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The Health of Hertfordshire

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The Health of Hertfordshire Raymond Jankowski Deputy Director of Public Health Challenges Children and young people realising their full potential Working age adults ... – PowerPoint PPT presentation

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Title: The Health of Hertfordshire


1
The Health of Hertfordshire
  • Raymond Jankowski
  • Deputy Director of Public Health

2
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3
Challenges
  • Children and young people realising their full
    potential
  • Working age adults realising their full potential
  • Supporting older people to live independent lives
  • Tobacco control
  • Obesity
  • Alcohol misuse
  • Health inequalities
  • Mental health and wellbeing
  • Quality Innovation Productivity Prevention (QiPP)
  • Lifelong learning
  • Climate change

4
The Life Course Approach
  • Pre-conception and pregnancy
  • Infancy (0-6 months)
  • Early Years (6 months 4/5 years)
  • Primary school years
  • Secondary school years
  • Young adults (16-18 years)
  • Working age adults
  • Older adults

Prevention Treatment
5
Tobacco control the challenge
  • Increase referrals to Hertfordshire smoking
    cessation services
  • Reduce number of people starting smoking
  • Effective communication and social marketing
  • Reduce supply of cheap and illicit tobacco
  • Reduce health inequalities

6
Smoking prevalence in Hertfordshire by age
Pregnancy 9-11 years old 9-11 years old 15 years old 15 years old Adults
Girls Boys Girls Boys
10.5 2 6 21 15 19.5
National targets 11 - - 12 12 18.5
7
Hertfordshire IMD 2010 by MSOA with district
averages
Key IMD
  3 to 8.9
  9 to 14.9
  15 to 20.9
  21 to 26.9
  27 and over
8
GP-recorded Smoking prevalence by MSOA 2010-11
Key Range
  0 to 10.9
  11 to 12.9
  13 to 14.9
  15 to 16.9
  17 to 18.9
  19 and over
9
Estimated NHS and wider economy costs of tobacco
control in Hertfordshire
  • NHS - 54M
  • Wider economy - 275M
  • Cleaning up cigarette butts - 5.8M
  • Smoke related fires - 8.7M

10
Summary
  • Build on a strong Hertfordshire Tobacco Control
    Alliance, to reduce smoking prevalence by
  • Supporting smokers in priority groups to quit
  • Continuing to support actions to reduce supply of
    illicit tobacco
  • Reducing the uptake of smoking among young people

11
Obesity in Hertfordshire challenges
Prevalence Prevalence Prevalence
4-5 year olds 10-11 year olds Adults
8-9 14-16 21.4
12
Estimated NHS and economic costs in Hertfordshire
NHS Wider economy
2007 84M 320M
2050 174M 1000M
13
Hertfordshire IMD 2010 by MSOA with district
averages
Key IMD
  3 to 8.9
  9 to 14.9
  15 to 20.9
  21 to 26.9
  27 and over
14
Prevalence of obesity in school age children
(Year 6 aged 10-11 years) in MSOAs in
Hertfordshire for 2009-10
Key Prevalence of obesity
  0 to 8.9
  9 to 13.9
  14 to 18.9
  19 to 23.9
  24 and over
15
Reducing Obesogenic environment
? Healthy eating and sensible drinking
? Physical activity
Individuals, Families, Communities
Motivation Self esteem Cost and availability of
leisure facilities Availability of green
space Cycle lanes Pedestrian friendly Community
safety Healthy workplace
Motivation Self esteem Cost of healthy
eating Shopping skills Cooking skills Availability
of fresh produce Advertising Healthy workplace
16
NHS versus wider economy costs in Hertfordshire
NHS Wider economy NHS/wider economy
Tobacco control 54M 275M 20
Obesity 84M 320M 26
Alcohol 54M 400M 13.5
17
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18
Challenges in older age
  • Falls
  • Dementia
  • Social isolation
  • Intermediate care
  • End of Life
  • Influenza
  • Fuel poverty

19
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20
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