This document discusses the rising costs of healthcare in the United States and strategies for prevention. It notes that lifestyle choices like poor nutrition and lack of exercise cause 70% of deaths and chronic conditions account for 75% of healthcare spending. The document presents data showing obesity trends increasing nationwide from 1990 to 2009 and the concentration of healthcare spending on a small portion of the population. It discusses the players in the US healthcare system including government, private insurance, and individuals. Prevention strategies like the Affordable Care Act and focus on chronic disease and obesity are summarized as ways to reduce costs and improve health.
Published in The Lancet in November 2018, GBD 2017 provides for the first time an independent estimation of population, for each of 195 countries and territories and the globe, using a standardized, replicable approach, as well as a comprehensive update on fertility. GBD 2017 incorporates major data additions and improvements, using a total of 68,781 data sources in the estimation process.
This document discusses approaches to nutrition education and obesity prevention. It begins with an overview of the obesity epidemic in the US and factors contributing to its rise, such as increased consumption of sugary drinks and meals outside the home, as well as decreased physical activity. A socio-ecological model is presented for understanding the individual, social, and environmental factors influencing obesity. The document advocates for multi-level interventions targeting behaviors, as well as policy, systems and environmental changes in sectors like schools, worksites and healthcare to support healthy eating and active living. Evaluation of individual and community-level outcomes is emphasized.
This document summarizes research on the relationship between obesity and healthcare costs in the United States. It finds that obesity rates have risen dramatically, with 69% of Americans now overweight or obese. This leads to increased healthcare spending, with obesity contributing to a 0.64% increase in costs for every 1% rise in obesity. The study uses regression analysis to examine the correlation between obesity and healthcare costs, as well as factors influencing obesity rates, using data from 2015. Key determinants of obesity discussed include education, income/poverty levels, food prices, and regional differences in costs of living.
Clarian health health promotion inservice november 8, 2010Julie Gahimer
This document provides an overview of health promotion concepts for physical therapists. It discusses the six dimensions of health, obesity trends in the US, national health goals and objectives, and the roles of physical therapists in health promotion. Physical therapists are well-positioned to educate clients and the public about prevention, screening, and maintaining healthy behaviors through the lifespan. The document also reviews resources like the American Physical Therapy Association for promoting health and wellness.
This document discusses the Global Burden of Disease (GBD) study, which involves over 1,700 collaborators in 124 countries. It provides examples of how GBD data has been used globally to inform policy decisions and public health programs. Countries mentioned include Colombia, China, Nigeria, India, Iran, Rwanda, the UK, the US, Uganda, Kenya, Norway, and Botswana. GBD data has addressed issues like violence, air pollution, tobacco use, mental health, malnutrition, and non-communicable diseases. Leaders like Bill Gates, Michelle Obama, and health ministers have recognized GBD as an important resource for evidence-based decision making.
This chapter introduces key topics in women's health. It discusses that women's health issues need dedicated study as women have unique physiological and psychosocial needs compared to men. Promoting proactive health behaviors can help prevent disease. Women around the world face common challenges to their health, and concepts like sexism and misogyny have impacted women's healthcare. The women's health movement has advocated for women's health rights and access to medical information and care.
The document discusses the global issue of obesity, termed "globesity". Key points include:
- Globesity affects over 400 million people worldwide and is projected to increase to over 700 million by 2015.
- It is a major global health risk and its impact rivals or exceeds that of cigarette smoking.
- Globesity is the leading cause of type 2 diabetes, also called "diabesity".
- Treatment and prevention efforts focused on children and adolescents will be important to addressing globesity long-term.
The document discusses trends in obesity among U.S. adults between 1985 and 2007 based on data from the Behavioral Risk Factor Surveillance System (BRFSS). It shows that rates of obesity, defined as a BMI of 30 or higher, have steadily increased over time. In 1985-1986, less than 10% of adults were obese but by 2007, over 30% of adults were obese. The rising rates of obesity may lead to increased cases of diseases like diabetes, heart disease, and stroke in the future if trends continue.
Published in The Lancet in November 2018, GBD 2017 provides for the first time an independent estimation of population, for each of 195 countries and territories and the globe, using a standardized, replicable approach, as well as a comprehensive update on fertility. GBD 2017 incorporates major data additions and improvements, using a total of 68,781 data sources in the estimation process.
This document discusses approaches to nutrition education and obesity prevention. It begins with an overview of the obesity epidemic in the US and factors contributing to its rise, such as increased consumption of sugary drinks and meals outside the home, as well as decreased physical activity. A socio-ecological model is presented for understanding the individual, social, and environmental factors influencing obesity. The document advocates for multi-level interventions targeting behaviors, as well as policy, systems and environmental changes in sectors like schools, worksites and healthcare to support healthy eating and active living. Evaluation of individual and community-level outcomes is emphasized.
This document summarizes research on the relationship between obesity and healthcare costs in the United States. It finds that obesity rates have risen dramatically, with 69% of Americans now overweight or obese. This leads to increased healthcare spending, with obesity contributing to a 0.64% increase in costs for every 1% rise in obesity. The study uses regression analysis to examine the correlation between obesity and healthcare costs, as well as factors influencing obesity rates, using data from 2015. Key determinants of obesity discussed include education, income/poverty levels, food prices, and regional differences in costs of living.
Clarian health health promotion inservice november 8, 2010Julie Gahimer
This document provides an overview of health promotion concepts for physical therapists. It discusses the six dimensions of health, obesity trends in the US, national health goals and objectives, and the roles of physical therapists in health promotion. Physical therapists are well-positioned to educate clients and the public about prevention, screening, and maintaining healthy behaviors through the lifespan. The document also reviews resources like the American Physical Therapy Association for promoting health and wellness.
