Rohan Jaitley: Central Gov't Standing Counsel for Justice
Healthy Chicago- Impact on Maternal & Child Health
1. Chicago Department of Public Health
Healthy Chicago:
Impact on Maternal and Child Health
June 5, 2012
Bechara Choucair, MD
Commissioner
Chicago Department of Public Health
@choucair on
#IMCHCAM2012
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner
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7. HEALTHY CHICAGO
CHICAGO DEPARTMENT OF PUBLIC HEALTH
TRANSFORMING THE
Chicago Department of Public Health
HEALTH OF OUR CITY
CHICAGO ANSWERS THE CALL
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner
8. HEALTHY CHICAGO
Chicago Department of Public Health
IT MATTERS
Chicago Department of Public Health
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner
9. A Comprehensive Public Health Agenda
A blueprint for action to create:
»Healthy City
»Healthy Neighborhoods
»Healthy Homes
»Healthy People
10. HEALTHY CHICAGO
Chicago Department of Public Health
IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
Chicago Department of Public Health
IT’S ABOUT HOW WE
BEHAVE AS A CITY
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner
11. IT DEMANDS THAT WE MAKE CHANGES
» Policies to ensure health promoting environments
» Programs that promote the health of women, children
and families
» Education so that individuals have the information to
make healthy choices and providers have the skills to
deliver public health services
12. Chicago Public Health Agenda
Chicago Department of Public Health
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner
13. HEALTHY CHICAGO
Chicago Department of Public Health
MOVING TOWARD A
HEALTHY CHICAGO
Chicago Department of Public Health
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner
14. Chicago Department of Public Health
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner
15. Status of Healthy Chicago (n = 193)
by Specific Priority, 2011 (4th Quarter)
22. Policy Accomplishments
Breast Feeding
10 Chicago hospitals
have entered the
pathway to become Baby
Friendly
23. Policy Accomplishments
Child Care Standards
• Standards for nutrition, physical activity and screen
time
• 90 trainings reached 1,400 day care center
providers
• All licensed day care
centers are adopting
standards, which as
of 12/20/11 was 743
centers
24. Policy Accomplishments
Tobacco Prevention
• 1638 units of private
smoke-free housing
• 4 CHA smoke-free
developments
• 750 undercover stings
for illegal sales to
minors
25. Policy Accomplishments
School Health
• Established Office of Adolescent and School
Health
• Hired CPS Chief Health Officer
• Expanded STI screening in CPS schools
• Improved nutritional standards for school meals
• 56 schools certified by Healthier
US School Challenge
27. Program Accomplishments
Immunizations
Increase immunization rates for
children in WIC
National award for immunization
improvement - past two years
Distribute 1.2 million vaccines
through VFC program
Conduct activities to promote
adolescent immunizations
•HPV priority of Healthy Chicago
Agenda
28. Program Accomplishments
Adolescent Health
• STI screenings
– 8,592 educated; 5,778 screened (FY12 to date)
• Teen Pregnancy Prevention Initiative
– 4500 students received curriculum and supports
(FY12)
• Teen dating violence prevention
– 5000 youth and parents*
*anticipated 2012-2016
38. Education Accomplishments
Communicable Disease Control
• ICAAP training partnership with Providers
to increase immunization coverage
• 47 TB prevention and treatment
Education session delivered to healthcare
providers and the public
40. Coming Soon
• Asthma Initiative
• Bicycle helmets
• Healthy CPS Action Plan
• Play streets
• Obesity report on CPS students
• Lactation rooms in City buildings
• Seek funding for school-based adolescent vaccine
program
• Expand school based health centers
• New wellness policy for CPS
Does not include violence prevention, HIV, cancer, heart disease, public health infrastructure, not b/c they aren’t important and relevant but because we had to focus.
Needs 09 data
Needs new graph made. - 31.8/1000 birthrate for women under 20; however the high rate communities are as high as 54.7/1000 72% of all teen births occur in just 34 communities According to the 2009 Youth Risk Behavior Survey: 44.9% of 9 th graders report having sex (YRBS 09) 34.9% did not use a condom during last sexual intercourse (YRBS 09)
Healthy Chicago identified 56 policies, only a fraction of what is needed to truly create a Healthy Chicago. We have worked continuously to add new policy strategies as opportunities arise, and this is the area where we will grow the agenda most moving forward. Let me share with you some of our policy success that support healthy women, children and families.
All 19 birthing hospitals in Chicago have completed the assessment to become certified as a Baby Friendly Hospital, as defined by the World Health Organization. 10 of these have officially entered the pathway to become Baby Friendly: 5 are in phase 1 5 are in phase 2
Board of health issued standards for child care centers in 2009 regarding nutrition, physical activity and screen time. With support from the Sprague Memorial Institute, and in partnership with the Erikson Institute and Illinois Action for Children, nearly 90 trainings have been conducted across the City, reaching over 1400 providers. All licensed day care centers should be adopting the standards, which as of 12/20/11 was 743 centers
. We have 56 schools certified and are working with many others to meet the HUSSC criteria.
We know that policy change is only part of the challenge. Once supportive policies are in place, we need to ensure that the services and programming is offered to further facilitate healthy behaviors.
2011—52% of kids were screened and 2010 57% of kids were screened—clearly not the right direction but in 2012 rolling 12 mo we are up to 54% in February.
To date, 340 schools and 73,172 have received an exam during the 2011/2012 school year (much data is pending). WE are expanding to see High school students next school year.
Our educational and public awareness strategies are designed to provide residents with the information they need to make healthy choices and – through training - to provide providers with the tools they need to best help keep Chicagoans healthy.
This is the winning image from out Chicago Tobacco Prevention Project’s "Quit Week" graphic design contest. The ad depicts some of the negative health effects that secondhand smoke can have on children, and reads: "Exhaled by parents. Inhaled by children."
This is just a partial list of some of the activities that we are currently work on. We consider Healthy Chicago to be a “living document” and as I said earlier, we are always adding new strategies. I would encourage any of you here today to contact us with potential strategies or ideas. Asthma initiative—pilot with UIC ER; children w/ asthma attack; CDPH will be notified and we will do a home visit (lead Nurse CM) inspector will do a building inspection to determine and rid asthma triggers (under development)