00:00:04:04 - 00:00:04:22 Okay. 00:00:04:22 - 00:00:08:00 I'd like to welcome everybody to the DNPAO seminar series. 00:00:08:00 - 00:00:11:00 We have an exciting session for you all today. 00:00:12:03 - 00:00:13:10 I'm your moderator for today. 00:00:13:10 - 00:00:14:01 I'm Janelle Gunn 00:00:14:01 - 00:00:17:10 and I lead our Office of Policy, Partnerships, and Communications in 星空娱乐官网's 00:00:17:10 - 00:00:20:18 Division of Nutrition, Physical Activity and Obesity. 00:00:21:18 - 00:00:23:03 Just a few housekeeping things. 00:00:23:03 - 00:00:24:20 This seminar is being recorded. 00:00:24:20 - 00:00:28:15 It'll be posted at a later date on the 星空娱乐官网 website. 00:00:28:24 - 00:00:31:22 All lines are muted, but we do encourage 00:00:31:22 - 00:00:35:05 Q&A and we'll have time at the end, for some Q&A. 00:00:35:05 - 00:00:39:02 So you can use that feature there on Zoom to put in your questions, 00:00:39:02 - 00:00:42:02 and we'll get to as many as we can at the end of the seminar. 00:00:43:16 - 00:00:47:03 So I鈥檓 very excited about our session today and has focused on increasing 00:00:47:03 - 00:00:50:16 physical activity through community design in states and communities. 00:00:51:03 - 00:00:53:16 We have an all star panel lined up. 00:00:53:16 - 00:00:56:16 So first we'll hear from Lieutenant Dave Ederer. 00:00:56:19 - 00:01:00:06 He's a senior assistant engineer in the US Public Health Service. 00:01:00:19 - 00:01:03:15 He's also an epidemiologist in the Physical Activity and Health 00:01:03:15 - 00:01:07:09 Branch here at 星空娱乐官网, where he studies active transportation. 00:01:07:18 - 00:01:11:18 He has served as a technical advisor to the US mission to the United Nations 00:01:11:18 - 00:01:13:05 and the United Nations Road Safety 00:01:13:05 - 00:01:17:16 Collaboration, and as an epidemic intelligence officer. 00:01:17:16 - 00:01:20:17 He has served in all those roles. 00:01:20:18 - 00:01:22:09 He has a PhD in Transportation 00:01:22:09 - 00:01:25:15 Systems Engineering from the Georgia Institute of Technology. 00:01:26:04 - 00:01:28:08 He will be followed by Tiffany Smith. 00:01:28:08 - 00:01:31:13 She's a Program Manager from Vision Zero Network, 00:01:31:17 - 00:01:35:01 and she's a public health practitioner who works with transportation 00:01:35:01 - 00:01:39:00 professionals, advocates and policymakers to advance health equity. 00:01:39:09 - 00:01:43:19 Income equity and racial justice priorities in Vision Zero work 00:01:43:19 - 00:01:45:03 across the nation. 00:01:45:03 - 00:01:48:05 She also aids communities in deepening their understanding 00:01:48:05 - 00:01:51:07 of the Safe System Approach to implement road safety strategies 00:01:51:15 - 00:01:55:01 that are proactive, equitable, and holistic in nature. 00:01:55:13 - 00:01:59:09 She brings her public health experience to Vision Zero by integrating 00:01:59:09 - 00:02:03:13 collaborative and systems-level thinking to a roadway safety interventions. 00:02:04:04 - 00:02:06:15 And then she'll be followed by Steph Leonard. 00:02:06:15 - 00:02:10:03 She's the Built Environment Coordinator at the Colorado Department 00:02:10:03 - 00:02:12:02 of Public Health and Environment. 00:02:12:02 - 00:02:15:09 She's a planning and public health professional with the multiple sector 00:02:15:09 - 00:02:19:02 experience in active transportation, policy, and community design. 00:02:19:13 - 00:02:21:02 As a built environment coordinator, 00:02:21:02 - 00:02:24:04 she collaborates with local, regional, and state partners to create 00:02:24:06 - 00:02:27:06 active, friendly communities through policy and environment change. 00:02:28:12 - 00:02:30:11 Okay, so our agenda today 00:02:30:11 - 00:02:34:05 for the next hour is first we'll hear about safe systems and community design, 00:02:34:17 - 00:02:38:06 followed by state experience, a cross sectional collaboration towards 00:02:38:06 - 00:02:42:16 safe systems in Colorado and then Safe Systems in Pyramid in Action. 00:02:42:24 - 00:02:44:20 This will all conclude with a Q&A. 00:02:44:20 - 00:02:48:21 So again, put your questions throughout the webinar into the Q&A. 00:02:50:10 - 00:02:52:10 So taking just a quick step back. 00:02:52:10 - 00:02:53:07 We're considering 00:02:53:07 - 00:02:57:18 how community design can support meeting physical activity recommendations. 00:02:58:07 - 00:03:01:01 And we promote some of this through our work here at 星空娱乐官网 00:03:01:01 - 00:03:04:02 in Active People, Healthy Nation, which we're trying to help 00:03:04:02 - 00:03:07:15 27 million Americans be more physically active by 2027. 00:03:08:19 - 00:03:11:12 And then just a quick reminder of the physical activity 00:03:11:12 - 00:03:13:05 guidelines, the goals that we're aiming for. 00:03:13:05 - 00:03:14:03 So on this slide here 00:03:14:03 - 00:03:18:24 you can see the guidelines for adults which is to achieve 150 minutes a week 00:03:19:04 - 00:03:22:07 and at least two days per week of muscle strengthening activities. 00:03:22:08 - 00:03:26:16 So excited to see how, the design of a community can help support these goals. 00:03:27:18 - 00:03:30:02 I also want to note that the work here 00:03:30:02 - 00:03:33:03 today supports the National Strategy on Hunger, Nutrition, and Health. 00:03:33:08 - 00:03:34:03 In particular. 00:03:34:03 - 00:03:38:21 Pillar Four to make it easier for people to be more physically active, in part 00:03:38:21 - 00:03:42:19 by ensuring that everyone has access to safe places to be active. 00:03:44:01 - 00:03:47:06 Just wanted to make a note too, that this national strategy 00:03:47:17 - 00:03:50:16 has a specific call out for Active People, 00:03:50:16 - 00:03:53:16 Healthy Nation and expanding it across the country. 00:03:54:10 - 00:03:57:10 And then lastly, of note for you all, the national strategy 00:03:57:12 - 00:03:59:23 under the Whole-of-Society portion 00:03:59:23 - 00:04:03:15 has an opportunity for state, local, territorial governments 00:04:03:22 - 00:04:06:16 adopting jurisdiction-wide plans and proclamations 00:04:06:16 - 00:04:09:16 to promote Active People, Healthy Nation, as well as adopt 00:04:09:16 - 00:04:13:00 and implement Complete Street policies and Safe Routes to Schools programs. 00:04:13:00 - 00:04:16:21 So many ways in which you all can also be involved in physical activity. 00:04:17:09 - 00:04:20:09 All right, now let me hand it over to our first speaker. 00:04:20:09 - 00:04:22:23 I'm going to, welcome Dave to the virtual mic. 00:04:24:01 - 00:04:25:03 Thanks Janelle for the introduction. 00:04:25:03 - 00:04:26:04 I really appreciate it. 00:04:26:04 - 00:04:29:06 And I'm excited to talk about Safe Systems with everyone today. 00:04:29:18 - 00:04:32:10 And really I want to emphasize, 00:04:32:10 - 00:04:35:06 that Safe Systems is a public health approach. 00:04:35:06 - 00:04:37:07 And it's a public health approach in transportation. 00:04:37:07 - 00:04:41:09 It's been adopted by USDOT as the National Roadway Safety Strategy, 00:04:41:18 - 00:04:45:21 but it really has its foundations and public health as a lot of civil 00:04:45:21 - 00:04:46:22 engineering does. 00:04:46:22 - 00:04:50:08 So hopefully by the end of our talk today, you'll get a little bit of an idea 00:04:50:20 - 00:04:55:23 of how, transportation and engineering in general serve public health 00:04:55:23 - 00:04:59:09 and how we use the built environment to create healthy people. 00:05:01:12 - 00:05:04:09 So you may not know this, but way back when, 00:05:04:09 - 00:05:09:04 when 星空娱乐官网 was founded in the 1940s and when it first became 星空娱乐官网, 00:05:09:13 - 00:05:12:10 the Communicable Disease Center at the time, 00:05:12:10 - 00:05:15:23 we actually had something called an engineering division. 00:05:16:01 - 00:05:18:09 So this is 星空娱乐官网's original org chart. 00:05:18:09 - 00:05:20:17 If you look at the original 星空娱乐官网 bulletin, 00:05:22:16 - 00:05:25:12 you can see how 星空娱乐官网 had organized itself. 00:05:25:12 - 00:05:28:05 And I've highlighted the engineering division here, 00:05:28:05 - 00:05:32:03 and it's one of the only divisions that no longer exists today. 00:05:32:14 - 00:05:37:12 So all these other different, divisions, laboratory entomology, 00:05:37:12 - 00:05:40:21 they all exist in some shape or form, but we've kind of, 00:05:40:21 - 00:05:44:02 gotten away from engineering and thinking about the built environment, 00:05:44:07 - 00:05:47:07 although it's core to our mission and what we do, 00:05:48:01 - 00:05:48:20 and it's so core 00:05:48:20 - 00:05:53:05 that 星空娱乐官网 used this little cartoon when you would explain what they did. 00:05:53:05 - 00:05:55:05 So they're a brand new government agency. 00:05:55:05 - 00:05:59:14 They're trying to explain to people what public health was and what 星空娱乐官网 does. 00:05:59:22 - 00:06:02:19 And at the time, 星空娱乐官网 felt it was a place 00:06:02:19 - 00:06:05:19 where physicians, biologists and engineers came together 00:06:06:06 - 00:06:10:07 to think about public health issues and improve the health of our nation. 00:06:11:12 - 00:06:13:14 So this is actually an old idea. 00:06:13:14 - 00:06:16:14 We talk about intersectoral collaboration 00:06:16:15 - 00:06:19:10 and working across silos. 