Transcript Slide 1

Black Family Health Seminar
Introduction
NAD/IAD Health Summitt-2009
Presented by Byron E. Conner MD
Purpose of This Course
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Improve the health of the Black family
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Reduce health disparities
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Enhance the ministry of the church
What are racial and ethnic disparities
in health?
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“Health disparities are the differences in the
incidence, prevalence, mortality, and
burden of diseases and other adverse
conditions that exist among population
groups in the United States.”
Source: National Institutes of Health
Groups affected: African Americans,
Hispanic Americans, Asian/Pacific
Islanders, American Indians/Alaska Natives
Most Important Health Issues In The African
American Community
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Health Disparities: Greater morbidity and
mortality for multiple conditions
Lower life expectancy: for African
Americans
Excess deaths: Deaths that would not occur
if the mortality rate was the same as White
Americans (may be as much as 83,000
deaths each year)
Some Compelling Reasons To Do
Health Ministry
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We have a mandate from the Scriptures and from
the Spirit of Prophecy to do this
Churches can have a large impact on reducing
health disparities, as our health care system has
failed to do this
The Adventist lifestyle has been proven to improve
the length and quality of life
Regional churches are often located in our near
inner city and impoverished communities
The Biblical Mandate
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“And Jesus went about all Galilee, teaching in
their synagogues, and preaching the gospel of the
kingdom, and healing all manner of sickness , and
all manner of disease among the people.” Matthew
4:23
“The thief cometh not, but for to steal, and to kill,
and to destroy: I am come that they might have
life, and that they might have it more
abundantly.” John 10:10
The Biblical Mandate
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“And a certain man was there, which had an
infirmity thirty and eight years. When Jesus saw
him lie, and knew that he had been now a long
time in that case, he saith unto him, Wilt thou be
made whole?” John 5: 5&6
“But when he saw the multitudes, he was moved
with compassion on them, because they fainted,
and were scattered abroad as sheep having no
shepherd.” Matthew 9:36
A Prophetic Mandate
“I saw that it was a sacred duty
to attend to our health, and
arouse others to their duty.”
(The Great Visions of Ellen G. White, Page 93)
“I was again shown that the
health reform is one branch
of the great work which is to
fit a people for the coming of
the Lord. It is as closely
connected with the third
angel’s message as the hand
is with the body.”
Counsels on Diet and Foods, Page 69
The Spirit of Prophecy Mandate
“When properly conducted, the health
work is an entering wedge, making
way for other truths to reach the
heart.”
Counsels on Diet and Foods, Page 73
The Spirit of Prophecy Mandate
True Remedies
“Pure air. sunlight,
abstemiousness, rest,
exercise, proper diet,
the use of water, trust
in divine power—these
are the true remedies”
The Ministry of Healing,
Page 127
NUTRUTION
EXERCISE
WATER
SUNLIGHT
TEMPERANCE
AIR
REST
TRUST IN GOD
Ten Areas of Counsel From Ellen G.
White
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Care of health is a religious duty
The cause of disease is a violation of health laws
Avoiding the negative impact of intemperance
Vegetarianism
Control of appetite
Natural remedies in healing
Control of the mind
Personal cleanliness
Environmental concerns
Health education by the church
The Historical Mandate
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1985 report of the Secretary’s Task Force on Black
and Minority Health: 60,000 excess deaths occur each
year in minority populations
Healthy People 2010, stated the elimination of health
disparities as one of the nation’s most important goals
In 2002, the Institute of Medicine reported that racial
biases and differences in the quality of health plans
were related to the fact that minorities receive worse
health care
The Historical Mandate
Report from the American Journal of Public
Health, December 2004:
 83,570 excess deaths each year could be
prevented if the Black-White mortality gap
were eliminated
 Eliminating the mortality gap would save
more lives than production of new drugs,
diagnostic tests, and surgical procedures
The Challenges Before us
Leading Causes of Death in
America
1) Cardiovascular Diseases
2) Cancer
3) Stroke
4) Chronic lower respiratory diseases
5) Accidents
6) Diabetes
7) Influenza and Pneumonia
8) Alzheimer's Disease
9) Kidney Disease
10) Septicemia
LEADING CAUSES OF DEATH for
BLACK MEN ARE DISEASES THAT
CAN BE IMPACTED
Heart Disease
Cancer
Unintentional Injuries
Stroke
AIDS
Homicide
Diabetes
Pneumonia, Influenza
What does your future
hold?
LEADING CAUSES OF DEATH for
BLACK WOMEN ARE DISEASES
THAT CAN BE IMPACTED
Heart Disease
Cancer
Stroke
Diabetes
Unintentional Injuries
AIDS
Pneumonia, Influenza
There are alternatives to
early mortality.
Homicide
Life Expectancy Comparisons
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In general life expectancy for the White
population exceeds that of the African
American population by 5.3 years
Life expectancy for African American females
is 76.1 years and 80.5 years for White females
Life expectancy for African American males is
69 years, and is 75.3 years for White males
African American Morbidity and
Mortality
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Infant mortality rate more
than twice the rate for
White infants
Heart disease death rate
29% higher, stroke rate
40% higher
Prevalence of
hypertension is among the
highest in the world
Obesity and physical
inactivity are a major
cause of illnesses such as
diabetes, heart disease and
certain cancers
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Twice as likely to have
diabetes
Death rate from all
cancers 30% higher.
Prostate cancer death rate
twice as high, women 30%
more likely to die of breast
cancer
Homicide rate 6 times
higher
Males have 8 times the
AIDS rate and 9 times as
likely to die. Females 25
times the AIDS rate and
22 times likely to die
Institute of Medicine Report:
3/20/02
• A look at racial disparities nationwide in
health care among people with health
insurance
• Reviewed more than 100 studies conducted
over the previous decade
• Concluded that racial biases and differences
in the quality of health plans are reasons
why minorities may receive worse care
Health Care Disparities
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African Americans even when insured, are less
likely to receive the following:
High tech intervention therapy for CAD and
stroke
Full options for treatment of prostate, breast
and colon cancer
Adequate prenatal care
Cutting edge drugs for HIV infection
Prescription drugs, such as more effective
antibiotics and analgesics
Economic Disparities
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In 1974 black families had an income 63% of a
typical white family but in 2004 it was 58%
From 1974 to 2004: the income of Black men has
decreased, that of White men has remained fairly
stable, but White women have had a five-fold
increase in salary
Poverty rate for Blacks 24.9%, and for Whites
8.9% in 2005
In 2005 19.6% of Blacks had no health insurance
and 11.3% of whites did not have health insurance
Environmental Risk Factors
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Increased exposure to toxic waste, air pollution,
higher concentration of crime, poorer maintained
buildings, and exposure to lead paint
Increase exposure to crime and violence
Excess fast food outlets
Higher prices for health foods such as fruits and
vegetable, with processed foods being cheaper and
more abundant
Less neighborhood safety for outdoor exercise and
recreation, fewer gyms/fitness facilities
Choose To Live
Helping Others To Live Longer and
Better
And Serve Your Church
And Your Community
Live Longer And Better
“But unto you that
fear my name
shall the Sun of
righteousness
arise with healing
in His wings…”
Malachi 4:2