LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast...

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LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit

Transcript of LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast...

Page 1: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

LOU K. BREWER, RN, MPHHEALTH DIRECTOR

TARRANT COUNTY PUBLIC HEALTH

6th Annual East and Southeast Fort Worth Economic Development Summit

Page 2: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Return on Investment

If we invested $10 per person in strategic community-based disease prevention programs aimed at improving physical activity and nutrition and preventing smoking and other tobacco use, the state savings after 5 years is estimated to be over one billion dollars. – Trust for America’s Health

Page 3: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Tarrant County Public Health Programs

Vision North Texas Health Research TeamWIC – food packages, education regarding

selection, preparation and storage of nutritious foods

Farmers’ marketsFood stamp pilot projectLive a More Colorful Life

Page 4: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Tarrant County Public Health Programs

Community gardensFood advisory councilFood desertsBuilding Equitable Communities – Health

Impact Assessment (HIA)Prevention, prevention, preventionPolicy, policy, policy

Page 5: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Overweight/Obesity (BMI ≥ 25.0) among adults 18 years and older, Tarrant County, Texas, and the United States, 2004

Texas†

§Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health†Data source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services‡Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and PreventionEstimates weighted to population characteristics

64.0 62.960.2

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

Tarrant County§ United States‡

Perc

en

t

Texas†

Page 6: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Overweight estimate(BMI 25.0 – 29.9) by ZIP Code, Tarrant County, 2004

Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Page 7: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Obesity estimate (BMI ≥ 30.0) by ZIP Code, Tarrant County, 2004

Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Page 8: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Heart disease among adults 18 years and older, Tarrant County, Texas, and the United States

5.5

7.56.5

0.0

2.0

4.0

6.0

8.0

10.0

Tarrant County§

2004Texas†

2003United States‡

2003

Perc

en

t

§Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health†Data source: 2003 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services‡Data source: 2003 Behavioral Risk Factor Surveillance System, Centers for Disease Control and PreventionEstimates weighted to population characteristics

Page 9: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Heart disease estimate byZIP Code, Tarrant County, 2004

Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Page 10: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Heart disease death rate, Tarrant County, Texas, and the United States, 2007

Rate per 100,000 population age-adjusted to 2000 standard population†Data source: Texas Department of State Health Services‡Data source: National Center for Vital Statistics

190.9202.7209.8

0.0

75.0

150.0

225.0

Tarrant County† Texas† United States‡

Rate

Page 11: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Heart disease death rate byZIP Code, Tarrant County, 2005

Data source: Texas Department of State Health Services

Page 12: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

All site cancer incidence, Tarrant County, Texas, and the United States

Rate per 100,000 population age-adjusted to 2000 standard population†Data source: Texas Cancer Registry‡Data source: National Program of Cancer Registries

466.8444.2

461.8

0.0

100.0

200.0

300.0

400.0

500.0

Tarrant County†

2007Texas†

2007United States‡

2006

Rate

Page 13: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

All site cancer death rate, Tarrant County, Texas, and the United States, 2007

Rate per 100,000 population age-adjusted to 2000 standard population†Data source: Texas Department of State Health Services‡Data source: National Center for Vital Statistics

180.8 173.7

178.4

0.0

50.0

100.0

150.0

200.0

Tarrant County† Texas† United States‡

Rate

Page 14: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

All site cancer death rate byZIP Code, Tarrant County, 2005

Data source: Texas Department of State Health Services

Page 15: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Diabetes among adults 18 years and older, Tarrant County, Texas, and the United States, 2004

§Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health†Data source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services‡Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and PreventionEstimates weighted to population characteristics

5.9

7.7 7.2

0.0

2.0

4.0

6.0

8.0

10.0

Tarrant County§ Texas† United States‡

Perc

en

t

Page 16: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Diabetes estimates byZIP Code, Tarrant County, 2004

Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Page 17: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Diabetes death rate, Tarrant County, Texas, and the United States, 2007

Rate per 100,000 population age-adjusted to 2000 standard population†Data source: Texas Department of State Health Services‡Data source: National Center for Vital Statistics

25.4 25.522.5

0.0

5.0

10.0

15.0

20.0

25.0

30.0

Tarrant County† Texas† United States‡

Rate

Page 18: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

Diabetes death rate byZIP Code, Tarrant County, 2005

Data source: Texas Department of State Health Services

Page 19: LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit.

“Without health there is no happiness” -

Thomas Jefferson