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Chicago Department of Public Health Transforms City Health
1. Chicago Department of Public Health
Commissioner Bechara Choucair, M.D.
City of Chicago
Mayor Rahm Emanuel
2. 2
Challenges to Change
• Dwindling local health department resources
– 12% overall decrease in personnel since 2008 for all
LHDs
– Large jurisdictions hit the hardest
• Infrastructure developed over 100 years ago
– Tradition creates inertia that impedes change efforts
• Political environments
– One of several City agencies
– Accountable to both Mayor and City Council
• Interest groups
5. Chicago Department of Public Health
Commissioner Bechara Choucair, M.D.
City of Chicago
Mayor Rahm Emanuel
HEALTHY CHICAGO
CHICAGO DEPARTMENT OF PUBLIC HEALTH
TRANSFORMING THE
HEALTH OF OUR CITY
9. Chicago Department of Public Health
Commissioner Bechara Choucair, M.D.
City of Chicago
Mayor Rahm Emanuel
IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
IT’S ABOUT HOW WE
BEHAVE AS A CITY
HEALTHY CHICAGO
Chicago Department of Public Health
18. 18
Ban of Flavored Tobacco
Sales Near Schools
• 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
• Report included over 25 policy
recommendations at local, state and
federal levels.
• Adopted by Board in October 2013
• Submitted to Mayor in November 2013
19. 19
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”
20. Public Awareness Campaigns Reinforce
Need for Change
BURNED by Menthol campaign generated
22,775,407 media impressions
Take Pride, Leave Cigarettes
generated 12,492,530 impressions
21. 21
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
22. 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
22
More Smoke-Free Environments
23. 23
Chicago Leads the Nation
Mayor Emanuel receiving African
American
Tobacco Leadership Council’s Visionary
Elected Official Award
The federal government is currently
considering:
• Cigarette tax increase
• Stronger rules on menthol
• Regulating electronic cigarettes
30. 30
Obesity Successes
• Increased access to healthy &
affordable food
• More opportunities for physical
activity
• Focus on CPS students
31. • Build healthier
neighborhoods
• Grow food
• Expand healthy food
enterprises
• Strengthen the food
safety net
• Serve healthy food and
beverages
• Improve eating habits
• Healthy vending machines in all City
buildings
• Launched Healthy Vending Challenge
• Follow efforts of Parks and CPS
Increasing Access to Healthy Food
Citywide Food Plan Healthy Vending
32. • 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
Produce Carts Urban Farms
Increasing Access to Healthy Food
34. • 2,035 bikes, 300 stations
• 12,133 annual memberships
• 131,984 24-hour passes
• >1M trips, >2million miles
Dearborn St. Complete StreetDivvy Bike Share Program
• 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.
Before After
35. • 61 events
• 13,173 participants
• Twice the number from
2012
36. .
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
43. 4
3
2013 study of 3,402 artists
found:
• 43% did not have insurance
88% said they couldn’t
afford it
• 37% of the 1,927 with
coverage paid for it
themselves
6 times greater than
general pop that pays
for private, non-group
insurance.
• 55% did not understand or
were unclear about the ACA
• 3 hour event; 50 navigators
• 1-hour appointments
• 125 persons completed or
began enrollment
process
44. • 12,000 licensed public chauffeurs
in Chicago
• 300 present daily for license
renewal at a single City location
with waits of up to 2 hours
• Many self-employed
• Chicago study of cab drivers
found:
70% uninsured (v. 20%)
4.6% eat enough produce
(v.22%)
6% meet exercise standards
(v. 21%)
~ 50% of drivers in NYC and
San Francisco uninsured
Reaching Chicago’s Taxi
Drivers
• 3 onsite navigators
• Education in waiting area
• 7-9 enrollments daily
45. • Chicago City Colleges
• 7 campuses
• ~ 120,000 students
• ~6,000 faculty
• Events at 6 campuses
• 206 Enrolled
• 472 Educated
The Young
Invincibles
46. Public Housing
Residents
Through CHA events and partners, 537 residents have
either enrolled or started the insurance enrollment
process
Operation Warm
47. 11 Community Service and Senior Centers
655 enrolled
Family and Support
Services & CDPH Sites
Uptown and Englewood HIV Sites
Enrollment at Family Flu Clinics
423 enrolled
49. Enroll 15,000 students over 2 years
Grant period: Oct. 2013 – Sept. 2015
LISC - $1,550,000
Four Partners
• North River
• South West Organizing Project
• Logan Square Neighborhood Assn.
• Enlace
The Children’s Initiative
Over 20,000 uninsured children were eligible
for coverage prior to the passage of the ACA
56. Chicago Health Atlas is a
Database
• De-identified electronic health record
data for ~1 million Chicagoans
• In-patient and out-patient visits spanning
2006-2011
• Individual patient records matched
across institutions
57. Chicago Health Atlas is a
Collaboration
• Informatics researchers from multiple
healthcare institutions
• Chicago Health Information Technology
Regional Extension Center (CHITREC)
• Chicago Community Trust
• Chicago Department of Public Health
62. FoodBorne Chicago
Open
People Tweet about their health 4 days before
seeing their doctor
Surveillance
Tweets lead us to illnesses in real time
Actionable
Submissions are investigated if warranted
Social Media is Changing How We
Communicate
Meeting conversations on Twitter with a
Public Health Service
65. FoodBorne Chicago
• 2,848 Tweets Classified
• 313 Tweets Responded To
• 275 Reports Submitted
• 175 Inspections
66. Predictive Analytics
Food Inspections
Currently
• 32 Inspectors
• 623 Inspections/Inspector
• 15,176 Food Establishments
• 2,715,000 Chicagoans
Centers for Disease Control and Prevention
• Many food borne illnesses go unreported
• 1 in 6 Americans (48 million people) get sick
• 128,000 are hospitalized
• 3,000 die of foodborne diseases
To Meet Requirements of Inspections
• Do we increase productivity?
• Do we increase workforce?
70. While Data Mining for the
Analytics Project…
• While the number of food
inspections is trending
up, the number of fails is
down, as is the rate of
fails.
• Nine months of 2013 had
fewer fails than any of the
same months in the
previous 3 years.
• Every month of 2013 had
a lower rate of fails than
any of the same months
in the previous 3 years.
71. Predictive Analytics
Lead
Where
Discover where greatest risk for
lead is in homes for inspectors to
test.
Who
Discover areas of highest risk for
child lead poisoning to prevent
poisoning.
Actively Prevent Illnesses
Prioritizes inspections instead of
passively waiting for lead poisoning
to occur.
72. Why Healthy Chicago
is Making a Difference
Partnerships Policies
Technology
and
Innovation
Public
Awareness