Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
Disparities in Health Care: The Significance of Socioeconomic StatusAmanda Romano-Kwan
This research paper discusses the disparities in the health care system, with a specific focus on socioeconomic status and how it affects the access and availability of quality care.
Title: Transforming Transportation and Health in Brownsville, Texas
Track: Change
Format: 60 minute panel
Abstract: Brownsville, Texas is a fast-growing city located on the Texas and Mexico Border, with a rich cultural heritage and high poverty rates. Learn about how the city went from being resistant to active transportation to embracing it in the interest of becoming a healthier, happier, and more livable city.
Presenters:
Presenter: Ramiro Gonzalez City of Brownsville
Speaking at the 2015 CCIH Annual Conference, Adrian Kerrigan, Senior Vice President, Partnerships for Catholic Medical Mission Board explores the organizations partnerships with local communities and governments to improve health and well-being and examines what makes a partnership successful.
Health Equity Considerations for Virginia's African American Children: The Importance of Social Determinants of Health
Prepared by Cheza Garvin, PhD, MPH, MSW, Assistant Professor and Academic Director, Consortium for Infant and Child Health (CINCH). Presented by Keisha Cutler, MPH, Assistant Director, CINCH, Department of Pediatrics, Division of Community Health & Research, Eastern Virginia Medical School
September of 2012 the CDC released data per state on Obesity in Amercians. Even though this is 2012 the information is even more relavant and more validated by now.
Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
Disparities in Health Care: The Significance of Socioeconomic StatusAmanda Romano-Kwan
This research paper discusses the disparities in the health care system, with a specific focus on socioeconomic status and how it affects the access and availability of quality care.
Title: Transforming Transportation and Health in Brownsville, Texas
Track: Change
Format: 60 minute panel
Abstract: Brownsville, Texas is a fast-growing city located on the Texas and Mexico Border, with a rich cultural heritage and high poverty rates. Learn about how the city went from being resistant to active transportation to embracing it in the interest of becoming a healthier, happier, and more livable city.
Presenters:
Presenter: Ramiro Gonzalez City of Brownsville
Speaking at the 2015 CCIH Annual Conference, Adrian Kerrigan, Senior Vice President, Partnerships for Catholic Medical Mission Board explores the organizations partnerships with local communities and governments to improve health and well-being and examines what makes a partnership successful.
Health Equity Considerations for Virginia's African American Children: The Importance of Social Determinants of Health
Prepared by Cheza Garvin, PhD, MPH, MSW, Assistant Professor and Academic Director, Consortium for Infant and Child Health (CINCH). Presented by Keisha Cutler, MPH, Assistant Director, CINCH, Department of Pediatrics, Division of Community Health & Research, Eastern Virginia Medical School
September of 2012 the CDC released data per state on Obesity in Amercians. Even though this is 2012 the information is even more relavant and more validated by now.
Community AssessmentMaria PribeWalden University.docxmccormicknadine86
Community Assessment
Maria Pribe
Walden University
Obesity in Wayne County, Michigan
children and adults are vulnerable populations
obese children and adults have low-income
45.9% of Wayne County population is obese (Teixeira et al., 2015)
obesity is linked to overweight, heart disease
Figure 1.0. Bar graph showing income distribution of counties
Source: https://www.pittcountync.gov/Archive/ViewFile/Item/140
Obesity in Wayne Count is a public health problem, especially among children and adults. Children aged 10 to 17 and adults with over 20 years are vulnerable to obesity. Children and adults with obesity make 45.9% of the total population, and most of them come from low-income populations where health disparity is a prevalent issue. Health determinants in Wayne County include education, poverty, income, housing, and discrimination (Teixeira et al., 2015). The obese population does not have access to clean water and live in slums, where air pollution is dominant. More than 17% of adults in Wayne County lack health insurance coverage. Blacks are poorer compared to their white counterparts and have increased chances of having obesity.
