Chronic disease
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Chronic Disease. In Windsor-Essex 2005. Mortality. Cancer. EKL DHC – Health System Monitoring Report, 2003/04. Prevalence of Chronic Conditions. EKL DHC – Health System Monitoring Report, 2003/04. Prevalence of risk behaviours. In Essex: 21.4% smoke daily or occasionally

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Chronic Disease

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Chronic disease

Chronic Disease

In Windsor-Essex

2005


Mortality

Mortality


Cancer

Cancer

EKL DHC – Health System Monitoring Report, 2003/04


Prevalence of chronic conditions

Prevalence of Chronic Conditions

EKL DHC – Health System Monitoring Report, 2003/04


Prevalence of risk behaviours

Prevalence of risk behaviours

In Essex:

  • 21.4% smoke daily or occasionally

  • 21.9% engage in heavy drinking

  • 49.1% are physically inactive

  • 34.2% consume the recommended 5 servings of vegetables and fruits per day.

source: DHC, 2003


Demographic factors predisposing to chronic disease

Demographic factors predisposing to chronic disease

  • Aging population

  • Higher rate of unemployment than provincial average and 30% of population below Low Income Cut-offs

  • Lower education than provincial average

  • 27% of workforce are shift workers

  • 22% of population foreign born; of these South Asians, Eastern Europeans have higher risk of CVD; Chinese have higher risk of stroke.


Chronic disease is largely preventable

Chronic disease is largely preventable

  • 7/10 leading causes of death are directly linked to lifestyle behaviours.

  • 90% of lung cancer in men and 80% in women is caused by smoking.

  • 35% of all cancers directly related to unhealthy eating

  • 27% of breast cancer may be due to diet and physical inactivity


Chronic disease is preventable continued

Chronic disease is preventablecontinued

  • 60% of colo-rectal cancer is attributable to dietary behaviours

  • 35% of all deaths from IHD and stroke attributable to smoking

  • 31% of all deaths from IHD and stroke are due to physical inactivity

  • 54% of decline in CVD over past 30 years due to population based changes in diet, smoking and physical activity.


Cost of chronic disease

Cost of chronic disease

  • IHD costs, direct and indirect, $5.5 billion, or 2% of provincial gross domestic product.

  • Obesity cost Canada’s economy $2.7 billion and health care system $1.6 billion in 2000/2001.

  • Diabetes costs Ontario $700-875 million dollars per year.

  • Annual cost of chronic disease prevention public health programs is approximately, $2.00 per person.


Public health approach

Public health approach

  • Comprehensive programs that Incorporate: awareness raising, education and skill building, environmental support, and policy.

  • Use Best Practices

  • Target specific populations/sectors


Healthy communities model

Healthy Communities Model


Approach

Approach

  • Awareness raising:health communication aimed at increasing knowledge and/or changing attitudes about the topic being addressed

  • Education:providing information and the opportunity to develop skills to effect knowledge, attitude and behaviour change


Approach continued

Approach continued

  • Environmental support: creating social and/or physical environments that support healthy behaviours

  • Policy development: changing formal or informal rules of governing bodies to support healthy behaviours


Channels

Channels

  • Media

  • Schools

  • Day Cares/Nursery Schools

  • Workplaces

  • Recreation Facilities

  • Day Camps


Channels continued

Channels continued

  • Health Care settings

  • Restaurants

  • Grocery Stores

  • Community at large


Target populations

Target populations

  • Adults

  • Children

  • Youth

  • Seniors

  • Diverse populations

  • Community partners/volunteers

  • Health Professionals

  • Educational professionals


Provincial strategies

Provincial Strategies

  • Active2010

  • Ontario’s Tobacco Strategy

  • Healthy Weights Strategy pending


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