WEDNESDAY, NOVEMBER 4, 2015Bishop Horace E. Smith, M.D. Presenter

UNIVERSITY PLACE HILTONCharlotte, NC

BUILDING THE CAPACITY OF HEALTH MINISTRIES TO SERVE EFFECTIVELY

“OUR CHILDREN’S HEALTHWE ARE

© APOSTOLIC FAITH CHURCHBishop Horace E. Smith, M.D., Pastor

Using Today’s Predictive Health StandardsWHAT IS THEIR FUTURE?

A state of complete physical, mental and social well being, and not merely the absence of disease or infirmity

God creates human beings as whole persons—each one a dynamic unity of body, mind, and spirit.

Genuine health has function, as an essential part of its definition.

HEALTH <<<

An organism (person) is ‘healthy’ when it is able to function as it was designed.

Health is wholeness and balance, an inner resilience that allows you to meet the demands of living without being overwhelmed. Optimal health should also bring with it a sense of strength and joy, so that motivates you toward a bright future.

HEALTH <<<

HEALTH CHECK

• What is the health status of the average American?

• What is the health status of African-Americans?• What is the health status of those we serve in

our churches?• What is the health status of our young people?

THE CDC REPORTS SOME SOBERING STATISTICS

ABOUT AMERICANS:

• Chronic diseases are the leading causes of death and disability.

• 70% of annual deaths are due to chronic diseases.

• These preventable conditions not only compromise quality of life, they add to rising health care costs—75% of our health care dollars are devoted to treat these diseases.

• Among adults ages 20 to 74, diabetes remains the leading cause of kidney failure, blindness, and non-traumatic lower-extremity amputations.

CHRONIC DISEASES AND CONDITIONS—SUCH AS HEART DISEASE, STROKE, CANCER, DIABETES, OBESITY, AND ARTHRITIS—ARE AMONG THE MOST COMMON, COSTLY, AND PREVENTABLE OF ALL HEALTH PROBLEMS.

• As of 2012, about half of all adults—117 million people—had one or more chronic health conditions. One of four adults had two or more chronic health conditions.

• Seven of the top 10 causes of death in 2010 were chronic diseases. Two of these chronic diseases—heart disease and cancer—together accounted for nearly 48% of all deaths.

HEALTH RISK BEHAVIORS THAT

CAUSE

HEALTH RISK BEHAVIORS ARE UNHEALTHY BEHAVIORS YOU CAN CHANGE. FOUR OF THESE HEALTH RISK BEHAVIORS—LACK OF EXERCISE OR PHYSICAL ACTIVITY, POOR NUTRITION, TOBACCO USE, AND DRINKING TOO MUCH ALCOHOL—CAUSE MUCH OF THE ILLNESS, SUFFERING, AND EARLY DEATH RELATED TO CHRONIC DISEASES AND CONDITIONS.

• In 2011, more than half (52%) of adults aged 18 years or older did not meet recommendations for aerobic exercise or physical activity. In addition, 76% did not meet recommendations for muscle-strengthening physical activity.

• About half of US adults (47%) have at least one of the following major risk factors for heart disease or stroke: uncontrolled high blood pressure, uncontrolled high LDL cholesterol, or are current smokers. Ninety percent of Americans consume too much sodium, increasing their risk of high blood pressure.

• In 2011, more than one-third (36%) of adolescents and 38% of adults said they ate fruit less than once a day, while 38% of adolescents and 23% of adults said they ate vegetables less than once a day.

• More than 42 million adults—close to 1 of every 5—said they currently smoked cigarettes in 2012. Cigarette smoking accounts for more than 480,000 deaths each year.

Each day, more than 3,200 youth younger than 18 years smoke their first cigarette, and another 2,100 youth and young adults who smoke every now and then become daily smokers.

• Drinking too much alcohol is responsible for 88,000 deaths each year, more than half of which are due to binge drinking About 38 million US adults report binge drinking an average of 4 times a month, and have an average of 8 drinks per binge, yet most binge drinkers are not alcohol dependent.

MUCH OF THE CHRONIC DISEASE BURDEN IS ATTRIBUTABLE TO A SHORT LIST OF KEY RISK FACTORS; MOST US ADULTS HAVE MORE THAN ONE OF THESE RISK FACTORS:

High blood pressure.

Tobacco use and exposure to secondhand smoke.

Obesity (high body mass index).

Physical inactivity.

Excessive alcohol use.

Diets low in fruits and vegetables.

Diets high in sodium and saturated fats.

THE HEALTH OF

Robert Bellah wrote in his book The Good Society, that the major problems facing our world today require a great deal of caring, “indeed a politics of care.”

He states, “The most obvious problem is the neglect of children in our society, levels of infant mortality, child poverty, and inadequate educational opportunities.”

Bellah continues, “We fight the war on drugs but do not fight what causes despair leading to drug abuse. More police, prisons, or military interventions are not the answer.”

