1. Harvey County Council of State Governments Kansas Collaborative Meeting November 15, 2006 Paula F. Marmet, MS, RD, Director Office of Health Promotion KS Department of Health & Environment

2. OHP Mission Through partnership with the people of Kansas, the Office of Health Promotion promotes healthy behaviors, policies and environmental changes that improve quality of life and prevent chronic disease, injury and premature death for all. 3. Office of Health Promotion

Cardiovascular Health

Diabetes

Arthritis

Cancer

Tobacco Use Prevention

Health Risk Behavior Surveillance (BRFSS)

Intentional Injury

Unintentional Injury

Nutrition

Physical Activity

Obesity

4. 5. HHealth Problems in the U.S. Problems in the U.S. Leading Causes of Death* United States, 2000 Actual Causes of Death United States, 2000 Tobacco Diet / Physical Inactivity Alcohol consumption Microbial agents (e.g., influenza, pneumonia) Motor vehicles Toxic agents (e.g., pollutants, asbestos) Firearms Sexual behavior Illicit drug use Percentage (of all deaths) *Minino AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: final data for 2000. National Vital Statistics Reports 2002; 50(15):1-20. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291 (10): 1238-1246. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Correction: Actual Causes of Death in the United States, 2000. JAMA. 2005;293 (3): 293.0 5 10 15 20 25 30 35 Percentage (of all deaths) Heart Disease Cancer Stroke Chronic Lower Respiratory Disease Unintentional injuries Diabetes Pneumonia / influenza Alzheimers disease Kidney disease 6. HK2010 Process

Steering Committee reviewed the 22 focus areas of Healthy People 2010

Identified recurring themes

Selected cross cutting priorities

Convened Action Groups

Selected 5 specific areas for immediate action

7. Three CrossCuttingPriorities Reducing/Eliminating HealthDisparitiesEarly Disease Prevention, RiskIdentification and Intervention for Women, Children and Adolescents System Interventions to Address Social Determinants of Health 8. Healthy Kansans 2010

Goal: To markedly improve the 10 leading health indicators

• Physical Activity

• Overweight & Obesity

• Tobacco Use

• Substance Abuse

• Responsible Sexual Behavior

• Mental Health

• Injury and Violence

• Environmental Quality

• Immunization

• Access to Health Care

9. Actions for Immediate Action

Tobacco Use Prevention

Disparities Data

Cultural Competency

Overweight and Obesity

Access to quality health care

10. Costs of Tobacco Use in Kansas

Single most preventable cause of death-4,000 deaths per year

$724 million health care costs $180.4 million Medicaid program

$547 per household residents tax burden

$811 million smoking caused productivity losses

550 Ks kids become regular smokers each month

50,000 kids alive today will die from tobacco related disease

11. Cost of Obesity in Kansas

$657 million in direct medical costs (5.5%)

$138 million in Medicare Costs (6.4%)

$143 million in Medicaid expenditures (10.2%)

By 2020, 1 in every 4 dollars spent on health care will be to treat obesity related disease

12. Costs of Injury in Kansas

$4.06 billion total expenditure (medical and indirect costs)

$1.43 billion fatal injuries (35%)

$920 million hospitalized injuries (23%)

$1.71 billion for non-hospitalized injury (42%)

Motor vehicle is leading cause of death from injury:Total economic burden in 2000 was almost $1.9 billion ($701 /every adult and child in the state. (NHTSA)

13. Obesity Trends Among U.S. Adults BRFSS, 1990 (*BMI 30, or ~ 30 lbs overweight for 5 4 person) Source: Centers for Disease Control and prevention. No Data