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Creating Healthy Communities


                        Susan Stuart


            Santa Clara County Public Health
                      Department



Gilroy, June 16, 2012
Why Public Health?


 Health care is vital to all of us some of the
  time, but public health is vital to all of us
  all of the time. - C. Everett Koop




© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   2
Leading Causes of Mortality in SCC



                                                                                      Top 2 causes


                                                                                      50 % of all
                                                                                      deaths




Source: California Department of Public Health, Death Records, 2008


    © 2012 Santa Clara County Public Health Department
    The Public Health Department is owned and operated by the County of Santa Clara                  3
What Makes a Community Healthy?




© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   4
Conditions of Health
• Clean air, soil and water
• Access to affordable, nutritious food
• Quality education, childcare, libraries, park facilities
• Affordable, quality housing
• Green and open spaces, including agricultural land
• Walkable/bikeable neighborhoods connecting to transit and
  necessary services
• Healthy job opportunities
• Safe and socially cohesive communities
• Affordable, accessible health care



    © 2012 Santa Clara County Public Health Department
    The Public Health Department is owned and operated by the County of Santa Clara   5
Poverty and Education




© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   6
Community / Neighborhood: What
                  Improves Wellness?
Nearly ½
surveyed think
access to
physical activity
and healthy food
will have most
impact




Source: SCC BRFSS 2009

© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   7
Overweight/Obesity, SCC




Source: Santa Clara County Public Health Department, 2009 Behavioral Risk Factor Survey
2007-08 California Healthy Kids Survey


 © 2012 Santa Clara County Public Health Department
 The Public Health Department is owned and operated by the County of Santa Clara          8
Overweight and Obese Adults, Santa Clara County




© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara                                              9
                           Source: Santa Clara Public Health Department 2004, 2005-06, 2009, Behavioral Risk Factor Survey
Overweight or Obese Adults: Gilroy, SCC,
                     CA, and US




© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   10
SCC Childhood Obesity/Overweight
                        SCC City                                                  2010 Overweight +
                           Obesity
                        Gilroy                                                    43.6%
                        Santa Clara                                               37.5%
                        San Jose                                                  36.0%
                        Milpitas                                                  33.3%        14% of Gilroy adults ever
                        Sunnyvale                                                 31.0%        told they had diabetes
                        Morgan Hill                                               30.3%        (SCC: 8%) Source:
                        Campbell                                                  30.1%        BRFSS, 2009
                        Cupertino                                                 18.4%
                        Palo Alto                                                 18.4%
                        Saratoga                                                  18.2%
                        Los Gatos                                                 15.4%
                        Santa Clara County                                         32.9%
                        California                                                38.0%

     UCLA Center for Health Policy Research and California Center for Public
     Health Advocacy, 2012

© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara                                        11
Asthma Among SCC Adults




© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   12
© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   13
Frequency of Fast Food Consumption
                               1-3 times/week                                     4 or more times/week




                                                                                                         37% of Gilroy adults
                                                                                                         ate fast food at
                                                                                                         least once a week.
                                                                                                         Source: BRFSS, 2009

        Source: SCC BRFS 2009, CHIS 2007.


© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara                                                14
Healthy Food Resources




Public Health Law & Policy, Healthy Food
Resource Assessment, 2010




   © 2012 Santa Clara County Public Health Department
   The Public Health Department is owned and operated by the County of Santa Clara   15
Physical Activity: Children Engaging in
                   Vigorous Activity by Race / Ethnicity




                                                                                                48% of Gilroy
                                                                                                adults reported
                                                                                                performing any
                                                                                                vigorous physical
                                                                                                activity (SCC: 54%)
                                                                                                Source: BRFSS, 2009




Source: HP 2010 ( 9-12th grade), SCC CHKS 2005-06 (7th, 9th, 11th graders), California Health
Interview Survey (CHIS) 2007


     © 2012 Santa Clara County Public Health Department
     The Public Health Department is owned and operated by the County of Santa Clara                              16
Middle and High School Indicators

                                                                   Gilroy Unified         Morgan Hill   Unified SCC
Daily Physical Activity                                                             49%      58%         56%
Ate 5+ fruits & vegetables yesterday                                                33%      35%         36%
Drank 1+ sodas in past 24 hrs.                                                      58%      54%         55%




       Source: California Healthy Kids Survey 2007-08

  © 2012 Santa Clara County Public Health Department
  The Public Health Department is owned and operated by the County of Santa Clara                               17
General Plan Health Element
 • First chapter to be updated
 • Quality of life survey 
         http://www.surveymonkey.com/s/SantaClaraCounty
 • General plan health element outreach
 • Latino health assessment
 • Will be one of a few California Counties to 
   have a public health element


© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   18
Contact Information
 susan.stuart@phd.sccgov.org
 408-793-2721

 Santa Clara County Health Element
 www.healthysantaclaracounty.org/




© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   19
Thank you!

 It is unreasonable to expect that people will 
    change their behavior easily when so many 
    forces in the social, cultural and physical 
    environment conspire against such change.

  Institute of Medicine



© 2012 Santa Clara County Public Health Department
The Public Health Department is owned and operated by the County of Santa Clara   20

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Connecting health to our community

  • 1. Creating Healthy Communities Susan Stuart Santa Clara County Public Health Department Gilroy, June 16, 2012
  • 2. Why Public Health? Health care is vital to all of us some of the time, but public health is vital to all of us all of the time. - C. Everett Koop © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 2
  • 3. Leading Causes of Mortality in SCC Top 2 causes 50 % of all deaths Source: California Department of Public Health, Death Records, 2008 © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 3
  • 4. What Makes a Community Healthy? © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 4
  • 5. Conditions of Health • Clean air, soil and water • Access to affordable, nutritious food • Quality education, childcare, libraries, park facilities • Affordable, quality housing • Green and open spaces, including agricultural land • Walkable/bikeable neighborhoods connecting to transit and necessary services • Healthy job opportunities • Safe and socially cohesive communities • Affordable, accessible health care © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 5
  • 6. Poverty and Education © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 6
  • 7. Community / Neighborhood: What Improves Wellness? Nearly ½ surveyed think access to physical activity and healthy food will have most impact Source: SCC BRFSS 2009 © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 7
  • 8. Overweight/Obesity, SCC Source: Santa Clara County Public Health Department, 2009 Behavioral Risk Factor Survey 2007-08 California Healthy Kids Survey © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 8
  • 9. Overweight and Obese Adults, Santa Clara County © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 9 Source: Santa Clara Public Health Department 2004, 2005-06, 2009, Behavioral Risk Factor Survey
  • 10. Overweight or Obese Adults: Gilroy, SCC, CA, and US © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 10
  • 11. SCC Childhood Obesity/Overweight SCC City 2010 Overweight + Obesity Gilroy 43.6% Santa Clara 37.5% San Jose 36.0% Milpitas 33.3% 14% of Gilroy adults ever Sunnyvale 31.0% told they had diabetes Morgan Hill 30.3% (SCC: 8%) Source: Campbell 30.1% BRFSS, 2009 Cupertino 18.4% Palo Alto 18.4% Saratoga 18.2% Los Gatos 15.4% Santa Clara County 32.9% California 38.0% UCLA Center for Health Policy Research and California Center for Public Health Advocacy, 2012 © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 11
  • 12. Asthma Among SCC Adults © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 12
  • 13. © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 13
  • 14. Frequency of Fast Food Consumption 1-3 times/week 4 or more times/week 37% of Gilroy adults ate fast food at least once a week. Source: BRFSS, 2009 Source: SCC BRFS 2009, CHIS 2007. © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 14
  • 15. Healthy Food Resources Public Health Law & Policy, Healthy Food Resource Assessment, 2010 © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 15
  • 16. Physical Activity: Children Engaging in Vigorous Activity by Race / Ethnicity 48% of Gilroy adults reported performing any vigorous physical activity (SCC: 54%) Source: BRFSS, 2009 Source: HP 2010 ( 9-12th grade), SCC CHKS 2005-06 (7th, 9th, 11th graders), California Health Interview Survey (CHIS) 2007 © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 16
  • 17. Middle and High School Indicators Gilroy Unified Morgan Hill Unified SCC Daily Physical Activity 49% 58% 56% Ate 5+ fruits & vegetables yesterday 33% 35% 36% Drank 1+ sodas in past 24 hrs. 58% 54% 55% Source: California Healthy Kids Survey 2007-08 © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 17
  • 18. General Plan Health Element • First chapter to be updated • Quality of life survey  http://www.surveymonkey.com/s/SantaClaraCounty • General plan health element outreach • Latino health assessment • Will be one of a few California Counties to  have a public health element © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 18
  • 19. Contact Information susan.stuart@phd.sccgov.org 408-793-2721 Santa Clara County Health Element www.healthysantaclaracounty.org/ © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 19
  • 20. Thank you! It is unreasonable to expect that people will  change their behavior easily when so many  forces in the social, cultural and physical  environment conspire against such change. Institute of Medicine © 2012 Santa Clara County Public Health Department The Public Health Department is owned and operated by the County of Santa Clara 20