Presented by Bob Scarfo, Associate Professor, Landscape Architecture MS Landscape Architecture Graduate Coordinator at the Interdisciplinary Design Institute at Washington State University Spokane. Scarfo gives a talk to Nutrition and Exercise Physiology Students at WSU Spokane on the intersection of design and health, and what the future holds as baby boomers age.

1. Do one brave thing today….. … then run like hell Source: http://www.sungjado.org/do_one_brave_thing_each_day.htm

2. Rock Gyms, Coffee Shops, & the End of Suburbia Bob Scarfo, Ph.D. Associate Professor Landscape Architecture WSU Spokane Interdisciplinary Design Institute 509.358.7913 Spokane, Washington March 3, 2011 Club

7. Peak Oil Health Aging Climate Change Water Scarcity Nothing Occurs in a Vacuum aging of society is one of a number of overlapping trends

16. Mobility is Systems Specifically Interconnecting, overlapping Systems

18. What else does this bring to the community?

20. For every $1 of revenue taken in: This density of living costs $0.28 to $0.58 to service This costs between $2 and $5 to service Also need to ask, “which is more walkable?”

21. IF 1% OF FALLS WERE PREVENTED BY 2020... THE DIRECT COST OF FALLS WOULD BE REDUCED BY $549 MILLION DOLLARS Question: can we design a house that fosters particular behaviors that cause the home owner in the normal daily activities to exercise those muscles that work to avoid falls? JUMAN KIM KELSEY SMITH WASHINGTON STATE UNIVERSITY FALL 2009

23. TASK STOOL This adjustable stool is to designed to allow the user to stand for longer periods of time. By taking some weight off of their legs, while still engaging their leg and core muscle groups, a person can perform standing tasks such as cooking.

24. DOOR HANDLE The handle increases the range of shoulder motion while working back and shoulder muscles. With an upright grip and no twisting of the wrist, this handle is also designed to alleviate pain associated with arthritis.

25. WALKER This walker is different than a standard model in its shape and inclusion of a harness connected from the walker to the individual. The harness would allow a person to take some weight off their legs, while still walking. The idea is to reduce the fear of falling while enabling an older person to walk longer distances.

26. LUMBAR CHAIR This chair is designed to provide lower back support, promoting better posture while maintaining and developing core muscle groups. This is a safe way to engage in postural stability. CROSS SECTION

32. Aging-in-Place, Intergenerational, Pedestrian-friendly Clark County NORC CCRC Naturally Occurring Retirement Community Continuing Care Retirement Community Retro-fit ECHO Housing Elder Cottage Housing Opportunity MED Cottage 20-minute Walking Clusters Life-long Living Family Friendly Community Building

35. Project Goals and Benefits : * Dramatically improved traffic and pedestrian safety * Creation of a walkable community * “a sense of place” to uniquely define our community * Enhanced small business atmosphere * A beautiful place to work and live in Holladay * Creation of a destination shopping district. Holladay Village Road Project

36. Employing Underutilized Resources

37. Students and Retirees student student student student student student Hillyard resident Hillyard residents City Council Member Al French Hillyard residents Hillyard resident; past City Council member

39. Academics Researchers Extension Agents Professors Students Neighborhood Residents Activists Retirees Kids Business Managers and Owners Developers Elected Officials City Staff Policy Makers Practitioners Gerontology Architecture Public Health Landscape Architecture Developers Geriatrics Urban Design Health Care Nutrician Health Sciences Urban Planning Banks/Economists Building Diverse & Talented Collaborative Problem-solving Work Groups

41. Re-invest Savings Contain (reduce) energy demand by boosting energy productivity and reinvest the savings Energy-productivity improvements can come either from reducing the energy inputs required to produce the same level of energy services or from increasing the quantity or quality of economic output. The same level of energy services can be produced with fewer inputs less intensive smaller appliances; fewer stand-by appliances technical efficiency e.g., higher-mileage car engines fuel mix shifts, say, from biomass to more efficient electricity By capturing available potential from existing technologies with an annual rate of return (IRR) of 10 percent or more, we could cut global energy demand growth by half or more over the next 15 years. Enough opportunities exist to boost energy productivity by 135 quadrillion BTUs (QBTUs) = equivalent of 64 million barrels of oil per day or almost 150 percent of the entire US energy consumption today Source: Curbing Global Energy Demand Growth: the energy productivity opportunity, Executive Summary http://www.mckinsey.com/mgi/reports/pdfs/Curbing_Global_Energy/MGI_Curbing_Global_Energy_chapter_1.pdf

