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Boris D. Lushniak, MD, MPH RADM, USPHS Deputy Surgeon General Department of Health and Human Services Office of the Surgeon General of the United States.

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Presentation on theme: "Boris D. Lushniak, MD, MPH RADM, USPHS Deputy Surgeon General Department of Health and Human Services Office of the Surgeon General of the United States."— Presentation transcript:

1 Boris D. Lushniak, MD, MPH RADM, USPHS Deputy Surgeon General Department of Health and Human Services Office of the Surgeon General of the United States of America

2 DISCLOSURE OF CONFLICTS OF INTEREST Boris D. Lushniak, MD, MPH I do not have any relevant financial relationships with any commercial interests No off-label discussion of drugs or devices Work supported by US Government (DHHS, PHS, FDA, CDC/NIOSH)

3 The United States Public Health Service Who we are What we do

4 Seven Uniformed Services of the United States DOD Armed Military Non-DOD Non-Armed Can Be Militarized Non-DOD Armed Military (HHS) (DOC) (DHS)

5 The Surgeon General is the Commander of the USPHS Commissioned Corps The USPHS Commissioned Corps Regina M. Benjamin, MD, MBA VADM, USPHS 18 th Surgeon General

6 Protecting, promoting, and advancing the health and safety of the nation The Mission of the Commissioned Corps

7 US Public Health Service Mission As Americas uniformed service of public health professionals, the Commissioned Corps achieves this mission through: Leadership and excellence in public health practice The advancement of public health science Rapid and effective response to public health needs

8 The United States Public Health Service 1798 Act provided care for sick and injured merchant seamen (loose hospital network) 1870 Marine Hospital Service (national system) 1871 Supervising Surgeon (later Surgeon General) Dr. John Maynard Woodworth 1878 Quarantine functions (smallpox, yellow fever, cholera) 1889 Legislation creating Commissioned Corps 1891 Immigrant services 1902 Public Health and Marine Hospital Service 1912 Public Health Service (with broadened powers)

9 A Proud History From Ellis Island… …To tribal lands Across America… …Around the World 1918

10 Categories of Commissioned Corps Officers Over 6,500 officers in 800 locations, worldwide 11 Professional Categories Medical Dental Nursing Pharmacy Scientist Health Services Engineer Therapist Veterinarian Dietitian Environmental Health

11 US Duty Stations

12 Federal Agencies Utilizing Commissioned Corps Officers (Not all agencies and programs are represented)

13 Combat overweight epidemic Target Obesity Public Health & Prevention Missions of the Surgeon General: Overweight & Obesity

14 Public Health & Prevention Missions of the Surgeon General Smoking Underage Drinking

15 Public Health & Prevention Missions of the Surgeon General: Deep Vein Thrombosis & Healthy Homes Best DVT Prevention PracticesPromoting Healthy Homes

16 Public Health & Prevention Missions: Healthy Youth for a Healthy Future National Outreach Campaign - Encourage healthy eating habits - Help kids stay active - Promote healthy choices - Local roundtables with non-traditional partners Faith-based organizations Businesses Chambers of Commerce - Recognition of Community Champions

17 The Surgeon Generals Vision for a Healthy and Fit Nation

18 Major Actions of OSG A Report of the Surgeon General How Tobacco Smoke Causes Disease The Biology and Behavioral Basis for Smoking- Attributable Disease December 9, 2010

19 Major Actions of OSG The Surgeon Generals Call to Action to Support Breastfeeding 2011 January 20, 2011

20 Upcoming Actions March 8, 2012 – release of Preventing Tobacco Use Among Youth and Young Adults (Washington DC) Other OSG initiatives – prescription drug misuse in teens, youth violence Lets Move campaign Million Hearts Hearts campaign –Prevent 1 million heart attacks and strokes in 5 years –Aspirin, Blood Pressure, Cholesterol, Smoking –

21 Medical Reserve Corps

22 The science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals. –CEA Winslow, 1920 Public Health

23 10 Great Public Health Achievements-US Vaccination Motor-vehicle safety Safer workplaces Control of infectious diseases Decline in deaths from heart disease and stroke Safer and healthier foods Healthier mothers and babies Family planning Fluoridation of water Recognition of tobacco as a health hazard MMWR 1999 Apr 2;48(12):241-3.

