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Chronic Disease

Chronic Disease. In Windsor-Essex 2005. Mortality. Cancer. EKL DHC – Health System Monitoring Report, 2003/04. Prevalence of Chronic Conditions. EKL DHC – Health System Monitoring Report, 2003/04. Prevalence of risk behaviours. In Essex: 21.4% smoke daily or occasionally

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Chronic Disease

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  1. Chronic Disease In Windsor-Essex 2005

  2. Mortality

  3. Cancer EKL DHC – Health System Monitoring Report, 2003/04

  4. Prevalence of Chronic Conditions EKL DHC – Health System Monitoring Report, 2003/04

  5. Prevalence of risk behaviours In Essex: • 21.4% smoke daily or occasionally • 21.9% engage in heavy drinking • 49.1% are physically inactive • 34.2% consume the recommended 5 servings of vegetables and fruits per day. source: DHC, 2003

  6. Demographic factors predisposing to chronic disease • Aging population • Higher rate of unemployment than provincial average and 30% of population below Low Income Cut-offs • Lower education than provincial average • 27% of workforce are shift workers • 22% of population foreign born; of these South Asians, Eastern Europeans have higher risk of CVD; Chinese have higher risk of stroke.

  7. Chronic disease is largely preventable • 7/10 leading causes of death are directly linked to lifestyle behaviours. • 90% of lung cancer in men and 80% in women is caused by smoking. • 35% of all cancers directly related to unhealthy eating • 27% of breast cancer may be due to diet and physical inactivity

  8. Chronic disease is preventablecontinued • 60% of colo-rectal cancer is attributable to dietary behaviours • 35% of all deaths from IHD and stroke attributable to smoking • 31% of all deaths from IHD and stroke are due to physical inactivity • 54% of decline in CVD over past 30 years due to population based changes in diet, smoking and physical activity.

  9. Cost of chronic disease • IHD costs, direct and indirect, $5.5 billion, or 2% of provincial gross domestic product. • Obesity cost Canada’s economy $2.7 billion and health care system $1.6 billion in 2000/2001. • Diabetes costs Ontario $700-875 million dollars per year. • Annual cost of chronic disease prevention public health programs is approximately, $2.00 per person.

  10. Public health approach • Comprehensive programs that Incorporate: awareness raising, education and skill building, environmental support, and policy. • Use Best Practices • Target specific populations/sectors

  11. Healthy Communities Model

  12. Approach • Awareness raising:health communication aimed at increasing knowledge and/or changing attitudes about the topic being addressed • Education:providing information and the opportunity to develop skills to effect knowledge, attitude and behaviour change

  13. Approach continued • Environmental support: creating social and/or physical environments that support healthy behaviours • Policy development: changing formal or informal rules of governing bodies to support healthy behaviours

  14. Channels • Media • Schools • Day Cares/Nursery Schools • Workplaces • Recreation Facilities • Day Camps

  15. Channels continued • Health Care settings • Restaurants • Grocery Stores • Community at large

  16. Target populations • Adults • Children • Youth • Seniors • Diverse populations • Community partners/volunteers • Health Professionals • Educational professionals

  17. Provincial Strategies • Active2010 • Ontario’s Tobacco Strategy • Healthy Weights Strategy pending

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