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Wisconsin Local Health Departments. An Overview of Wisconsin Local Health Departments. Adams. Juneau. Columbia. Sauk. Dodge. Rich- land. Crawford. Dane. Iowa. Grant. Rock. Green. Lafayette. Wisconsin Local Health Departments. 92 Local Health Departments. Douglas.

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wisconsin local health departments

Wisconsin Local Health Departments

An Overview of

Wisconsin

Local Health Departments

slide2

Adams

Juneau

Columbia

Sauk

Dodge

Rich-

land

Crawford

Dane

Iowa

Grant

Rock

Green

Lafayette

Wisconsin Local Health Departments

92 Local Health Departments

Douglas

Bayfield

71 County

Iron

Wash-

burn

Ashland

Vilas

Burnett

Burnett

Florence

Sawyer

Price

Oneida

21 City or Village

Forest

Marinette

Polk

Barron

Rusk

Langlade

Lincoln

Taylor

St. Croix

Meno-

minee

Chippewa

Dunn

Oconto

Clark

Marathon

Pierce

Shawno

Eau Claire

Door

Pepin

Portage

Waupaca

Kewaee

Outa-

gamie

Brown

Buffalo

Wood

Tremp-

ealeau

Jackson

Waushara

Winne-

bago

Calu-

met

Mani-

towoc

Adams

Monroe

La Crosse

Gr.

Lake

Marq-

uette

Juneau

Fond du Lac

Sheboygan

Vernon

Columbia

Sauk

Dodge

Rich-

land

Wash-

ington

Oe

Crawford

Waukesha

Dane

Iowa

Mil

Jefferson

Grant

Racine

Rock

Green

Walworth

Lafayette

Kenosha

slide3

4,630

590,870

Wisconsin Local Health Departments

Population Range

2008 – pop WI = 5,617,744

slide4

$94,121

$24,679,918

Wisconsin Local Health Departments

Operating Budgets

2007 – WI - LHD Survey

wisconsin local health departments1

Wisconsin Local Health Departments

Health Costs in Wisconsin

  • TOTAL (2007 Lewin group report) $42.3 Billion
  • PUBLIC HEALTH (2007 - LHD Survey)$150.1 Million
  • Local Health Departments Account for Only0.4%
  • of Wisconsin’s Health Costs
wisconsin local health departments2

Wisconsin Local Health Departments

Prevention

  • Primary
  • Secondary
  • Tertiary
wisconsin local health departments3
Wisconsin Local Health Departments

Primary prevention

Includes actions to protect against disease and disability, such as:

- getting immunizations

- ensuring the supply of safe drinking water

In addition, Primary Prevention can include general action to promote healthsuch as:

- Health promotion

- Healthy lifestyle

- Good nutrition and hygiene

- adequate exercise and rest

wisconsin local health departments4
Wisconsin Local Health Departments

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

- Colorectal screening

- Mammograms

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

wisconsin local health departments5
Wisconsin Local Health Departments

Tertiary preventionprograms aim to:

  • Improve the quality of life for people with various diseases by limiting complications and disabilities
  • Reducing the severity and progression of disease, and providing rehabilitation
  • Tertiary prevention involves actual treatment for the disease and is conducted primarily by health care practitioners, rather than public health agencies.
wisconsin local health departments6

Wisconsin Local Health Departments

Population Health

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

for every dollar invested in
For Every Dollar Invested in:
  • Water Fluoridationsaves as much as $80 in treatment cost for dental caries for one child. (CDC, An Ounce of Prevention, 1999)
  • Influenza Vaccinationsaves $30 to $60 in hospitalization costs for an older adult (CDC)
  • Measles, Mumps, Rubella vaccinationsaves $16.34 in direct medical costs (CDC)
  • Diphtheria, Pertussis, Tetanus (DPT) vaccinationsaves $6.21 in direct medical costs (CDC)
  • Family Planning Servicessaves $4.40 in public funds for averting medical, welfare and nutritional costs. (Healthy Minnesotans 2004)
for every dollar invested in1
For Every Dollar Invested in:
  • Chickenpox Vaccinationsaves 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 preventionsaves $3.00 in direct health care costs. (ANSR Action Alert 2003)
voluntary accreditation of local and state health departments
Voluntary Accreditation of Local and State Health Departments

The goal of the national public health accreditation program is to improve and protect the health of the publicby advancing the quality and performance of all health departments in the country – state, local, territorial and tribal.  

