Health at the Nexus: Land Use & Public Health
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Transcript of Health at the Nexus: Land Use & Public Health
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Health at the Nexus:Health at the Nexus:
Land Use & Public Land Use & Public
HealthHealthMarc Schenker M.D., M.P.H.Dept. Public Health Sciences
University of California, Davis
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The public The public health health
community community has led in has led in increasing increasing
awareness of awareness of land use and land use and
healthhealth
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AJPH
Built Environment and Health
September, 2003
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Urban Sprawl and Public
Health: Designing,
Planning and building for
Healthy Communities
Frumkin, Frank, Jackson; 2004
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Frederick Law Olmsted(1822 - 1903)
• Founder of American landscape architecture
• General Secretary of the Sanitary Commission during the Civil War
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The Vision of Public Health
“Healthy People in
Healthy Communities.”
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Biology
Behavior
Environment
Conception Death
Child Health
AdolescentHealth
Adult Health
HealthyAging
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Innatetraits
Individual behavior
Social, family, community networks
Living and working conditions
Broad social, economic, cultural, environmental conditions at local, state, national global level
Determinants of Population Health
Innate traits
Dahlgren, 1991
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Public Health Approach to Disease Prevention
• Population-focused, organized effort to assist individuals, groups and communities.– ASSESSMENT– POLICY DEVELOPMENT– ASSURANCE
• Multidisciplinary approaches – educational – environmental – behavioral– legal
• Address root or underlying causes of disease
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The Root Cause Approach to Public Health Will Require
Expansion of effective public-private partnerships
Greater coordination between the health care delivery system and the public health system
Increased cross-sector collaboration (public health, housing, transportation, education, etc) that recognizes the multiple factors affecting health
Increased financial investment
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Public Health: A Natural Vehicle for Leading the Effort to Improve
Land Use and Health
• Inherently multidisciplinary
• Research is based on populations, including behavioral, environmental, biologic factors
• An active practice/policy focus
• Involvement of communities
• A track record of accomplishments
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Public Health and the Public Health and the UC Davis Strategic PlanUC Davis Strategic Plan
“Contribute to the solution of Contribute to the solution of society’s most pressing society’s most pressing health problems locally and health problems locally and around the globe through around the globe through disciplinary and disciplinary and interdisciplinary research, interdisciplinary research, life-long education, and life-long education, and community partnerships. “community partnerships. “
~ Campus Strategic Plan
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Public Health Fits with the Overall Public Health Fits with the Overall Academic Campus ProfileAcademic Campus Profile
Unique Co-Location of Five Professional Schools• Graduate School of Management• School of Education• School of Law• School of Medicine• School of Veterinary Medicine
The UCD Advantage
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UC Davis Tradition of UC Davis Tradition of Interdisciplinary Research and Interdisciplinary Research and
TeachingTeaching
• The John Muir Institute of the Environment• Center for Occupational and Environmental Health• Institute for Transportation Studies• Center for Healthcare Policy and Research• Alzheimer's Disease Center• The M.I.N.D. Institute• UC Davis Cancer Center• Center for Vector borne Disease• Western Center for Agricultural Health and Safety• USDA Western Human Nutrition Research Center• Program in International and Community Nutrition• And many more….
Interdisciplinary centers and investigators, including:
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A Growing Interaction in Public Health Between UC Davis and
California Dept. of Public Health
• Volunteer clinical faculty• Academic Health Department• MPH co-teaching, practicums• Cancer research program• Emergency preparedness program• And many more……
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We are moving from awareness of public health and land use to the more difficult challenge of implementing changes. This effort should include using modern public health research and practice tools, increased collaboration of public health and medicine, innovative new multidisciplinary approaches and ultimately creating healthier communities by design.
Conclusion
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"I had an interview with the Board of
Guardians of St. James's parish, on the
evening of Thursday,7th September, and
represented the above circumstances to
them. In consequence of what I said, the
handle of the pump was removed on the
following day."
John Snow
Public Health Intervention
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The End