--------­ JANUARY 2021 CAMDEN HEALTH DRAFT HEALTHY CLEAN ACCESS TO MOBILITY & ACTIVE SAFE & COMPLETE HOUSING & EDUCATION & FOOD ACCESS ENVIRONMENT HEALTHCARE TRANSPORTATION NEIGHBORHOODS HOMELESSNESS EMPLOYMENT New York City • dDELAWARE VALLEY DVRPC's vision for the Greater Philadelphia Region is a prosperous, innovative, equitable, resilient, and 0.,.,YIPC sustainable region that increases mobility choices PLANNING COMMISSION by investing in a safe and modern transportation system; that protects and preserves our natural resources while creating healthy communities; and that fosters greater MD opportunities for all. • Baltimore DVRPC's mission is to achieve this vision by convening the widest array of partners to inform and facilitate data-driven decision-making. We are engaged across the region, and strive to be leaders and innovators, exploring new ideas and creating best practices. TITLE VI COMPLIANCE / DVRPC fully complies with Title VI of the Civil Rights Act of 7964, the Civil Rights Restoration Act of 7987, Executive Order 72898 on Environmental Justice, and related nondiscrimination mandates in all programs and activities. DVRPC's website, www.dvrpc.org, may be translated into multiple languages. Publications and other public documents can usually be made available in alternative languages and formats, if requested. DVRPC's public meetings are always held in ADA-accessible facilities, and held in transit-accessible locations whenever possible. Translation, interpretation, or other auxiliary services can be provided to individuals who submit a request at least seven days prior to a public meeting. Translation and interpretation services for DVRPC's projects, products, and planning processes are available, generally free of charge, by calling (275) 592-7800. All requests will be accommodated to the greatest extent possible. Any person who believes they have been aggrieved by an unlawful discriminatory practice by DVRPC under Title VI has a right to file a formal complaint. Any such complaint must be in writing and filed with DVRPC's Title VI Compliance Manager and/or the appropriate state or federal agency within 780 days of the alleged discriminatory occurrence. For more information on DVRPC's Title VI program or to obtain a Title VI ComplaintDRAFT Form, please visit: www.dvrpc.org/GetlnvolvedlTitleVI, call (275) 592-7800, or email [email protected]. DVRPC is funded through a variety of funding sources including federal grants from the U.S. Department of Transportation's Federal Highway Administration (FHWA) and Federal Transit Administration (FTA), the Pennsylvania and New Jersey departments of transportation, as well as by DVRPC's state and local member governments. The authors, however, are solely responsible for the findings and conclusions herein, which may not represent the official views or policies of the funding agencies. Table Contents Strategies and Actions 71 of Safe & Complete Neighborhoods 95 A Note on Covid-19 and Black Lives Matter iii Background 96 Key Assets 96 Introduction 1 Key Challenges 97 Connection between Planning and Health 2 Strategies and Actions 97 Camden at a Glance 3 Purpose of a Health Element 6 Housing & homelessness 111 Legal Authority 6 Background 112 Relationship to Master Plan and Neighborhood Plans 7 Key Assets 112 Outreach and Feedback 7 Key Challenges 113 A Vision for a Healthy Camden 10 Strategies and Actions 114 Healthy Food Access 11 Education & Employment 137 Background 12 Background 138 Key Assets 12 Key Assets 139 Key Challenges 13 Key Challenges 140 Strategies and Actions 14 Strategies and Actions 141 Clean Environment 29 Conclusion 159 Background 30 Acknowledgments 169 Key Assets 31 Acknowledgements 170 Key Challenges 32 Strategies and Actions 33 Access to Healthcare 49 Background 50 Key Assets DRAFT51 Key Challenges 52 Strategies and Actions 53 Mobility & Active Transportation 69 Background 70 Key Assets 70 Key Challenges 71 i Figures Tables Figure1.1: Social Determinants of Health 3 Table 1.1: Camden Neighborhood Plans 8 Figure1.2: Camden at a Glance 4 Table 1.2: SRTS Team Roles and Responsibilities 78 Figure1.3: Healthy Corner Store Network 13 Table 1.3: Camden Transit Routes as of March 2020 80 Figure1.4: Percent of Zero Vehicle Households by Tract 14 Table 1.4: Camden Private Shuttle Operations 81 Figure1.5: Probability of Any Chronic Condition 18 Table 1.5: National Complete Streets Coalition's 10 Elements of a Figure1.6: Percent of Households Receiving SNAP Beneifts 25 Complete Streets Policy 92 Figure1.7: Known Contaminated Sites 32 Table 1.6: Selected Roles and Responsiblities Supporting Health in Camden Households 129 Figure1.8: Population Density in the Floodplains 37 Table 1.7: Camden Residents Most Affected by Barriers to Figure1.9: Obesity in Camden 50 Employment 150 Figure1.10: Heart Disease in Camden 51 Table 1.8: Prevealence of Untreated Cavities: United States 2005–2008 Figure1.11: Camden Transit Network 54 157 Figure1.12: Rate of Uninsured Individuals 57 Figure1.13: Rate of Foreign-Born Residents 58 Appendices Figure1.14: Camden