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Chronic Disease in Kentucky Why it should matter to you!

Chronic Disease in Kentucky Why it should matter to you!. Rice C. Leach, M.D. Commissioner Kentucky Department for Public Health May 8, 2003. Public Health Concerns. Kentucky’s general health status Obesity over the last 20 years Conditions Diabetes Cardiovascular disease (heart attacks)

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Chronic Disease in Kentucky Why it should matter to you!

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  1. Chronic Disease in KentuckyWhy it should matter to you! Rice C. Leach, M.D. Commissioner Kentucky Department for Public Health May 8, 2003 Active Living: Leadership in Kentucky

  2. Public Health Concerns • Kentucky’s general health status • Obesity over the last 20 years • Conditions • Diabetes • Cardiovascular disease (heart attacks) • Arthritis • Cancer • Birth Defects (heart, neural tube) • Strokes Active Living: Leadership in Kentucky

  3. Causes • Obesity • Too many calories • High fat content • Not enough fiber (fruits and vegetables) • Lack of Exercise • Video games and television replaced playgrounds • Automobiles replaced bicycles • No more high school physical education requirement • Smoking Active Living: Leadership in Kentucky

  4. Kentucky’s Rates • Type II Diabetes in Kentucky—doubled since1990 • Obesity in Kentucky—doubled since 1990 • Obesity in the United States—doubled since 1985 • Kentucky’s adults smoke more than any other state • Kentucky’s youth most likely to smoke every day • Kentucky’s youth unlikely to exercise every day Active Living: Leadership in Kentucky

  5. Public Health—What helps? • Population Issues • Training • Large Groups • Small Groups • Environmental changes • School lunches • Smoke-free areas • School vending machine food • Measure Success—learn from work being done Active Living: Leadership in Kentucky

  6. Get With The Guidelines—Why Bother? • Improved Quality of Life • Live Longer • Stay out of the nursing home • Pay less for my “golden years” • Avoid side effects of medicines • Avoid surgery Active Living: Leadership in Kentucky

  7. Prevention—Why Bother? • What is in it for me? • Health Insurance costs • Medical Care Costs • State Budgets • State and Federal Income Taxes • Condition of Roads • Funding for Schools • College Tuition • Employment Opportunities Active Living: Leadership in Kentucky

  8. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  9. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1986 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  10. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1987 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  11. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1988 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  12. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1989 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  13. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  14. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1991 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  15. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1992 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  16. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1993 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  17. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1994 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  18. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  19. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1996 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  20. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  21. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1998 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  22. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  23. No Data <10% 10%-14% 15-19% 20% Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10. Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  24. Impact of Obesity • On people • More diabetes • More heart disease • More strokes • More kidney failure • More patients on dialysis • Earlier disability Active Living: Leadership in Kentucky

  25. Future Health Insurance Cost Increases 2015 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  26. Future Health Insurance Cost Increases 2016 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  27. Future Health Insurance Cost Increases2017 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  28. Future Health Insurance Cost Increases2018 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  29. Future Health Insurance Cost Increases2019 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  30. Future Health Insurance Cost Increases2030 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  31. Future Health Insurance Cost Increases2031 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  32. Future Health Insurance Cost Increases2032 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  33. Future Health Insurance Cost Increases2033 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  34. Future Health Insurance Cost Increases2034 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  35. Future Health Insurance Cost Increases2035 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  36. Future Health Insurance Cost Increases2036 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  37. Future Health Insurance Cost Increases2037 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  38. Future Health Insurance Cost Increases2038 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  39. Future Health Insurance Cost Increases2039 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  40. Future Health Insurance Cost Increases2040 (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  41. Impact on Public Funds • More people on disability • Fewer years in the work force • Earlier admission to nursing home • Increased demand for health care services ($3B today) • Increased demand on Medicaid and Medicare • Increased demand for public support of medical care • Decreased contribution to employee health insurance • More people without health insurance Active Living: Leadership in Kentucky

  42. Tax Increases? (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  43. Tax Increases (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  44. Tax Increases? (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  45. Tax Increases? (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  46. Tax Increases? (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  47. Tax Increases? (*BMI 30, or ~ 30 lbs overweight for 5’4” woman)

  48. Tax Increases? (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  49. Tax Increases? (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

  50. Tax Increases? (*BMI 30, or ~ 30 lbs overweight for 5’4” woman) Active Living: Leadership in Kentucky

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