24 Public Health US infant deaths per 1000 live births (45) life expectancy in years (49) Health care expenditure –17.6 % GDP (1) –$2.5 trillion –$8160 per person

25 Core Public Health Functions Assessment and monitoring of the health of communities and populations at risk Assessment and monitoring of the health of communities and populations at risk –identify health problems and priorities - surveillance The formulation of public policies –designed to solve identified local and national health problems and priorities Assure that all populations have access to appropriate and cost-effective care –including health promotion and disease prevention services –evaluation of the effectiveness of that care


27 Healthy People Developed in 1979 by the Department of Health and Human Services Science-based, 10 year national objectives For promoting health and preventing disease Includes a vision, mission, goals, focus areas, criteria, objectives and action plans for achieving the targets

28 Healthy People 2020 Launched Dec objectives, 1300 measures Each objective has a reliable data source, a baseline measure, and a target for specific improvements

29 Healthy People 2020 Implementation Framework MAP-IT –Mobilize -- partnerships –Assess – needs and assets –Plan – clear objectives and concrete steps –Implement – workplan, POC, communication plan –Track – evaluate and track progress Using Healthy People to make the case for funding

30 The Affordable Care Act Unique Opportunities for Prevention

31 National Prevention Council Bureau of Indian AffairsDepartment of Labor Corporation for National and Community Service Department of Transportation Department of AgricultureDepartment of Veterans Affairs Department of DefenseEnvironmental Protection Agency Department of EducationFederal Trade Commission Department of Health and Human Services Office of Management and Budget Department of Homeland Security Office of National Drug Control Policy Department of Housing and Urban Development White House Domestic Policy Council Department of Justice

32 Advisory Group 17 non-federal members Statutory Role: –Develop policy and program recommendations –Advise National Prevention Council on prevention and health promotion practices

33 National Prevention Strategy Extensive stakeholder and public input Aligns and focuses prevention and health promotion efforts with existing evidence base Supports national plans

34 Vision Working together to improve the health and quality of life for individuals, families, and communities by moving the nation from a focus on sickness and disease to one based on prevention and wellness.

35 National Prevention Strategy

36 Healthy and Safe Community Environments Clean air and water Affordable and secure housing Sustainable and economically vital neighborhoods Make healthy choices easy and affordable

37 Clinical and Community Preventive Services Evidence-based preventive services are effective Preventive services can be delivered in communities Preventive services can be reinforced by community-based prevention, policies, and programs Community programs can promote the use of clinical preventive service (e.g., transportation, child care, patient navigation issues)

38 Empowered People People are empowered when they have the knowledge, resources ability, and motivation to identify and make healthy choices When people are empowered, they are able to take an active role in improving their health, supporting their families and friends in making healthy choices, and leading community change

39 Elimination of Health Disparities Health outcomes vary widely based on race, ethnicity, socio- economic status, and other social factors Disparities are often linked to social, economic or environmental disadvantage Health disparities are not intractable and can be reduced or eliminated with focused commitment and effort

40 Priorities Tobacco Free Living Preventing Drug Abuse and Excessive Alcohol Use Healthy Eating Active Living Mental and Emotional Well- being Reproductive and Sexual Health Injury and Violence Free Living Source: National Vital Statistics Report, CDC, 2008

41 Federal Implementation Provide coordination and ongoing leadership at the Federal level, and among all Federal departments Establish processes for continual public input Establish specific and measureable agency- specific actions to address recommendations Monitor and track federal actions Annual Status Report

42 Optimal Implementation

43 Whats Next Regional meetings Execute and coordinate NPS actions across Council agencies Encourage partners to create and execute their own NPS action plans Monitor and track progress Share successes!

44 For more information go to: nationalpreventioncouncil Contact the National Prevention Council at:

45 Boris Lushniak, M.D., M.P.H. RADM, USPHS Deputy Surgeon General

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