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Improving Camden County’s Health:
It’s Not Just About Health Care
Presentation to: Camden Roundtable
Presented by: Diane Z. Weems, M.D.
Cristina Gibson, MPH
Date: February 15, 2016
What is Public Health?
To protect the lives of all Georgians by:
1. Preventing disease
2. Promoting health and well-being
3. Preparing for and responding to disasters from
a health perspective
Georgia Department of
Public Health Mission
18 public health
districts
159 health
departments
159 county boards of
health
9.6 million Georgians
Georgia’s Public Health Districts
Public Health Programs
Environmental Health
Environmental health is the branch of public health that is
concerned with all aspects of the natural and built environment
that may affect human health.
Environmental Health is the practice of protecting humans from
the environment and protecting the environment from humans.
Major Environmental Health
Programs
• Food Service
• Tourist Accommodations
• Public Swimming Pools
• On-Site Sewage
• Rabies Control
Other EH Programs
• Body art
• Indoor air
• Mosquito-borne diseases
• Lead program
• Chemical hazards
• Well water
Emergency Preparedness &
Response The mission of public health emergency preparedness and
response is to assure the health and well being of the
individuals and communities by preparing for, responding to,
and recovering from events of public health significance.
Emergency Preparedness focuses on:
• Anticipating potential emergencies.
• Developing appropriate plans to address emergencies.
• Building needed relationships.
• Training and exercising established plans.
•Providing timely and accurate public information.
Emergency Preparedness &
Response
Thunderstorms • Hurricanes
Floods • Tornadoes
SARS • Avian Flu
2009 H1N1 • Ebola
Port Accidents • Wild Fire
Industrial Accidents
Biological Agents • Chemical Agents
Radiation Nuclear • Explosive
Weather
Accidents
Diseases
Intentional
Clinical Programs
• Women’s health
• Children’s Special Services
• STD and HIV
• TB program
• Immunizations and vaccinations
WIC
Infants and Children age 1 to 5 years
(including foster children)
• Pregnant Women
• Breastfeeding Mothers (up to 1 year)
• Postpartum Women (up to 6
months)
WIC Provides special checks to buy healthy foods from WIC-
authorized vendors (milk, eggs, bread, cereal, juice, peanut butter,
and more); information about nutrition and health to help families
eat well and be healthy; support and information about
breastfeeding; and help in finding health care and other community
services.
WIC is a federally-funded supplemental nutrition program
for:
Epidemiology
• Conducting active and passive surveillance to detect diseases and adverse
health conditions.
• Investigating reports of acute diseases and outbreaks.
• Recommending appropriate prevention measures, treatment, and control.
• Monitoring and investigating reports of unusual health conditions.
• Conducting data analyses and disseminating information from
surveillance systems.
• Providing guidance for healthcare professionals, facilities, and other
agencies and organizations regarding disease prevention and control.
• Responding to disease-related inquiries from residents, healthcare
providers, and others.
Epidemiology conducts surveillance for the occurrence of
diseases and other health conditions.
Epidemiological activities include:
The Adolescent Health and Youth
Development (AHYD) program is focused on
enhancing the skills and improve the health
status of adolescents. The program strives to
provide all youth ages 10 – 19 with the skills
to be healthy, safe, educated and
employable. AHYD programs and services
provide a network of support to help
adolescents build the skills to live healthier
lives and to reduce risky behaviors that will
last into adulthood.
Adolescent Health & Youth
Development
Chronic Disease Prevention:
Promoting Healthy Behaviors
• Smoke-Free
Living
• Healthy Eating
• Regular Physical
Activity
• Healthy
Communities
Leading* Causes of Death, Georgia Number of Deaths 2009-2013
7,167
7,204
8,361
9,877
10,210
17,928
18,055
19,375
77,740
79,083
0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 90,000
Influenza and Pneumonia
Septicemia
Kidney Disease
Diabetes
Alzheimer's Disease
Unintentional Injury
Stroke
Chronic Lower Respiratory Diseases
Cancers
Diseases of Heart
Number of Deaths
* Cause categories are the National Centers for Health Statistics (NCHS), rankable causes of deaths applied to Georgia.
