An Overview of Wisconsin Local Health Departments Wisconsin .ppt

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					       Wisconsin
Local Health Departments


    An Overview of
       Wisconsin
Local Health Departments
    Note: Special thanks to Door County Health Department
     for developing some of the slides in this presentation




                           6/30/2010
                                           Wisconsin
                                    Local Health Departments
                Douglas
                                  Bayfield
                                                                                                                        93 Local Health Departments
                                                                        Iron




    Burnett
   Burnett
                      Wash-
                      burn
                                                      Ashland
                                                                                            Vilas

                                                                                                                             Florence
                                                                                                                                                                    71 County
                                    Sawyer
                                                                                        Oneida
                                                               Price
                                                                                                                    Forest

   Polk          Barron
                                  Rusk

                                                                                      Lincoln            Langlade
                                                                                                                                     Marinette
                                                                                                                                                                    22 City or Village
                                                         Taylor
St. Croix
                               Chippewa                                                                              Meno-
               Dunn                                                                                                     minee        Oconto
                                                                                  Marathon
Pierce                                                 Clark                                                   Shawno
                              Eau Claire                                                                                                                     Door
              Pepin
                                                                                             Portage
                                                                                                            Waupaca                                        Kewaee
                                                                                                                             Outa-
                  Buffalo                                                                                                    gamie              Brown
                                                                               Wood
                              Tremp-
                               ealeau            Jackson

                                                                                                                         Winne-         Calu-      Mani-
                                                                                    Adams           Waushara             bago           met        towoc
                                                                                    Adams
                                  La Crosse           Monroe
                                                                                                 Marq-      Gr.
                                                                        Juneau
                                                                        Juneau                   uette      Lake
                                                                                                                         Fond du Lac        Sheboygan

                                             Vernon

                                                                                Sauk                Columbia
                                                                Rich-           Sauk                Columbia          Dodge          Wash-
                                                               Rich-                                                  Dodge                        Oe
                                           Crawford             land                                                                 ington
                                           Crawford            land



                                                                                                Dane                              Waukesha
                                                                        Iowa                    Dane                                               Mil
                                                                        Iowa                                        Jefferson
                                                 Grant
                                                 Grant
                                                                                                                                           Racine
                                                                                            Green          Rock
                                                                                            Green          Rock
                                                                        Lafayette                                        Walworth
                                                                        Lafayette                                                               Kenosha


                                                                                                                                         6/30/2010
               Wisconsin
        Local Health Departments


  Population Range
             2004




4,600


                    6/30/2010
                                594,000
       Wisconsin
Local Health Departments

    Operating Budgets
               2004




$51,000




    Over $30 Million

           6/30/2010
               Wisconsin
        Local Health Departments


Number of Staff
           2004




        Average
                               311
              19
    1
                   6/30/2010
            Wisconsin
     Local Health Departments

   Health Costs in Wisconsin
 TOTAL                      $15,100 Million
  PUBLIC   HEALTH            $133.1 Million

Local Health Departments Account for
          Only 0.8%
    of Wisconsin’s Health Costs
                 6/30/2010
           Wisconsin
    Local Health Departments

         Prevention
• Primary
    Immunization and Health Education
• Secondary
    Mammograms
• Tertiary
    Surgery, Physical Therapy
                6/30/2010
            Wisconsin
     Local Health Departments

     Population Health
Population-based public health services –
Interventions aimed at disease prevention
and health promotion that affect an entire
population and extend beyond medical
treatment by targeting underlying risk,
such as tobacco, drug, and alcohol use;
diet and sedentary lifestyles; and
environmental factors.
                    6/30/2010
    For Every Dollar Invested in:

   Water Fluoridation saves as much as $80 in treatment cost
    for dental caries for one child. (CDC, An Ounce of
    Prevention, 1999)
   Influenza Vaccination saves $30 to $60 in hospitalization
    costs for an older adult (CDC)
   Measles, Mumps, Rubella vaccination saves $16.34 in direct
    medical costs (CDC)
   Diptheria, Pertussis, Tetanus (DPT) vaccination saves $6.21
    in direct medical costs (CDC)
   Family Planning Services saves $4.40 in public funds for
    averting medical, welfare and nutritional costs. (Healthy
    Minnesotans 2004)


                            6/30/2010
    For Every Dollar Invested in:

   Chickenpox Vaccination saves up to $5.40 in
    parent productivity losses and medical costs
    (CDC)

