All health is local, down to neighborhoods that shave years off life expectancy, public health officials in New York City assert in a new, data-driven strategy intended to reverse the trend toward shorter lifespans that accelerated during the pandemic.

“Health is as much about your neighborhood and your environment as it is about an individual checkup or prescription,” acting health commissioner Michelle Morse wrote in introducing a roadmap to better health. Called “Addressing Unacceptable Inequities: A Chronic Disease Strategy for New York City,” it charts where people can — or can’t — buy healthy food, find transportation to their doctor’s appointments, and be physically active in clean, safe parks.