SlideShare a Scribd company logo
1 of 23
Download to read offline
Cardiovascular Disease in Georgia Women
D. Stephen Goggans, M.D., M.P.H.
District Health Director – East Central
District
Georgia Department of Public Health
Senate Study Committee on Women's Adequate Healthcare
October 6, 2015
Cardiovascular Disease in Georgia
• Cardiovascular Disease (CVD) includes:
– Heart Attacks and Angina, Heart Failure
– Stroke and Transient Ischemic Attacks
– Peripheral/Aortic Artery Disease
• Cardiovascular Disease in Georgia
 CVD is the leading cause of death, and the
leading cause of death for women
 29 women die each day from CVD
 including 11 from heart disease, 6 from stroke
Source: BRFSS 2013
Key CVD Risk Factors in Women
• Age over 55 years
• Family history of early
CVD
• Abnormal lipids**
• Diabetes mellitus**
• Smoking**
• High Blood Pressure
• Obesity
• Prediction
• Primary prevention
• Secondary prevention
(lipids, blood
pressure, smoking)
1Age-Adjusted to the 2000 Standard Million.
Cardiovascular = ICD10 I00-I78 (ICD9 390-434, 436-448)
Sources: Centers for Disease Control & Prevention, CDC WONDER, http://wonder.cdc.gov/
Online Analytical Statistical Information System (OASIS). Georgia Department of Public Health, Office of Health Indicators for Planning (OHIP). http://oasis.state.ga.us/
DPH Chronic Disease Prevention Section Works to
Support the Creation of Healthier Communities
through Collective Impact Approaches
Community
Public Health
System
Clinical
Success Factors
1. Partnerships
2. Shared Goals
3.Communication
OBESITY
Obesity in Georgia
• 66% of adults are either
overweight or obese
 73% males
 59% females
• Obesity increases risk of
death from CHD by a
factor of 4
• Independent as well as
associated with other
factors
Geographic Trends in Obesity, Georgia
1993-1996 2004-20062000-20031997-1999
Percent of obese adults:
< 10% 10-14% 15%-19% 20-24% 25-29% 30%+
Source: Georgia BRFSS
2007-2009
County Health Rankings (RWJ)
Health Outcomes Health Factors
www.countyhealthrankings.org
Childhood Obesity Prevention Priority
• Participation in the Georgia
Shape Initiative
– 29 additional schools have been selected for
the Shape Schools Grantee Program
– Growing Fit Curriculum used to train over 29
early care education centers in evidence-
based nutrition and physical activity policies.
100 more planned for this year.
– 3 Health Districts were selected to
implement strategies to promote nutrition
and physical activity through policy,
systems and environmental change in
schools, early childhood education centers
and worksites. Funded Health Districts include
South (Valdosta), Southeast (Waycross) and
Coastal (Savannah).
DIABETES
Diabetes Mellitus (DM) in Georgia
• Diabetes is an extremely
powerful risk factor
• “CHD Equivalent”
• Diabetes prevalence is
increasing
• In women, DM brings a
higher risk of CHD than
in men
Diabetes Prevalence Trend
2004-2013
Diabetes Interventions in Georgia
• Diabetes Prevention Program
– Intensive program focused on lifestyle changes – weight loss,
diet changes and exercise – to prevent development of DM
in at-risk individuals
• Diabetes Self-Management Education (DSME)
– Increase the number of accredited DSME sites in the state,
including via teleheath
• Diabetes Screening and Nurse Protocol
TOBACCO
Tobacco Use in Georgia
Women 2011-2013
Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
21.4 20.2
18.5
14.0 14.3
12.8
0
5
10
15
20
25
2011 2012 2013
Percent(%)
White Females Black Females
Smoking
• Associated with HALF of CHD events in
women
• Risk occurs with even minimal use (2.4X
chance of event for 1 ½ cigarettes/day)
• Risk drops off quickly with quitting
– Mostly gone in 2-3yrs
Tobacco Use in Georgia
Interventions
• Establish comprehensive smoke free
policies
• Promote cessation and assist tobacco
users to quit
– Making cessation services fully accessible to
tobacco users
• Prevent initiation of tobacco use
• Fund hard hitting mass-media campaigns
2012-2013 Georgia
Tobacco Quitline Evaluation
7 month follow-up survey
826 people
74% long term tobacco users
– 2/3 used pharmacotherapies; associated with 6 month quit rates
– 78 percent only used GTQL services; 91 percent were satisfied with
GTQL
– Among those who did not quit, less tobacco dependence
Duration without Tobacco Percent of Respondents
24 hours or longer 41 percent
7 days or longer 37 percent
30 days or longer 31 percent
OTHER RISK FACTORS
Other Risk Factors
Hypertension (HTN)
• Extremely common
• High blood pressure is a
stronger risk for CHD in
women than men
• HTN is a particularly
strong risk for stroke
• Treatment regimens use
the same medications
Abnormal Lipids
• Women have more risk
from “good” (HDL)
cholesterol being low
• Lipoprotein (a) and Tri-
glycerides have more
impact
• Differences affect testing;
Treatment regimens use
the same medications
Cardio Metabolic Syndrome Priority Area
Georgia. Working on Health.
• Goal is to reduce the burden of
obesity, heart disease, and
diabetes in Georgia’s workforce
• Target is to reduce hospitalizations
for Type 2 diabetes and
hypertension by 25% by 2019
• Multiple, evidence-based
interventions at different levels in
selected geographical locations—
– Home
– Schools
– Worksite
– Clinical
• Diabetes Self-Management
Education
• Team based care for hypertension
– Community
Contact Information:
East Central Health District
1916 North Leg Road
Augusta, GA 30909
Online: www.ecphd.com
Georgia Department of Public Health
2 Peachtree Street, NW, 16th Floor
Atlanta, Georgia 30303
Email: Chronic.Disease@dph.ga.gov
DPH online: www.dph.ga.gov
DPH on Facebook: www.facebook.com/GaDPH
DPH on Twitter: www.twitter.com/GaDPH

