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HomeMy WebLinkAboutChapter 5 HEALTH WELLNESS | 5. HEALTH & WELLNESS The Health and Wellness element is not a required element of the General Plan. A broad range of social, economic, and environmental factors all contribute to health including nutritious diets, active lifestyles, clean air and water, education, jobs, and medical care. Cities can create policies that target these areas to address the specific health needs and challenges of a community. Active parks and open space improve health. Healthy communities promote active lifestyles. 5-1 The leading causes of death within Riverside County and the Eastern Riverside sub region, which includes the City of Palm Desert, are heart disease and cancer. Chronic lower respiratory disease, stroke, and Alzheimer’s are the third, fourth, and fifth leading causes of death in the County. Approximately 27% of Palm Desert adults aged 20 and older are categorized as obese. In Eastern Riverside County, asthma was cited as one of the top ten reasons for emergency room visits for children 5-11 years-old and 12-14 years-old. Palm Desert’s asthma rates are slightly higher than the national average, and slightly lower than the California average. Development that encourages active lifestyles, such as parks, open space, and walkable neighborhoods, are linked with improvements in obesity and heart disease. Similarly, communities that provide greater access to healthy foods can lead to improved diets and reduced rates of obesity, heart disease, and cancer, while improved air quality corresponds with lower incidence of respiratory disease and asthma. Regular physical activity can help control weight, reduce the risk of cardiovascular disease, Type 2 diabetes, and some cancers, strengthen bones and muscles, improve mental health and mood, prevent falls among older adults, and increase chances for a longer life. In a recent CDC study, researchers calculated that limiting the time Americans spend sitting to three hours or fewer each day would increase the life expectancy of the U.S. population by 2 years. Cutting down TV watching to fewer than two hours each day would bump life expectancy up by another 1.4 years . Being overweight can also have far-reaching impacts on lifestyles, negatively affecting self- esteem and mental health. New data also suggests there is a “significant positive relationship between physical activity and academic performance.” Sedentary living is especially concerning for our youth as it can lead to shortened life spans. In general, 7th and 9th graders in Desert Sands Unified School District schools were on par with the average Riverside County and California students. However, Abraham Lincoln Elementary reported that 41.1% of the 5th grade students were at risk for Body Composition measurements. Unhealthy eating habits are a primary risk factor for many leading causes of death in California. They also contribute to the number of obese and overweight Americans. Indeed, the relationship between obesity and chronic illness, such as diabetes or heart disease, is also well-established. In the Coachella Valley, 21% of adults aged 20 and older self-report that they have a Body Mass Index (BMI) greater than 30.0 (obese). Excess weight may indicate an unhealthy lifestyle and puts individuals at risk for further health issues. While it is not our intent to force people to eat healthier, we can create local policies and programs that can improve people’s access to healthier food options and help make healthy food options an easier choice. The prevalence of diabetes is clearly associated with unhealthy diets. Diabetes is the seventh leading cause of death in the United States. Since the 1970s, the risk of developing diabetes has increased by over 50 percent for American adults. Specifically, more than 2.3 million people in California had diabetes in 2011-2012 -- a 35% increase over 10 years, which can be directly linked to lack of fitness and sugary diets. Improving access to healthy food can reduce the risk of contracting diabetes for City residents. Outdoor community exercise Heathy local food options, such as a farmers market 5-2 | Excessive automobile use by residents has multiple deleterious impacts on health. Scientific studies have linked ozone and particle pollution to lung cancer, asthma attacks, heart attacks, diabetes, strokes, and early death, as well as increased hospitalizations for breathing problems. Looking at air quality in 545 counties in the U.S. between 2000 and 2007, researchers found that people had approximately four months added to their life expectancy on average due to cleaner air, and people who lived in urban and densely populated counties benefited the most. Asthma affects adults and children in Riverside County, particularly children living in poverty. In Eastern Riverside County, asthma was cited as the one of the top ten reasons for emergency department visits for children 5- to 11-years-old and 12- to 14-years-old. Palm Desert’s asthma rates are slightly higher than the national average, and slightly lower than the California average. One of the greatest health risks associated with air pollution from particulate matter is living near freeways and "high volume roadways." The prevalence of asthma is a crucial indicator of local air quality. Asthma is one of the leading causes of school absenteeism and can be a life-threatening disease if not properly managed. Research has shown that ozone air pollution may actually cause asthma in otherwise healthy children. Local air quality has a direct impact on respiratory health. 5-3 1.1 Park amenities. In the design of parks or open spaces, provide paths, running tracks, playgrounds, sport courts, and drinking fountains. 1.2 Multiple users. Encourage active play structures and/or passive amenities to be designed to accommodate a range of ages and abilities, especially seniors. 1.3 Partnerships. Create partnerships with organizations to sponsor and maintain green spaces and gardens on building sites. 1.4 Joint-use. Promote joint use of public and private recreational facilities for community uses. 1.5 Increase park space. Require 5 acres of park space for every 1,000 residents, striving to have a park or recreation amenity within ½ mile of most neighborhoods. Provide an increased focus on neighborhood parks, mini parks and neighborhood plazas to serve residents. 