Healthy Chicago 2025

HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap 2020–2025

Introduction 1 TABLE OF CONTENTS Introduction...... 4 Healthy Chicago 2.0 to 2025 Roadmap...... 9 A Healthy Chicago 2025 Story and Community Health Assessment...... 25 Strengthen Community Capacity and Youth Leadership...... 28 Improve Systems of Care...... 34 Further the Health and Vibrancy of Neighborhoods...... 40 Transform Policies and Processes to Foster Antiracist, Multicultural Systems...... 46 Healthy Chicago 2025 Implementation Plan...... 56 Call to Action...... 69 Acknowledgements...... 74 Over the past nine years, the Chicago Department of Public Advancing racial equity Health (CDPH) and innumerable community partners have created the Healthy Chicago movement – a broad coalition to close Chicago's life of people and organizations taking important steps toward a more just, equitable city. Through our most recent health expectancy gap improvement plan, we continue and deepen this work.

Read on for details of our journey. Here's how we'll work together to heal our city and transform systems of power - starting now.

4 Introduction 5 Healthy Chicago 2025 is a roadmap for how we can make health, racial equity and shared What makes a prosperity the hallmarks of our great city. healthy Chicago? Lori E. Lightfoot Allison Arwady, M.D. Closing this life expectancy gap drives the work of the City of Chicago the lived experiences and priorities of community members. The plan Mayor, City of Chicago Commissioner and the Department of Public Health (CDPH). To accomplish that we is a call to action for partners both within and outside of government, Chicago Department of Public Health need to understand what’s behind the gap. encouraging everyone to answer this question: Chronic disease, opioid overdose, gun-related homicide, How can I help make a healthy Chicago? When we ask people across the city that question, Chicagoans. As a city we must confront a devastating infant mortality and HIV/infectious disease are the largest we get many different answers. Some people truth: while life expectancy ticks upward for white contributors. In ways big or small, we look forward to partnering with you during mention having access to doctors and medicine Chicagoans, it is falling for everyone else. the next five years. Let’s look back in 2025 and say that we met the challenge of this moment and came out healthier in all ways – more when they get sick or making healthy choices like But their causes are further upstream. To a large extent, the gap resilient, more economically vibrant and more united than ever eating nutritious food. Others describe safe spaces Today, a white Chicagoan lives 8.8 years reflects the conditions in which people live. Can Chicagoans afford to before. where they can walk, bike and play. They talk about longer on average than a Black Chicagoan. provide for their families? Do they have hope for a brighter future and having a job that pays the bills and a home in a does the city work for them? To improve health throughout Chicago, neighborhood where people look out for each other. Between certain communities, the gap widens to 17 we have to begin there. And we must acknowledge systemic racism And they imagine a city where everyone feels safe as a root cause to be challenged head on. and welcome – no matter where they live, what they years. That is unjust, unacceptable – and preventable. look like or who they love. As protesters marched across the city in response to If we want to come out of the COVID-19 pandemic a stronger, more the murder of George Floyd, we echoed their chants resilient city, we must channel our pain into purpose with Healthy For too many people and communities in Chicago, for racial justice. Chicago 2025, our most recent community health improvement plan. day-to-day reality doesn’t live up to this ideal. To be clear, this plan is not a product of CDPH alone; it was developed The COVID-19 pandemic not only illuminated We believe that every Chicago community has economic and civic assets, rich cultural heritage and through more than a year of input from a wide variety of Chicagoans. many of these inequities but also created new It embodies a shared vision for health and racial equity that values health challenges, particularly for Black and Latinx resilient people who all deserve the opportunity to lead healthy lives.

6 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Introduction 7 This section summarizes our journey to address health and racial inequities in Chicago. You’ll read about our work under Healthy Chicago 2.0, findings from the recent community health assessment and a framework for action in the next five years.

This is an outline of where we’ve been and how we can continue to make change, together.

8 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2.0 to 2025 Roadmap 9

Every five years, the Chicago Department of Public Health (CDPH) and a coalition PARTNERSHIP FOR HEALTHY CHICAGO of local organizations called the Partnership for Healthy Chicago (Partnership) We are a cross-sector coalition that represents City review data and work with community members to understand the needs and Chicago's vast public health system, working to Agencies promote health and racial equity through coordinated State and strengths of our neighborhoods. Then, we work collectively on a plan to Academic action and planning. For a full list of current members, County Researchers improve community health and well-being. see Acknowledgments. Governments Looking Back:

Community Healthy Chicago 2.0 Planning Businesses

In 2016 we launched Healthy Chicago 2.0. The public health Cross-sector system went beyond our usual focus areas like improving treatment or access to care and included action items related collaboration to housing, education, public safety, economic development and the built environment – because we know these are truly Healthcare Arts and at the root of health. Providers Cuture Since then Healthy Chicago 2.0 has guided action not just for CDPH, but for hundreds of partners – community groups, foundations, hospitals, public agencies and others. The plan includes more than 200 strategies across a broad range of Social Faith-Based health issues – a tall order in five years – and we aren’t done Services Groups yet. All of this important work and more must continue in order to achieve health equity in our city. Policy That's where Healthy Chicago 2025 comes in. Advocates

10 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2.0 to 2025 Roadmap 11 CHICAGO'S LIFE EXPECTANCY GAP, 2017

Top Five Drivers 85.5 Asian, Non-Latinx of the Gap

83.1 Latinx 82.9

Facing Facts: The Life Chronic Disease 4.3 years Expectancy Gap in Chicago White, Non-Latinx 80.2 79.8 80.0 Building on the ongoing work of Healthy Chicago 2.0, our plan for the next five years is about closing the racial life expectancy gap. The color of your skin simply should not determine how long you live or your quality of life.

There's nothing natural or inevitable about these trends. We have the power Between 2012 and 2017, life expectancy to change them. has been falling for everyone except white, non-Latinx Chicagoans. There is an 8.8 year 8.8 year gap Gun-related Homicide gap between Black and white Chicagoans. 2.1 years

Black, Non-Latinx Infant Mortality 0.7 years 72.6 HIV/Infectious Disease 0.5 years 71.4 Opioid Overdose 0.4 years

2012 2013 2014 2015 2016 2017

12 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap 13 HEALTHY CHICAGO 2025 VISION A city where all people and all communities have power, are free from oppression and are strengthened by equitable access to resources, environments and opportunities that promote optimal health and well-being.

14 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2.0 to 2025 Roadmap 15 INCREASED LIFE EXPECTANCY EUITABLE ACCESS TO RESOURCES, ENVIRONMENTS EUITABLE ACCESS TO AND OPPORTUNITIES RESOURCES, ENVIRONMENTS ending AND OPPORTUNITIES HIV epidemic

healthy parents improved and babies mental health

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c i low chronic v v

i r disease rates b less e violence-free r s a l chronic disease n a

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HEALTH AND WELL-BEING drug-free s c n u o

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b s a c u n o c e o o COMMUNITY POWER AND h s i l r e a t h s t h l i a b er n o a cu u n ty a e c FREEDOM FROM OPPRESSION o s ar e i e f r d h o a do s s o ic o p bl HEALTH AND f pu LIVING CONDITIONS LIVING CONDITIONS

TH AL HEAL OPTIM EING AND WELL-B

s SOCIAL AND l e a n c From Healthy Chicago 2.0...... to Healthy Chicago 2025 r o o n i n rtu ity u t om ppo lt a ic o INSTITUTIONAL u z c i f ti n air l a la EUITIES With Healthy Chicago 2025, we go deeper and recognize u g ws Healthy Chicago 2.0 directed public health partners toward m r a d o nd an that social and institutional barriers must be removed in acist re strategies that change people’s living conditions. So, for ntir g a u la instance, instead of just treating diabetes or counseling people order to close Chicago’s life expectancy gap. We’ll take actions ti ty on abili s on what to eat, we also worked on strategies to increase access that support community power and transform systems that lic account pub to healthy foods and create more walkable neighborhoods. oppress people – to get at the root causes of health. 16 17 Healthy Chicago 2.0 to 2025 ASSESSMENT PROCESS, 2019 As we described differences in health and neighborhood conditions in Healthy Chicago 2.0, we shed light on the effects of decades of policy that segregated or displaced people by race and drove different levels of community investment across What did organizations say? We surveyed hundreds of organizations Chicago: Red-lining. School closures. Service reductions. Over-policing. Predatory about the public health system’s capacity lending. to forward equity and forces affecting health and well-being. They committed to dismantle racism and become antiracist, multicultural agencies. What did community members say? We reviewed dozens of community plans and conducted 4,000 surveys and 42 focus groups Community Health Assessment PUBLIC HEALTH SYSTEMS with community members in collaboration with West Side United and the Alliance for Health Equity. Throughout the assessment, we considered essential questions like: To better understand the relationship between The story that unfolded was about so much more Thank you to our Community Feedback Session hosts! policy choices and current health outcomes, than struggle or pain (although that was there, • How do we expand community influence in policy and CDPH and the Partnership conducted an in-depth too). Our assessment also illuminated the power, decision-making so current Chicagoans have voice and assessment, together with community members beauty and resilience, in particular, of the South choice? and other stakeholders. We gathered information to and West sides. We heard from business owners • How do we ensure appropriate funding and support for answer questions at the core of our Healthy Chicago who have served their communities for decades, Black and Latinx communities? 2025 vision: local organizations that provide essential services, organizers who engage and activate their neighbors • How healthy are people who live in Chicago? and youth who are inspired to lead. The Healthy • Do our neighborhoods have equitable access to Chicago movement seeks to lift up and work with What did the data say? resources, opportunities and environments that communities to build upon these many strengths. promote optimal health and well-being? Love data? We do, too. Check out the Healthy COMMUNITY Chicago 2025 Data Compendium for tons of maps • What underlying social and institutional inequities and data points that we used in our assessment. may be contributing to gaps in health outcomes?

