1. A Presentation at National
Health Association Annual
Conference 2008
Stephan Esser MD
www.esserhealth.com

2. Natural Hygiene 2008
Leading the way to a
healthier America!
Stephan Esser M.D
07.20.08

3. Goals
• Take you to the past
• Explore the present
• So we can shape the future

4. Or……….
• Present a Problem
• Discuss the Solution
• Offer you a Challenge

5. Key Concepts
• How is healthcare in America?
• How did we get here?
• What does the future hold?
• How can we make a difference?

6. Julia Watkins
34 y/o Obese AAF
• DM2, Hyperlipidemia, HTN, Claudication,
Peripheral Neuropathies, Lower Back
Pain, Depression
• Medx: HCTZ, Lisinopril, ASA, Insulin L/Novo,
Glipizide, Lipitor, Plavix Cilostazol, Gabapentin,Tylenol
prn, Prozac, Prilosec,

7. US Healthcare Today!

8. In America Today
• We spend too much
• We apply too little to prevention
• We die by our knives and forks

9. Leading Causes of Death in US

10. Actual Causes of Death in US

12. Associated Pathology JW
• CVD: • Obtstetrics:
– Hypertension – Gestational DM
– Congestive Heart Failure – Macrosomia
– PVD – Inc. C Section rate
– Impotence – Inc. Perinatal Morbidity
• DIABETES
– Claudication
Endocrine:
– Diabetes
•
– Inc. Pre/Eclampsia
Cancer:
– Prostate
– PCOS – Colon
– Hypothyroidism – Breast
– Infertility – Endometrial
• Orthopedics: – Renal Cell
– Osteoarthritis – Gallbladder
– AVN – Esophageal Adeno.
• Hepatic: • Other:
– #1 cause of liver dz in US • Hyperuricemia, Pancreatitis,
Gallstones, Sleep Apnea,
Alzheimer’s, Dyslipidemia,
Metabolic Syndrome

13. Overweight ↑ risk of DM2 by 3 fold
Obesity ↑ risk by 9 fold

15. Diabetes is the #1 cause of….
– Kidney Failure
– Amputation
– Blindness

16. Cost to the Nation
• Over 20.8 million Americans have diabetes
(CDC 2005).
• Healthcare is 2-3 times that of those without
DM(WHO)
• Projected $156 billion by 2010 and $192 billion in
2020
• Perspective
• Cost of DM2 care in 2005 > budget of the D.
of Ed.
• Diabetes care is 12 percent of the total federal
health care spending nationwide—roughly one of
every eight dollars.

17. JW’s Monthly Drug costs
• Hctz $19 QD
• Lisinopril $26.14 QD
• Januvia $75 QD
• Glipizide $13.80 BID • Cost: $394.04
• Asa $7.96 QD
• Lipitor $19.80 QD
Cilostazol $50 BID
Plavix $33.3 QD • # Pills/day: >15
• Gabapentin $66.95 TID
• Tylenol $1.00 prn
• Prozac $44.49 QD • Annual Cost:
• Prilosec $45.90 QD
>$4800

19. Total Healthcare Spending
• $2.3 TRILLION in 2007, or $7,600 per
person
• 16% of the gross domestic product (GDP)
• Projected to exceed $4 TRILLION by 2015

21. Chart of Spending
-2 times as much as Canada
-3 times as much as Britain
- > 60% privately funded

22. • Spend more per capita
than any other country
on earth
• U.S. is 37th in the
global health rankings

23. Financial Expenditures
• Chronic Dz ≈ 75% of health care costs
– Acc. to Dept of HHS:
• CVD and CVA $351.8 billion (2003)
• Cancer $171.6 billion (2002)
• Diabetes $132 billion (2002)
• Obesity $117 billion (2000)
• Arthritis $82 billion (1995)
• Smoking DMC $75 billion
LP $80 billion
• Physical Inactivity $76 billion (2000)
• Poor Nutrition DMC $33 billion
LP $9 billion

24. Economic Woes

25. We spend more
yet
we are one of the
sickest
most obese
over-medicated
societies on Earth!

26. How did this happen?

30. Genetic Shift
or
Lifestyle
Choices?

31. ↑39%
Av. of 52 tsp added sugar/person/day in 2000

32. •IOM:
(UL) for salt is 5.8 g/day
> 95 percent US Males 31 - 50
> 75 percent of US females 31- 50
regularly in excess of the UL.

33. ↑66%

34. ↑57 lb/capita

35. ↑400%

36. 60% ↓ in
sweetenersVegetables
10%↑ in
4×’s↑dark green/yellow
veggies
3 ×’s ↑dry beans, peas and lentils
↑ 114-150% in fruit
36% ↓ in total fat

37. What about Exercise?

38. US Gov. Reccomendations
30 minutes/day
30 minutes per day
for
4-5 days a week
4-6 days/week

40. Perspective
• We eat more
– Sugar, Salt, Meat, Dairy, Fat
– 1970-2000:
• ↑ 24.5 % C/day ≈
530K/day
• We get far less then ideal
– Exercise

41. We
have a problem
of
epidemic
proportions!

43. What is the answer?

44. What if………..
…….we ate MORE fruits,vegetables,whole
grains and legumes….
………we ate l e s s meat, fish, dairy, eggs, oil,
sugar and salt
&
increased our exercise habits!

