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Optimizing Health Over the Lifespan: Beyond Health Care. Paul Simon, MD, MPH Director, Chronic Disease and Injury Prevention Los Angeles County Department of Public Health June 21, 2011. Question.
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Optimizing Health Over the Lifespan: Beyond Health Care Paul Simon, MD, MPH Director, Chronic Disease and Injury Prevention Los Angeles County Department of Public Health June 21, 2011
Question Approximately what percentage of preventable deaths in the U.S. could be avoided by improved access to high quality health care: Source: McGinnis, Health Affairs, 2002 0 / 300 • 10% • 25% • 40% • 70%
Question Approximately what percentage of preventable deaths in the U.S. could be avoided by improved access to high quality health care: Source: McGinnis, Health Affairs, 2002 0 / 300 • Answer • 10%
traffic safety • air pollution • water quality & quantity • physical activity & diet • obesity & chronic disease • crime & violence • social capital • elder health & mobility • mental health • health disparities Community Design: Multiple Health Impacts
Dose-Response Curve Benefit A=Sedentary B=Moderately Active C=Active A B C Low High Baseline Activity Status Physical Activity and Health Source: Pate et.al., JAMA, 1995
A Framework for Public Health Action Increasing Individual Effort Needed Increasing Population Impact Source: T. Frieden, American Journal of Public Health, April 2010
ChooseHealthLA.com: “Eat, Move & Live Healthy” • Goals of website and social media: • Spotlight RENEW activities • Provide healthy living tools and resources • Create policy “toolbox” • Share multimedia