Health Equity for a Healthy ChicagoChicago Department of Public Health                                      The Social Det...
Presentation Outline1. A Public Health Framework2. Healthy Chicago Public Health Agenda3. Progress Toward Health Equity
Presentation Outline1. A Public Health Framework2. Healthy Chicago Public Health Agenda3. Progress Toward Health Equity
What is Public Health?• Public health is the science and art of  protecting and improving the health of  communities• Publ...
Responsibilities ofPublic Health Departments
National Public Health Objectives:      Healthy People 2020• Social determinants of health is new• Goal: Create social and...
Factors Influencing HealthEnvironmentalConditions, 5%                           Genetics, 30%             Behavioral      ...
Health Impact Pyramid   Increasing                                                          IncreasingPopulation Impact   ...
Presentation Outline1. A Public Health Framework2. Healthy Chicago Public Health Agenda3. Progress Toward Health Equity
HEALTHY CHICAGO                                                         CHICAGO DEPARTMENT OF PUBLIC HEALTH               ...
Healthy Chicago’s Guiding Principles• Good health is based on multiple complex, inter-  related factors, e.g., social and ...
HEALTHY CHICAGOChicago Department of Public HealthChicago Department of Public Health                                     ...
Healthy Chicago:        Promoting Health Equity• Healthy environments are key• Persons of lower SES are often exposed to  ...
Presentation Outline1. A Public Health Framework2. Healthy Chicago Public Health Agenda3. Progress Toward Health Equity
Priority: Maternal and Child Health• Breast-fed infants have reduced risks of many  diseases• Babies and mothers experienc...
Accomplishment:         Baby-Friendly Hospitals• 13 Chicago hospitals are participating in the  Baby-Friendly Hospital Ini...
Priority: Tobacco Use• Tobacco is the most preventable cause of death and  its use is associated with many illnesses• Decl...
Accomplishments:Smoke-free & Tobacco-free Policies            Smoke-free            • Over 1,600 units of public          ...
Priority: Obesity Prevention• Obesity increases the risk of heart  disease, cancer, and stroke• In Chicago, 40% of blacks ...
Accomplishments:Access to Healthy Food    • Urban agriculture ordinance    • Healthy Produce Carts    • Healthy Corner Sto...
Cross-cutting Accomplishments• Engaging diverse sectors• Engaging communities• Data
Cross-cutting Accomplishments:Partnership with Chicago Public Schools •   Chief Health Officer •   School Wellness Policy ...
Cross-cutting Accomplishments:      Engaging Communities• Community policy recommendations• LGBT Action Plan
What’s Next?• Continued partnership development• Health in all Policies
facebook.com/ChicagoPublicHealthGplus.to/ChiPublicHealth@ChiPublicHealth312.747.9884CityofChicago.org/HealthHealthyChicago...
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Panel Discussion: Applying What We Know: Bechara Choucair, M.D., Commissioner, Chicago Department of Public Health, City of Chicago

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Panel Discussion: Applying What We Know: Bechara Choucair, M.D., Commissioner, Chicago Department of Public Health, City of Chicago

  1. 1. Health Equity for a Healthy ChicagoChicago Department of Public Health The Social Determinants of Urban Mental Health: Paving the Way Forward September 20, 2012 Bechara Choucair, MD Commissioner Chicago Department of Public Health @choucair on Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  2. 2. Presentation Outline1. A Public Health Framework2. Healthy Chicago Public Health Agenda3. Progress Toward Health Equity
  3. 3. Presentation Outline1. A Public Health Framework2. Healthy Chicago Public Health Agenda3. Progress Toward Health Equity
  4. 4. What is Public Health?• Public health is the science and art of protecting and improving the health of communities• Public health focuses on prevention
  5. 5. Responsibilities ofPublic Health Departments
  6. 6. National Public Health Objectives: Healthy People 2020• Social determinants of health is new• Goal: Create social and physical environments that promote good health for all
  7. 7. Factors Influencing HealthEnvironmentalConditions, 5% Genetics, 30% Behavioral Choices, 40% Social Medical Circumstances Care, 10% 15%
  8. 8. Health Impact Pyramid Increasing IncreasingPopulation Impact Individual Effort Needed Frieden T. American Journal of Public Health | April 2010, Vol 100, No. 4
  9. 9. Presentation Outline1. A Public Health Framework2. Healthy Chicago Public Health Agenda3. Progress Toward Health Equity
  10. 10. HEALTHY CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTH TRANSFORMING THEChicago Department of Public Health HEALTH OF OUR CITY CHICAGO ANSWERS THE CALL Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  11. 11. Healthy Chicago’s Guiding Principles• Good health is based on multiple complex, inter- related factors, e.g., social and environmental• Health improvement efforts require diverse partners• Improved public health requires a commitment to health equity and the elimination of disparities• A healthy city begins with a strong social fabric and sense of community
  12. 12. HEALTHY CHICAGOChicago Department of Public HealthChicago Department of Public Health Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  13. 13. Healthy Chicago: Promoting Health Equity• Healthy environments are key• Persons of lower SES are often exposed to fewer factors that promote health and more factors that damage health• Making healthy choices must be easy and desirable
  14. 14. Presentation Outline1. A Public Health Framework2. Healthy Chicago Public Health Agenda3. Progress Toward Health Equity
  15. 15. Priority: Maternal and Child Health• Breast-fed infants have reduced risks of many diseases• Babies and mothers experience emotional, mental health and developmental benefits from breastfeeding• In Illinois, breastfeeding initiation rates are lowest for non-Hispanic blacks, those with high school education or less, Medicaid recipients, and WIC recipients Pregnancy Risk Assessment Monitoring System, 2000-2006
  16. 16. Accomplishment: Baby-Friendly Hospitals• 13 Chicago hospitals are participating in the Baby-Friendly Hospital Initiative to support breastfeeding and increase breastfeeding rates
  17. 17. Priority: Tobacco Use• Tobacco is the most preventable cause of death and its use is associated with many illnesses• Declines in tobacco use over the years are smaller among lower income adults than other groups• 28% of Chicago adults who have a high school education or less smoke, while 15% of college graduates smoke (2009) American Cancer Society: A Chartbook (2009). BRFSS, 2009.
  18. 18. Accomplishments:Smoke-free & Tobacco-free Policies Smoke-free • Over 1,600 units of public housing Tobacco-free • 4 hospital campuses; 2 are in discussion • 3 higher education campuses • 6 substance abuse & mental health service agencies
  19. 19. Priority: Obesity Prevention• Obesity increases the risk of heart disease, cancer, and stroke• In Chicago, 40% of blacks are obese, as compared with 30% of the overall population (2009)• 40% of adults with a high school education level are obese, compared with 21% of college graduates (2009) BRFSS, 2009.
  20. 20. Accomplishments:Access to Healthy Food • Urban agriculture ordinance • Healthy Produce Carts • Healthy Corner Stores
  21. 21. Cross-cutting Accomplishments• Engaging diverse sectors• Engaging communities• Data
  22. 22. Cross-cutting Accomplishments:Partnership with Chicago Public Schools • Chief Health Officer • School Wellness Policy • Competitive Foods Policy
  23. 23. Cross-cutting Accomplishments: Engaging Communities• Community policy recommendations• LGBT Action Plan
  24. 24. What’s Next?• Continued partnership development• Health in all Policies
  25. 25. facebook.com/ChicagoPublicHealthGplus.to/ChiPublicHealth@ChiPublicHealth312.747.9884CityofChicago.org/HealthHealthyChicago@CityofChicago.org

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