1. Marketing Public Health

2. Goal for Presentation • Review “Stump Presentation” for the Marketing Plan • Glean Ideas for Making Useful for Expansive Local Use • Next Steps Discussion – Internal Marketing

3. Public Health Highlights – Kim Singh • Research on Public Health Perceptions – Amy Slonim • Public Health Marketing Plan – Mark Bertler

4. Definition of Public Health Public health addresses the health of the population as a whole rather than medical health care, which focuses on treatment of the individual ailment. According to the Institute of Medicine, the mission of public health is defined as "fulfilling society's interest in assuring conditions in which people can be healthy.

5. The Impact of Public Health

6. Public health keeps entire populations healthy. When it fails, entire populations suffer.

7. Rural Sanitation

8. … modern sanitation was one of the greatest public health accomplishments of the late 19th and early 20th centuries

9. Unprocessed Foods

10. Public health keeps restaurant foodsafe

11. Plague Control

12. Public health prevents childhood disease and death

13. Public health tracks down the causes of disease outbreaks and stops them

14. Public health reduces tobacco use

15. Fluoridation is a major public health accomplishment

16. Folic acid supplementation is an important public health measure to prevent birth defects

17. Safety belts save more than 12,000 American lives annually. (U.S. Department of Transportation, 2001) Child safety seats reduce the risk of death by about 70% for infants and by about 55% for toddlers ages 1 to 4. (Centers for Disease Control and Prevention, 2002) Bicycle helmets reduce the risk of serious head injury by as much as 85%. (CDC, 2002)

18. Public health works overtime to prepare for biological terrorism

19. Reducing obesity and increasing physical activity are some of the greatest public health challenges for the 21st century

20. 10 GreatPublic Health Achievements

21. 10 Great Public HealthAchievements (1900-1999) • Vaccination has resulted in the eradication of smallpox; elimination of poliomyelitis in the Americas; and control of measles, rubella, tetanus, diphtheria, Haemophilus influenza type b, and other infectious diseases in the United States. • Motor Vehicle Safety has reduced fatal injuries through improved engineering, safer highways and changes in personal behavior. • Safer workplaces has resulted in a 40% reduction in fatal occupational injuries through greater knowledge of risks and control of exposure.

22. 10 Great Public HealthAchievements (1900-1999) • Control of infectious diseases has resulted from cleaner drinking water and improved sanitation the first half of the century, as well as the discovery of antibiotics. • Decline in deaths from heart disease and stroke the second half of the century have resulted from risk factor reduction (e.g., smoking, high blood pressure) coupled with improved access to early detection and treatment. • Safer and healthier foods have resulted from a decrease in microbial contamination and increases in nutritional content early in the century; food fortification programs have nearly eliminated major nutritional deficiency diseases in the United States.

23. 10 Great Public HealthAchievements (1900-1999) • Healthier mothers and babies have resulted from better hygiene and nutrition, access to healthcare and technologic advances. Since 1900, infant and maternal mortality has decreased by 90%. • Family planning and contraceptive services have allowed for greater planning of childbirth and a reduction in sexually transmitted diseases. • Fluoridation of drinking waterbenefits children and adults by preventing tooth decay and reducing tooth loss, regardless of access to care or socioeconomic status. • Recognition of tobacco as a health hazard has resulted in changes in social norms to prevent onset of smoking and promote cessation. Since the U.S. Surgeon General’s report in 1964 on the risks of smoking, the prevalence among adults has decreased.

24. Reduction of Infectious Disease & the Emergence of Chronic Disease Source: CDC, MMWR 2003

25. Vaccine-Preventable Disease

26. Public health is preparing for whatever comes next

27. Local Public Health in Michigan

28. Michigan Public Health Code Act 368 of 1978 stipulates that each county must have a city, county, or district health department

29. Michigan Public Health Code(Act 368 of 1978) • A local health department shall continually and diligently endeavor to prevent disease, prolong life, and promote the public health through organized programs, including: • prevention and control of environmental health hazards; • prevention and control of diseases; • prevention and control of health problems of particularly vulnerable population groups; • development of health care facilities and health services delivery systems; • and regulation of health care facilities and health services delivery systems to the extent provided by law.

30. Michigan Public Health Code(Act 368 of 1978) A local health department shall:(summarized) • Implement and enforce laws regarding local health. • Utilize vital and health statistics for the purpose of protecting the public health. • Make investigations and inquiries as to the causes of disease, morbidity and mortality, and especially of epidemics. • Plan, implement, and evaluate health education. • Plan, implement, and evaluate nutrition services.

