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1. Building a Healthier Chicago James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Regional Health Administrator, Region V

2. Building a Healthier Chicago

3. Building a Healthier Chicago CHAMPS Community HeAlth Mobilization Projects

4. Building a Healthier Chicago CHAMPS VISION Build model community-wide partnerships for health promotion that can be replicated nationwide

10. Building a Healthier Chicago CHAMPS Source: CDPH

11. Building a Healthier Chicago CHAMPS Source: CDPH

12. Building a Healthier Chicago CHAMPS Source: CDPH

13. Building a Healthier Chicago CHAMPS

14. Inactivity Unhealthy Diet Hypertension Genetics Obesity Type 2 Diabetes Building a Healthier Chicago CHAMPS

15. High Blood Pressure in Chicago 28% of adults in Chicago have been told that their blood pressure is high. More than a half million adults in our city. Building a Healthier Chicago CHAMPS BRFSS Data; Chicago Department of Public Health

16. Age-adjusted percent 1988-1994 2001-2004 = 2010 Target: 16% 0 40 60 Race/ethnicity Total Gender 20 80 Black White Male Female Mexican American High Blood Pressure Prevalence 95% confidence intervals. Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS Obj. 12-9

17. 0 Black 40 60 Obj. 12-10 Race/ethnicity White Male Female 1988-1994 Total 2001-2004 Gender Mexican American I = 95% confidence intervals. Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. 20 2010 Target: 50% 80 Age-adjusted percent High Blood Pressure Control

18. Building a Healthier Chicago CHAMPS

19. Population-Based Strategy SBP Distributions Before Intervention After Intervention Reduction in SBP mmHg 2 3 5 Reduction in BP % Reduction in Mortality Stroke CHD 6 4 8 5 14 9

20. The idea that individual health choices and personal behaviors are the most important determinants of chronic disease is an idea whose time has come and gone. George Mensah, MD .

21. Individual choices are important… However, it is unlikely that individually attempted changes in lifestyles and behaviors alone can avert the growing epidemic of chronic disease that we are witnessing.

23. are shaped by the choices we have The choices we make

24. Building a Healthier Chicago CHAMPS How can we most effectively address these issues ?

25. Environmental Change: Policies Practices Programs Healthy Chicago Healthy Behavior Less Illness & Death Collaborative Partnership Changing Individual Behaviors

26. Environmental Change : Policies Practices Programs Healthy Chicago Healthy Behavior Less Illness & Death Collaborative Partnership Although partnerships have affected change in community-wide behavior, the strongest evidence shows that coalitions most effectively contribute to changes in programs, services and practices. Butterfloss FD & Francisco VT. (2004) Health Promotion Practice 5(2):108-114. Roussos ST and Fawcett SB (2000) Annu Rev of Public Health 21:369-402.

28. We must “ ignite and build a social movement” at private, public and policy levels in order to change broad scale social norms and create a social environment supportive of health. The Social Ecological Model Sorenson G et al. Ann Rev Public Health; 1998.19:379-416

29. Building a Healthier Chicago