More Related Content

What's hot

Children's Mental Health Services - Well Care Presentation
Children's Mental Health Services - Well Care PresentationChildren's Mental Health Services - Well Care Presentation
Children's Mental Health Services - Well Care PresentationGeorgia Commission on Women
 
Women's Access to Healthcare - Emory CNM Presentation
Women's Access to Healthcare - Emory CNM PresentationWomen's Access to Healthcare - Emory CNM Presentation
Women's Access to Healthcare - Emory CNM PresentationGeorgia Commission on Women
 
Health, Education, and School-Based Health Centers - GA Partnership for Teleh...
Health, Education, and School-Based Health Centers - GA Partnership for Teleh...Health, Education, and School-Based Health Centers - GA Partnership for Teleh...
Health, Education, and School-Based Health Centers - GA Partnership for Teleh...Georgia Commission on Women
 
Women's Access to Healthcare - Georgia CORE Presentation
Women's Access to Healthcare - Georgia CORE PresentationWomen's Access to Healthcare - Georgia CORE Presentation
Women's Access to Healthcare - Georgia CORE PresentationGeorgia Commission on Women
 
Health, Education, and School-Based Health Centers - Emory Presentation
Health, Education, and School-Based Health Centers - Emory PresentationHealth, Education, and School-Based Health Centers - Emory Presentation
Health, Education, and School-Based Health Centers - Emory PresentationGeorgia Commission on Women
 
Women's Access to Healthcare - GA Dept. of Public Health Presentation
Women's Access to Healthcare - GA Dept. of Public Health PresentationWomen's Access to Healthcare - GA Dept. of Public Health Presentation
Women's Access to Healthcare - GA Dept. of Public Health PresentationGeorgia Commission on Women
 
Women's Access to Healthcare - Augusta University College of Nursing Presenta...
Women's Access to Healthcare - Augusta University College of Nursing Presenta...Women's Access to Healthcare - Augusta University College of Nursing Presenta...
Women's Access to Healthcare - Augusta University College of Nursing Presenta...Georgia Commission on Women
 
Women's Access to Healthcare - Georgia OBGYN Presentation
Women's Access to Healthcare - Georgia OBGYN PresentationWomen's Access to Healthcare - Georgia OBGYN Presentation
Women's Access to Healthcare - Georgia OBGYN PresentationGeorgia Commission on Women
 
Women's Access to Healthcare - GRU Cancer Center Presentation
Women's Access to Healthcare - GRU Cancer Center PresentationWomen's Access to Healthcare - GRU Cancer Center Presentation
Women's Access to Healthcare - GRU Cancer Center PresentationGeorgia Commission on Women
 
Youth Mental Health and Substance Use Disorders - GA Dept. of Education Prese...
Youth Mental Health and Substance Use Disorders - GA Dept. of Education Prese...Youth Mental Health and Substance Use Disorders - GA Dept. of Education Prese...
Youth Mental Health and Substance Use Disorders - GA Dept. of Education Prese...Georgia Commission on Women
 
School-Based Health Centers 101
School-Based Health Centers 101School-Based Health Centers 101
School-Based Health Centers 101nasbhc
 
Children's Mental Health Services - DCH Presentation
Children's Mental Health Services - DCH PresentationChildren's Mental Health Services - DCH Presentation
Children's Mental Health Services - DCH PresentationGeorgia Commission on Women
 
Prevention of Maternal Mortality_Weiss
Prevention of Maternal Mortality_WeissPrevention of Maternal Mortality_Weiss
Prevention of Maternal Mortality_WeissCORE Group
 
Prevention of Maternal Mortality_
Prevention of Maternal Mortality_Prevention of Maternal Mortality_
Prevention of Maternal Mortality_CORE Group
 
School Based Telehealth - Matt Jansen
School Based Telehealth - Matt JansenSchool Based Telehealth - Matt Jansen
School Based Telehealth - Matt JansenSamantha Haas
 
Auburn Univ Telehealth 2013 - Dr. Ric Hansen
Auburn Univ Telehealth   2013 - Dr. Ric HansenAuburn Univ Telehealth   2013 - Dr. Ric Hansen
Auburn Univ Telehealth 2013 - Dr. Ric HansenSamantha Haas
 

What's hot (20)

Children's Mental Health Services - Well Care Presentation
Children's Mental Health Services - Well Care PresentationChildren's Mental Health Services - Well Care Presentation
Children's Mental Health Services - Well Care Presentation
 
Women's Access to Healthcare - Emory CNM Presentation
Women's Access to Healthcare - Emory CNM PresentationWomen's Access to Healthcare - Emory CNM Presentation
Women's Access to Healthcare - Emory CNM Presentation
 
Health, Education, and School-Based Health Centers - GA Partnership for Teleh...
Health, Education, and School-Based Health Centers - GA Partnership for Teleh...Health, Education, and School-Based Health Centers - GA Partnership for Teleh...
Health, Education, and School-Based Health Centers - GA Partnership for Teleh...
 
Women's Access to Healthcare - Georgia CORE Presentation
Women's Access to Healthcare - Georgia CORE PresentationWomen's Access to Healthcare - Georgia CORE Presentation
Women's Access to Healthcare - Georgia CORE Presentation
 
Health, Education, and School-Based Health Centers - Emory Presentation
Health, Education, and School-Based Health Centers - Emory PresentationHealth, Education, and School-Based Health Centers - Emory Presentation
Health, Education, and School-Based Health Centers - Emory Presentation
 
Women's Access to Healthcare - GA Dept. of Public Health Presentation
Women's Access to Healthcare - GA Dept. of Public Health PresentationWomen's Access to Healthcare - GA Dept. of Public Health Presentation
Women's Access to Healthcare - GA Dept. of Public Health Presentation
 
Women's Access to Healthcare - Augusta University College of Nursing Presenta...
Women's Access to Healthcare - Augusta University College of Nursing Presenta...Women's Access to Healthcare - Augusta University College of Nursing Presenta...
Women's Access to Healthcare - Augusta University College of Nursing Presenta...
 
Women's Access to Healthcare - Georgia OBGYN Presentation
Women's Access to Healthcare - Georgia OBGYN PresentationWomen's Access to Healthcare - Georgia OBGYN Presentation
Women's Access to Healthcare - Georgia OBGYN Presentation
 
Women's Access to Healthcare - GRU Cancer Center Presentation
Women's Access to Healthcare - GRU Cancer Center PresentationWomen's Access to Healthcare - GRU Cancer Center Presentation
Women's Access to Healthcare - GRU Cancer Center Presentation
 
Youth Mental Health and Substance Use Disorders - GA Dept. of Education Prese...
Youth Mental Health and Substance Use Disorders - GA Dept. of Education Prese...Youth Mental Health and Substance Use Disorders - GA Dept. of Education Prese...
Youth Mental Health and Substance Use Disorders - GA Dept. of Education Prese...
 
School-Based Health Centers 101
School-Based Health Centers 101School-Based Health Centers 101
School-Based Health Centers 101
 
Children's Mental Health Services - DCH Presentation
Children's Mental Health Services - DCH PresentationChildren's Mental Health Services - DCH Presentation
Children's Mental Health Services - DCH Presentation
 
Prevention of Maternal Mortality_Weiss
Prevention of Maternal Mortality_WeissPrevention of Maternal Mortality_Weiss
Prevention of Maternal Mortality_Weiss
 
Prevention of Maternal Mortality_
Prevention of Maternal Mortality_Prevention of Maternal Mortality_
Prevention of Maternal Mortality_
 
School Based Telehealth - Matt Jansen
School Based Telehealth - Matt JansenSchool Based Telehealth - Matt Jansen
School Based Telehealth - Matt Jansen
 
Auburn Univ Telehealth 2013 - Dr. Ric Hansen
Auburn Univ Telehealth   2013 - Dr. Ric HansenAuburn Univ Telehealth   2013 - Dr. Ric Hansen
Auburn Univ Telehealth 2013 - Dr. Ric Hansen
 
Pioneer Baby_Poster_2015
Pioneer Baby_Poster_2015Pioneer Baby_Poster_2015
Pioneer Baby_Poster_2015
 
Ade's Resumé
Ade's ResuméAde's Resumé
Ade's Resumé
 
EDC Presentation_W.Colon
EDC Presentation_W.ColonEDC Presentation_W.Colon
EDC Presentation_W.Colon
 
Arney
ArneyArney
Arney
 

Similar to CVD Risks for Georgia Women

EB 2016 - 4th Yogurt Summit - Constance Brown-Riggs
EB 2016 - 4th Yogurt Summit - Constance Brown-RiggsEB 2016 - 4th Yogurt Summit - Constance Brown-Riggs
EB 2016 - 4th Yogurt Summit - Constance Brown-RiggsYogurt in Nutrition #YINI
 
Salon 2 13 kasim 14.00 15.00 serpi̇l akkuş topçu-ing
Salon 2 13 kasim 14.00 15.00 serpi̇l akkuş topçu-ingSalon 2 13 kasim 14.00 15.00 serpi̇l akkuş topçu-ing
Salon 2 13 kasim 14.00 15.00 serpi̇l akkuş topçu-ingtyfngnc
 
Planning,implementation and evaluation of education program on diabetes
Planning,implementation and evaluation of education program on diabetesPlanning,implementation and evaluation of education program on diabetes
Planning,implementation and evaluation of education program on diabetesSurakshya Poudel
 
Prevention and Control of Non-Communicable diseases (NCDs).pptx
Prevention and Control of Non-Communicable diseases (NCDs).pptxPrevention and Control of Non-Communicable diseases (NCDs).pptx
Prevention and Control of Non-Communicable diseases (NCDs).pptxJaydeep Ghevariya
 
Bowen predm cme.4.9.15
Bowen predm cme.4.9.15Bowen predm cme.4.9.15
Bowen predm cme.4.9.15katejohnpunag
 
Bowen predm cme.4.9.15
Bowen predm cme.4.9.15Bowen predm cme.4.9.15
Bowen predm cme.4.9.15katejohnpunag
 
Let food be thy medicine: Diet and disease
Let food be thy medicine: Diet and diseaseLet food be thy medicine: Diet and disease
Let food be thy medicine: Diet and diseaseUniversity of Calgary
 
Prevalence, awareness, treatment and control of
Prevalence, awareness, treatment and control ofPrevalence, awareness, treatment and control of
Prevalence, awareness, treatment and control ofDrChetanSharma5
 
A correlation study to determine the effect of diabetes self management on di...
A correlation study to determine the effect of diabetes self management on di...A correlation study to determine the effect of diabetes self management on di...
A correlation study to determine the effect of diabetes self management on di...Kurt Naugles M.D., M.P.H.
 
Ivoclar presentation 115
Ivoclar presentation 115Ivoclar presentation 115
Ivoclar presentation 115Ivoclar06
 
Dr Vivek Baliga - Chronic Disease Management In Heart Failure And Diabetes
Dr Vivek Baliga - Chronic Disease Management In Heart Failure And DiabetesDr Vivek Baliga - Chronic Disease Management In Heart Failure And Diabetes
Dr Vivek Baliga - Chronic Disease Management In Heart Failure And DiabetesDr Vivek Baliga
 
Epi and control of Diabetes.ppt
Epi and control of Diabetes.pptEpi and control of Diabetes.ppt
Epi and control of Diabetes.pptFaizanGMustafaMBBS
 
What is Cancer Equity?
What is Cancer Equity?What is Cancer Equity?
What is Cancer Equity?EngenuitySC
 
World health day theme 2016
World health day theme 2016World health day theme 2016
World health day theme 2016Chandra Shekar
 
Tabloski ch19 lecture
Tabloski ch19 lectureTabloski ch19 lecture
Tabloski ch19 lecturestanbridge
 
Tabloski ch19 lecture
Tabloski ch19 lectureTabloski ch19 lecture
Tabloski ch19 lecturestanbridge
 

