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The Doctor is out: Health Starts where you live, learn ...

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The Doctor is Out: HEALTH HAPPENS WHERE YOU LIVE, LEARN, WORK & PLAY Douglas Jutte, MD, MPH Arizona Healthy Communities Conference March 19, 2014
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Page 1: The Doctor is out: Health Starts where you live, learn ...

The Doctor is Out: HEALTH HAPPENS

WHERE YOU LIVE, LEARN, WORK & PLAY

Douglas Jutte, MD, MPH

Arizona Healthy Communities ConferenceMarch 19, 2014

Page 2: The Doctor is out: Health Starts where you live, learn ...
Page 3: The Doctor is out: Health Starts where you live, learn ...

DEFININGHEALTH

Health

Health Care

Page 4: The Doctor is out: Health Starts where you live, learn ...

DEFININGHEALTH

Health

Health Care

Medical Care

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CONTRIBUTIONSTO PREMATUREDEATH

BehavioralPatterns

40%

Genetic Predisposition

30%

Environmental Exposure

5%

Social Circumstances

15%

Health Care

10%

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DEFININGHEALTH

“Health is a state of complete physical, mental

and social well-beingand not merely the absence

of disease or infirmity” – Preamble to the Constitution of the World Health Organization, June 1946

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9.9.13HEALTH AND COMMUNITY DEVELOPMENT

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SOCIAL DETERMINANTS OF HEALTH

Source: www.smartcitymemphis.com/cartoon/toxic-stress/

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TOXIC STRESS & NEURO-DEVELOPMENT

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SOCIOECONOMICGRADIENT IN HEALTH

4.7

7.3

12.4

17.6

0

5

10

15

20

ADMINISTRATIVE PROFESSIONAL AND EXECUTIVE

CLERICAL SEMI-SKILLED AND UNSKILLED

MO

RT

AL

ITY

RA

TE

PE

R 1

,00

0

BRITISH CIVIL CLASS

Mortality rate per 1,000, ages 40 to 64 years

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SOCIOECONOMIC GRADIENTCROSSES RACIAL/ETHNIC LINES

23.9

19.2

20.9

18.3

15.614.8

11.210.3

7.76.8 6.4

4

0

5

10

15

20

25

30

BLACK, NON-HISPANIC HISPANIC WHITE, NON-HISPANIC

PE

RC

EN

T O

F P

ER

SO

NS

WIT

H P

OO

R/

FAIR

HE

ALT

H

<100%

100–199%

200–399%

400%

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HEALTH DISPARITIESGLOBAL LIFE EXPECTANCIES

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HEALTH DISPARITIESSHORT DISTANCES:LARGEDIFFERENCES

WASHINGTON,DC

Source: Robert Wood Johnson Foundation, Commission to Build a Healthier America

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HEALTH DISPARITIESSHORT DISTANCES:LARGEDIFFERENCES

NEW ORLEANS

Source: Robert Wood Johnson Foundation, Commission to Build a Healthier America

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HEALTH DISPARITIESSHORT DISTANCES:LARGEDIFFERENCES

MINNEAPOLIS –ST. PAUL

Source: Robert Wood Johnson Foundation, Commission to Build a Healthier America

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IN DETERMININGYOUR HEALTH…

85201

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COMMUNITY DEVELOPMENT IS IN THEZIP CODE IMPROVEMENT BUSINESS

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AFFORDABLE HOUSING &SUPPORTIVE HOUSING

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SMALL BUSINESS& COMMUNITY INFRASTRUCTURE

Page 20: The Doctor is out: Health Starts where you live, learn ...

COMMUNITY DEVELOPMENT ATTACKS THE CORROSIVE EFFECTS

OF POVERTY THAT LEAD TO POOR HEALTH & REDUCED LIFE

CHANCES

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WHY WE SHOULD ALL CARE

$2.9 TRILLION

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WHY WE SHOULD ALL CARE

The U.S. Is Not Getting Good Value for its Health Dollar

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Number of people age 65 and over: 1900–2000 and projected 2010–2050

WHY WE SHOULD ALL CARE

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WHY WE SHOULD ALL CARE

“Every child

is precious”

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THE STATUS QUO ISSTUPID AND EXPENSIVE

WE SPEND MONEY ON THE WRONG THINGS

vsPRISON PRESCHOOL

vsSPECIAL EDUCATION TUTORS

vsEMERGENCY ROOM VISITS SUMMER CAMPS

vsPOLICE JOB TRAINING

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COMMUNITY DEVELOPMENT AND HEALTHWORK SIDE-BY-SIDE

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COMMUNITY DEVELOPMENT AND HEALTH COULD BE A POWERFUL TEAM…

COMMUNITY

DEVELOPMENTHEALTH

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…BUT WE NEED MORECOORDINATION & INTEGRATION

COMMUNITY

DEVELOPMENTHEALTH

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AND WE NEEDMORE PARTNERS

COMMUNITY

DEVELOPMENTHEALTH

EDUCATIONPUBLIC

SAFETY

ECONOMIC

DEVELOPMENT

COMMUNITY

EMPOWERMENT

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IT REQUIRESALL HANDS ON DECK

COMMUNITY

DEVELOPMENTHEALTH

EDUCATIONPUBLIC

SAFETY

ECONOMIC

DEVELOPMENT

COMMUNITY

EMPOWERMENT

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NATIONAL PARTNERSHIP FOR COMMUNITY DEVELOPMENT & HEALTHBUILDHEALTHYPLACES.ORG

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BRIGHT EYES

Page 33: The Doctor is out: Health Starts where you live, learn ...

THE DOCTOR IS OUT: HEALTH HAPPENS WHERE YOU LIVE, LEARN, WORK & PLAY

Douglas Jutte, MD, MPHSchool of Public Health, University of California, Berkeley

[email protected]

www.buildhealthyplaces.org


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