Source: Georgia Department of Public Health, Office of Health Indicators for Planning (OHIP), OASIS Dashboard http://oasis.state.ga.us
Leading Actual Causes of Death*, Georgia
470
537
805
1,207
1,543
2,079
2,348
10,196
12,141
0 2,000 4,000 6,000 8,000 10,000 12,000 14,000
Illicit drug use
Sexual behavior
Firearms
Motor vehicle
Toxic agents
Microbial agents
Alcohol
Poor diet & physical inactivity
Tobacco
Number of deathsSource: Georgia Department of Public Health, Vital Records Death File, 2006 – Based on methodology by Foege
and McGinnis.
Deaths & Death Rates,
Major Cardiovascular Diseases 2014 Deaths Death Rates
Georgia 22,454 222.4
Bryan 56 165.2
Camden 108 207.6
Chatham 703 248.1
Effingham 108 194.9
Glynn 225 273.8
Liberty 97 148.8
Long 33 192.8
McIntosh 22 175.9
Deduplicated Hospital
Discharges & Rates, Diabetes 2014 Discharges Discharge Rate
Georgia 13,770 136.4
Bryan 41 120.9
Camden 40 76.9
Chatham 506 178.6
Effingham 78 140.7
Glynn 130 158.2
Liberty 79 121.2
Long 22 128.6
McIntosh 18 126.6
Diabetes Educators/DSMES Programs
by County Diabetes Educators DSMES Programs
Georgia - 92
Bryan 1 0
Camden 0 1
Chatham 15 2
Effingham 0 0
Glynn 2 1
Liberty 2 0
Long 0 0
McIntosh 0 0
Diabetes Challenges
• Neighborhood
environments not
encouraging of healthy
behaviors
• Lack of diabetes
education resources
• Lack of local diabetes
treatment and
management centers
Burden of Tobacco Use
Expenses
• $5 billion in direct &
indirect healthcare costs
(GA)
• Costs employers:
$5,800/tobacco-using
employee
• Cost to the pack-a-day
smoker (on cigarettes):
$1,825/year
Health Effects
• 11,500 deaths in
Georgia/year
• 30% of all cancer deaths –
associated with smoking
cigarettes or other
tobacco use
• Tobacco use – responsible
for 87% of lung cancer
deaths
Adult Smoking – Coastal Health District County Health Rankings 2015
State vs. CHD County Percentage of Adults
Georgia 18
Bryan 13
Camden 24
Chatham 19
Effingham 18
Glynn 18
Liberty 26
Long *
McIntosh 29
Tobacco Challenges
• Cigarette alternatives
• State spending for
tobacco prevention &
control, tobacco tax
• Scarcity of tobacco
quitters support group
• Expense of nicotine
replacement therapy
and/or cessation
programs
$0.37
Protective Factors vs. Tobacco
Policies & Cessation Support
• 100% Tobacco-Free Schools Policies
• 100% Tobacco-Free Campus Policies
• Smoke-Free Ordinances (City of Savannah, Chatham County, City of Pooler)
• Free smoking cessation classes offered at all CHD Health Departments
• Georgia Tobacco Quit Line: 2 weeks supply of NRT (patches or gum)
Opportunities for Physical Activity
Community Gardens
We Need YOU! Community Health Improvement Plan
• Health issues with
significant impact to
Camden identified through
a Community Health
Needs Assessment
• Health Priorities (Problem
Statements) & related
goals identified
• Vision for Camden County:
a community in which all
families lead happy,
healthy, productive lives
Problem Statements • Camden residents face barriers in access to
medical, dental & mental health care
• The high level of obesity in Camden increases risks to health
• Camden’s most vulnerable populations are at risk because of poverty and other social factors that affect their well-being
• Increase the proportion of Camden residents who have at least a high school diploma and both basic and health literacy skills
• According to County Health Rankings, 17% of Camden adults binge drink
• Safety issues and risk taking affect the health & well-being of Camden families
• County Health Rankings reports that 22% of Camden residents smoke.
More information about the Coastal Health District and
health departments within the district can be found at
gachd.org.
Twitter: @coastalhealth91
Instagram: @coastalhealth91
Facebook: coastalgeorgiapublichealth
You Tube: TheCOASTALHD
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