This document discusses the Global Burden of Disease (GBD) study, which involves over 1,700 collaborators in 124 countries. It provides examples of how GBD data has been used globally to inform policy decisions and public health programs. Countries mentioned include Colombia, China, Nigeria, India, Iran, Rwanda, the UK, the US, Uganda, Kenya, Norway, and Botswana. GBD data has addressed issues like violence, air pollution, tobacco use, mental health, malnutrition, and non-communicable diseases. Leaders like Bill Gates, Michelle Obama, and health ministers have recognized GBD as an important resource for evidence-based decision making.
This chapter introduces key topics in women's health. It discusses that women's health issues need dedicated study as women have unique physiological and psychosocial needs compared to men. Promoting proactive health behaviors can help prevent disease. Women around the world face common challenges to their health, and concepts like sexism and misogyny have impacted women's healthcare. The women's health movement has advocated for women's health rights and access to medical information and care.
The document discusses the global issue of obesity, termed "globesity". Key points include:
- Globesity affects over 400 million people worldwide and is projected to increase to over 700 million by 2015.
- It is a major global health risk and its impact rivals or exceeds that of cigarette smoking.
- Globesity is the leading cause of type 2 diabetes, also called "diabesity".
- Treatment and prevention efforts focused on children and adolescents will be important to addressing globesity long-term.
The document discusses trends in obesity among U.S. adults between 1985 and 2007 based on data from the Behavioral Risk Factor Surveillance System (BRFSS). It shows that rates of obesity, defined as a BMI of 30 or higher, have steadily increased over time. In 1985-1986, less than 10% of adults were obese but by 2007, over 30% of adults were obese. The rising rates of obesity may lead to increased cases of diseases like diabetes, heart disease, and stroke in the future if trends continue.
Nicaragua identifying factors that affect childrens healthImelda Medina, MD
Children's growth up to age five is influenced more by nutrition, environment and health care than by genetics or ethnicity. The document states that factors like nutrition, environment and health care have a greater influence on children's development in the first five years than genetic or ethnic factors.
The YMCA seeks to promote youth development, healthy living, and social responsibility through community programs. It aims to be inclusive of its diverse membership. One of its focus areas is developing more programming for youth. The proposed program, YMCA HEART, aims to prevent and reduce hypertension in 6th grade students in Ypsilanti by providing education on blood pressure, physical activity, and sodium intake over six-week sessions. The objectives are for students to gain knowledge in these areas and for those with prehypertension or hypertension to reduce their blood pressure. The program aims to reach most students at the school over three years to address health disparities in the Ypsilanti community related to higher rates of sedentary behavior,
Introduction to Global Health as an overviewSafira Sahida
This document provides an introduction to global health, including definitions of key terms, comparisons of health inequalities worldwide, and the historical development of global health as a field. It discusses how global health issues transcend national boundaries and require international cooperation. Determinants of health, measurement of health status, culture and health, the global disease burden, and the organization of health systems are identified as important concepts in global health. Information sharing is recognized as important for addressing global health challenges.
The document discusses the health status of women in India. It finds that women experience higher rates of infant and child mortality compared to men in many states. Literacy rates are also lower for women nationally. Enrollment is lower for females at all levels of education except post-graduation and MPhil. Overall, the analysis shows that women in India are at a disadvantage compared to men in terms of health outcomes and social indicators.
1. The document discusses women's health and well-being, with a focus on how it is defined and perceptions of it in different cultures and income levels.
2. It finds that for poorer women in developing countries, well-being often means having basic needs met and gaining empowerment through education and independence.
3. For women in wealthier countries, well-being debates commonly center around balancing work and family responsibilities, though subjective feelings can differ from objective measures of health and income.
4. The document examines perspectives from women, public health officials, and experts on factors influencing well-being and how women access health information.
This document provides information on women's health topics including violence against women, menopause, breast cancer, and reproductive health. It defines key terms, outlines objectives for a lecture, and discusses various health issues that affect women such as domestic violence, menopause symptoms, breast cancer signs and risks, and recommended health screenings. Health promotion strategies are also addressed such as family planning, nutrition, and preventing sexually transmitted infections.
The document discusses metabolism in snakes and trends in obesity among US adults. A snake metabolism study found that 34% of a snake's mass comes from food intake, while 11% is waste, 7% is shed skin, and 48% is unaccounted for. The rest of the document shows maps from 1985 to 2016 tracking rising obesity rates in the US according to the Behavioral Risk Factor Surveillance System, with rates increasing over time and some states having rates over 30% by 2016.
This document discusses several public health issues that disproportionately impact women's health globally. It outlines socio-cultural factors like unequal power dynamics and lack of education that prevent women from accessing quality healthcare. Key issues addressed include maternal mortality, mental health disorders, obesity, malnutrition, and anemia. Maternal mortality is higher in places where fewer births are attended by medical professionals. Malnutrition and anemia are widespread among women in developing nations due to inadequate nutrition and high prevalence of conditions like malaria.
From the CDC why it is so important to wake up and be proactive before the reactive healthcare become a reality. Hospitalization, Doctors, Medicines are for the most part concerned with symptoms. We are excited to share a plan that works quickly, burns up belly fat and teaches new habits of eating moving forward that will lead you into a healthy, lean lifestyle so that you keep the fat off for the rest of your life!