   WIC services for pregnant women saves $1.92 -
    $4.21 in Medical Assistant funds for a mother and
    her newborn. (Nat’l Ass. Of WIC Directors)

   Tobacco prevention saves $3.00 in direct health
    care costs. (ANSR Action Alert 2003)

                        6/30/2010
What Does Public Health Do?
· Prevent s epidemics         · Responds to disasters
  and the spread of           · Mobi lizes
  disease                       communit ies f or
· Prot ect s against            act ion
  environment al              · Develops policies t o
  hazards                       promot e health
· Promot es heal thy          · Monit ors t he heal th
  behaviors                     condi t ions of the
· Prevent s inj uries           populat ion

                  6/30/2010
    Wisconsin’s Health Priorities

   Provides access to Primary and
    preventive health services
   Encourages adequate and appropriate
    nutrition
   Reduces alcohol and other substance use
    and addiction
   Assesses and eliminates environmental
    and occupational health hazards
   Controls existing, emerging and re-
    emerging communicable disease
   Discourages high risk sexual behavior
                    6/30/2010
    Wisconsin’s Health Priorities

   Prevents intentional and unintentional
    injuries and violence
   Promotes mental health and addresses
    mental disorders
   Reduces overweight, obesity and
    encourages physical activity
   Addresses social and economic factors
    that influence health
   Eliminates tobacco use and exposure
                     6/30/2010
      Communicable Disease
      Control
                                                Immunizations
                                                Investigation
                                                 of Disease
                                                Education



Health Priority - Controls existing, emerging and re-emerging
communicable disease
                                      6/30/2010
Slide Adapted from Rhonda Kolberg, Door Cty Health Dept
Measles and Mumps




                   Slide Courtesy of Rhonda Kolberg, Door Cty
                   Health Dept
       6/30/2010
Tuberculin Skin Testing




                     Slide Courtesy of Rhonda Kolberg, Door Cty
                     Health Dept
         6/30/2010
Early 1900’s--Board of Health
Sign




             6/30/2010
                                                  Slide Adapted from Rhonda Kolberg,
Health Priority - Discourages high risk sexual behavior          Door Cty Health Dept
                                6/30/2010
                 Chronic Disease Prevention
                         and Control
                                                                   Cancer Control
                                                                    Programs
                                                                   Cardiovascular
                                                                    Disease
                                                                   Tobacco Prevention
                                                                   Nutrition and
Health Priority - Provides access to Primary and preventive         Alcohol
health services
- Encourages adequate and appropriate nutrition                    Diabetes Control
- Reduces alcohol and other substance use and addiction
-Reduces overweight, obesity and encourages physical
activity                                                      Slide Adapted from Rhonda Kolberg,       Door
                                                                                            Cty Health Dept
-+++++                                         6/30/2010
     Wellness Programs and Health Education




Health Priority - Reduces overweight, obesity and encourages physical activity
                                                 Slide Adapted from Rhonda Kolberg,       Door
                                     6/30/2010                                 Cty Health Dept
                    Injury Prevention
                  Motor Vehicle Injury Prevention




Health Priority
- Prevents
intentional and
unintentional
injuries and
violence
                                           Slide Adapted from Rhonda Kolberg,       Door
                                                                         Cty Health Dept
                               6/30/2010
      Sharps Collection Program




Health Priority - Prevents
intentional and unintentional
injuries and violence
- Controls existing, emerging
and re-emerging
communicable disease            6/30/2010
     Prevention of Injuries


•Childhood Injury Prevention Programs
•Intentional Injuries and Violence
•Gun Control Programs
•Fall Prevention
•Burns and Fire-related injury prevention



                 6/30/2010
       Environmental
       Health                                          Human Health
                                                        Hazard Investigation
                                                       Radon Testing and
                                                        Education
                                                       Emergency
                                                        Response
                                                       Water Testing
                                                       Restaurant and
                                                        Lodging Inspections
Health Priority - Assesses and eliminates
environmental and occupational health hazards          Animal Bite
                                        6/30/2010
                                                        Investigations
6/30/2010
          Reproductive/Perinatal Health
Health Priority -
- Provides
                                      Prenatal Care
access to                              Coordination
Primary and
preventive health
services
                                      WIC
- Encourages
adequate and                          Family Planning
appropriate
nutrition
- Reduces
                                      Sexually
alcohol and other
substance use
                                       Transmitted Disease
and addiction                          Clinics and
Promotes
mental health                          Investigation of
and addresses
mental disorders                       Cases
                                 Slide Adapted from Rhonda Kolberg,       Door
                                                               Cty Health Dept
                     6/30/2010
      Infant and Child Health
                                                   70,000 births in WI
                                                    (2003)