Similar to CVD Risks for Georgia Women (20)

Resiko metabolik
Resiko metabolik Resiko metabolik
Resiko metabolik
 
EB 2016 - 4th Yogurt Summit - Constance Brown-Riggs
EB 2016 - 4th Yogurt Summit - Constance Brown-RiggsEB 2016 - 4th Yogurt Summit - Constance Brown-Riggs
EB 2016 - 4th Yogurt Summit - Constance Brown-Riggs
 
Salon 2 13 kasim 14.00 15.00 serpi̇l akkuş topçu-ing
Salon 2 13 kasim 14.00 15.00 serpi̇l akkuş topçu-ingSalon 2 13 kasim 14.00 15.00 serpi̇l akkuş topçu-ing
Salon 2 13 kasim 14.00 15.00 serpi̇l akkuş topçu-ing
 
Planning,implementation and evaluation of education program on diabetes
Planning,implementation and evaluation of education program on diabetesPlanning,implementation and evaluation of education program on diabetes
Planning,implementation and evaluation of education program on diabetes
 
Prevention and Control of Non-Communicable diseases (NCDs).pptx
Prevention and Control of Non-Communicable diseases (NCDs).pptxPrevention and Control of Non-Communicable diseases (NCDs).pptx
Prevention and Control of Non-Communicable diseases (NCDs).pptx
 
diabetes update
 diabetes update  diabetes update
diabetes update
 
Bowen predm cme.4.9.15
Bowen predm cme.4.9.15Bowen predm cme.4.9.15
Bowen predm cme.4.9.15
 
Bowen predm cme.4.9.15
Bowen predm cme.4.9.15Bowen predm cme.4.9.15
Bowen predm cme.4.9.15
 
Let food be thy medicine: Diet and disease
Let food be thy medicine: Diet and diseaseLet food be thy medicine: Diet and disease
Let food be thy medicine: Diet and disease
 
Prediabetes Awadhesh Med
Prediabetes Awadhesh MedPrediabetes Awadhesh Med
Prediabetes Awadhesh Med
 
Prevalence, awareness, treatment and control of
Prevalence, awareness, treatment and control ofPrevalence, awareness, treatment and control of
Prevalence, awareness, treatment and control of
 
A correlation study to determine the effect of diabetes self management on di...
A correlation study to determine the effect of diabetes self management on di...A correlation study to determine the effect of diabetes self management on di...
A correlation study to determine the effect of diabetes self management on di...
 
Ivoclar presentation 115
Ivoclar presentation 115Ivoclar presentation 115
Ivoclar presentation 115
 
Dr Vivek Baliga - Chronic Disease Management In Heart Failure And Diabetes
Dr Vivek Baliga - Chronic Disease Management In Heart Failure And DiabetesDr Vivek Baliga - Chronic Disease Management In Heart Failure And Diabetes
Dr Vivek Baliga - Chronic Disease Management In Heart Failure And Diabetes
 
Epi and control of Diabetes.ppt
Epi and control of Diabetes.pptEpi and control of Diabetes.ppt
Epi and control of Diabetes.ppt
 
Obesity Case Study
Obesity Case StudyObesity Case Study
Obesity Case Study
 
What is Cancer Equity?
What is Cancer Equity?What is Cancer Equity?
What is Cancer Equity?
 
World health day theme 2016
World health day theme 2016World health day theme 2016
World health day theme 2016
 
Tabloski ch19 lecture
Tabloski ch19 lectureTabloski ch19 lecture
Tabloski ch19 lecture
 
Tabloski ch19 lecture
Tabloski ch19 lectureTabloski ch19 lecture
Tabloski ch19 lecture
 

Recently uploaded

Single Assessment Framework - What We Know So Far
Single Assessment Framework - What We Know So FarSingle Assessment Framework - What We Know So Far
Single Assessment Framework - What We Know So FarCareLineLive
 
Soft Toric contact lens fitting (NSO).pptx
Soft Toric contact lens fitting (NSO).pptxSoft Toric contact lens fitting (NSO).pptx
Soft Toric contact lens fitting (NSO).pptxJasmin Modi
 
MVP Health Care City of Schenectady Presentation
MVP Health Care City of Schenectady PresentationMVP Health Care City of Schenectady Presentation
MVP Health Care City of Schenectady PresentationMVP Health Care
 
Russian Call Girls Hyderabad Saloni 9907093804 Independent Escort Service Hyd...
Russian Call Girls Hyderabad Saloni 9907093804 Independent Escort Service Hyd...Russian Call Girls Hyderabad Saloni 9907093804 Independent Escort Service Hyd...
Russian Call Girls Hyderabad Saloni 9907093804 Independent Escort Service Hyd...delhimodelshub1
 