18 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap DATA 19 CLOSING THE LIFE EXPECTANCY GAP, THE HEALTHY CHICAGO 2025 WAY Here’s how we – the local public health system, including government, community organizations, academic institutions, businesses and others who support a Healthy Chicago – will make change, together, over the next five years and for generations to come.

To close the racial •Improve systems of care for populations most affected by inequities Assessment life expectancy •Further the health and vibrancy of neighborhoods themes gap, we will… •Strengthen community capacity and youth leadership •Transform policies and processes to foster anti-racist, multicultural systems

Assessment Address priority inequities in… NEIGHBORHOOD HEALTH AND PUBLIC HEALTH areas PUBLIC PLANNING AND HUMAN SYSTEMS HOUSING FOOD ACCESS ENVIRONMENT SAFETY DEVELOPMENT SERVICES ORGANIZATIONS Black, Black, Communities Black Disinvested Black, Black and Populations Latinx and Latinx and disproportionately Communities and gentrifying Latinx and Latinx experiencing With a focus low-income low-income burdened by communities low-income Chicagoans Chicagoans Chicagoans inequities on… Chicagoans pollution

Have a healthy, Have enough Breathe clean air Are safe across Live in vibrant Benefit from Have voice and Ideal So within one affordable home nutritious food free of harmful the city and neighborhoods a full range power in the generation, all and local food pollutants have trusting that reflect their of health and public health states businesses thrive relationships with identities human services system Chicagoans… law enforcement

Healthy All people and all communities have power, are free from oppression and are strengthened Chicago In a city by equitable access to resources, environments and opportunities that promote optimal health 2025 vision where… and well-being.

20 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2.0 to 2025 Roadmap 21 Although COVID-19 doesn’t discriminate based on race, Black and DAILY COVID CASE RATES BY RACE-ETHNCITY Latinx Chicagoans were more likely to catch COVID-19 and die from it than white Chicagoans. Why?

Citywide Asian–Non-Latinx Black–Non-Latinx Understanding Root Causes of Health: Latinx White–Non-Latinx Other–Non-Latinx COVID-19 Case Study

In 2020, our city confronted an unexpected and nearly unprecedented challenge: the COVID-19 pandemic. We all had to act quickly and work together to save lives. Hospitals increased their capacity to care for a surge of patients. The City of Chicago and CDPH put out public health orders and guidance, asking people to take critical measures like stay at home, avoid large gatherings and wear face masks. CDPH used data to track where outbreaks were occurring, then began to test and trace people who were potentially exposed. Researchers started developing vaccines. This is what people usually think of as public health – and for some Chicagoans, this was enough to help keep them from getting sick. But that wasn't the case for everyone. Let’s take a closer look at COVID-19 cases and deaths in our area.

22 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2.0 to 2025 Roadmap 23 Rising to The Challenge For many Chicagoans, it wasn’t so easy to stay home. In order to follow public health PROMISING PRACTICE: guidance, people needed access to stable housing, food, childcare and a continuing source of income. The pandemic laid bare what we already knew. Because our policies RACIAL EQUITY RAPID RESPONSE and systems disadvantage Black and Latinx Chicagoans, many people didn’t have this This section describes our community health assessment Recognizing the immediate life- kind of safety net in place when an emergency hit. Stemming the outbreak of COVID-19 or-death impact of COVID-19 findings in more detail. To bring these ideas to life, you’ll required a different set of tools. on Black and Latinx Chicagoans, read about a fictionalized Chicago neighborhood in So the City put critical measures in the City and community-based place like eviction protections, small partners jointly created Racial the year 2025. You’ll see, through the lens of Jamir and business grants and emergency food Equity Rapid Response teams to his neighbors, the many ways in which people’s life distribution systems. In many cases, implement hyper-local strategies community members themselves around education, communication, circumstances and community conditions can promote led the way to get public health testing, treatment and resource messages out, deliver services and support. The teams were designed health. design initiatives to meet local to build community-driven needs. The City needed to trust groundwork for addressing How close are we to the vision of Jamir’s neighborhood and support them in this essential longstanding racial and health today? What changes do we need to make so that we all work. COVID-19 clearly showed how policies to address the racial inequities that impact inequities in the City with support people’s living conditions are public health, too. from other cross-sector partners. live in a Healthy Chicago by 2025?

With our Healthy Chicago 2025 plan, we are applying the lessons of COVID-19 to change how our city works – and who it works for.

24 A Healthy Chicago 2025 Story and Community Health Assessment 25 The moment Jamir saw his Daddy walking toward the Jamir lives the Healthy Chicago 2025 way – in a city that house, he began sprinting across the grass to reach strives to work for everyone, with policies that prioritize him, his agility in sync with his excitement. Mike racial and health equity and create spaces for everyone to was smiling and so was Jamir, who was immediately belong and thrive. As a result, Jamir faces fewer barriers swept up by his father and carried to the front porch. and has more opportunities than Papa Raymond did. “Look Daddy,” Jamir said, “look!” He was eager to show off the superhero bandage over his small bicep. Mike looked While Chicago isn’t perfect, Jamir is well-cared for up at Papa Raymond and asked whether Jamir had cried when he by his family and the community at large. He is got his vaccinations. “Not a bit,” the older man said with a smile. “I active and creative in Park District programs was mighty proud of him, sitting still just like the nurse asked. He’s designed for kids of all abilities, where no getting big so fast.” Papa Raymond was Jamir’s great-grandfather child is turned away. He is safe and trusting and at 69 years young, the patriarch had seen many things, but he of others and able to enjoy a stable home couldn’t get enough of seeing Jamir move through the world with because of banks’ fair lending practices. such bold joy. That little boy was the patriarch’s heart. In Jamir’s His brain grows with early childhood cheeky smile, Papa Raymond saw the pay-off of fighting through enrichment, thanks to prioritized school the Jim Crow years when he himself had to keep his head down and funding. Jamir has what all children should the protests when he marched and kept his fist up. Now, in Jamir’s have, when people of all colors embrace laughter, so loud and free, Papa saw happiness without burden, limit him as their own. or fear. When the Morales kids come out to Jamir was the promise for which Papa had worked many years, play, Jamir hops from Mike’s lap and so that he could marry, buy a house and raise children. Those down the steps of the family’s handsome children had children and as they grew up, Papa grew older and two-flat to join them in singing Orale (the sometimes bitter about the opportunities he couldn’t have and the alphabet song in Spanish). The new park across the places he wasn’t allowed. He saw his neighborhood decline from street is filling up with neighbors, there is good energy disinvestment and his people leave Chicago. Then along came a in the air. It’s a summer day in the Chi and Papa, Mike pandemic that harmed his community more than most. But from and Jamir are here at their home, on their block, in their his front window, Papa watched as fear turned into focus. Young city, enjoying the peace and pulse. people demanded seismic changes to how the city operates and more opportunities they could chase and leverage. At the same time, watching his grandson Mike become a father renewed his faith about the future in the form of a baby named Jamir.

26 HEALTHY CHICAGO 2025 Closing our Life Expectancy Gap 27 To close the racial life expectancy gap, people must have a voice in decisions that affect them.

PROMISING PRACTICE

ELEVATED CHICAGO Elevated Chicago, a collaboration ASSESSMENT FINDINGS of community-based and A DEEPER UNDERSTANDING region-wide organizations, promotes equitable development around transit stations. As Strengthen Community Capacity Historically, Black and Latinx Community cohesion, or the strength part of this effort, they created communities have been pushed of relationships among community Community Engagement Principles out of the political process. The gap members, is an important asset & Recommendations for built and Youth Leadership between people’s desire to participate within Chicago’s neighborhoods. environment planning and in decision-making and actual turnout Multiple focus groups and survey Our assessment findings show that community members want to have a role in decision- development. These principles highlights barriers to participation, respondents stated that a shared making – but they experience barriers to participation, or they have lost faith that their voice are being applied to local projects including that Chicagoans have lost sense of connection was one of their can make a difference. The public health system needs to make it easier for people affected by to engage community, including faith that their voice can make a community’s greatest strengths. They inequities to get involved and rebuild trust so community members know that their solutions young adults, more authentically, difference. emphasized that the knowledge and will be valued. efficiently and inclusively. To challenge this dynamic, power collective power of communities is structures need to support and include often an untapped resource that should MAYOR’S YOUTH COMMISSION community leaders so that change- be solicited, cultivated and leveraged in order to develop effective solutions to In 2019, Mayor Lightfoot launched making to address racial and health the Mayor’s Youth Commission – a inequities can come from within. improve the health and well-being of community members. group of more than 30 students, Methods of participation should be ages 14-19, from throughout co-designed with community partners the city selected to advise the – including our young people – to be mayor and her team on issues meaningful and effective. that impact Chicago’s young people, including the City’s budget 29 28 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap A Healthy Chicago 2025 Story and Community Health Assessment process.

