Chicago Department of Public HealthCommissioner Bechara Choucair, M.D.

City of ChicagoMayor Rahm Emanuel

Bechara Choucair, MDCommissioner

Chicago Department of Public Health

@choucair #HealthyChicago

Healthy People 2020 State Coordinators WebinarNovember 14, 2013

Presentation Outline

1. Development of Healthy Chicago

2. Healthy Chicago and the Social Determinants of Health

3. Healthy Chicago Progress: Tobacco Use, Obesity Prevention, and Adolescent Health

Development of Healthy Chicago

Healthy ChicagoPublic Health Agenda

• Released in August 2011

• Identifies priorities for action for next 5 years

• Identifies health status targets for 2020

• Shifts work from one-time programmatic interventions to sustainable system, policy and environmental changes

Healthy Chicago Leadership

• Leadership is central to accomplishing public health goals

• Chicago Mayor Rahm Emanuel is a public health champion

• Healthy Chicago was launched during the Mayor’s first 100 days of office

Setting a Foundation

March 2010 June 2011 August 2011

Healthy Chicago Targets

Healthy Chicago Leadership

• Interdepartmental participation in Healthy Chicago through the Interagency Council

• Mayor’s Office convened first Healthy Chicago Interagency Council meeting in 2011

• Departments signed on to work with us on Healthy Chicago strategies

Accountability

• Monthly reports are sent to the Mayor, City Council, and the public to show our progress on Healthy Chicago strategies.

• Annual reports keep us publicly accountable

Healthy Chicago and the Social Determinants of

Health

Factors Influencing Health

McGinnis et al. The Case for More Policy Attention to Health Promotion. Health Affairs, 2002 Mar-Apr;21(2):78-93.

Health Impact Pyramid

15

Examples

Eat healthy, be physically active

Rx for high blood pressure, high cholesterol, diabetes

Poverty, education, housing, inequality

Immunizations, cessation treatment, colonoscopy

Fluoridation, 0g trans fat, iodization, smoke-free laws,

Smallest Impact

Largest Impact Socioeconomic Factors

Changing the Contextto make individuals’ default

decisions healthy

Long-lasting Protective Interventions

ClinicalInterventions

Counseling &

Education

PromotingPublic Health Equity

• Improvement in the public’s health requires a commitment to health equity and the elimination of racial and ethnic disparities

• Healthy environments are key

• Persons of lower SES are often exposed to fewer factors that promote health and more factors that damage health

• Healthy choices must be easy and desirable

Healthy Chicago Progress: Tobacco Use, Obesity

Prevention and Adolescent Health

Tobacco Use

Tobacco Use

SMOKE-FREE CAMPUSES 3 Colleges / Universities 6 Hospitals 6 Behavioral Health Organizations 686 Public Housing UnitsOver 3,250 units of private smoke-free housing

Tobacco Use

Joint Enforcement

Mayor Emanuel Takes Action to Protect Chicago’s Kids from Menthol Cigarettes

Obesity Prevention

ChicagoStreets for Cycling Plan 2020

Obesity Prevention

Over 200 miles of on-street bikeways, including almost 35 miles of barrier and buffer protected bike lanes.

3000 bikes to share at 300 stations by end of summer.

Dearborn Street - Before Dearborn Street - After

Obesity Prevention

Bike Sharing in Chicago

Over 3,000 bikes

300 stations

Obesity Prevention

Health Goals Increase the number

of pedestrian trips for enjoyment, school, work, and daily errands

Increase the mode share of pedestrian trips for enjoyment, school, work, and daily errands

Obesity Prevention

Obesity Prevention

14 licensed carts operating 41 vendors trained 30 carts planned for 2013

Obesity Prevention

Obesity Prevention

Obesity Prevention

Healthy Mothers & Babies

15 hospitals working towards Baby-Friendly Designation

Adolescent Health

CPS hires chief health officer Dually reports to CDPH CDPH creates Adolescent and School Health Office

Adolescent Health

Revised Wellness Policy Competitive Foods Policy Expanded STI Screening $26M New grants

• CTG – Healthy CPS• Teen Dating Matters• Teen Pregnancy• Farm to School • Wellness Champions

Building on Policy Successes

Mayor Emanuel Takes Action to Protect Chicago’s Kids from Menthol Cigarettes

Building On & Engaging Partnerships

@ChiPublicHealth

312.747.9884

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HealthyChicago@CityofChicago.org

www.CityofChicago.org/Health