31. Michigan Public Health Departments

32. Research On Public Health Perceptions

33. Critical Understanding for Marketing Public Health • Research provides the baseline for understanding perceptions and priorities of MI residents related to public health at the state and local level • Interpretation integrated into course of action and message development • Follow-up research will let us know if anything has changed and allow course corrections

34. EPIC-MRA Survey/Poll on Health Issues • Polling firm with documented rapport and success in building public support to influence legislative priorities • Interviews held in September, 2005 with 600 adult MI residents • Stratified to be representative of every area of state according to contribution to state population

35. Results Give Insights for Our Efforts and Yours!

36. Problems and Issues Personally Most Concerned • Confronting Alcohol & Drug Abuse Issues • Controlling Crime and Drugs • Controlling State Taxes and Fees • Dealing with State Budget Deficit • Improving Quality of Education • Improving Economy and Providing Jobs • Keeping People Healthy • Making Quality Healthcare Affordable/Accessible • Protecting Air and Water • Reducing Racial and Ethnic Disparities

37. Problems and Issues Personally Most Concerned • Improving the state’s economy and providing jobs (31%) • Making health care affordable and accessible to all (24%) • Improving the quality of education (15%) • Controlling crime/drugs (9%) • Controlling taxes and fees and Protecting air and water (5%) • Keeping people healthy (2%)

38. When asked, “Would you say your state taxes and fees are too high, too low or about right for what you get back in state services?” • Too high – 50% • About right – 36% • Too low – 5% • Undecided – 9%

39. Highways, Roads and Bridges Local Public Schools Economic Development Community Colleges Prisons and Correction Programs State Employee Pay & Benefits Medicaid for Children, Disabled and Low-income Colleges & Universities Public Health Programs Substance Abuse Reduction Revenue Sharing to Local Government Job Training Programs College Scholarships Mental Health Programs State Police State Legislature Environmental Protection State Government Funded Programs and Services

40. TOP PrioritiesAmong State Programs #1:Medicaid services for children, disabled and low-income – 48% #2:Funding for Local Public Schools– 46% #3:Funding for Public Health – 34%

41. LOW PrioritiesAmong State Programs • Funding for State Legislature - 41% • Pay/Benefits for State Employees - 29% • Funding for Revenue Sharing to Local Government – 25%

42. Which One Problem Are You Most Personally Concerned? • Affordable Health Insurance for Everyone • Health Programs for Poor, Under- and Un-Insured • Elderly Community-based Health Programs • High Costs of Health Programs • Lack of Programs to Keep People Healthy • Drug and Alcohol Abuse • Teen Pregnancy • Pollution and Environmental Health Risks • Information About How to Access Health Services • Cultural Barriers to Meeting Minority Health Needs

43. Which One Problem Are You Most Personally Concerned? • Affordable Health Insurance for Everyone – 50% • Health Programs for Poor, Under- and Un-Insured – 11% • Elderly Community-based Health Programs – 9% • High Costs of Health Programs – 9% • Lack of Programs to Keep People Healthy – 5% • Drug and Alcohol Abuse – 3% • Teen Pregnancy – 3% • Pollution and Environmental Health Risks – 2% • Information About How to Access Health Services – 1% • Cultural Barriers to Meeting Minority Health Needs < 1%

44. Rating the Overall Health of the People of Michigan • Excellent • Pretty Good • Just Fair • Poor • Undecided

45. Rating the Overall Health of the People of Michigan • Excellent – 3% • Pretty Good – 32% • Just Fair – 47% • Poor – 10% • Undecided – 8%

46. Awareness of Public Health Department Serving Community • Yes – 69% • No – 11% • Undecided/Don’t Know – 20%

47. Familiarity with Community Programs and Services Provided by Local Health Department • Familiar – 33% • Only a little or Not familiar – 64%

48. Local Public Health Provision of Services • Those Most Important to Community – Immunizations (26%) and Uninsured Clinics (11%). • Most Available Services – Immunizations; WIC; Blood Pressure Testing; and Prenatal, Maternal and Infant Services.

49. Local Public Health Focus: Prevention or Treatment?? • Prevention – 60% • Treatment – 15%

50. Biggest Health Challenges That Must Be Addressed By State • Obesity – 11% • Cancer – 9% • Drugs – 7%