COMMUNITY BELONGING MAP Strengthen Community Capacity and Youth Leadership “Institutions and community organizations need to come into the community, listen, be present and hear what the residents are talking about.” Oakley Square Apartments focus group participant

Data Spotlight These are findings from the Young adults and those with lower incomes data we collected for this may face more barriers when it comes to assessment theme. participating in community meetings. You can see more in the Source: Healthy Chicago Survey, 2018 Data Compendium.

Though most adults like where they live, almost half of all adults don't feel like they are a part of their neighborhood. Voter turnout tends to be higher in Chicago's Source: Healthy Chicago Survey, 2016 – 2018 lakefront neighborhoods. Adults in all neighborhoods need to be mobilized to help choose the city's leaders. Source: Chicago Board of Elections, 2019

30 HEALTHY CHICAGO 2025 Closing our Life Expectancy Gap A Healthy Chicago 2025 Story and Community Health Assessment 31

At age 19, Maleek is a seasoned peace circle keeper Mr. Brunson called their experiences trauma – especially now that his second rotation as a circle and over time, he taught them a vocabulary facilitator is nearing its end. Leading a peace circle and set of skills to express and manage their that helps young people be heard, be problem-solvers anger, grief and fears, alongside their hopes, and be healed doesn’t feel like work to Maleek – it dreams and plans. Together, they pursued feels like what he was born to do. pathways to healing. Maleek had spent most of 4th grade afraid to walk to school, afraid Maleek lives the Healthy Chicago 2025 way – in a to wear a hoodie and afraid to go to the store. He had seen news city that strives to support and listen to young people, stories about kids named Tamir and Laquan and he was affected. rather than stereotype and silence them. Schools celebrate Quiet and easily embarrassed, he was always unsure of himself and their individuality; corporations open doors to them hid his feelings well, tucked behind “yes ma’ams” and sweet hugs and create career paths with them; neighborhoods and given to his mom. Teachers thought he was nice. His mom thought Chicagoans make room for their energy and culture. As a he was loving. He thought he was lonely. Then, his feelings began to result, young adults feel valued and learn to use their voice seep, showing up in his grades and the way he cussed his friends and and power for social good. And, if they are harmed, they teachers. He grew bigger, louder, tougher and angrier. By 7th grade, have access to resources that help them heal, thrive his hugs had fully retreated and he was fueled by anger. Along came and become whole. a pandemic… virtual school…and Breonna, Ahmaud, Tony and George. Maleek was ready to pop. Since that first circle, Maleek has participated in justice rallies, organized youth behind the idea A social worker assigned to his school by a nonprofit organization of creating community space they could program kept him from exploding. During a virtual peace circle, Mr. Brunson themselves and cultivated relationships between his found Maleek’s face in the computer screen and said six words: “Tell neighbors and the police. After high school graduation, me what’s happening with you.” Placing a beautifully carved “talking he trained to lead peace circles. This summer, he is stick” in front of the webcam, Mr. Brunson said the floor was his. interning for a local store owner who needs help Maleek opened up and was awe-struck by how his peers understood planning major renovations. his deeply personal story of being born different and struggling with his identity until deciding to transition to the gender he felt was Maleek is a busy person, but always willing his all along. It turns out, he wasn’t the only one afraid. Other kids to slow down to greet young people in the shared their struggles and pain –having to hustle at intersections for neighborhood by saying, “Tell me what’s money to eat, feeling terror every time police officers come around, happening with you.” or dealing with racist people when they leave their neighborhood to try to have fun.

32 HEALTHY CHICAGO 2025 Closing our Life Expectancy Gap 33 To reduce the racial life expectancy gap, community members highlighted that our systems of care should promote access to health and human services that are affordable, available close to home, high quality and culturally responsive. This is foundational to helping people manage “Patients need to have access to healthcare financially, chronic conditions and get support for behavioral health needs. geographically and logistically.” PROMISING PRACTICE: NAMI Chicago focus group participant FAMILY CONNECTS Everyone deserves extra attention ASSESSMENT FINDINGS and encouragement when a A DEEPER UNDERSTANDING newborn arrives. Family Connects Chicago is an in-home nursing Improve Systems of Care service available to Chicago Since the Affordable Care Act took successfully navigate different systems families with newborns. The effect in 2013 almost 275,000 to get help. service is simple: A registered nurse visits the home around Chicagoans obtained health insurance Race and ethnicity also play a critical three weeks after birth to check – a big step toward increasing access role, as perceptions of discrimination on parent who gave birth, baby to care. However, almost 240,000 in health care are associated with and the whole family. Nurses Chicagoans (10% of the population) still worse health outcomes. Focus group provide a comprehensive and lack health insurance. Concerns about participants described disparities culturally respectful spectrum of cost severely limit use of preventive in quality including poor provider in-home support, guidance and care, both for people without insurance communication, negative remarks from connections to resources—at no coverage and those with plans that physicians and delays in treatment for cost to the family. require excessive out-of-pocket acute illnesses. Multiple participants payments. indicated that their previous Socio-economic inequities such as experiences with providers made segregation often determine how them reluctant to seek needed medical available services are in a community. care, use preventive services and trust When multiple types of services different providers in the future. These are needed – such as substance use findings emphasize the importance of treatment, childcare and food benefits culturally responsive services. – it is especially hard for people to 34 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap 35

Improve Systems of Care for Populations Most Affected by Inequities

Data Spotlight It is very difficult for working parents to stay There were a total of 752 new HIV diagnoses among These are findings from the home to care for their families. 66% of low- Chicago residents in 2017, the fewest since 1990. HIV data we collected for this income working parents have zero days of viral suppression in Chicago has increased since 2012, assessment theme. paid leave from work. with 48% of people living with HIV in Chicago who You can see more in the achieved viral suppression in 2017. Data Compendium. And parents without paid leave tend to have children with worse health. Source: CDPH, Enhanced HIV/AIDS Reporting System, 2011-2017

Source: Healthy Chicago Survey, 2018

Most adults in Chicago report good health. Adults who More people have and are satisfied with their Diabetes-related hospitalizations vary by neighborhood identify as transgender or gender non-conforming are health insurance, especially since the Affordable in Chicago. The highest rates are found in the South and significantly less likely to report good health compared Care Act. However, too many Chicagoans live in West sides of the city. environments or with systems not conducive to to cisgender adults. Sources: IDPH, Division of Patient Safety & Quality, staying healthy. Discharge Data, 2017; US Census Bureau, 2010 Census Source: CDPH, Healthy Chicago Survey, 2014-2017 Source: US Census Bureau; Healthy Chicago Survey, 2018

36 HEALTHY CHICAGO 2025 Closing our Life Expectancy Gap A Healthy Chicago 2025 Story and Community Health Assessment 37 Isabel chuckled as she watched her baby enjoy being It’s a sunny and warm day and the park is filling with people. Just as outside. Maya’s round face scrunched in the cutest Maya starts getting fussy, Isabel spots the friends she’s come to meet way with each breeze and her big eyes seemed to – a study group from her City Colleges program, some of whom also watch the leaves dance. Their daily trips to the park brought their small children. Most are on track to graduate, debt- brought Isabel peace. Her pregnancy wasn’t easy and free, at the end of the year and a couple of them have employers neither was getting out of the house in the weeks who have committed to moving them up once they’ve earned after Maya’s birth. The transition had been hard on her wife Raina, their degrees. These friends are the iron that sharpen Isabel’s iron – too. Raina was always Isabel’s rock, but she slipped away once the they motivate her and their academic hustle has made her a better baby was born. She kept quiet, refusing to talk about her feelings. student. Isabel loves this circle of parents who help her manage the She threw herself into work, picking up every shift offered to her. challenges of motherhood and marriage. She lost herself in community causes, attending lots of organizing meetings on immigrants’ rights, even as things were disorganized Isabel, Maya and Raina live the Healthy Chicago 2025 way – in a and disconnected in her own home. Raina’s distance worried Isabel, city where health and educational systems work together to make but she barely had enough energy to focus on anyone other than maternal, parental and infant health a priority, higher-education is Maya and herself. accessible to all and policies support the financial and mental health needs of lower-wage workers. But things were getting better. Today was their eighth family counseling session and they now understood that Raina’s behavior Isabel and her friends reviewed class notes for was fairly common. Like many new parents, she found difficult about an hour, enduring brief interruptions to “fit” into the relationship between birth parent and child. of babies’ needs that could be satisfied Communicating more, not less, would ease stress and keep them with things pulled from backpacks and close. They liked their counselor and loved the location at the baby totes. Just as they were closing community health center, which was walkable from their apartment. their textbooks to take a break, Raina They were referred there by the home-visit nurse from the City’s approached the group with a half-dozen Family Connects program, who saw baby Maya about a month after paletas, asking “Who wants one?” The group her birth for a health assessment. The nurse offered to speak to erupted in happy applause and Raina passed them in Spanish; her warm, soothing voice calmed the crying baby out the frozen treats. Then, reaching for the and nervous parents immediately. Having a health professional in baby, she said, “Enjoy your break. Maya’s the intimacy of their home gave Isabel and Raina the great start they taking me for a walk.” needed as new parents and Isabel’s immigration status didn’t block her from accessing any of these healthy resources.

38 HEALTHY CHICAGO 2025 Closing our Life Expectancy Gap A Healthy Chicago 2025 Story and Community Health Assessment 3939 Our assessment showed that the places people live, work and play impact many health outcomes. To close the racial life expectancy gap, we must change how resources and opportunities are distributed at the neighborhood level.

PROMISING PRACTICE

INVEST SOUTH/WEST The City’s Invest South/West ASSESSMENT FINDINGS initiative brings together A DEEPER UNDERSTANDING government, businesses, philanthropic organizations and community groups to make Further the Health and Vibrancy of coordinated investments in ten Poverty creates barriers to accessing Community violence has many root neighborhoods on Chicago’s quality health services, healthy food, causes such as the concentration of South and West sides, giving recreation opportunities and other poverty, education inequities, poor access Neighborhoods Chicagoans more opportunities necessities needed for good health. to health services, mass incarceration, Neighborhood features such as walkability, transportation, housing, open spaces, access to food, and driving inclusive, measurable Assessment data highlights that people of policing strategies and generational presence of industry, business, arts and culture, and availability of goods and services influence growth. The goal is to re-activate color experience higher rates of poverty trauma. Research has shown exposure everything from chronic disease to community safety. The City of Chicago has adopted a "health in neighborhood cores that have than non-Hispanic whites, with nearly a to violence has significant impacts all policies" approach to make sure that government works with community to shape our social, historically served as focal third of Chicago’s Black population living on physical and mental well-being. enconomic and physical environments in ways that promote health and racial equity. points for pedestrian activity, in poverty. There are inequities in the In addition, exposure to violence in shopping, services, transportation, geographic distribution of poverty as well, childhood has been linked to trauma, toxic public spaces and quality-of life directly linked to long-standing historical stress and an increased risk of poor health amenities for local Chicagoans. discrimination and segregation across outcomes across a lifespan. the city. Communities with the highest Violence also has a negative impact on poverty rates are primarily concentrated the socio-economic conditions within in the West and South sides of the city. communities that contribute to the widening of disparities.

continued

40 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap 41 Further the Health and Vibrancy of Neighborhoods Data Spotlight There are almost a quarter-million Chicagoans Adults that feel safer in their neighborhood who have limited food access. Underserved areas These are findings from the tend to be healthier. Non-Latinx Black people are concentrated on the South Side and outlying Everybody doesn't breathe the same air. Air quality data we collected for this are much more likely to report violence in their neighborhoods of the city. is worse in low-income neighborhoods located near assessment theme. neighborhood than other Chicagoans. industrial areas and major roadways. Source: Compendium p. 84, Dept. of Planning and USDA Source: CDPH Air Quality and Health Report You can see more in the Data Compendium. Healthy Chicago Survey, 2018 Food Access Research Atlas

A DEEPER UNDERSTANDING (continued) PROMISING PRACTICE

WALKABILITY INITIATIVES Community groups across Neighborhood planning and development – including Housing stability, affordability, quality and safety all affect Having limited or uncertain access to nutritious food impacts health in several Chicago are leading walkability zoning, green space and the public realm, adaptive reuse of health. Poor housing conditions are associated with a wide ways. The combination of stress and poor nutrition can make individuals more assessments to develop locally existing buildings and new construction – strongly influences range of health outcomes including respiratory infections, likely to develop chronic diseases and make disease management more difficult. driven solutions for making the economic conditions, employment and educational asthma, lead poisoning, injuries and mental health. In Chicago, Worsening health problems and the associated medical care leaves households public way in their neighborhoods opportunities. Disinvestment in some Chicago neighborhoods one in five adults usually or always worries about having with less money for nutrition and other basic needs. Low-income communities of safer, more accessible for people has led to a lack of opportunities for health and well-being, enough money to pay their rent or mortgage. Increasing color are less likely to have access to supermarkets and have a higher density of with physical disabilities and while an infusion of new investment in other neighborhoods access to affordable housing is associated with increased fast-food restaurants and other sources of unhealthy food such as convenience better for getting to transit and has led to displacement of long-time Chicagoans. household discretionary income, increased health insurance stores. Programs such as the statewide Supplemental Nutrition Assistance Program recreation sites. City departments coverage, decreased need for emergency care, decreased (SNAP), local food pantries, summer meals, after-school programs, shelters and food and agencies are collaborating to personal debt, increased savings for home ownership and banks provide important assistance to low-income individuals and families that support these community-driven Pollution due to industry and traffic affects some educational attainment. struggle to access adequate nutrition. priorities to improve walkability neighborhoods more than others – both because of the and accessibility. different pollution levels across the city and due to underlying social and health characteristics of community members that On the West Side there isn’t much funding to create make them more vulnerable to pollution exposure. “ better opportunities like schools and jobs.” Breakthrough Urban Ministries focus group participant

42 HEALTHY CHICAGO 2025 Closing our Life Expectancy Gap 43 Juliana’s walk to her grocery store took a little Papa Raymond was one of the co-op’s longer today – there’s always more foot traffic on first members and once word got out that Saturdays, but today the sidewalks were bustling he bought shares for his grandchildren because of the community meeting happening in and great-grandchildren, dozens of other the park. She loved seeing her neighbors out and neighbors became shareholders, too. In about. She’d just chatted with Raina, who came in to its second year, the market expanded buy some paletas de hielo and now Mike and Jamir were coming her thanks to a small-business grant from the way. In the park, Joanie and Charles were setting up the concert and City, adding a seasonal farmer’s market, Maleek was in a peace circle with young people. Her heart warmed children’s garden and outdoor patio seating. with the thought of two words: la comunidad (the community). Fresh Orchard Market Co-Op thrives the Healthy She could remember when the neighborhood wasn’t walkable and Chicago 2025 way, in a city where Chicagoans can find when distrust, not warmth, blanketed the street. Five years ago, essential resources and services within a short walk, few storefronts were open, people didn’t feel safe and the street bus or train ride from home and where commercial was lined with unattractive, empty lots toward the train station. corridors include locally owned businesses that Small businesses owners and street vendors like her, who depended contribute to the vitality, culture and affordability of on the boulevard for their livelihoods, were doing their best to communities. revitalize the area, but progress was slow. Then, the pandemic and protests hit like a one-two punch. People were dying. Renters and As the market’s general manager, Juliana has turned property owners were worried. Shoppers stayed away. Fear hovered. the co-op into a model corner store – one where ingredients for whole, fresh meals can be purchased, But then, love showed up in the form of community solidarity, where employees are paid a living wage and where selflessness and action. Juliana and neighbors organized food small-batch food companies can get products on giveaways, checked on seniors and other vulnerable people and shelves. held events to keep kids safe and busy. They looked for large- scale help and the City responded with policies to support the A block from the market, a developer is building neighborhood. Funders and banks stepped up their commitments its second six-story affordable housing apartment with planning grants, recoverable loans and pro bono advisors. The building on land that once sat empty. A museum renaissance was real and Juliana was a part of the change. purchased an empty lot and installed an outdoor sculpture garden with panels by community With her store unharmed by riots, a humble Juliana felt a duty to muralists. New street lighting, bike paths and show the community appreciation. The idea of the Fresh Orchard crosswalks have further enhanced streets. It’s all Market Food Co-op was born. beautiful and it’s all for the people who live here now – la comunidad. 44 45 The public and private sectors are beginning to confront their responsibility for denying people of color the opportunity to attain their highest level of health. Through Healthy Chicago 2025, we will support and amplify these important efforts.

PROMISING PRACTICE: ASSESSMENT THEME WEST SIDE UNITED A DEEPER UNDERSTANDING Health care institutions come together with Chicagoans, educators, non-profits, businesses, Transform Policies and Processes to Some people believe that racism is a apparent in the wealth gap between government agencies and faith- rare problem of isolated, individual white, Black and Latinx Chicagoans based institutions to make their attitudes and actions or, most and in disparities in employment, Foster Antiracist, Multicultural Systems neighborhoods stronger, healthier damagingly, that racism is a thing of the housing and educational opportunity, and more vibrant places to live by past. But that is because racist policies bank lending, healthcare access, Closing the racial life expectancy gap will require creating pathways to employment HOUSING and practices are so intertwined in our incarceration rates, immigration arrests fundamental changes to the systems, policies and and investing in neighborhood systems that it is difficult to see them and more. These policies continue to be practices that shape our social, economic and physical businesses. Since 2017, West Side as anything other than “normal.” In fact, a driving force behind the conditions of environments. United has hired more than 1,800 they are a source of traumatic stress our neighborhoods and quality of life. local Chicagoans and invested and poor health outcomes for many In other words, they are a root cause of $6.5 million into community SYSTEMIC RACISM CRIMINAL JUSTICE Chicagoans. our racial life expectancy gap. BANKING businesses. Ongoing racial inequalities SYSTEMIC During our assessments, Chicagoans Community members are calling for maintained by society + INSTITUTIONAL spoke about Chicago’s long history Chicagoans – and the systems and INSTITUTIONAL RACISM of racism and segregation. Although institutions that are meant to serve our Discriminatory policies policies that overtly discriminated city – to engage in collective healing, and practices within organizations and institutions based on race have been outlawed, repair and the restoration of our their legacy exists in other shapes and communities.

