12/22/2015 Wisconsin Local Health Departments An Overview of Wisconsin Local Health Departments.

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Wisconsin Wisconsin Local Health Departments Local Health Departments


An Overview of An Overview of WisconsinWisconsin

Local Health DepartmentsLocal Health Departments

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Sawyer

BayfieldDouglas

BurnettWash- burn

Ashland

Iron

Vilas

PriceOneida

Forest

Florence

Marinette Polk BarronRusk

TaylorLincoln Langlade

Meno- minee Oconto

ShawnoMarathon

Clark

Wood

PortageWaupaca

Outa-gamie

Door

Brown

Kewaee

Mani-towoc

Fond du Lac

Adams Waushara

Juneau

St. Croix

Pierce

DunnChippewa

Eau Claire

Pepin

Buffalo

Tremp- ealeau Jackson

Monroe La Crosse

Winne-bago

Calu-met

Sheboygan

Vernon

Crawford

Rich-land

Sauk

Marq-uette

Columbia Dodge Wash-

ington Oe

MilWaukesha

JeffersonDaneIowa

Grant

LafayetteGreen Rock

Walworth

Racine

Kenosha

Gr.Lake

Burnett

92 Local Health Departments92 Local Health Departments

71 County71 County

21 City or Village21 City or Village

Adams

Juneau

Crawford

Rich-land

Sauk Columbia Dodge

DaneIowa

Grant

LafayetteGreen Rock



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Population RangePopulation Range2008 – pop WI = 5,617,7442008 – pop WI = 5,617,744

4,6304,630

590,870590,870



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Operating BudgetsOperating Budgets2007 – WI - LHD Survey2007 – WI - LHD Survey

$24,679,918 $24,679,918

$94,121$94,121



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Distribution of LHDs by FTEs(2008 WI LHD Survey)

2

31

13

46

# of FTEs

# o

f L

HD

s

0-5 6-15 16-35 36+

0-5

6-15

36+

16-35

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Wisconsin Wisconsin Local Health DepartmentsLocal Health Departments


Health Costs in WisconsinHealth Costs in WisconsinTOTAL TOTAL (2007 Lewin group report)(2007 Lewin group report) $42.3 Billion $42.3 Billion

PUBLIC HEALTH PUBLIC HEALTH (2007 - LHD Survey)(2007 - LHD Survey) $150.1 Million$150.1 Million

Local Health Departments Account for Local Health Departments Account for

OnlyOnly 0.4%0.4% of Wisconsin’s Health Costsof Wisconsin’s Health Costs

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PreventionPrevention• PrimaryPrimary

• SecondarySecondary

• TertiaryTertiary

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Primary preventionPrimary prevention Includes actions to protect against disease and disability, Includes actions to protect against disease and disability, such as:such as:- getting immunizations- getting immunizations- ensuring the supply of safe drinking water- ensuring the supply of safe drinking water

In addition, Primary Prevention can include general action to In addition, Primary Prevention can include general action to promote healthpromote health such as:such as:- Health promotion- Health promotion

- Healthy lifestyle - Healthy lifestyle - Good nutrition and hygiene- Good nutrition and hygiene- adequate exercise and rest- adequate exercise and rest

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The goal of secondary preventionThe goal of secondary prevention is to is to identify and detect disease in its earliest identify and detect disease in its earliest stages. Examples are:stages. Examples are:

- Colorectal screening- Colorectal screening- Mammograms - Mammograms

Another goal of secondary preventionAnother goal of secondary prevention is to is to prevent the spread of communicable prevent the spread of communicable diseases (illnesses that can be transmitted diseases (illnesses that can be transmitted from one person to another). from one person to another).

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Tertiary preventionTertiary prevention programs aim to:programs aim to: Improve the quality of life for people with Improve the quality of life for people with

various diseases by limiting complications and various diseases by limiting complications and disabilitiesdisabilities

Reducing the severity and progression of Reducing the severity and progression of disease, and providing rehabilitation disease, and providing rehabilitation

Tertiary prevention involves actual treatment Tertiary prevention involves actual treatment for the disease and is conducted primarily by for the disease and is conducted primarily by health care practitioners, rather than public health care practitioners, rather than public health agencies. health agencies.

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Population HealthPopulation HealthPopulation-based public health servicesPopulation-based public health services – – Interventions aimed at disease prevention Interventions aimed at disease prevention and health promotion that affect an entire and health promotion that affect an entire population and extend beyond medical population and extend beyond medical treatment by targeting underlying risk, treatment by targeting underlying risk, such as tobacco, drug, and alcohol use; such as tobacco, drug, and alcohol use; diet and sedentary lifestyles; and diet and sedentary lifestyles; and environmental factors.environmental factors.

