Healthiest Wisconsin 2010: A PartnershipPlan to Improve the Health of the Public

A Report of the State Health Plan Committee

February 9, 2007

Healthiest Wisconsin 2010 Healthiest Wisconsin 2010

Progress Report and Policy Recommendations to the

Wisconsin Public Health Council

Presented for the State Health Plan Committee by:

Mary Jo Baisch, Ph.D., RNGary Hollander, Ph.D.

Charge to theState Health Plan Committee

Charge to theState Health Plan Committee

Make recommendations to the PHC on the priorities and strategies to achieve the Council’s goals related to Healthiest Wisconsin 2010 by:

Monitoring, evaluating, and communicating progress toward and away from achieving the state health plan.

Championing the achievement of the state health plan.

Promoting broad-based ownership for achieving the state health plan.

Focus of Today’s Progress Report

Provide recommendations to support a public health system transformation related to: General needs for the transformation. Equitable, adequate, and stable funding and financing. Integrated electronic data and information systems.

Provide status reports and policy recommendations for three statewide health priorities: Adequate and appropriate nutrition. Obesity, overweight, and lack of physical activity. Tobacco use and exposure.

Evaluation ModelHealthiest Wisconsin 2010

InfrastructureInfrastructurePrioritiesPriorities

HealthHealthPrioritiesPriorities

Statewide Health and Infrastructure Priorities

Overarching NeedsHealthiest Wisconsin 2010

Adequately and equitably fund the state health plan priorities.

Collect data in ways that are timely, locally based, and accurate.

Eliminate health disparities.

Assure that primary prevention is a lead strategy.

Policy Actions and RecommendationsTo Support the Transformation ofWisconsin’s Public Health System

Healthiest Wisconsin 2010 Goal 3: Transform Wisconsin’s PH System

Determine what is acceptable and what is optimal for the health of Wisconsin.

Define concrete indicators to measure the five infrastructure (system) priorities.

Develop a social marketing campaign about the public health system.

Examine the public health system across the rural-urban continuum.

Actions and Recommendations:Public Health System Transformation

Accept and adopt the transformation report presented by the State Health Plan Committee.

Establish a “commissioned” study group to develop strategies for financing and integrated data priorities in 2007 and defer work on the other three infrastructure priorities until 2008.

Brief Governor Jim Doyle on the State Health Plan and the Committee’s recommendations.

Disseminate the findings widely.

Actions and Recommendations

Public Health System Transformation

Adequate and Appropriate Nutrition

Issues andCurrent and Emerging Disparities

Adequate and Appropriate Nutrition

Consider. . .

Poor nutrition is costly for Wisconsin The estimated annual cost of heart disease is $5.2 billion. Low birth weight babies are 50% less likely to do well in school.

Adequate and Appropriate Nutrition

Consider. . .

There was an increase in the percent of Wisconsin mothers who breastfed their infants since 2000.

Increases were most marked among WIC infants with increases of 9-20 percent in minority populations.

Health improvement is tied to the availability of public health nutritionists, yet only one health department has its nutritionists dedicated to “general public health nutrition.”

Adequate and Appropriate Nutrition

Consider the health disparities. . .

9 percent of Wisconsin residents are food insecure1/3 are households of single, low income mothers. 1/4 are disabled persons.

Nearly 50 % of WIC households are food insecure.

Black/African Americans experience food insecurity three times that of the white population.

Obesity, Overweight, Lack of Physical Activity

Issues andCurrent and Emerging Disparities

Obesity, Overweight, Lack of Physical Activity

Consider . . .

Wisconsin residents live in environments that promote obesity.

Reversing the trends for overweight and obesity requires the commitment and involvement of all sectors (government, the public, private, nonprofit, and voluntary).

The Wisconsin Nutrition and Physical Activity Plan is a science-based framework to reduce obesity.

Obesity, Overweight, and Lack of Physical Activity

Consider the health disparities . . .

Children and adolescents are on a trend for the worse when it comes to overweight and obesity.

Percent of children ages 2-4 in WIC who are overweight is increasing.

Asian high school students are less likely to report regular moderate physical activity.

The proportion of obese adults was higher among Black/African American and American Indian populations.

Policy Actions To Improve Nutrition/Physical Activity and Prevent Obesity and Overweight

Recommendationsand

Policy Actions

Policy Actions To Improve Nutrition/Physical Activity and Prevent Obesity and Overweight

Promote awareness of food security issues.

Endorse implementation of the Wisconsin Nutrition and Physical Activity Plan.

Advocate for policies that improve nutrition and reduce obesity.

Policy Actions To Improve Nutrition/Physical Activity and Prevent Obesity and Overweight

Specifically advocate for:

Funding to assure that public health nutrition education and epidemiology services are available in each local health department throughout Wisconsin.

Policy Actions To Improve Nutrition/Physical Activity and Prevent Obesity and Overweight

Access to food and wellness programs. Health insurance coverage for prevention, assessment, and management of overweight and obesity.Expansion of worksite wellness programs.

School nutrition programs: Adoption of K-12 standards for nutrition and physical education.School wellness policies in every school that include goals for nutrition education, physical activity, and guidelines for food and beverages.

Policy Actions To Improve Nutrition/Physical Activity and Prevent Obesity and Overweight

Support a policy agenda that promotes: food security breastfeeding access to wellness facilities bike trails food assistance programs other nutrition improvement programs

Tobacco Use and Exposure

Issues andCurrent and Emerging Disparities

Tobacco Use and Exposure

Tobacco causes 5 million deaths worldwide

The health and economic toll for Wisconsin is significant:Over 8,000 died from smoking; of these, 7,215 died from directly related causes and 853 died from indirect causes.Over $2.16 billion in direct health care costs is paid annually in Wisconsin.

Tobacco Use and Exposure

Comprehensive tobacco control programs work.Tobacco use among middle school youth decreased from 16 percent in 2000 to 13 percent in the year 2004.Smoking among young adults decreased from 40 percent in 2000 to 25 percent in the year 2005.

Consider. . .

Tobacco Use and Exposure

Consider the health disparities . . .

Smoking rates among pregnant women with a college education are less than 4 percent but great than 30 percent among pregnant women without a high school degree.

Disparities exist for ethnic minorities and those living in poverty.

American Indian and Hispanic middle school youth reported the highest rate of tobacco use.

Tobacco Use and Exposure

Consider the health disparities . . .

Black African Americans have the highest rate of exposure due to smoking in their homes.

Disparities exist for ethnic minorities and those living in poverty.

Wisconsin has emerged as a national leader in addressing tobacco-related disparities.

Cigarette smoking is highly prevalent among American Indians.

Recommendationsand

Policy Actions

Tobacco Use and Exposure

Policy Actions To Improve Tobacco Use and Exposure

Support a comprehensive prevention and control program:

Prevent young people from initiating tobacco use.Promote quitting.Eliminate non-smokers’ exposure.Eliminate disparities of use among different

populations.

Endorse the $1.25 per pack cigarette tax increase.

DiscussionDebate

Decisions

Healthiest Wisconsin 2010

Taking action to transform

the public’s health

Healthiest

Wisconsin 2010