Sidewalk Network 84 Figure1.15: Percent of Survey Respondants that Reported No Physical Appendix A: Community Survey Sample Pages A-1 Activity 86 Appendix B: Sample Print and Social Media Advertisements B-1 Figure1.16: Bike and Pedestrian Crashes in Camden, 2013-2018 87 Appendix C: Sample Visioning and Priority Action Exercises C-1 Figure1.17: Dominant Tenure Type by Neighborhood 113 Appendix D: Project Website and Online Story Map D-1 Figure1.18: Housing Stock by Year Built 116 Figure1.19: Percent of the Population without a High School Degree 138 Addendum Figure1.20: Median Household Incomes by Neighborhood 139 Implications of COVID-19 E-1 Figure1.21: Elementary School Walkshed DRAFT142 ii ---­ CAMDEN A Note on Covid-19 and HEALTH Black Lives Matter dDELAWARE VALLEY fJ REGl!.rpc DRAFT PLANNING COMMISSION The Camden Health Element is the result of a multiyear effort that engaged community members and stakeholders with the goal of creating COVID-19 AND CAMDEN CITY a document that details strategies and actions to promote health as a By October 7 2020, Camden City had reported a total of 2,845 priority for Camden’s future growth and development. Although the Health positive cases of COVID-19 and 87deaths. Camden City’s rate of Element was largely completed when the Coronavirus Disease 2019 positive cases per 100,000 residents (3,813) is almost double that of (COVID-19) outbreak occurred, the planning team did not wish to publish Camden County (2,159), but its rate of death per 100,000 residents is only slightly higher than the county’s as a whole.3 It is hard to the Health Element without acknowledging the effects of COVID-19 on determine why Camden City has seen higher rates of COVID cases but both the City of Camden and the recommendations put forth in the Health lower death rates per total cases. A number of factors could be at play Element. The pandemic and related economic recession have created here: percentage of vulnerable residents, including elderly residents a lot of uncertainty, and in some ways, drastically changed how people and people with pre-existing conditions like asthma and diabetes; percentage of people working in frontline jobs; and the number of live—how we socialize, work, get around, and obtain necessary goods nursing homes within each geography. The majority of Camden City and services. COVID-19 has also highlighted and exacerbated existing residents are people of color, with 42 percent of residents identifying patterns of racism, bias, and health disparities. A report by the Center on as Black and 50 percent identifying as Hispanic—rates far higher than Budget and Policy Priorities noted that “[p]eople of color are experiencing the county’s, for which only 19 percent of residents identify as Black and 13 percent identify as Hispanic. disproportionately more infections and hospitalizations—and among Black people, highly disproportionate death rates—with people of color also In addition to the health effects, COVID has resulted in a staggering overrepresented in jobs that are at higher infection risk now and in the jobs increase in unemployment, with Camden County’s unemployment rate rising to 16.2 percent in April from 4.6 percent in February.4 Although hardest hit economically.”1 As of July 2020, Black people accounted for Supplemental Nutrition Assistance Program (SNAP) participation almost 20 percent of COVID-19 cases and 22 percent of COVID-19-related data is not yet available for the time period of the pandemic, national deaths nationwide, even though they made up less than 13 percent of surveys have shown that food insecurity has also increased due to the population. Additionally, people of Hispanic origin accounted for 33 higher unemployment, school closures, and concerns about the health risks of traveling and shopping for food. percent of cases but only 18 percent of the total population.2 It is more important than ever that stakeholders—the city, county, state, non-profits, health care providers, community organizations, and residents—work to implement the actions detailed in this document to address the most pressing health disparities and economic challenges that COVID-19 has brought about. Although COVID-19 DRAFThas not changed 3 Camden County, “COVID-19 Updates and Preparation, Most Recent Updates,” accessed July 16, 2020, www.camdencounty.com/service/covid-19-updates- 1 Erica Williams and Cortney Sanders, “3 Principles for an Antiracist, Equitable State and-preparations/most-recent-updates Response to COVID-19—and a Stronger Recovery,” Center on Budget and Policy Priorities, 4 May 21, 2020, www.cbpp.org/research/state-budget-and-tax/3-principles-for-an-anti-racist- U.S. Bureau of Labor and Statistics,. “Local Area Unemployment Statistics equitable-state-response-to-covid-19. Map,” accessed July 16, 2020, https://data.bls.gov/lausmap/showMap.jsp;jse ssionid=FA1D1996EA9E3CF93C989ECA0DB60CEB._t3_06v. 2 Centers for Disease Control and Prevention, “Demographic Trends of COVID-19 Cases and Deaths in the US Reported to CDC,” July 27, 2020, www.cdc.gov/covid-data-tracker/index.