Peter Attia had just become the first person to swim from Maui to Lanai and back (a 25-mile round trip). Age: 35 Weight: 200 lbs.

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2 Peter Attia had just become the first person to swim from Maui to Lanai and back (a 25-mile round trip). Age: 35 Weight: 200 lbs. Body fat: 25% Source: eatingacademy.com Attia s personal blog.

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9 Lifestyle Makes a Difference U.S. Economy $15.3 trillion 70% of health-care spending about $2.5 trillion is spent on lifestyle-related diseases. 30% is spent on hereditary diseases. Sources: CIA Handbook / Centers for Medicare and Medicaid Services (2009)

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11 Only in America

12 Failure to address chronic diseases adequately costs the U.S. economy more than $1 TRILLION annually.

13 Smoke Free GW Healthy Campus Initiative Quit for Life

14 Only 4 Cents of every healthcare dollar is spent on prevention Preventing disease and injury is the most cost-effective, commonsense way to improve health; despite this fact, for every dollar spent on health care in the United States today, only about four cents goes towards public health and prevention. - Robert Wood Johnson Foundation Source: Robert Wood Johnson Foundation.

15 Investment into public health generates returns $10 per capita annual investment in public health programs $16 billion within 5 years $16 billion savings breakdown: Medicare: $5 billion. Medicaid: $1.9 billion. Private payers: $9 billion. Source: Robert Wood Johnson Foundation.

16 Potential savings through disease prevention One percent reduction in smoking rate $1.5 billion in savings over 5 years. One in ten people start a regular walking program $5.6 billion in heart disease savings. Routine childhood vaccinations $50 billion saved in direct and indirect costs. Source: Trust for America s Health.

17 Well-designed workplace wellness improves health and finances Programs are currently offered by 50% of employers with 50+ employees. For $1.00 invested in a well-designed program: $3.30 is saved in healthcare costs. $2.70 is saved in labor market and productivity expenses. Sources: RAND Health, Society for Human Resource Management.

18 Physical activity is the closest thing we have to a wonder drug DECREASES Blood pressure, cholesterol, heart attacks and strokes Cancer Diabetes Arthritis Anxiety Depression Falls among seniors Alzheimer s INCREASES Bone and muscle strength Ability to do daily activities Weight control (and improves health even without weight loss) Overall quality of life Length of healthy life

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20 Global Health Security GG David Snyder/CDC Foundation Risks Opportunities Priorities Emerging organisms Drug resistance Intentional creation Societal commitment New technologies Success leads to success Prevent wherever possible Detect rapidly Respond effectively

21 Polio Cases in the U.S. 40,000 30,000 20,000 10, Source: Centers for Disease Control

22 Failure of prevention costs money Excess medical costs due to obesity, tobacco use, and diabetes are significant +$2,500

23 AIDS deaths per year in the United States

24 18.2% of premature deaths in the U.S. are associated with excessive body mass. Columbia University Study American Journal of Public Health August 2013

25 In 1969, approximately 50% of children walked or bicycled to school. Source: Safe Routes to School Partnership

26 Today, fewer than 15% walk or bike to school. Source: Safe Routes to School Partnership

27 Government Private Industry Philanthropy Academia New Prevention Partnership Model

28 Million Hearts: Prevent 1M heart attacks and strokes over 5 years

29 High blood pressure: the only thing that kills more people globally than tobacco Global Deaths per Year (millions) High Blood Pressure 6.0 Tobacco 3.2 Acute Resp Infect Diarrheal Disease AIDS Diabetes TB Traffic Injuries 0.6 Malaria High blood pressure kills nearly as many people worldwide each year as all infectious diseases combined World Health Organization

30 Cigarette consumption and lung cancer deaths in the United States

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35 Obesity Prevalence Among U.S. Adults 1991 > 15% < 15% Sources: Trust for America's Health and the Robert Wood Johnson Foundation

36 Obesity Prevalence Among U.S. Adults 2001 > 15% < 15% Sources: Trust for America's Health and the Robert Wood Johnson Foundation

37 Obesity Prevalence Among U.S. Adults 2002 > 15% < 15% Sources: Trust for America's Health and the Robert Wood Johnson Foundation

38 Obesity Prevalence Among U.S. Adults 2013 <25% 25-30%+ 30%+ Sources: Trust for America's Health and the Robert Wood Johnson Foundation

39 Only in America

40 Minnesota State Fair 2013 Candied bacon cannoli Double Bacon Corn Dog Philly Fries

41 How to Consume 6,424 Calories in One Day

42 Deadly Diseases Controlled in the 20 th Century Chicken pox Diphtheria Invasive flu Measles Pertussis Pneumococcal disease Polio Tetanus Typhoid fever Yellow fever Smallpox Source: Discovery Fit & Health