Wisconsin Local Health Departments

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Wisconsin Local Health Departments
An Overview of Wisconsin Local Health
Departments Note Special thanks to Door County
Health Department for developing some of the
slides in this presentation
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Wisconsin Local Health Departments
93 Local Health Departments
Douglas
Bayfield
71 County
Iron
Wash- burn
Ashland
Vilas
Burnett
Burnett
Florence
Sawyer
Price
Oneida
22 City or Village
Forest
Marinette
Polk
Barron
Rusk
Langlade
Lincoln
Taylor
St. Croix
Meno- minee
Chippewa
Dunn
Oconto
Clark
Marathon
Pierce
Shawno
Door
Eau Claire
Pepin

Portage
Waupaca
Kewaee
Outa- gamie
Brown
Buffalo
Wood
Tremp- ealeau
Jackson
Mani- towoc
Waushara
Winne- bago
Calu- met
Adams
Monroe
La Crosse
Gr. Lake
Marq- uette
Juneau
Fond du Lac
Sheboygan
Vernon
Columbia
Sauk
Dodge
Rich- land
Wash- ington
Oe
Crawford
Waukesha
Dane
Mil
Iowa
Jefferson
Grant
Racine
Rock
Green
Walworth
Lafayette
Kenosha
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Wisconsin Local Health Departments
Population Range 2004
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Wisconsin Local Health Departments
Operating Budgets 2004
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Wisconsin Local Health Departments
Number of Staff 2004
Average
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Wisconsin Local Health Departments
Health Costs in Wisconsin

• TOTAL 15,100 Million
• PUBLIC HEALTH 133.1 Million
• Local Health Departments Account for
  Only 0.8
• of Wisconsins Health Costs

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Wisconsin Local Health Departments
Prevention

• Primary
• Immunization and Health Education

• Secondary
• Mammograms

• Tertiary
• Surgery, Physical Therapy

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Wisconsin Local Health Departments
Population Health
Population-based public health services
Interventions aimed at disease prevention and
health promotion that affect an entire population
and extend beyond medical treatment by targeting
underlying risk, such as tobacco, drug, and
alcohol use diet and sedentary lifestyles and
environmental factors.

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For Every Dollar Invested in

• Water Fluoridation saves as much as 80 in
  treatment cost for dental caries for one child.
  (CDC, An Ounce of Prevention, 1999)
• Influenza Vaccination saves 30 to 60 in
  hospitalization costs for an older adult (CDC)
• Measles, Mumps, Rubella vaccination saves 16.34
  in direct medical costs (CDC)
• Diptheria, Pertussis, Tetanus (DPT) vaccination
  saves 6.21 in direct medical costs (CDC)
• Family Planning Services saves 4.40 in public
  funds for averting medical, welfare and
  nutritional costs. (Healthy Minnesotans 2004)

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For Every Dollar Invested in

• Chickenpox Vaccination saves up to 5.40 in
  parent productivity losses and medical costs
  (CDC)
• WIC services for pregnant women saves 1.92 -
  4.21 in Medical Assistant funds for a mother and
  her newborn. (Natl Ass. Of WIC Directors)
• Tobacco prevention saves 3.00 in direct health
  care costs. (ANSR Action Alert 2003)

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Wisconsins Health Priorities

• Provides access to Primary and preventive health
  services
• Encourages adequate and appropriate nutrition
• Reduces alcohol and other substance use and
  addiction
• Assesses and eliminates environmental and
  occupational health hazards
• Controls existing, emerging and re-emerging
  communicable disease
• Discourages high risk sexual behavior

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Wisconsins Health Priorities

• Prevents intentional and unintentional injuries
  and violence
• Promotes mental health and addresses mental
  disorders
• Reduces overweight, obesity and encourages
  physical activity
• Addresses social and economic factors that
  influence health
• Eliminates tobacco use and exposure

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Communicable Disease Control

