Posts Tagged ‘vegetable’

AZ Obesity Update

July 6th, 2010

The Trust for America’s Health released their annual obesity report.  Overall, the national trend toward increasing obesity rates continued it’s march forward.  Arizona ranked in the middle of the pack, but the pack itself in increasingly unhealthy.  More than two-thirds of states have adult obesity rates above 25 percent. In 1991, no state had an obesity rate above 20 percent.

Most Americans think that being overweight is a simple matter of personal responsibility.  While it’s clear that people need to make healthy choices and get more exercise if we’re going to turn this thing around, there are some other factors.  Healthy foods cost more than junk food and good food is hard to find in many neighborhoods.  But you can be sure that cheap processed foods are available everywhere.  Also, finding safe, accessible places to be physically active can be a challenge.  While everyone faces barriers to healthy choices, the obstacles are often higher for people with lower incomes and less education.

Those of you that work on public health prevention should become familiar with the key elements in the report, especially the intervention strategies  in the second half of the report.  By the way…  our Empower Pack is an example of the kind of strategy that we need more of to turn this ship around.

Do You Know Your Blood Pressure?

March 1st, 2010


High blood pressure is at the source of roughly one in six deaths among adults annually. About one in three adult Arizonans have blood pressure that’s too high, putting huge economic demands on Medicaid, Medicare (AHCCCS) and our private health insurers (plus, of course, the loss of life).  The Institute of Medicine put out a report last week that identifies  high-priority areas on which we (public health & Arizona’s medical system) should focus in order to accelerate progress in hypertension reduction and control.

The IOM report recommends that we focus on population-based strategies that can reach large numbers of people. The keys are really behavioral and lifestyle interventions like reducing sodium (salt) intake, eating more fruits and vegetables, and increasing physical activity www.eatwellbewell.org.  The report also calls for the country’s public health system to promote policies that make it easier for people to engage in regular physical activity, cut calories, and reduce their intake of foods containing high levels of sodium while increasing their exposure and access to produce and other foods containing potassium.  This new IOM report fits quite well with our new Champions for Change salt initiative www.azdhs.gov/salt. Touche´.

Eat Well Be Well

February 16th, 2010


Throughout history, mankind’s future was largely determined by fate.  Infectious diseases like Diphtheria and Smallpox could wipe out an entire family in just a few days. People were vulnerable to outside threats ranging from a lack of clean drinking water to poor sanitation to gaps in environmental infrastructure that led to a host of infectious diseases.  Science had not discovered medications to help prevent or treat infectious diseases; people weren’t aware of the direct link between lifestyle and health; and the lack of safe transportation and workplace safety standards led to all sorts of accidents that took lives.

But it is very different for us.  We control our own destiny.  We’ve developed effective public health interventions over the last 100 years like vaccine, environmental engineering, vehicle safety, sanitation and the like.  The things that threaten your health today are things that you have control over- and they’re pretty simple.

Stay physically active.  Make better food choices.  Drink & eat in moderation. Don’t smoke.  Get vaccinated.   Buckle up and drive sober.  Look both ways before crossing the street.  Talk to your doctor about routine health screenings.  Monitor and control your blood pressure & blood sugar.

Sounds simple enough, right?  The problem is that many of us slip into sloppy routines.  We don’t do the simple things that can make a big difference in how we age and feel day to day.  But the great thing is that it’s never too late to grab your bootstraps and clean up your lifestyle.  That’s where Arizona’s public health system can be your partner.

During the next year, we’ll be providing simple information you can use to update your family’s lifestyle.  Our 2010 Champion for Change program (at www.eatwellbewell.org) can help. By taking one step at a time, you can make lasting changes to improve your family’s health. To help you get started, we’ve added resources and tools to help you to shape your family’s food consumption in a positive way, and help you to take positive steps toward increasing your physical activity.

Here are some examples of how to get started.  A recent study found we can save thousands of lives in Arizona every year just by reducing how much salt we eat.  By learning to read the Nutrition Facts, paying attention to the Sodium part of the label, and incorporating sodium levels into your purchasing decision, you can cut way back on your family’s salt consumption- and save their heart to boot.  You can also sign up to receive a “healthy recipe a week” in your Inbox by joining our growing list of folks making the commitment to improve their family’s health at www.eatwellbewell.org.  Even putting a white board up in your kitchen and asking your family to track their physical activity can help. And, of course, if you need help kicking the habit you can visit the www.ashline.org website.

A Year of Progress at ADHS

February 4th, 2010

We started on this journey together a year ago.  Thanks for being such good traveling companions.  We’ve been through a lot.  We’ve had challenges, fears, anxiety, good times, laughs, & fun.  We’ve sacrificed some of our programs, but we’ve made a great deal of progress too.  Overall- the year was a net plus.  I say that because we maximized our progress in areas that we have control.

We’ve made a great deal of progress in many areas and have just done a plain old good job with most everything this year.  I jotted down a few things the came to mind below.  We:

  • Overhauled the WIC program to focus on a much more nutritious blend of foods www.azwic.gov, and started a nationwide movement to change the food stamp program (SNAP) from a calorie program to a nutrition program;
  • Created the new Empower Pack program for preschools that improve physical activity and nutrition for our youngest- an idea that came out of our licensing fee increase;
  • Developed a network of more than 20 new Cardiac Arrest Centers and Primary Stroke
    Centers across the state that are dramatically improving outcomes for folks that have a cardiac arrest or a stroke;
  • Led the national shift to continuous chest compression CPR from the old compression/breathing method http://www.azshare.gov/;
  • Figured out a way to vaccinate underinsured kids through our Vaccine for Children Program even though our state vaccination funds were completely eliminated;
  • Began development of Arizona’s TRAUMA SYSTEM- adding 8 new Level IV Trauma Centers and 1 new nationally recognized pediatric trauma center;
  • Helped develop a state of the art on-line Outcomes Dashboard to give choice and voice to folks with serious mental illnesses in Maricopa County- improving their ability to better participate ion their path to Recovery (Download the Dashboard);
  • Made a difference in hundreds of peoples lives at the Arizona State Hospital-  by helping them in their road to recovery by treating them with dignity, care and respect;
  • Converted our licensing programs to become self sufficient, and sharpened our surveys to focus on the most important elements of care, and allowing folks to review the latest scores using our Facility Search tool;
  • Identified hundreds of kids with metabolic disorders and hearing and helped their doctors conduct interventions to help them avoid serious complications from their condition through our Newborn Screening program;
  • Tested thousands of biological samples for all kinds of viruses and bacteria including H1N1, tuberculosis, West Nile virus, rabies, and literally dozens of other diseases so that counties and doctors can help slow the spread of disease and help people get better in our Public Health Microbiology program;
  • Ensured that hundreds of clinical and environmental laboratories across the state are doing things right and providing good results through our Laboratory Licensure & Certification program;
  • Created an inter-disciplinary team from around the Department to develop an integrated tobacco prevention program together- expanding our tobacco prevention efforts way beyond it’s former borders- integrating tobacco control into programs throughout AZ’s behavioral health system.

Holy smokes… who did all this stuff?  ADHS did.  Thanks to the staff for rowing in the same direction together this year- forward.  Next year will have challenges just like this past year— but as long as we work and collaborate with one another we will  continue to press ahead and make progress next year too.  Thanks, and take a second this week to thank the folks around you, and let them know you appreciate their help this year.