designed in the United States in more than a century. It is adjacent to an active oil field, and the county has committed to conducting periodic public health studies of the oil field’s effects (Lass, 2011).

García lauded the Institute of Medicine (IOM) for bringing together such disparate groups to look for common ground. He noted that The City Project is part of the peace movement, so for it to work with the retired generals in Mission: Readiness is “an example of the lamb lying down with the lion. Although, as Woody Allen pointed out, the lamb won’t get much sleep.”


In response to a question about how to link transportation planners’ concern about safety to public health concerns, Corless noted that there will continue to be a strong emphasis on safety, especially in an era of shrinking resources. The challenge is to link quantitative metrics of health to this emphasis on safety. Corless also pointed out that the way streets are built is an important cause of excessive speeding. “I walk my kids every day to school right here in Capitol Hill [in Washington, DC], and I know what we could do to fix a couple of corners for probably $10,000 each.” Linking more walkable streets to both safety and health is a way to merge these concerns, he said.

Robinson asked Dillhyon what gets police officers excited about participating in PAL. Dillhyon replied that the officers who participate the most are those interested in community policing who recognize the long-term benefit to the community. Officers with a background of working with children, such as school resource officers and D.A.R.E. (Drug Abuse Resistance Education) officers, tend to gravitate toward the program.

Joseph Thompson, member of the IOM Standing Committee on Obesity Prevention and the workshop planning committee, asked all of the panelists which metrics they see as most important to health and how the use of such metrics would align their disparate interests. Erickson responded that an unconventional metric would be hope. Childhood obesity is worst in the poorest neighborhoods, he observed, which reminded him of a smoking cessation campaign in a low-income community. Although the campaign was “flawless,” it had no effect. “The message that you might get lung cancer when you are 50 didn’t resonate with kids who didn’t think they would live to be 20. That is something that touches all of these issues.”

Higgins stated that Americans have come to accept a lower state of health and well-being as normal. Empowering people to believe otherwise and defining health as a state of physical, mental, and social well-being, not just the absence of disease, would establish a new way to measure health status, he suggested.

García observed that the point of building an alliance is to develop

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