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6 th Annual East and Southeast Fort Worth Economic Development Summit. Lou K. Brewer, RN, MPH Health Director Tarrant County Public Health. Return on Investment.

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6 th annual east and southeast fort worth economic development summit

6th Annual East and Southeast Fort Worth Economic Development Summit

Lou K. Brewer, RN, MPH

Health Director

Tarrant County Public Health

return on investment
Return on Investment
  • If we invested $10 per person in strategic community-based disease prevention programs aimed at improving physical activity and nutrition and preventing smoking and other tobacco use, the state savings after 5 years is estimated to be over one billion dollars. – Trust for America’s Health
tarrant county public health programs
Tarrant County Public Health Programs
  • Vision North Texas Health Research Team
  • WIC – food packages, education regarding selection, preparation and storage of nutritious foods
  • Farmers’ markets
  • Food stamp pilot project
  • Live a More Colorful Life
tarrant county public health programs4
Tarrant County Public Health Programs
  • Community gardens
  • Food advisory council
  • Food deserts
  • Building Equitable Communities – Health Impact Assessment (HIA)
  • Prevention, prevention, prevention
  • Policy, policy, policy
slide5
70.0

60.0

60.2

64.0

62.9

50.0

40.0

Percent

30.0

20.0

10.0

0.0

Texas†

Tarrant County§

United States‡

Overweight/Obesity (BMI ≥ 25.0) among adults 18 years and older, Tarrant County, Texas, and the United States, 2004

Texas†

§Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

†Data source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services

‡Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention

Estimates weighted to population characteristics

slide6
Overweight estimate

(BMI 25.0 – 29.9) by ZIP Code, Tarrant County, 2004

Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

slide7
Obesity estimate (BMI ≥ 30.0) by ZIP Code, Tarrant County, 2004

Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

slide8
10.0

8.0

6.0

7.5

6.5

Percent

4.0

5.5

2.0

0.0

Tarrant County§

2004

Texas†

2003

United States‡

2003

Heart disease among adults 18 years and older, Tarrant County, Texas, and the United States

§Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

†Data source: 2003 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services

‡Data source: 2003 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention

Estimates weighted to population characteristics

slide9
Heart disease estimate by

ZIP Code, Tarrant County, 2004

Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

slide10
225.0

209.8

190.9

202.7

150.0

Rate

75.0

0.0

Tarrant County†

Texas†

United States‡

Heart disease death rate, Tarrant County, Texas, and the United States, 2007

Rate per 100,000 population age-adjusted to 2000 standard population

†Data source: Texas Department of State Health Services

‡Data source: National Center for Vital Statistics

slide11
Heart disease death rate by

ZIP Code, Tarrant County, 2005

Data source: Texas Department of State Health Services

slide12
500.0

461.8

400.0

466.8

444.2

300.0

Rate

200.0

100.0

0.0

Tarrant County†

2007

Texas†

2007

United States‡

2006

Rate per 100,000 population age-adjusted to 2000 standard population

†Data source: Texas Cancer Registry

‡Data source: National Program of Cancer Registries

All site cancer incidence, Tarrant County, Texas, and the United States

slide13
200.0

178.4

150.0

180.8

173.7

Rate

100.0

50.0

0.0

Tarrant County†

Texas†

United States‡

All site cancer death rate, Tarrant County, Texas, and the United States, 2007

Rate per 100,000 population age-adjusted to 2000 standard population

†Data source: Texas Department of State Health Services

‡Data source: National Center for Vital Statistics

slide14
All site cancer death rate by

ZIP Code, Tarrant County, 2005

Data source: Texas Department of State Health Services

slide15
10.0

8.0

7.2

7.7

6.0

Percent

5.9

4.0

2.0

0.0

Tarrant County§

Texas†

United States‡

Diabetes among adults 18 years and older, Tarrant County, Texas, and the United States, 2004

§Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

†Data source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services

‡Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention

Estimates weighted to population characteristics

slide16
Diabetes estimates by

ZIP Code, Tarrant County, 2004

Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

slide17
30.0

25.0

25.5

20.0

25.4

22.5

Rate

15.0

10.0

5.0

0.0

Tarrant County†

Texas†

United States‡

Diabetes death rate, Tarrant County, Texas, and the United States, 2007

Rate per 100,000 population age-adjusted to 2000 standard population

†Data source: Texas Department of State Health Services

‡Data source: National Center for Vital Statistics

slide18
Diabetes death rate by

ZIP Code, Tarrant County, 2005

Data source: Texas Department of State Health Services

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