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For Every Dollar Invested in:For Every Dollar Invested in:

Water Fluoridation saves as much as $80 in treatment cost as much as $80 in treatment cost for dental caries for one child. (CDC, An Ounce of for dental caries for one child. (CDC, An Ounce of Prevention, 1999)Prevention, 1999)

Influenza Vaccination saves $30 to $60 in hospitalization costs for an older adult (CDC)

Measles, Mumps, Rubella vaccination saves $16.34 in direct medical costs (CDC)

Diphtheria, Pertussis, Tetanus (DPT) vaccination saves $6.21 in direct medical costs (CDC)

Family Planning Services saves $4.40 in public funds for averting medical, welfare and nutritional costs. (Healthy Minnesotans 2004)

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For Every Dollar Invested in:For Every Dollar Invested in:

Chickenpox Vaccination saves up to $5.40 in parent productivity losses and medical costs (CDC)

WIC services for pregnant women saves $1.92 - $4.21 in Medical Assistant funds for a mother and her newborn. (Nat’l Ass. Of WIC Directors)

Tobacco prevention saves $3.00 in direct health care costs. (ANSR Action Alert 2003)

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Voluntary Accreditation of Local and State

Health Departments Voluntary Accreditation of Local and State

Health Departments

The The goal of the national public health accreditation goal of the national public health accreditation programprogram is to is to improve and protect the health of the improve and protect the health of the publicpublic by advancing the quality and performanceby advancing the quality and performance of of aall health departments in the country – state, local, ll health departments in the country – state, local, territorial and tribal. territorial and tribal.

Accreditation means demonstrated accountability and Accreditation means demonstrated accountability and improved qualityimproved quality. Nationally, public health . Nationally, public health accreditation means that people across the country accreditation means that people across the country can expect the same quality of public health can expect the same quality of public health programs and services no matter where they live. programs and services no matter where they live.

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Healthiest WI 2020Healthiest WI 2020

Healthiest Wisconsin 2020: Everyone Living Better, Longer represents the third decade of statewide community health improvement planning designed to benefit the health of everyone in Wisconsin and the communities in which we live, play, work and learn.

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Healthiest Wisconsin 2020: Everyone Living Better, Longer represents the third decade of statewide community health improvement planning designed to benefit the health of everyone in Wisconsin and the communities in which we live, play, work and learn.


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GOALS:1. Improve health across the life span.2. Eliminate health disparities and achieve health equity

Overarching Focus Areas:• Health disparities• Social, economic, and educational factors that influence health

Alcohol and DrugAlcohol and Drug Chronic DiseaseChronic Disease Communicable Disease Communicable Disease Environmental and Occupational Environmental and Occupational Growth and Development Growth and Development Injury and ViolenceInjury and Violence

Mental HealthMental HealthNutrition Nutrition Oral Health Oral Health Physical Activity Physical Activity Reproductive and Sexual Reproductive and Sexual Tobacco Tobacco

Focus Areas


VisionVision

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Healthiest WI 2020 – Infrastructure Focus Areas

Healthiest WI 2020 – Infrastructure Focus Areas

Access to high quality health serviceAccess to high quality health service Public Health capacity and quality Public Health capacity and quality Emergency preparedness, response and recoveryEmergency preparedness, response and recovery Equitable, adequate, stable public health fundingEquitable, adequate, stable public health funding Systems to manage and share health information and Systems to manage and share health information and

knowledgeknowledge Health literacyHealth literacy Collaborative partnerships for community health Collaborative partnerships for community health

improvement improvement Public health research and evaluationPublic health research and evaluation Diverse, sufficient and competent workforce that Diverse, sufficient and competent workforce that

promotes and protects healthpromotes and protects health

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What Does Public Health Do?What Does Public Health Do?What Does Public Health Do?What Does Public Health Do?

Prevents epidemics Prevents epidemics and the spread of and the spread of diseasedisease

Protects against Protects against environmental environmental hazardshazards

Promotes healthy Promotes healthy behaviorsbehaviors

Prevents injuriesPrevents injuries

Responds to Responds to disastersdisasters

Mobilizes Mobilizes communities for communities for actionaction

Develops policies to Develops policies to promote healthpromote health

Monitors the health Monitors the health conditions of the conditions of the population population

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Communicable Disease Control Communicable Disease Control

ImmunizationsImmunizations Investigation Investigation

of Diseaseof Disease Education Education

Health Focus AreaHealth Focus Area – Communicable disease prevention and control

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Measles and MumpsMeasles and Mumps

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Tuberculin Skin TestingTuberculin Skin Testing

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Early 1900’s--Board of Health SignEarly 1900’s--Board of Health Sign

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Chronic Disease Prevention and Control

Chronic Disease Prevention and Control

Cancer Control Cancer Control ProgramsPrograms

Cardiovascular Cardiovascular DiseaseDisease

Tobacco PreventionTobacco Prevention Nutrition and AlcoholNutrition and Alcohol Diabetes ControlDiabetes ControlHealth Focus Area Health Focus Area

- - Tobacco use and exposure- Physical activity- Chronic disease prevention and management - Alcohol and other drug use- Adequate, appropriate , and safe food and nutrition

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Wellness Programs and Health EducationWellness Programs and Health Education

Health Focus Area – Health Focus Area – Physical Activity

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Injury Injury PreventionPrevention

Health Focus Area Health Focus Area - Injuries and violence

- Childhood Injury Prevention Programs- Intentional Injuries and Violence- Gun Control Programs- Fall Prevention- Burns and Fire-related injury prevention- Motor Vehicle Injury Prevention

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Sharps Collection Sharps Collection ProgramProgram

Health Focus Area - Health Focus Area - Injuries and violence- Communicable disease Prevention and Control

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Environmental HealthEnvironmental Health

Human Health Hazard Human Health Hazard InvestigationInvestigation

Radon Testing and Radon Testing and EducationEducation

Emergency ResponseEmergency Response Water TestingWater Testing Restaurant and Lodging Restaurant and Lodging

InspectionsInspections Animal Bite Animal Bite

InvestigationsInvestigationsHealth Focus Area Health Focus Area

- - Environmental and occupational health

- Communicable Disease Prevention and Control

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Swimming Pool and Beach Inspections

Swimming Pool and Beach Inspections

Health Focus Area:Health Focus Area:

- Communicable Disease Prevention,

- Environmental and Occupational Health

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Reproductive/Perinatal HealthReproductive/Perinatal Health

Prenatal Care Prenatal Care CoordinationCoordination

WICWIC Family PlanningFamily Planning Sexually Sexually

Transmitted Disease Transmitted Disease Clinics and Clinics and Investigation of Investigation of CasesCases

Health Focus Area Health Focus Area - - Reproductive and sexual health - Adequate, appropriate, and safe food nutrition- Alcohol and other drug use -Mental health -- Tobacco use and exposure-- Health growth and development

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Infant and Child HealthInfant and Child Health

72,002 births in WI (2008

birth data)

WIC Immunizations Health Check Visits to new moms Day Care Issues Child Abuse and

NeglectHealth Focus Area Health Focus Area - - Oral health- Injury and violence- Tobacco use and exposure

- Adequate, appropriate, and safe food nutrition

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Adolescent HealthAdolescent Health

Health Focus AreaHealth Focus Area

- - Tobacco use and exposure- Alcohol and drug use- Reproductive and sexual health- Physical Activity

- Nutrition and Healthy Growth and development

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Public Health PreparednessPublic Health Preparedness


- Communicable disease prevention and management

- Environmental and occupational health

- Mental health

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Oral Health Programs Oral Health Programs


- Oral Health

- Tobacco use and Exposure

- Healthy growth and development

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Ten Leading Causes of Death in the United StatesCDC Data

1900 2005Tuberculosis Heart Disease (34%)

Pneumonia (11%) Cancer (29%)

Diarrhea and Enteritis Stroke (7%)

Heart Disease (8%) COPD (6%)

Kidney Disease (5%) Accidents/Injury (6%)

Injuries (5%) Diabetes (4%)

Stroke (5%) Alzheimer’s

Cancer (4%) Influenza/Pneumonia (4%)

Bronchitis Kidney Disease (2%)

Diptheria Septicemia

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Another way to think about how we make ourselves sick is bylooking at this chart of lifestyle-related causes of death

Table 2

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HEALTH CONDITIONS

HEALTH PRIORITIES

or MODIFIABLE

RISK FACTORS

AID

S o

r H

IV

Bre

as

t C

an

cer

Ce

reb

rov

as

cu

lar

Dis

ea

se

(S

tro

ke)

CO

PD

Dia

be

tes

He

art

Dis

ea

se

Ho

mic

ide

Infa

nt

Mo

rtali

ty

Lu

ng

Ca

nc

er

Mo

tor

Ve

hic

le

Cra

sh

es

Pn

eu

mo

co

cc

al

Infe

cti

on

s

Su

icid

e

Social/Economic Factor Impact

× × × × × × × × × × × × Access to Health Care × × × × × × × × × × × Inappropriate Use/Abuse of Alcohol and Other Substances

× × × × × × ×

Adequate and Appropriate Nutrition

× × × × × ×

Tobacco Use and Exposure × × × × × ×

Obesity/Physical Inactivity × × × × × Communicable Disease × × × Environmental Occupation Exposures

× × × × Intentional/Non-Intentional Injuries

× × × High-Risk Sexual Behavior × ×

Mental Health × ×

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Public Health Departments Improve the Health of the Public

Public Health Departments Improve the Health of the Public

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““Public health departments are like the Public health departments are like the police and fire departments. They teachpolice and fire departments. They teachand practice prevention, but they are and practice prevention, but they are prepared to act in emergencies.prepared to act in emergencies.

While the public appreciates them most While the public appreciates them most in emergencies, they are truly successfulin emergencies, they are truly successful--and least noticed--when their prevention--and least noticed--when their preventionefforts work.” efforts work.” Larry GilbertsonLarry Gilbertson

12/22/2015 Wisconsin Local Health Departments An Overview of Wisconsin Local Health Departments.

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Transcript of 12/22/2015 Wisconsin Local Health Departments An Overview of Wisconsin Local Health Departments.