1.6 Design for heat. Consider extreme heat in the design of parks and playgrounds to facilitate activity in different weather conditions by including shade structures, shade trees, water fountains, splash pads, lighting for night play, and other design features that mitigate heat. 1.7 Design for safety. Utilize CPTED design techniques such as providing clear lines of sight, adequate llighting, and wayfinding signs, to ensure parks are safe. 1.8 New development. Ensure that new residential developments provide adequate on-site recreational and open space amenities consistent with the values and standards of the community and the needs of new development. 1.9 Open space trails. Develop and enhance existing open space and trails that provide City residents and visitors access to undisturbed desert and mountain environments, while preserving these resources, including sensitive plant and animal species, in their natural environments. 1.10 Accessibility to parks. Seek new park locations that will serve residential areas that are more than a quarter mile from an existing or planned park or separated from an existing or planned park by a street that consists of four or more travel lanes. Where possible, parks shall be associated with and connected to the trail network. 1.11 Parks classification system. Adopt and utilize the parks classification system identified in Table 6-1 to help guide maintenance and planning work in the city. 5-4 | Park T ype Acre R ange Pop R adius Distance R adius General C haracteristics Mini parks Less than 1 acre to 1.5 acres Not population radius sensitive Within walking distance of immediate area Parks that exist primarily in residential areas or adjacent to light business zones and have features , such as grass, shade, trees, passive areas, green space, shelters, native plant life, playgrounds and play structures. Use is limited to the local neighborhood. They may be realized in “tot - lot” configurations that pro vide secure recreational space for small children and typically include equipment such as swings, slides, ‘monkey bars’ and sand boxes , while leaving sufficient room for peopl e to sit and enjoy the space. Mini-parks are intended to serve a population within walking distance or short biking distance. Plazas/greens Up to 2 acres Not population radius sensitive Close to entertainment and business support areas Plazas and greens have the widest variety and the most intense activities of all open spaces. Plazas and greens serve as formal or informal community gathering spaces. Plazas are unique to the city and represent a connection to the culture of the community. These park typ es are often shaped primarily by building frontages. Plazas are shaped primarily by building frontages and are primarily hardscape with occasional landscape in planters or containers. Greens are landscaped open areas located at the center of a community. Features may include gazebos, water features, trees, shade, performance areas, public artwork and other similar features. Neighborhood parks About 1.5- 15 6 to 10 acres per 1,000 residents About a 2.5 mile radius in the developed area Parks provide large u nobstructed areas for passive or active recreation throughout neighborhoods. Often contain community gardens and playgrounds and are primarily landscaped. These parks are located in residential areas. They include features such as: grass, trees, restrooms, tot lots, picnic and shade shelters, grills, playground equipment, open fields, informal sports areas, swimming pools and/or neighborhood center. Community parks About 10 -50 acres One site per 25,000 residents About a 5 to 10 mile service radius Parks located in large areas that are compatible to surrounding uses with features such as: large grass areas, large picnic and shelter areas, restrooms, on -site parking, swimming pool, community center, sports areas/complexes, lights, entertainment areas, special features such as skateboard areas, outdoor theatres, disc golf, BMX, exercise station, ponds and/or water features. Special use parks 50+ acres One site per 50,000 to 200,000 residents About a 25 mile service radius Parks not located in residential areas. Features might include: large scale sports complex, special events site (such as fairs and festivals), gardens, concessions, trails, natural/open space, lakes, animal uses. Nature/open space As resources are available (usually large) Not population radius sensitive As natural resource areas are available Areas generally free from development or developed at low intensity uses that respect natural environmental characteristics and serve as preservation of natural, cultural, archaeological resources, passive outdoor recreation, public safety and health, and shape urban form. In some cases, these open space types may include working lands such as farms, ranches, and mining areas. Greenways/ trails As resources are available Not population radius sensitive Distance is a function of in and between park options Greenways and trails may consist of walking, biking, hiking, equestrian, greenway, long distance, off road, rail, canal, and waterway with the purpose to meet passive or active recreation, informal or formal transportation. Linear parks Should connect with trails Not population radius sensitive Tied to neighborhood entries and park sites Purpose is to connect parks, entry ways, transportation routes, and unique features. May be concrete, asphalt, or crushed fine, among other options. 5-5 1.12 Economic opportunities. Utilize parks to maximize new and existing economic development opportunities through recruitment of new entertainment uses and by coordinating park development to support commercial development. 2.1 Lifelong learning and professional development. Work with the school district, Cal State, and Riverside County Regional Occupational Center/Program to support mentorship, professional development, and continuing education programs, so working adults can expand their skills and embrace lifelong learning. 2.2 Affordable housing. Encourage qualified employees to live in Palm Desert through homebuyer and rental assistance and other programs as recommended in the Housing Element. 