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

2. 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

3. 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

4. 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

5. 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 64.0 62.9 60.2 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 Tarrant County § United States ‡ Percent Texas †

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

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

8. Heart disease among adults 18 years and older, Tarrant County, Texas, and the United States 5.5 7.5 6.5 0.0 2.0 4.0 6.0 8.0 10.0 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

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

10. 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 190.9 202.7 209.8 0.0 75.0 150.0 225.0 Tarrant County † Texas † United States ‡ Rate

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

12. 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 466.8 444.2 461.8 0.0 100.0 200.0 300.0 400.0 500.0 Tarrant County † 2007 Texas † 2007 United States ‡ 2006 Rate

13. 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 180.8 173.7 178.4 0.0 50.0 100.0 150.0 200.0 Tarrant County † Texas † United States ‡ Rate

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

15. 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 5.9 7.7 7.2 0.0 2.0 4.0 6.0 8.0 10.0 Tarrant County § Texas † United States ‡ Percent

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

17. 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 25.4 25.5 22.5 0.0 5.0 10.0 15.0 20.0 25.0 30.0 Tarrant County † Texas † United States ‡ Rate

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

19. “Without health there is no happiness” - Thomas Jefferson