00:06:19:10 - 00:06:23:11 星空娱乐官网 has always thought and understood that this is key to what we do. 00:06:23:20 - 00:06:26:20 And engineers were, key players in that. 00:06:28:14 - 00:06:31:22 And you probably know that most 星空娱乐官网 directors 00:06:32:03 - 00:06:35:10 are medical doctors, including our current 星空娱乐官网 director. 00:06:36:00 - 00:06:39:19 Two 星空娱乐官网 directors have not been medical doctors, 00:06:39:19 - 00:06:42:18 including the first one, and have pictured him here. 00:06:42:18 - 00:06:44:10 Its name is, Dr. 00:06:44:10 - 00:06:47:10 Mark Hollis, and he was actually a civil engineer. 00:06:47:15 - 00:06:52:15 He's again one of only two people that aren't medical doctors to lead 星空娱乐官网. 00:06:52:19 - 00:06:55:16 And he was the first person to lead 星空娱乐官网. 00:06:55:16 - 00:06:58:21 And he was an engineer, because what they understood at the time 00:06:59:02 - 00:07:00:05 is that altering 00:07:00:05 - 00:07:03:05 the built environment was a key way that we can improve our health. 00:07:08:07 - 00:07:08:21 And there was a 00:07:08:21 - 00:07:12:04 clear role for public health engineers to the extent that, 00:07:12:18 - 00:07:15:18 the American Journal of Public Health even had something, 00:07:16:04 - 00:07:19:04 called the Public Health Engineer and there was debate 00:07:19:04 - 00:07:22:04 about what the role of engineers was in public health. 00:07:22:04 - 00:07:25:04 And I love this quote from a 1931 edition of AJPH, 00:07:25:14 - 00:07:28:19 we now recognize public health engineering as an essential calling, 00:07:29:02 - 00:07:32:13 the prime object of which is to control the factors of the physical environment, 00:07:32:19 - 00:07:36:03 especially as they affect the health and welfare groups of people. 00:07:36:15 - 00:07:40:10 And I think that's what we try to do in our division and with all of our programs, 00:07:40:10 - 00:07:43:21 is think about how we can alter the built environment to affect the health 00:07:43:21 - 00:07:46:21 and welfare of aggregates of people. 00:07:46:22 - 00:07:49:12 And I don't know if there's any engineers or planners out there, 00:07:49:12 - 00:07:52:23 but this curriculum looks very similar to an engineering curriculum today. 00:07:53:10 - 00:07:56:21 And engineers, public health engineers in the 1930s 00:07:56:21 - 00:07:59:21 even got two semesters of transportation systems 00:07:59:21 - 00:08:02:23 engineering, which is more than many civil engineers get today. 00:08:03:08 - 00:08:05:15 And so how does this relate to Safe Systems? 00:08:05:15 - 00:08:08:00 I want to actually go back to 00:08:08:00 - 00:08:11:09 epidemiology and how we think about epidemiologic problems. 00:08:11:09 - 00:08:15:11 So so we have many epidemiologists on the call today. 00:08:15:11 - 00:08:17:17 And you probably know the epidemiologic triad 00:08:17:17 - 00:08:20:22 where we think about the host, the agent and the environment. 00:08:21:06 - 00:08:24:18 And these three things need to interact in order to cause disease. 00:08:25:06 - 00:08:25:13 Right. 00:08:25:13 - 00:08:29:11 And we use this framework in order to help us prevent disease and to 00:08:29:11 - 00:08:32:12 prevent disease, we have to, 00:08:34:19 - 00:08:37:04 Inter or sorry, intervene 00:08:37:04 - 00:08:39:16 between the relationship of one of these poles 00:08:39:16 - 00:08:41:14 so we can alter that relationship between the host 00:08:41:14 - 00:08:43:18 and the agent, the host and the environment. 00:08:43:18 - 00:08:47:21 So a a great example of why 星空娱乐官网 is located here 00:08:47:21 - 00:08:50:21 in Atlanta is at the time, 00:08:52:03 - 00:08:54:14 malaria was endemic to, to Atlanta. 00:08:54:14 - 00:08:56:21 And we needed to alter the built environment 00:08:56:21 - 00:08:59:19 in order to stop mosquitoes from transmitting disease. 00:08:59:19 - 00:09:03:08 And specifically to populations that were at high risk. 00:09:03:20 - 00:09:06:19 And so we were able to use engineering to alter the built 00:09:06:19 - 00:09:09:20 environment to decrease the prevalence of malaria. 00:09:10:00 - 00:09:12:14 With the understanding that there is differentials, exposure, 00:09:12:14 - 00:09:13:24 differential exposures 00:09:13:24 - 00:09:17:00 that were related to people working here in the American South. 00:09:17:13 - 00:09:22:00 And now malaria is no longer endemic in the American South. 00:09:22:10 - 00:09:22:19 Right. 00:09:22:19 - 00:09:27:14 So we use this core idea behind public health to solve a public health problem. 00:09:28:01 - 00:09:30:21 And we can do the same thing when it comes to transportation. 00:09:30:21 - 00:09:33:14 And this is a core idea in the Safe Systems approach. 00:09:35:16 - 00:09:36:03 And so the 00:09:36:03 - 00:09:39:08 pathologic agent of injury kind of similar 00:09:39:08 - 00:09:42:20 to that virus that might cause disease is kinetic energy. 00:09:43:12 - 00:09:44:22 Right. 00:09:44:22 - 00:09:48:22 It's the thing that, when a human host comes into contact 00:09:48:22 - 00:09:51:22 with a high level of kinetic energy in a car crash, 00:09:52:19 - 00:09:54:22 injury results. 00:09:54:22 - 00:09:57:15 And so we can alter the relationship between a human 00:09:57:15 - 00:10:00:20 being and an energy and energy and the result of a crash. 00:10:00:20 - 00:10:04:11 And one of the best examples of that is three-point seatbelts. 00:10:04:11 - 00:10:08:00 So if you think about three-point seatbelts, they disperse 00:10:08:00 - 00:10:11:00 the amount of energy that's transferred to the human body in a crash. 00:10:11:03 - 00:10:14:03 So when you're driving at high speeds, you come to a stop, 00:10:14:06 - 00:10:17:04 you're coming to a stop at the same speed as your car, 00:10:17:04 - 00:10:21:07 but your seatbelt makes sure that energy dissipates across a strong 00:10:21:07 - 00:10:25:01 part of your body, like your sternum or your hips, and then you're not injured. 00:10:25:01 - 00:10:28:13 This is a remarkable public health achievement and would not have been, 00:10:29:20 - 00:10:30:21 a technological 00:10:30:21 - 00:10:34:03 innovation without epidemiologic ideas underlying it. 00:10:34:19 - 00:10:38:05 We can also change how human beings interact with the environment. 00:10:38:09 - 00:10:40:23 Tell them that maybe they need to slow down and change speed limits. 00:10:40:23 - 00:10:43:07 Maybe there's a school nearby 00:10:43:07 - 00:10:45:20 and then we can also change how 00:10:45:20 - 00:10:50:06 vehicles or I'm sorry, energy interacts with the environment with which we're in 00:10:50:15 - 00:10:53:15 so we can have vehicle designs which dissipate, 00:10:54:02 - 00:10:55:13 the transfer of energy in a crash. 00:10:55:13 - 00:10:58:20 So if you think about your car, it has a crumple zone in the front. 00:10:58:20 - 00:11:01:24 So when you get into a crash, that energy is and transferred to the human body. 00:11:02:08 - 00:11:04:22 It's absorbed by that steel in your car. 00:11:04:22 - 00:11:08:06 Or the same thing goes for, a roll cage in your car. 00:11:08:06 - 00:11:11:15 We want that those strong, strong structures 00:11:11:18 - 00:11:14:18 to absorb the energy rather than the human being. 00:11:15:02 - 00:11:15:13 However, 00:11:16:17 - 00:11:17:21 we don't talk about the 00:11:17:21 - 00:11:21:12 population health impact or the health and welfare of aggregates of people. 00:11:21:16 - 00:11:22:18 Right. 00:11:22:18 - 00:11:23:12 So Dr. 00:11:23:12 - 00:11:25:09 Frieden, a former 星空娱乐官网 Director, 00:11:25:09 - 00:11:29:03 came up with the Health Impact Pyramid, and he emphasized that we want to 00:11:29:10 - 00:11:32:12 increase population health impact with our interventions. 00:11:33:02 - 00:11:36:02 And we do that by decreasing individual effort. 00:11:36:19 - 00:11:39:05 And he outlined different ways in which we do that. 00:11:39:05 - 00:11:42:23 And to connect this back to Safe Systems, we really need to think about 00:11:43:05 - 00:11:46:04 how we do things at the base of the pyramid to increase 00:11:46:04 - 00:11:49:24 population health impact and decrease population, or individual effort 00:11:50:05 - 00:11:53:09 to achieve those safety benefits and make things like walking 00:11:53:09 - 00:11:56:09 and cycling the safe and easy choice. 00:11:56:12 - 00:12:00:04 The primary means by which you do that is by altering the built environment. 00:12:00:04 - 00:12:04:13 And we change the built environment, we're exposing populations of people 00:12:04:24 - 00:12:08:09 to the benefits of physical activity, and those are long 00:12:08:09 - 00:12:12:06 lasting protective interventions that don't require a lot of individual effort. 00:12:12:06 - 00:12:14:14 You make it a safe, easy, and logical choice. 00:12:16:04 - 00:12:16:11 So to 00:12:16:11 - 00:12:19:11 go back to our example about public health engineering, 00:12:19:13 - 00:12:22:06 there's a lot of discussion about this in the 30s, 00:12:22:06 - 00:12:23:17 and I and I hope we can get back to that. 00:12:23:17 - 00:12:26:05 And I hope you can implement this in your work. 00:12:26:05 - 00:12:29:24 So what was really key for public health engineers was 00:12:30:16 - 00:12:34:01 not that they know how to build a sewer or whatever public health infrastructure 00:12:34:01 - 00:12:37:07 they were working on, but they know why sewers were necessary 00:12:37:07 - 00:12:41:15 and what results may be anticipated, by the treatment of a body of water. 