To: Mayor and Council From: Christina Vugteveen, Business Analyst Subject: Healthy Abbotsford Partnership and Healthy Community Strategies

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1 ABBOTSFORD Report No. PRC September 9, 2011 File No: COUNCIL REPORT Executive Committee To: Mayor and Council From: Christina Vugteveen, Business Analyst Subject: Healthy Abbotsford Partnership and Healthy Community Strategies RECOMMENDATION(S) 1. THAT Report No. PRC , dated September 9, 2011, from the Business Analyst, regarding the Healthy Abbotsford Partnership and Healthy Community Strategies be received; and 2. THAT Mayor and Council endorse the Fraser Health Authority's request to work with staff to conduct a baseline assessment on how the City of Abbotsford is doing in relation to the evidenced-based Healthier Community Strategies. BACKGROUND Healthy Abbotsford is a community partnership between the Abbotsford School District, the Fraser Health Authority (Fraser Health), the University of the Fraser Valley (UFV), the Abbotsford News and the City of Abbotsford. Our vision is to make Abbotsford the healthiest community in BC. Over the past year Healthy Abbotsford has been hard at work laying the groundwork to "Make it Healthy" in Abbotsford. With a strong foundation in place, Healthy Abbotsford is working closely with Fraser Health to introduce proven strategies to create a healthier community. As a first step in this process, Fraser Health, in partnership with Healthy Abbotsford, is seeking the approval of Council to conduct a baseline assessment on how the City of Abbotsford is doing in relation to these healthier community strategies (attached). This work directly links in to the Provincial Healthy Families Announcement that was made at the Abbotsford Recreation Centre on September 17, ANALYSIS Fraser Health, an active partner of Healthy Abbotsford, has reviewed the current literature, and compiled a fist of strategies which have been shown to improve the health of communities. In the municipalities from Burnaby to Boston Bar, Fraser Health is presenting these strategies to Council asking that each community endorse the formation of a Healthier Community Partnership made up of representatives from various sectors of the community. This partnership would be responsible for steering the prioritization, planning and implementation of the strategies in the community. Abbotsford is in an advanced position compared to other municipalities in that we already have a healthier community partnership through Healthy Abbotsford. Fraser Health is seeking approval from Council to complete, in partnership with Healthy

2 Report No. PRC Page 2 of 2 Abbotsford, a baseline assessment of current Abbotsford initiatives aimed at improving the health of the community, and then to evaluate these to the outcomes expected from the healthier community strategies. This baseline assessment will give Abbotsford a better understanding of how we are doing in relation to these strategies (attached), and will assist with the prioritization of the strategies that could have the greatest impact in Abbotsford. There are a number of highlights in the strategies that Abbotsford is already doing including implementing work place initiatives that promote and support physical activity, and supporting active living initiatives to prevent childhood overweight and obesity through the SCOPE project. This assessment will allow us to highlight further the things we are doing well, and set priorities for the future to make a healthier community. FINANCIAL PLAN IMPLICATION There are no financial implications to completing the assessment. STRATEGIC DIRECTIONS This supports the strategic direction of building a safe, healthy, and inclusive community. COMMUNICATION PLAN Once completed, the survey results will be reported back to Council and the community. SUMMARY By working with the Fraser Health Authority to create a baseline assessment, Abbotsford will have a better understanding of how we are doing in relation to healthy community strategies, and will enable the Healthy Abbotsford partnership to prioritize the strategies that could have the greatest impact in Abbotsford. c.1\ Christina Vugteveen Mark Taylor Business Analyst, Parks, Recreation & Culture General Manger, Parks, Recreation & Culture

3 fraserhealfh Minna% Abbotsford Healthier Community Action Plan The Healthier Community initiative is a partnership between Fraser Health and its municipalities, which directly impacts the health of the citizens in each community. This partnership is an opportunity to move the focus of "health" from treatment and remediation to promotion and prevention through immediate action. This document begins with a "snapshot" of the health status of the citizens of Abbotsford, including demographics of the population, incidence of chronic disease, leading causes of death, and the health practices of its citizens. An Action checklist outlines a list of priority actions that lead to a healthier community. These activities have been selected from best practices identified in the Fraser Health Medical Health Officer's Annual eport, as well as other national and international initiatives. The municipalities along with other community partners create their "Community Action Plan" from priorities identified and tailored to the needs of their communities. To assist them, Fraser Health has dedicated a portion of the role of the Region's "Community Health Specialists". The role of these specialists is to bring best practice expertise and knowledge to the community partners in the development, implementation and evaluation of their Community Action Plans. With this input, each municipality can create measure2ble behaviour change and promote citizens' involvement in personal and community responsibility for better health. JO.