The document discusses suicide by pesticide poisoning and prevention approaches. It summarizes evidence that restricting access to lethal means, such as through bans on highly toxic pesticides, can significantly reduce pesticide suicides and overall suicide rates. Studies from 6 countries found bans on pesticides were followed by reductions in pesticide suicide deaths and some saw declines in total suicides. Sales restrictions in some countries also reduced pesticide suicides. However, locked storage boxes for pesticides did not reliably reduce pesticide poisonings or total suicides according to a large randomized controlled trial.
February 14, 2020
On February 14, 2020, Harvard Medical School Center for Bioethics and the Program on Regulation, Therapeutics, and Law (PORTAL) at Brigham and Women's Hospital, in collaboration with the Petrie-Flom Center hosted the monthly health policy consortium on sugar-sweetened beverage excise taxes.
In recent years, some cities have tried to impose soda taxes and other new policies to reduce the obesity epidemic in the US—particularly among children—and its critical impact on society and the health care system. How effective are these policies? What is blocking their uptake? What alternatives should we consider?
For more information visit our website at: https://petrieflom.law.harvard.edu/events/details/soda-taxes-and-other-policy-responses-to-the-american-obesity-epidemic
Breast cancer is the most commonly diagnosed cancer in women. Over 1.7 million cases were diagnosed worldwide in 2007, with 465,000 deaths. The risk increases with age and certain lifestyle factors like obesity, alcohol consumption, and not having children. Screening and early detection can help prevent breast cancer and increase 5-year survival rates to 98%.
Social and economic implications of noncommunicable diseases in indiaDr. Dharmendra Gahwai
India has experienced rapid economic growth over the last decade of around 7-8% per year. However, this has also led to a rising burden of non-communicable diseases (NCDs) such as heart disease, cancer and diabetes. NCDs now account for over 60% of deaths in India and place a major strain on the health system. Rising rates of risk factors like smoking, unhealthy diets and physical inactivity have contributed to the growing NCD problem. Additionally, India faces a "double burden" of both communicable and non-communicable diseases co-existing as the country undergoes an epidemiological transition.
Surveillance for Health Disparities and the Social Determinants of Health - D...Lauren Johnson
This document discusses health equity, health disparities, and social determinants of health. It defines health equity as achieving the highest level of health for all people through addressing avoidable inequalities. Health disparities are closely linked to social and economic disadvantage and adversely affect groups that have systematically faced discrimination. Social determinants of health are the circumstances where people are born, live, work and age, shaped by economics, social policies and politics. These determinants include education, employment, income, housing, transportation, social status and environment. The document provides examples of health disparities data from different cities and states, and discusses how improving social determinants like education can positively impact health.
This document discusses developing comprehensive and integrated approaches to suicide prevention. It provides background information on suicide rates and methods in the United States over time. It also discusses common barriers to suicide prevention, circumstances preceding suicide, and the public health rationale for preventing suicide at the population level rather than just focusing on clinical care. The document advocates for using a social-ecological approach to identify at-risk groups and design interventions across multiple settings and populations. It emphasizes the need to build an integrated mosaic of prevention components within local communities and social contexts.
Women’s health – beyond reproductive yearsGulrukh Hashmi
This document discusses women's health issues beyond their reproductive years. It notes that as populations age, there is an increased focus on women's health after menopause. Common health problems among post-menopausal women include menopause, osteoporosis, cardiovascular disease, mental health issues, and various cancers. Interventions like hormone replacement therapy, immunizations, early diagnosis and screening, and lifestyle changes can help address these health issues. The document advocates for a life-cycle approach to women's health and gender-sensitive policies that meet women's needs at all stages of life.
This document summarizes a case study on infant mortality rate (IMR) and malnourishment in Satna, Madhya Pradesh, India. It begins with definitions of IMR from organizations like UNICEF and WHO. It then provides background on worldwide and Indian IMR trends, noting that Satna has a higher IMR than most other Indian states and countries globally. The document describes conducting surveys of local officials and residents in Satna to understand factors contributing to high IMR and malnourishment. Key factors identified include lack of access to healthcare, sanitation issues, and poverty. The document concludes by suggesting steps like improving nutrition programs and healthcare access to help reduce IMR and malnourishment in Satna.
The document provides information on counterfeit drugs, including definitions, global and Indian statistics, examples of counterfeited drugs, and potential solutions. Some key points:
- The WHO defines counterfeit drugs as deliberately mislabeled regarding identity and/or source, and they may contain incorrect ingredients, insufficient active ingredients, or no active ingredients.
- India accounts for 10% of global drug production but also has high rates of counterfeiting, estimated at 20% of drugs. Globally, counterfeiting costs the legitimate pharmaceutical industry $75 billion annually.
- Many popular drugs are frequently counterfeited, such as Viagra, Lipitor, and cancer treatments. Counterfeits are found to contain
Nicaragua identifying factors that affect childrens healthImelda Medina, MD
Children's growth up to age five is influenced more by nutrition, environment and health care than by genetics or ethnicity. The document states that factors like nutrition, environment and health care have a greater influence on children's development in the first five years than genetic or ethnic factors.
The YMCA seeks to promote youth development, healthy living, and social responsibility through community programs. It aims to be inclusive of its diverse membership. One of its focus areas is developing more programming for youth. The proposed program, YMCA HEART, aims to prevent and reduce hypertension in 6th grade students in Ypsilanti by providing education on blood pressure, physical activity, and sodium intake over six-week sessions. The objectives are for students to gain knowledge in these areas and for those with prehypertension or hypertension to reduce their blood pressure. The program aims to reach most students at the school over three years to address health disparities in the Ypsilanti community related to higher rates of sedentary behavior,
Introduction to Global Health as an overviewSafira Sahida
This document provides an introduction to global health, including definitions of key terms, comparisons of health inequalities worldwide, and the historical development of global health as a field. It discusses how global health issues transcend national boundaries and require international cooperation. Determinants of health, measurement of health status, culture and health, the global disease burden, and the organization of health systems are identified as important concepts in global health. Information sharing is recognized as important for addressing global health challenges.