CHILDREN AND

Prevalence of Overweight and Obesity Among Children and Adolescents: United States, 1963–1965 Through 2011–2012

by Cheryl D. Fryar, M.S.P.H., Margaret D. Carroll, M.S.P.H., and Cynthia L. Ogden, Ph.D., Division of Health and Nutrition Examination Surveys Results from the 2011–2012 National Health and Nutrition Examination Survey (NHANES), using measured heights and weights, indicate that an estimated 16.9% of U.S. children and adolescents aged 2–19 years are obese, and another 14.9% are overweight.

Health Effects of Childhood Obesity

Immediate health effects:• Obese youth are more likely to have risk

factors for cardiovascular disease, such as high cholesterol or high blood pressure.

• In a population-based sample of 5- to 17-year-olds, 70% of obese youth had at least one risk factor for cardiovascular disease.

Health Effects of Childhood ObesityImmediate health effects:• Obese adolescents are more likely to have

prediabetes, a condition in which blood glucose levels indicate a high risk for development of diabetes.

• Children and adolescents who are obese are at greater risk for bone and joint problems, sleep apnea, and social and psychological problems such as stigmatization and poor self-esteem.

Health Effects of Childhood ObesityLong-term health effects:• Children and adolescents who are obese are likely to be

obese as adults and are therefore more at risk for adult health problems such as heart disease, type 2 diabetes, stroke, several types of cancer, and osteoarthritis.

• One study showed that children who became obese as early as age 2 were more likely to be obese as adults.

PREVENTION IS THE KEY

• Healthy lifestyle habits:–healthy eating –physical activitycan lower the risk of becoming obese and developing related diseases.

1. People of all ages, both male and female, benefit from regular physical activity.

2. Significant health benefits can be obtained by including a moderate amount of physical activity, (e.g. 30 minutes of brisk walking or raking leaves; 15 minutes of running or 45 minutes of playing volleyball) on most if not all days of the week.

3. Additional health benefits can be gained through greater amounts of physical activity.

4. Physical activity reduces the risk of premature mortality in general, and of coronary heart disease, hypertension, colon cancer, and diabetes in particular. Physical activity also improves mental health, and is important for the health of muscles, bones, and joints.

5. More than 60% of American adults are not regularly physically active. 25% of all adults are not active at all.

6. Nearly half of American youths 12-21 years of age, are not vigorously active on a regular basis. And physical activity declines dramatically during adolescence.

7. Daily enrollment in physical education classes declined among high school students, 42% in 1991 to 25% in 1995.

Prevention is the KeyQuality Schools: Education

• Schools play a particularly critical role by establishing a safe and supportive environment with policies and practices that support healthy behaviors.

• Schools also provide opportunities for students to learn about and practice healthy eating and physical activity behaviors.

Adolescents & Sexual Risk BehaviorHIV, STD & Teen Pregnancy Prevention

Many young people engage in sexual risk behaviors that can result in unintended health outcomes. For example, among U.S. high school students surveyed in 2013• 47% had ever had sexual intercourse.• 34% had had sexual intercourse during the previous 3

months, and, of these – 41% did not use a condom the last time they had sex.

• 15% had had sex with four or more people during their life.

Adolescents & Sexual Risk BehaviorHIV, STD & Teen Pregnancy Prevention

• Only 22% of sexually experienced students have ever been tested for HIV.*

• Sexual risk behaviors place adolescents at risk for HIV infection, other sexually transmitted diseases (STDs), and unintended pregnancy:

• Nearly 10,000 young people (aged 13-24) were diagnosed with HIV infection in the United States in 2013.

Adolescents & Sexual Risk BehaviorHIV, STD & Teen Pregnancy Prevention

• Young gay and bisexual men (aged 13-24) accounted for an estimated 19% (8,800) of all new HIV infections in the United States, and 72% of new HIV infections among youth in 2010.

• Nearly half of the 20 million new STDs each year were among young people, between the ages of 15 to 24.

• Approximately 273,000 babies were born to teen girls aged 15–19 years in 2013

The Academic Success of Our Young People is Strongly Linked with Their Health.

• Health-related factors such as hunger, physical and emotional abuse, and chronic illness can lead to poor school performance.

• Health-risk behaviors such as early sexual initiation, violence, and physical inactivity are consistently linked to poor grades and test scores and lower educational attainment.

The Academic Success of Our Young People is Strongly Linked with Their Health.

• In turn, academic success is an excellent indicator for the overall well-being of youth and a primary predictor and determinant of adult health outcomes.

• Leading national education organizations recognize the close relationship between health and education, as well as the need to foster health and well-being within the educational environment for all students.

VIOLENCE AS A PUBLIC HEALTH ISSUE

THE ISSUE OF VIOLENCE AS A NATIONAL AND GLOBAL PUBLIC HEALTH ISSUE

Violence is now clearly recognized as a public health problem, but just 30 years ago the words “violence” and “health” were rarely used in the same sentence. Since 1965, homicide and suicide have consistently been among the top 15 leading causes of death in the United States

THE ISSUE OF VIOLENCE AS A NATIONAL AND GLOBAL PUBLIC HEALTH ISSUE

The risk of homicide and suicide reached epidemic proportions during the 1980s among specific segments of the population including youth and members of minority groups. Suicide rates among adolescents and young adults 15 to 24 years of age almost tripled between 1950 and 1990.

