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Chicago Department of Public Health 2013 Year in Review Highlights Health Gains
1. Join us on Twitter and use
#HealthyChicago
to follow the conversation
City of Chicago
Mayor Rahm Emanuel
Chicago Department of Public Health
Commissioner Bechara Choucair, M.D.
1
2. 2013 Year in Review
March 4, 2014
Bechara Choucair, MD
Commissioner
Chicago Department of Public Health
@choucair
City of Chicago
Mayor Rahm Emanuel
#HealthyChicago
Chicago Department of Public Health
Commissioner Bechara Choucair, M.D.
3. IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
IT’S ABOUT HOW WE
BEHAVE AS A CITY
City of Chicago
Mayor Rahm Emanuel
Chicago Department of Public Health
Commissioner Bechara Choucair, M.D.
8. Tobacco Tax Increase
• November, 2013 – $0.50 tax
increase
Total Tax in Effect by Year, Chicago
$8.00
$7.17
$7.00
• Combined taxes now total $7.17
$6.00
$5.00
• Chicago has highest cigarette tax
rate in the nation.
City/County List
Total State + Local Tax
(Partial List)
Chicago, IL
New York City, New York
Cook County, Illinois
Bethel, Alaska
Anchorage, Alaska
Barrow, Alaska
Matanuska-Susitna Borough, Alaska
Sitka, Alaska
Juneau, Alaska
Alexandria, Virginia
Fairfax, Virginia
Falls Church, Virginia
Vienna, Virginia
Hampton, Virginia
Newport News, Virginia
Norfolk, Virginia
Dumfries, Virginia
Middleburg, Virginia
Roanoke, Virginia
Chesapeake, Virginia
Portsmouth, Virginia
(Per Pack)
$6.16
$5.85
$4.98
$4.21
$4.206
$3.00
$3.00
$3.00
$3.00
$1.30
$1.15
$1.05
$1.05
$0.95
$0.95
$0.95
$0.90
$0.85
$0.84
$0.80
$0.80
$4.00
$3.00
$2.00
$1.00
$0.00
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9. Ban of Flavored Tobacco
Sales Near Schools • Report included over 25 policy
recommendations at local, state and
federal levels.
• Adopted by Board in October 2013
• Submitted to Mayor in November 2013
• 4 Town Hall Meetings following Mayoral request
• Over 200 residents, local and national content
experts participated
• Ordinance passed in December 2013
• Chicago is first City to include menthol in
flavored tobacco regulations
9
10. Regulating Electronic
Cigarettes
Partners advocated for:
• Keeping e-cigarettes behind counters
• Prohibiting sales to minors
• Requiring tobacco licenses for e-cigarette
sales
• Adding electronic smoking devices under the
Clean Indoor Air Ordinance.
January 15th passage of ordinance
Aldermen noted they wanted to:
•
“stand with public health” and
•
“be on the right side of history”
10
11. Public Awareness Campaigns Reinforce
Need for Change
Take Pride, Leave Cigarettes
generated 12,492,530 impressions
BURNED by Menthol campaign generated
22,775,407 media impressions
12. More Smokers Seeking
Cessation Support
• 24,496 calls in 2013
• 10,000 more calls than
2012
• >73% of callers were
African
American or Hispanic
• More than half were
uninsured
12
13. More Smoke-Free Environments
University of Illinois at Chicago
became a Tobacco-Free Campus
for total of:
•
•
5 smoke-free institutions of higher
learning
6 smoke-free hospital campuses
Chicago Housing Authority designated
2 new 100% smoke-free complexes
for total of:
•
•
610 smoke-free units in six
developments
3,250 units of private multi-unit
housing
13
14. Chicago Leads the Nation
The federal government is currently
considering:
• Cigarette tax increase
• Stronger rules on menthol
• Regulating electronic cigarettes
Mayor Emanuel receiving African
American
Tobacco Leadership Council’s Visionary
Elected Official Award
14
17. Increasing Access to Healthy
Food
Citywide Food Plan
Healthy Vending
• Healthy vending machines in all City
buildings
• Launched Healthy Vending Challenge
•
Build healthier
neighborhoods
•
Grow food
•
Expand healthy food
enterprises
•
Strengthen the food
safety net
•
Serve healthy food and
beverages
•
Improve eating habits
• Follow efforts of Parks and CPS
18. Increasing Access to Healthy
Food Produce Carts
Urban Farms
• 15 carts in neighborhoods for 2013
• 15 planned for 2014
• ~20 jobs created
• 40 persons trained in retail sales
Farmers for Chicago
• Partnership with Growing Power
• 5 acres of vacant lots available
• Training for local farmers and help
installing equipment
• 15 acres overall operate as farms or
breaking ground
20. Divvy Bike Share Program
•
•
•
•
Dearborn St. Complete Street
2,035 bikes, 300 stations
12,133 annual memberships
131,984 24-hour passes
763,790 trips, >1.7 million miles
Before
After
•
200 miles of on-street protected, buffered and
shared bike lanes
•
More than 13,000 bike racks, and sheltered
parking
•
A 645-mile network of biking facilities by 2020
will provide a provide a bicycle accommodation
within half-mile of every Chicagoan.
