Transcript Captain Jose H. Belardo Regional Health Administrator U.S. Department of Health and Human Services.

Captain Jose H. Belardo
Regional Health Administrator
U.S. Department of Health and Human Services
Key Priorities
• Putting PREVENTION First
Promoting healthy lifestyles and behaviors
• Emergency Preparedness and Response
Pandemic Flu preparedness
All-Hazards preparedness
• Eliminating Disparities in health
Racial
Ethnic
Economic
LEADING CAUSES OF DEATH
 HEART DISEASE
 CANCER
 HIV/AIDS
 INFLUENZA
 UNINTENTIONAL INJURY
HEART DISEASE BEHAVIOR
 Tobacco Use
 Diet
 Obesity
 Physical Activity
 Alcohol
Obesity Trends* Among U.S. Adults
BRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
The Facts
Over the past THREE decades, obesity has more
than TRIPLED among children and adolescents,
rising from 5% to 17%.
The Facts
Currently, 1 in 3 American children is overweight or obese.
www.ncsl.org/.../programs/health/ObesityMap.jpg
The National Survey of Children's Health, Overweight and Physical Activity Among Children: A Portrait of States and the Nation
2005; HRSA,Health,
United States, U.S. Department of Health and Human Services,Centers for Disease Control and Prevention, National Center for
Health Statistics, 2007.
The Facts
Over the past THREE decades, obesity has more
than TRIPLED among children and adolescents,
rising from 5% to 17%.
The Costs
There are major health effects
Obesity is estimated to cause:
112,000 DEATHS/year in the US
1 in 3 children born in 2000 are destined to
develop diabetes in their lifetime
The Costs
This is more than health…
It affects our human capital, our
economic growth, our communities,
our neighborhoods, our national
security.
The Costs
The economic consequences are staggering
Obese adults incur an estimated $1,429 more
in health care costs than their normal
weight peers
The Costs
The economic consequences are staggering
Adult obesity related health care costs:
$147 Billion
Childhood obesity related health care costs:
$3 Billion
Social Determinants of Health
(SHD)
 The World Health Organization has 2 Definitions.
 SDH are complex, integrated, and overlapping social
structures and economic systems that include social
environment, physical environment, and health
services. SDH are influenced by policies and are shaped
by money, power, and resources.
 SDH are circumstances in which people are born, grow
up, live, work and age, and the systems put in place to
deal with illness. SDH are shaped by economic, social,
and political forces.
Key Terms
 Health Disparity
 Specific types of health differences that is closely linked
with social and economic disadvantages
 Health Equity
 DHHS definition: valuing everyone equally with focused
and ongoing societal efforts to address avoidable
inequalities, historical and contemporary injustices, and
the elimination of health and health care disparities
 Health Inequity
 Negative health outcomes that are a result of social and
economical injustices
Social Determinants of Health
 3 Categories of Social Determinants of Health
 Social environment (i.e. discrimination, income,
education)
 Physical environment (i.e. buildings, spaces, and
transportation)
 Health Services (i.e. access and quality care)
 These 3 categories are beyond the individual’s control
but affects the individual’s environment.
SOCIAL DETERMINANTS OF
MENTAL HEALTH, WORKING
DEFINITION
 Income inequality
 Social Exclusion
 Food security
 Political disadvantage
 Housing quality
 Cultural Norms
 Social Status
 Discrimination
 Violence
 Literacy
 Education
 Employment Conditions
HEALTHY AND SAFE COMMUNITY
ENVIRONMENTS
 Health and Wellness are influenced by the places in
which people live, learn, pray, and play.
Let’s Move!
"The physical and emotional health of an
entire generation and the economic health
and security of our nation is at stake."
- First Lady Michelle Obama at the Let’s
Move! launch on February 9, 2010
There’s good news!
The Process
• The Domestic Policy
Council produced an
extensive report outlining
the science and
proposing the direction
for solving the problem of
childhood obesity
http://www.letsmove.gov/sites/letsmove.gov/files/TaskForce_o
n_Childhood_Obesity_May2010_FullReport.pdf
Five Pillars of Let’s Move!
Creating a healthy start for children
Empowering parents and caregivers
Providing healthy foods in schools
Improving access to healthy, affordable foods
Increasing physical activity
Creating a Healthy Start for Children
Get Kids Moving
Reduce Screen Time
Make Nutrition Fun
Offer Healthier Beverages
Support Infant Feeding
Let’s Move! in the Clinic
Empowering Parents and Caregivers
Providing Healthy Foods in Schools
• Healthy, Hunger Free Kids Act
• HealthierUS School
Challenge
• Chefs Move to Schools
Let’s Move Salad Bars
• Provide salad bars to schools across
the country
• Any K-12 school or district
participating in Natl. School Lunch
Program
• Visit ww.saladbars2schools.org to
learn more and complete an
application.