The document discusses the health status of women in India. It finds that women experience higher rates of infant and child mortality compared to men in many states. Literacy rates are also lower for women nationally. Enrollment is lower for females at all levels of education except post-graduation and MPhil. Overall, the analysis shows that women in India are at a disadvantage compared to men in terms of health outcomes and social indicators.
1. The document discusses women's health and well-being, with a focus on how it is defined and perceptions of it in different cultures and income levels.
2. It finds that for poorer women in developing countries, well-being often means having basic needs met and gaining empowerment through education and independence.
3. For women in wealthier countries, well-being debates commonly center around balancing work and family responsibilities, though subjective feelings can differ from objective measures of health and income.
4. The document examines perspectives from women, public health officials, and experts on factors influencing well-being and how women access health information.
This document provides information on women's health topics including violence against women, menopause, breast cancer, and reproductive health. It defines key terms, outlines objectives for a lecture, and discusses various health issues that affect women such as domestic violence, menopause symptoms, breast cancer signs and risks, and recommended health screenings. Health promotion strategies are also addressed such as family planning, nutrition, and preventing sexually transmitted infections.
The document discusses metabolism in snakes and trends in obesity among US adults. A snake metabolism study found that 34% of a snake's mass comes from food intake, while 11% is waste, 7% is shed skin, and 48% is unaccounted for. The rest of the document shows maps from 1985 to 2016 tracking rising obesity rates in the US according to the Behavioral Risk Factor Surveillance System, with rates increasing over time and some states having rates over 30% by 2016.
This document discusses several public health issues that disproportionately impact women's health globally. It outlines socio-cultural factors like unequal power dynamics and lack of education that prevent women from accessing quality healthcare. Key issues addressed include maternal mortality, mental health disorders, obesity, malnutrition, and anemia. Maternal mortality is higher in places where fewer births are attended by medical professionals. Malnutrition and anemia are widespread among women in developing nations due to inadequate nutrition and high prevalence of conditions like malaria.
From the CDC why it is so important to wake up and be proactive before the reactive healthcare become a reality. Hospitalization, Doctors, Medicines are for the most part concerned with symptoms. We are excited to share a plan that works quickly, burns up belly fat and teaches new habits of eating moving forward that will lead you into a healthy, lean lifestyle so that you keep the fat off for the rest of your life!
The document discusses suicide by pesticide poisoning and prevention approaches. It summarizes evidence that restricting access to lethal means, such as through bans on highly toxic pesticides, can significantly reduce pesticide suicides and overall suicide rates. Studies from 6 countries found bans on pesticides were followed by reductions in pesticide suicide deaths and some saw declines in total suicides. Sales restrictions in some countries also reduced pesticide suicides. However, locked storage boxes for pesticides did not reliably reduce pesticide poisonings or total suicides according to a large randomized controlled trial.
February 14, 2020
On February 14, 2020, Harvard Medical School Center for Bioethics and the Program on Regulation, Therapeutics, and Law (PORTAL) at Brigham and Women's Hospital, in collaboration with the Petrie-Flom Center hosted the monthly health policy consortium on sugar-sweetened beverage excise taxes.
In recent years, some cities have tried to impose soda taxes and other new policies to reduce the obesity epidemic in the US—particularly among children—and its critical impact on society and the health care system. How effective are these policies? What is blocking their uptake? What alternatives should we consider?
For more information visit our website at: https://petrieflom.law.harvard.edu/events/details/soda-taxes-and-other-policy-responses-to-the-american-obesity-epidemic
Breast cancer is the most commonly diagnosed cancer in women. Over 1.7 million cases were diagnosed worldwide in 2007, with 465,000 deaths. The risk increases with age and certain lifestyle factors like obesity, alcohol consumption, and not having children. Screening and early detection can help prevent breast cancer and increase 5-year survival rates to 98%.
Social and economic implications of noncommunicable diseases in indiaDr. Dharmendra Gahwai
India has experienced rapid economic growth over the last decade of around 7-8% per year. However, this has also led to a rising burden of non-communicable diseases (NCDs) such as heart disease, cancer and diabetes. NCDs now account for over 60% of deaths in India and place a major strain on the health system. Rising rates of risk factors like smoking, unhealthy diets and physical inactivity have contributed to the growing NCD problem. Additionally, India faces a "double burden" of both communicable and non-communicable diseases co-existing as the country undergoes an epidemiological transition.
Surveillance for Health Disparities and the Social Determinants of Health - D...Lauren Johnson
This document discusses health equity, health disparities, and social determinants of health. It defines health equity as achieving the highest level of health for all people through addressing avoidable inequalities. Health disparities are closely linked to social and economic disadvantage and adversely affect groups that have systematically faced discrimination. Social determinants of health are the circumstances where people are born, live, work and age, shaped by economics, social policies and politics. These determinants include education, employment, income, housing, transportation, social status and environment. The document provides examples of health disparities data from different cities and states, and discusses how improving social determinants like education can positively impact health.
This document discusses developing comprehensive and integrated approaches to suicide prevention. It provides background information on suicide rates and methods in the United States over time. It also discusses common barriers to suicide prevention, circumstances preceding suicide, and the public health rationale for preventing suicide at the population level rather than just focusing on clinical care. The document advocates for using a social-ecological approach to identify at-risk groups and design interventions across multiple settings and populations. It emphasizes the need to build an integrated mosaic of prevention components within local communities and social contexts.
