Healthy Chicago: Focus on Heart Disease and Stroke


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Healthy Chicago: Improve cardiovascular health through prevention, detection, and reduction of risk factors for heart disease and stroke.

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Healthy Chicago: Focus on Heart Disease and Stroke

  1. 1. Healthy Chicago:Focus on Heart Disease and Stroke Erica Salem, Deputy Commissioner Berenice Tow, Project Director Chicago Board of Health October 17, 2012 Chicago Department of Public Health @ChiPublicHealth on
  2. 2. Heart Disease and StrokeHealthy Chicago Goal:Improve cardiovascular health through prevention,detection, and reduction of risk factors for heartdisease and stroke.Healthy Chicago Target:• Reduce the proportion of adults who have high blood pressure• Decrease the stroke mortality rate
  3. 3. HEALTHY CHICAGOChicago Department of Public Health
  4. 4. HEALTHY CHICAGOChicago Department of Public Health Death Rate due to Stroke, 1999-2007 70 60 50 40 37 30 20 10 Source: Vital Records, Illinois Department of Public Health (IDPH). Data are age-adjusted 0 1999 2000 2001 2002 2003 2004 2005 2006 2007
  5. 5. Overview: Heart Disease and Stroke• Heart disease and stroke are the first and third leading causes of death in the U.S and Chicago• In 2010, cardiovascular diseases accounted for more than $500 billion in health care expenditures and lost productivity due to death and disability
  6. 6. Overview: Cardiovascular Health• Ideal cardiovascular health includes: – abstinence from smoking within the past year – ideal body mass index – physical activity at goal levels – a healthy diet – healthy, untreated cholesterol levels and blood pressure – the absence of diabetes
  7. 7. Leading Contributors to Premature Deaths and Related Grant Funding, Chicago 30% 25% 20% 15% 10% Deaths before age 75, 2004-2008 2012 Funding 5% 0%
  8. 8. Heart Disease and Stroke Progress • Million Hearts Risk Check Challenge • Stroke Awareness • CPR and AED Awareness • Mobile Produce Carts • Healthy Corner Stores Initiative • Make Way for Play • Healthy Vending • Play Streets • REACH US program
  9. 9. Stroke and Heart Health Awareness• National Stroke Awareness Month- May ―32,000 City employees received AHA bookmarks with stroke warning signs• Go Red for Women Tell 5! Forum in Pilsen ―Healthier women, families and hearts through education and community collaboration
  10. 10. CPR Training and Awareness• In partnership with CPS and AHA – All Chicago Public Schools received Hands-Only CPR posters to be displayed throughout the schools• June 2012: Illinois state law supports CPR and AED training for 6th-8th graders• Northwestern and Chicago Cardiac Arrest Resuscitation Education Service (CCARES) will pilot Hands-only CPR training video with students and teachers
  11. 11. Racial and Ethnic Approaches to Community Health (REACH)REACH is a national program vital to the Centersfor Disease Control and Prevention’s (CDC)efforts to eliminate racial and ethnic disparitiesin health.
  12. 12. Racial and Ethnic Approaches to Community Health (REACH)Overview Targeted Groups• CDC Program • African American• Reduce Disparities • American Indian / Alaskan – Breast and cervical cancer Native – Cardiovascular disease • Asian – Diabetes mellitus • Hispanic/Latino – Adult immunization • Pacific Islanders – Hepatitis B – Tuberculosis – Asthma – Infant mortality
  13. 13. REACH History in Chicago• REACH 2010 – Year 2000, five-year award – Focus on Diabetes and Cardiovascular Disease Disparities – Implemented in North and South Lawndale• REACH US – Action Communities – 2007, five-year award – Focus on Diabetes (DM2) and Cardiovascular Disease (CVD) – Implemented successful approaches from REACH 2010 – Added Chicago Lawn as intervention site• Centers of Excellence in the Elimination of Disparities (CEEDs) – UIC Midwest Latino Health, Research, Training and Policy Center
  14. 14. CDPH-REACH Health Promotion Project• Goal: Decrease the rate of type 2 diabetes and cardiovascular disease among African American and Hispanic populations• Uses multi-level community approaches to influence behavior changes at the individual, community, environmental and health systems level
  15. 15. REACH U.S. ObjectivesBy 2012, increase: – the number of persons who are aware of their DM2/CVD risk profile by 5% – the number of persons who are connected to a medical home by 50, and annually thereafter by 100 community members – the population who report having increased fruit and vegetable consumption by 3% – the population who report increasing and meeting required physical activity daily level by 3% – the number of local community-based organizations that promote healthy lifestyle changes by 10
  16. 16. Key Activities• Community Health Outreach• Health Education• Community Service Referrals• Train the Trainer Nutrition Program• Building Community Capacity
  17. 17. REACH US Partners• Lawndale Christian Health Center• Sinai Community Health Institute• Family Focus• Dr. Jorge Family Health Center• American Heart Association• American Diabetes Association• YMCA• Healthy Chicago Lawn Coalition• CDPH Nutrition Program• North Lawndale Senior Terrace• Fresh Moves• Daley College Employment Services• REACH CEED -UIC
  18. 18. REACH U.S. Progress• Train the trainer nutrition program• Beauty and Barbershop Initiative• Conducted 2,375 DM2 and CVD Risk assessments• Provided 4,686 primary care referrals to residents• Held 2,339 nutrition and health education classes• 7,354 residents have attended classes• Collaborated with 16 community based organizations, and 9 beauty and barbershop businesses
  19. 19. REACH Outcomes: Weight Adult BMI Group45%40% ↓6%35% ↑2%30% ↑5%25%20%15%10%5%0% 2009 2010 2011 normal overweight obese
  20. 20. REACH Outcomes: Produce Consumption Percent of adults who reported eating 5 or more fruits & vegetables daily25%20%15%10%5%0% 2009 2010 2011 REACH Chicago
  21. 21. REACH Outcomes: Physical Activity Percent of adults who meet physical activity recommendations50% ↑4%40%30%20%10%0% 2009 2010 2011 REACH Chicago
  22. 22. REACH Outcomes: Smoking Cessation Percent of adults who currently smoke30%25%20% ↓27%15%10%5%0% 2009 2010 2011 REACH Chicago
  23. 23. REACH Outcomes: Hypertension Percent of adults who reported having high blood pressure31%30%29%28%27%26% ↓26%25%24%23% 2009 2010 2011 REACH Chicago
  24. 24. REACH Outcomes: Cardiovascular Disease
  25. 25. REACH Outcomes: Stroke Awareness Percent of adults who recognize the signs of stroke10.0% 8.0% ↑6% 6.0% 4.0% 2.0% 0.0% 2009 2010 2011
  26. 26. REACH Outcomes: Diabetes Percent of adults who reported having diabetes14%12% ↓10.8%10%8%6%4%2%0% 2009 2010 2011 REACH Chicago
  27. 27. Next Steps• Retain community partnerships• Continued nutrition train-the-trainer efforts in project area• Provide training to AmeriCorps workers in Chicago• CPR training at CPS• Extended partnership with American Heart Association - Faith communities
  28. 28.