21. • 61 events
• 13,173 participants
• Twice the number from
2012
.
22. Focus on CPS
Students
New PE policy requires
• 30 minutes of daily PE (or 150 minutes
weekly) at elementary schools
• Daily PE for high schools
$2.25M grant will support implementation
.
24. •
Keep Your Heart
Partnership supported by GE Foundation
Healthy
Fit City
• Focused at persons at risk for heart
disease on African American and Latino
communities
• 1,128 CVD risk screenings, counseling,
and referrals to community resources in
2013
• Expansion planned for 2014.
•
Healthy restaurant nutrition criteria
•
70 restaurants participating citywide
•
12 restaurants at Midway
o 9 million visitors
24
28. Sexual Health Education
Access to HPV Vaccination
February 2013 - Board of Education passed new
Sex Ed policy:
• Covers grades K-12
• Age appropriate
• 3-year implementation plan
• Over 550 teachers already trained
May 2013 – State follows Chicago’s lead
June 2013 – Healthy Chicago
partners secure change in State
rules allowing minors to consent
to HPV vaccinations.
28
29. Expanded STI Education
& Screening
• From 4 to 42 schools since 2009/2010
• Over 25,000 educated
• 16,201 screened
• Over 1,700 positive and offered treatment
29
30. Teen Pregnancy
Prevention
Teen Outreach Program (TOP)
•
3,000+ students in service learning clubs
•
60,000+ hours of community service
•
More than 200 students trained as Peer
Health Ambassadors.
30
33. In past 10 years, reported HIV/AIDS
cases down by 46% and 43%
respectively
Youth only group continuing to see
rise in new HIV infections
Between 2000 and 2011, the percent of
new HIV cases diagnosed with AIDS within
12 months declined from 37% to 25%.
84% of persons diagnosed with HIV in
2010 were linked to medical care within
three months.
Less than half of all people living with
HIV are taking HIV medications or are
virally suppressed.
34. •
$36M in prevention, service and
housing funding
•
Network of over 70 agencies
•
Bridge Worker pilot program
•
60% of participants re-engaged in HIV
care at Uptown and Englewood clinics
HIV school notification law repealed
35. Increasing Access to Condoms
Condoms in Schools
Condom Distribution
• Condom dispensers to be piloted at 23 CPS schools in 2014
• 15 schools targeted for 2015
Over 9 million condoms distributed at over
400 locations
35
37. Access to Care Improvements
•
Enroll Chicago Citywide Initiative
•
Expanded School-Based Services
•
Clinical Services Redesign
37
38. Leveraging City Resources for
Insurance Enrollment
• Over 500,000 uninsured
• 400,000 eligible for coverage
• Many can be reached through
existing City service delivery
mechanisms
38
39. Enroll Chicago
•
•
•
•
•
•
•
108 librarians trained as resources
100+ enrolled at DCASE Artist event
Nearly 700 enrolled at Family Service Centers
500+ CHA residents enrolled
Events at City Colleges reaching over 400 young adults
Children enrollment partnership just beginning
Taxi driver enrollment support
40. Expanded Services for
Students
Vision Services
Oral Health Services
• 7% increase in students served
• 121,479 students in 595 schools.
• 356,736 sealants applied
• Expansion to include CPS high schools.