45. Some Say…….
– If 10% of adults began a regular walking program,
$5.6 billion in heart disease costs could be saved.
– If Americans↓ Na intake by 2300mg/day = 3-6 mm Hg ↓
in SBP
• 11 % ↓ strokes
• 7 % ↓ coronary events
• 5 % ↓ total mortality

48. “A global response to a
global problem: the epidemic
of overnutrition.” WHO 2002
It is estimated that by 2020 2/3 rds of the global burden of
disease will be attributable to chronic noncommunicable
diseases, most of them strongly associated with diet.
The nutrition transition towards refined foods, foods of
animal origin, and increased fats plays a major role in the
current global epidemics of obesity, diabetes and
cardiovascular diseases, among other noncommunicable
conditions. Sedentary lifestyles and the use of
tobacco are also significant risk factors. …….. A concerted
multi-sectoral approach, involving the use of policy, education
and trade mechanisms, is necessary to address these matters.

49. All Major Health Institutions
• Encourage:
– Inc. Consumption of Fruit and Vegetables
– Inc. Fiber Intake
– Inc. Exercise
– Weight Loss
– Reduce Salt intake
– Reduce Fat Intake
– Reduce Cholesterol Intake
– Effective Stress Management

50. Who does that sound like?

51. Natural Hygiene

52. Basic Tenets
• Plant Based Diet
• Exercise
• Sleep
• Emotional Poise
• Sunlight
• Clean Water and Air

53. Heritage

55. Our Message

56. “Let food be thy medicine”
-Hippocrates-

57. Fr. Sebastian Kneipp 1821-1897
“The Waßer Cure”

58. Dr William Andrus Alcott 1798 - 1859
•Co-founder of American
Physiological Society
•Major force behind American
Vegetarian Society

59. Dr Isaac Jennings MD 1788-1874
• Father of “Orthopathy”
• Father of Natural
Hygiene?

60. Dr. Russell Thacker Trall
MD 1812 - 1877
• American Vegetarian Society
• The True Healing Art
or Hygienic vs. Drug Medicine
Smithsonian Address 1862

61. Dr Henry Lindlahr 1862-1924
• Nature Cure
• “No Surgery,
No Drugs,
No Serums.”
• Vegetarian diet, sunbaths, airbaths,
exercise, hydrotherapy, and
manipulation.

62. Bernarr McFadden 1868-1955
• The Father of
“Physical Culture”

63. John H Tilden 1851 - 1940

64. Jack Tropp
William Esser ND DC
Carlos Arguello Sr

66. Dr David Katz MD
Dr & Mrs McDougall MD Dr Neal Barnard MD
Dr Walter Willett MD
Dr Hans Diehl DHsc MPH Dr Dean Ornish MD

67. Lifestyle Medicine

68. Policy-Making/P.H. Promotion

69. Community Based

72. Natural Hygiene
• Has a rich and colorful heritage
• “Trend-setters” before trend setting was
popular
– Before phytochemicals, Noni Juice and ORAC
• ALL Hygienists!!!

73. Our Mission
• Educate
• Empower
• Motivate

74. “It is time we descended from Olympus
and began to address the people….
to educate them about the realities of health and
disease, to teach them what they can do to help
themselves and what we cannot do. They must be
taught about the marvelous capabilities and the
serious limitations of medicine.”
Moser, R.H
“Knowledge is not Enough.” NEJM 1977

75. 2008
• Need
• Answer
• Evidence
• Obligation
• Support

76. Why Me?
Knowledge is
Power is
Responsibility!

77. Your Mission
• Educate
Change for Good
• Empower
• Motivate

78. Who shall set a limit to the influence
of a human being
Ralph Waldo Emerson

79. Tipping Point
• Create an epidemic of good health
• Identify personal “Circle of Influence”
• Positive, contagious behavior
• Small changes have big effects
• Change happens rapidly

80. Lifestyle Survey!

81. Let’s change the world….one life
at a time!
and
Let’s start with ourselves today!

82. You must be the change you
wish to see in the world.
Gandhi

83. I want you to be concerned about
your next door neighbor. Do you
know your next door neighbor?
Mother Theresa

84. If you judge people, you
have no time to love them.
Mother Theresa

85. In this life we cannot do great
things. We can only do small
things with great love.
Mother Theresa

86. Happiness is when what you think,
what you say, and what you do are
in harmony.
Gandhi

87. A small body of determined spirits
fired by an unquenchable faith in
their mission can alter the course of
history.
Gandhi

88. Thank You !

89. Natural Hygiene is for people who
are looking for the good life, and
not just a pretty good life, a very
good life. It offers you the
opportunity to live the healthiest,
happiest life possible.
Health Science

90. “I believe the idea of a “right” to health
should be replaced by that of a moral
obligation to preserve one’s own health.
The individual has the “right” to expect
help with information, accessible services
of good quality, and minimal financial
barriers. Meanwhile the people have
been led to believe that national health
insurance, more doctors and greater use
of high-cost, hospital based technologies
will improve health.”
John Knowles Science

91. “The art of medicine consists of
amusing the patient while
nature cures the disease.”
-- Voltaire 1694-1778 --

92. Enjoy more powerpoints and
educational resources at
www.esserhealth.com