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Fluoride presentation


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Fluoride presentation

  1. 1. Communities & Health Care<br />Geography & Political Choices<br />
  2. 2. “Colorado Brown Stain”<br />*From CDC Website-Achievements in Public Health<br />
  3. 3. Dental Caries<br />Common in the US and other <br /> developed countries during <br /> early 20th century<br /><ul><li>No effective measure existed for treatment except for tooth extraction
  4. 4. Is an infectious communicable disease that dissolves tooth enamel
  5. 5. Untreated, it can result in tooth loss and extreme discomfort
  6. 6. During both world wars, failure to meet the minimum standard of having 6 opposing teeth was a leading cause of rejection from military service</li></li></ul><li>Community Water Fluoridation<br />Field Studies were done in cities in Michigan, Illinois, and Ontario Canada, to test adjusted water fluoridation<br /><ul><li>Cross-sectional surveys in these communities over 13-15 years, caries was reduced 50%-70% among children in the communities with fluoridated water </li></ul>*From the Utah Dept. of Health<br />
  7. 7. What Does Fluoride Do?<br />Helps build stronger teeth enamel<br />Stops or reverses the tooth decay process<br />Prevents loss of important minerals<br />
  8. 8. Utah & Water Fluoridation<br />Utah children and adults had more cavities and higher tooth decay than the national average<br /><ul><li>Many Utah communities have natural fluoride in the drinking water
  9. 9. Some communities like Brigham City and Helper have been fluoridating their water systems for more than 35 years
  10. 10. Fluoride wasn’t implemented into Salt Lake County until October 1, 2003.</li></ul>*From the Utah Dept. of Health<br />
  11. 11. The Controversy<br />Individual Choice vs. Community<br />Are other means for receiving fluoride<br />Toothpaste, tablets or drops<br />Fluoride in large doses can be toxic<br />Can’t really control the dosage because people drink different amounts of water<br />
  12. 12. Other Political Choices: Smoking Bans<br />
  13. 13. How Does Utah Measure Up?<br />C<br />FY2011 State Funding for Tobacco Control Programs: $7,131,700<br />FY2011 Federal Funding for State Tobacco Control Programs: $1,527,000*<br />FY2011 Total Funding for State Tobacco Control Programs: $8,658,700<br />Percentage of CDC Recommended Level: 36.7%<br />*Includes regular funding from the CDC and Prevention as well as tobacco-related grants to states and communities from federal stimulus and health care reform funds.<br />$1.70<br />*On July 1, 2010, the cigarette tax increased from $.695 to $1.70 per pack<br />D<br />BARRIERS TO COVERAGE: Prior authorization required for some medications and minimal co-payments required<br />BARRIERS TO COVERAGE: Annual limit on quit attempts, prior authorization required fro some medications, and minimal co-payments required<br />STATE QUITLINE:<br />Investment Per Smoker: $8.64; CDC recommends an investment of $10.53/smoker<br />*From the American Lung Association<br />
  14. 14. The Controversy<br />Individual Choice vs. Community<br />Dangers of second hand smoke are extremely serious<br />Many think that public smoking bans will adversely affect certain types of businesses<br />Violation of personal rights<br />
  15. 15. Geographical Factors: Air Quality<br />Everyone is affected by the quality of air<br />Pollution presence of substance that is either present in the environment where it doesn’t belong or at greater levels than it should be<br />Pollution occurs on different levels <br />
  16. 16. Pollution & Health Effects<br /><ul><li>Decreases in lung function
  17. 17. Increases in heart attacks
  18. 18. Affects people with asthma
  19. 19. Elderly & children especially vulnerable</li></ul>Risk level depends on:<br />Amount of pollution in air<br />Amount of air breathed in a given time<br />Overall health<br />*From the EPA Website<br />
  20. 20. Air Quality Index<br />0 to 50:<br />Good<br />Green<br />51 to 100:<br />Moderate<br />Yellow<br />101 to 150:<br />Orange<br />Unhealthy(for Sensitive groups)<br />151 to 200:<br />Unhealthy<br />Red<br />Very Unhealthy<br />201 to 300:<br />Purple<br />Maroon<br />301 to 500:<br />Hazardous<br />
  21. 21. Air Quality By County<br />*From<br />
  22. 22. Compared to California<br />*From<br />
  23. 23. Winter in Utah<br />Mountain valleys and wintertime inversions provide conditions for formation of fine particulate <br />PM2.5 Concentrations build as temperature inversions persist<br />The Clean Air Act identifies 6 criteria air pollutants-limits to protect public health<br />
  24. 24. Community Choices<br />6-week competition <br />Chance to reduce vehicle emissions by choosing alternative to driving<br />Goals<br />Ultimately help improve air quality<br />Reduce traffic congestion<br />Conserve energy<br />
  25. 25. Geographical Factors: Unvaccinated Children<br /><ul><li>2.1 million children 19-35 months of age are undervaccinated, including children who have received no vaccines</li></ul>Annually, 17,000 children were unvaccinated<br /><ul><li>At increased risk of acquiring and transmitting vaccine-preventable diseases.</li></li></ul><li>Recent Outbreaks of Vaccine Preventable Diseases<br />2006 multi-state outbreak of mumps<br />Affected Midwestern College students<br />6,584 reported cases-usually less than 20 cases<br />July 2009<br />Index case: 11-year old boy visited the UK-went to summer camp where it was passed on to 25 people<br />Spread to 4 counties in New York, 1 county in New Jersey, and Quebec Canada<br />*Information from: The Journal of the American Medical Association<br />Mumps Outbreak—New York, New Jersey, Quebec, 2009<br />
  26. 26. Undervaccinated vs. Unvaccinated<br /><ul><li>Parents expressed concerns regarding vaccine safety
  27. 27. Felt doctors had little influence over vaccination decisions for their children
  28. 28. Clustered geographically</li></li></ul><li>Geography <br />*Taken from state NIS Data from 1995-2001 <br />
  29. 29. The Theme:<br />Juggling individual rights with collective good<br />Individual responsibility<br />Government Intervention<br />For most part everyone wants to do what’s best for them and their family, while also being considerate of others<br />Individual choices can affect others<br />