EDUCATION PUBLIC HEALTH forms today. The residual impact is

46 Modeled after What Racism Looks Like: An Infographic. Frank Porter Graham Child Development Institute 47 Housing Cost Burden, 2018 5-year estimates HOUSING COST BURDEN BY COMMUNITYChicago Com AREA,munity 2018 Area Transform Policies and Processes to Foster Antiracist, Multicultural Systems Data Spotlight Systemic racial segregation and the foreclosure crisis of the late 2000's created housing inequities not in city that persist today. Chicago requires at least 119,000 additional units of affordable housing to meet current needs. Almost one-third of households in the city spend more than 30% of their monthly income on housing How do we measure racism? At the structural or costs. Most of these neighborhoods are in Black and institutional level, we have to break down data Latinx communities. to compare how different racial groups fare. Even Housing Cost Burden (%) supposedly race-neutral laws, programs or practices Sources: Institute for Housing Studies at DePaul University, 2019 15.4 - 29.4 can result in vastly different outcomes for Black and US Census Bureau, American Community Survey, 2018 29.5 - 43.0 Latinx populations. 43.1 - 55.6 For our assessment, we looked at data that start to show how policies and systems disadvantage some Chicagoans. We highlight a fewexamples here. Visit the Healthy Chicago Data Compendium for a lot more information that can help us understand how underlying social and institutional inequities may be contributing to the life expectancy gap.

48 HEALTHY CHICAGO 2025 Closing our Life Expectancy Gap A Healthy Chicago 2025 Story and Community Health Assessment 49 RACIAL AND ETHNIC INCOME DISTRIBUTION IN CHICAGO BY EDUCATION ATTAINMENT

BOARD MEMBERSHIP IN CHICAGO'S TOP 50 COMPANIES At every level of education from high school to a doctoral degree, Black and Latinx workers earn less than white workers with comparable education. Increased education does not reduce income disparities.

White 83% Source: American Community Survey, 2011 - 2015

Latinx 4% PROMISING PRACTICE: Within the top 50 Chicago Black 8% companies, on average INSTITUTIONALIZING EQUITY IN more than 3 out of every 4 CITY GOVERNMENT board members and c-suite EXECUTIVE LEADERSHIP IN CHICAGO'S When Mayor Lightfoot took office, executives are white. TOP 50 COMPANIES the City of Chicago established an Office of Equity & Racial Justice Source: Inside Inclusion featuring the and hired its first Chief Equity Corporate Diversity Profile, White 77% Officer to examine systemic Chicago United, 2018 racism that exists in Chicago Latinx 5% – particularly within our City government operations – and Black 3% develop policies to help correct those racial disparities. The City took another important “step” in 2020, when Mayor Lightfoot announced her commitment to reduce income inequality While only 30% of the Chicago's population, Non-Latinx Blacks account for and build wealth through the more than half of all traffic stops, automobile searches and tickets issued. Solutions Toward Ending Poverty (STEP) agenda. Through policy Source: https://illinoistrafficstops.com/ changes, the City is increasing economic opportunities and Source: Institute for Research on Race and Public Policy, University of Illinois at Chicago driving investments to South and West side neighborhoods. 50 HEALTHY CHICAGO 2025 Closing our Life Expectancy Gap A Healthy Chicago 2025 Story and Community Health Assessment 51 Joanie and Charles have worked together long enough here because he valued the community's diversity; his father to understand each other pretty well – they share had long ago lived in the neighborhood but now, at age 84, lives inside jokes, catchphrases and, often, points of view. As six miles away in an area that has never gone without ground- the two of them stood under the park’s newly built sun breakings, construction cranes and other signs of active community shelter and gazed at the park filled with people, they investments Now, they work together at a nonprofit agency that didn’t have to say a word to understand one another’s excitement. helps organizations pursue and achieve antiracist practices - doing Still, Charles couldn’t stay silent. “I love it when plans come together,” their part to address the life gap of their fathers. he said. “And people, too,” Joanie responded and they both nodded. Joanie and Charles live the Healthy Chicago 2025 way, where Today culminates years of planning for the community’s first multi- every member of every community matters, where public purpose performing arts space. From the first open meeting to the and private systems pursue policies that un-do harm and ground-breaking to the community design sessions, more than 500 disenfranchisement and where public health data and people had been involved – representing neighbors, small business practices can chart a course for solving problems and owners, corporate executives, elected officials, bankers, urban extending lives. planners and artists. Joanie and Charles worked hand in hand with the City to make inclusion and diversity tenets of this project. They And so on this bright Saturday morning, hundreds of people solicited bids from certified minority and women-owned developers are gathering for a rally and concert at the outdoor band and required the general contractor to offer jobs to returning shell, the first of several transit-oriented developments citizens. They recruited trained artists and “street” muralists to adorn planned for the park surrounded by two bus stops, an interior and exterior walls. They began the construction phase by elevated train station, several small businesses, a vibrant inviting Indigenous leaders to acknowledge the sacredness and elementary school and vacant parcel of land ownership of the ground upon which the structure would go. whose future use is a hot topic. Neighbors have prioritized the need for more affordable For Joanie and Charles, this project represents what happens with housing, an all-season indoor walking track everyone’s energy is of one accord – when people of color and their for seniors and more robust youth programs. white allies and accomplices advance a community’s vision together. They also want a neighborhood banking center These colleagues grew up very differently – she in the city, he in the as an alternative to check-cashing stores and suburbs, both in areas segregated by color and income. But their community-owned pharmacies to meet their similar interests in policy change and anti-racism led their paths to medical needs. The rally's agenda includes a host cross when they participated in a protest for racial justice five years of community speakers sharing details of these ago. bold plans. First up to the mic: a 5-year-old child named Jamir, who welcomes everyone to his beautiful Joanie had moved back to her childhood home for her ailing father, community. who died not long after; he was in his late 60s. Charles had moved 53 Healthy Chicago 2025 is a plan for the local public health system – including community groups, government agencies, businesses, faith-based organizations, researchers, community development professionals, health and social service providers and others – to eliminate the racial life expectancy gap and help all Chicagoans enjoy longer, safer, healthier lives. Now that you’ve learned about our journey, assessment and vision, read about our approach to making change. In the next five years, here’s how we will work on key strategies and hold ourselves collectively accountable.

54 HEALTHY CHICAGO 2025 Closing our Life Expectancy Gap Healthy Chicago 2025 Implementation Plan 55 The work of Healthy Chicago 2025 requires a new approach, both to the process for how we make change and the values that guide our actions. This is how we’ll ensure across all our priority areas OUR APPROACH that Chicagoans – especially Black and Latinx – have voice and choice in decisions that affect them and that disinvested communities receive equitable funding and support. The local health system will use this change process to develop and implement actions to close the racial life With communities, collect and expectancy gap analyze many types of data to identify assets and inequities. Closing the Life Expectancy Gap – the Healthy Chicago 2025 Way Evaluate whether Support people the changes were affected by successful in inequities to OUR GUIDING PRINCIPLES closing gaps. co-own solutions The public health system commits to adopting these six values as the guiding principles for our work. with partners from across sectors.

Antiracism Asset-based Equity-focused Trauma-informed Capital building Community-led Advance policy, system and We actively challenge We highlight community We consider who We recognize that We promote community We make sure that environmental changes at all and redress racist strengths and culture as benefits and who trauma affects all wealth, affordability community members, levels. systems through our we tell our stories. is burdened by our individuals, communities, and belonging. including youth, have process and strategies. proposed solutions. organizations and power in decision-making. systems and we support resilience and healing.

56 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2025 Implementation Plan 57 CLOSING THE LIFE EXPECTANCY GAP, THE HEALTHY CHICAGO 2025 WAY Here’s how we – the local public health system, including government, community organizations, academic institutions, businesses and others who support a Healthy Chicago – will make change, together, over the next five years and for generations to come.

Assessment themes Populations Plan for change Equity measures* Ideal state •Improve systems of care for populations most affected by inequities experiencing •Further the health and vibrancy of neighborhoods inequities •Strengthen community capacity and youth leadership •Transform policies and processes to foster antiracist, multicultural systems • Publish a food environment map. • Increase healthy food access Within one • Establish a food policy initiative and and food security generation, all Chicagoans Populations FOOD ACCESS advisory group to advance food equity and • Increase investment in justice. local food producers and have access to experiencing Plan for change Equity measures* Ideal state Black, Latinx and nutritious food • Use public health data to strengthen food businesses inequities * To be included in Low-Income and local food Chicago's Equity Dashboard Chicagoans policy, plans, and practices to increase businesses thrive equitable access to healthy food, strengthen the food safety net, and support local food • Evaluate and align funding across home • Reduce health hazards in Within one producers and businesses. assessment and repair programs. the home environment generation, all • Use health data to prioritize buildings for • Increase availability of Chicagoans have proactive healthy homes inspections. affordable and supportive a healthy, affordable home HOUSING • Train developers to co-create health action housing Black, Latinx and plans with residents. ENVIRONMENT • Refine the Air Quality and Health Index and • Reduce exposure to Within one Low-Income pursue new data sources with community pollution generation, all • Apply health criteria to housing resource input. Chicagoans Chicagoans allocations, including the City’s Qualified Communities • Increase buffers between • Form environmental equity working group. sensitive/residential and breathe clean air Assessment priority areas priority Assessment disproportionately Allocation Plan, Low-Income Housing Trust and are protected burdened by industrial uses Fund, and TIF. • Assess the cumulative impact of pollution at from harmful Assessment priority areas priority Assessment pollution the local level. pollutants • Enhance policies related to zoning, environmental regulation, enforcement, and community participation.