225 schools; 21,357 exams; 13,689 glasses
Investment increased to $2M to support
45,000 students in 2014
40
41. Successful Clinical Service
Reforms
Mental Health Reforms
Primary Care Transition
•
2,440 active clients, with capacity
to serve 4,000
•
$1M in funding to community
partners for integrated behavioral
health, substance abuse and HIV
services to 5,000 residents
•
Partnered with HRDI and
Thresholds to provide services at
former sites.
•
Investing $500,000 to expand
access with community partners
resulting in more than 5,000 adult
psychiatric uninsured &
underinsured visits in first three
quarters in 2013.
•
$4M IL Children's Healthcare
Foundation investment in services
for children
.
• 71,000 patient visits
• Patient access up 33%
• Greater service array
42.
43. Healthy Mothers and Babies
Successes
•
Progress Towards Baby-Friendly
Hospitals
•
High-risk Pregnancy Transport Initiative
•
Service Integration Efforts
45. Systems Improvements
for Women and Children
• ~28,000 pregnant women
& infants enrolled in WIC
with 125,000 visits
Improved transport policies for high-risk
pregnant women
• 95% of WCH clients
enrolled in both WIC and
Family Case Management
46.
47. $200,000 grant to Roseland Hospital
will serve 1,500 women
Beyond October provided over 1,300 free
mammograms
Advisory council members trained to be
public spokespersons
Emancipation of Health Disparities
Townhall
50. Public Awareness
Flu Shot App
•
•
2013
Over 62 million media impressions
5,341 unique clicks
•
2012
7,353 clicks on app
Ward offices, City Colleges and
other sites proving free
immunizations most popular
51. Supporting Food
Trucks
Foodborne Chicago
• 52 licensed dispenser trucks
• 22 licensed preparer trucks
• CDPH provides inspections 2 days a week to
bring trucks into compliance
•
•
•
•
2,355 tweets classified
281 tweets responded
205 reports submitted
144 inspections performed to date
53. Teen Dating Violence
• 12 high need middle/high
schools
• 788 middle school students
completed program
• Parent training initiated
• 13 Youth Brand
Ambassadors trained.
24,723 calls supported
.
53
56. Pharmaceutical
Drop-off Program
Continued Gains in
Lead Poisoning
• 5,340 housing units inspected
prevention
• Federal grant to support abatement
• Ordinance enacted to ensure
contractors are EPA compliant
• Lead poisoning rates continue to drop
Drop off sites expanded from 5 to
all 23 police stations
56
57. Battling Bed Bugs
Regulating
Petroleum Coke
• Community hearings
• Regulation being drafted to enclose facilities
• Ordinance to be introduced to ban new storage
sites and expansion of existing sites
• Ordinance took effect December
2013
.
• Outlines landlord and tenant
responsibilities
• CDPH provides education and plan
guidance
57
60. Partner Engagement
•
•
February 2013
60 strategies 8 areas
•
•
Community dialogues
Focus on 2012 plan
Focus on systems
planning for oral health
16-member LGBT
16-member LGBT
Health Advisory Council
Health Advisory Council
appointed
appointed
61. Partnerships with
Academic Medicine
Childhood Asthma Gaps in Outcomes
Trials CHICAGO Trials
CDPH homes visits to reduce asthma
triggers resulting in ED visits
Constructing a data infrastructure for
understanding diabetes in Chicago
Combining resources to achieve
meaningful use of electronic health records
Using technology to support healthy
eating for students and their families
62. Advancing Health Through Technology
Data Availability
Predictive Analytics
data.cityofchicago.org
• 20 new data sets on portal and
Chicago Health Atlas
• Atlas merges data sets to create
profiles and maps
• Optimizing food inspections
• Predicting tobacco sales violations
• Identifying vulnerable populations
63. • 1st big city and 1st Illinois local health
department
• Strengthens capacity to deliver services
and implement Healthy Chicago
"This is an important achievement and
recognition that highlights the city of
Chicago's ongoing commitment to health
and wellness." - Mayor Rahm Emanuel
72. Next Steps
•
Continue Healthy Chicago
Implementation
•
Launch Healthy Chicago 2.0
o Focus on Disparities
o Community Town Halls
o Partner Engagement and
Expansion
72
73. Why Healthy Chicago
is Making a Difference
Partnerships
Policies
Public
Awareness
Technology
and
Innovation