00:12:41:15 - 00:12:45:09 And we can think about the same thing with our transportation infrastructure. 00:12:45:09 - 00:12:46:09 So if you talk 00:12:46:09 - 00:12:49:19 to a transportation engineer or a planner, they can probably tell you, 00:12:50:04 - 00:12:53:19 to the third decimal point, the curvature of their roadway. 00:12:54:01 - 00:12:57:01 But can they tell you that transportation is linked 00:12:57:02 - 00:13:00:05 to eight of the ten leading causes of death in our country? 00:13:00:23 - 00:13:03:20 And that physical activity is 00:13:03:20 - 00:13:06:20 an important protective factor for cardiovascular disease 00:13:07:00 - 00:13:10:06 in many of the other leading causes of death that are listed here. 00:13:10:21 - 00:13:13:01 I think every engineer and planner should know this, 00:13:13:01 - 00:13:16:05 and know that the infrastructure that they build is directly related 00:13:16:05 - 00:13:19:05 to the health and welfare of aggregates of people. 00:13:19:16 - 00:13:20:06 Furthermore, 00:13:21:07 - 00:13:22:16 we know that when 00:13:22:16 - 00:13:26:03 people are able to be physically active, once a safe and easy choice, 00:13:26:17 - 00:13:29:17 we can do much more than just influence 00:13:29:24 - 00:13:32:06 cardiovascular disease or cancer. 00:13:32:06 - 00:13:34:23 And in fact, it's an important treatment 00:13:34:23 - 00:13:37:13 for mental health problems and depression. 00:13:37:13 - 00:13:42:15 So a review of randomized controlled trials this year in the BMJ 00:13:42:20 - 00:13:47:09 showed that the effect of walking is comparable to that of pharmaceuticals, 00:13:47:09 - 00:13:49:22 and treating depression. This is an amazing result. 00:13:49:22 - 00:13:53:02 And if you look at the other things studied here, very 00:13:53:02 - 00:13:56:20 few of them act at the population level and require a lot of individual effort. 00:13:57:02 - 00:14:00:18 So this isn't to say that those other interventions aren't important, but 00:14:01:15 - 00:14:05:09 we can and should make it safe and easy to go out for a walk. 00:14:05:18 - 00:14:09:05 That's a really important thing to improve the mental health of populations. 00:14:09:17 - 00:14:13:00 Furthermore, these transportation policies that you're going to hear more about 00:14:13:08 - 00:14:16:01 are important to health and medical spending. 00:14:16:01 - 00:14:19:01 A brand new review of Vision Zero in New York City, 00:14:19:04 - 00:14:24:03 the first city to implement Vision Zero to a wide scale, showed that Medicaid 00:14:24:03 - 00:14:28:22 spending was $90 million less over five years than expected. 00:14:29:24 - 00:14:31:10 So when we improve 00:14:31:10 - 00:14:34:23 the built environment, we can expose people and give, make, 00:14:35:05 - 00:14:39:04 make it safe and easy to walk, cycle and get the protective benefits 00:14:39:04 - 00:14:42:23 of physical activity and save money on health insurance while we do it. 00:14:43:12 - 00:14:47:23 So Steph and Tiffany are going to talk a lot more 00:14:47:23 - 00:14:52:01 about implementation of these ideas, but I wanted to give you the foundation of how 00:14:52:18 - 00:14:55:15 this is really a public health idea 00:14:55:15 - 00:14:58:15 founded in core public health. 00:14:59:18 - 00:15:01:10 methods and epidemiology. 00:15:01:10 - 00:15:03:03 So I look forward to your questions. 00:15:03:03 - 00:15:05:03 Thank you so much. 00:15:05:03 - 00:15:07:02 Thank you, Dave, for the introduction. 00:15:07:02 - 00:15:11:09 And for laying the groundwork for, the Safe Systems conversation 00:15:11:09 - 00:15:12:21 we're having today. 00:15:12:21 - 00:15:15:04 And thanks for all of you for tuning in. 00:15:15:04 - 00:15:18:05 I am a Built Environment Coordinator 00:15:18:08 - 00:15:21:08 with the Colorado Department of Public Health and Environment. 00:15:21:20 - 00:15:26:18 I'll be sharing today about how we in Colorado have enhanced interagency 00:15:26:18 - 00:15:31:14 collaborations and aligned internal work plans with the Safe Systems approach 00:15:31:23 - 00:15:34:14 to support communities to employ built environment 00:15:34:14 - 00:15:37:20 and behavioral strategies that increase safe physical activity. 00:15:38:18 - 00:15:42:15 The goal of our work through the Colorado State Physical Activity and Nutrition 00:15:42:15 - 00:15:46:08 Program is to pursue community design that increases access 00:15:46:21 - 00:15:49:21 to physical activity through active transportation. 00:15:50:04 - 00:15:51:14 As this slide demonstrates, 00:15:51:14 - 00:15:54:20 incorporating a Safe Systems approach into that work is paramount. 00:15:55:09 - 00:15:58:18 In recent years, active travel fatalities have been increasing, 00:15:59:03 - 00:16:04:13 and we see, on the slide in 2022, 764 people. 00:16:04:16 - 00:16:08:13 Of the 764 people that died on Colorado roadways, 00:16:08:22 - 00:16:13:04 115 people were walking and 15 people are bicycling. 00:16:13:04 - 00:16:17:03 So we keep this in mind, as, the framework for all of our, 00:16:17:05 - 00:16:20:10 our efforts of promoting safe physical activity. 00:16:20:24 - 00:16:24:12 So to address both safety and access for people walking 00:16:24:12 - 00:16:28:07 and bicycling, we internally restructured at, at CDPHE 00:16:29:06 - 00:16:30:17 to combine teams 00:16:30:17 - 00:16:33:17 to work across different levels of the Safe Systems pyramid. 00:16:34:05 - 00:16:38:15 So our new Healthy Communities unit now includes both the Built Environment Team, 00:16:38:15 - 00:16:42:15 which is focused more on socioeconomic factors and the built environment, 00:16:43:00 - 00:16:45:16 as well as the Motor Vehicle Safety Team, which is focused 00:16:45:16 - 00:16:48:16 more in that active measures and education realm. 00:16:48:17 - 00:16:52:16 And this restructuring helps align the strong partnerships that each team has 00:16:52:24 - 00:16:54:08 developed over the years, 00:16:54:08 - 00:16:57:18 particularly within the Colorado Department of Transportation 00:16:58:02 - 00:17:02:23 to establish more holistic collaboration that increases transportation safety. 00:17:04:00 - 00:17:08:05 As an overview, relevant work within our Healthy Communities unit. 00:17:08:05 - 00:17:11:09 So historically, our Built Environment team has received 00:17:11:09 - 00:17:15:02 funding from the 星空娱乐官网 through the State Physical Activity Nutrition Program 00:17:15:12 - 00:17:18:13 to implement state level policies and activities. 00:17:20:02 - 00:17:23:22 In connection with communities that connect activity friendly routes 00:17:23:22 - 00:17:28:06 to everyday destinations and increase opportunities for safe physical activity. 00:17:28:21 - 00:17:31:19 A Motor Vehicle Safety team 00:17:31:19 - 00:17:37:06 also works in this active transportation space but they're bringing 00:17:37:06 - 00:17:41:12 together funding from the National Highway Traffic Safety Administration. 00:17:41:16 - 00:17:45:12 In collaboration with CDOT Highway Safety Office 00:17:45:12 - 00:17:50:01 as well as the 星空娱乐官网 through the State Injury Prevention program. 00:17:50:14 - 00:17:55:08 And this work is to provide data analysis and support community-led strategies 00:17:55:18 - 00:18:01:03 that will reduce fatal and serious injuries, crashes 00:18:01:03 - 00:18:05:00 that are related to fatal and serious injuries for people actively traveling. 00:18:05:24 - 00:18:08:07 Much of the groundwork for this cross-sector 00:18:08:07 - 00:18:11:18 collaboration began during the previous round SPAN, 00:18:12:01 - 00:18:16:17 of SPAN 1807 funding when members of our team partnered 00:18:16:17 - 00:18:21:18 with CDOT to inform two overarching plans that guide transportation in Colorado. 00:18:22:02 - 00:18:25:08 On the left, you see the statewide transportation plan, 00:18:25:08 - 00:18:29:15 which establishes Colorado's transportation investment priorities 00:18:29:15 - 00:18:33:03 and serves as a guide for sub plans like our active transportation plan 00:18:33:13 - 00:18:36:21 and funding programs like Safe Routes to School and Revitalizing 00:18:36:21 - 00:18:40:00 Main Streets, which I'll talk about in the following slide. 00:18:40:05 - 00:18:44:16 The current plan is the first version that includes language 00:18:44:16 - 00:18:49:00 about public health inequity, which was an outcome of a public health 00:18:49:11 - 00:18:53:02 equity and transportation task force created during the last planning cycle. 00:18:54:06 - 00:18:58:11 Similarly, on the right side, you'll see the Strategic Transportation 00:18:58:11 - 00:19:02:11 Safety Plan, which establishes a vision and mission 00:19:02:19 - 00:19:07:17 for the transportation safety efforts in Colorado, highlighting that enhancing 00:19:07:17 - 00:19:12:01 multimodal transportation safety requires cross-agency 00:19:12:01 - 00:19:16:12 and interjurisdictional collaboration and policy planning, 00:19:16:23 - 00:19:20:22 funding, design, construction, operations, maintenance, like the whole process. 