Call Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any TimeCall Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any Timedelhimodelshub1
 
Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...
Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...
Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...scanFOAM
 
Pregnancy and Breastfeeding Dental Considerations.pptx
Pregnancy and Breastfeeding Dental Considerations.pptxPregnancy and Breastfeeding Dental Considerations.pptx
Pregnancy and Breastfeeding Dental Considerations.pptxcrosalofton
 
FAMILY in sociology for physiotherapists.pptx
FAMILY in sociology for physiotherapists.pptxFAMILY in sociology for physiotherapists.pptx
FAMILY in sociology for physiotherapists.pptxMumux Mirani
 
9711199012 Najafgarh Call Girls ₹5.5k With COD Free Home Delivery
9711199012 Najafgarh Call Girls ₹5.5k With COD Free Home Delivery9711199012 Najafgarh Call Girls ₹5.5k With COD Free Home Delivery
9711199012 Najafgarh Call Girls ₹5.5k With COD Free Home Deliverymarshasaifi
 
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment BookingModels Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
SARS (SEVERE ACUTE RESPIRATORY SYNDROME).pdf
SARS (SEVERE ACUTE RESPIRATORY SYNDROME).pdfSARS (SEVERE ACUTE RESPIRATORY SYNDROME).pdf
SARS (SEVERE ACUTE RESPIRATORY SYNDROME).pdfDolisha Warbi
 
Call Girls Gurgaon Vani 9999965857 Independent Escort Service Gurgaon
Call Girls Gurgaon Vani 9999965857 Independent Escort Service GurgaonCall Girls Gurgaon Vani 9999965857 Independent Escort Service Gurgaon
Call Girls Gurgaon Vani 9999965857 Independent Escort Service Gurgaonnitachopra
 
Russian Call Girls Sadashivanagar | 7001305949 At Low Cost Cash Payment Booking
Russian Call Girls Sadashivanagar | 7001305949 At Low Cost Cash Payment BookingRussian Call Girls Sadashivanagar | 7001305949 At Low Cost Cash Payment Booking
Russian Call Girls Sadashivanagar | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Russian Call Girl Chandapura Dommasandra Road - 7001305949 Escorts Service 50...
Russian Call Girl Chandapura Dommasandra Road - 7001305949 Escorts Service 50...Russian Call Girl Chandapura Dommasandra Road - 7001305949 Escorts Service 50...
Russian Call Girl Chandapura Dommasandra Road - 7001305949 Escorts Service 50...narwatsonia7
 
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service HyderabadCall Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabaddelhimodelshub1
 
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...ggsonu500
 
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
Russian Call Girls Mohan Nagar | 9711199171 | High Profile -New Model -Availa...
Russian Call Girls Mohan Nagar | 9711199171 | High Profile -New Model -Availa...Russian Call Girls Mohan Nagar | 9711199171 | High Profile -New Model -Availa...
Russian Call Girls Mohan Nagar | 9711199171 | High Profile -New Model -Availa...sandeepkumar69420
 
Russian Escorts Delhi | 9711199171 | all area service available
Russian Escorts Delhi | 9711199171 | all area service availableRussian Escorts Delhi | 9711199171 | all area service available
Russian Escorts Delhi | 9711199171 | all area service availablesandeepkumar69420
 

Recently uploaded (20)

Single Assessment Framework - What We Know So Far
Single Assessment Framework - What We Know So FarSingle Assessment Framework - What We Know So Far
Single Assessment Framework - What We Know So Far
 
Soft Toric contact lens fitting (NSO).pptx
Soft Toric contact lens fitting (NSO).pptxSoft Toric contact lens fitting (NSO).pptx
Soft Toric contact lens fitting (NSO).pptx
 
MVP Health Care City of Schenectady Presentation
MVP Health Care City of Schenectady PresentationMVP Health Care City of Schenectady Presentation
MVP Health Care City of Schenectady Presentation
 
Russian Call Girls South Delhi 9711199171 discount on your booking
Russian Call Girls South Delhi 9711199171 discount on your bookingRussian Call Girls South Delhi 9711199171 discount on your booking
Russian Call Girls South Delhi 9711199171 discount on your booking
 
Russian Call Girls Hyderabad Saloni 9907093804 Independent Escort Service Hyd...
Russian Call Girls Hyderabad Saloni 9907093804 Independent Escort Service Hyd...Russian Call Girls Hyderabad Saloni 9907093804 Independent Escort Service Hyd...
Russian Call Girls Hyderabad Saloni 9907093804 Independent Escort Service Hyd...
 
