An Environmental Approach to Community Health: Promoting Strategies in Primary Prevention

Transcription

1 An Environmental Approach to Community Health: Promoting Strategies in Primary Prevention Larry Cohen, MSW Executive Director World Cancer Day Webcast February, 3,2012

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3 What s Health Got To Do With It?

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7 Photo Courtesy of Andrew Seidenberg

8 Photo courtesy of Latino Health Access

9 Photo courtesy of Latino Health Access

10 Photo courtesy of Latino Health Access

11 Photo courtesy of

12 ENVIRONMENT BEHAVIOR HEALTH & SAFETY

13 It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change. Institute of Medicine

14 The Trajectory of Health Inequities A Key Opportunity for Prevention ENVIRONMENT EXPOSURES & BEHAVIORS HEALTH CARE SERVICES INJURIES, ILLNESS & INEQUITIES

15 a systematic process that reduces the frequency and/or severity of illness or injury. Promotes healthy environments and behaviors to prevent problems from occurring before the onset of symptoms

16 Child Restraint and Safety Belt Use Smoking Prevention Minimum Drinking Age Laws Childhood Immunizations Motorcycle and Bicycle Helmet Laws Reduced Lead Levels in Children

17 NORMS

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19 Oh, Britney

20 Smoking Prevention

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22 From Kools to Cancer Sticks

23 The Spectrum of Prevention Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills

24 Current Health Care Spending $2.2 Trillion Behaviors & Environment Genetics 70% Medical Care 20% 10% Factors Influencing Health National Health Expenditures Reference: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000

25 Current Health Care Spending $2.2 Trillion Behaviors & Environment 70% Genetics 20% Medical Care, 10% Factors Influencing Health National Health Expenditures Reference: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000

26 Current Health Care Spending $2.2 Trillion Prevention, 4% Behaviors & Environment 70% Medical Services 96% Genetics 20% Medical Care, 10% Factors Influencing Health National Health Expenditures Reference: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000

27 Return on Investment with Prevention Savings at 5 years $5.60 Return on Investment $16 Billion Annual Savings In 5 Years $1 Investment Reference: Prevention for A Healthy America: Investments in Disease Prevention Yield Significant Savings, Stronger Communities, Trust for America s Health, July 2008

28 Addressing the Intersection: Preventing Violence and Promoting Healthy Eating and Active Living Safety & Preventing Violence Healthy Eating & Physical Activity

29 Preventing Violence through Urban Farming Denver, CO

30 Preventing Violence through Urban Farming Denver, CO Public Health Violence Prevention Urban Agriculture City Council

31 Collaborator 1 Expertise: Collaboration Multiplier Shared Outcomes Collaborator 3 Expertise: Desired Outcomes: Desired Outcomes: Key Strategies: Partner Strengths Key Strategies: Collaborator 2 Expertise: Collaborator 4 Expertise: Desired Outcomes: Joint Strategies Desired Outcomes: Key Strategies: Key Strategies:

32 Reframing the nutrition & physical activity debate from simply a matter of individual choice......to corporate & government responsibility

33 Steering Committee California Adolescent Nutrition and Fitness Program (CANFit) California Center for Public Health Advocacy California Food Policy Advocates California Pan-Ethnic Health Network California Park and Recreation Society California Project LEAN California WIC Association Child Care Food Program Roundtable Latino Health Access Partnership for the Public s Health Prevention Institute PolicyLink Public Health Law and Policy Samuels & Associates

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38 Claiming Health: Front-of-Package Labeling of Children s Food

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41 Integrated Approach Prevention Health Services

42 Community-Centered Health Homes

43 Community-Centered Health Homes Patient-Centered Health Homes Medical Homes

44 We are bringing together the health and human rights voices in south LA and beyond to discuss the healthcare crisis and how we build a movement for the right to health. -Jim Mangia, CEO St. John s

45 Action: Advocacy for Change

46 Action: Policies that Improve Health Community Engagement Medical Care Health Education Action Advocacy Outcomes POLICIES: LA City Attorney s Office; LA County Department of Public Health Landlord Compliance Litigation

47 We Need All Our Voices to Build a Movement Photo Credit:

48 Sustainability We can either be victims of change or we can plan for it, shape it, and emerge stronger from it. The choice is ours. (Sonaran Institute)

49 221 Oak Street Oakland, CA Tel: (510) Sign up for our media alerts: Follow us on: