Transforming the Health of the Community Snively Lecture

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Dr. Choucair presenting on Transforming the Health of the Community Snively Visiting Professorship Lecture at University of California Davis.

Dr. Choucair presenting on Transforming the Health of the Community Snively Visiting Professorship Lecture at University of California Davis.

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  • This summer (July 23, 2013), the FDA released a scientific report related to menthol-flavored cigarettes. See “Preliminary Scientific Evaluation of the Possible Public Health Effects of Menthol versus Non-menthol Cigarettes.” The FDA’s report confirmed what the public health community has known for years – that menthol flavored cigarettes are more addictive and harder to quit. They are a starter product for youth. Kids aged 12-17 smoke menthols more than any other group. In addition, significant racial, gender and socioeconomic disparities were found in in the use of menthol cigarettes.
  • Explain town hall process. One of the things we are most proud of is that we engaged many non-traditional partners in this process – not just organizations like cancer, heart, lung. Our extensive partnerships on the menthol campaign has really raised a great deal of awareness and built grassroots level support for local action. Several policy makers collaborated on this process, too.
  • In fact, the response has been overwhelming. Out pouring of letters of support. Board of Health will be releasing report soon. We will be sure to distribute it in a variety of ways, including Twitter. You can support this effort by joining the conversation. #NoMoreMenthol
  • Increase the number of pedestrian trips for enjoyment, school, work, and daily errandsIncrease the mode share of pedestrian trips for enjoyment, school, work, and daily errands
  • Healthy vending, austin farmers market/link urban ag
  • Commissioner Choucair: I am proud to share with you some breaking news today. New data for the 2013-2014 school year show that the obesity rate for CPS kindergartners continues to decrease. Compared to 2003 data for from our terrific partners at CLOCC, this is a decrease from 24% to 19.1%. In other words, while almost 1 in 4 kindergarten-aged Chicago youth were obese in 2003, that number fell to less than 1 in 5 by 2012. That is quit a change in less than a decade. Looking at this school year’s students, approximately 1,000 more kindergartners walked through the doors on the first day of school at a healthier weight compared to a decade ago.And it is essential to note that this decline is being felt by all racial and ethnic groups, including African American and Hispanic children, who have historically had disproportionately high rates of obesity. While we ought to pause and celebrate this success, our City’s obesity rates remain far above state and national averages, and now more than ever this Task Force needs to roll up its sleeves and get to work.
  • It starts with a city-wide plan.
  • Another strategy of Healthy Chicago is to increase the availability of public health data through the City’s website.To that end, we now make use of the City’s Open Data Portal to push out frequent updates of indicator data related to births, deaths, infectious diseases, environmental health, hospital discharges, and public health assets.The way it works, we don’t provide any data directly to the Chicago Health Atlas website; the developers subscribe to our feed on the Data Portal, and can update their views with new data as it becomes available.
  • Flu App Example using data portal flu vaccination sites. Now 4 different retail clinics joined the app with us.
  • FoodBorneChi is an example of Technology supporting Healthy Chicago that complements current telephone reporting using 311. It uses Twitter as a sentinel to search for mentions of “food poisoning.” In order to determine if a tweet is relevant to the city's interests, it must be classified as relevant or noise. This classification is done via machine learning. In this process, a mathematical, natural language model is constructed using existing tweets and a human classifier.
  • Flu App Example using data portal flu vaccination sites. Now 4 different retail clinics joined the app with us.
  • The steps a resident goes through to report a suspected food poisoning incident are easy. When users respond to our Twitter @-reply;They fill out a simple food poisoning report form on Foodborne. This form is submitted to the City of Chicago via its Open311 interface. This submission is equivalent to the person calling Chicago 311 to report their food poisoning.The 311 software routes the submission to the Chicago Department of Public Health, where investigators review the submission and take action, including conducting inspections, based on the report.The inspection in detail is also updated into the Data Portal.

Transcript

  • 1. City of Chicago Mayor Rahm Emanuel Chicago Department of Public Health Commissioner Bechara Choucair, M.D.
  • 2. McGinnis et al. The Case for More Policy Attention to Health Promotion. Health Affairs, Vol. 21 (2)
  • 3. Smallest Impact Examples Counseling & Education Clinical Interventions Long-lasting Protective Interventions Eat healthy, be physically active Rx for high blood pressure, high cholesterol, diabetes Changing the Context Immunizations, brief intervention, cessati on treatment, colonosc opy Fluoridation, trans fat, smoke-free laws, tobacco tax Socioeconomic Factors Poverty, education, h ousing, inequality to make individuals’ default decisions healthy Largest Impact
  • 4. • • • •
  • 5. • • • •
  • 6. City of Chicago Mayor Rahm Emanuel Chicago Department of Public Health Commissioner Bechara Choucair, M.D.
  • 7. • • • • •
  • 8. M • A tax increase on all cigarette products is one of many policy recommendations adopted by the Chicago Board of Health. • Single most effective way to prevent kids from picking up the habit. • City will use $2 Million to expand vision service for lowincome children.
  • 9. M Cost breakdown For pack of cigarettes
  • 10. • • • •
  • 11. M • •
  • 12. 15 hospitals working towards Baby-Friendly Designation
  • 13. .
  • 14.  14 licensed carts operating  41 vendors trained  30 carts planned for 2013
  • 15. • •
  • 16.
  • 17. • • •
  • 18. • • • • • • • • •
  • 19. Mayor Emanuel Takes Action to Protect Chicago’s Kids from Menthol Cigarettes
  • 20. • • • •
  • 21. • • •
  • 22. • • •
  • 23. • • • “ • “ • • ” ”