• Immunizations
• Investigation of Disease
• Education

Health Priority - Controls existing, emerging and
re-emerging communicable diseaseSlide Adapted
from Rhonda Kolberg, Door Cty Health Dept
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Measles and Mumps
Slide Courtesy of Rhonda Kolberg, Door Cty Health
Dept
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Tuberculin Skin Testing
Slide Courtesy of Rhonda Kolberg, Door Cty Health
Dept
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Early 1900s--Board of Health Sign
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Slide Adapted from Rhonda Kolberg,
Door Cty Health Dept
Health Priority - Discourages high risk sexual
behavior
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Chronic Disease Prevention and Control

• Cancer Control Programs
• Cardiovascular Disease
• Tobacco Prevention
• Nutrition and Alcohol
• Diabetes Control

• Health Priority - Provides access to Primary and
  preventive health services
• - Encourages adequate and appropriate nutrition
• Reduces alcohol and other substance use and
  addiction
• Reduces overweight, obesity and encourages
  physical activity

Slide Adapted from Rhonda Kolberg,
Door Cty Health Dept
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Wellness Programs and Health Education
Health Priority - Reduces overweight, obesity and
encourages physical activity
Slide Adapted from Rhonda Kolberg,
Door Cty Health Dept
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Injury Prevention
Motor Vehicle Injury Prevention
Health Priority - Prevents intentional and
unintentional injuries and violence
Slide Adapted from Rhonda Kolberg,
Door Cty Health Dept
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Sharps Collection Program

• Health Priority - Prevents intentional and
  unintentional injuries and violence
• - Controls existing, emerging and re-emerging
  communicable disease

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Prevention of Injuries

• Childhood Injury Prevention Programs
• Intentional Injuries and Violence
• Gun Control Programs
• Fall Prevention
• Burns and Fire-related injury prevention

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Environmental Health

• Human Health Hazard Investigation
• Radon Testing and Education
• Emergency Response
• Water Testing
• Restaurant and Lodging Inspections
• Animal Bite Investigations

Health Priority - Assesses and eliminates
environmental and occupational health hazards
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Swimming Pool Inspections
Slide Adapted from Rhonda Kolberg,
Door Cty Health Dept
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Reproductive/Perinatal Health

• Prenatal Care Coordination
• WIC
• Family Planning
• Sexually Transmitted Disease Clinics and
  Investigation of Cases

• Health Priority - - Provides access to Primary
  and preventive health services
• - Encourages adequate and appropriate nutrition
• - Reduces alcohol and other substance use and
  addiction
• Promotes mental health and addresses mental
  disorders

Slide Adapted from Rhonda Kolberg,
Door Cty Health Dept
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Infant and Child Health

• 70,000 births in WI (2003)
• WIC
• Immunizations
• Health Check
• Visits to new moms
• Day Care Issues
• Child Abuse and Neglect

• Health Priority - Reduces alcohol and other
  substance use and addiction
• -Promotes mental health and addresses mental
  disorders
• -Addresses social and economic factors that
  influence health

Slide Adapted from Rhonda Kolberg,
Door Cty Health Dept
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Adolescent Health

• Health Priority
• - Eliminates tobacco use and exposure
• Reduces alcohol and other substance use and
  addiction
• Discourages high risk sexual behavior

Slide Adapted from Rhonda Kolberg,
Door Cty Health Dept
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Slide Courtesy of Rhonda Kolberg,
Door Cty Health Dept
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Slide Courtesy of Rhonda Kolberg,
Door Cty Health Dept
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And Lifestyle Factors Leading to Half of Them...

• Tobacco 400,000
• Diet, Sedentary Lifestyle 300,000
• Alcohol 100,000
• Infections 90,000
• Toxic Agents 60,000
• Firearms 35,000
• Sexual Behavior 30,000
• Motor Vehicles 25,000
• Illicit Drug Use 20,000

Slide Adapted from Rhonda Kolberg,
Door Cty Health Dept
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Public Health Departments Improve the Health of
the Public
Slide Courtesy of Rhonda Kolberg,
Door Cty Health Dept
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Wisconsin Local Health Departments
Public health departments are like the police
and fire departments. They teach and practice
prevention, but they are prepared to act in
emergencies. While the public appreciates them
most in emergencies, they are truly
successful --and least noticed--when their
prevention efforts work.