00:19:21:06 - 00:19:24:18 So over the next few slides, we'll touch on programs, initiatives, 00:19:24:18 - 00:19:27:20 and assessments that relate to implementation of these plans. 00:19:28:16 - 00:19:30:20 So Safe Routes to School and Revitalizing 00:19:30:20 - 00:19:34:15 Main Streets are two of CDOT鈥檚 active transportation funding programs. 00:19:34:24 - 00:19:39:02 I imagine many of you are familiar with Safe Routes but Revitalizing 00:19:39:02 - 00:19:42:10 Main Streets is a Colorado specific program that emerged 00:19:42:10 - 00:19:45:16 as a Covid recovery initiative and has since been fortified 00:19:45:16 - 00:19:50:04 with ten years of dedicated funding at the state level. 00:19:50:20 - 00:19:54:12 This program enhances active transportation safety, encourages 00:19:54:12 - 00:19:59:00 physical activity, and strengthens the connection of people to main streets 00:19:59:00 - 00:20:04:00 by funding infrastructure improvements to make walking and bicycling easy and safe. 00:20:04:12 - 00:20:05:16 Our team partnered with CDOT 00:20:05:16 - 00:20:08:23 to develop this program and continues to sit on the review committee 00:20:09:08 - 00:20:12:24 to offer both public health and motor vehicle safety perspectives. 00:20:13:10 - 00:20:16:21 In connection to our SPAN work plan, we've been working with CDOT staff 00:20:16:21 - 00:20:20:22 to look at historical funding of both of these programs to identify 00:20:21:12 - 00:20:24:20 which communities across the state have received funding and which ones 00:20:24:20 - 00:20:29:21 haven't, and overlaying this data, these data with the state's map 00:20:29:21 - 00:20:33:01 of disproportionately impacted communities for the purpose of 00:20:33:15 - 00:20:37:24 identifying communities that may benefit from additional technical assistance. 00:20:38:21 - 00:20:41:11 And we hope to use this information to help round out 00:20:41:11 - 00:20:44:15 some of the active transportation improvement efforts we're seeing. 00:20:44:15 - 00:20:48:11 So, for example, communities that have new infrastructure 00:20:48:11 - 00:20:53:02 like a new bike lane, how can we come in, and build, 00:20:53:06 - 00:20:57:10 build capacity with communities on programmatic strategies 00:20:57:10 - 00:21:01:07 that could increase the use of new infrastructure and vice versa? 00:21:01:24 - 00:21:05:03 Another cross-agency effort in support of Safe 00:21:05:03 - 00:21:10:08 Systems is the Advancing Transportation Safety Initiative, which is a statewide 00:21:10:08 - 00:21:13:24 effort to help implement the Strategic Transportation Safety Plan. 00:21:14:13 - 00:21:19:06 ATS, as we call it, is led by a team of state and local 00:21:19:06 - 00:21:23:06 agencies, advocacy groups, academic institutions, 00:21:23:06 - 00:21:27:05 and private entities to build a unified approach to transportation safety 00:21:27:12 - 00:21:31:10 through education, engineering, enforcement, emergency response, 00:21:31:20 - 00:21:37:07 equity, evaluation, and then broadly like an evaluation category. 00:21:37:07 - 00:21:42:06 So you'll see on the right side this circular graphic. 00:21:42:11 - 00:21:45:11 It shows the five themes of our ATS groups, 00:21:45:12 - 00:21:48:19 which you will notice align with the safe Systems Approach. 00:21:49:06 - 00:21:54:02 And these groups meet monthly to increase coordination and information 00:21:54:02 - 00:21:58:06 sharing as well as implement evidence-based safety countermeasures. 00:21:58:06 - 00:22:02:07 And just one example of an outcome of this group already is, 00:22:02:14 - 00:22:07:08 it's the screenshot on the right side, which is from our public website, 00:22:07:16 - 00:22:13:00 that is used to share data and report on progress within these groups. 00:22:13:19 - 00:22:17:12 So as a result, some of our regular partnership, 00:22:17:14 - 00:22:21:09 CDOT invited members of our team to support the creation 00:22:21:09 - 00:22:24:24 of the Colorado Vulnerable Roadway User Assessment. 00:22:25:13 - 00:22:28:13 So, as context, the 2021 00:22:28:23 - 00:22:32:01 Bipartisan Infrastructure Law requires that each state 00:22:32:10 - 00:22:36:07 identify areas where people who ride bikes and walk are at higher 00:22:36:07 - 00:22:40:19 risk of being involved in a crash that results in death or serious injury, 00:22:41:05 - 00:22:45:17 and then work towards making those locations and populations safer. 00:22:45:17 - 00:22:48:17 So this assessment is a high level plan 00:22:48:24 - 00:22:52:12 that considers both safety and equity across the roadway system, 00:22:52:20 - 00:22:56:00 and uses the Safe Systems Approach as its guiding principle. 00:22:56:11 - 00:22:59:09 And this is a first time effort. 00:22:59:09 - 00:23:02:22 But within this assessment, we did include an equity analysis 00:23:03:08 - 00:23:08:04 that combines crash data with our Colorado EnviroScreen 00:23:08:15 - 00:23:11:12 data, which is an environmental justice mapping tool. 00:23:12:18 - 00:23:13:05 And you'll 00:23:13:05 - 00:23:18:06 see on the screenshot here of that tool, these are communities 00:23:18:06 - 00:23:21:17 that have been identified as disproportionately impacted communities 00:23:21:17 - 00:23:27:09 based off of our state definition of disproportionately impacted communities 00:23:27:18 - 00:23:32:21 that was a part of Colorado's Environmental Justice Act in 2021. 00:23:33:09 - 00:23:37:10 And we used these data to create 00:23:37:17 - 00:23:41:01 a statewide High Injury Network for people walking and bicycling. 00:23:41:15 - 00:23:45:12 So that network network includes 39 locations, 00:23:45:23 - 00:23:49:14 with 92% of these corridors located within 00:23:49:14 - 00:23:53:01 disproportionately impacted communities according to that definition. 00:23:53:22 - 00:23:58:02 So with this round of SPAN funding that we received in Colorado, 00:23:58:18 - 00:24:03:01 our team has adopted 星空娱乐官网's Active Communities tool, 00:24:03:15 - 00:24:08:06 for the action planning framework. 00:24:08:19 - 00:24:12:06 And we use it to guide our work with community in Colorado. 00:24:12:06 - 00:24:17:01 So our approach is still expanding, but our goal is to help communities 00:24:17:01 - 00:24:22:01 move along this continuum to promote safe, active travel. 00:24:22:01 - 00:24:25:02 So I'm just going to focus in on some of these call outs. 00:24:25:09 - 00:24:29:01 These are ways that we're kind of tailoring the framework to promote 00:24:29:11 - 00:24:34:08 components that are specific to Colorado, like our Colorado 00:24:34:08 - 00:24:38:12 Community Engagement Toolkit, that can be used for community engagement. 00:24:38:20 - 00:24:43:12 We鈥檙e supporting communities with traffic safety and health data analysis. 00:24:43:21 - 00:24:47:03 We're providing insight towards both built environment 00:24:47:03 - 00:24:50:04 and behavioral strategies and community action plans, 00:24:50:13 - 00:24:54:04 and then working towards, Colorado specific funding sources 00:24:54:11 - 00:24:57:12 such as Safe Routes to School or Revitalizing Main Streets. 00:24:59:03 - 00:24:59:19 And we're 00:24:59:19 - 00:25:02:19 in the process where we have set aside some funds 00:25:02:20 - 00:25:06:04 to support community-led 00:25:06:20 - 00:25:11:03 like mini funding opportunities to try out both behavioral and built 00:25:11:03 - 00:25:14:13 environment strategies before communities commit to, 00:25:14:13 - 00:25:17:13 some larger scale funding. 00:25:17:20 - 00:25:21:12 And a related effort is we're recognizing 00:25:21:12 - 00:25:25:14 that more communities are applying for Safe Streets and Roads for All. 00:25:25:21 - 00:25:29:22 So, we're in the process of exploring how across 00:25:29:22 - 00:25:33:20 different agencies, state agencies, we could be supporting the creation 00:25:34:05 - 00:25:38:10 of safety action plans within local communities. 00:25:39:03 - 00:25:41:20 So this, 00:25:41:20 - 00:25:46:17 this slide is kind of touching on some of our work in progress, 00:25:46:17 - 00:25:51:02 which includes partnering with two regional planning organizations 00:25:51:11 - 00:25:56:17 that are in areas that have received Safe Streets and Roads for All 00:25:57:02 - 00:26:00:17 and are in process of creating those safety action plans. 00:26:02:02 - 00:26:03:16 Mesa County 00:26:03:16 - 00:26:07:23 has, we've been working with Mesa County Regional Transportation Planning Office 00:26:08:05 - 00:26:12:19 on some high level strategies that could be included in these action 00:26:12:19 - 00:26:17:02 plans, as well as, you know, doing just kind of regular 00:26:17:02 - 00:26:21:04 listening sessions as, as requested. 00:26:21:11 - 00:26:27:01 We've also been working with the Pueblo Area Council of Government on various 00:26:27:01 - 00:26:30:22 related efforts like the development of some complete streets 00:26:30:22 - 00:26:36:11 policy language, or, you know, more programmatic level components 00:26:36:11 - 00:26:40:07 that align with Complete Streets, as well as continuing to 00:26:40:07 - 00:26:43:15 be in kind of regular listening sessions with our partners in Pueblo. 00:26:44:13 - 00:26:49:03 And then finally, we, are in the process of partnering 00:26:49:03 - 00:26:53:16 with the Highway Safety Office to develop like a mini funding opportunity. 