2.3 Employee programs. Encourage employers to adopt healthy employee programs and practices such as healthy work environments, healthy food choices, or health challenges including weight loss, smoking cessation, or physical activity. 3.1 Community gardens. Encourage community gardens, especially in new affordable housing developments, multifamily developments and schools. 3.2 Public gardens. Allow the development of community gardens in parks, public right-of-ways, alleys, parkways, vacant land and utility easements, and encourage edible landscaping. 3.3 Private gardens. Allow for gardens on rooftops, residential front and back yards, and indoor spaces. 3.4 Livestock. Allow the raising of animals such as bees, chickens, goats, etc. in certain designated, low residential areas. 5-6 | 4.1 Healthy food outlets. Utilize available incentives, grants, and/or programs to encourage small grocery or convenience stores to sell basic healthy fresh food items so as to expand the availability of healthy food within the City. 4.2 Farmers’ markets. Encourage farmers’ markets in a wide variety of formats and venues. 4.3 Healthy food environments. Limit fast food retailers’ density throughout the city, either by restricting the number of fast food retailers or increasing the number of healthy food retailers. 4.4 Innovation. Support the development of food cooperatives as alternative means of increasing access to healthy and fresh foods. 5.1 Health care service levels. Work with local health care providers to ensure the availability of adequate levels of health care services and facilities and to attract more primary care physicians. 5.2 Healthcare training and education. Commensurate with population growth, and responsive to the demographics of the city and the region, work with the UC Riverside School of Medicine to encourage the development of additional research, education and health care services to enhance access to health care training and educational opportunities, urgent care, in-home care and other medical treatment. 5.3 Innovative health services. Continue to encourage innovative health services that cater to Palm Desert’s unique community and needs. 5.4 Accessible health and social services facilities. Ensure health and social services facilities are accessible to residents and well served by transit. 5.5 Homegrown medical professionals. Aspire to cultivate “homegrown” medical professionals by supporting programs that create education pipelines to health careers and providing lease assistance, tenant improvements and capital contributions to new practices. 5.6 Healthcare accessibility. Consider and plan for individuals with disabilities when locating health services and health-promoting uses, including hospitals and medical centers, schools, grocery stores and markets, and governmental services. 5.7 Temporary health centers. Allow and encourage temporary healthcare spaces and events such as mobile clinics, health fairs, church and school clinics. 5-7 5.8 Aging in Place. Encourage Aging in Place design and policies in new development to ensure safe and easy access for seniors. 6.1 Near-source air quality impacts. Avoid locating new air quality-sensitive uses (schools, child care centers, senior centers, medical facilities, and residences) in proximity to sources of localized air pollution (e.g., Interstate 10, high traffic roads, certain industrial facilities), and vice versa. Where such uses are located within 500 feet of each other, require preparation of a health impact assessment (HIA) or similarly effective health analysis as part of the CEQA environmental review process, to analyze the significance of the health impact on sensitive land uses and incorporate project-specific mitigation measures to reduce potential impacts. For sensitive land uses that cannot be avoided within 500 feet of sources of localized air pollution, potential design mitigation options include:  Providing residential units with individual HVAC systems in order to allow adequate ventilation with windows closed;  Locating air intake systems for heating, ventilation, and air conditioning (HVAC) systems as far away from existing air pollution sources as possible;  Using HEPA air filters in the HVAC system and developing a maintenance plan to ensure the filtering system is properly maintained; and  Utilizing only fixed windows next to any existing sources of pollution.  Using sound walls, berms, and vegetation as physical barriers.  Notifying new potential home buyers of risks from air pollution. 6.2 Healthy buildings. Require new development to meet the State’s Green Building Code standards for indoor air quality performance, and promote green building practices that support “healthy buildings,” such as low VOC materials, environmental tobacco smoke control, and indoor air quality construction pollution prevention techniques. 6.3 Sensitive receptors. Avoid the siting of new projects and land uses that would produce localized air pollution in a way that would adversely impact existing air quality-sensitive receptors including schools, childcare centers, senior housing, and subsidized affordable housing. The recommended minimum distance separating these uses should be 500 feet. When a minimum distance of 500 feet cannot be avoided, a health impact assessment (HIA) shall be completed in compliance with Policy 6.1. 5-8 | 7.1 Physical plan. Facilitate the construction of a built environment that supports a healthy physical and social environment for new and existing neighborhoods and strengthens community cohesion. 7.2 Walkable streets. Regulate new development to ensure new blocks encourage walkability by maximizing connectivity and route choice, create reasonable block lengths to encourage more walking and physical activity and improve the walkability of existing neighborhood streets. 7.3 Pedestrian barriers. Discourage physical barriers to walking and bicycling between and within neighborhoods and neighborhood centers. If physical barriers are unavoidable, provide safe and comfortable crossings for pedestrians and cyclists. Physical barriers may include arterial streets with speed limits above 35 mph, transit or utility rights-of-way, very long blocks without through-streets, and sound walls, amongst others. 7.4 Health in new development. Evaluate the health impact and benefits of new development projects in the early planning phases to maximize its contribution to a healthier Palm Desert. 5-9