Tag Archives: public health

So Much to Do: Sadly, so much time

Time is not on our side. And that earth-shattering insight works in two directions.

The most obvious is the situation most of us face each day, with ever-expanding to-do lists colliding with obstinate time frames. Same old days, with the same old number of hours in them.

But here’s the deal with a to-do list: What makes it useful is the degree to which it ranks tasks. And the way you decide what rises to the top of the list is to have a pretty good idea what will happen, in what sort of time frame, as a result of you choosing one thing over another. The problem is, your confidence about what will result from choices depends on how quickly the consequences of the choices unfold.

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A Municipal Planner’s Call to Arms (and Legs, Hearts and Lungs)

The obesity epidemic isn’t really “news” anymore (thank you, Jamie Oliver’s Food Revolution) yet when I question my friends who work outside the fields of design and planning on why Americans are so fat, they tie everything back to poor food choices. But what about exercise? They reply that if you want to exercise, just find yourself a park or a gym. No worries.

So, although we know that there is an obesity “problem,” one with significant national impacts, the average American still is not aware that it is, in many ways, a design problem. A result of a built environment that has been constructed over the past 50 years with one singular purpose – move more cars faster. Continue reading

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Fat-tastic! Can Small Thinking Solve Our Super-Sized Problems?

According to a new report from the Organization for Economic Cooperation and Development — more commonly known for crunching global budget and employment numbers  — the United States is on track to be 75% obese by 2020.

3 out of every 4. And if you check with researchers at Johns Hopkins University, they’ll tell you to expect 86% by 2030. Continue reading

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Innovation on the Road to Oblivion?

Context is everything.

The New York Times reports with unease that the FDA has approved statin drug Crestor’s use in a preventive capacity for those not currently diagnosed with cholesterol problems.

The degree to which this represents innovation in medicine is a topic to be debated elsewhere. What matters to me is that such use of pharmaceuticals is indicative of something larger. Something fundamental to our future: An ever-growing commitment to the path we’re presently on. Continue reading

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Love Ain’t Enough: Put Up or Shut Up

Like any next, big something, placemaking is growing up. And in its role as gawky adolescent, it’s beginning to realize something most of us have long since come to accept: You can’t skirt by on youthful good looks forever.

Today, efforts to create more endearing and enduring surroundings are being subjected to decidedly grown up demands. And with them, smart growthers—from enviros to designers to code reform advocates—are learning one of life’s hardest lessons: Love will only take you so far.

Son, you’ve got to demonstrate sufficient returns. Continue reading

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A Prescription for Healthy Places

The not-so-good news persists: The continuing economic woes, including long-term concerns about housing, infrastructure, and transportation policy. The complications (to put it mildly) of climate change. And the crisis in public health.

It’s no wonder the whole country feels a little under the weather.

Which is why we think it’s clever that famed designer/planner Dhiru Thadani came up with the cool graphic to the left to remind us that there is a prescription for what ails us. Or, at least, that there’s an approach to healthier living that should be included in national strategies for renewal.

The cure for what ails us?

Not coincidentally, that theme “Rx for Healthy Places,” provides the sub-title for CNU18, the annual gathering of the Congress for the New Urbanism, which will be held in Atlanta, May 19-22, 2010. The healthy places angle gets an extra shot of credibility because of the active participation in CNU18 of the Atlanta-based Centers for Disease Control and Prevention.

The public health connection to New Urbanist principles has always been implied. It’s important these days, especially during a heated debate over the future of health care, to make it explicit. The most authoritative link-up between public health and land use planning is “Urban Sprawl and Public Health: Designing, Planning, and Building for Healthy Communities” by Howard Frumkin, director of CDC’s National Center for Environmental Health. Dr. Frumkin will be honorary chair of CNU18.

Adding to the work of CDC researchers and epidemiologists who study links between physical health and environmental factors is an increasing body of work on mental health and social conditions, especially with regard to social isolation. Remember “Bowling Alone,” Robert Putnam’s 2001 best seller about “social capital” and community? That book inspired a lot of discussion in New Urbanist circles. And research has continued to connect isolation and ill health. Here’s a recent L.A. Times column on the topic (thanks to Ann Daigle for the link).

And to read more about the book that inspired the column, “Loneliness: Human Nature and the Need for Social Connection” by John T. Cacioppo and William Patrick, go here.

We’ll be reporting more and more about what’s beginning to shape up as an historic gathering in Atlanta next May. So keep coming back.

— Ben Brown

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