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

healthiest wi 2020
Healthiest 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.
slide16

Healthiest 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.

slide17

Healthiest WI 2020

Vision

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

Focus Areas

Alcohol and Drug

Chronic Disease

Communicable Disease

Environmental and Occupational

Growth and Development

Injury and Violence

Mental Health

Nutrition

Oral Health

Physical Activity

Reproductive and Sexual

Tobacco

healthiest wi 2020 infrastructure focus areas
Healthiest WI 2020 – Infrastructure Focus Areas
  • Access to high quality health service
  • Public Health capacity and quality
  • Emergency preparedness, response and recovery
  • Equitable, adequate, stable public health funding
  • Systems to manage and share health information and knowledge
  • Health literacy
  • Collaborative partnerships for community health improvement
  • Public health research and evaluation
  • Diverse, sufficient and competent workforce that promotes and protects health
what does public health do
Prevents epidemics and the spread of disease

Protects against environmental hazards

Promotes healthy behaviors

Prevents injuries

Responds to disasters

Mobilizes communities for action

Develops policies to promote health

Monitors the health conditions of the population

What Does Public Health Do?
communicable disease control
Communicable Disease Control
  • Immunizations
  • Investigation of Disease
  • Education

Health Focus Area – Communicable disease prevention and control

chronic disease prevention and control
Chronic Disease Prevention and Control
  • Cancer Control Programs
  • Cardiovascular Disease
  • Tobacco Prevention
  • Nutrition and Alcohol
  • Diabetes Control
  • 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
slide25

Wellness Programs and Health Education

Health Focus Area – Physical Activity

slide26

Injury Prevention

- Childhood Injury Prevention Programs

- Intentional Injuries and Violence

- Gun Control Programs

- Fall Prevention

- Burns and Fire-related injury prevention

- Motor Vehicle Injury Prevention

Health Focus Area -Injuries and violence

slide27

Sharps Collection Program

Health Focus Area - Injuries and violence

- Communicable disease Prevention and Control

environmental health
Environmental Health
  • Human Health Hazard Investigation
  • Radon Testing and Education
  • Emergency Response
  • Water Testing
  • Restaurant and Lodging Inspections
  • Animal Bite Investigations

Health Focus Area

- Environmental and occupational health

- Communicable Disease Prevention and Control

swimming pool and beach inspections
Swimming Pool and Beach Inspections

Health Focus Area:

- Communicable Disease Prevention,

- Environmental and Occupational Health

reproductive perinatal health
Reproductive/Perinatal Health
  • 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
  • Prenatal Care Coordination
  • WIC
  • Family Planning
  • Sexually Transmitted Disease Clinics and Investigation of Cases
infant and child health
Infant 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 Neglect
  • Health Focus Area
  • - Oral health
  • - Injury and violence
  • Tobacco use and exposure

- Adequate, appropriate, and safe food nutrition

adolescent health
Adolescent Health
  • Health Focus Area
  • - Tobacco use and exposure
  • Alcohol and drug use
  • Reproductive and sexual health
  • - Physical Activity
  • - Nutrition and Healthy Growth and development
public health preparedness
Public Health Preparedness
  • Health Focus Area
  • Communicable disease prevention and management
  • Environmental and occupational health
  • Mental health
oral health programs
Oral Health Programs
  • Health Focus Area
  • Oral Health
  • Tobacco use and Exposure
  • Healthy growth and development
slide36

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

Table 2

wisconsin local health departments7

Wisconsin Local Health Departments

“Public health departments are like the

police and fire departments. They teach

and practice prevention, but they are

prepared to act in emergencies.

While the public appreciates them most

in emergencies, they are truly successful

--and least noticed--when their prevention

efforts work.” Larry Gilbertson