00:26:53:16 - 00:26:56:23 I alluded to this on a previous slide, but, 00:26:56:23 - 00:27:00:09 what are ways that we can support local efforts to implement 00:27:00:09 - 00:27:04:04 behavioral strategies that improve safety for people walking and bicycling? 00:27:04:09 - 00:27:07:12 So through some of these listening sessions and 00:27:07:12 - 00:27:10:12 we've been doing outreach to partners across the country 00:27:10:12 - 00:27:14:07 who have potentially been doing similar work. 00:27:14:15 - 00:27:18:07 Previously, how can we be setting aside money 00:27:18:07 - 00:27:24:10 to really support community led action towards Safe Systems improvements? 00:27:25:12 - 00:27:27:03 That is all for now. 00:27:27:03 - 00:27:28:20 Thank you everyone for listening. 00:27:28:20 - 00:27:30:08 I'm going to go ahead and pass it off 00:27:30:08 - 00:27:33:14 to Tiffany Smith with the Vision Zero Network. 00:27:34:12 - 00:27:36:13 Thank thanks so much, everyone. 00:27:36:13 - 00:27:41:03 just want to say thanks so much to Dave, for orienting us to the Safe System 00:27:41:03 - 00:27:45:06 Approach and to Steph for sharing the work that they're doing in Colorado. 00:27:45:06 - 00:27:49:11 I'm Tiffany Smith, the Program Manager for Vision Zero Network. 00:27:50:04 - 00:27:54:17 We are a national nonprofit that helps communities and practitioners 00:27:54:17 - 00:27:57:17 advance their goals of Vision Zero while increasing 00:27:57:17 - 00:28:00:17 safe, healthy, equitable mobility for all. 00:28:00:24 - 00:28:06:15 As we've heard today, decisions related to our everyday transportation 00:28:06:15 - 00:28:10:17 systems really intersect with so many consequential aspects 00:28:10:17 - 00:28:13:22 of our lives, our access to health 00:28:13:22 - 00:28:17:11 care, our employment, our education, and more. 00:28:17:24 - 00:28:21:04 And because of this, transportation 00:28:21:04 - 00:28:24:10 and roadway safety issues are also systemic issues. 00:28:24:10 - 00:28:28:23 And so, before I get into what I'll be talking a bit about today, 00:28:28:23 - 00:28:33:16 I included this version of the socio ecological model, which basically 00:28:33:16 - 00:28:38:14 emphasizes that people operate in systems that present choices for behavior. 00:28:38:14 - 00:28:42:15 And so, as Dave highlighted, we have to make safe walking and safe 00:28:42:15 - 00:28:46:15 environments and safe driving the easiest and most rational choice, 00:28:46:15 - 00:28:50:12 which is also reflected in the socio economic ecological model. 00:28:51:04 - 00:28:54:24 And so to improve safety, we have to really build that into our systems. 00:28:54:24 - 00:28:58:06 And so the strategies, as we've heard earlier, 00:28:58:06 - 00:29:01:16 that we know will kind of the least effective 00:29:01:16 - 00:29:05:23 are those that really focus on or focus at the individual level. 00:29:06:04 - 00:29:08:05 And those that are most effective will reach 00:29:08:05 - 00:29:12:00 all segments of our society, their work upstream and be proactive. 00:29:12:00 - 00:29:15:00 And so today I'm going to just highlight a few examples 00:29:15:00 - 00:29:17:06 of how different communities across the country 00:29:17:06 - 00:29:20:14 are really scaling up their Safe System Approach based work. 00:29:21:04 - 00:29:25:14 So in Philadelphia, one example, and they're doing more than just kind 00:29:25:17 - 00:29:30:09 sort of laying this out in their plan, but they, one example to highlight 00:29:30:09 - 00:29:34:20 that I think it's kind of simple but pretty critical, is shifting 00:29:34:20 - 00:29:37:23 their Vision Zero action plan from the Es, 00:29:37:23 - 00:29:41:07 or the traditional approach, to the Safe System Approach. 00:29:41:22 - 00:29:45:03 In the first plan, sort of set up in the traditional way, 00:29:45:03 - 00:29:48:21 they list engineering, for example, as a priority, 00:29:48:21 - 00:29:52:08 and say engineer streets to reduce the risk of crashes. 00:29:52:16 - 00:29:55:23 But when compared to the Safe System Approach based plan, 00:29:55:23 - 00:29:59:13 engineering's role still shows up but almost in a different way. 00:29:59:13 - 00:30:03:19 It shows up a few ways, but one way is creating roads 00:30:03:19 - 00:30:07:14 that are predictable and aren't confusing for anyone using them. 00:30:07:21 - 00:30:11:07 And so when you think about it, this priority almost require 00:30:11:07 - 00:30:14:16 it requires a multitude of tools, including engineering. 00:30:14:16 - 00:30:18:18 And so not only do the priorities laid out in the Safe System 00:30:18:18 - 00:30:21:18 Approach based plan kind of break down silos, 00:30:21:18 - 00:30:24:18 but almost come across as clearer and more actionable. 00:30:24:23 - 00:30:26:04 Other examples. 00:30:26:04 - 00:30:32:00 And in Seattle, they are doing this by prioritizing safety over speed. 00:30:32:07 - 00:30:37:23 So recognizing the key role of speed and the severity of crashes, the city 00:30:37:23 - 00:30:42:05 began to kind of take a more distinctly proactive approach 00:30:42:05 - 00:30:45:24 to lowering speed limits across their entire network. 00:30:46:06 - 00:30:49:07 They changed the Seattle municipal code 00:30:49:07 - 00:30:53:24 to reduce citywide default speed limits, lowering the default 00:30:53:24 - 00:30:58:04 speed limits on non arterial roadways to 20mph. 00:30:58:08 - 00:31:01:19 And the default speed limit, was lowered on arterial 00:31:01:22 - 00:31:04:23 arterial streets to 25mph. 00:31:05:13 - 00:31:08:17 And they did this specifically without increasing enforcement 00:31:08:17 - 00:31:12:13 and saw a reduction in speeds on 70% of their arterial roads. 00:31:13:11 - 00:31:15:22 In addition to kind of scaling up 00:31:15:22 - 00:31:19:11 speed limits, communities like Fremont in California 00:31:19:19 - 00:31:24:17 are also scaling up this kind of quicker, lighter touch, system design changes. 00:31:25:00 - 00:31:28:21 They've added in more than 12 protected intersections, 00:31:29:02 - 00:31:35:07 reduced travel lane width, installed quick build bulb outs. 00:31:35:07 - 00:31:39:10 And I just want to say that, you know, these might sound relatively 00:31:39:10 - 00:31:43:15 simple or straightforward forward, but these changes are really critical 00:31:43:15 - 00:31:47:21 to improving safety in our system and our transportation system. 00:31:47:21 - 00:31:51:11 And they're really just now starting to kind of be realized across the country. 00:31:51:17 - 00:31:54:11 And so as a result of all of these small changes, 00:31:54:11 - 00:32:00:24 all culminating together, 45, they saw a reduction in 45% of their fatal 00:32:00:24 - 00:32:03:24 and severe injuries over the past five years. 00:32:04:17 - 00:32:10:08 Other communities are collaborating across departments to kind of incorporate 00:32:10:08 - 00:32:14:23 the intersections between transportation and safety with health. 00:32:14:23 - 00:32:20:13 In Clackamas County in Oregon, they have a jointly funded public health 00:32:20:13 - 00:32:25:11 and transportation staff member whose main job is to incorporate health 00:32:25:11 - 00:32:29:16 and equity into the county's long range plans and projects. 00:32:29:24 - 00:32:33:20 This position is used to inform the development of scopes of work 00:32:33:20 - 00:32:36:20 so that they're more holistic and cross-cutting. 00:32:36:23 - 00:32:39:19 The position also serves in like an advisory role 00:32:39:19 - 00:32:44:12 and advisory committees to sort of inform 00:32:44:12 - 00:32:48:21 so that the projects are, again, kind of thinking more holistically, 00:32:48:21 - 00:32:52:23 balancing out unintended consequences, but they also 00:32:52:23 - 00:32:57:09 develop health impact assessments throughout the phase of projects. 00:32:58:04 - 00:33:00:14 Collaboration can also take other forms, 00:33:00:14 - 00:33:03:14 as we've heard from staff, in the form of data sharing. 00:33:04:02 - 00:33:07:02 Other communities like San Francisco, 00:33:07:05 - 00:33:10:18 are integrating hospital data, working with their hospital 00:33:10:18 - 00:33:14:17 network and EMS to paint a fuller picture of injuries. 00:33:14:17 - 00:33:19:06 Today, many often, many communities will often rely 00:33:19:06 - 00:33:23:15 on police data to kind of paint a picture of their crashes. 00:33:23:15 - 00:33:27:16 But this data doesn't often provide a lot of insight on injuries. 00:33:27:24 - 00:33:31:14 And it's also known to undercount injuries 00:33:31:14 - 00:33:35:09 experienced by communities of color or low income communities as, 00:33:35:16 - 00:33:40:18 they're often underreported despite having a higher hospital admission rates. 00:33:41:20 - 00:33:43:07 And so with that in mind, 00:33:43:07 - 00:33:47:12 to kind of fill out what we see with police crash data, 00:33:48:00 - 00:33:52:04 maybe you're not able to kind of collaborate with your hospital network. 00:33:52:10 - 00:33:55:09 Other localities, like in Nashville, 00:33:55:09 - 00:33:58:16 they are layering their High-Injury Network. 00:33:58:17 - 00:33:59:20 And for anyone 00:33:59:20 - 00:34:04:05 who's not familiar to their High-Injury Network is essentially, the area 00:34:04:05 - 00:34:07:21 where there was a higher concentration of deaths and serious injuries. 