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Chicago Department of Public Health




                                                     Healthy Chicago
                                      Destination Chicago: Feinberg School of Medicine

                                                         August 8, 2012

                                                 Bechara Choucair, MD
                                                     Commissioner
                                           Chicago Department of Public Health
                                                      @choucair on


                                      Rahm Emanuel                             Bechara Choucair, MD
                                      Mayor                                    Commissioner
HEALTHY CHICAGO
                                                         CHICAGO DEPARTMENT OF PUBLIC HEALTH




                                      TRANSFORMING THE
Chicago Department of Public Health




                                      HEALTH OF OUR CITY
                                      CHICAGO ANSWERS THE CALL




                                               Rahm Emanuel                                    Bechara Choucair, MD
                                               Mayor                                           Commissioner
HEALTHY CHICAGO
Chicago Department of Public Health




                                                       IT MATTERS
  Chicago Department of Public Health




                                        Rahm Emanuel                Bechara Choucair, MD
                                        Mayor                       Commissioner
A Comprehensive Public Health Agenda


A blueprint for action to create:
»Healthy City
»Healthy Neighborhoods
»Healthy Homes
»Healthy People
HEALTHY CHICAGO
Chicago Department of Public Health



                                                       IT’S NOT JUST ABOUT
                                                       INDIVIDUAL BEHAVIOR
  Chicago Department of Public Health




                                                       IT’S ABOUT HOW WE
                                                       BEHAVE AS A CITY




                                        Rahm Emanuel             Bechara Choucair, MD
                                        Mayor                    Commissioner
IT DEMANDS THAT WE MAKE CHANGES

 » Policies
 » Programs
 » Education
Chicago Public Health Agenda
Chicago Department of Public Health




                                      Rahm Emanuel             Bechara Choucair, MD
                                      Mayor                    Commissioner
HEALTHY CHICAGO
Chicago Department of Public Health



                                               MOVING TOWARD A
                                               HEALTHY CHICAGO
  Chicago Department of Public Health




                                        Rahm Emanuel             Bechara Choucair, MD
                                        Mayor                    Commissioner
Chicago Department of Public Health




                                      Rahm Emanuel   Bechara Choucair, MD
                                      Mayor          Commissioner
Status of Healthy Chicago (n = 193)
             by Specific Priority, 2011 (4th Quarter)
Public Health Infrastucture
      Violence Prevention
           Healthy Homes
  CD Control & Prevention
Healthy Mothers & Babies
     Access to Health Care
   Heart Disease & Stroke
        Cancer Disparities
        Adolescent Health
           HIV Prevention
       Obesity Prevention
              Tobacco Use

                              0              5              10             15    20   25

                                  Pending Initiation   In progress   Completed
Healthy Chicago Policies
Policy Accomplishments
                Breast Feeding




• 12 Chicago hospitals have
  entered the pathway to
  become Baby Friendly
• Increased WIC support for
  breastfeeding through
  lactation counselor training
Policy Accomplishments
            Child Care Standards

• Standards for nutrition, physical activity and screen
  time
• 90 trainings reached 1,400 day care center
  providers
                             • All licensed day care
                               centers are adopting
                               standards, which as
                               of 12/20/11 was 743
                               centers
Policy Accomplishments
            Tobacco Prevention

• 1638 units of private
  smoke-free housing

•   4 CHA smoke-free
    developments



                          • 750 undercover stings
                            for illegal sales to
                            minors
Policy Accomplishments
              Tobacco Prevention
•   All City Colleges & Roosevelt University
•   4 more hospitals are now smoke-free
•   Catholic schools smoke-free
•   The Y of Metro Chicago expanded its smoke-free policy
    at four of its residential facilities with a commitment to be
    100 percent smoke free by October 2012
Policy Accomplishments
            Tobacco Prevention
• State Cigarette tax increase of $1.00
• Tobacco vending machines are no longer permitted in
  Chicago
• “Roll Your Own” cigarette tobacco machines will now be
  taxed at the same rate as cigarettes
• 5 Chicago drug treatment centers have implemented
  smoke-free campuses.
• Over 30 Chicago FQHCs have implemented the Ask,
  Advise and Refer model providing over 104,000 patients
  to be screened for tobacco use
Policy Accomplishments
                School Health
• Established Office of Adolescent and School Health
• Hired CPS Chief Health Officer
• Expanded STI screening in CPS schools
• Improved nutritional standards for school meals
• 56 schools certified by Healthier
  US School Challenge
• Comprehensive obesity report
  on CPS students to be
  released
Policy Accomplishments Obesity

• Urban agriculture ordinance passed
• Healthy vending contract for City
• Healthy Produce Carts
• Healthy Corner Stores
• Healthy YMCA policies
• Healthy Procurement Executive Order for all City
  Agencies, in development
Healthy Chicago Programs
Program Accomplishments Obesity

• Fresh Moves
• Grant Partnership with U of C - Diabetes Translational
  Research
• Awarded $800,000 to 10 CBO’s to increase healthy
  options in corner stores, support breast feeding education
  and implement healthy changes in schools
Program Accomplishments
                       Immunizations

Increase immunization rates for            Percent of children aged 12-18 months enrolled in WIC
                                                       with 3:2:2 immunization series
children in WIC                     100%


National award for immunization
improvement - past two years        75%


Distribute 1.2 million vaccines
                                    50%
through VFC program

Conduct activities to promote       25%
adolescent immunizations

• HPV priority of Healthy Chicago    0%
                                            Jan Feb Mar Apr May Jun        Jul Aug Sep Oct Nov Dec
  Agenda
                                                        2011        2012        Target
Program Accomplishments
                             Adolescent Health
• STI screenings
        – 8,592 educated; 5,778 screened (FY12 to date)
• Teen Pregnancy Prevention Initiative
        – 4500 students received curriculum and supports
          (FY12)
• Teen dating violence prevention
        – 5000 youth and parents*



*anticipated 2012-2016
Program Accomplishments
    Maternal and Child Home Visits
16,000 Nursing Home visits (2011)
Program Accomplishments: Lead

50,594 6mo-35mo olds screened for blood lead poisoning
Program Accomplishments:
Promoting Oral Health among
         Children


                     112, 332 CPS
                     students
                     received an
                     oral health
                     exam during
                     2010/2011
                     school year
Education and Public Awareness
Education: Raise Public Awareness


•   Breastfeeding
•   Food Access
•   Smoke-free environments
•   Vaccines
Education Accomplishments
          Obesity
Education Accomplishments
   Tobacco Prevention
Education Accomplishments
A growing number of youth express no interest in
         smoking, or are trying to quit.
Education Accomplishments
Vaccine Preventable Illnesses
Education Accomplishments
   Communicable Disease Control


• ICAAP training partnership with Providers
  to increase immunization coverage
• 47 TB prevention and treatment Education
  session delivered to healthcare providers
  and the public
What’s Next?
Coming Soon

• Asthma Initiative
• Bicycle helmets
• Healthy CPS Action Plan
• Play streets
• Obesity report on CPS students
• Lactation rooms in City buildings
• Seek funding for school-based adolescent vaccine
  program
• Expand school based health centers
• New wellness policy for CPS
HEALTHY CHICAGO
Chicago Department of Public Health




    Together we will Make Chicago
    a healthier city!
HEALTHY CHICAGO
Chicago Department of Public Health