58 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2025 Implementation Plan 59 Populations Plan for change Equity measures* Ideal state Populations experiencing experiencing Plan for change Equity measures* Ideal state inequities inequities • Establish and promote a comprehensive • Increase access to Within one • Provide support and resources for • Reduce exposure to violence Within one HEALTH resource information and referral system. comprehensive and generation, all culturally appropriate Chicagoans community members, with a focus on • Increase perceptions generation, all AND HUMAN • Support community alignment boards that youth, to lead public safety initiatives. Chicagoans are identify and address access and service gaps. healthcare (behavioral benefit from of safety and police SERVICES health, HIV, maternal/ infant a full range • Make physical improvements to accountability safe throughout • Advocate to increase comprehensive and PUBLIC SAFETY the city and health, and chronic disease) of health and neighborhood spaces to promote mental Black and Latinx culturally appropriate healthcare for all, and social services human services Black communities wellness and prevent violence. have trusting Chicagoans including removing eligibility barriers, relationships with sustainable reimbursement rates, and • Advance a reform agenda that includes law enforcement increased police accountability and expanded coverage for preventive services reductions in negative engagement and root causes. between community and policing systems. • Assess current practices, develop • Increase diversity of Within one organizational goals, and participate in workforce/ leadership generation, all NEIGHBORHOOD • Embed health equity measures and • Increase public and private Within one learning activities to advance diversity, • Increase local investments Chicagoans PLANNING AND strategies in the Citywide Plan, TIF, Invest investment generation, all PUBLIC HEALTH equity, and inclusion within the public health have voice and South/West and equitable transit- Chicagoans SYSTEM system. • Increase community power in the DEVELOPMENT • Increase community power engagement capacity oriented development. in planning processes live in vibrant ORGANIZATIONS • Adopt community engagement standards public health

Assessment priority areas priority Assessment neighborhoods Disinvested • Train City personnel and support areas priority Assessment Black and Latinx and processes. system and gentrifying that reflect their Chicagoans community partners to conduct Health • Strengthen community leadership in public communities and Race Equity Impact Assessments identities and priorities heath coalitions that address racial equity (HREIA) and walkability assessments. efforts, including the Partnership for Healthy • Conduct HREIA and apply findings to Chicago. decision-making.

60 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2025 Implementation Plan 61 As the local public health system works to address the root causes of Maternal and Infant Health health, CDPH is also adopting the Healthy Chicago 2025 way to guide Data key initiatives in each of these areas. Here are just a few examples of CDPH issued the 2019 Maternal Morbidity & Mortality in Chicago data report, which showed that Black women and women living this approach in action. in communities with higher economic hardship bear the largest burden of maternal morbidity and mortality. Cross Sector Solutions Case Study: The Family Connects Chicago program, introduced in November 2019 after more than a year of community engagement and planning, offers nurse home visits to all families during the Healthy Chicago 2025 Way at CDPH vulnerable weeks following the birth of a baby and, based on the family’s needs, provides connection to coordinated community resources. CDPH is piloting the program with four birthing Chronic Disease with Elevated Chicago, CDPH awarded grants to hospitals serving families predominately from the West and South six community-based organizations to improve sides. Cross Sector Solutions community walkability within a ½ mile radius of The Chicago Collaboration to Advance Research, train stations. The funded projects promote safety, Community Co-Ownership Equity and Systems to Prevent Diabetes (Chicago physical activity, social connectedness and the Three community alignment boards convene local providers CARES) is a multi-sector effort to expand use of more active modes of transportation like and individuals to ensure that families have access to needed access to evidence-based diabetes prevention walking and public transit. resources identified through home visits with families in their programs in Chicago community areas that have regions. a disproportionate burden of type 2 diabetes. Policy Change Chicago CARES implements systems to train and The City of Chicago has taken aggressive policy Evaluation action to prevent tobacco use, including support lifestyle coaches, facilitate referrals to Local foundations organized to fund the UIC Center of Excellence prohibiting anyone under the age of 21 from programs and advance Medicaid/payor coverage in Maternal and Child Health to evaluate implementation of the selling or purchasing tobacco, banning the sale for these critical services. Family Connects pilot. of flavored tobacco products and new tobacco Community Co-Ownership licenses within 500 feet of high schools and Through the Public Health Institute of requiring warning signs on retailer doors. Metropolitan Chicago (PHIMC) and in partnership

62 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2025 Implementation Plan 63 HIV Mental Health Data Cross Sector Solutions Through funding for the Trans Accountability Project, CDPH’s Under the Framework for Mental Health Equity, the City of Chicago partners are defining barriers to HIV treatment for the transgender will invest more than $26 million in 2021 in critical areas like and gender non-conforming (TGNC) community, centering the outpatient mental health services in communities of high need, experiences and expertise of Black and Latina Trans women through coordination of trauma-informed victim services for people community forums. impacted by violence and the expansion of community-based treatment teams for people living with serious mental illness (SMI) Cross Sector Solutions and co-occurring disorders. System Change CDPH’s integrated HIV services portfolio makes more than $45 Substance Use System Change million annually in strategic investments aligned with the Getting Data In 2020, CDPH expanded a deflection and diversion program to Zero Illinois plan. Services include HIV screening, access to CDPH is implementing a novel mental health co-responder pilot so people arrested with under 1 gram of heroin or cocaine are CDPH issues a monthly Opioid Overdose Report with near anti-retroviral medication for pre-exposure prophylaxis (PrEP) project in two Chicago police districts in which mental health offered treatment instead of arrest across all police districts. real-time data so interventions can be targeted where they and treatment, medical care, supportive services, housing and professionals will respond to mental health crisis calls alongside a are needed most. community development. Crisis Intervention Trained (CIT) CPD patrol officer. Racial Equity Transformation Cross Sector Solutions Community Co-Ownership For several years, CDPH has embraced racial equity as a Ten area hospitals participate in a learning collaborative to departmental value. Staff receive training on dismantling HIV investments are determined based on extensive engagement ensure that people who come to the ER due to overdose racist systems and equity requirements are integrated into and feedback from the Chicago Area HIV Integrated Services Council are engaged in a treatment program. Starting in 2021, CDPH the department's grants, contracts and RFPs. CDPH also (CAHISC), a 42-member body of volunteers and appointed members will support a similar collaborative for outpatient and recently hired its first Chief Racial Equity Officer, who will comprised of providers and consumers of HIV services, as well as community-based providers. make improvements across the department – particularly federal and local government liaisons. related to recruitment and hiring, budgeting, procurement, Community Co-Ownership communications and public engagement – to ensure that CDPH and community partners from the South and West CDPH is addressing institutional racism across all aspects of sides lead regional task forces to coordinate overdose its work. response strategies at the neighborhood level.

64 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2025 Implementation Plan 65 To close the racial life expectancy gap, people affected by INDICATOR 1: LIFE EXPECTANCY

inequities must have power to decide how we measure Increase life expectancy for Black Chicagoans and reverse and monitor our city’s progress. With Healthy Chicago declines in Latinx and Asian populations 2025, we commit to sharing resources, credit, results and knowledge as we identify community needs and assets, conduct research and analyze data. INDICATOR 2: PERCENTAGE OF ADULTS WHO REPORT GOOD HEALTH Measuring Impact Improve overall health status for Black and Latinx Chicagoans

*NEW* Healthy Chicago 2025 Measures Chicago INDICATOR 3: PERCENTAGE OF ADULTS LIVING IN HIGH ECONOMIC HARDSHIP Through our assessment process, we identified a set of Increase economic well-being for Black and Latinx Chicagoans over-arching indicators to measure key outcomes we are Asian, Non-Latinx collectively working toward with Healthy Chicago 2025. Black, Non-Latinx Ongoing Healthy Chicago 2.0 Measures CDPH will continue to track the 75+ Healthy Chicago Latinx 2.0 indicators. You can find the most recent data on the Chicago Health Atlas (chicagohealthatlas.org). White, Non-Latinx INDICATOR 4: PERCENTAGE OF ADULTS WHO REPORT ANY PSYCHOLOGICAL DISTRESS WHO HAVE UNMET BEHAVIORAL HEALTH NEEDS Lowest Community Area Increase access to behavioral health treatment for all Chicagoans, with a focus on Black, Latinx and Asian populations Highest Community Area

66 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Healthy Chicago 2025 Implementation Plan 67 COMING NEXT: CHICAGO'S EQUITY DASHBOARD

CITY OF CHICAGO Over the next year, the City of Chicago will engage community members and EUITY DASHBOARD other experts to co-create Chicago’s first-ever equity dashboard. This will guide not only Healthy Chicago 2025 implementation, but also the work of the Mayor’s Office for Equity & Racial Justice and the creation of Chicago’s Citywide Plan, ensuring that broad, comprehensive measures of health and racial equity serve as everyone’s North Star in the planning, implementation We all know children like Jamir, with dreams and worries and evaluation of City programs and services. We will identify specific metrics and targets - from measures of structural and institutional equity to living so much bigger than their size. We recognize families conditions and health outcomes. We will establish a data collection process like Isabel and Raina that are keeping their kids safe and and issue a baseline dashboard and report. The dashboard will be available to the public so we can all track progress towards achieving equity. caring for each other. We are inspired by the Maleeks and Julianas, the Joanies and Charleses, who are forces for good on our blocks. And we see our city reflected in their stories.

So what will it take to make a healthy Chicago? How can PROMISING PRACTICE: each of us do our part? Here are some ideas.