46. Trinity after a Long day of helping Bob THANK YOU ALL

47. References *Good Reads Successful and Productive Aging Abbott, P., Carman, N., Carman, J., & Scarfo, B. 2009. Re-creating Neighborhoods for Successful Aging . Baltimore: Health professions Press. *Dychtwald, K. Erickson, T., and Morison, R. 2006. Workforce Crisis: how to beat the coming shortage of skills and talent. Boston, MA: Harvard Business School. Hodge, G. 2008. The Geography of Aging: preparing communities for the surge in senior. Montreal: McGill-Queens University Press. Morrow-Howell, N., Hinterlong, J., and Sherrand, M. (eds). 2001: Productive Aging: concepts and challenges . Baltimore, MD: Johns Hopkins. Stafford, P. 2009. Elderburbia: aging with a sense of place in America. Santa Barbara, CA:ABC-CLIO, LLC. Health *Frank, Engelke, Schmid. 2003. Health and Community Design . Washington, DC: Island. *Frumkin, Frank, Jackson. 2004. Urban Sprawl and Public Health. Wa shington, DC: Island. T. Hickey, M. Speers, and T. Prohaska. 1997. Public Health and Aging . Baltimore: Johns Hopkins. Climate Change Climate Impacts Group – University of Washington – see publications at http://cses.washington.edu/cig/ ***King County Director Ron Sims’ talk on Climate Change and his approach for the county. Go to the WSU [http://caheinfo.wsu.edu/video/other.html], scroll down to Nov. 16, 2007: "Regional Solutions to Global Climate Change” *H. Frumkin, J. Hess, S. Vindigni, 2007. Peak Petroleum and Public Health . JAMA. 2007;298(14):1688-1690. Lerch, D. 2007. Post Carbon Cities: planning for energy and climate uncertainty. You can find out about the book and a lot more information at the Post Carbon web site [http://postcarboncities.net/]

48. Peak Oil & Energy Issues Brown, L. 2006: Plan B 2.0: rescuing a planet under stress and a civilization in trouble . NY: W.W. Norton & Co. Heinberg, R. 2004. Powerdown. Gabriola Island, BC: New Society. Kunstler, J. 2005 The Long Emergency . New York: Atlantic Monthly. *Shuman, M. 2000: Going Local: creating self-reliant communities in a global age . New York: Routledge. Water Scarcity Reisner, M. 1993: Cadillac Desert: the American West and its disappearing water . New York: Penguin. *Glennon, R. 2009. Unquenchable: America’s water crisis and what to do about it . Washington DC: Island. Design & Land Planning Randall Arendt. 1996. Conservation Design for Subdivisions . Washington, DC: Island. **Anthony Flint. 2006. This Land: the battle over sprawl and the future of America . Baltimore: Johns Hopkins *Randolph Hester. 2006. Design for Ecological Democracy . Cambridge, MA: MIT. **Jane Jacobs. 1961: The Death and Life of Great American Cities . New York: Vintage. Interesting Perspective *Thomas Princen. 2005. The Logic of Sufficiency . Cambridge, MA: MIT. ** David Owen, 2009. Green Metropolis: why living smaller, living closer, and driving less are keys to sustainability. New York: Riverhead. ***Tom Wolff. 2010. The Power of Collaborative Solutions: six principles and effective tools for building healthy communities. San Francisco: Jossey-Bass. DVDs End of Suburbia – Oil depletion and the Mad max outcome in suburbia Garbage Warrior – why we need places to experiment with housing and subdivision design The Power of Community – when Russia pulled out and Cuba lost 80% of its oil A Convenient Truth: urban solutions from Curitiba, Brazil – about the most sustainable city in world PBS TV Series: Unnatural Causes: is inequality making us sick? – web site has transcripts of the 7-part series http://www.unnaturalcauses.org/