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Building a Healthier Chicago James M. Galloway, MD, FACP, FACC, FAHA   Assistant Surgeon General Rear Admiral, U.S. Public...
Building a Healthier Chicago
Building a Healthier Chicago CHAMPS Community HeAlth Mobilization Projects
Building a Healthier Chicago CHAMPS VISION Build model community-wide  partnerships for health promotion that can be repli...
Building a Healthier Chicago CHAMPS <ul><li>Our Objectives:  </li></ul><ul><ul><li>Convene a model collaboration of local ...
Building a Healthier Chicago CHAMPS <ul><li>Our Objectives:  (cont.) </li></ul><ul><ul><li>Create a system of intervention...
Building a Healthier Chicago CHAMPS <ul><li>Partners </li></ul><ul><ul><li>City of Chicago (DPH, Parks & Rec, etc.)  </li>...
Building a Healthier Chicago CHAMPS <ul><li>Our Federal Partners:  </li></ul><ul><ul><li>Federal Occupational Health </li>...
Building a Healthier Chicago CHAMPS <ul><li>Our Federal Partners (continued):  </li></ul><ul><ul><li>The Office of Health ...
Building a Healthier Chicago CHAMPS Source: CDPH
Building a Healthier Chicago CHAMPS Source: CDPH
Building a Healthier Chicago CHAMPS Source: CDPH
Building a Healthier Chicago CHAMPS
Inactivity Unhealthy Diet Hypertension Genetics Obesity Type 2 Diabetes  Building a Healthier Chicago CHAMPS
High Blood Pressure in Chicago 28% of adults in Chicago have been told that their blood pressure is high.  More than a hal...
Age-adjusted percent 1988-1994 2001-2004 = 2010 Target: 16% 0 40 60 Race/ethnicity Total Gender 20 80 Black White   Male  ...
0 Black 40 60 Obj. 12-10 Race/ethnicity White  Male  Female 1988-1994 Total 2001-2004 Gender Mexican American I = 95% conf...
Building a Healthier Chicago CHAMPS
Population-Based Strategy   SBP Distributions Before Intervention After Intervention Reduction in SBP mmHg 2 3 5 Reduction...
The idea that individual health choices and personal behaviors are the most important determinants of chronic disease is a...
Individual choices are important… However, it is unlikely that individually attempted changes in lifestyles and behaviors ...
<ul><li>Environmental, System & Policy Changes   </li></ul><ul><li>are   extremely important… </li></ul><ul><li>Based on o...
are shaped   by the choices we have The choices we make
Building a Healthier Chicago CHAMPS How can we most effectively address these issues ?
Environmental Change: Policies Practices Programs Healthy Chicago Healthy Behavior Less Illness & Death Collaborative  Par...
Environmental Change : Policies Practices Programs Healthy Chicago Healthy Behavior Less Illness & Death Collaborative  Pa...
<ul><li>The Social Ecological Model cuts across disciplinary lenses and integrates multiple perspectives and theories. </l...
We must  “ ignite and build a social movement” at private, public and policy levels in order to change broad scale social ...
Building a Healthier Chicago
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Building a Healthier Chicago

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  • Community HeAlth Mobilization ProjectS   Community Health Assessment and Mobilization ProjectS   Community Health And Mobiliation ProjectS
  • Transcript of "Building a Healthier Chicago"

    1. 1. Building a Healthier Chicago James M. Galloway, MD, FACP, FACC, FAHA   Assistant Surgeon General Rear Admiral, U.S. Public Health Service Regional Health Administrator, Region V
    2. 2. Building a Healthier Chicago
    3. 3. Building a Healthier Chicago CHAMPS Community HeAlth Mobilization Projects
    4. 4. Building a Healthier Chicago CHAMPS VISION Build model community-wide partnerships for health promotion that can be replicated nationwide
    5. 5. Building a Healthier Chicago CHAMPS <ul><li>Our Objectives: </li></ul><ul><ul><li>Convene a model collaboration of local and national stakeholders dedicated to building a Healthier Chicago. </li></ul></ul><ul><ul><li>Strengthen and sustain our partners’ current and new efforts to promote health in Chicago. </li></ul></ul>
    6. 6. Building a Healthier Chicago CHAMPS <ul><li>Our Objectives: (cont.) </li></ul><ul><ul><li>Create a system of interventions that complement and reinforce each other to maximize reach and effectiveness </li></ul></ul><ul><ul><li>Build Synergy! </li></ul></ul>
    7. 7. Building a Healthier Chicago CHAMPS <ul><li>Partners </li></ul><ul><ul><li>City of Chicago (DPH, Parks & Rec, etc.) </li></ul></ul><ul><ul><li>American Medical Association </li></ul></ul><ul><ul><li>Shaping America’s Health </li></ul></ul><ul><ul><li>American College of Cardiology </li></ul></ul><ul><ul><li>American Diabetes Association </li></ul></ul><ul><ul><li>Midwest Business Group on Health </li></ul></ul><ul><ul><li>American Heart Association </li></ul></ul><ul><ul><li>American Cancer Society </li></ul></ul><ul><ul><li>Chicagoland Chamber of Commerce </li></ul></ul><ul><ul><li>Multiple Academic Institutions and Community Organizations </li></ul></ul>
