Ohio Department of Health Bureau of Health Promotion Risk

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					Ohio Department of Health
    Bureau of Health Promotion &
    Risk Reduction

           Nan Alexander Migliozzi
                Bureau Chief
Bureau of Health
Promotion & Risk
   Injury Prevention       Arthritis Program
    Program                 Diabetes Prevention
   Heart Disease and        and Control Program
    Stroke Prevention       Center for Health
    Program                  Promotion
      Community Heart      Tobacco Risk
        Health Program       Reduction Program
   Sexual Assault and      Comprehensive
    Domestic Violence        Cancer Program
    Prevention Program         Breast and
      Women’s Health            Cervical Cancer
        Program                  Program
Injury Prevention
   Funds 15 local injury prevention
   Census of Fatal Occupational
   Adult Blood Lead Epidemiology
   Burden of Injury
Comprehensive Cancer
   Comprehensive cancer control is
    an integrated and coordinated
    approach to reducing cancer
    incidence, morbidity, and mortality
    through prevention, early
    detection, treatment, rehabilitation
    and palliation. (CDC)
We are not powerless
against cancer!
Breast and Cervical
Cancer Program
    Program Components include:
       Screening, Diagnostic Testing and
        Case Management
       Surveillance/Data Collection

       Coalitions and Partnerships

       Quality Assurance

       Professional Education

       Public Education and Outreach
Breast and Cervical
Cancer Program (Cont.)
    Ohio BCCP Eligibility
       Women

       40years of age and older
         • 40 & older for Pap, Pelvic and
         • 50 & older for above and
       Uninsured

       Household income is < 200% of the
        Federal Poverty Level
Breast and Cervical
Cancer Program
    As of January 2006, the Ohio BCCP:
       Served  49,273 women
       Provided:

          • 80,147 mammograms
          • 77,797 clinical breast exams
          • 73,457 Pap tests
       Diagnosed:

          • 1,022 breast cancers
          • 783 cervical cancers or pre-
            cancerous conditions
Tobacco Risk Reduction
   Issues addressed in schools,
    worksites and the community
     Prevention
     Cessation
     Secondhand    Smoke
     Disparities (among groups
      disproportionately affected by
      tobacco use)
Prevalence of Arthritis in Ohio
             Prevalence of Arthritis
             in Ohio
Heart Disease and Stroke
Prevention Program
   Collaboration among public and private sector
      managed care organizations
      health insurers
      federally funded health centers businesses
      Unions
      school systems
      priority population organizations
      emergency response agencies.
   Define the cardiovascular disease (CVD) burden
      assess existing population-based strategies
       for primary and secondary prevention of heart
       disease and stroke within the state.
Heart Disease and Stroke
Prevention Program
   Comprehensive state plan for heart disease and stroke
    prevention with emphasis on
        developing heart-healthy policies
        changing physical and social environments
        eliminating disparities (e.g., based on geography,
         gender, race or ethnicity, or income).
   Identify culturally appropriate approaches to promote
    cardiovascular health with racial, ethnic, and other
    priority populations.
   Population-based public health approaches
        increase public awareness of the urgency of
         addressing CVD
        Identify signs and symptoms of heart disease and
        need to call 9–1–1.
Community Heart Health
   24 counties in Ohio
   Targets adults and children
   Programs expand and enhance implementation
    of existing comprehensive population-based
   Four settings; school, healthcare, community and
   Focus on the prevention of six cardiovascular risk
    factors; poor nutrition/obesity, lack of physical
    activity, tobacco use prevention, cholesterol,
    hypertension and diabetes
Center for Health
   Health Promotion Library
   Social Marketing
   Program Evaluation
   Health Communication
     Sexual Assault and
     Domestic Violence
     Prevention Program
   Rape Prevention Program
     Working together with others in Ohio to
      make the changes necessary to prevent
      sexual violence, improve public
      awareness, assist victims, hold sex
      offenders accountable and ensure
      effective justice
     Fund and provide technical assistance to
      thirty-one Rape Prevention Programs in
Sexual Assault and
Domestic Violence
Prevention Program
   Ohio Sexual Assault Task Force
     Mental  Health, Sexual Assault and
      Domestic Violence Subcommittee
     Prevention Subcommittee
     Community (SART) Protocol
      Implementation Subcommittee
     Civil and Criminal Law
     Cultural Competency Advisory
Sexual Assault and
Domestic Violence
Prevention Program
   Women’s Health Program
     Fund statewide Women’s Health Month
     Produce biannual newsletters
     Women’s Health Fact Sheets
   Domestic Violence Program
     ODH Employee Domestic Violence
     Train Employees on the ODH Domestic
      Violence Workplace Policy
     Conduct Domestic Violence Awareness
      Week Activities
Diabetes Prevention and
Control Program
   Mission to reduce the burden of Diabetes
    in Ohio by improving the care and
    services for those with Diabetes and
    those who are at risk
   The ODPCP and Healthy Ohioans were
    empowered to develop Governor Bob
    Taft’s Healthy Ohioans/Diabetes
    Initiative. The initiative key components
    are as follow: Awareness Campaign;
    Physical Activity and Obesity: Monitoring
    and Controlling Diabetes ( FQHC’s Tool
    Distribution Project); and Diabetes In
Diabetes Prevention and
Control Program (cont.)
   -ODPCP Tool Distribution Project
    involves both Appalachia and urban
    Federal Qualified Health Centers.
    Diabetes supplies including glucose
    meters, test strips, Take Charge
    Manuals, pedometers and other items to
    be distributed to uninsured, underinsured
    and underserved persons with diabetes
    help monitor and control their diabetes.
    Nutrition counseling and education
    counseling will also be provided