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On the Path to Better Health
Mary Collins, Director, BC Healthy Living Alliance
Secretariat
On the Path to Better Health
• Objective:
– Celebrate BCHLA’s 10-year anniversary– Take stock of the progress to date – Look forward to the decade ahead
On the Path to Better Health
• Part One: Celebrating BCHLA’s 10 Year Journey
• Part Two: Where Are We On The Path?• CD Incidence: Heart Disease, Lung Cancer and Diabetes• Protective and Risk Factors• Connection with Mental Health • The Health Gap
• Part Three: Where Do We Go From Here?• Approaches: universal -> targeted
First Nations Perspective on Health & Wellness
Hypertension
2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/110.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
Figure 2: Age Standardized Incidence Rate for Hypertension in BC (3 year averages)
Heart Diseases
Diabetes
2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/110.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
Figure 3: Age Standardized Incidence Rate for Diabetes in BC (3 year averages)
Provincial Distribution of Chronic Disease
Smoking
2003 2005 2007 2008 2009 2010 2011 20120
10
20
30
40
Age-standardized Prevalence Rate (age 12+) of Current Smokers (daily or occasional) in British Columbia, 2003 - 2012
Age-
stan
dard
ized
Prev
alen
ce R
ate
(%)
Vegetable and Fruit Consumption
2003 2005 2007 2008 2009 2010 2011 20120
10
20
30
40
50
60
Age-standardized Rate of Population (age 12+) Consuming Fruit and Vegetable 5 Times or More Per Day in British Columbia, 2003 - 2012
Age-
stan
dard
ized
Prev
alen
ce R
ate
(%)
Physical Activity
2003 2005 2007 2008 2009 2010 2011 20120
10
20
30
40
50
60
70
Age-standardized Rate of Population (age 12+) that are Moderately Active or Active During Leisure-Time in British Columbia, 2003 - 2012
Age-
stan
dard
ized
Prev
alen
ce R
ate
(%)
Overweight and Obesity
2003 2005 2007 2008 2009 2010 2011 20120
10
20
30
40
50
60
Age-standardized Prevalence Rate of Adult (age 18+) Overweight and Obesity in British Columbia, 2003 - 2012
Age-
stan
dard
ized
Prev
alen
ce R
ate
(%)
The Physical and Mental Health Connection
“[Mental illness] and chronic disease are frequently associated; the evidence, course, and outcomes are
affected by the presence of the others.”
- CDC (US) Public Health Action Plan to Integrate Mental Health Promotion and Mental
Illness Prevention with Chronic Disease Prevention 2011-2015
The Health Gap
• British Columbians who live in our poorest communities are between 24% and 91% more likely to die early from:
»cancer (24%), »respiratory diseases (53%), »circulatory diseases (65%) and »diabetes (91%).
On the Path to Better Health
• Part Three: Where do we go from here?
• Tobacco Control – lessons and new areas• Healthier Communities• Supporting Healthier Eating• Alcohol Moderation• Closing the Health Gap
On the Path to Better Health
• Part Three: Where do we go from here?
• Place-based Approaches and Social Pediatrics• A Healthy Start in Life• Settings: Schools and Workplaces• First Nations• Information Technology • Whole of Government, Whole of Society