00:34:08:02 - 00:34:13:06 And so they're layering their High-Injury Network over other data, data on 00:34:13:12 - 00:34:18:01 related to kind of what areas have high rates of those living in poverty, 00:34:18:04 - 00:34:21:10 what areas are there lower rates of home ownership, 00:34:21:10 - 00:34:24:19 or where there's a high concentration of active transportation 00:34:24:19 - 00:34:27:24 users, or carless households, and more. 00:34:27:24 - 00:34:31:03 And they're using this to kind of understand how this disproportionate 00:34:31:03 - 00:34:35:03 burden of safety risk manifests across inequities 00:34:35:03 - 00:34:38:22 and to inform their planning and prioritization process. 00:34:39:04 - 00:34:43:21 And as you'll see, the data shows that 37% of all crashes 00:34:43:21 - 00:34:47:08 occur in Highly Vulnerable Areas despite these areas 00:34:47:08 - 00:34:51:04 accounted for only 20% of the total national population. 00:34:51:11 - 00:34:53:23 And so unfortunately, this is very common, 00:34:53:23 - 00:34:57:03 as Steph highlighted in her presentation here. 00:34:57:03 - 00:35:00:09 Could have taken this from any plan and we'll see these inequities show up. 00:35:01:16 - 00:35:02:12 Which is why 00:35:02:12 - 00:35:06:15 communities like Nashville and in Oakland, California, 00:35:06:15 - 00:35:09:23 they're also prioritizing safety investments in these areas. 00:35:10:05 - 00:35:11:21 And when I say prioritizing, 00:35:11:21 - 00:35:15:23 I don't just mean like giving these areas projects first, 00:35:15:23 - 00:35:19:08 but investing more proportionately or thinking about the scale. 00:35:19:08 - 00:35:24:05 Some communities might need multiple projects to happen in succession, 00:35:24:05 - 00:35:28:21 as opposed to in isolation for there to be a, a really impactful benefit. 00:35:29:11 - 00:35:32:17 And in Oakland, they developed this Geographic Equity 00:35:32:17 - 00:35:36:05 Toolbox to really track the distribution of resources 00:35:36:05 - 00:35:39:20 and investments in their high priority equity areas. 00:35:40:02 - 00:35:43:17 And I think this is also kind of a great example of really addressing 00:35:43:17 - 00:35:47:14 the two bottom levels of the pyramid related to like the built environment 00:35:47:22 - 00:35:50:22 and socio economic factors. 00:35:50:22 - 00:35:54:14 But this can also look like kind of what Denver is doing 00:35:54:14 - 00:35:58:02 via their Community Active Living program. 00:35:58:17 - 00:36:01:22 This program offers micro grants, 00:36:01:22 - 00:36:06:24 dedicated allocated funding, for projects that have been developed 00:36:06:24 - 00:36:11:19 or designed by community members in a way that really meets, in an attempt 00:36:11:19 - 00:36:17:21 to really meet the safety needs of their most safety-burdened communities. 00:36:18:05 - 00:36:21:14 And through this program, they've also been able to really reach 00:36:21:21 - 00:36:24:18 communities that have historically kind 00:36:24:18 - 00:36:28:02 of been excluded from transportation planning decisions. 00:36:28:21 - 00:36:32:18 And interestingly, I also wanted to highlight, as part of this program, 00:36:32:18 - 00:36:37:19 they also hire community engagement liaisons who have lived 00:36:37:19 - 00:36:40:20 experience in the communities that they are trying to serve. 00:36:41:05 - 00:36:43:00 As well. 00:36:43:00 - 00:36:46:23 And then finally, another example from Oakland, given 00:36:47:01 - 00:36:50:18 what we know about what works, we're seeing communities 00:36:51:00 - 00:36:54:21 like Oakland develop internal frameworks where they evaluate 00:36:54:21 - 00:37:00:01 whether the strategies being employed to combat a specific safety problem 00:37:00:08 - 00:37:04:21 are really working proactively or at an upstream level. 00:37:05:04 - 00:37:08:10 In other words, they're really using this framework in their internal planning 00:37:08:10 - 00:37:14:00 process to really make sure that they're targeting the lower levels of the pyramid. 00:37:14:07 - 00:37:19:03 You know, in all in almost all cases, we're really going to need to rely 00:37:19:03 - 00:37:23:20 on design-based changes to see the safety improvements that we're seeking. 00:37:23:20 - 00:37:27:13 And so this is a way of sort of aligning agency-wise, 00:37:27:13 - 00:37:30:13 and organizationally, their priorities. 00:37:30:21 - 00:37:34:01 And so with that I just want to emphasize just a few key themes 00:37:34:01 - 00:37:36:03 that all of the communities are doing. 00:37:36:03 - 00:37:39:05 They're leading with upstream design changes. 00:37:39:10 - 00:37:42:02 They're managing speeds for safety. 00:37:42:02 - 00:37:46:10 Notice I have managing speeds as opposed to like managing speeding. 00:37:47:00 - 00:37:51:00 Oftentimes in this space, there's this sort of overemphasis on focusing, 00:37:51:02 - 00:37:57:02 focusing on individual outliers or sort of someone going disproportionately higher. 00:37:57:02 - 00:37:59:13 But we really need to focus on collective 00:37:59:13 - 00:38:02:10 managing speeds in our transportation network. 00:38:02:10 - 00:38:05:16 They're institutionalizing racial and health equity, 00:38:06:00 - 00:38:08:18 scaling up changes throughout their network. 00:38:08:18 - 00:38:11:16 Some are quick and light. Some are more robust. 00:38:11:16 - 00:38:14:22 Centering safety across their departments, and collaborating, 00:38:15:00 - 00:38:20:03 collaborating and reallocating funding in meaningful and measurable ways. 00:38:20:21 - 00:38:23:05 And so that concludes my presentation. 00:38:23:05 - 00:38:24:13 Thank you so much for listening. 00:38:24:13 - 00:38:26:18 And if you'd like to connect, feel free to reach out. 00:38:26:18 - 00:38:29:14 I will now pass it on to Janelle. Thanks. 00:38:31:04 - 00:38:33:22 Thanks Tiffany and thanks to our other panel members. 00:38:33:22 - 00:38:35:08 What a great session we had. 00:38:35:08 - 00:38:38:18 Learning more about community community design. 00:38:39:02 - 00:38:43:10 As we move into the Q&A session, I would like to remind our audience 00:38:43:10 - 00:38:47:07 of some of the resources we have here at 星空娱乐官网 DNPAO, 00:38:47:15 - 00:38:50:02 including our State and Community Health Media Center. 00:38:50:02 - 00:38:54:19 So great access to ads that can be used, 00:38:55:15 - 00:38:58:12 or they can be inspirational for some of the communications work 00:38:58:12 - 00:39:01:18 you might be doing alongside your physical activity initiatives. 00:39:02:03 - 00:39:04:22 Also, our Data, Trends, and Maps site that you can pull up 00:39:04:22 - 00:39:07:22 the latest information about the data in your area. 00:39:08:02 - 00:39:11:18 And if you're not already, follow us on X 00:39:11:18 - 00:39:15:16 @星空娱乐官网_DNPAO and Facebook @星空娱乐官网EatWellBeActive. 00:39:16:00 - 00:39:19:16 So I'd like to invite my panel members to come back on video 00:39:20:06 - 00:39:22:10 and we can move over to the Q&A. 00:39:22:10 - 00:39:25:10 So thanks everybody for a great presentation. 00:39:25:19 - 00:39:30:23 And I'm going to kick off with a question for Steph first. 00:39:31:10 - 00:39:34:17 How do you see collaboration with local communities progressing in the 00:39:34:17 - 00:39:35:10 coming years? 00:39:37:06 - 00:39:38:08 Thanks, Janelle. 00:39:38:08 - 00:39:41:20 So we are really hoping to 00:39:41:22 - 00:39:44:15 step into more collaboration 00:39:44:15 - 00:39:48:13 with communities that are interested in the Safe Streets 00:39:48:13 - 00:39:52:17 and Roads for All funding as well as, you know, 00:39:52:17 - 00:39:55:17 providing more structured 00:39:55:20 - 00:40:00:13 technical assistance along that action continuum 00:40:00:14 - 00:40:05:14 that I included in the slide kind of building off the act framework. 00:40:05:16 - 00:40:09:22 So we have one like a group of partners 00:40:09:22 - 00:40:11:18 that we're already working with at local level. 00:40:11:18 - 00:40:15:11 So continuing to provide more specific, 00:40:15:11 - 00:40:18:13 one-off, technical assistance. 00:40:18:21 - 00:40:24:06 But then building off of the mapping effort that I, I noted in my presentation 00:40:24:15 - 00:40:28:04 looking at Safe Routes to School and Revitalizing Main Streets 00:40:28:13 - 00:40:32:02 funding with the overlay of disproportionately impacted communities. 00:40:32:09 - 00:40:35:16 Really trying to do more direct outreach in partnership 00:40:35:16 - 00:40:39:16 with, with CDOT to see, you know, 00:40:40:12 - 00:40:44:08 where there is interest in active transportation 00:40:44:08 - 00:40:48:07 funding with a focus on on safety, specifically. 00:40:49:06 - 00:40:50:05 And really pulling 00:40:50:05 - 00:40:53:05 in some of the crash data as well, 00:40:53:06 - 00:40:57:07 as like a phase two of our mapping efforts for wanting to look 00:40:57:07 - 00:41:00:07 more at some of the Highway Safety Office 00:41:00:07 - 00:41:04:09 data that we have, like looking at who has been funded 00:41:04:15 - 00:41:09:04 through some of the Highway Safety Office 00:41:09:04 - 00:41:12:21 grants as well as, you know, more of these infrastructure programs. 