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6 th Annual East and Southeast Fort Worth Economic Development Summit. Lou K. Brewer, RN, MPH Health Director Tarrant County Public Health. Return on Investment.
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6th Annual East and Southeast Fort Worth Economic Development Summit Lou K. Brewer, RN, MPH Health Director Tarrant County Public Health
Return on Investment • If we invested $10 per person in strategic community-based disease prevention programs aimed at improving physical activity and nutrition and preventing smoking and other tobacco use, the state savings after 5 years is estimated to be over one billion dollars. – Trust for America’s Health
Tarrant County Public Health Programs • Vision North Texas Health Research Team • WIC – food packages, education regarding selection, preparation and storage of nutritious foods • Farmers’ markets • Food stamp pilot project • Live a More Colorful Life
Tarrant County Public Health Programs • Community gardens • Food advisory council • Food deserts • Building Equitable Communities – Health Impact Assessment (HIA) • Prevention, prevention, prevention • Policy, policy, policy
70.0 60.0 60.2 64.0 62.9 50.0 40.0 Percent 30.0 20.0 10.0 0.0 Texas† Tarrant County§ United States‡ Overweight/Obesity (BMI ≥ 25.0) among adults 18 years and older, Tarrant County, Texas, and the United States, 2004 Texas† §Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health †Data source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services ‡Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention Estimates weighted to population characteristics
Overweight estimate (BMI 25.0 – 29.9) by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health
Obesity estimate (BMI ≥ 30.0) by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health
10.0 8.0 6.0 7.5 6.5 Percent 4.0 5.5 2.0 0.0 Tarrant County§ 2004 Texas† 2003 United States‡ 2003 Heart disease among adults 18 years and older, Tarrant County, Texas, and the United States §Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health †Data source: 2003 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services ‡Data source: 2003 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention Estimates weighted to population characteristics
Heart disease estimate by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health
225.0 209.8 190.9 202.7 150.0 Rate 75.0 0.0 Tarrant County† Texas† United States‡ Heart disease death rate, Tarrant County, Texas, and the United States, 2007 Rate per 100,000 population age-adjusted to 2000 standard population †Data source: Texas Department of State Health Services ‡Data source: National Center for Vital Statistics
Heart disease death rate by ZIP Code, Tarrant County, 2005 Data source: Texas Department of State Health Services
500.0 461.8 400.0 466.8 444.2 300.0 Rate 200.0 100.0 0.0 Tarrant County† 2007 Texas† 2007 United States‡ 2006 Rate per 100,000 population age-adjusted to 2000 standard population †Data source: Texas Cancer Registry ‡Data source: National Program of Cancer Registries All site cancer incidence, Tarrant County, Texas, and the United States
200.0 178.4 150.0 180.8 173.7 Rate 100.0 50.0 0.0 Tarrant County† Texas† United States‡ All site cancer death rate, Tarrant County, Texas, and the United States, 2007 Rate per 100,000 population age-adjusted to 2000 standard population †Data source: Texas Department of State Health Services ‡Data source: National Center for Vital Statistics
All site cancer death rate by ZIP Code, Tarrant County, 2005 Data source: Texas Department of State Health Services
10.0 8.0 7.2 7.7 6.0 Percent 5.9 4.0 2.0 0.0 Tarrant County§ Texas† United States‡ Diabetes among adults 18 years and older, Tarrant County, Texas, and the United States, 2004 §Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health †Data source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services ‡Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention Estimates weighted to population characteristics
Diabetes estimates by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health
30.0 25.0 25.5 20.0 25.4 22.5 Rate 15.0 10.0 5.0 0.0 Tarrant County† Texas† United States‡ Diabetes death rate, Tarrant County, Texas, and the United States, 2007 Rate per 100,000 population age-adjusted to 2000 standard population †Data source: Texas Department of State Health Services ‡Data source: National Center for Vital Statistics
Diabetes death rate by ZIP Code, Tarrant County, 2005 Data source: Texas Department of State Health Services
“Without health there is no happiness” - Thomas Jefferson