Health by Design

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Table of Contents INTRODUCTION Planning Purpose & Goals 2 Organization of The Plan 3 Planning Process 4 CHAPTER 1: CHRONIC DISEASE AND THE NEED FOR ACTIVE LIVING INFRASTRUCTURE The Situation and Its Consequences 8 The Need for Active Living Infrastructure 10 A Call for Collaboration 11

CHAPTER 3. PRIORITY INITIATIVES FOR AN ACTIVE LIVING ENVIRONMENT Priority Initiatives Overview & Matrix Category I Priority Initiatives Category II Priority Initiatives

39 42-57 58-73

CHAPTER 4. ACTIVE LIVING DESIGN GUIDELINES Downtowns 77 Parks & Playgrounds 80 Suburban Workplace Campuses 82 Active Transportation in Rural Areas 83 Rural Roads 84

CHAPTER 2. DISCOVERY: STUDY AREA PROFILE Political Jurisdictions and Assets 15 CHAPTER 5. STRATEGIC DIRECTION Natural Resources 15 Strategies & Action Steps 88 River Basins 17 Regional Trails 17 REFERENCES 93 A Regional Perspective of Public Health 19 A Relative Assessment of the Region 19 Social Determinants of Health 19 Community Risk Factors 20 Health Risk Outcomes 21 The Total Health Model Map 22 Health Overview by County 24-34

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