Women’s health – beyond reproductive yearsGulrukh Hashmi
This document discusses women's health issues beyond their reproductive years. It notes that as populations age, there is an increased focus on women's health after menopause. Common health problems among post-menopausal women include menopause, osteoporosis, cardiovascular disease, mental health issues, and various cancers. Interventions like hormone replacement therapy, immunizations, early diagnosis and screening, and lifestyle changes can help address these health issues. The document advocates for a life-cycle approach to women's health and gender-sensitive policies that meet women's needs at all stages of life.
This document summarizes a case study on infant mortality rate (IMR) and malnourishment in Satna, Madhya Pradesh, India. It begins with definitions of IMR from organizations like UNICEF and WHO. It then provides background on worldwide and Indian IMR trends, noting that Satna has a higher IMR than most other Indian states and countries globally. The document describes conducting surveys of local officials and residents in Satna to understand factors contributing to high IMR and malnourishment. Key factors identified include lack of access to healthcare, sanitation issues, and poverty. The document concludes by suggesting steps like improving nutrition programs and healthcare access to help reduce IMR and malnourishment in Satna.
The document provides information on counterfeit drugs, including definitions, global and Indian statistics, examples of counterfeited drugs, and potential solutions. Some key points:
- The WHO defines counterfeit drugs as deliberately mislabeled regarding identity and/or source, and they may contain incorrect ingredients, insufficient active ingredients, or no active ingredients.
- India accounts for 10% of global drug production but also has high rates of counterfeiting, estimated at 20% of drugs. Globally, counterfeiting costs the legitimate pharmaceutical industry $75 billion annually.
- Many popular drugs are frequently counterfeited, such as Viagra, Lipitor, and cancer treatments. Counterfeits are found to contain
The document summarizes the structure and effects of prions, which are abnormal protein particles that cause fatal neurodegenerative diseases. Prions have two main forms: PrPc, the normal cellular prion protein consisting of four helices and two beta sheets, and PrPsc, the pathogenic form which has two helices and four beta sheets. PrPsc is highly resistant to heat and enzymes and converts PrPc into more PrPsc via a chain reaction, accumulating in the brain and gradually damaging neurons over time. Different prion strains preferentially affect different brain regions, ultimately leading to sponge-like brain tissue destruction and death from related diseases like Creutzfeldt-Jakob disease in humans and bovine
- In the 1950s, a disease called kuru was observed among the Fore people of New Guinea that caused trembling, loss of motor control, and ultimately death.
- Kuru and other transmissible spongiform encephalopathies (TSEs) are caused by prion proteins, which are unique infectious proteins that can reproduce on their own and convert normal prion proteins into the abnormal infectious form.
- Prions are extremely resistant to heat and chemicals and can survive in the environment for many years. They infect the central nervous system and cause neurodegeneration through a chain reaction that multiplies copies of the infectious prion protein.
This document outlines the different levels of prevention in health: primordial, primary, secondary, and tertiary. Primordial prevention aims to prevent risk factors from emerging in populations through health education. Primary prevention removes the possibility of disease through actions like immunizations, nutrition programs, and lifestyle changes. Secondary prevention halts disease progression and prevents complications through screening, treatment of known cases, and limiting spread. Tertiary prevention focuses on rehabilitation and reducing impairments and disabilities for existing health issues through measures like disability limitation and vocational training.
Proteins are fundamental components of living cells and come in many forms like hemoglobin, hormones, antibodies, enzymes, and structural proteins. Proteins have a primary structure defined by their amino acid sequence and commonly form secondary structures like alpha helices and beta sheets. For a protein to function properly it must fold into its correct three-dimensional tertiary structure. Misfolded proteins can aggregate and poison cells. Prions are abnormal infectious protein particles that cause neurodegenerative diseases by converting normal cellular prion proteins into the abnormal misfolded prion form.
Social and cultural health factorsUsing Data in Public and Com.docxwhitneyleman54422
Social and cultural health factors
Using Data in Public and Community Health
What is Public Health?
What is Public Health?
The fulfillment of society’s interest in assuring the conditions in which people can be healthy.
Organized community efforts aimed at the prevention of disease and the promotion of health.
See videos on Moodle
Public Health vs. Medical Care
In medicine, the patient is the individual; in public health, the patient is the community
Public health diagnoses the health of the community using public health sciences
Treatment of the community involves new policies and interventions
Goal of medicine is cure; goal of public health is prevention of disease and disability
Public Health: Science and Politics
Science is how we understand threats to health, determine what interventions might work, and evaluate whether the interventions worked
Politics is how we as a society make decisions about what policies to implement
Public Health Disciplines
Epidemiology
Statistics
Biomedical Sciences
Environmental Health Science
Social and Behavioral Sciences
Health Policy and Management
Epidemiology
The basic science of public health
The study of epidemics
Aims to control spread of infectious diseases
Seeks causes of chronic disease and ways to limit harmful exposures.
Statistics
Collection of data on the population
These numbers are diagnostic tools for the health of the community
The science of statistics is used to calculate risks and benefits
Biomedical Sciences
Infectious diseases – pathogens
Chronic diseases
Genetics
Environmental Health Science
Health effects of environmental exposures
Air quality
Water quality
Solid and hazardous wastes
Safe food and drugs
Global environmental change
Social and Behavioral Sciences
Behavior is now the leading factor in affecting people’s health
Theories of health behavior: social environment affects people’s behavior
Major health threats: tobacco, poor diet and physical inactivity, injuries
Maternal and child health – a social issue
Health Policy and Management
Role of medical care in public health
Cost of medical care in U.S. is out of control
U.S. has a high percentage of population without health insurance – these people often lack access to medical care
Quality of medical care can be measured, and is often questionable
Public Health: Prevention and Intervention
Primary prevention
Secondary prevention
Tertiary prevention
Public Health Approach
Define the health problem
Identify risk factors associated with the problem
Develop and test community-level interventions to control or prevent the cause of the problem
Implement interventions to improve the health of the population.
Monitor interventions to assess their effectiveness.
Key Findings
Most people are concerned about their health—very concerned (31%) or somewhat concerned (31%)
Key Findings
Americans do not see a single most important cause of individuals’ health problems.
Top c.
The document discusses rising healthcare costs driven by an aging population and the increasing prevalence of chronic diseases like obesity and diabetes. Healthcare spending per capita has risen dramatically in recent decades and chronic diseases account for 75% of total healthcare costs. Unhealthy behaviors and lifestyle factors are the primary causes behind the rise in chronic diseases. Addressing obesity, physical inactivity, and other modifiable risk factors through worksite wellness programs could help curb healthcare spending growth and improve worker productivity and health outcomes.
This document examines trends in obesity among U.S. adults between 1985 and 2010 using data from the Behavioral Risk Factor Surveillance System. It finds that in 1990, 10 states had obesity prevalence below 10% while no state was at or above 15%; by 2000, no state was below 10% and 23 states were between 20-24%; and by 2010 no state was below 20%, 36 states were at or above 25%, and 12 states were at or above 30%.
This document examines trends in obesity among U.S. adults between 1985 and 2010 using data from the Behavioral Risk Factor Surveillance System. It finds that in 1990, 10 states had obesity prevalence below 10% while no state was at or above 15%; by 2000, no state was below 10% and 23 states were between 20-24%; and by 2010 no state was below 20%, 36 states were at or above 25%, and 12 states were at or above 30%.
This document examines trends in obesity among U.S. adults between 1985 and 2010 using data from the Behavioral Risk Factor Surveillance System. It finds that in 1990, 10 states had obesity prevalence below 10% while no state was at or above 15%; by 2000, no state was below 10% and 23 states were between 20-24%; and by 2010 no state was below 20%, 36 states were at or above 25%, and 12 states were at or above 30%.
This document examines trends in obesity among U.S. adults between 1985 and 2010 using data from the Behavioral Risk Factor Surveillance System. It finds that in 1990, 10 states had obesity prevalence below 10% while no state was at or above 15%; by 2000, no state was below 10% and 23 states were between 20-24%; and by 2010 no state was below 20%, 36 states were at or above 25%, and 12 states were at or above 30%.
The document discusses childhood obesity trends in the United States. Over the past 30 years, obesity rates have dramatically increased, with over one third of U.S. adults now considered obese. If trends continue, 86% of Americans could be overweight or obese by 2030. Childhood obesity can negatively impact children's physical health, mental health, and emotional well-being. Occupational therapists can play a role in childhood obesity prevention and intervention through programs that educate families, modify habits and environments, and advocate for policy changes to support healthier lifestyle choices.
This document discusses strategies that local governments can implement to address the obesity epidemic based on recommendations from the CDC. It provides an overview of the rising trends in obesity in the US from 1990 to 2009. Some key factors that contributed to increased obesity rates are the increased consumption of sugar-sweetened beverages and fast food, lack of physical activity, and community designs that discourage walking and biking. The document argues that local governments should care because obesity rates affect healthcare costs and productivity. It recommends that local governments enact policies and create built environments that make healthy eating and active living easier through initiatives like increasing parks and improving walkability.
Obesity Trends in U.S. from 1985 through 2010Art Rothafel
The document examines trends in obesity among US adults between 1985 and 2010 using data from the CDC's Behavioral Risk Factor Surveillance System. It shows that in 1990, most states had obesity prevalence below 10%, but that by 2000 no state was below 10% and over 20 states were between 20-24%. By 2010, no state was below 20% prevalence, 36 states were at or above 25%, and 12 states had reached or exceeded 30% prevalence.
This document discusses the role of public health and how it differs from medical care. Public health focuses on prevention at the community level through activities like health education, disease prevention, and ensuring a safe environment. It addresses both infectious diseases and chronic health issues. While medical care focuses on treating individual patients, public health aims to prevent disease and promote health for entire populations. The document outlines the core services of public health like communicable disease control and highlights some current public health challenges.
The document shows maps tracking obesity rates among U.S. adults between 1985 and 2008 based on data from the CDC's Behavioral Risk Factor Surveillance System. It finds that in 1990, ten states had obesity rates under 10% while no states were over 15%, but by 1999 no state was under 10% and 18 states were between 20-24%. The trends continued upwards such that by 2008 only Colorado was under 20% while 32 states were over 25% and six of those over 30%.
Putting the Health in Healthcare: Partnerships with Hospitals
Hospitals and active transportation advocates are working together to make their communities healthier. Hear from health professionals in Ohio, Pennsylvania and Washington, DC who are linking the healthy lifestyle expertise of hospitals with active transportation facilities.
Presenters:
Presenter: David Pauer Cleveland Clinic
Co-Presenter: Bonnie Coyle St. Luke's University Health Network
Co-Presenter: Elissa Garofalo Delaware & Lehigh National Heritage Corridor
Co-Presenter: Elissa Southward Rails-to-Trails Conservancy
This document analyzes trends in obesity among US adults between 1985 and 2009 based on data from the Behavioral Risk Factor Surveillance System. It finds that in 1990, most states had obesity prevalence below 10%, while by 1999 no state was below 10% and by 2009 only one state and DC were below 20%, with 33 states at or above 25% prevalence. Nine southern states had reached or exceeded 30% prevalence by 2009, indicating a clear rise in obesity levels across the US during this period.
This document analyzes trends in obesity among US adults between 1985 and 2009 based on data from the Behavioral Risk Factor Surveillance System. It finds that in 1990, most states had obesity prevalence below 10%, while by 1999 no state was below 10% and by 2009 only one state and DC were below 20%, with 33 states at or above 25% prevalence. Nine southern states had reached or exceeded 30% prevalence by 2009, indicating a clear rise in obesity levels nationwide over the studied period.
This document analyzes trends in obesity among US adults between 1985 and 2009 based on data from the Behavioral Risk Factor Surveillance System. It finds that in 1990, most states had obesity prevalence below 10%, while by 1999 no state was below 10% and by 2009 only one state and DC were below 20%, with 33 states at or above 25% prevalence. Nine southern states had reached or exceeded 30% prevalence by 2009, indicating a clear rise in obesity levels across the US during this period.
WELLVIS! - The Connection Between WELLness and serVICE!Joey Traywick
The document discusses the serious problem of chronic illness in the US that is caused by modifiable risk factors like obesity. It shows data from the CDC on the rising rates of obesity among US adults from 1985 to 2010, demonstrating a significant increase over that time period. It argues that this problem is not just impacting the healthcare system and economy, but also stealing people's sense of purpose. It encourages making small changes consistently over time to inspire better health.
Obesity, Latinos, and Diet
Daniel Santibanez, MPH, University of North Florida
May 27. 2005 - UNF Hispanic Health Issues Seminar
This is part 4 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
FROM THE CDC: http://www.cdc.gov/obesity/data/trends.html
"Trends by State 1985–2009
Obesity is defined as a body mass index (BMI) of 30 or greater. BMI is calculated from a person's weight and height and provides a reasonable indicator of body fatness and weight categories that may lead to health problems. Obesity is a major risk factor for cardiovascular disease, certain types of cancer, and type 2 diabetes."
www.Bariatric-Surgery-Source.com : Obesity Statistics in America: 1985 - 2009Quinlan2
This document analyzes obesity rate trends among U.S. adults between 1985 and 2009 using data from the Behavioral Risk Factor Surveillance System. It finds that in 1990, 10 states had obesity rates under 10% while no state was over 15%, but by 1999 no state was under 10% and 18 states were between 20-24%. By 2009, only Colorado and DC were under 20%, while 33 states were over 25% and 9 states over 30%. The data shows obesity rates rising significantly across the U.S. over this period.
Corporate Presentation, For Management Or Hr DirRobo86
The document discusses creating wellness in the workplace. It notes that chronic diseases are the leading causes of death in the US and cost over $100 billion per year. Obesity rates have risen dramatically over the past few decades and pose significant health and financial costs. The document recommends establishing a wellness program with senior level support, collecting data, setting goals and objectives, and incentivizing employees to participate.
Similar to Prevention: Medicine for the Health Economy (20)
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Prevention: Medicine for the Health Economy
1. Prevention:
Medicine for the Health
Economy
Peter Wolff
March 27, 2013
IHL 6049 – Integrative Wellness Management
2. State of the Nation
Lifestyle choices, including poor nutrition, lack of
exercise, tobacco use, and excessive alcohol
consumption, are the primary causes of chronic health
conditions, leading to 70% of all deaths nationally.
75% of health care dollars are spent on
preventable, chronic conditions.
More than two-thirds of surveyed Americans believe
more attention needs to be placed on preventing
chronic disease.
(CDC, 2009)
3. Research Question
How do we bend the cost curve on health?
I intentionally limited the scope of the research herein by
applying a health economics lens, with the intention of
discovering promising models of health care that fit into
existing financial structures.
4. Motivations
Understand how integrative health and health
promotion fit into the landscape of our health economy.
Be prepared for business and policy negotiations in
corporate, government and non-profit organizations.
Construct a vision for a sustainable future of integrative
health and wellness.
6. We’re #1!
In 2009, the United States spent more on health as a
percentage of GDP than any other nation
USA – 17.4%
Japan – 8.5%, while providing comprehensive health
coverage to all if its citizens
(Squires, 2012)
The United States ranks
22nd among industrialized nations in life expectancy
27th internationally in infant mortality
(CDC, 2012)
7. More on Spending
Concentration of Health Care Spending in
United States spent more than $2.6 trillion on medical
care in 2010, the U.S. Population, 2009
or $8,458 per person.
Percent of Total Health Care Spending
(≥$51,951) (≥$17,402) (≥$9,570) (≥$6,343) (≥$4,586) (≥$851) (<$851)
Note: Dollar amounts in parentheses are the annual expenses per person in each percentile. Population is the civilian noninstitutionalized population,
including those without any health care spending. Health care spending is total payments from all sources (including direct payments from individuals
and families, private insurance, Medicare, Medicaid, and miscellaneous other sources) to hospitals, physicians, other providers (including dental care),
8. Why the Inflated Costs?
Pharma accounts for 10% of spending, with a 114%
surge in spending between 2000 and 2010
(Kaiser, 2012)
Medical technology accounts for about 50% of the
growth in health care spending. (Smith, Newhouse, &
Freeland, 2009)
Employee / patient ratio increased from 2.8 to 8.4
between 1970 and 2010 (Getzen, 2010, p.10)
13. Bright Spots
Children’s Health Insurance Program (CHIP)
Access to care for children has improved, with the rate of
uninsured children declining to an all time low of 8% in
2010
(CDC, 2012)
Patient Protection and Affordable Care Act (ACA)
Provisions of the law will extend health insurance
coverage to uninsured citizens at the beginning of 2014
15. Health in the Free Market
In all other industrialized countries, access to affordable
care is centrally governed and financed through
universal insurance-based or single-payer systems
(Squires, 2012).