    8. 8. Building a Healthier Chicago CHAMPS <ul><li>Our Federal Partners: </li></ul><ul><ul><li>Federal Occupational Health </li></ul></ul><ul><li>– Health Risk Appraisal </li></ul><ul><ul><li>The President’s Council on Physical Fitness </li></ul></ul><ul><ul><li>– Tthe President’s Challenge </li></ul></ul><ul><ul><li>The Surgeon General’s initiative on Obesity </li></ul></ul>
    9. 9. Building a Healthier Chicago CHAMPS <ul><li>Our Federal Partners (continued): </li></ul><ul><ul><li>The Office of Health Promotion and Disease Prevention </li></ul></ul><ul><ul><li>– Metrics from Healthy People 2010/2020 </li></ul></ul><ul><ul><li>Centers For Disease Control and Prevention </li></ul></ul><ul><ul><li>The Office of Public Health and Science </li></ul></ul><ul><ul><li>Regional Health Administrators </li></ul></ul>
    10. 10. Building a Healthier Chicago CHAMPS Source: CDPH
    11. 11. Building a Healthier Chicago CHAMPS Source: CDPH
    12. 12. Building a Healthier Chicago CHAMPS Source: CDPH
    13. 13. Building a Healthier Chicago CHAMPS
    14. 14. Inactivity Unhealthy Diet Hypertension Genetics Obesity Type 2 Diabetes Building a Healthier Chicago CHAMPS
    15. 15. High Blood Pressure in Chicago 28% of adults in Chicago have been told that their blood pressure is high. More than a half million adults in our city. Building a Healthier Chicago CHAMPS BRFSS Data; Chicago Department of Public Health
    16. 16. Age-adjusted percent 1988-1994 2001-2004 = 2010 Target: 16% 0 40 60 Race/ethnicity Total Gender 20 80 Black White Male Female Mexican American High Blood Pressure Prevalence 95% confidence intervals. Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS Obj. 12-9
    17. 17. 0 Black 40 60 Obj. 12-10 Race/ethnicity White Male Female 1988-1994 Total 2001-2004 Gender Mexican American I = 95% confidence intervals. Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. 20 2010 Target: 50% 80 Age-adjusted percent High Blood Pressure Control
    18. 18. Building a Healthier Chicago CHAMPS
    19. 19. Population-Based Strategy SBP Distributions Before Intervention After Intervention Reduction in SBP mmHg 2 3 5 Reduction in BP % Reduction in Mortality Stroke CHD 6 4 8 5 14 9
    20. 20. The idea that individual health choices and personal behaviors are the most important determinants of chronic disease is an idea whose time has come and gone. George Mensah, MD .
    21. 21. Individual choices are important… However, it is unlikely that individually attempted changes in lifestyles and behaviors alone can avert the growing epidemic of chronic disease that we are witnessing.
    22. 22. <ul><li>Environmental, System & Policy Changes </li></ul><ul><li>are extremely important… </li></ul><ul><li>Based on our messages, will people choose to change their lifestyle when we have not corrected the issues that make that choice difficult? </li></ul><ul><ul><li>When there have no safe place to walk? </li></ul></ul><ul><ul><li>When there is no produce in the local grocery store? </li></ul></ul><ul><ul><li>When the health care provider is focused only on fixing the current illness? </li></ul></ul><ul><ul><li>When the worksite is a place to sit, stress - and gain weight? </li></ul></ul><ul><ul><li>When their school has no physical education? </li></ul></ul>
    23. 23. are shaped by the choices we have The choices we make
    24. 24. Building a Healthier Chicago CHAMPS How can we most effectively address these issues ?
    25. 25. Environmental Change: Policies Practices Programs Healthy Chicago Healthy Behavior Less Illness & Death Collaborative Partnership Changing Individual Behaviors
    26. 26. Environmental Change : Policies Practices Programs Healthy Chicago Healthy Behavior Less Illness & Death Collaborative Partnership Although partnerships have affected change in community-wide behavior, the strongest evidence shows that coalitions most effectively contribute to changes in programs, services and practices. Butterfloss FD & Francisco VT. (2004) Health Promotion Practice 5(2):108-114. Roussos ST and Fawcett SB (2000) Annu Rev of Public Health 21:369-402.
    27. 27. <ul><li>The Social Ecological Model cuts across disciplinary lenses and integrates multiple perspectives and theories. </li></ul><ul><li>This framework recognizes that behavior is affected by multiple levels of influence, including interpersonal factors, interpersonal processes, institutional factors, community factors, environmental factors, social factors and public policy. </li></ul>The Social Ecological Model
    28. 28. We must “ ignite and build a social movement” at private, public and policy levels in order to change broad scale social norms and create a social environment supportive of health. The Social Ecological Model Sorenson G et al. Ann Rev Public Health; 1998.19:379-416
    29. 29. Building a Healthier Chicago
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