1. Building a Healthy

2. 40% of children are not prepared for kindergarten

3. The First 5 Years Research shows 90 percent of a child's brain develops in the first five years of life

4. Social Determinants of Health

5. Power and Wealth Imbalance Root Causes Gender Discrimination and Exploitation Psychosocial Stress/Unhealthy Behaviors Inequity in Distribution of Illness and Wellbeing Adapted from R. Hofrichter, Tackling Health Inequities Through Public Health Practice Social Connection & Safety Job Security Availability of Affordable Food Transportati on Quality Education Living Wage Safe Affordable Housing Tax Policy Social Networks Social Safety Net Globalization and Deregulation Education Systems Labor Markets Housing Policy Class OppressionInstitutional Racism

6. Key Terms “Differences in population health status and mortality rates that are systemic, patterned, unfair, unjust, and actionable, as opposed to random or caused by those who become ill.” “A disproportionate difference in health between groups of people.” Health DisparityHealth Inequity A fair, just distribution of the social resources and social opportunities needed to achieve well-being Health EquitySocial Justice The absence of unfair, unjust advantage or privilege based on race, class, gender, or other forms of difference

8. Socioecological Model of Health

12. SPEAK TO YOUR HEALTH! COMMUNITY SURVEY Flint and Genesee County Health and Quality of Life Data 12

14. Health Literacy Health literacy is the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decision.

15. Genesee County Health Department Healthy Genesee County 2020 To improve the health status of Genesee County residents, with particular attention to eliminating racial, social, and economic inequities and using prevention and intervention strategies that target underlying causes.

16. Opportunities