1. Healthiest State Initiative June 24, 2011

2. “ My number one goal for public health in Iowa is making Iowa the healthiest state in the nation. Addressing public health in Iowa also means addressing the economic well-being of our state. ” Governor Terry Branstad at the Iowa Board of Health Meeting -The Des Moines Register

3. Our Challenge Governor Branstad asked Ric Jurgens, Doug Reichardt and John Forsyth to form and lead an advisory group. The advisory group developed a plan to make Iowa the healthiest state in five years.

4. Change is Possible The trends can be changed. Proactive companies are implementing creative solutions. We can and should make a difference in Iowa.

5. The Plan Develop an on-line resource for families, employers, schools and communities. www.IowaHealthiestState.com The plan will include strategies that will: –Change the environment in which Iowans live, work and play. –Improve nutrition. –Increase natural movement. –Measure our progress.

6. Timeline July 13, 2011 Healthiest State Plan was presented to the Governor. August, 10, 2011 The Governor announced the initiative. October 7, 2011 Start Somewhere Walk Fall 2011 Blue Zones Project

7. Our Health Crisis The Case for Change

11. Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2009 (*BMI  30, or about 30 lbs. overweight for 5’4” person)

12. 201068% 202075% 203086% Organization for Economic Cooperation and Development Johns Hopkins University, Obesity 2008 U.S. Overweight and Obesity Rates

13. Cost of Obesity $147 Billion per Year

14. “ Obesity, and with it, diabetes, are the only major health problems getting worse in this country, and they are getting worse rapidly. ” Dr. Thomas R. Frieden Director, CDC

15. Other Statistics Unhealthy lifestyles lead to chronic disease: smoking, poor nutrition, physical inactivity and alcohol consumption account for 800,000 – plus deaths annually. About 108 million people in the U.S. have at least one chronic disease such as heart disease, diabetes, asthma, hypertension or osteoarthritis.

16. Other Statistics 50% of premature deaths in the U.S. are related to modifiable lifestyle factors. Approximately 75% of health care costs stem from preventable chronic conditions. Fact Sheet, Disease and Prevention and Health Promotion at HHS, 2006,http://www.hhs.gov/news/factsheet/diseaseprevention.html

17. It’s Our Kids, Too

19. One in three American children born in 2000 will develop diabetes.

20. Rise of Type 2 Diabetes in Children More recently in some areas of the country 30 - 40% of children with diabetes now have Type 2 diabetes. 1985: 1 - 2% of children with diabetes had Type 2 diabetes. 1995: 17% of children with diabetes have Type 2 diabetes.

21. Childhood Obesity in Iowa More than 1/3 of 3 rd, 4 th, and 5 th grade students in Iowa are overweight or at risk for being overweight which results in younger people developing chronic diseases at earlier ages. Iowa Pilot Intervention Summary Report, School Age Children’s Nutrition & Physical Activity Project School Years 2005-2007, Iowa Department of Public Health

22. “ Obesity is such that this generation of children could be the first basically in the history of the United States to live less healthful and shorter lives than their parents. ” Dr. David S. Ludwig Director, Children's Hospital Boston Obesity Program Author: A Potential Decline in Life Expectancy in the United States in the 21 st Century N Engl J Med 2005; 352:1138-1145 March 17, 2005

23. Iowa’s Health Facts 66.6% of Iowans are overweight or obese. 2009 Gallup-Healthways Well-Being Index ranked Iowa as 7 th in overall well-being. 2010 Gallup-Healthways Well-Being Index ranked Iowa as 19 th in overall well-being.

24. Iowa Obesity Rates 1 199014.0% 199517.5% 200021.5% 200525.4% 200927.9% 201334.4% 201838.0% 1 Behavorial Risk Factor Surveillance System, CDC. (*BMI  30, or about 30 lbs. overweight for 5’4” person) Obesity is Serious

25. Our Opportunity If Iowa could maintain 2009 obesity rates, the state could save as much as $1.6 billion by 2018. F as in Fat, 2010, Trust for America’s Health and Robert Wood Johnson Foundation Addressing comprehensive lifestyle changes could allow the State to redirect as much as $16 billion over the next five years to economic development. Wellness App, World Economic Forum Website; wellness.weforum.org

26. The Good News 70% of the factors influencing our health are within an individual’s control to improve. –Health Behaviors 50% –Environment 20% –Access to Care 10% –Genetics 20% Source: The Urban Institute

27. Healthiest State Initiative Components: Measurement Blue Zones Start Somewhere Walk Commitment

28. Healthiest State Initiative Components: Measurement

30. 1,000 completed surveys per day. Landline and cell, English and Spanish (98% coverage of U.S.). One millionth survey completed in October 2010. Will over-sample Iowa. http://well-beingindex.com/

31. Life evaluation –Ranking one’s life today and in the future Emotional Health –Daily feelings, clinical depression Physical Health –Chronic conditions, obesity, physical pain, cold/flu Healthy Behaviors –Smoking, healthy eating, exercise Work Environment –Using strengths, supervisor relationships Basic Access –Healthcare, community satisfaction, money for basics

32. Impacts of Well-Being Communities with high Well-Being Index ® scores have: –Lower crime rates –Higher graduation rates Businesses with high Well-Being Index ® scores have: –Higher job performance –Higher productivity –Less absenteeism –Higher retention –Better engagement –Lower healthcare costs Gallup Healthways Well-Being Index®

33. BLUE ZONES Healthiest State Initiative Components: Blue Zones

34. Move Naturally –Just move: walk, garden, take the stairs Right Outlook –Purpose Now: know why you wake up in the morning –Down Shift: find a strategy to shed stress Source: Blue Zones ® Healthiest State Initiative Components: Blue Zones

35. Eat Wisely –80% Rule: stop eating when you are 80% full –Plant Slant: eat more beans, nuts and soy –Wine @ 5: drink 1-2 glasses of wine, preferably with friends Connect –Belong: attend faith-based services –Loved Ones First: put your family first –Right Tribe: surround yourself with the right friends that support healthy behavior Source: Blue Zones® Healthiest State Initiative Components: Blue Zones

36. Healthiest State Initiative Components: Start Somewhere Walk

37. The concept is to create excitement and a focal point for the Healthiest State Initiative. Everyone in Iowa will go on a 1K walk at the same time, on the same day. 1K = 7.5 blocks Healthiest State Initiative Components: Start Somewhere Walk

38. The state’s journey to wellness begins with each Iowan taking that first step toward better health. Schools, businesses, faith organizations, etc. in each community will organize a walk. Sign up for local walk groups. Sign a commitment to change behaviors. Healthiest State Initiative Components: Start Somewhere Walk

39. October 7, 2011 1K Walk at Noon Healthiest State Initiative Components: Start Somewhere Walk

40. Healthiest State Initiative Components: Commitment

41. “ I commit to be a part of the Healthiest State Initiative and to initiate a Start Somewhere Walk in my home, business and community. ” Healthiest State Initiative Components: Community Pledge

42. Call to Action Today Sign the Healthiest State Initiative Community Commitment. Organize a Healthiest State Committee. Plan and execute a Start Somewhere Walk. –October 7, 2011 at noon. www.IowaHealthiestState.com

43. Future Opportunities

44. Future Opportunities: Blue Zones Project Wellmark will help transform 10 Iowa communities into Blue Zones. Communities can apply to become part of the Blue Zones Project. A successful Start Somewhere Walk is included in the project selection criteria. Learn more about the Blue Zones Project. www.BlueZonesProject.com

45. Are you ready to Start Somewhere?

46. Questions????