               Let’s Keep Moving!
Healthy Chicago Update

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Healthy Chicago Update

  • 1. Chicago Department of Public Health Healthy Chicago Destination Chicago: Feinberg School of Medicine August 8, 2012 Bechara Choucair, MD Commissioner Chicago Department of Public Health @choucair on Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
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  • 7. HEALTHY CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTH TRANSFORMING THE Chicago Department of Public Health HEALTH OF OUR CITY CHICAGO ANSWERS THE CALL Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  • 8. HEALTHY CHICAGO Chicago Department of Public Health IT MATTERS Chicago Department of Public Health Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  • 9. A Comprehensive Public Health Agenda A blueprint for action to create: »Healthy City »Healthy Neighborhoods »Healthy Homes »Healthy People
  • 10. HEALTHY CHICAGO Chicago Department of Public Health IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR Chicago Department of Public Health IT’S ABOUT HOW WE BEHAVE AS A CITY Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  • 11. IT DEMANDS THAT WE MAKE CHANGES » Policies » Programs » Education
  • 12. Chicago Public Health Agenda Chicago Department of Public Health Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  • 13. HEALTHY CHICAGO Chicago Department of Public Health MOVING TOWARD A HEALTHY CHICAGO Chicago Department of Public Health Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  • 14. Chicago Department of Public Health Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  • 15. Status of Healthy Chicago (n = 193) by Specific Priority, 2011 (4th Quarter) Public Health Infrastucture Violence Prevention Healthy Homes CD Control & Prevention Healthy Mothers & Babies Access to Health Care Heart Disease & Stroke Cancer Disparities Adolescent Health HIV Prevention Obesity Prevention Tobacco Use 0 5 10 15 20 25 Pending Initiation In progress Completed
  • 17. Policy Accomplishments Breast Feeding • 12 Chicago hospitals have entered the pathway to become Baby Friendly • Increased WIC support for breastfeeding through lactation counselor training
  • 18. Policy Accomplishments Child Care Standards • Standards for nutrition, physical activity and screen time • 90 trainings reached 1,400 day care center providers • All licensed day care centers are adopting standards, which as of 12/20/11 was 743 centers
  • 19. Policy Accomplishments Tobacco Prevention • 1638 units of private smoke-free housing • 4 CHA smoke-free developments • 750 undercover stings for illegal sales to minors
  • 20. Policy Accomplishments Tobacco Prevention • All City Colleges & Roosevelt University • 4 more hospitals are now smoke-free • Catholic schools smoke-free • The Y of Metro Chicago expanded its smoke-free policy at four of its residential facilities with a commitment to be 100 percent smoke free by October 2012
  • 21. Policy Accomplishments Tobacco Prevention • State Cigarette tax increase of $1.00 • Tobacco vending machines are no longer permitted in Chicago • “Roll Your Own” cigarette tobacco machines will now be taxed at the same rate as cigarettes • 5 Chicago drug treatment centers have implemented smoke-free campuses. • Over 30 Chicago FQHCs have implemented the Ask, Advise and Refer model providing over 104,000 patients to be screened for tobacco use
  • 22. Policy Accomplishments School Health • Established Office of Adolescent and School Health • Hired CPS Chief Health Officer • Expanded STI screening in CPS schools • Improved nutritional standards for school meals • 56 schools certified by Healthier US School Challenge • Comprehensive obesity report on CPS students to be released
  • 23. Policy Accomplishments Obesity • Urban agriculture ordinance passed • Healthy vending contract for City • Healthy Produce Carts • Healthy Corner Stores • Healthy YMCA policies • Healthy Procurement Executive Order for all City Agencies, in development
  • 25. Program Accomplishments Obesity • Fresh Moves • Grant Partnership with U of C - Diabetes Translational Research • Awarded $800,000 to 10 CBO’s to increase healthy options in corner stores, support breast feeding education and implement healthy changes in schools
  • 26. Program Accomplishments Immunizations Increase immunization rates for Percent of children aged 12-18 months enrolled in WIC with 3:2:2 immunization series children in WIC 100% National award for immunization improvement - past two years 75% Distribute 1.2 million vaccines 50% through VFC program Conduct activities to promote 25% adolescent immunizations • HPV priority of Healthy Chicago 0% Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Agenda 2011 2012 Target
  • 27. Program Accomplishments Adolescent Health • STI screenings – 8,592 educated; 5,778 screened (FY12 to date) • Teen Pregnancy Prevention Initiative – 4500 students received curriculum and supports (FY12) • Teen dating violence prevention – 5000 youth and parents* *anticipated 2012-2016
  • 28. Program Accomplishments Maternal and Child Home Visits 16,000 Nursing Home visits (2011)
  • 29. Program Accomplishments: Lead 50,594 6mo-35mo olds screened for blood lead poisoning
  • 30. Program Accomplishments: Promoting Oral Health among Children 112, 332 CPS students received an oral health exam during 2010/2011 school year
  • 31. Education and Public Awareness
  • 32. Education: Raise Public Awareness • Breastfeeding • Food Access • Smoke-free environments • Vaccines
  • 34. Education Accomplishments Tobacco Prevention
  • 35. Education Accomplishments A growing number of youth express no interest in smoking, or are trying to quit.
  • 37. Education Accomplishments Communicable Disease Control • ICAAP training partnership with Providers to increase immunization coverage • 47 TB prevention and treatment Education session delivered to healthcare providers and the public
  • 39. Coming Soon • Asthma Initiative • Bicycle helmets • Healthy CPS Action Plan • Play streets • Obesity report on CPS students • Lactation rooms in City buildings • Seek funding for school-based adolescent vaccine program • Expand school based health centers • New wellness policy for CPS
  • 40. HEALTHY CHICAGO Chicago Department of Public Health Together we will Make Chicago a healthier city!
  • 41. HEALTHY CHICAGO Chicago Department of Public Health Let’s Keep Moving!