Take Care New York. #TakeCareNY if you are tweeting about this event. May 2013

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1 Take Care New York Take Care New York A Strategic Plan to Improve the Health of all New Yorkers: A presentation by the New York City Department of Health and Mental Hygiene #TakeCareNY if you are tweeting about this event May 2013

2 What is Take Care New York? A City wide health strategy with identified priorities and measurable goals to improve the health of all New Yorkers Including interventions to meet these goals A partnership with more than 600+ health care and social services providers, businesses, faith based, educational, non profit, and government organizations

3 Why Have a City Wide Health Agenda? Establish priorities based upon the leading causes of death and illness affecting all New Yorkers Tackle behaviors, exposures, and social and environmental conditions that can lead to disease and health problems Collectively mobilize around policies, services, programs and education to prevent premature death, illness and save lives

4 Leading Causes of Death in New York City, 2011

5 Top Preventable Risk Factors Among New Yorkers Risk Factors Smoking Overweight Obesity (High BMI) High Blood Pressure High Blood Glucose Physical Inactivity High LDL Cholesterol Alcohol Use High Dietary Sodium (salt) High Dietary Trans Fatty Acids Low dietary Omega 3 Fatty Acids Low Intake of Fruits, Vegetables *(Avg , among NYC adults, years Deaths Data Sources: Risk factor data obtained from 2004 NYCHANES; CHS; NHANES; personal communications with Goodarz Danaei and Dariush Mozaffarian (Harvard University). Mortality data based on average NYC resident deaths, yrs, in NY State. NYC alcohol attributable deaths were estimated using ARDI and NYC smoking attributable deaths were estimated using SAMMEC. For methods applied to estimate attributable deaths for all other risk factors see: Danaei G et al PLoS Medicine 6(4): e doi: /journal.pmed/ Attributable deaths have been rounded to the nearest 100. Notes: LDL, low density lipoprotein; PUFA, polyunsaturated fatty acids (as replacement for saturated fatty acids (SFA)); NCD, non communicable disease.

6 Take Care New York: 10 City Wide Priorities 1. Tobacco Free Living 6. Promote Mental Health 2. Healthy Eating 7. Reduce Alcohol and Substance Abuse 3. Active Living 8. Prevent and Treat Cancer 4. Heart Health 9. Healthy Indoor and Outdoor Air 5. HIV Prevention 10. Quality Preventive Care

7 Take Care New York: A Focus on Children Birth Childhood Adolescence Breastfeeding Childhood Immunizations Asthma Obesity Prevention Mental health Pregnancy Prevention Mental Health HPV vaccination Smoking & Binge Drinking Prevention Violence Prevention

8 Measuring Our Citywide Health Goals Priority Area Core Measures Healthy Eating Reduce adults consuming one ore more sugar sweetened beverages/day Reduce childhood obesity rates Promote Mental Health Prevent and Detect Cancer Healthy Indoor and Outdoor Air Increase depression screening rates Reduce ED visits for mental behavioral health conditions among youth Increase colonoscopy screenings Improve HPV vaccination completion among females age Improve citywide air quality Decrease disparities in childhood asthma hospitalizations See handout for additional measures in new Take Care New York plan

9 Key Strategies to Meet our Goals Policies Examples: Smoke Free Air Act, National Salt Reduction Initiative (NSRI) Medical care: quality, access and increase in prevention activities Examples: Depression and tobacco use screening, HPV vaccine, colonoscopy Health promotion Examples: NYC Condom promotion, Pouring on the Pounds campaign Engagement with our partners is critical across all three strategies to succeed in any of our goals.

10 Example of Success: Policy, Prevention, Health Promotion Adult Smoking Rate in NYC Down 35% since % 21.5% 21.7% NYC and NYS tax increases 21.5% 19.2% Smoke-free workplaces Free patch programs start Hard-hitting media campaigns 18.3% 18.9% 17.5% 16.9% NYS tax increase 15.8%15.8% Federal tax increase NYS tax increase 14.0% Source: CDC Behavioral Risk Factor Surveillance Survey; NYC Community Health Survey

11 Developing Interventions for Success We are looking for the best strategies and interventions to help New Yorkers live longer, healthier lives Actionable and concrete Evidence based or promising practice Scalable throughout the City, large reach Changes the broader environment to improve health

12 Examples of Interventions: Ideas for Action Priority Area Idea for Action Healthy Eating Adopt a Healthy Food Policy in your organization Decrease consumption of sugar sweetened beverages in your organization limit the sale of these beverages in vending machines or cafeterias Active Living Open stairwells in your building and post free NYC stair prompts to encourage people to take the stairs and incorporate simply, daily physical activity in their routine Reduce Alcohol and Substance Abuse Pledge to refuse any sponsorship from the alcohol industry in your business or organization See Handout for Additional Examples

13 Public Input: What Do You Think? What specific policies, strategies or interventions would you recommend to address the priority areas in Take Care New York? How can we help your organization incorporate Take Care New York priorities within your activities? Are there specific tools, materials, technical assistance that would help support your efforts? How can we engage additional partners on Take Care New York strategies?

14 How to Meet Our Goals? Priority Area: Promote Healthy Priority Eating Area?? Measure of Success Policies Prevention Health Promotion Partnership

15 TCNY Next Steps Public comment we need your feedback and input! Additional borough wide listening sessions Opportunity to submit comments online on ideas, strategies and tools for us to consider Updates on progress of health strategy summer 2013 Launch event Fall 2013

16 THANK YOU! To learn more, please Provide comments online at:

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