In the United States, market efficiency is purported to
provide an “optimal” balance of health services for all
who need them (Reinhardt, 2001).
Since the 1970s, we have seen greater degrees of
social inequity and unprecedented price inflation for
health services.
18. US Health Care System
Mix of private insurance and single-payer systems
Who pays?
48% - US government
34% - Private insurance companies
11% - Personal wages or savings
7% - Charities
(Getzen, 2010)
19. Characteristics of Insurance
Uncertainty of an expected medical loss motivates
people to purchase insurance.
Moral hazard is the observed change in human
behavior, to engage in more high-risk activities, due to
the presence of insurance.
Adverse selection is a behavioral condition in which
people with the highest need for health care are also
the most likely to seek out insurance.
(Getzen, 2010)
20. Health Care Reform?
Bill Moyers interview
http://www.youtube.com/watch?v=7QwX_soZ1GI
21. Affordable Care Act
Extend coverage to the uninsured
Control costs
Improve quality of care
22. More Coverage
Approximately 32 million uninsured Americans will gain
health benefits
About 50/50 split between increased Medicaid
enrollment and mandatory insurance obtained from
private plans via state-run insurance exchanges
(Washington Post, 2010)
24. Chronic Disease
The rising tide of health care costs are running parallel
to the rise in obesity.
Obesity was responsible for 27 percent of the rise in
inflation-adjusted health spending between 1987 and
2001 (Thorpe, Florence, Howard & Joski, 2004).
Across all payers, obese people had per capita medical
spending that was 42 percent greater than spending for
normal-weight people in 2006
(Finkelstein, Trogdon, Cohen & Dietz, 2009)
25. Obesity Trends* Among U.S. Adults, BRFSS 1990 (1)
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
26. Obesity Trends* Among U.S. Adults, BRFSS 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
27. Obesity Trends* Among U.S. Adults, BRFSS 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
28. Obesity Trends* Among U.S. Adults, BRFSS 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
29. Obesity Trends* Among U.S. Adults, BRFSS 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
30. Obesity Trends* Among U.S. Adults, BRFSS 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
31. Obesity Trends* Among U.S. Adults, BRFSS 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
32. Obesity Trends* Among U.S. Adults, BRFSS 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
33. Obesity Trends* Among U.S. Adults, BRFSS 1998
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
34. Obesity Trends* Among U.S. Adults, BRFSS 1999
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
35. Obesity Trends* Among U.S. Adults, BRFSS 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
36. Obesity Trends* Among U.S. Adults, BRFSS 2001
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
37. Obesity Trends* Among U.S. Adults, BRFSS 2002
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
38. Obesity Trends* Among U.S. Adults, BRFSS 2003
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
39. Obesity Trends* Among U.S. Adults, BRFSS 2004
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
40. Obesity Trends* Among U.S. Adults, BRFSS 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
41. Obesity Trends* Among U.S. Adults, BRFSS 2006
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
42. Obesity Trends* Among U.S. Adults, BRFSS 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
43. Obesity Trends* Among U.S. Adults, BRFSS 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
44. Obesity Trends* Among U.S. Adults, BRFSS 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
45. Quality of Preventive Care
“When lawmakers discuss providing access to and
funding for prevention, they usually mean reimbursing
clinical screenings performed in a doctors office”
(Goetzel, 2009).
“Statistically, nationwide, anywhere from 50%, and in
some places 80%, of patients have chronic conditions and
preventive health needs that are not being met”
(Brown, 2012).
46. Prevention in the ACA
Although the ACA catalyzed the National Prevention
Strategy effort with a call to shift the focus from
sickness and disease to prevention and wellness, no
explicit funding for health promotion initiatives like
behavior change, lifestyle choices, and self-care
practices is included, only recommendations.
Sequestration is impacting the relatively small budget
allocated for preventive screenings.
47. Prevention in the ACA
Employers have the ability to encourage participation in
wellness programs by using discounts or incentives
valued at up to 30 percent of insurance premiums
costs.
49. Integrative Primary Care
Patient Centered Medical Home (PCMH)
More time with patients is shared between
doctors, advanced-practice nurses, physician
assistants, health educators, social workers and
pharmacists
50. Cost and Quality
In the Colorado pilot, acute inpatient admissions
declined 18 percent and emergency department visits
dropped by a 15 percent. The control groups in the
study saw increased utilization.
High satisfaction - 97 percent of participants in the
Colorado study said they would recommend the
medical home to family and friends.
The New York medical home pilot demonstrated per
patient per month cost reductions of 14.5 percent for
adults and 8.6 percent for children compared to the
control group
51. Integrative Primary Care
Employer-based Prevention Clinic
The short-term objective is reducing utilization of
expensive emergency room visits and hospital
care, but the long-term justification is creating a
healthier workforce by preventing and managing
chronic disease.
52. Cost and Quality
Given their business orientation, most employers are
seeking a financial return on the cost of implementing a
program.
Worker focused programming is not encumbered with
institutional limitations.
Employers free to adopt complementary and alternative
modalities of healing, such as meditation, yoga, or
Traditional Chinese medicine.
53. Trends
Pa ent-
Centered Worksite
Medical Home Preven on
Clinic
Primary Care Health
Insurance
Preven on with CAM
Biomedicine
Employment
Preven on with
Primary Care
Editor's Notes
Chronic conditions linked to obesity, including type 2 diabetes, high blood pressure, heart disease, arthritis and some cancers, require extended care (CDC, 2009)