# Presentation: 393254

## Commissioner’s Forums on the Leading Health Indicators

- Walter H. Tsou, MD, MPH
- APHA
- November 11, 2002

## Looking for Public Private Partnerships

- Great interest in academic community
- Important for hospitals
- Look to government for leadership
- What if the LHI provided the basis of partnerships?

## Healthy Philadelphia 2010

- National Health Objectives
- Increase the Quality and Years of Healthy Life
- Eliminate Health Disparities

## Ten Leading Health Indicators

- Physical Activity
- Overweight & Obesity
- Tobacco Use
- Substance Abuse
- Responsible Sexual Behavior

- Mental Health
- Injury and Violence
- Environmental Quality
- Immunization
- Access to Health Care

## Building Fundable Coalitions

- Federal $$s are likely to follow HP 2010
- Competition vs. Coalitions
- Academic divided from community
- Philadelphia ill prepared to get funds?
- Purpose of the Commissioner’s forum

## Format for Commissioner’s Forums

- Based on 10 Leading Health Indicators
- Briefing paper
- Current data and trends
- Available resources and needs
- Invited forum
- Guest expert speakers
- Workshops for handling tough issues
- Web page on results and next steps
- Ideally have funding tied to forum

## 2001-2002 Commissioner Forums

- Estimated Dates
- Tobacco - Sept. 26, 2001
- Responsible Sexual Behavior - Jan 2002
- Obesity in Kids - June 2002
- Depression/Suicide - ?

## Tobacco Facts

- HP 2010 goal - 12% prevalence of smoking
- Prevalence
- Pennsylvania - 24% (1997)
- Philadelphia - 26% (2000)
- Tobacco related deaths in 1997
- Nationally - 430,000
- Pennsylvania - 22,900
- Philadelphia - 3,110

## Tobacco Facts

- Tobacco costs in 1997
- Pennsylvania - $4.1 billion
- Philadelphia - $655 million

## Tobacco Facts

- Age Distribution of smoking by individuals (PHMC Community Health Database 2000)

## Tobacco Education and Cessation

- State allocated $41.4 million
- RFP issued in October
- Money distributed in May 2002

## RFP follows CDC 9 Best Practices

- State will do statewide programs, counter marketing, and participate in/oversee remaining 7 Best Practices
- County level - 7 Best Practices

## Health Dept responsibilities

- Administration
- Surveillance and Evaluation
- Chronic Disease Control

## Private responsibilities

- Adult Tobacco Cessation
- Community Based Programs
- School and After-School Based Prevention and Cessation Programs
- Enforcement

## Funding

- Estimate $3.5 million
- Estimate for private contracts $2.9 million

## Responsible Sexual Behavior

- Underappreciated by public
- Of great interest by the Mayor’s wife

## Gonorrhea, Phila, 1995-9

## Chlamydia rising, Phila, 1994-9

## Chlamydia by Age/Sex, 1999

## Chlamydia peaks age 15-19, Phila

## Slide 21

## Expanded STD initiatives

- Urine chlamydia testing in schools/rec centers
- Greater emphasis on responsible sexual behavior
- Suffers from no funding

## Next Steps

- Summary of Forum on website *http://www.phila.gov/health/hp2010/*

## Final Thoughts

- Using LHI, government can help advance public-private partnerships
- Invitational forums are valuable
- Government needs to be the convener
- Dedicated funding greatly enhances the probability of sustainable partnerships