                                                   WIC
                                                   Immunizations
                                                   Health Check
                                                   Visits to new moms
                                                   Day Care Issues
                                                   Child Abuse and
Health Priority - Reduces alcohol and other
substance use and addiction                         Neglect
-Promotes mental health and addresses
mental disorders
-Addresses social and economic factors that
influence health                                Slide Adapted from Rhonda Kolberg,       Door
                                                                              Cty Health Dept
                                    6/30/2010
                  Adolescent
                  Health

Health Priority
- Eliminates
tobacco use
and exposure
- Reduces
alcohol and
other
substance use
and addiction
- Discourages
high risk
sexual
behavior



                                   Slide Adapted from Rhonda Kolberg,       Door
                                                                 Cty Health Dept
                       6/30/2010
                Ten Leading Causes of Death in the
                      United States in 1900
                                       Percent of Total Deaths

                                   0      5             10                      15
                  Tuberculosis

                    Pneumonia

          Diarrhea and Enteritis
Disease




                 Heart Disease

                Kidney Disease

                        Injuries

                         Stroke

                        Cancer

                      Bronchitis
                                                        Slide Courtesy of Rhonda Kolberg,
                      Diptheria                                      Door Cty Health Dept
                                        6/30/2010
            Ten Leading Causes of Death in the U.S.: 1996
                                                Percent of total deaths
                                      0   5       10    15     20       25       30       35

                     Heart Disease

                           Cancer

                            Stroke

                            COPD
Disease




                         Accidents

              Pneumonia/Influenza

                          Diabetes

                          HIV/AIDS

                           Suicide

Chronic Liver Disease and Cirrhosis
                                                              Slide Courtesy of Rhonda Kolberg,
                                                                           Door Cty Health Dept
                                          6/30/2010
And Lifestyle Factors Leading to Half of
Them...
  Tobacco                                      400,000
  Diet, Sedentary Lifestyle                    300,000
  Alcohol                                      100,000
  Infections                                    90,000
  Toxic Agents                                 60,000
  Firearms                                     35,000
  Sexual Behavior                              30,000
  Motor Vehicles                               25,000
  Illicit Drug Use                             20,000
                             Slide Adapted from Rhonda Kolberg,       Door
                                                           Cty Health Dept
                              6/30/2010
                                                                               HEALTH CONDITIONS
       HEALTH




                                                            Cerebrovascular
                                                            Disease (Stroke)




                                                                                                                            Infant Mortality




                                                                                                                                                                             Pneumococcal
                                            Breast Cancer




                                                                                                 Heart Disease




                                                                                                                                                             Motor Vehicle
                                                                                                                                               Lung Cancer
      PRIORITIES




                              AIDS or HIV




                                                                                                                                                                             Infections
                                                                                                                 Homicide
          or




                                                                                      Diabetes




                                                                                                                                                             Crashes




                                                                                                                                                                                            Suicide
                                                                               COPD
     MODIFIABLE
    RISK FACTORS
                              × × × × × × × × × × × ×
Social/Economic Factor
Impact
Access to Health Care         × × × × × × × × ×   × ×
Inappropriate Use/Abuse of
Alcohol and Other
Substances
                              ×                             ×                                    × × ×                                                       ×                              ×
                                            × ×   × ×                                                                       ×                                                ×
Adequate and Appropriate
Nutrition
Tobacco Use and Exposure                      × ×   ×                                                                       × ×                                              ×
Obesity/Physical Inactivity                 × ×   × ×                                                                                                                                       ×
Communicable Disease          ×                                                                                             ×                      ×
                              ×                                                                                                                × × ×
Environmental Occupation
Exposures

                                                                                                                 ×                               ×   ×
Intentional/Non-Intentional
Injuries
High-Risk Sexual Behavior     ×                                                                                             ×
Mental Health                                               6/30/2010                                            ×                                                                          ×
Public Health Departments Improve
      the Health of the Public




                        Slide Courtesy of Rhonda Kolberg,
                                     Door Cty Health Dept
            6/30/2010
            Wisconsin
     Local Health Departments

“Public health departments are like the
police and fire departments. They teach
and practice prevention, but they are
prepared to act in emergencies.

While the public appreciates them most
in emergencies, they are truly successful
--and least noticed--when their prevention
efforts work.”
                  6/30/2010

				
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