*
Results comprehensive assessment
poor diet, lack of physical activity
Wayne County ranks position 5th in Michigan (Tholen et al., 2019)
beaches, hiking trails, bike paths remain underutilized
obesity leading factor is unhealthy eating habit
the Michigan Department of Community Health (MDCH)
Obesity is prevalent as a result of poor eating habits and lack of physical activity such as walking, soccer-playing, climbing the stairs, and gardening. Most of the roads are tarmacked, and residents of Wayne Count prefer driving than walking. These residents deny themselves an opportunity for physical activity, thus becoming vulnerable to overweight. Wayne County is among the topmost counties of Michigan where obesity among children and adults is a health problem; it is ranked 5th position (Tholen et al., 2019). Wayne County is a healthy county, but most of the resources for improving physical fitness, such as hike trails, bike paths, and beaches, remain unutilized. The primary obesity leading factor is unhealthy eating, where people do not take fruits and vegetables to control obesity. Collaboration with MDCH aids the approximation of the number of obese children and adults in Wayne County.
*
(continued)
the State of Childhood Obesity website
the Bridge Michigan Health Watch
Physical activity (PA) assessment
Wayne Metropolitan Community Action (WMCA)
The State of Childhood Obesity website provides information and data on the prevalence of obesity in Michigan state. It is a public health-based organization that aims at helping all children to grow up healthy. Another useful website that assisted in locating obesity prevalence in Michigan is Bridge Michigan Health Watch. The website presents obesity epidemiology in Michigan state. Approximately 2.5 million adults and more than 400 children in Michigan Sta ...
Engaging Social Entrepreneurs in Community-Based Participatory Solutions to F...Carolyn Zezima
2012 ASFS/AFHVS/SAFN Conference Global Gateways and Local Connections: Cities, Agriculture, and the Future of Food Systems
Carolyn Zezima, Director of Food and Nutrition Initiatives, Communities IMPACT Diabetes Center at Mount Sinai School of Medicine
Despite increasing recognition that fresh, healthy, local foods are scarce in low-income communities, and the creation of a number of healthy food initiatives targeting these communities, historically underserved communities still lack novel, profitable, and sustainable businesses that supply healthy, affordable and taste-satisfying foods. Bringing together the business and public health sectors, Communities IMPACT Diabetes Center at Mount Sinai School of Medicine invited business students to submit concepts and plans for viable, market and community-driven business solutions to one of our most pressing public health needs: healthy, affordable food in underserved communities. The proposed enterprises must have served communities with limited availability to healthy foods, be tailored to the particular assets and challenges in the communities, and must be developed in consultation with target communities. Proposals were judged by a panel of experts in business, food and local government. Teams competed for $25,000 in start-up funds and other business support services.
Alan Jones, TDOT Long Range Planning Division Policy Office, presents an update on air quality trends and conditions in Middle Tennessee and an overview of the Congestion Mitigation Air Quality (CMAQ) program being administered by TDOT.
Bettie Teasley Sulmers' presentation to the Middle Tennessee Mayors Caucus on the key considerations for a combined approach to transportation and housing policy.
Using Social Media to Engage Stakeholders in Better Public PolicyNashville Area MPO
During the final year of developing its 2035 Regional Transportation Plan (adopted in Dec. 2010), the Nashville Area MPO established presences in key Web 2.0 channels in order to better engage stakeholders in understanding major public-policy shifts for infrastructure investment strategies. The MPO's communications director presented on public involvement in livability initiatives at the Transportation Research Board's 90th annual meeting in Washington DC, Jan. 2011.
Community Conversations: 2035 Regional Transportation PlanNashville Area MPO
The city & county mayors who govern the Nashville Area MPO Executive Board have invited Middle Tennessee residents to learn more about major regional transportation planning efforts and important changes to public policy therein, at “Community Conversations” - one held in each county of the MPO planning region. Members of the public were given the opportunity to hear an in-depth presentation and submit questions and comments on proposed infrastructure investments to support the overall livability, sustainability, prosperity and diversity of the region, as well as that of their individual counties of residence.