CHICAGO CONSORTIUM FOR COMMUNITY ENGAGEMENT (C3) The C3 is a network of local academic institutions, CDPH and other stakeholders that have formally collaborated for over a decade on community-engaged research to improve health equity across Chicago. In the coming years, C3 will advance a Healthy Chicago 2025 research agenda focused on a broad set of priority areas and leverage its resources to answer key research questions and evaluate the City's efforts to achieve health and racial equity.

68 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Call to Action 69 The true potential of the Healthy Chicago We Are #OneHealthyChi Connect with us on social media. Use #OneHealthyChi to tell movement is to use our collective power us how you're making Chicago a city where all people and all to close the racial life expectancy gap. communities have power, are free from oppression and are strengthened by equitable access to resources, environments and opportunities that promote optimal health and well-being. WHAT WILL YOU DO? Adopt the Elevated Chicago Community Connect with us at https://www.chicago.gov/city/en/depts/cdph.html Engagement Principles and Recommendations

Build community wealth through project Go vote! development Bring people together to establish a Developers Join a community organization and common vision get to know your neighbors Represent your community’s Align capital or grant-making with Help make your community interests in public meetings Healthy Chicago goals and strategies welcoming and inclusive for all Community Engage community members Groups in choosing projects to fund Researchers Advance research on solutions to health and racial inequities

Engage the community to Individuals guide and apply your work Use your medium to activate Ensure services are high quality, Allocate resources based on community members affordable and available in the neighborhood need Funders communities of greatest need Highlight community culture Pass laws and regulations that and assets Hire people with lived experience promote health and racial equity Create employment pipelines Beautify public spaces Service Pay staff living wages Set up open and transparent and investment strategies that Artists decision-making processes benefit Black and Latinx people and Providers Government Businesses communities Review your business practices to advance diversity, equity and inclusion

70 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Call to Action 71 HOW TO BE ANTIRACIST ANTI-RACIST MONOCULTURAL MULTICULTURAL ANTI-RACIST MULTICULTURAL “One either allows racial inequities to persevere, as a racist, or confronts racial inequities, as an antiracist. Racial and cultural differences seen as deficits Tolerant of racial and cultural differences Racial and cultural differences seen as assets There is no in-between safe space of 'not racist.'” I identify how I may unknowingly benefit from racism.

– Ibram X. Kendi I promote and advocate EXCLUSIVE PASSIVE SYMBOLIC CHANGE for policies and leaders HOW TO BE AN ANTIRACIST I recognize racism is a that are antiracist. present and current problem. Intentional, public exclusion Tolerant of limited number Makes official policy ORGANIZATION To become antiracist takes conscious effort. Dr. Kendi’s book, of people of color (POC) of POC if they have the pronouncements about How to Be an Antiracist, outlines specific steps we can take to I seek out questions that I sit with my right credentials and beliefs diversity I deny racism make me uncomfortable. discomfort. May still privately limit move from fear to growth on this journey and see each other as is a problem. Public racism at Sees itself as a non-racist Across Chicago, business and organizations are or exclude POC despite all levels of institution institution where POC making strides in transforming their policies fully human. I avoid I understand my own I speak out when I see public policies hard questions. privilege in ignoring racism in action. are welcome and practices by following models like this one. racism. Includes both formal/written Continues to maintain Recruits a minority voice Becoming Fear Zone Learning Zone Growth Zone policies and informal white power and privilege on committees, but not teachings through its formal policies if they are outstpoken Antiracist I educate my and practices or disagree with the official I strive to be I educate myself about peers how comfortable. race and structural racism. position racism harms our profession. I talk to others I am vulnerable about who look and think my own biases and IDENTITY CHANGE STRUCTUAL CHANGE FULLY INCLUSIVE like me. knowledge gaps. I don’t let mistakes deter me from being Analyzes systemic racism Restructures institution to Institution lives with full better. I listen to others who think and within institution; actively fully incorporate POC at participation and shared look differently than me. I yield positions of power seeks to become anti-racist all levels of power power with POC in to those otherwise determining mission marginalized. Conducts anti-racism Institution is guided by the structure, policies and training following the lead worldview, cultures and practices I surround myself with others who from POC lifestyles of POC Check out additional antiracism resources for all ages at think and look differently than me. Sense of restored community Institution is known for its Chicago Public Library, chipublib.org/BlackLivesMatter. Image modeled after Crossroads Ministry’s Understands and takes steps and mutual caring to eliminate White own anti-racist commitment Continuum to Becoming an Antiracist privilege at all levels of and its work to dismantle Source: surgeryredesign.com Multicultural Institution (Chicago) institution racism in the wider community

72 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Call to Action 73 Arts Alliance Illinois Research Group Metropolitan Planning Council CDPH and the Partnership for Healthy Chicago also thank the following City of Chicago departments and Center for Faith and Community Heartland Alliance- Metropolitan Tenants Organization Health/Advocate Health Care Human Care Services NAMI- National Alliance for Mental agencies for their support and collaboration, strategy alignment to their existing plans and department Chicago Board of Health Illinois Community Health Worker Illness-Chicago priorities, and their willingness to acknowledge that all of our work has an impact on the health of Chicago Department of Family Association/HealthConnect One National Resources Defense Council Chicagoans. and Support Services Illinois Community Health Worker Northwestern-Center for City of Chicago Association/University of Chicago Chicago Department of Community Health Office of the Mayor Chicago Public Library Housing Public Health Illinois Department of Public Health Oral Health Forum Assets, Information and Services Chicago Public Schools Mayor's Office for People with Disabilities Chicago Housing Authority Illinois Partners for Human Services Playworks Aviation Commission on Human Relations Mayor’s Office of Equity and Racial Justice Partnership for Healthy Chicago Members Chicago Metropolitan Agency Illinois Primary Health Care Associ- Public Health Institute of Buildings Cultural Affairs and Special Events Planning and Development for Planning ation Metropolitan Chicago Business Affairs and Consumer Protection Family & Support Services Police Chicago Park District Illinois Public Health Institute Respiratory Health Association Chicago Park District Fire Transportation Chicago Police Department Institute of Medicine-Chicago Sinai Urban Health Institute Chicago Public Schools LISC Chicago United Way of Metropolitan Chicago In 2019, the Alliance for Health Equity hospital collaborative (“Alliance”) completed a Community Health Consortium to Lower Obesity Loyola University Chicago School of University of Illinois School in Chicago Children Law; Beazley Institute for Health Law of Public Health Needs Assessment (CHNA) for Chicago and Suburban Cook County. The Alliance and the Partnership Cook County Department and Policy World Business Chicago for Healthy Chicago worked together to conduct our respective assessments so that local hospitals’ of Public Health Mayor's Office for People with YWCA-North Shore/Chicago Equity Alliance for Health Equity strategic priorities are aligned with citywide and regional efforts to improve community health. The Cook County Health Disabilities Network Forefront Mayor's Office of Equity and Illinois Public Health Institute (IPHI) led an extensive community input process, which included surveys Health and Medicine Policy Racial Justice and focus groups referenced in Healthy Chicago 2025. We are thankful to the Alliance and IPHI for their work on the CHNA, much of which has been adapted and incorporated in this plan.

Leadership CDPH Public Information Antiracist, Multicultural Systems: Maternal and Infant Health: Housing: Chandra Christmas-Rouse Tiffany McDowell, Chicagoland Equity Heidi Ortolaza-Alvear and and Andrew Geer, Enterprise Dr. Allison Arwady, Megan Cunningham, Andrew Buchanan, Erica Duncan, Network, YWCA; for CDPH, Sheri Cohen Kirby Range, EverThrive; for CDPH, Community Partners; for CDPH, Janna David Kern, Matthew Richards, Jennifer Vidis Alicia McGhee Vicky Romero, Patrick Stonehouse, Sara Moffit, Tonya Hardy, Kerins, Sharita Webb, Shirley Nash, Hana Anderson Jackie Castellanet Felicia Fredricks, Ann Cibulskis Planning Community Engagement Community Capacity and Youth Access to Care: Kim Jay, Sinai Food Access: Angela Odoms-Young, Ann Cibulskis, Sheri Cohen, Ivonne Sambolin, Antonio King, Miguel Lopez, Work Group Co-Chairs and Leadership: Jose Abonce, Austin Urban Health Institute; for CDPH, UIC SPH; for CDPH, Kate McMahon, Coming Together; Tracy Lyons, Nilsa Irizarry, Octavia Tyson Jennifer Herd, Teffany Anderson Anne Posner, Genese Turner Yaa Simpson, Yolanda Vazquez CDPH Staff Support Resident Association of Greater Neighborhood Development and Community Safety: Becky Levin, Chicago Department Englewood and Chelsea Ridley, Healthy Environments: Lurie Children’s Hospital; for CDPH, Chronic Disease CDPH Communications and Standards Mikva Challenge; for CDPH, Chloe Gurin-Sands, Metropolitan Marlita White, Dwight Hunter, of Public Health Kate McMahon Octavia Tyson, Hana Anderson, Teffany Anderson, Margarita Reina, Orlando Valenzuela Planning Council; for CDPH, Kate Rick Ortiz, Courtney Kutaukas Regina Meza Jimenez, Margarita Reina, Yaa Simpson, Behavioral Health: Joanne Smyth, McMahon, Emily Laflamme Melissa Epidemiology and Research Thresholds, Denise Fuentes, Buenger, Ayla Karamustafa Nik Prachand, Kirsti Bocskay, Isabel Chung, Felicia Fredricks, Sheri Cohen, Andrew Buchanan, Heartland Health Center; for CDPH, Elena Ivanova Alisha Warren, Vicky Romero, Dana Harper, Emile Jorgensen, Emily Laflamme, Hana Anderson Rachelle Paul-Brutus, Margarita Reina, Interns and Chicago Mayoral Fellows Blair Turner, Kingsley Weaver Jacqueline Bellefontaine, Mayra Diaz, Courtney Kutaukas, Danielle Maranion, Samantha Sartori, Charmaine Runes