Call Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any TimeCall Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any Time
 
Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...
Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...
Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...
 
Pregnancy and Breastfeeding Dental Considerations.pptx
Pregnancy and Breastfeeding Dental Considerations.pptxPregnancy and Breastfeeding Dental Considerations.pptx
Pregnancy and Breastfeeding Dental Considerations.pptx
 
FAMILY in sociology for physiotherapists.pptx
FAMILY in sociology for physiotherapists.pptxFAMILY in sociology for physiotherapists.pptx
FAMILY in sociology for physiotherapists.pptx
 
9711199012 Najafgarh Call Girls ₹5.5k With COD Free Home Delivery
9711199012 Najafgarh Call Girls ₹5.5k With COD Free Home Delivery9711199012 Najafgarh Call Girls ₹5.5k With COD Free Home Delivery
9711199012 Najafgarh Call Girls ₹5.5k With COD Free Home Delivery
 
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment BookingModels Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
 
SARS (SEVERE ACUTE RESPIRATORY SYNDROME).pdf
SARS (SEVERE ACUTE RESPIRATORY SYNDROME).pdfSARS (SEVERE ACUTE RESPIRATORY SYNDROME).pdf
SARS (SEVERE ACUTE RESPIRATORY SYNDROME).pdf
 
Call Girls Gurgaon Vani 9999965857 Independent Escort Service Gurgaon
Call Girls Gurgaon Vani 9999965857 Independent Escort Service GurgaonCall Girls Gurgaon Vani 9999965857 Independent Escort Service Gurgaon
Call Girls Gurgaon Vani 9999965857 Independent Escort Service Gurgaon
 
Russian Call Girls Sadashivanagar | 7001305949 At Low Cost Cash Payment Booking
Russian Call Girls Sadashivanagar | 7001305949 At Low Cost Cash Payment BookingRussian Call Girls Sadashivanagar | 7001305949 At Low Cost Cash Payment Booking
Russian Call Girls Sadashivanagar | 7001305949 At Low Cost Cash Payment Booking
 
Russian Call Girl Chandapura Dommasandra Road - 7001305949 Escorts Service 50...
Russian Call Girl Chandapura Dommasandra Road - 7001305949 Escorts Service 50...Russian Call Girl Chandapura Dommasandra Road - 7001305949 Escorts Service 50...
Russian Call Girl Chandapura Dommasandra Road - 7001305949 Escorts Service 50...
 
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service HyderabadCall Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Krisha 9907093804 Independent Escort Service Hyderabad
 
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
 
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
Russian Call Girls Mohan Nagar | 9711199171 | High Profile -New Model -Availa...
Russian Call Girls Mohan Nagar | 9711199171 | High Profile -New Model -Availa...Russian Call Girls Mohan Nagar | 9711199171 | High Profile -New Model -Availa...
Russian Call Girls Mohan Nagar | 9711199171 | High Profile -New Model -Availa...
 
Russian Escorts Delhi | 9711199171 | all area service available
Russian Escorts Delhi | 9711199171 | all area service availableRussian Escorts Delhi | 9711199171 | all area service available
Russian Escorts Delhi | 9711199171 | all area service available
 