On May 26, 2010, the MPO presented the major policy initiatives of its 2035 Regional Transportation Plan currently under development. As part of that presentation, the MPO unveiled a draft, long-term regional vision for mass transit. Visit nashvillempo.org for more information.
Slides presented at a press conference held by mayors and business leaders to announce a major update to the region's multi-billion dollar regional transportation plan.
Dr. David Salvesen - Nashville Area School Siting SymposiumNashville Area MPO
I his remarks to elected leaders, planners, engineers, architects, and school facility managers at the first ever school siting symposium in the Nashville region, Dr. Salvensen stressed the importance of intergovernmental collaboration in school siting.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Transportation for Healthy Communities
1. Transportation & Health Presented by: Joan Randall, MPHAdministrative Director, Vanderbilt Institute for Obesity and Metabolism Executive Director, Tennessee Obesity Taskforce
2. Obesity – why be concerned? Excess weight and obesity – often the result of physical inactivity and unhealthy eating – have tremendous consequences on Tennessee’s health and economy. Both are linked to a number of chronic diseases (heart disease, stroke, diabetes, certain cancers, hypertension, osteoarthritis and asthma). Annual cost of obesity-related diseases in Tennessee estimated at $2.7 billion; 3 times the annual TDOT budget (approximately $900 million).
3. Military Childhood obesity has become so serious in this country that military leaders view it as a potential threat to our national security. Obesity the number 1 reason why applicants between the ages of 17 and 24 fail to qualify for military service.
4. In Public Health….. We like to PREVENT diseases rather than treat them. Obesity is very difficult to treat, so Public Health has a major role in this arena. My focus is on policies, interventions and environmental strategies to prevent and control obesity.
5. Blend of Personal Responsibility and Collective Responsibility Humans have a very sophisticated regulatory system. However, we are highly responsive to environmental cues. Default conditions now contribute to obesity. Create conditions that are conducive to making healthier choices and support personal responsibility.
6. What separates the “doers” from the “watchers”? Some people have a natural propensity to exercise. Genes influence whether or not we exercise. Genes influence how our bodies respond to exercise. Genes influence adherence to exercise. We need to intensify efforts for certain individuals. Molly Bray, University of Alabama – Genes and Exercise Adherence
7. Tennessee Grades 1st – adult inactivity 2nd highest overweight 3rd highest obese (32.8% of adults) 4th highest extreme obesity 5th highest – overweight or obese children ages 10-17 (36.5%)
9. You have a role in reducing obesity A large body of research shows that people’s physical environments—for instance, access to and quality of housing, transportation, stores, playgrounds and parks—either promote or present obstacles to healthy behaviors.
11. Many Americans live and work in circumstances that make healthy living nearly impossible, even when they are informed and motivated. Many have limited or no access to active transportation, grocery stores that sell nutritious food; many live in communities that are unsafe or in disrepair, making it difficult or risky to exercise. Goal: Create culture of active transportation
12. 5 Elements of a Healthier Community: Compact, varied village centers & neighborhoods. Good connections for walking, bicycling, & transit. Inviting designs & destinations. Safety & access for all. Healthy food widely available, affordable & accessible. Bristol, TN www.activelivingresearch.org
13. Healthy Community The health of a community depends on many different factors, including quality of health care, individual behavior, education and jobs, and the environment. For example, people who live in communities with ample park and recreation space are more likely to exercise, which reduces heart disease risk. The problem is that there are big differences in health across communities, with some places being much healthier than others.
14. Physical Activity Guidelines The U.S. Department of Health and Human Services (HHS) issues the Physical Activity Guidelines for Americans. Being physically active is one of the most important steps that Americans of all ages can take to improve their health. Adults should do at least 150 minutes (2.5 hours) a week of moderate-intensity, or 75 minutes (1 hour and 15 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity.
15. Two Rivers Disc Golf Course, Nashville Pros: - Very, very hilly Cons: - Very, very hilly Start with small steps
16. Quantifying the Cost of Physical Inactivity Nearly 80 % of obese adults have diabetes, high blood cholesterol levels, high blood pressure, coronary artery disease or other ailments. 43 % of people with safe places to walk within ten minutes of home meet recommended activity levels. Only 27 % of those without safe places to walk are active enough.
