Healthy Kansans 2010: New Frontiers in Public Health

1. Healthy Kansans 2010: New Frontiers in Public Health Howard Rodenberg MD MPH Director, KDHE Division of Health and State Health Officer Governor’s 2007 Public Health Conference

8. First Official Public Health Body in Kansas:Kansas State Board, 1885 State and Local Boards of Health Chapter 129, Laws 1885 An Act to create a State and local boards of health, and to regulate the practice of medicine in the State of Kansas. Sec 4. The state board of health shall supervise the health interests of the people of this state….

9. U.S. and Kansas in 1880 • 1880 U.S. Vital Statistics showed… • Nation struggling with infectious, preventable diseases • More than one in ten infants died before their first birthday • 9 out of the top 10 ten causes of death were infectious diseases • There were no official vital statistic records for Kansas in 1880 (no data)

12. Actions of First State Board of Health focused on… • Setting up appropriate systems and tools to allow them to identify health problems, track improvements, and set priorities • Created first vital statistics forms, which included marriage, birth, still-birth, death, and vaccination forms • Promoting prevention policies – specifically, sanitation and hygiene • Included rules for appropriate sewer drainage, keeping water supplies clean, quarantining infectious diseases, disinfecting areas where disease had been present, and vaccination

14. Today • Things have changed in 125 years! • Chronic disease are the new frontier • Have enjoyed rapid advancements in medical technologies, pharmaceuticals but these have not solved the chronic disease problem • Many chronic diseases share common risk factors • Behavioral changes are key to reducing premature death • Chronic diseases present complex, long-term challenge

17. Discovering a Healthier Future: Healthy Kansans 2010

18. Derived from CDC Healthy People 2010 Project • Sets national goals for health and health-related behaviors • Rankings vs. goals • Where does Kansas rate now?

20. 10 Leading Health Indicators • Physical Activity • Overweight and Obesity • Tobacco Use • Substance Abuse • Responsible Sexual Behavior • Mental Health • Injury and Violence • Environmental Quality • Immunization • Access to Health Care

21. Healthy People/Kansans 2010: 10 Leading Health Indicators

22. Healthy People/Kansans 2010: 10 Leading Health Indicators

23. Healthy People/Kansans 2010: 10 Leading Health Indicators

24. Healthy Kansans 2010 Focus Areas • Maternal Infant Child Health • Oral Health • Hearing • HIV & STD • Family Planning • Arthritis • Childhood & Adult Immunization • Disability • Environmental Health • Nutrition & Overweight • Respiratory Health • Occupation Health • Vision • Heart Disease & Stroke • Diabetes • Mental Health • Substance Abuse • Injury and Violence • Cancer • Tobacco • Chronic Kidney Disease • Public Health Infrastructure • Access to Care • Physical Activity & Fitness

26. The HK2010 Process Priority Areas: • Reducing and Eliminating Health Disparities • System Interventions to Address Social Determinants of Health • Early Disease Prevention, Risk Identification and Intervention for Women, Children and Adolescents

27. HK2010: A Closer Look • The HK2010 recommendations focus on systematic changes to improve health and reduce premature death • Recommendations continue to stress the importance of the core public health services such as vaccinations and clean water • A growing emphasis on addressing chronic disease and the role these conditions play in premature death and quality of life issues

28. The Wheels in Motion • Since 2000, a 19% drop in youth smokers in Kansas; 20% drop in the number of adult smokers • Creation of the Governor’s Council on Fitness • Creation of the Child Health Advisory Council • Improved childhood immunization rates • “Don’t Let the Flu Bug U” campaign • Health care reform efforts mention role of wellness • Multiple bills related to tobacco use prevention, clean indoor air, safety belt usage, and childhood obesity were proposed during the 2007 Kansas legislative session • Governor’s Healthy Kansas Program…take the pledge!

29. The Wheels in Motion • To date, 18 communities in Kansas have passed Clean Indoor Air Ordinances

30. Looking Ahead • Partner to implement HK2010 at the local level • Reduce the impact chronic disease has on the state of Kansas through HK2010 recommendations • Continue to find ways to address health disparities

31. To boldly go where no state has gone before!