00:41:13:14 - 00:41:16:14 So building out more 00:41:17:00 - 00:41:20:17 intentional technical assistance in those communities that we know 00:41:20:17 - 00:41:23:17 maybe have not received funding, but there might be interest. 00:41:24:05 - 00:41:27:04 So that's a first example that comes to mind. 00:41:27:04 - 00:41:28:18 Thank you. 00:41:28:18 - 00:41:30:22 Tiffany, the next question is for you. 00:41:30:22 - 00:41:35:07 Can you describe activities related to Vision Zero that occur at the state level? 00:41:36:11 - 00:41:40:15 And or is Vision Zero intended to be focused at the city or local level? 00:41:42:07 - 00:41:45:22 Usually, I would say currently, most Vision 00:41:45:22 - 00:41:50:07 Zero plans or efforts are kind of happening at the local level. 00:41:50:13 - 00:41:53:09 However, I would say at the state level, 00:41:53:09 - 00:41:56:19 I think, maybe exploring opportunities 00:41:56:19 - 00:42:01:21 to make certain design changes easier for localities at the lower level. 00:42:01:21 - 00:42:07:05 Oftentimes, like with these High-Injury Networks, a large proportion of those 00:42:07:05 - 00:42:11:01 roadways are state owned roads, so they're not able to really redesign. 00:42:11:05 - 00:42:15:12 And so exploring opportunities to allow for collaboration 00:42:15:12 - 00:42:20:02 between state and localities or allow for some flexibility around 00:42:20:02 - 00:42:22:21 changing speed limits on some of these roadways, as they tend 00:42:22:21 - 00:42:26:17 to kind of be the most dangerous roadways, and a lot of them also do cut 00:42:26:17 - 00:42:30:13 through like disproportionately impacted communities as well. 00:42:30:20 - 00:42:34:22 And I think as well, state Vision Zero efforts 00:42:34:22 - 00:42:40:06 can maybe revolve around kind of setting priorities and goals. 00:42:40:06 - 00:42:44:08 I think a big part of Vision Zero is like building a collective vision 00:42:44:08 - 00:42:47:14 and a collective commitment towards the same thing. 00:42:47:14 - 00:42:48:11 And so, 00:42:48:11 - 00:42:52:18 I think the states can also play a role in helping other localities 00:42:52:18 - 00:42:55:18 that maybe haven't committed to Vision Zero, 00:42:55:21 - 00:43:01:03 begin to make that shift or maybe aren't familiar or not super 00:43:01:03 - 00:43:05:00 comfortable with the Safe System Approach, maybe do some capacity building there. 00:43:06:00 - 00:43:07:10 Thank you. 00:43:07:10 - 00:43:10:03 It's a great lead in for my next question, which is for Dave. 00:43:10:03 - 00:43:14:01 So Safe Systems, I think, is new to some of our audience members today 00:43:14:01 - 00:43:17:01 so where can we go to learn more about Safe Systems? 00:43:19:21 - 00:43:20:11 So many places. 00:43:20:11 - 00:43:23:22 I know Vision Zero Network has plenty of great resources on that. 00:43:24:14 - 00:43:29:12 I definitely want to point out the National Roadway Safety Strategy. 00:43:29:23 - 00:43:34:08 So that's a USDOT document that comes from the Office of the Secretary. 00:43:34:09 - 00:43:37:09 So this has a lot of high level support 00:43:37:13 - 00:43:40:13 and new high level support. 00:43:40:17 - 00:43:42:07 But if you go and you look up the National Roadway 00:43:42:07 - 00:43:45:07 Safety Strategy, I think they lay out 00:43:46:10 - 00:43:48:20 what the Safe Systems Approach is. 00:43:48:20 - 00:43:53:06 They call out public health professionals as part of implementing this. 00:43:53:18 - 00:43:56:11 And look at those principles that are in there. 00:43:56:11 - 00:43:58:17 You'll see a lot of public health ideas. 00:43:58:17 - 00:44:03:05 But also, you know, talk to your colleagues at your local or state DOT 00:44:03:19 - 00:44:06:16 and they can tell you how they're implementing it in your community 00:44:06:16 - 00:44:09:16 because it's going to look a little bit different everywhere you go. 00:44:10:03 - 00:44:14:05 Last but not least, our partners that have FHWA that's the Federal Highways 00:44:14:07 - 00:44:17:07 Administration, many, many resources on this. 00:44:17:07 - 00:44:21:07 So they have resources about implementing Safe Systems 00:44:21:11 - 00:44:26:04 in smaller communities, rural communities, big cities and everything in between. 00:44:26:13 - 00:44:28:18 So there's a ton of resources out there. 00:44:28:18 - 00:44:31:06 I'll be happy to put a few links in the chat. 00:44:31:06 - 00:44:34:02 But always look to your local communities first. 00:44:35:13 - 00:44:36:15 Thank you. 00:44:36:15 - 00:44:38:15 Steph, a question for you. 00:44:38:15 - 00:44:42:22 So you mentioned the ACT tool and your presentation, and can you share 00:44:42:22 - 00:44:47:03 how you adapted that tool to be used at the state level and how you implement 00:44:47:06 - 00:44:50:06 implemented that into your cross-sector collaboration? 00:44:52:02 - 00:44:52:13 Great. 00:44:52:13 - 00:44:56:03 So again, this is kind of a work in progress. 00:44:56:03 - 00:45:00:11 We're familiarizing ourselves more with 00:45:00:11 - 00:45:04:08 the ACT tool as a result of the SPAN program. 00:45:04:13 - 00:45:09:10 But we see it as a really useful framework for guiding 00:45:09:10 - 00:45:13:15 any kind of collaborative efforts related to Active Transportation. 00:45:13:15 - 00:45:18:04 So in terms of like creating cross-sector 00:45:18:04 - 00:45:22:03 teams, we're doing that currently at at the state level. 00:45:22:03 - 00:45:27:20 And then how can we work with communities to scale that down to local level. 00:45:27:20 - 00:45:31:05 So, you know, helping entities 00:45:31:05 - 00:45:34:14 identify who public health 00:45:35:06 - 00:45:39:12 professionals might be that would want to be involved in and these types of teams, 00:45:39:12 - 00:45:43:00 who are regional engineers, that would be supportive 00:45:43:09 - 00:45:47:21 of infrastructure changes and provide direction in those 00:45:49:08 - 00:45:51:04 conversations. 00:45:51:04 - 00:45:54:10 And then as I mentioned, I'm going to touch on a few things 00:45:54:10 - 00:45:58:05 I talked about in the presentation and then add more details. 00:45:58:05 - 00:46:02:00 So, you know, we've created some Colorado specific tools. 00:46:02:11 - 00:46:07:10 For example, I mentioned the Colorado Community Engagement Toolkit, 00:46:07:10 - 00:46:12:12 which is a resource we created with the Safe Routes Partnership and CDOT. 00:46:13:03 - 00:46:17:17 And it's really intended to provide 00:46:17:19 - 00:46:22:09 kind of like a menu of options related to community engagement. 00:46:22:09 - 00:46:26:02 that is intentional and equitable. 00:46:26:02 - 00:46:30:23 And then, through some of our funding through SPAN, 00:46:30:23 - 00:46:34:22 we have been supporting communities to actually implement some of 00:46:36:16 - 00:46:38:11 that community engagement. 00:46:38:11 - 00:46:43:03 For example, we've been supporting Safe Routes to Parks communities 00:46:43:03 - 00:46:48:16 that have been funded in Colorado to do things like movability audits. 00:46:48:19 - 00:46:52:24 So it's a lot of what we're doing is 00:46:53:11 - 00:46:57:23 there are parallels between the state level like how can we walk through 00:46:58:09 - 00:47:03:07 this continuum with our teams at the state level? 00:47:03:07 - 00:47:08:00 But then how does that then translate to guidance that we can provide 00:47:08:00 - 00:47:11:24 at the local level for communities to do similar work? 00:47:12:07 - 00:47:14:07 So, 00:47:16:20 - 00:47:17:19 towards the end 00:47:17:19 - 00:47:20:20 of the continuum, you know, we see things like implementation. 00:47:20:20 - 00:47:26:07 So, one at the state level, we're creating opportunities for implementation. 00:47:26:07 - 00:47:29:19 So using some of our SPAN funding as well to support communities 00:47:29:19 - 00:47:33:09 to create like demonstration projects that can trial out 00:47:33:20 - 00:47:38:12 active transportation infrastructure improvements in a temporary form. 00:47:39:01 - 00:47:42:12 But then also working to create these new 00:47:43:05 - 00:47:45:12 mini funding opportunities 00:47:45:12 - 00:47:48:19 that can lean more into some of the behavioral strategies 00:47:48:19 - 00:47:52:21 that could be beneficial for promoting active transportation safety. 00:47:53:07 - 00:47:55:01 So one, it's restructuring 00:47:55:01 - 00:47:58:01 like how we're using some of the money we have at the state level. 00:47:58:01 - 00:48:03:00 And then that translates to supporting local communities to then 00:48:03:11 - 00:48:07:19 do the work that will lead to, you know, seeing new policies, 00:48:07:19 - 00:48:12:04 seeing new infrastructure, all of these changes that ideally lead to 00:48:13:00 - 00:48:15:16 more active transportation, more physical activity, 00:48:15:16 - 00:48:18:15 and increased safety for everyone who's actively traveling. 00:48:19:19 - 00:48:21:09 It's like, oh, go ahead. 00:48:21:09 - 00:48:22:02 I was just going to say, 00:48:22:02 - 00:48:25:02 if anyone has like further questions, I'd be happy to chat. 00:48:25:08 - 00:48:28:06 We can set up a call and we can talk through it because I know 00:48:28:06 - 00:48:33:00 using the tool at the state level is kind of challenging to figure out at first. 00:48:33:01 - 00:48:36:13 And we are very open to that partnership in that. 00:48:38:11 - 00:48:40:01 Amazing offer. Thanks. 00:48:40:01 - 00:48:42:20 Tiffany, next question for you. 00:48:42:20 - 00:48:46:10 Does Vision Zero efforts also revolve around people 00:48:46:10 - 00:48:49:10 with disabilities to make communities more accessible? 00:48:50:06 - 00:48:52:11 Yes. The goal of Vision Zero 00:48:52:11 - 00:48:56:14 is not only to create, to achieve 00:48:56:17 - 00:48:59:15 zero deaths and severe injuries on roadways, 00:48:59:15 - 00:49:01:18 but to create transportation systems 00:49:01:18 - 00:49:05:12 that are safe, healthy, equitable for all people using them. 00:49:05:12 - 00:49:09:14 So I and I also think these issues, as I've highlighted in our presentation, 00:49:09:14 - 00:49:13:12 as we've heard from others, like these are cross-cutting issues. 00:49:13:18 - 00:49:18:00 And so, I've also seen in many Vision Zero action plans 00:49:18:00 - 00:49:22:01 and in my work with transportation practitioners, disability rights 00:49:22:01 - 00:49:26:18 activists and groups are always included as stakeholders in the development 00:49:26:18 - 00:49:30:19 of plans and in projects and if they're not, they should be. 00:49:30:19 - 00:49:36:01 And so, yeah, I just want to emphasize that, in order to achieve 00:49:36:01 - 00:49:39:13 Vision Zero, we're going to it's going to require collaboration. 00:49:39:16 - 00:49:43:07 It's going to require thinking beyond just like, oh, 00:49:43:07 - 00:49:47:04 this road, you know, is it safe, yes or no? 00:49:47:05 - 00:49:51:19 Like it's it's also going to we have to think about any unintended consequences. 00:49:51:19 - 00:49:53:05 Who are we missing out? 00:49:53:05 - 00:49:54:03 Who's missing out? 00:49:54:03 - 00:49:57:03 Who's not included in our planning decisions? 00:49:57:06 - 00:49:58:04 So, yeah. 00:49:59:03 - 00:49:59:10 Great. 00:49:59:10 - 00:50:00:00 Thank you. 00:50:00:00 - 00:50:03:00 And then, Dave, one more question for you. 00:50:03:09 - 00:50:04:15 It's a challenging one. 00:50:04:15 - 00:50:08:07 How can vehicle design be modified to reduce injuries and crashes 00:50:08:07 - 00:50:10:00 with bicyclists and pedestrians? 00:50:10:00 - 00:50:13:18 And maybe that in addition to protecting the driver, 00:50:13:18 - 00:50:16:18 how can we also protect the yeah, yeah, pedestrian? 00:50:17:05 - 00:50:19:16 So it's a super question 00:50:19:16 - 00:50:24:13 and a really timely one because, 00:50:25:18 - 00:50:28:09 you know, the vehicle fleet is transitioning 00:50:28:09 - 00:50:31:19 and we're rethinking how we build our vehicles. 00:50:31:19 - 00:50:32:18 Right? 00:50:32:18 - 00:50:35:12 And we have to think about 00:50:35:12 - 00:50:38:11 vehicle size, weight and shape. 00:50:38:11 - 00:50:41:22 And this all gets back to that idea that, 00:50:43:00 - 00:50:44:18 the kinetic energy. Right? 00:50:44:18 - 00:50:48:13 So everybody knows that a bigger, heavier vehicle is going to be more dangerous 00:50:48:13 - 00:50:51:13 when you get into a crash for someone outside the vehicle. 00:50:51:17 - 00:50:52:06 So what we have to do 00:50:52:06 - 00:50:55:17 is take the same ideas that we use inside the vehicle and apply them outside. 00:50:56:11 - 00:50:56:19 Right. 00:50:56:19 - 00:51:01:17 So if you think about how the vehicle shaped, when it's 00:51:01:17 - 00:51:06:13 higher and heavier, it's more likely to cause an injury or death. 00:51:07:06 - 00:51:10:19 So we need to think about how we change the shape of the hood 00:51:10:19 - 00:51:15:10 so that when it comes into contact with the person, that it isn't a fatal crash. 00:51:16:10 - 00:51:18:12 I could talk about this for days, 00:51:18:12 - 00:51:22:06 but I want to emphasize that it is something we can do 00:51:22:06 - 00:51:26:11 both in terms of how we engineer outside of the vehicle, in the shape, 00:51:26:17 - 00:51:32:01 the materials we use, so we can use more forgiving materials in our vehicle design. 00:51:32:19 - 00:51:35:10 And last but not least, you know, the vehicle 00:51:35:10 - 00:51:38:10 fleet's changing, so 00:51:38:18 - 00:51:40:17 electric vehicles have a different drivetrain. 00:51:40:17 - 00:51:43:17 Um than internal combustion engines. 00:51:43:17 - 00:51:44:06 Right. 00:51:44:06 - 00:51:49:08 So we had this big opportunity to rethink the vehicle size, shape and weight. 00:51:49:24 - 00:51:53:22 We don't need all that space for a big engine block in the front of our car 00:51:54:03 - 00:51:57:01 because we can put batteries and so many other places. 00:51:57:01 - 00:52:01:03 So it's a really big safety opportunity to rethink how we design that vehicle. 00:52:01:11 - 00:52:05:13 So that unfortunately when a crash happens, it won't be fatal, right? 00:52:05:14 - 00:52:08:14 Because we don't have to design those big hoods anymore. 00:52:08:15 - 00:52:12:13 So it's a timely question and an important one in my opinion. 00:52:13:04 - 00:52:13:19 Thank you. 00:52:13:19 - 00:52:15:04 So I'd like to wrap up now, so 00:52:15:04 - 00:52:16:15 I want to give each of our panel members 00:52:16:15 - 00:52:20:12 just one opportunity if there's anything you want to leave our audience with today. 00:52:20:14 - 00:52:21:10 As I do that, 00:52:21:10 - 00:52:24:10 I also want to thank the audience for joining us for this seminar series. 00:52:24:16 - 00:52:26:19 So, let's go in the order you presented. 00:52:26:19 - 00:52:28:09 So, Dave, if I can hand it back to you. 00:52:29:15 - 00:52:29:24 Sure. 00:52:29:24 - 00:52:30:05 Thanks Janelle. 00:52:30:05 - 00:52:34:19 I'm actually going to go back to a quote 00:52:35:04 - 00:52:38:20 from another 星空娱乐官网 director, and it's Bill Foege. 00:52:39:02 - 00:52:40:18 So it's a little while ago, 00:52:40:18 - 00:52:45:00 but he would say, and you'll wonder what public health brings to the table. 00:52:45:00 - 00:52:46:24 And we can talk about all the technical stuff. 00:52:46:24 - 00:52:51:15 But hopefully he would say two things that the public health is optimistic. 00:52:52:07 - 00:52:55:07 So Safe Systems and Vision Zero are at their heart, 00:52:55:12 - 00:52:58:11 an optimistic approach to transportation. 00:52:58:11 - 00:52:59:14 That we can do this. 00:52:59:14 - 00:53:02:14 We can build a safer, healthier system. 00:53:02:23 - 00:53:05:22 And that public health is incremental. 00:53:05:22 - 00:53:07:04 Right? 00:53:07:04 - 00:53:10:04 It took us 180 years to 00:53:10:04 - 00:53:13:04 eradicate polio after we had a vaccine. 00:53:13:06 - 00:53:16:06 It's going to take time, and as I said, a lot of hard work 00:53:16:12 - 00:53:19:14 for us to to rethink and recreate the built environment 00:53:19:24 - 00:53:23:14 to make it a safer, healthier place where everybody can walk and cycle 00:53:23:21 - 00:53:25:06 and get all those amazing benefits. 00:53:26:06 - 00:53:29:06 Thank you Steph. 00:53:29:24 - 00:53:32:08 I feel like 00:53:32:08 - 00:53:34:05 Dave's comments resonated with me. 00:53:34:05 - 00:53:38:10 What immediately came to mind is, leaning into some creativity 00:53:39:11 - 00:53:41:04 and having patience. 00:53:41:04 - 00:53:43:20 Recognizing that 00:53:43:20 - 00:53:46:20 everything worthwhile usually is iterative. 00:53:47:12 - 00:53:50:06 So being willing to be reflective 00:53:50:06 - 00:53:55:06 in the process that you decide on and, 00:53:55:06 - 00:54:01:03 and also be willing to recognize if it's not working, and regroup. 00:54:01:08 - 00:54:06:18 So, yeah, being patient, celebrating the successes, 00:54:07:02 - 00:54:11:12 and lean into some creativity through it all. 00:54:12:07 - 00:54:14:11 Thanks. And, Tiffany. 00:54:14:11 - 00:54:14:24 Yeah. 00:54:14:24 - 00:54:18:20 I was recently reminded of this Audre Lorde quote. 00:54:18:22 - 00:54:23:14 There's no such thing as single issues because we don't live single issue lives. 00:54:23:24 - 00:54:27:16 And so, if there's one thing I want everyone to leave here 00:54:27:16 - 00:54:31:06 today is with that, these issues are cross-cutting. 00:54:31:13 - 00:54:36:10 We need to think of, as Dave highlighted, transportation 00:54:36:10 - 00:54:39:10 engineers are public health professionals, public health 00:54:39:10 - 00:54:41:18 professionals are transportation engineers. 00:54:41:18 - 00:54:45:13 We also need to think of ourselves as stewards of equity 00:54:45:13 - 00:54:50:04 and the built environment and even when that's hard. 00:54:50:17 - 00:54:55:03 And so just want to encourage everyone to, you know, 00:54:55:03 - 00:54:59:17 initiate conversations with folks whose work even maybe kind of just 00:54:59:23 - 00:55:04:07 tangentially relates to this because it is all related. 00:55:04:14 - 00:55:09:05 It will take all of us to really improve our transportation system. 00:55:10:11 - 00:55:10:22 Thank you. 00:55:10:22 - 00:55:12:19 Well, thank you all for a wonderful panel today. 00:55:12:19 - 00:55:15:09 Thank you to our audience for joining us. 00:55:15:09 - 00:55:17:23 This will be posted at a later date on the 星空娱乐官网 website. 00:55:17:23 - 00:55:20:06 So if you want to watch it again or share it with a colleague, 00:55:20:06 - 00:55:21:01 you can do that. 00:55:21:01 - 00:55:24:14 And we'll see you later this fall for our next seminar series. 00:55:24:15 - 00:55:25:02 Thanks all.