2007/2008 Workplace Pilot Program Results Toronto Police Service Supported by sanofi-aventis 1 June 2009

sanofi-aventis Connex Health Toronto Police Database development Health screening clinics (initial and rescreening at 6 months) Physician referrals Healthy lifestyle programs Communication Awareness of cardiometabolic health risks Prevention, detection and management Healthier employees Spring 2007 through March 2008Winter

Number of Participants ◦ Initial clinics – 510 participants, 49% of full attendance ◦ Follow-up clinics – 171 participants Participants with ‘unhealthy’ results referred to their physician  Initial clinic results: >52% of participants referred  Follow-up results: 49% referred visited their physician within 6 months of initial clinics  New diagnosis: 26 ◦ High cholesterol, high blood pressure, diabetes, obesity  Prescriptions: 17 3

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Results  Program Impact on Heart Disease Risk (Framingham Risk Assessment): Number of participants with the lowest risk (0-2% risk category) increased by 13.5% 5

Results  Program Impact on CM Risk Factors: Number of participants with 0 or 1 risk factor improved by 23% Number of participants with 4 or more risk factors decreased by 39% 6

Results Note: Coronary Heart disease decrease by approximately 40% for every mmol/L reduction in LDL.  Impact of Program on LDL: The LDL value with the greatest number of participants (peak in graph) improved from mmol/L to mmol/L The number of participants with and LDL value of 2.49 mmol/L or less improved by 25% 7

Results  Impact of Program on TC: HDL Cholesterol: The number of participants with a TC:HDL result ‘within target’ (healthy) improved by 20% 8

Results  Program Impact on Waist Circumference: The number of people with a ‘healthy’ waist circumference increased by 18% The number of people with an ‘unhealthy’ waist circumference decreased by 12% 9

Results Impact of the program on eating habits: Improvements in the number of people who reported that they ‘always’ meet the recommended daily servings of following: Grains % Fruits & Vegetables +42% Dairy +40% Whole Grains + 38% Fish +55% 10

11 Take Aways  Screening can be delivered in a shift work environment in challenging locations  Advance planning, and communication is essential  Senior management  Supervisors  Employees  Be flexible – clinics and programming  Results can be tracked – MEASURE IT

12 Follow Up Follow Up  Ongoing cardio metabolic screening  Annual focus on one aspect of metabolic health across Service – 2009 blood pressure  Full time physical fitness wellness coordinator  New physical activity education and programming  Release of employer kit for cardio metabolic screening and evaluation

13 Thank You Denise Balch x224