THE ISSUE OF VIOLENCE AS A NATIONAL AND GLOBAL PUBLIC HEALTH ISSUE

Similarly, from 1985 to 1991 homicide rates among 15- to 19-year-old males increased 154 percent, a dramatic departure from rates of the previous 20 years for this age group.This increase is particularly acute among young African American males.

THE ISSUE OF VIOLENCE AS A NATIONAL AND GLOBAL PUBLIC HEALTH ISSUE

Violence is now clearly recognized as a public health problem, but just 30 years ago the words “violence” and “health” were rarely used in the same sentence. Since 1965, homicide and suicide have consistently been among the top 15 leading causes of death in the United States

The Scope of Youth Violence• Youth violence is widespread in the United States

(U.S.). It is the third leading cause of death for young people between the ages of 15 and 24.1

• • In 2012, 4,787 young people aged 10 to 24 years were victims of homicide—an average of 13 each day.

• • Over 599,000 young people aged 10 to 24 years had physical assault injuries treated in U.S. emergency departments—an average of 1642 each day.

The Scope of Youth Violence• In a 2013 nationwide survey, about 24.7% of high school students reported being in a physical fight in the 12 months before the survey. • About 17.9% of high school students in 2013 reported taking a weapon to school in the 30 days before the survey.• In 2013, 19.6% of high school students reported being bullied on school property and 14.8% reported being bullied electronically.• Each year, youth homicides and assault-related injuries result in an estimated $16 billion in combined medical and work loss costs

How Chicago Became Known as“Chiraq!”

• Over the July 4 weekend, 82 people were shot and 14 of them killed in Chicago.

• It’s not the first time a holiday was marred by gun violence. Over Easter, 45 people were shot in the city that's come to be known as“Chiraq.”

• Six of them were children

BLACK LIVES MATTER

ALL LIVES MATTER

HUMAN LIFE HAS BEEN DEVALUED:GOD IS NOT HAPPY!

Isa 59:14-15• 14 So justice is driven back, and

righteousness stands at a distance; truth has stumbled in the streets, honesty cannot enter.

• 15 Truth is nowhere to be found, and whoever shuns evil becomes a prey. The LORD looked and was displeased that there was no justice. (NIV)

WHY YOUR CHURCH NEEDS A STRONG HEALTH

MINISTRYThere is a deep soul cry for comprehensive, community-based, compassionate care that speaks to the broad spectrum of emotional, psychological, relational and practical conditions that contribute to healthy living. There is a perfect storm of frustration, isolation, and fragmented support brewing that requires a thoughtful strategic approach.

WHY YOUR CHURCH NEEDS A STRONG HEALTH

MINISTRYNow is the time for the Church to reclaim its role in promoting health and wholeness. The Church has always demonstrated its role in promoting spiritual health, but it also has a profound ability and obligation to influence physical and mental health

CENTERED IN THE LOCAL CONGREGATION

PREVENTATIVE HEALTH AND WELLNESS

HEALTH AND FAMILY

Health, healing, and wholeness are relational. Being healthy means being in relationship with all aspects of the self, others, God and creation.

Raising the Standard of Health Care to Being Truly HUMANE

Being committed to love, truth, and justice, on a global level.

© 2011 HORACE E. SMITH, M.D.

The Eight Components of Christian Community Developmentby Dr. Wayne L. Gordon

• Relocation: Living Among the People• Reconciliation• Redistribution (Just Distribution of Resources)• Leadership Development• Listening to Community• Church-Based• Wholistic Approach • Empowerment

“OUR CHILDREN’S HEALTH”

ARE WE READY TO BE

WHAT IS THE CHURCH PREPARED TO DO?

WHAT IS THE CHURCH CALLED TO DO?

1. Family structure and dynamics2. Our attitude and approach to sex and

sexuality3. The churches’ budget allocation4. Owning and taking responsibility for

our community5. Our definition and commitment to

justice

WORLD VISION STATEMENT

© APOSTOLIC FAITH CHURCHBishop Horace E. Smith, M.D., Pastor

Remember the Wonder of those we are called to Serve!

HEALTHY CHURCHES 2020 NATIONAL CONFERENCE

Charlotte, NC

WEDNESDAY, NOVEMBER 4, 2015

Bishop Horace E. Smith, M.D.Presenter

HEALTHY CHURCHES 2020 NATIONAL CONFERENCE

Charlotte, NC

WEDNESDAY, NOVEMBER 4, 2015

Bishop Horace E. Smith, M.D.Presenter

DR. PERNESSA C. SEELE, FOUNDER AND CEO, The Balm In Gilead, Inc.