1. Health is Wealth for the 21 st Century

2. Personal Health and Wellness Melanie Purkey, Executive Director Office of Healthy Schools Division of Student Support Services West Virginia Department of Education mpurkey@access.k12.wv.us http://wvde.state.wv.us/osshp/main/

3. WHAT?

4. Health Literacy Health literacy is defined as the degree to which individuals have the capacity to obtain, process and understand basic information and services needed to make appropriate decisions regarding their health.

5. Health Literacy Skills Health literacy requires proficiency in: Reading Writing Listening Speaking Arithmetic Conceptual Knowledge

6. Nearly half of all American adults--90 million people--have difficulty understanding and using health information … Limited health literacy may lead to billions of dollars in avoidable health care costs. Institute of Medicine Health Literacy: A Prescription to End Confusion.

7. WHY?

8. Quality of Life 1 of 3 kindergarteners will develop Type II diabetes in their lifetime 7 of 10 WV’s will die of heart disease, cancer or stroke 28% of WV 5 th graders screened by CARDIAC had 1 or more cardiovascular risk factors

9. 1995 Obesity Trends* Among U.S. Adults BRFSS, 1990, 1995, 2005 (*BMI 30, or about 30 lbs overweight for 5’4” person) 2005 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

10. No Data <10% 10%–14% Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

11. Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

12. Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

13. Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

14. Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

15. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

16. Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

17. Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

18. Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

19. Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

20. Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

21. Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

22. Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

23. Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

24. Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

25. Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

26. Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

27. (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Obesity Trends* Among U.S. Adults BRFSS, 2002 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

28. Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

29. Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

30. Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

31. Economic Growth Starbucks Coffee spends more annually on employee health care than coffee beans American automakers spend more annually on employee health care than on steel PEIA premium increases exceed salary increases

32. “Companies in the US compete against rivals in developed countries where the government funds health care, and against developing countries where neither business nor society at large is responsible for health insurance. Either way, American companies that provide health insurance are at a competitive disadvantage.” Daniel Gross, New York Times

33. “We can’t be the kind of society we aspire to be when we have 50 million people uninsured…It’s a blemish on what it means to be an American.” Howard Schultz, Chairman of Starbucks

34. HOW?

35. Remember the Framework for 21 st Century Skills?

36. Why 21 st Century Skills? What skills and content areas will be growing in importance in the next five years? Critical Thinking78% I.T.77% Health & Wellness76% Collaboration74% Innovation74% Personal Financial Responsibility72%

37. 21 st Century Skills Framework

38. 21 st Century Content Global Awareness Financial, Economic, Business and Entrepreneurship Literacy Civic Literacy Health & Wellness Awareness 21 st Century Skills Framework

39. Coordinated School Health Instruction Environment Services

41. Maslow’s Hierarchy of Needs Biological and Physiological needs basic life needs - air, food, drink, shelter, warmth, sex, sleep, etc. Safety needs protection, security, order, law, limits, stability, etc Esteem needs achievement, status, responsibility, reputation Belongingness and Love needs family, affection, relationships, work group, etc Self-actualisation personal growth and fulfilment

42. Academic Achievement Link between nutrition (specifically breakfast) and learning Link between physical activity and learning Link between school connectedness and learning

43. Potential School Initiatives Become “wellness” role models in conducting school events Integrate “wellness” concepts throughout the school related to instruction and environment Seek opportunities to enhance and broker services that meet the basic needs of students

44. Application of 21 st Century Tools Web-based curriculum tools Interactive technologies (DDR) Electronic health care plans Electronic meal analysis GPS used for school safety purposes WVEIS discipline data system

45. WVDE Initiatives School Wellness Councils Kids First Screening Project School Meals Initiative Health & PE Leadership Academies Health & PE Assessments School Climate Improvement School Nurses and Health Centers

46. How can you as a principal lead the effort to develop health literate students? Each table report out one big idea.