1. State of the Valley Health Forum
Fresno County Department of Public Health
David Luchini, Assistant Director

2. Epidemiological Trends in Syphilis, Fresno County
Figure 2a (LEFT) Early Syphilis*Incidence Rates for Females by Age Group (in years) Fresno County, 2006–2015
Figure 2b (RIGHT) Early Syphilis*Incidence Rates for Males by Age Group (in years) Fresno County, 2006–2015
Fresno County Department of Public Health
Prepared by CDPH, STD Control Branch; data through 4/22/2016

3. Epidemiological Trends in Syphilis, Fresno County
P&S syphilis cases have increased in Fresno County from less than 20 cases in 2010 to greater than 140 cases in 2015 (Figure 1.)
Of greatest concern is the increase in congenital syphilis which has risen from 2 cases in 2012 to 35 cases in 2015 (Figure 2.). 
In addition, in 2015, the Fresno County Department of Public Health (FCDPH) received over 1,000 laboratory reports indicative of individuals possibly in various stages of untreated syphilis, each requiring follow up to determine if a case of syphilis, at what stage and if adequately treated by their provider.
Fresno County Department of Public Health

4. Epidemiological Trends in Syphilis, Fresno County
Fresno County Department of Public Health
Prepared by CDPH, STD Control Branch; data through 4/22/2016
* Includes primary, secondary, early latent, and late latent/unknown duration syphilis.

5. Epidemiological Trends in Syphilis, Fresno County
Fresno County Department of Public Health

6. Epidemiological Trends in Syphilis, Fresno County
Fresno County Department of Public Health

7. Driving the Epidemic Substance abuse Social drug networks
Incomplete/ no prenatal care
Bicillin shortage
Fresno County Department of Public Health

8. Chlamydia
Fresno County Department of Public Health

9. Chlamydia
Fresno County Department of Public Health

10. Gonorrhea
Fresno County Department of Public Health

11. Gonorrhea
Fresno County Department of Public Health

12. Infant Mortality Fresno County Department of Public Health

13. Correctional Health Substance abuse Severe mental illness
Chronic disease
Improving transition from jail to community to improve recidivism
Fresno County Department of Public Health

14. Public Health 3.0
Expands public health to address all aspects of life that promote health and well-being, including:
Economic development
Education
Transportation
Food
Environment
Housing
Safe neighborhoods
Fresno County Department of Public Health

15. Public Health Office of Policy Planning and Communication
Keep appraised of nation-wide issues, emerging topics, and trends in Policy, Systems and Environmental Change (PSE)
Changing policies, systems and/ or environments that communities can help tackle health issues like obesity, diabetes, cancer and other chronic diseases.
Find and apply PSE best practices to Fresno County communities
Collaborate with community partners
Fresno County Department of Public Health

16. OPPC Projects: Storefront Advertising Farm to Table Rx for Health
Worksite Wellness (vending machines)
NEOP
Fresno County Department of Public Health

17. Pillars of Public Health
Our goal, as a community, must be the creation of social and physical environments that promote good health for all.
Fresno County Department of Public Health

18. Pillars of Public Health
Individuals
Medical and Mental Health Providers
Families
Community and Spiritual Leaders
Employers
Retailers
Public Officials
Educators
Fresno County Department of Public Health