LOU K. BREWER, RN, MPH HEALTH DIRECTOR TARRANT COUNTY PUBLIC HEALTH 6 th Annual East and Southeast Fort Worth Economic Development Summit

Return on Investment If we invested $10 per person in strategic community-based disease prevention programs aimed at improving physical activity and nutrition and preventing smoking and other tobacco use, the state savings after 5 years is estimated to be over one billion dollars. – Trust for America’s Health

Tarrant County Public Health Programs Vision North Texas Health Research Team WIC – food packages, education regarding selection, preparation and storage of nutritious foods Farmers’ markets Food stamp pilot project Live a More Colorful Life

Tarrant County Public Health Programs Community gardens Food advisory council Food deserts Building Equitable Communities – Health Impact Assessment (HIA) Prevention, prevention, prevention Policy, policy, policy

Overweight/Obesity (BMI ≥ 25.0) among adults 18 years and older, Tarrant County, Texas, and the United States, 2004 Texas † § Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health † Data source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services ‡ Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention Estimates weighted to population characteristics Tarrant County § United States ‡ Percent Texas †

Overweight estimate (BMI 25.0 – 29.9) by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Obesity estimate (BMI ≥ 30.0) by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Heart disease among adults 18 years and older, Tarrant County, Texas, and the United States Tarrant County § 2004 Texas † 2003 United States ‡ 2003 Percent § Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health † Data source: 2003 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services ‡ Data source: 2003 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention Estimates weighted to population characteristics

Heart disease estimate by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Heart disease death rate, Tarrant County, Texas, and the United States, 2007 Rate per 100,000 population age-adjusted to 2000 standard population † Data source: Texas Department of State Health Services ‡ Data source: National Center for Vital Statistics Tarrant County † Texas † United States ‡ Rate

Heart disease death rate by ZIP Code, Tarrant County, 2005 Data source: Texas Department of State Health Services

All site cancer incidence, Tarrant County, Texas, and the United States Rate per 100,000 population age-adjusted to 2000 standard population † Data source: Texas Cancer Registry ‡ Data source: National Program of Cancer Registries Tarrant County † 2007 Texas † 2007 United States ‡ 2006 Rate

All site cancer death rate, Tarrant County, Texas, and the United States, 2007 Rate per 100,000 population age-adjusted to 2000 standard population † Data source: Texas Department of State Health Services ‡ Data source: National Center for Vital Statistics Tarrant County † Texas † United States ‡ Rate

All site cancer death rate by ZIP Code, Tarrant County, 2005 Data source: Texas Department of State Health Services

Diabetes among adults 18 years and older, Tarrant County, Texas, and the United States, 2004 § Data source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health † Data source: 2004 Behavioral Risk Factor Surveillance System, Texas Department of State Health Services ‡ Data source: 2004 Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention Estimates weighted to population characteristics Tarrant County § Texas † United States ‡ Percent

Diabetes estimates by ZIP Code, Tarrant County, 2004 Source: 2004 Behavioral Risk Factor Surveillance System, Tarrant County Public Health

Diabetes death rate, Tarrant County, Texas, and the United States, 2007 Rate per 100,000 population age-adjusted to 2000 standard population † Data source: Texas Department of State Health Services ‡ Data source: National Center for Vital Statistics Tarrant County † Texas † United States ‡ Rate

Diabetes death rate by ZIP Code, Tarrant County, 2005 Data source: Texas Department of State Health Services

“Without health there is no happiness” - Thomas Jefferson