6 th Annual East and Southeast Fort Worth

6 th Annual East and Southeast Fort Worth Economic Development Summit LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH

Return on Investment If we invested $10 person in strategic community -based disease prevention programs aimed at improving physical activity and nutrition and preventing smoking and other tobacco use, the state savings after 5 years is estimated to be over one billion dollars. – Trust for America’s Health

Tarrant County Public Health Programs Vision North Texas Health Research Team WIC – food packages, education regarding selection, preparation and storage of nutritious foods Farmers’ markets Food stamp pilot project Live a More Colorful Life

Tarrant County Public Health Programs Community gardens Food advisory council Food deserts Building Equitable Communities – Health Impact Assessment (HIA) Prevention, prevention Policy, policy

Overweight/Obesity (BMI ≥ 25. 0) among adults 18 years and older, Tarrant County, Texas, and the United States, 2004 70. 0 60. 0 Percent 64. 0 62. 9 Tarrant County§ 50. 0 Texas† 60. 2 40. 0 30. 0 20. 0 10. 0 §Data United States‡ source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services ‡Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention Estimates weighted to population characteristics †Data

Overweight estimate (BMI 25. 0 – 29. 9) by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Obesity estimate (BMI ≥ 30. 0) by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Heart disease among adults 18 years and older, Tarrant County, Texas, and the United States 10. 0 Percent 8. 0 6. 0 4. 0 7. 5 6. 5 5. 5 2. 0 0. 0 Tarrant County§ 2004 §Data Texas† 2003 United States‡ 2003 source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health source: 2003 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services ‡Data source: 2003 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention Estimates weighted to population characteristics †Data

Heart disease estimate by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Heart disease death rate, Tarrant County, Texas, and the United States, 2007 225. 0 209. 8 202. 7 190. 9 Rate 150. 0 75. 0 0. 0 Tarrant County† Texas† Rate per 100, 000 population age-adjusted to 2000 standard population †Data source: Texas Department of State Health Services ‡Data source: National Center for Vital Statistics United States‡

Heart disease death rate by ZIP Code, Tarrant County, 2005 Data source: Texas Department of State Health Services

All site cancer incidence, Tarrant County, Texas, and the United States 500. 0 Rate 400. 0 461. 8 466. 8 444. 2 300. 0 200. 0 100. 0 Tarrant County† 2007 Texas† 2007 Rate per 100, 000 population age-adjusted to 2000 standard population †Data source: Texas Cancer Registry ‡Data source: National Program of Cancer Registries United States‡ 2006

All site cancer death rate, Tarrant County, Texas, and the United States, 2007 200. 0 Rate 150. 0 178. 4 180. 8 173. 7 100. 0 50. 0 Tarrant County† Texas† Rate per 100, 000 population age-adjusted to 2000 standard population †Data source: Texas Department of State Health Services ‡Data source: National Center for Vital Statistics United States‡

All site cancer death rate by ZIP Code, Tarrant County, 2005 Data source: Texas Department of State Health Services

Diabetes among adults 18 years and older, Tarrant County, Texas, and the United States, 2004 10. 0 Percent 8. 0 7. 7 6. 0 4. 0 7. 2 Texas† United States‡ 5. 9 2. 0 0. 0 Tarrant County§ §Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services ‡Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention Estimates weighted to population characteristics †Data

Diabetes estimates by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Diabetes death rate, Tarrant County, Texas, and the United States, 2007 30. 0 25. 0 Rate 20. 0 25. 4 25. 5 22. 5 15. 0 10. 0 5. 0 0. 0 Tarrant County† Texas† Rate per 100, 000 population age-adjusted to 2000 standard population †Data source: Texas Department of State Health Services ‡Data source: National Center for Vital Statistics United States‡

Diabetes death rate by ZIP Code, Tarrant County, 2005 Data source: Texas Department of State Health Services

“Without health there is no happiness” Thomas Jefferson