• Superintendant, Principal, and
Nutrition Service Director approval.
HealthierUS School Challenge
Improving Access to Healthy, Affordable Foods
Let’s Move
Museums and
Gardens
Food Industry Listening
Increasing Physical Activity
1.7 million PALAs
accomplished
USTA photo?
How we’re doing it…
Let’s Move! Faith and Communities
National Prevention Strategy
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The Affordable Care Act
In Addition to Coverage, Quality, and
Cost…
Unique Opportunities for
Prevention
Priorities
• Tobacco Free Living
• Preventing Drug Abuse
and Excessive Alcohol Use
• Healthy Eating
• Active Living
• Mental and Emotional
Well-being
• Reproductive and Sexual
Health
• Injury and Violence Free
Living
Five Causes Account For
66% of All Deaths
Heart Disease
All Other
Causes
34%
5%
5%
Cancer
27%
Chronic Lower
Respiratory Disease
23%
Stroke
6%
Unintentional Injuries
Source: National Vital Statistics
Report, CDC, 2008
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Recommendations (Example)
Active Living
• Encourage community design and development that
supports physical activity.
• Promote and strengthen school and early learning
policies and programs that increase physical activity.
• Facilitate access to safe, accessible, and affordable
places for physical activity.
• Support workplace policies and programs that
increase physical activity.
• Assess physical activity levels and provide education,
counseling, and referrals.
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Actions (Example)
Federal Government will….
• Promote the development of transportation options
and systems that encourage active transportation
and accommodate diverse needs.
• Support adoption of active living principles in
community design, such as mixed land use, compact
design, and inclusion of safe and accessible parks
and green space.
• Support coordinated, comprehensive, and
multicomponent programs and policies to encourage
physical activity and physical education, especially in
schools and early learning centers.
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HUD-DOT-EPA - HHS
Sustainable Communities
Partnership
Mobility Matters Workshop
November 5, 2010
Partnership Mission
To coordinate our policies, programs, and resources
to help urban, suburban, and rural areas and regions
to build sustainable communities, and to make
sustainable communities the leading style of
development in the United States.
HUD-DOT-EPA
sustainable communities partnership
Livable Communities Can Provide Transportation Options
HUD-DOT-EPA
sustainable communities partnership
Livable Communities Can Provide Housing Options
HUD-DOT-EPA
sustainable communities partnership
Livable Communities Can Provide Options
That Best Fit Their Citizens’ Needs
HUD-DOT-EPA
sustainable communities partnership
Environmental and Social Benefits of
Sustainable Communities
•
Reduced Emissions and Improved
Air Quality
•
Reduced Water Demand and Water
Impacts
•
Reclaimed Abandoned and
Hazardous Lands
•
More Walkable, Healthier
Neighborhoods
•
Enhanced Quality of Life and
Strengthened Social Fabric
HUD-DOT-EPA
sustainable communities partnership
Partnership Project – Iowa City
•
Iowa City’s Riverfront Crossings District
is led by EPA with assistance from FTA,
FHWA, HUD, and Iowa Department of
Natural Resources.
•
Iowa City has requested assistance in
transforming a 10-square block area
south of their downtown that presently
consists of brownfield properties into
an urban park and high density mixed
use neighborhood
•
This project is building on a previous
EPA-led project that provided
assistance for redeveloping areas
impacted by flooding in 2008.
HUD-DOT-EPA
sustainable communities partnership
Partnership Project – Iowa City
• EPA is in the process of accessing urban design experts to develop a
conceptual plan for the area.
• The revitalized District will become a Smart Growth urban
neighborhood that will emphasize walkablility and the use of public
transit.
• It will provide a mix of uses including affordable housing, ground
floor retail and office space, pedestrian-oriented streetscapes,
entertainment and recreational facilities, and public open space
including trails and other amenities along the Iowa River.
HUD-DOT-EPA
sustainable communities partnership50
There’s more to be done…
For the FIRST time ever, the current
generation is on track to have a shorter
lifespan than their parents.
Progress has been made, but more needs to
be done.
YOUR generation will drive those changes
and make the decision to live healthier
lifestyles.
Let’s Move.