1. www.mscvd.org Mississippi Task Force on Heart Disease and Stroke Prevention 2008 Current Status J. Clay Hays, Jr, MD, FACC

2. www.mscvd.org Overview Mississippi has the dubious honor of being Number 1 in heart disease morbidity and mortality IN THE NATION Legislature created Governor’s Task Force on Heart Disease and Stroke Prevention to create solutions –CVD State Plan is one result

3. www.mscvd.org Mississippi Has a CVD Problem! Three-fourths of Mississippians have at least one CVD risk factor Racial / ethnic / geographic disparities are central issues Primary prevention is a KEY

4. www.mscvd.org Pointing the way to a new future BOLD new plan for reducing CVD in Mississippi

5. www.mscvd.org Improving Mississippi’s CVD Outcomes Enhance collaborations and partnerships among key constituencies at all levels; Implement program services that encourage healthy communities; Increase public awareness of CVD risk factors, disease management, and early recognition and response to acute events; and Impact policies that build healthy lifestyles and communities, and promote wider access to health care.

6. www.mscvd.org Focus of Plan: CVD Health & Health Disparities* Identify and reduce health disparities in CVD in target communities Priority populations: Low SES, rural, women and African Americans * Age, gender, ethnicity, economics, education, community resources, risk factors, and barriers

7. www.mscvd.org Interventions targeted toward: Prevention and management of CVD risk factors –nutrition, physical inactivity, tobacco, sociocultural Management of risky conditions –hypertension, obesity, dyslipidemia, diabetes Management of acute events –Heart attack, stroke

8. www.mscvd.org Implementation Strategy Invest in school, faith-based, worksite, civic, health care providers to leverage actions toward priority populations Address community-specific issues

9. www.mscvd.org Core Strategies Disseminate the Plan to all key constituencies Develop state –wide CVD risk factor registry “Know Your Numbers” as centerpiece activity across all venues Develop and disseminate “tool kit” for use in all venues

10. www.mscvd.org Obesity Overweight: BMI over 25 and under 29.9 Obese: BMI 30-39.9 Extremely Obese: BMI 40+

11. www.mscvd.org A. ADULT OBESITY RATE - MISSISSIPPI & UNITED STATES, 2006 MS31.4 percent US25.1 percent

12. www.mscvd.org B. ADULT OBESITY RATE - MISSISSIPPI & UNITED STATES, 1997-2006

13. www.mscvd.org C. ADULT OBESITY RATE - MISSISSIPPI RANK AMONG STATES (1=HIGHEST) 2006 - 1 st of 51 Sources - MS/CDC, Behavioral Risk Factor Surveillance System

14. www.mscvd.org A. ADULT SMOKING RATE - MISSISSIPPI & UNITED STATES, 2006 MS25.1 percent US20.1 percent

15. www.mscvd.org B. ADULT SMOKING RATE - MISSISSIPPI & UNITED STATES, 1997-2006

16. www.mscvd.org C. ADULT SMOKING RATE - MISSISSIPPI RANK AMONG STATES (1=HIGHEST) 2006 - 3 rd of 51 Sources - MS/CDC, Behavioral Risk Factor Surveillance System

17. www.mscvd.org A. ADULT DIABETES RATE - MISSISSIPPI & UNITED STATES, 2006 MS10.9 percent US7.5 percent

18. www.mscvd.org B. ADULT DIABETES RATE - MISSISSIPPI & UNITED STATES, 1997-2006

19. www.mscvd.org C. ADULT DIABETES RATE - MISSISSIPPI RANK AMONG STATES (1=HIGHEST) 2006 - 2 nd of 51 Sources - MS/CDC, Behavioral Risk Factor Surveillance System

20. www.mscvd.org A. ADULT HYPERTENSION RATE - MISSISSIPPI & UNITED STATES, 2005 MS33.3 percent US25.5 percent

21. www.mscvd.org B. ADULT HYPERTENSION RATE - MISSISSIPPI & UNITED STATES, 1997-2005

22. www.mscvd.org C. ADULT HYPERTENSION RATE - MISSISSIPPI RANK AMONG STATES (1=HIGHEST) 2005 - 1 st of 51 Sources - MS/CDC, Behavioral Risk Factor Surveillance System

23. www.mscvd.org A. HEART DISEASE MORTALITY RATE - MISSISSIPPI & UNITED STATES, 2005 MS293.9 per 100,000 US220.0 per 100,000

24. www.mscvd.org B. HEART DISEASE MORTALITY RATE - MISSISSIPPI & UNITED STATES, 1997-2006

25. www.mscvd.org C. HEART DISEASE MORTALITY RATE - MISSISSIPPI RANK AMONG STATES (1=HIGHEST) 2005 - 2 nd of 51 Sources - MS Vital Records (MS data), National Center for Health Statistics (US data)

26. www.mscvd.org C. CEREBROVASCULAR DISEASE MORTALITY RATE - MISSISSIPPI RANK AMONG STATES (1=HIGHEST) 2005 - 17 th of 51 Sources - MS Vital Records (MS data), National Center for Health Statistics (US data)

27. www.mscvd.org A. CEREBROVASCULAR DISEASE MORTALITY RATE - MISSISSIPPI & UNITED STATES, 2005 MS55.4 per 100,000 US48.4 per 100,000

28. www.mscvd.org B. CEREBROVASCULAR DISEASE MORTALITY RATE - MISSISSIPPI & UNITED STATES, 1997-2006

29. www.mscvd.org Pilot Projects Mercy Delta Express Project Morton Have a Heart

30. www.mscvd.org Have a Heart

31. www.mscvd.org Healthy Hearts

32. www.mscvd.org YouGottaMove! Public Elementary School Physical Education Program

33. www.mscvd.org The Plan Needs YOUR Support