4 fraserhealth Population Oder heath. Nilo hooliticare. Snapshot for Better Health Abbotsford In 2010, 138,833 people reside in Abbotsford. In terms population, Abbotsford is the fourth largest Local Health Area (LHA) in Fraser Health. Children and youth comprise a larger proportion of the total population in Abbotsford (25%) than in BC overall (21%). Although the number of children and youth will continue to grow in the future, their proportion within the total population will decline from 25% in 2010 to 23% in 2030, mirroring the trend in the province as a whole. In contrast, the proportion of seniors is expected to continue to grow, from 13% In 2010 to 18% in Population (1311,833) Population Change, ctive...l4, seders (65+) 60,000 Youth (s19) z... P. e r18,610 woo _senbrs (65+ ) 1' ( % ". :. 4., r_ tl 4i. 30,000../... 20,000 10,000 4" Youth (Sn) 35,216 25% r. 1,.0.,-.7 Ethnic and Abornal [Identity An important component of population In the context of health status and service planning is the ethnic and Aboriginal populations. In Abbotsford, residents of East Indian origin make up 17.5% of the population, and about 3% are Aboriginal. Overall, residents born outside of Canada composed 27% (37,000) of the total population of Abbotsford in Ethnic and Aboriginal 2006 % IdentityPopulation... Population Total population 122,800 Top three ethnic origins: English 30, /0 German 25, /0 East Indian 21, % Aboriginal identity 3, % Source: Statistics Canada, Census, Fi e a I t h Status Compared to the BC and Fraser Health averages, the Abbotsford population has higher rates of asthma, diabetes, hypertension and cardiovascular disease. Cancers and cardiovascular disease are the leading cause of deaths in Abbotsford. Risk factors common to many of these chronic diseases include tobacco use, an inactive lifestyle, an unhealthy diet, and being overweight or obese. These risk factors are preventable. Top 5 Leading causes of death, , Cause of Death Deaths %of All Deaths _ Heart disease % Cancer % Cerebrovascular diseases (e.g., stroke) % Pneumonia/influenza59 6.1% Diabetes %... All deaths u/0 Source: VISTA Database, BC Vital Statistics Agency, Victoria, BC People Living with Select Chronic Diseases, condition it People _ % of Population Asthma 12,808 1i-12% Diabetes 10, % Heart disease 6, % Chronic obstructive pulmonary disease (COPD) 2, % History of stroke 1, % Source: Ministry of Health Services, PHC Registry as of November

5 Health practices Health Practices, Fraser East & BC, Ages 12+, More residents of Fraser East, which includes Abbotsford, tend to be overweight or obese, which is of great concern. Only 39.4% of residents eat the recommended daily number of servings of fruits and vegetables, which is lower than the BC average and may contribute to overweight and obesity. It is reported that 16.5% of residents in Fraser East smoke. Although this rate is slightly lower than that for all of BC, this number is still significant as smokers are at increased risk for cardiovascular disease, a number of different types of cancer, and COPD. Level of exposure to second-hand smoke is slightly less than the provincial rate. If these health practices continue, the rate of chronic disease in Abbotsford could possibly rise significantly over the next few years. Communities have the power to take action on combating these trends. Municipalities can create public policy (e.g. smoking bylaws), built environments (e.g. planning for active transportation) and internal corporate policies (e.g. guidelines for healthy food at meetings) that foster better health practices. Current smokers 1= 16.5% 182% Exposure to ETS at 3.8% 0 BC home 4.0% 5+ fruits and/or 39.4% vegetables per day 43.4% 56.1% Physicalty active 57.7% liummo Overweight or obese, % ages % 0% 25% 50% % Respondents Note: us= environmental tobacco smoke Source: Statistics Canada, Canadian Community Health Survey, 2007/08.! o Fraser East 75% 100% Organizations and businesses can challenge and support their staff and clients to lead healthier lives. Finally, with the support of municipalities, businesses, and other groups, citizens themselves can take individual and collective action to improve their own health and the health of their neighbours by exercising 30 minutes per day, eating more fruits and vegetables and quitting smoking.

