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OUR FOCUS ON THE LEADING CAUSES OF MORBIDITY & MORTALITY

Several new initiatives were launched in 2005 that address important emerging priorities of the community. We established a Worksite Wellness Committee that is developing programs to improve the health of our staff and local employers. The committee was instrumental in crafting our  100% tobacco-free worksite policy and is working with community partners to identify the best ways to assist local employers to create healthier work environments. Our Obesity Task Force is developing programs to reduce obesity in community, healthcare, worksite, and school settings. We launched a project to equip health care providers to more effectively address the growing problem of childhood obesity. Data from pediatric practices will be analyzed and trainings will be offered to providers to enhance their skills.

Our Office of Epidemiology and Surveillance has developed the ability to conduct community cancer assessments.  We provide a profile of the level and types of cancer within a given community that shows whether rates are above what would normally be expected when compared to national rates.

Finally, our School Health Advisory Committee began exploring a variety of options to help schools understand the linkage between health and academic performance, and equip them to implement public health prevention and intervention programs shown to positively impact the health of students and staff.

We hope that it is very evident that we are committed to providing programming that addresses underlying risk factors that have been associated with the leading causes of death. For example, we know that the top three leading causes of death to residents in Cuyahoga County from 2000-2002 (the most recent available data from the Ohio Department of Health) were:

1) Diseases of the Heart - accounting for 34.8% of all deaths in Cuyahoga County;
2) Malignant Neoplasms (i.e. cancers) – accounting for 23.1%; and
3) Cerebrovascular Disease (e.g. stroke) – accounting for 5.7%.

The Centers for Disease Control and Prevention (CDC) has indicated that there are major prevention opportunities to address risk factors that have been associated with these three leading causes of death. These risk factors include high blood pressure, high cholesterol, diabetes, tobacco use, physical inactivity, poor nutrition, and being overweight or obese. CCBH is committed to identifying and implementing programs that can have a positive impact on reducing these risk factors.

A recent survey of over 1,700 kindergarteners across Cuyahoga County found that almost 36% of these children were overweight or obese.

In 2005, CCBH held their first annual “Run for Your Life!” 5K race and 1 mile family fun walk to promote increased physical activity among families and children. This event is done in collaboration with the YMCA and our third annual event will be held at the County Fairgrounds in Berea on April 14th of 2007.

Administration Services provides coordination for all of the policy, program planning, grants , fiscal, legal, information technology, and human resources functions of the agency. The development of the annual strategic priorities and performance goals for CCBH across Environmental Health, Nursing,  Community Health and Epidemiology, Surveillance, and Informatics programs is facilitated by Administration Services.  Community Health Services employs dietitians, case management specialists, health educators, social workers, nurses, and researchers that provide a broad range of health  promotion and chronic disease prevention services, as well as safety and nutrition programs designed to offer comprehensive and quality services to our communities. This goal is met by collaborating with a broad base of community groups and organizations that extends beyond Cuyahoga County to the entire Northeast Ohio region.  Environmental Health Services strives to promote health and quality of life by preventing or controlling adverse public health outcomes that may result from interactions between people and their environment. Our core programs focus on the prevention, identification and elimination of disease transmitted through vectors, food, water, wastes, by air and by land. The application of assessment, sound science, education, and public involvement fosters the necessary conditions for continually improving our health and the environment. Nursing Services employs public health nurses that work collaboratively with individuals, families and communities to identify, plan and deliver public health nursing programs that include immunizations and lead screenings to children and adults; service coordination and home visiting to children with special health care needs; quality health education to families and community agencies and a comprehensive school health program to school districts throughout Cuyahoga County.  Epidemiology, Surveillance, & Informatics (ESI) Services provides specialized technical support for all CCBH Service Areas. This support includes data management and analysis, programmatic design and evaluation, research design and implementation, as well as public health informatics activities. ESI is responsible for coordinating communicable/infectious and chronic disease investigation and surveillance as well as emergency preparedness issues. Many of our community health programs would not be possible without the gracious support from the following community foundations and organizations:

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