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“The Tipping Point: Activating a Public Health Movement to Address Gun Violence” Chicago, IL November 3, 2015. 143 rd Annual APHA Conference. David Satcher, M.D., PhD. Founding Director & Senior Advisor Satcher Health Leadership Institute at Morehouse School of Medicine
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“The Tipping Point: Activating a Public Health Movement to Address Gun Violence” Chicago, IL November 3, 2015 143rd Annual APHA Conference David Satcher, M.D., PhD. FoundingDirector & Senior Advisor Satcher Health Leadership Institute at Morehouse School of Medicine 16th U.S. Surgeon General
Satcher Health Leadership Institute Mission The mission of the Satcher Health Leadership Institute (SHLI) is to develop a diverse group of exceptional health leaders, advance and support comprehensive health system strategies, and actively promote policies and practices that will reduce and ultimately eliminate disparities in health. www.satcherhealthleadershipinstitute.org
What Is Public Health? Source: IOM, Association of Schools of Public Health
The Public Health Approach • Define the health problem or opportunity • Determine the cause or risk factors involved • Determine what works to prevent or ameliorate the problem • Determine how to replicate the strategy more broadly and evaluate the impact. • Public health begins and ends with surveillance. Source: CDC
highlights of the evolution of violence as a public health problem (1) • 1979 - Healthy People was first released as a Surgeon General Report on health promotion and disease prevention, and violence was declared a major health problem • 1985 – The Surgeon General’s workshop on violence and public health • 1992 – CDC receives its first congressional appropriation for youth violence prevention, and establishes the National Center for Injury Prevention and Control (NCIPC) • 1993 – Dr. Kellerman published his article in the New England Journal of Medicine, showing guns as not protected but putting the owners at risk; and later, Congress takes money from the CDC and forbid them from funding research dealing with gun violence
highlights of the evolution of violence as a public health problem (2) • 1999 – Surgeon General’s Call to Action to Prevent Suicide • 2001 – Following the Columbine shooting, Surgeon General’s report on Youth Violence Prevention • 2012 – Mark Rosenberg and Former Representative Dickey from Arkansas combined in their call for funding research in the prevention of firearms • 2013 – President Obama releases his National Plan for addressing gun violence with the call for an initiative to “End the freeze on gun violence research”
The 50th Anniversary of the First Ever Surgeon General’s Report on Smoking & Health JANURARY, 2014
Youth Violence: Causes and Solutions academic success effective parenting positive connections
Lessons from.. Public Health Successes
McKinlay’s Population Model of Health Promotion: Healthy Diet for Children Nutrition training Requirements for professional certification (childcare Healthcare) Parent training re; feeding Practices/healthy diets Agriculture policy Food subsidies And expanded funding/ Eligibility for NSLP/NSBP Community-wide Education campaigns State/Federal Food and menu Label regulations BMI screening And treatment Restaurant/grocery store/school point of purchase prompts School soda bans/ Competitive food restrictions Zoning/business Inventive for grocery stores Farmers markets Federal /State Lobbying/discharge regulation (downstream) (midstream) (upstream) Source: Based on McKinlay (1995), Glanz (1999)
“In order to eliminate disparities in health, we need leaders who care enough, know enough, will do enough and are persistent enough.”
“The Tipping Point: Activating a Public Health Movement to Address Gun Violence” Chicago, IL November 3, 2015 143rd Annual APHA Conference David Satcher, M.D., PhD. FoundingDirector & Senior Advisor Satcher Health Leadership Institute at Morehouse School of Medicine 16th U.S. Surgeon General