22. In this model, health outcomes are measures that describe the current health status of a county. These health outcomes are influenced by a set of health factors. These health factors and their outcomes may also be affected by community-based programs and policies designed to alter their distribution in the community.
25. Walkable Neighborhoods Walkable neighborhoods offer surprising benefits to the environment, our health, our finances, and our communities. The average resident of a walkable neighborhood weighs 7 pounds less than someone who lives in a sprawling neighborhood.
26. Walkability Cities in Tennessee Walk Score is a number between 0 and 100 that measures the walkability of any address. The 42 largest cities in Tennessee have an average Walk Score of 34. The most walkablecities in Tennessee are Cookeville, Knoxville, and Memphis. The least walkablecities are Brentwood, Soddy-Daisy and La Vergne.
27. Walk Score Description 90–100 Walker's Paradise — Daily errands do not require a car. 70–89 Very Walkable — Most errands can be accomplished on foot. 50–69 Somewhat Walkable — Some amenities within walking distance. 25–49 Car-Dependent — A few amenities within walking distance. 0–24 Car-Dependent — Almost all errands require a car.
30. Compared sale prices & WalkScores (1-100 based on number of nearby destinations . . .)
31. Higher WalkScore correlated to higher home values.Average to above average walkscore = $4,000 to $34,000 increase in home value *www.ceosforcities.org/work/walkingthewalk www.walkscore.com
32. Transportation and Obesity Sources: Centers for Disease Control – National Health and Nutrition Examination Survey/ U.S. DOT – Federal Highway Administration, Annual Vehicle Distance Traveled in Miles and Related Data
33. Public Transportation Residents of transit oriented communities tend to walk more and have lower rates of obesity and hypertension than residents in sprawled areas. As a result, policies and planning practices that support public transportation tend to increase public fitness and health.
34.
35. Mission: to strengthen partnerships and enhance collaboration in order to reduce the burden of obesity in Tennessee using systematic, multidisciplinary, and evidence-based strategies.
36. CDC Obesity Funded States Develop & maintain infrastructure for coordinated statewide nutrition, physical activity and obesity strategies; Convene and lead a process to develop and implement a state plan for nutrition, physical activity and obesity– focus on policy and environment.
37. Building Statewide Momentum State – Depts Health/Ed/Min Hlth/Ag/Trans/Gov ofc Coordinated School Health American Heart Association American Diabetes & Juvenile Diabetes Research Fndn Healthy Memphis Common Table Community Food Advocates Knoxville Childhood Obesity Coalition Chattanooga Partnership for Healthy Living Network Tennessee Dietetic Association YMCA Pioneering Healthier Communities
52. Eat Well Play More addresses 6 target areas (mandated by CDC): 1. Increased physical activity; 2. Increased consumption of fruits and vegetables; 3. Decreased consumption of sugar-sweetened beverages; 4. Increased breastfeeding initiation and duration; 5. Reduced consumption of high-energy dense foods; 6. Decreased television viewing.
53.
54.
55. Built Environment Action Team: Health in All Policies Built environment policies/resources Complete Streets policies School Siting Joint Use Agreements Safe Routes to School Network
56. Early Wins Complete Streets Policies NashVitality – Healthy, Active and Green City Bike Share – Chattanooga and Nashville Nashville Regional Transportation Plan, Health Impact Assessments The Rutherford County Wellness Council - Active Living Neighborhood Award of Excellence to encourage developers to consider adding amenities to their developments that will encourage future residents to lead active lifestyles.
57. Conclusions Walkable/Bikeable communities increase physical activity, decrease obesity. Transportation planning decisions impact public health. Communities where people drive less are healthier places to live and work. Transportation policy and planning reform can help achieve public health and social equity objectives by creating more diverse and efficient transportation systems. Takes “political courage” to do the right thing; continuing education is a large component. (Mayor Graves – raising revenue for transit)
58. Convergence Opportunities As the CDC says, "When state and city officials, health professionals, nonprofit organizations, urban planners, parks and recreation representatives, school staff, transportation officials, and community members work together, their efforts can increase the number of Americans who live healthier lives, by creating communities that support and encourage physical activity."
