Healthy Chicago: Improve cardiovascular health through prevention, detection, and reduction of risk factors for heart disease and stroke.

1. Healthy Chicago:
Focus on Heart Disease and Stroke
Erica Salem, Deputy Commissioner
Berenice Tow, Project Director
Chicago Board of Health
October 17, 2012
Chicago Department of Public Health
@ChiPublicHealth on

2. Heart Disease and Stroke
Healthy Chicago Goal:
Improve cardiovascular health through prevention,
detection, and reduction of risk factors for heart
disease and stroke.
Healthy Chicago Target:
• Reduce the proportion of adults who have high
blood pressure
• Decrease the stroke mortality rate

3. HEALTHY CHICAGO
Chicago Department of Public Health

4. HEALTHY CHICAGO
Chicago Department of Public Health
Death Rate due to Stroke, 1999-2007
70
60
50
40
37
30
20
10
Source: Vital Records, Illinois Department of Public Health (IDPH). Data are age-adjusted
0
1999 2000 2001 2002 2003 2004 2005 2006 2007

5. Overview: Heart Disease and Stroke
• Heart disease and stroke are the first and third
leading causes of death in the U.S and Chicago
• In 2010, cardiovascular diseases accounted for
more than $500 billion in health care
expenditures and lost productivity due to death
and disability

6. Overview: Cardiovascular Health
• Ideal cardiovascular health includes:
– abstinence from smoking within the past year
– ideal body mass index
– physical activity at goal levels
– a healthy diet
– healthy, untreated cholesterol levels and blood
pressure
– the absence of diabetes

7. Leading Contributors to Premature Deaths
and Related Grant Funding, Chicago
30%
25%
20%
15%
10% Deaths before age 75,
2004-2008
2012 Funding
5%
0%

8. Heart Disease and Stroke Progress
• Million Hearts Risk Check Challenge
• Stroke Awareness
• CPR and AED Awareness
• Mobile Produce Carts
• Healthy Corner Stores Initiative
• Make Way for Play
• Healthy Vending
• Play Streets
• REACH US program

9. Stroke and Heart Health Awareness
• National Stroke Awareness Month- May
―32,000 City employees received AHA
bookmarks with stroke warning signs
• Go Red for Women Tell 5! Forum in Pilsen
―Healthier women, families and hearts through
education and community collaboration

10. CPR Training and Awareness
• In partnership with CPS and AHA
– All Chicago Public Schools received Hands-Only CPR
posters to be displayed throughout the schools
• June 2012: Illinois state law supports CPR and
AED training for 6th-8th graders
• Northwestern and Chicago Cardiac Arrest
Resuscitation Education Service (CCARES) will
pilot Hands-only CPR training video with
students and teachers

11. Racial and Ethnic Approaches to
Community Health (REACH)
REACH is a national program vital to the Centers
for Disease Control and Prevention’s (CDC)
efforts to eliminate racial and ethnic disparities
in health.

12. Racial and Ethnic Approaches to
Community Health (REACH)
Overview Targeted Groups
• CDC Program • African American
• Reduce Disparities • American Indian / Alaskan
– Breast and cervical cancer Native
– Cardiovascular disease • Asian
– Diabetes mellitus
• Hispanic/Latino
– Adult immunization
• Pacific Islanders
– Hepatitis B
– Tuberculosis
– Asthma
– Infant mortality

13. REACH History in Chicago
• REACH 2010
– Year 2000, five-year award
– Focus on Diabetes and Cardiovascular Disease Disparities
– Implemented in North and South Lawndale
• REACH US – Action Communities
– 2007, five-year award
– Focus on Diabetes (DM2) and Cardiovascular Disease (CVD)
– Implemented successful approaches from REACH 2010
– Added Chicago Lawn as intervention site
• Centers of Excellence in the Elimination of Disparities (CEEDs)
– UIC Midwest Latino Health, Research, Training and Policy Center

14. CDPH-REACH Health Promotion Project
• Goal: Decrease the rate of type 2 diabetes and
cardiovascular disease among African American
and Hispanic populations
• Uses multi-level community approaches to
influence behavior changes at the individual,
community, environmental and health systems
level

15. REACH U.S. Objectives
By 2012, increase:
– the number of persons who are aware of their
DM2/CVD risk profile by 5%
– the number of persons who are connected to a medical
home by 50, and annually thereafter by 100
community members
– the population who report having increased fruit and
vegetable consumption by 3%
– the population who report increasing and meeting
required physical activity daily level by 3%
– the number of local community-based organizations
that promote healthy lifestyle changes by 10

16. Key Activities
• Community Health Outreach
• Health Education
• Community Service Referrals
• Train the Trainer Nutrition Program
• Building Community Capacity

17. REACH US Partners
• Lawndale Christian Health Center
• Sinai Community Health Institute
• Family Focus
• Dr. Jorge Family Health Center
• American Heart Association
• American Diabetes Association
• YMCA
• Healthy Chicago Lawn Coalition
• CDPH Nutrition Program
• North Lawndale Senior Terrace
• Fresh Moves
• Daley College Employment Services
• REACH CEED -UIC

18. REACH U.S. Progress
• Train the trainer nutrition program
• Beauty and Barbershop Initiative
• Conducted 2,375 DM2 and CVD Risk assessments
• Provided 4,686 primary care referrals to residents
• Held 2,339 nutrition and health education classes
• 7,354 residents have attended classes
• Collaborated with 16 community based organizations,
and 9 beauty and barbershop businesses

19. REACH Outcomes: Weight
Adult BMI Group
45%
40% ↓6%
35% ↑2%
30%
↑5%
25%
20%
15%
10%
5%
0%
2009 2010 2011
normal overweight obese

20. REACH Outcomes: Produce Consumption
Percent of adults who reported eating 5 or more fruits &
vegetables daily
25%
20%
15%
10%
5%
0%
2009 2010 2011
REACH Chicago

21. REACH Outcomes: Physical Activity
Percent of adults who meet physical activity recommendations
50%
↑4%
40%
30%
20%
10%
0%
2009 2010 2011
REACH Chicago

22. REACH Outcomes: Smoking Cessation
Percent of adults who currently smoke
30%
25%
20%
↓27%
15%
10%
5%
0%
2009 2010 2011
REACH Chicago

23. REACH Outcomes: Hypertension
Percent of adults who reported having high blood pressure
31%
30%
29%
28%
27%
26% ↓26%
25%
24%
23%
2009 2010 2011
REACH Chicago

24. REACH Outcomes: Cardiovascular Disease

25. REACH Outcomes: Stroke Awareness
Percent of adults who recognize the signs of stroke
10.0%
8.0%
↑6%
6.0%
4.0%
2.0%
0.0%
2009 2010 2011

26. REACH Outcomes: Diabetes
Percent of adults who reported having diabetes
14%
12%
↓10.8%
10%
8%
6%
4%
2%
0%
2009 2010 2011
REACH Chicago

27. Next Steps
• Retain community partnerships
• Continued nutrition train-the-trainer efforts in
project area
• Provide training to AmeriCorps workers in Chicago
• CPR training at CPS
• Extended partnership with American Heart
Association
- Faith communities

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@ChiPublicHealth
312.747.9884
CityofChicago.org/Health
HealthyChicago@CityofChicago.org