74 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Acknowledgements 75 The Healthy Chicago 2025 plan was made possible by the generous support Illinoic Public Health Institute Northwestern University Feinberg school of UI Health, Mile Square Health Center Kimberly Casey Illinois Action for Children Medicine /Northwestern Medicine UI Health, Office of Community Kathy Chan of the Otho S.A. Sprague Memorial Institute. Illinois Childrens Mental Health Northwestern, Alliance for Research in Engagement Melanie Dreher Partnership Chicagoland Communities/ United States Department of Agriculture Peter Eckart Additional Acknowledgements Narratives and layout by Rudd Resources Illinois Collaboration On Youth Center for Community Health United Way Wesley Epplin Illinois Department of Human Services/Division of Northwestern, Center for Health Equity Universidad Popular Bill Filstead Substance Use Prevention and Recovery Transformation University of Chicago Medicine Ken Fox Illustrations by Deon Reed Illinois Institute of Technology One Health Englewood University of Chicago Medicine, Meleah Geertsma Illinois Medical District Oral Health Forum Comprehensive Cancer Center Wayne Giles Photo credits: City of Chicago; CDPH; p. 14 (bottom left) Northwest Side Housing Center; Imagine Englewood If Ounce of Prevention University of Chicago Medicine, Chloe Gurin Sands In Demand Entertainment Pilot Light Energy and Environment Lab Alexis Hardy p.36 (center) Austin Coming Together Inner-City Muslim Action Network Play Smart Literacy University of Chicago Medicine, Blair Harvey Jane Addams Senior Caucus Playworks Institute for Translational Medicine Colleen Harvey Juvenile Protective Association PrimeCare Community Health University of Chicago Medicine, Office of Jeni Hebert Beirne The Partnership for Healthy Chicago would like to thank the more than 300 people and organizations Lakeview Pantry Public Health & Safety, Inc. Community Engagement and Wandy Hernandez who participated in working groups and the community health assessments. We are especially grateful Latin United Community Housing Association Public Health Institutue of Metropolitan Chicago Cancer Health Equity Cheryl Irmiter Latino Disability Foundation and Forum Purdue University Northwest University of Chicago, Bernita Johnson Gabriel to the individuals who brought their lived experiences into the planning process. Please excuse any Lawndale Christian Legal Center Recovery International Harris School of Public Policy Kiran Joshi misrepresentations or missing acknowledgments. We sincerely appreciate all your collaboration. Legal Aid Chicago Resident Association of Greater Englewood University of Illinois at Chicago Callie Kaplan Legan Council for Health Justice Respiratory Health Association University of Illinois at Chicago, Claire Lambden LISC Chicago Restaurant Opportunities Center Chicago Center for Clinical and Translational Science Colleen Lammel Harmon Little Village Environmental Justice Organization Roosevelt University, Office of Student Research University of Illinois at Chicago, CHECK Emma Landgraf Organizations that participated in Ann & Robert H. Lurie Children’s Hospital of Chicago Hispanic Health Coalition Erie Family Health Centers Loyola University Chicago, Parkinson School of Rush University Medical Center University of Illinois at Chicago, Anne Lehocky HC 2025 Workgroups Chicago, Strengthening Chicago’s Youth Chicago Housing Authority Erie Neighborhood House Health Sciences and Public Health, Rush University Medical Center, Alzheimer’s College of Medicine Jerod Lockart Arab American Family Services Chicago Metropolitan Agency for Planning Esperanza Health Centers Abt Associates Inc. Stritch School of Medicine Disease Center University of Illinois at Chicago, Carolyn Lopez Arts Alliance Illinois Chicago Park District EverThrive Illinois Access Community Health Network MAPSCorps Rush University Medical Center, Institute for Juvenile Research Ricardo Lopez Aunt Martha’s Health & Wellness Chicago Partnership for Health Promotion Experimental Station AdvocateAurora Health March of Dimes College of Nursing University of Illinois at Chicago, Jess Lynch Austin Coming Together Chicago Public Schools Fresh Taste AdvocateAurora Health /The Center for Faith and Mary Crane Centers Rush University Medical Center, School of Public Health Gina Massuda-Barnett Black Girls Break Bread Chicago State University Friends of Big Marsh Community Health Transformation Mayor’s Office alud Sin Papeles University of Illinois Extension Tiffany McDowell Blind Faith City of Chicago Future Health Leaders AdvocateAurora Illinois Masonic Medical Center Mayor’s Office of Community Engagement Safer Foundation Up2Us Sports Dawn Melchiorre Bobby E. Wright Comprehensive Behavioral City of Chicago, 10th Ward Alderman’s Office Garfield Park Community Council AdvocateAurora Trinity Hospital Mayor’s Office of Equity and Racial Justice Saint Anthony Hospital: Urban Gateways Kate Mitchell Health Center, Inc. City of Chicago, Office of Budget and Management Gateway Foundation Advocates for Human Potential Mayors Office for People with Disabilities Community Wellness Program Urban Growers Collective Kristin Monnard Bright Star Community Outreach Coalition on Urban Girls-Chicago Global Girls, Inc. Advocates for Urban Agriculture Medical Home Network Shriver Center on Poverty Law Vision Zero Chicago Leilah Odeh BTM Networks Collaborative for Health Equity Golden Gate Homeowners Association AFLAC Meridian WellCare Sinai Community Institute Walton Personal Philanthropy Group Kirsten Peachey BUILD, Inc. Cook County Governors State University Alliance for Health Equity Metropolitan Planning Council Sinai Urban Health Institute West Side United Lucy Peterson Changing Children’s Worlds Foundation Common Threads Grand Prairie Services American Academy of Pediatrics, Illinois Chapter Metropolitan Tenants Organization Sisters Embracing Life West Town Bikes Jim Poole Chicago Aging Collaborative Communicate For Health Justice Greater Chicago Food Depository American Cancer Society Metropolitan Water Reclamation District of Small Business Majortiy Westside Community Triage and Wellness Center Naila Quraishi Chicago Asthma Consortium Community Works Grow Greater Englewood American Heart Association Greater Chicago St. Leonard’s Ministries Worry Free Community Monica Reyes Chicago Board of Health Cook County Health Habilitative Systems, Inc. American Lung Association Midwest Business Group on Health Strides For Peace YMCA of Metropolitan Chicago Claire Rice Chicago Botanic Garden Demoiselle 2 Femme, NFP Harold Washington College American Muslim Health Professionals Mikva Challenge Swedish Hospital YogaCare Grecia Rodriguez Chicago Children’s Advocacy Center DePaul University, Institute for Housing Studies Health & Medicine Policy Research Group AMITA Health Sts. Mary & Mobile Care Chicago Taylor Business Institute Youth Commission Raj Savalia Chicago Citywide Literacy Coalition Easterseals Healthcare Alternative Systems Elizabeth Medical Ctr Moms of Chicago Police Department Telligen QIN-QIO Youth Empowering Strategies Robye Scott Chicago Department of Cultural Affairs Education Development Center HealthConnect One Anew Life to Live NAMI Chicago The Kennedy Forum Illinois Youth Guidance Sendy Soto and Special Events Elevate Energy Healthy Communities Foundation Ann & Robert H. Lurie Children’s Hospital of Naomi Ruth Cohen Institute for The Nature Conservancy Danielle Stanley Chicago Department of Family & Support Services Elevated Chicago Healthy Illinois Campaign Other key contributors Chicago Mental Health Education The Night Ministry Jenny Terrell Chicago Department of Housing Emmanuel Health and Social Services Healthy Schools Campaign Ann & Robert H. Lurie Children’s Hospital of National Louis University Thinkinc. Jaime Arteaga Antoinette Ursitti Chicago Department of Public Health Endeleo Institute Heartland Alliance-Health Chicago, Center for Childhood Resilience Natural Resources Defense Council Thresholds Leah Barth Alejandra Valencia Chicago Department of Transportation Englewood Community Heartland Health Centers Ann & Robert H. Lurie Children’s Hospital of Near North Health Service Corporation Treatment Alternatives for Safe Communities John Bartlett Mona Van Kanegan Chicago Equity Network; ConnectionOutreach Corp Housing Authority of Cook County Chicago, ConnecTeen North Lawndale Community Coordinating Council Trilogy, Inc. Adam Becker Jonathan Vanderbrug YWCA Evanston/North Shore Enlace Chicago Housing Opportunities for Women Ann & Robert H. Lurie Children’s Hospital of North Lawndale Employment Network Turner Group Leticia Boughton Price Lesli Vipond Chicago Food Policy Action Council EOC Howard Brown Health Chicago, Consortium to Lower Obesity North Side Housing and Supportive Services UI Health Jen Brown Lauren Wright Chicago Foundation for Women Equiticity Humana in Chicago Children Northwestern University UI Health, Cancer Center Jonathan Burch Bryan Zarou

76 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap Acknowledgements 77

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78 HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap