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Captain Jose H. Belardo Regional Health Administrator U.S. Department of Health and Human Services

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LET’S MOVE. Captain Jose H. Belardo Regional Health Administrator U.S. Department of Health and Human Services. Key Priorities. Putting PREVENTION First Promoting healthy lifestyles and behaviors Emergency Preparedness and Response Pandemic Flu preparedness - PowerPoint PPT Presentation

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Page 1: LET’S MOVE

Captain Jose H. BelardoRegional Health Administrator

U.S. Department of Health and Human Services

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• Putting PREVENTION First Promoting healthy lifestyles and behaviors

• Emergency Preparedness and Response Pandemic Flu preparedness

All-Hazards preparedness

• Eliminating Disparities in healthRacialEthnicEconomic

Key Priorities

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LEADING CAUSES OF DEATH HEART DISEASECANCERHIV/AIDSINFLUENZA UNINTENTIONAL INJURY

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HEART DISEASE BEHAVIORTobacco UseDietObesityPhysical ActivityAlcohol

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(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

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Obesity Trends* Among U.S. AdultsBRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

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The Facts

Over the past THREE decades, obesity has more than TRIPLED among children and adolescents, rising from 5% to 17%.

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The Facts

Currently, 1 in 3 American children is overweight or obese.

www.ncsl.org/.../programs/health/ObesityMap.jpgThe National Survey of Children's Health, Overweight and Physical Activity Among Children: A Portrait of States and the Nation 2005; HRSA,Health, United States, U.S. Department of Health and Human Services,Centers for Disease Control and Prevention, National Center for Health Statistics, 2007.

http://www.ncsl.org/.../programs/health/ObesityMap.jpg
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The Facts

Over the past THREE decades, obesity has more than TRIPLED among children and adolescents, rising from 5% to 17%.

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The Costs

There are major health effects

Obesity is estimated to cause:112,000 DEATHS/year in the US

1 in 3 children born in 2000 are destined to develop diabetes in their lifetime

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The Costs

This is more than health…

It affects our human capital, our economic growth, our communities,

our neighborhoods, our national security.

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The Costs

The economic consequences are staggering

Obese adults incur an estimated $1,429 more in health care costs than their normal

weight peers

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The Costs

The economic consequences are staggering

Adult obesity related health care costs: $147 Billion

Childhood obesity related health care costs:$3 Billion

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Social Determinants of Health (SHD)The World Health Organization has 2 Definitions.

SDH are complex, integrated, and overlapping social structures and economic systems that include social environment, physical environment, and health services. SDH are influenced by policies and are shaped by money, power, and resources.

SDH are circumstances in which people are born, grow up, live, work and age, and the systems put in place to deal with illness. SDH are shaped by economic, social, and political forces.

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Key TermsHealth Disparity

Specific types of health differences that is closely linked with social and economic disadvantages

Health EquityDHHS definition: valuing everyone equally with

focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities

Health InequityNegative health outcomes that are a result of

social and economical injustices

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Social Determinants of Health3 Categories of Social Determinants of Health

Social environment (i.e. discrimination, income, education)

Physical environment (i.e. buildings, spaces, and transportation)

Health Services (i.e. access and quality care)

These 3 categories are beyond the individual’s control but affects the individual’s environment.

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SOCIAL DETERMINANTS OF MENTAL HEALTH, WORKING DEFINITIONIncome inequalityFood securityHousing qualitySocial StatusViolenceEducationEmployment

Conditions

Social ExclusionPolitical

disadvantageCultural NormsDiscriminationLiteracy

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HEALTHY AND SAFE COMMUNITY ENVIRONMENTSHealth and Wellness are influenced by the

places in which people live, learn, pray, and play.

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Let’s Move!

"The physical and emotional health of an entire generation and the economic health

and security of our nation is at stake."

- First Lady Michelle Obama at the Let’s Move! launch on February 9, 2010

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There’s good news!

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The Process

• The Domestic Policy Council produced an extensive report outlining the science and proposing the direction for solving the problem of childhood obesity

http://www.letsmove.gov/sites/letsmove.gov/files/TaskForce_on_Childhood_Obesity_May2010_FullReport.pdf

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Five Pillars of Let’s Move!

Creating a healthy start for children

Empowering parents and caregivers

Providing healthy foods in schools

Improving access to healthy, affordable foods

Increasing physical activity

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Creating a Healthy Start for Children

Let’s Move! in the Clinic

Get Kids MovingReduce Screen Time Make Nutrition FunOffer Healthier BeveragesSupport Infant Feeding

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Empowering Parents and Caregivers

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Providing Healthy Foods in Schools

• Healthy, Hunger Free Kids Act

• HealthierUS School Challenge

• Chefs Move to Schools

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Let’s Move Salad Bars

• Provide salad bars to schools across the country

• Any K-12 school or district participating in Natl. School Lunch Program

• Visit ww.saladbars2schools.org to learn more and complete an application.

• Superintendant, Principal, and Nutrition Service Director approval.

http://www.saladbars2schools.org/
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HealthierUS School HealthierUS School ChallengeChallenge

HealthierUS School HealthierUS School ChallengeChallenge

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Improving Access to Healthy, Affordable Foods

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Let’s Move Let’s Move Museums Museums and and GardensGardens

Let’s Move Let’s Move Museums Museums and and GardensGardens

Page 32: LET’S MOVE

Food Industry Food Industry ListeningListening

Food Industry Food Industry ListeningListening

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Increasing Physical Activity

1.7 million PALAs accomplished

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USTA photo?

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How we’re doing it…

Let’s Move! Faith and Let’s Move! Faith and CommunitiesCommunities

Let’s Move! Faith and Let’s Move! Faith and CommunitiesCommunities

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National Prevention Strategy

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The Affordable Care Act

In Addition to Coverage, Quality, and Cost…

Unique Opportunities for

Prevention

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Priorities

• Tobacco Free Living

• Preventing Drug Abuse and Excessive Alcohol Use

• Healthy Eating

• Active Living

• Mental and Emotional Well-being

• Reproductive and Sexual Health

• Injury and Violence Free Living

Source: National Vital Statistics Report, CDC, 2008

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Recommendations (Example)

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Actions (Example)

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HUD-DOT-EPA - HHSSustainable Communities

PartnershipMobility Matters Workshop

November 5, 2010

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HUD-DOT-EPAsustainable communities partnership

Partnership Mission

To coordinate our policies, programs, and resources to help urban, suburban, and rural areas and regions to build sustainable communities, and to make sustainable communities the leading style of development in the United States.

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HUD-DOT-EPAsustainable communities partnership

Livable Communities Can Provide Transportation Options

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HUD-DOT-EPAsustainable communities partnership

Livable Communities Can Provide Housing Options

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HUD-DOT-EPAsustainable communities partnership

Livable Communities Can Provide Options That Best Fit Their Citizens’ Needs

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HUD-DOT-EPAsustainable communities partnership

• Reduced Emissions and Improved Air Quality

• Reduced Water Demand and Water Impacts

• Reclaimed Abandoned and Hazardous Lands

• More Walkable, Healthier Neighborhoods

• Enhanced Quality of Life and Strengthened Social Fabric

Environmental and Social Benefits of Sustainable Communities

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HUD-DOT-EPAsustainable communities partnership

Partnership Project – Iowa City• Iowa City’s Riverfront Crossings District is

led by EPA with assistance from FTA, FHWA, HUD, and Iowa Department of Natural Resources.

• Iowa City has requested assistance in transforming a 10-square block area south of their downtown that presently consists of brownfield properties into an urban park and high density mixed use neighborhood

• This project is building on a previous EPA-led project that provided assistance for redeveloping areas impacted by flooding in 2008.

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HUD-DOT-EPAsustainable communities partnership

• EPA is in the process of accessing urban design experts to develop a conceptual plan for the area.

• The revitalized District will become a Smart Growth urban neighborhood that will emphasize walkablility and the use of public transit.

• It will provide a mix of uses including affordable housing, ground floor retail and office space, pedestrian-oriented streetscapes, entertainment and recreational facilities, and public open space including trails and other amenities along the Iowa River.

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Partnership Project – Iowa City

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There’s more to be done…

For the FIRST time ever, the current generation is on track to have a shorter

lifespan than their parents.

Progress has been made, but more needs to be done.

YOUR generation will drive those changes and make the decision to live healthier

lifestyles.

Page 52: LET’S MOVE

Let’s Move. Let’s Move. Let’s Move. Let’s Move.


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