12,880 meeting to talk to transportation 1310 00:48:10,559 --> 00:48:15,760 engineers you know really I think should 1311 00:48:12,880 --> 00:48:18,160 come to the table pushing that concept. 1312 00:48:15,760 --> 00:48:20,400 We need roads that what they call 1313 00:48:18,160 --> 00:48:21,760 context sensitive design which basically 1314 00:48:20,400 --> 00:48:23,280 just means 1315 00:48:21,760 --> 00:48:24,720 accommodating the people that live on 1316 00:48:23,280 --> 00:48:27,599 either side of that road and in that 1317 00:48:24,720 --> 00:48:29,680 community in a way that that road isn't 1318 00:48:27,599 --> 00:48:32,880 a barrier that that goes through their 1319 00:48:29,680 --> 00:48:34,079 community at at best and at worst 1320 00:48:32,880 --> 00:48:36,559 something that comes through their 1321 00:48:34,079 --> 00:48:37,440 community that is killing people. Um and 1322 00:48:36,559 --> 00:48:39,599 so 1323 00:48:37,440 --> 00:48:41,520 that's I think the short answer I mean I 1324 00:48:39,599 --> 00:48:43,119 could this is as you know Janelle I 1325 00:48:41,520 --> 00:48:46,079 could talk about this for the next hour 1326 00:48:43,119 --> 00:48:48,319 so I will stop now. 1327 00:48:46,079 --> 00:48:50,160 Thanks Ken I appreciate that. Um I think 1328 00:48:48,319 --> 00:48:51,920 we do have time for one last question 1329 00:48:50,160 --> 00:48:53,760 and then uh time to adjourn and give 1330 00:48:51,920 --> 00:48:55,920 everyone everyone just a few minutes 1331 00:48:53,760 --> 00:48:58,400 before the next meeting. So Armand, the 1332 00:48:55,920 --> 00:49:00,640 last question is for you. Can you explain 1333 00:48:58,400 --> 00:49:03,440 more about some of the zoning changes 1334 00:49:00,640 --> 00:49:06,400 around mixed use in neighborhoods? 1335 00:49:03,440 --> 00:49:10,079 Yeah so with the new zoning ordinance 1336 00:49:06,400 --> 00:49:12,480 that was um sort of voted in um before 1337 00:49:10,079 --> 00:49:15,040 that I think the last time any changes 1338 00:49:12,480 --> 00:49:17,839 had happened to our um zoning ordinance 1339 00:49:15,040 --> 00:49:20,400 was in like 1963. 1340 00:49:17,839 --> 00:49:22,640 Um so that was a lot of work to do um 1341 00:49:20,400 --> 00:49:25,200 the main point with the mixed uses it 1342 00:49:22,640 --> 00:49:27,760 increased the areas within our city that 1343 00:49:25,200 --> 00:49:31,440 were allowed to sort of rezone to have a 1344 00:49:27,760 --> 00:49:35,119 more mixed use within it. So for example 1345 00:49:31,440 --> 00:49:37,200 um a building could now have a 1346 00:49:35,119 --> 00:49:39,440 corner store or restaurant at the bottom 1347 00:49:37,200 --> 00:49:41,520 or a barber shop like which exists up 1348 00:49:39,440 --> 00:49:43,599 the street from mine and 1349 00:49:41,520 --> 00:49:45,680 housing above it. 1350 00:49:43,599 --> 00:49:46,960 And so 1351 00:49:45,680 --> 00:49:49,760 what the 1352 00:49:46,960 --> 00:49:52,160 new zoning really did as well is make all of 1353 00:49:49,760 --> 00:49:54,319 these changes and how to go about them a 1354 00:49:52,160 --> 00:49:56,319 lot more transparent. So 1355 00:49:54,319 --> 00:49:58,880 for people who are coming up to the npc 1356 00:49:56,319 --> 00:50:01,280 with these concerns or requests, 1357 00:49:58,880 --> 00:50:03,680 they actually understood how to use it 1358 00:50:01,280 --> 00:50:04,800 or how to request certain certain 1359 00:50:03,680 --> 00:50:08,000 changes. 1360 00:50:04,800 --> 00:50:11,040 Um and it also put it online 1361 00:50:08,000 --> 00:50:13,839 and able to be searchable online which 1362 00:50:11,040 --> 00:50:15,920 was a big deal so a lot a lot of changes 1363 00:50:13,839 --> 00:50:19,200 came with that but mostly it increased 1364 00:50:15,920 --> 00:50:21,440 the ease of use for um regular people to 1365 00:50:19,200 --> 00:50:24,800 to really understand it and know how to 1366 00:50:21,440 --> 00:50:26,960 um navigate it. 1367 00:50:24,800 --> 00:50:29,040 How important. Thank you. Well I want to 1368 00:50:26,960 --> 00:50:32,880 thank all the audience that joined us 1369 00:50:29,040 --> 00:50:35,280 today for CDC's DNPAO Seminar Series. Um 1370 00:50:32,880 --> 00:50:37,520 appreciate all the Q A. Um a special 1371 00:50:35,280 --> 00:50:40,319 thank you to Armand Turner who joined 1372 00:50:37,520 --> 00:50:42,480 us from the Savannah REACH program and 1373 00:50:40,319 --> 00:50:44,559 to my colleagues Jeff and Ken for their 1374 00:50:42,480 --> 00:50:47,040 presentations today. We appreciate all 1375 00:50:44,559 --> 00:50:48,559 and maybe everyone can have a moment to 1376 00:50:47,040 --> 00:50:50,160 have a quick physical activity break 1377 00:50:48,559 --> 00:50:53,400 before they do their next meeting. Thank 1378 00:50:50,160 --> 00:50:53,400 you all.