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Sustaining Healthy Communities - A Challenge

Sustaining Healthy Communities - A Challenge. Maria Torroella Carney, MD, FACP March 23, 2010 Long Island Center for Health Policy. Public Health Core Functions. Assessment Monitor Health Diagnose &Investigate. Policy Development Inform & Educate Mobilize Community Develop Policy.

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Sustaining Healthy Communities - A Challenge

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  1. Sustaining Healthy Communities - A Challenge Maria Torroella Carney, MD, FACP March 23, 2010 Long Island Center for Health Policy

  2. Public Health Core Functions Assessment Monitor Health Diagnose &Investigate Policy Development Inform & Educate Mobilize Community Develop Policy Assurance Enforce Law Link to Provide Care Assure Competent Workforce Evaluation

  3. County Health Ranking • Health Outcomes– 6th • Mortality – 1st • Morbidity – 17th • Health Factors – 1st • Healthy Behaviors – 7th (tobacco, diet, exercise, alcohol use, high risk sexual behavior) • Clinical Care – 3rd • Social and Economic Factors – 2nd • Physical Environment – 32nd • Environmental Quality • Built Environment Source: Robert Wood Johnson Foundation in partnership with University of Wisconsin Population Health Institute County Healthy Rankings 2010

  4. Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  5. Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  6. Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  7. Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  8. Obesity Trends* Among U.S. AdultsBRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  9. Obesity Trends* Among U.S. AdultsBRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  10. Community Health Assessment Nassau County Department of Health report to NY State Department of Health created every 5 years - contains: • Population Report • Health Data • Local Health Unit Description • Problems and Issues in the Community • Local Health Priorities • Opportunities for Action

  11. Nassau County 500 NYS 450 400 NYS excl. NYC 350 300 250 200 150 100 50 0 1976- 1981- 1986- 1991- 1996- 2001- 1980 1985 1990 1995 2000 2005 Source: NYS Cancer Registry 1976-2005 Cancer Incidence Rates among Females (All Invasive Malignant Tumors) 5 Year Trends(1976-2005) Age-adjusted Rate per 100,000 Population

  12. HIV in Communities

  13. Asthma Prevalence by Community Nassau County Behavioral Risk Surveillance Survey 2006

  14. Tobacco Use (%) Source: Nassau County Behavioral Risk Factor Surveillance Survey 2006

  15. Overweight (%) Source: Nassau County Behavioral Risk Factor Surveillance Survey 2006

  16. Obesity (%) Source: Nassau County Behavioral Risk Factor Surveillance Survey 2006

  17. Local Health Priorities • Cardiovascular Disease Prevention • Diabetes, Obesity, Nutrition Education • Tobacco Use Cessation • Fall Injury Prevention • Cancer Screening Promotion • Teenage Pregnancy Prevention

  18. Community Access to Health Care Social Capital Built Environment Individual & Family Public Well Being Community Economic Development Public Policy Health Literacy Natural Environment Health Marketing

  19. Nassau’s Access to Health Care • 12 Hospitals • 34 Nursing Home/Rehabilitation Centers • 6 Hospices • 21 Home Health Care Agencies • 12 Long Term Care Agencies • 8 Prenatal Care Assistance Programs • 4 Community Health Centers • 12 HIV Testing Sites • Urgent Care Centers expanding

  20. Nassau’s Access to Health Care 7,411 beds 35 30 Nursing Homes/Rehabilitation 25 Centers 20 4,397 beds HHA 15 Hospitals 10 Urgent Care Centers HIV PCAP 5 LTC Hospices CHC 0

  21. Health Care Providers in Nassau • Over 8,000 Physicians • 2666 Primary care • 5368 Specialists • 1057 Physician Assistants • 1,218 Nurse Practitioners • 2,019 Dentists

  22. Health Care Providers in Nassau

  23. Steps to Sustain Healthy Communities Health Determinants Behaviors Intermediate Outcomes Environmental and Community Factors Health Outcomes Mortality/ Morbidity aka Longevity/Quality of Life

  24. Nassau County Legislation Mandating Nutritional Information Artificial Trans Fats Banned From Restaurants • On September 18, 2007, the NCBOH voted to restrict the use of artificial trans fats from all permitted food service establishments in the county. On April 1, 2008, the trans fat restrictions took effect for trans fats used for frying or in spreads and on April 1, 2011, the ban will go into effect for oils or shortening used for baking. Calorie Menu Labeling • On September 10, 2009, the NC Legislature voted into law Calorie Menu Labeling legislation.

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