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Economic Impacts of Parks, Rivers, Trails and Greenways

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Program, Latino Health Initiative, <strong>and</strong> Recreation Department/Hearts N' <strong>Parks</strong>Wellness Program, as well as the Maryl<strong>and</strong> National Capital Park <strong>and</strong> PlanningCommission. The Heart Smart Trail initiative will improve trail infrastructure inorder to provide safer routes to walkers <strong>and</strong> joggers, <strong>and</strong> Kaiser Permante’ssponsorship provided 1/10 mile markers along a one-mile trail forwalkers/joggers to keep track <strong>of</strong> their distance while exercising <strong>of</strong>f the mainstreets. The initiative also <strong>of</strong>fers a Hearts Smart Trail 4-fold brochure thatincludes walking tips, a map <strong>of</strong> the trail <strong>and</strong> a walking log to keep track <strong>of</strong> thewalks. Moving forward, Montgomery County Department <strong>of</strong> Recreation/HeartsN' <strong>Parks</strong> Program <strong>and</strong> Maryl<strong>and</strong> National Capital Park <strong>and</strong> PlanningCommission are partnering to add health education classes that will also focuson the use <strong>of</strong> the trail <strong>and</strong> to further the mile marker placement to otherMontgomery County trails (Atkinson, 2004).3.6.5 Impact on EmployersBusinesses <strong>and</strong> other employers are increasingly bearing the burden <strong>of</strong> treating the results<strong>of</strong> physical inactivity. Primary costs include lost productivity <strong>and</strong> paid sick leave associatedwith obesity <strong>and</strong> disease treatment, as well as the increased costs <strong>of</strong> health, life <strong>and</strong>disability insurance. The private sector pays the highest proportion <strong>of</strong> total health care costsattributable to being overweight or obese in the U.S. (about 36%) <strong>and</strong> while employeesthemselves may suffer from increased premiums, the majority <strong>of</strong> the costs are paid byemployers through private employer-sponsored group health insurance, for example(Finkelstein, 2003). The indirect impact on employers includes less obvious costs such aslow productivity, reduced employee morale <strong>and</strong> high turnover. Absenteeism, for example,leads to costs for overtime, employing part-time replacements, time spent by supervisorsdealing with the issue, <strong>and</strong> expenditures for absence control programs.Studies <strong>of</strong> overweight <strong>and</strong> obese employees have shown that obese employeestake more sick leave than non-obese employees <strong>and</strong> are twice as likely to havehigh-level absenteeism (seven or more health-related absences during the last sixmonths) <strong>and</strong> one-<strong>and</strong>-a-half times more likely to have moderate absenteeism(three to six absences due to illness during the past six months). (Tucker, 1998)In 1994, the costs that U.S. businesses bore for obesity-related health problemsreached $13 billion, broken down into:o health insurance expenditures: $8 billiono sick leave: $2.4 billiono life insurance: $1.8 billiono disability insurance: $1 billion (Thompson, 1998)UnumProvident, the U.S.’s largest disability insurer, reports that obesity-relateddisability claims have grown tenfold in the past decade, reaching an average <strong>of</strong>$8,720 per employee each year. People who are obese cost employers, onaverage, about $6,000 to $7,000 a year more in terms <strong>of</strong> lost productivity <strong>and</strong>presenteeism” (wherein employees may be physically present but mentallyabsent). (Shutan, 2004)Research has shown that people with diabetes lost 8.3 days per year from work,102

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