6 fraserhealth Mit*Et wt. Gold Standard: Actions Checklist 4ealthy Eating: Actions Scoring 1. 0 Implement healthy food policies that make the healthy choke the easy choice in schools, recreation centres, sports settings, post-secondary Institutions, restaurants and supermarkets. 25% 1-3 actions from the checklist are complete. 50% 4-6 actions from the checklist are complete. Abbotsford Better Health Scorecard 75% 7-9 actions from the checklist are complete (must include actions 1 3). 100% 10 or more actions from the checklist are complete (must Include actions 1 6). Status 'Sob, 1 soak, 1 7s't I CornrAtte 2. 0 Develop bylaws and/or other strategies that restrict new fast food outlets from opening near schools Create a Healthy Food Zone around schools: Coordinate with convenience stores to increase access to healthy food choices around schools Develop partnerships to promote active living and healthy eating messaging on an ongoing basis in municipalities. 25% Convenience stores within a minimum 600 metre radius of 25% of middle and secondary schools are designated "Healthy Food Zones" 50% Convenience stores within a minimum 600 metre radius of 50% of middle and secondary schools are designated "Healthy Food Zones" 25% Healthy eating and physical activity messages are being routinely promoted internally and externally by the municipality. 50% Healthy eating and physical activity messages are being routinely promoted internally and externally by the municipality and one stakeholder group. 100% Bylaws and/or other strategies are in place to restrict fast food outlets from opening within a prescribed zone (minimum of 600 meters) around middle schools and secondary schools. 75% Convenience stores within minimum 600 metre radius of 75% of middle and secondary school are designated "Healthy Food Zones' t00% Convenience stores within a minimum 600 metre radius of 100% of middle and secondary schools are designated "Healthy Food Zones" 75% Healthy eating and physical activity messages are being routinely promoted internally and externally by the municipality and two or three stakeholder groups. 100% Healthy eating and physical activity messages are being routinely promoted internally and externally by the municipality and four stakeholder groups.

7 Physical Activity: Actions Scoring Status 25% I so" 75% j Complete 1. 0 Implement community active living challenges or walk, run or play events. 25% Annually, the municipality coordinates at least one active living challenge or walk, run or play event that is widely promoted in the community. 50% The annual active living challenge or walk, run or play event is conducted with one stakeholder group. 750/0 The annual active living challenge or walk, run or play event, is conducted with two or three stakeholder groups. 100% Two or more annual active living challenges or walk, run or play events, are conducted with four stakeholder groups Implement workplace initiatives that promote and support physical activity Support active living initiatives to prevent childhood overweight and obesity. 25% All municipal workplaces have one annual workplace wellness event established with employee participation. SO% All municipal workplaces have four annual workplace wellness events established with employee participation. 25% One initiative is completed. 50% Two initiatives are completed. 75% A municipal workplace wellness policy is established. 100% Four annual workplace wellness events are promoted community-wide with municipal leadership and by four stakeholder groups. 75% Three initiatives are completed. 100% Four initiatives are completed.

