Blue Zones Project Results: Albert Lea, MN

  • $7.5M in savings in annual healthcare costs for employers
  • 2.9 years added to lifespans within one year of participating in the Blue Zones Project
  • The Downtown Streetscape revitalization has increased private investment, tourism, and the tax base

Suffering in the face of the 2008 economic downturn, Albert Lea, Minnesota, was determined to transform its situation. Its leaders eagerly teamed up with Blue Zones in 2009, making Albert Lea the first Blue Zones Pilot Project, applying principles from areas around the world where people lived longer, healthier lives. Pleased with the results of the nine month pilot, Albert Lea has continued on as a Blue Zones Project community addressing built environment, tobacco policy, citizen engagement, and bringing back the downtown.

The commitment to well-being has resulted in numerous measurable impacts for Albert Lea leading incremental changes and sparking chain reactions. Impacts such as:

  • $8.6 million—savings in annual health care costs for employers as a result of a decline in smokers
  • 34th place—in the Minnesota County Health Rankings (up from 68 out of 87 counties)
  • 2.9 years—added to lifespans (projected) within one year of participating in the Blue Zones Project

When Blue Zones and Blue Zones Project began working with Albert Lea in 2009 to transform its policies, places, and people, the focus was on helping people move naturally, eat wisely, connect, and have the right outlook—all of which can lead to living longer, better. To make transformation a reality, city leaders and the Blue Zones Project identified key opportunities for impact and sought pledges from businesses and residents.

Community Design Improvements

In 2009, Blue Zones’ expert Dan Burden led a walking audit of Albert Lea, identifying ways to create more active and healthy living environments centered around people. A Bike and Pedestrian Master Plan was created that identified areas needing improvement to align with the Complete Streets Policy, which Albert Lea was an early adopter of in 2009.

Armed with inspiration and grant money, Albert Lea created bump outs to ensure safe pedestrian crossings and wider sidewalks that provided space for outdoor dining. A five-mile route that was added around a lake within the city was affectionately named the Blue Zones Walkway by Albert Lea, and it now connects to neighborhoods, parks, downtown and past the local hospital. Stop signs were replaced with traffic lights to maintain a smooth traffic flow. Community message boards were added, and a complete park renovation with amphitheater seating provided additional community gathering space.

The improvements sparked a chain reaction of economic development. New businesses relocated to downtown Albert Lea, and the city initiated a mixed-use project to open room for income-limited housing units and commercial space in the historic downtown area.

Healthier Workplaces

Blue Zones Project offered local businesses the opportunity to become a designated Blue Zones Worksite by completing an assessment and improvements to increase the long-term well-being of employees, customers, or students.

The simple changes were designed to provide lasting benefits to people’s physical health, emotional health and social relationships. More than 45 worksites have registered with Blue Zones Project and made varying levels of change, the City of Albert Lea being one.

Blue Zones Project also recommended worksite clinics for some of the larger employers in Albert Lea to increase well-being for employees and reduce healthcare costs. Five of the top 20 partnered together to provide their employees with a dedicated worksite clinic, serving approximately 1,650 employees. Two other area worksite also opened clinics. These efforts resulted in considerable savings.

Healthy Foods

To make healthy food the easy choice for everyone in the community, Blue Zones Project provided guidance on how to offer and bring attention to foods that are more nutritious and tasty.

As a result, one of the local grocery stores implemented changes to its environment, selection of healthy options, and education and promotions to make healthier choices easier for customers.

Grab-n-go breakfast and healthy snack cart programs were introduced in various public schools to help children create healthy habits, and they’ve been highly received by students, educators and parents. An indoor sports arena added healthier options to its concession stand and saw a bump in sales. And the City of Albert Lea has expanded the community garden space 150%, giving residents an opportunity to grow healthy food and socialize in an agricultural environment.

Tobacco Cessation

Starting in 2009, Blue Zones Project began working with the City of Albert Lea to drive policy and environmental changes for a measured reduction in tobacco usage.

This included changes for public housing, public parks and events, outdoor dining, as well as partnering with local businesses. Out of 18,000 residents, 4,140 were smokers in 2010, and success had the potential of reducing health care costs by $6,000 per year, per smoker. Given the challenge of trying to implement this change and provide a new outlook toward this important public health issue, the city chose to make incremental moves over time, which have made a big impact.


The following progress indicators were reported by the City of Albert Lea in 2015, dating back to 2009 if the data was available.

Impact of Community Design Improvements

  • Added more than nine miles of new sidewalks and three miles of bike lanes
  • More than a dozen businesses relocated to downtown Albert Lea
  • Outdoor dining facilities created by three restaurants
  • 96% increase in pedestrian traffic on Broadway from 2014 to 2018
  • 38% average increase in biking and walking throughout the community since 2009
  • Ranked above the national and state average for people feeling active and productive according to the July 2014 Gallup-Healthways Well Being Index®
  • More than $2.5 million invested in downtown building permits since 2013
  • 25% increase in property value in the downtown area
  • Year-over-year increase in lodging taxes due to an increase in visitors
  • $400,000 in revenue and a return of a $1.2 million property to taxable status expected from the mixed-use downtown development

Impact of Healthier Workplaces

  • 300% increase in funds given to the City of Albert Lea by its insurance carrier for its wellness program in 2014, and medical premium increases avoided for city workers in 2014 and 2015
  • $128,000 in health care costs saved by a Blue Zones Project worksite within a year of opening a worksite clinic for its 500 employees
  • The School District experienced no increase in Health Care Premiums and an 11% decrease in prescription costs as a result of their on-site clinic from 2014-2015

Impact of Healthy Foods Initiative

  • Increase sales of 130.35% from the Health Market, 12% from produce, 35.31% from frozen fruit and vegetables, 52.3% from water, and a decrease of 4.66% in soda sales at the Hy-Vee grocery store from 2009 through 2015
  • 59% increase in concession sales from 2014 through 2018 at City Arena after healthy options were added
  • 60% increase in breakfast participation from 2014 to 2015 in schools where the Grab-n-Go breakfast program was implemented
  • 17% increased participation in the Healthy Snack Cart program in the 2014 – 2015 school year

Results of Tobacco Cossation Initiatives

  • Tobacco use eliminated at 550 units of public housing, 14 of the top 20 worksites as well as select other businesses, public parks, county fairs, other outdoor events, and outdoor dining
  • Decline in smokers from 23% of adult residents in 2009 to 14.7% in 2016
  • $8.6 million savings in annual health care costs for Albert Lea employers from the decline in smokers

Additional impact 

  • 2.9 projected years added to participants’ lifespan within a year of participating in the Blue Zones Project
  • $120,000 worth of media impact created from being featured in local and nationwide media, publications, and websites
  • Jump to 34th place in the Minnesota County Health Rankings (previously 68 out of 87 counties)
  • Ranked third in “The top 10 most affordable small towns in the United States that you would actually want to live” by Realtor. com in the fall of 2015 (lakes, parks, walking paths and Blue Zones Project listed as “quality of life” indicators)
“In an age when poor health seems so intractable, you’ve taken this community from a place of resignation to a place of hope.”
Dr. Vivek Murthy

U.S. Surgeon General after his orientation to the Blue Zones Project in the Beach Cities, California