Cities that scored lowest – Santee, El Cajon, and Lemon Grove – are all East County cities built primarily around the use of automobiles as the main form of transportation.  In addition, these cities scored lower on policies and implementation of street improvements that improve walking safety or convenience.  This is not to say there are no such policies – indeed, all three have focused on increasing walking, bike safety, traffic calming, and transit use in key areas, such as residential neighborhoods, Main Street corridors, and trolley stations. Due to past planning decisions, however, creating safe and convenient walking conditions will be a long-term effort for these cities.