59. Reversing the obesity epidemic is a shared responsibility. Social and environmental changes are influenced by the efforts of many…
Editor's Notes
Notion that obesity is caused by irresponsibility and weakness – govt intervention intrudes on personal freedomOur bodies try very hard to help us regulate our weight…………however…….Default – sitting to work, how get to work, school. Fast food…take the stairs, parking place, movies = popcorn and soda, etc.
Tooter
Inactive: 2 = Louisiana, 3 = Mississippi, 4 = Kentucky, 5 = Alabama, 6 = N Carolina, 7 = Arkansas, 8 = W VA, 9 = Nevada, 10 = Oklahoma
Is it better for more people to get less exercise, or fewer people to get more exercise?
The calculation uses an average of data from 76 million records from seven state studies conducted in the United States. The results are meant to provide an estimated cost of your physically inactive population to help you make better resource allocations. Since the scientific evidence base varies across the cost realms, a total estimate is provided as well as individual costs for medical care, workers’ compensation, and workers' lost productivity.
But one cost that is too rarely understood and factored into decisions at the state, city and organizational level is the mounting expense associated with a physically inactive population or workforce. A new tool helps leaders understand, estimate and address this cost.
a collection of 50 reports that reflect the overall health of counties in every state
Counties can improve health outcomes by addressing all health factors with effective, evidence-based programs and policies.
The weights for the factors (shown in parentheses in the figure) are based upon a review of the literature and expert input.
Walkable neighborhoods have a center, whether it's a main street or a public space. People: Enough people for businesses to flourish and for public transit to run frequently. Mixed income, mixed use: Affordable housing located near businesses. Parks and public space: Plenty of public places to gather and play. Pedestrian design: Buildings are close to the street, parking lots are relegated to the back. Schools and workplaces: Close enough that most residents can walk from their homes. Complete streets: Streets designed for bicyclists, pedestrians, and transit.
Walkable neighborhoods result from smart policy decisions that allocate our tax dollars and set the rules for development. The Walk Score algorithm looks at destinations in 13 categories and awards points for each destination that is between one-quarter mile and one mile of the subject residential property: · grocery store · restaurant · coffee shop · bar · movie theater · school · park · library · bookstore · fitness · drug store · hardware store · clothing and music store
More time in the car means more money at the pump, less exercise, and more pollution. Communities: Studies show that for every 10 minutes a person spends in a daily car commute, time spent in community activities falls by 10%.3
My address has a score of 18
Walkability raises home values. The property value premium for walkability seems to be higher in more populous urban areas and those with extensive transit, suggesting that the value gains associated with walkability are greatest when people have real alternatives to living without an automobile. The nation’s urban leaders should pay close attention to walkability as a key measure of urban vitality and as impetus for public policy that will increase overall property values –
Increased car trips have contributed to the rise of obesity. By taking even a percentage of short distance trips in an active transportation mode, such as walking or biking, the increase in physical activity can greatly affect obesity rates. Because 50% of urban area trips are 3 miles or less and 40% are 2 miles or less, great opportunity exists to transfer these trips to active modes of transportation.
Countries with the highest levels of walking and cycling have much lower rates of obesity, diabetes, and hypertension than the United States. The Netherlands, Denmark, and Sweden, for example, have obesity rates only a third of the American rate. Public transit use is linked with higher levels of physical activity and lower rates of obesity. Transit users in the US average 19 minutes/day of walking as part of their journey using transit.As shown on this slide, obesity rates tend to be inversely related to rates of active transportation (walking and biking), suggesting that transport policy affects public fitness and health.
What’s going on in Tennessee?
CDC funds 25 states (including Tennessee), 5-years to:
CSH priority is childhood obesity
Save the Children
In all sectors: where we live, where we play, where we learn, where we heal, where we work, vulnerable pops