8 obac:4 z.;eduction: Actions 1. 0 Adopt non-smoking bylaws that exceed provincial regulations; prohibiting smoking within 7.5 metres of doors, windows and air intakes, on restaurant or pub patios, in public places where people gather, in parks, on beaches and on trails. Scoring 25% One of the bylaw amendments as outlined In the strategy has been passed. 50% Two of the bylaw amendments as outlined in the strategy have been passed. 75% Three of the bylaw amendments as outlined in the strategy have been passed. 100% All of the bylaw amendments as outlined In the strategy have been passed. _ Status 25e/o 1 50 /,L 75% I Complete 2. 0 Implement a campaign to support and promote staff smoking cessation and smoke-free workplace policy. 25% Municipality has cessation support available to staff, induding a quit and win contest. 50% Municipality is engaged in a Smoke-free Workplace Initiative and is supporting staff cessation, Including provision of coverage for cessation medications on health benefits. 75% Municipality has smoke-free policy prohibiting smoking in all structures, on grounds and in municipal vehicles. 100% Municipality is promoting the Smoke-Free Workplace Initiative externally and stakeholder groups are implementing the initiative Support and promote post secondary smoke-free campus initiatives and student smoking cessation. 25% Post-secondary institutions are promoting smoking cessation. Support is available to staff and students, induding a quit and win contest. 50% Post-secondary institutions are supporting staff and student cessation, including provision of coverage for cessation medications on health benefits. 75% Post-secondary institutions have smoke-free policy that exceeds provincial regulations. Signage is posted. 100% Smoke-free campus initiatives and policy are promoted campus-wide and are monitored and enforced.

9 Healthy Buiit 7-1\0rorrytent: Actions 1. 0 Include healthy built environment principles and strategies into Official Community Plans (OCPs) and in land use planning to Increase the density, inclusiveness and walkability of neighbourhoods. - ( -1 25% OCP indudes three principles. 50% OCP indudes four principles. 75% OCP includes five principles. 100% OCP indudes all six principles. Status 256/o I 5f.'"'- I 75 /n 1 r_,,,,,i.t, 2. 0 Increase children's access to parks, green spaces and recreation facilities. 25% 1-3 provisions are developed and implemented, 50% 4-7 provisions are developed and implemented. 75% 8-11 provisions are developed and implemented. 100% 12 or more provisions are developed and implemented Partner with business and non-profit organizations to conduct education campaigns for community residents about healthy built environments, 25% Healthy Built Environment messages are being routinely promoted internally and externally by the municipality, 50% Healthy Built Environment messages are being routinely promoted internally and externally by the municipality and one stakeholder group. 75% Healthy Built Environment messages are being routinely promoted internally and externally by the municipality and two or three stakeholder groups. 100% Healthy Built Environment messages are being routinely promoted internally and externally by the municipality and four stakeholder groups Develop community "Hubs" for integrating community programs focussed on chronic disease prevention and healthy living to improve accessibility and shared funds. 25% 25% of recreation facilities or "Hubs" are incorporating healthy living 50% 50% of recreation facilities or "Hubs" are incorporating healthy living 75% 75% of recreation facilities or "Hubs" are incorporating healthy living 100% 100% of recreation facilities or "Hubs" are incorporating healthy living,

10 Julnerable Citizens and *;Ighbourboods: Actions 1. 0 Implement healthy living programs (healthy eating, physical activity and tobacco-free living) targeting seniors. Scoring 25% Healthy living programs are being routinely promoted and Implemented by the municipality. 50% The municipality and one stakeholder group are incorporating healthy living 75% The municipality and two or three stakeholder groups are incorporating healthy living 100% The municipality and four stakeholder groups are incorporating healthy living Status 75% 1 50% 1 75% 1 Corn pint, 2. 0 Initiate healthy living challenges and healthy living programs (includes: physical activity, healthy eating and living tobacco free) within Mental Health and Substance Use Services community 25% Healthy living programs are being routinely promoted internally. 50% One Mental Health and Substance Use Services community program is incorporating healthy living 75% Two or more Mental Health and Substance Use Services community programs are incorporating healthy living 100% All Mental Health and Substance Use Services community programs are incorporating healthy living 3. 0 Implement healthy living programs (healthy eating, physical activity, and living tobacco- free) for youth at risk. 25% Healthy living programs are being routinely implemented and promoted by the municipality. SO% The municipality and one stakeholder group are incorporating healthy living 75% The municipality and two or three stakeholder groups are incorporating healthy living 100% The municipality and four stakeholder groups are Incorporating healthy living