Download - Approach to Public Health
10/5/2017
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My Approach to Public HealthULYEE CHOE, D.O.
ASSOCIATE PROFESSOR, USF MORSANI COLLEGE OF MEDICINE
DIRECTOR, FLORIDA DEPARTMENT OF HEALTH IN PINELLAS
Background
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Who We Are
Our MissionTo Protect
To Promote
Improve the Health of Residents and Visitors
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ICARE ValuesInnovation
Collaboration
Accountability
Responsiveness
Excellence
DOH‐Pinellas: 2016‐2017Employee – 649.15 FTEs
Budget ‐ $52,068,198
Services ‐ > 1.4 million
CU4
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2016 Sources of Funding
Locations
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Boca Ciega High School924 58th Street SouthSt. Petersburg, FL 33707Phone: 893-2780
Pinellas Park High Clinic
6305 118th Ave N
Largo, FL 33773
Phone: 538‐7410
Largo High Clinic
410 Missouri Ave North
Largo ‐ 33770
Phone: 588‐3758
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ServicesMaternal and Child Health (MCH)
WIC
Dental Health/ Dental Sealants
School Health
Refugee Health
Immunizations
Infectious Disease◦ TB◦ STI◦ HIV
Birth and Death Certificates
Tobacco Prevention
Environmental Health◦ Healthy beaches◦ Swimming pool inspections◦ Biomedical Waste
Primary Care/ Health Care for the Homeless
School‐based Clinics
Family Planning
Health Promotions
Health equity
Public Health Preparedness
Breast and Cervical Cancer Screening
Refugee Health
Please visit:
pinellas.floridahealth.gov
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Sexually Transmitted InfectionsAnnual new infections (incidence) = 20 million
Total Infections (prevalence) = 110 million
Total Medical Costs = $16 billion
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Contributing FactorsNot getting STI testing or treatment
Unprotected Sex
Multiple Partners
Increased Social Media to Meet New Partners?
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Reported STD’s in Public/ Private Sector
41%
59%
2007
Public
Private
23%
77%
2014*
STI InterventionsSTI Results Texting
Internet Partner Notification
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STI Result TextingUpon agreement, staff obtains (DH3203) for testing and cell phone text results including cell number and provider
With a positive Lab, a text message is then generated by STD staff in the PRISM
Client given informational card regarding text message
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Internet Partner Notification
To confidentially contact and bring to treatment known and suspected sex and needle‐sharing partners of reportable STDs, including HIV, using Internet email addresses and mobile dating applications (apps).
Internet Partner NotificationGrindr
Adam4Adam
Tinder
Jack’d
Scruff
Plenty of Fish
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Collaboration
Opioid EpidemicMore than one person in Pinellas dies every other day from opioid abuse and misuse
208 opioid‐related deaths in 2016
2,529 overdose transports by EMS/ Fire Administration
Increase in synthetic opioids
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Post Mortem Drug Identifications2005‐2016
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 20152016
Projected
Heroin (6‐MAM) 10 6 12 10 9 3 1 2 4 7 14 20
Fentanyl 30 34 21 39 27 22 21 19 26 41 64 110
Oxycodone 82 113 181 205 241 312 325 201 95 99 72 90
0
50
100
150
200
250
300
350
Heroin, Fentanyl Analogs, and Oxycodone
Heroin (6‐MAM) Fentanyl Oxycodone
Fentanyl analogs identifications in post mortem case currently exceed both oxycodone and heroin
Demographic Information
59%
41%
Sex
Male Female
96%
4%
1%
Race
White Black Other
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OD Transports June 23, 2016 – June 22, 2017
Opioid Deaths2016 (Jan‐Dec)
Based on Injury Location,Not Death Location(191 of 204 points mapped)
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CollaborationDCF
DOH‐Pinellas
Operation Par
Pinellas County Human Services
Pinellas BCC
Juvenile Welfare Board
States Attorney
USF – St. Pete
Poison Control
Medical Examiners
Gulf Coast Jewish Family Community Services
City of St. Petersburg
Bayfront Health
Baycare Health
Pinellas County Sheriff
Pinellas County EMS/ Safety
Alliance for Global Narcotics Training
Community Health Centers
Suncoast Center
Catholic Charities
Pinellas Homeless Leadership Board
PACE
Healthy Start Coalition
Pinellas County Medical Association
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Impactful Changes
ObesityMore than 1 out of every 3 kids were overweight or obese
70% chance of becoming overweight or obese adults
27% of young Americans are too overweight to serve in the military
By 2030, 60% of all adults in the United States will be obese
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Partnerships to Improve Community Health120 Pinellas County Schools locations with Healthy School Team
58 Early learning centers in Pinellas County have created new policies and made fitness/ nutrition changes to improve the health of preschoolers
15 Recreation centers used Fun Bites initiative
25 Park and trail locations with Bottle‐refilling water stations
18 Bike Fix‐It Stations added to parks and trails
15 Fitness Zones
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Health in All PoliciesStrategy to ensure that leaders are informed about the health consequences of various policy options
Acknowledges that social determinants of health have a profound effect on how healthy we will be over the course of our lives
Decisions about issues like food access, housing, transportation, education have a direct impact on health