Captain Jose H. BelardoRegional Health Administrator
U.S. Department of Health and Human Services
• Putting PREVENTION First Promoting healthy lifestyles and behaviors
• Emergency Preparedness and Response Pandemic Flu preparedness
All-Hazards preparedness
• Eliminating Disparities in healthRacialEthnicEconomic
Key Priorities
LEADING CAUSES OF DEATH HEART DISEASECANCERHIV/AIDSINFLUENZA UNINTENTIONAL INJURY
HEART DISEASE BEHAVIORTobacco UseDietObesityPhysical ActivityAlcohol
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 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.jpgThe 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 TermsHealth Disparity
Specific types of health differences that is closely linked with social and economic disadvantages
Health EquityDHHS 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 InequityNegative health outcomes that are a result of
social and economical injustices
Social Determinants of Health3 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 DEFINITIONIncome inequalityFood securityHousing qualitySocial StatusViolenceEducationEmployment
Conditions
Social ExclusionPolitical
disadvantageCultural NormsDiscriminationLiteracy
HEALTHY AND SAFE COMMUNITY ENVIRONMENTSHealth 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_on_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
Let’s Move! in the Clinic
Get Kids MovingReduce Screen Time Make Nutrition FunOffer Healthier BeveragesSupport Infant Feeding
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 HealthierUS School ChallengeChallenge
HealthierUS School HealthierUS School ChallengeChallenge
Improving Access to Healthy, Affordable Foods
Let’s Move Let’s Move Museums Museums and and GardensGardens
Let’s Move Let’s Move Museums Museums and and GardensGardens
Food Industry Food Industry ListeningListening
Food Industry Food Industry ListeningListening
Increasing Physical Activity
1.7 million PALAs accomplished
USTA photo?
How we’re doing it…
Let’s Move! Faith and Let’s Move! Faith and CommunitiesCommunities
Let’s Move! Faith and Let’s Move! Faith and CommunitiesCommunities
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
Source: National Vital Statistics Report, CDC, 2008
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Recommendations (Example)
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Actions (Example)
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HUD-DOT-EPA - HHSSustainable Communities
PartnershipMobility Matters Workshop
November 5, 2010
HUD-DOT-EPAsustainable communities partnership
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-EPAsustainable communities partnership
Livable Communities Can Provide Transportation Options
HUD-DOT-EPAsustainable communities partnership
Livable Communities Can Provide Housing Options
HUD-DOT-EPAsustainable communities partnership
Livable Communities Can Provide Options That Best Fit Their Citizens’ Needs
HUD-DOT-EPAsustainable communities partnership
• 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
Environmental and Social Benefits of Sustainable Communities
HUD-DOT-EPAsustainable 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-EPAsustainable communities partnership
• 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.
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Partnership Project – Iowa City
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. Let’s Move. Let’s Move. Let’s Move.