1. Chronic Disease Prevention Kelli Seals MPH Washoe County Health District

2. Chronic Disease and Leading Cause of Death Top 10 Leading Causes of Death, Washoe County, Nevada, and US, 2004 * Number of deaths per 100,000 population. Cause of Death Washoe County Age adjusted death rate* Nevada Age adjusted death rate* United States Age adjusted death rate* Heart disease238.5233.8217.0 Cancer185.2186.3185.8 Chronic lower respiratory disease75.455.541.1 Stroke57.452.650.0 Accidents33.341.937.7 Suicide19.018.210.9 Influenza and pneumonia17.320.919.8 Septicemia16.418.711.2 Chronic liver disease and cirrhosis15.911.59.0 Diabetes15.313.724.5

3. Primary Modifiable Risk Factors Tobacco Use & Exposure Nutrition Physical Activity

4. Tobacco Use and Exposure

5. Why is being tobacco-free important? Tobacco use is the leading cause of preventable death in the world. Tobacco use contributes to many unhealthy conditions and illnesses, including: Breathing secondhand smoke also contributes to these conditions – Asthma –Cancer –Chronic lung diseases –Emphysema – Heart disease –High blood pressure –Sudden Infant Death Syndrome (SIDS)

6. Tobacco Use in Washoe County Most people in Washoe County do not use tobacco, and are protected from secondhand smoke –The majority of adults (80%) do not smoke, and they work in smoke-free workplaces (BRFSS, 2007, 2006) –The majority of adults (82%) have made their homes smoke-free (BRFSS, 2006) –The majority of high school students (83%) do not smoke, and almost all (94%) avoid “chew” (YRBS, 2007)

7. Nutrition

8. Why is eating healthy important? –Cancer –Diabetes –Heart Disease –High Blood Pressure –High cholesterol –Osteoporosis –Overweight and obesity Poor nutrition is related to many unhealthy conditions and illnesses, including:

9. Nutrition in Washoe County Primary way to measure community’s consumption of nutritious foods is through fruit and vegetable consumption –Less than 25% of adults in Washoe County eat the recommended amount of fruits and vegetables everyday (BRFSS, 2005) –Only 21% of high school students in Washoe County eat vegetables every day, and only 32% eat fruit everyday (YRBS, 2007)

10. Physical Activity

11. Why is physical activity important? Not being active is related to many unhealthy conditions and illnesses, including: –Cancer –Diabetes –Heart Disease –Blood Pressure –High Cholesterol –Osteoporosis –Overweight and Obesity

12. Physical Activity in Washoe County Over 20% of adults in Washoe County had no physical activity in the last 30 days (BRFSS, 2006) 56% of adults in Washoe County report participating in 30 minutes or more of moderate activities 5 or more days each week or 20 minutes of more of vigorous activities 3 or more days each week (BRFSS 2007) Less than half (46%) of high school students in Washoe County are physically active at least 5 days each week, and only 49% of middle school students are physically active at least 5 days each week (YRBS, 2007)

13. Overweight and Obesity In Washoe County, 39% of adults report being overweight and 19% report being obese (Classification by BMI BRFSS 2007) 25% of Washoe County high school students report being “slightly overweight” or “very overweight” (YRBS 2007) 24% of Washoe County middle school students report being “slightly overweight” or “very overweight” (YRBS 2007)

14. Chronic Disease Prevention Activities Policy –Nevada Clean Indoor Air Act Outreach Campaigns –Tobacco Hispanic community Young adults 18-24 Low SES GLBTQ –PA & N School aged children Businesses (worksite wellness programs)

15. Get Healthy Washoe Website –Info on the three modifiable risk factors –Health across the lifespan –Information for businesses, media and community partners

16. Save the Date: October 9 th 9-11 am

17. Thank You