CVD Risks for Georgia Women

  • 1. Cardiovascular Disease in Georgia Women D. Stephen Goggans, M.D., M.P.H. District Health Director – East Central District Georgia Department of Public Health Senate Study Committee on Women's Adequate Healthcare October 6, 2015
  • 2. Cardiovascular Disease in Georgia • Cardiovascular Disease (CVD) includes: – Heart Attacks and Angina, Heart Failure – Stroke and Transient Ischemic Attacks – Peripheral/Aortic Artery Disease • Cardiovascular Disease in Georgia  CVD is the leading cause of death, and the leading cause of death for women  29 women die each day from CVD  including 11 from heart disease, 6 from stroke Source: BRFSS 2013
  • 3. Key CVD Risk Factors in Women • Age over 55 years • Family history of early CVD • Abnormal lipids** • Diabetes mellitus** • Smoking** • High Blood Pressure • Obesity • Prediction • Primary prevention • Secondary prevention (lipids, blood pressure, smoking)
  • 4. 1Age-Adjusted to the 2000 Standard Million. Cardiovascular = ICD10 I00-I78 (ICD9 390-434, 436-448) Sources: Centers for Disease Control & Prevention, CDC WONDER, http://wonder.cdc.gov/ Online Analytical Statistical Information System (OASIS). Georgia Department of Public Health, Office of Health Indicators for Planning (OHIP). http://oasis.state.ga.us/
  • 5. DPH Chronic Disease Prevention Section Works to Support the Creation of Healthier Communities through Collective Impact Approaches Community Public Health System Clinical Success Factors 1. Partnerships 2. Shared Goals 3.Communication
  • 7. Obesity in Georgia • 66% of adults are either overweight or obese  73% males  59% females • Obesity increases risk of death from CHD by a factor of 4 • Independent as well as associated with other factors
  • 8. Geographic Trends in Obesity, Georgia 1993-1996 2004-20062000-20031997-1999 Percent of obese adults: < 10% 10-14% 15%-19% 20-24% 25-29% 30%+ Source: Georgia BRFSS 2007-2009
  • 9. County Health Rankings (RWJ) Health Outcomes Health Factors www.countyhealthrankings.org
  • 10. Childhood Obesity Prevention Priority • Participation in the Georgia Shape Initiative – 29 additional schools have been selected for the Shape Schools Grantee Program – Growing Fit Curriculum used to train over 29 early care education centers in evidence- based nutrition and physical activity policies. 100 more planned for this year. – 3 Health Districts were selected to implement strategies to promote nutrition and physical activity through policy, systems and environmental change in schools, early childhood education centers and worksites. Funded Health Districts include South (Valdosta), Southeast (Waycross) and Coastal (Savannah).
  • 12. Diabetes Mellitus (DM) in Georgia • Diabetes is an extremely powerful risk factor • “CHD Equivalent” • Diabetes prevalence is increasing • In women, DM brings a higher risk of CHD than in men
  • 14. Diabetes Interventions in Georgia • Diabetes Prevention Program – Intensive program focused on lifestyle changes – weight loss, diet changes and exercise – to prevent development of DM in at-risk individuals • Diabetes Self-Management Education (DSME) – Increase the number of accredited DSME sites in the state, including via teleheath • Diabetes Screening and Nurse Protocol
  • 16. Tobacco Use in Georgia Women 2011-2013 Data Source: Behavioral Risk Factor Surveillance System (BRFSS) 21.4 20.2 18.5 14.0 14.3 12.8 0 5 10 15 20 25 2011 2012 2013 Percent(%) White Females Black Females
  • 17. Smoking • Associated with HALF of CHD events in women • Risk occurs with even minimal use (2.4X chance of event for 1 ½ cigarettes/day) • Risk drops off quickly with quitting – Mostly gone in 2-3yrs
  • 18. Tobacco Use in Georgia Interventions • Establish comprehensive smoke free policies • Promote cessation and assist tobacco users to quit – Making cessation services fully accessible to tobacco users • Prevent initiation of tobacco use • Fund hard hitting mass-media campaigns
  • 19. 2012-2013 Georgia Tobacco Quitline Evaluation 7 month follow-up survey 826 people 74% long term tobacco users – 2/3 used pharmacotherapies; associated with 6 month quit rates – 78 percent only used GTQL services; 91 percent were satisfied with GTQL – Among those who did not quit, less tobacco dependence Duration without Tobacco Percent of Respondents 24 hours or longer 41 percent 7 days or longer 37 percent 30 days or longer 31 percent
  • 21. Other Risk Factors Hypertension (HTN) • Extremely common • High blood pressure is a stronger risk for CHD in women than men • HTN is a particularly strong risk for stroke • Treatment regimens use the same medications Abnormal Lipids • Women have more risk from “good” (HDL) cholesterol being low • Lipoprotein (a) and Tri- glycerides have more impact • Differences affect testing; Treatment regimens use the same medications
  • 22. Cardio Metabolic Syndrome Priority Area Georgia. Working on Health. • Goal is to reduce the burden of obesity, heart disease, and diabetes in Georgia’s workforce • Target is to reduce hospitalizations for Type 2 diabetes and hypertension by 25% by 2019 • Multiple, evidence-based interventions at different levels in selected geographical locations— – Home – Schools – Worksite – Clinical • Diabetes Self-Management Education • Team based care for hypertension – Community
  • 23. Contact Information: East Central Health District 1916 North Leg Road Augusta, GA 30909 Online: www.ecphd.com Georgia Department of Public Health 2 Peachtree Street, NW, 16th Floor Atlanta, Georgia 30303 Email: Chronic.Disease@dph.ga.gov DPH online: www.dph.ga.gov DPH on Facebook: www.facebook.com/GaDPH DPH on Twitter: www.twitter.com/GaDPH