Lou K. Brewer, RN, MPH

1
6th Annual East and Southeast Fort Worth Economic
Development Summit

• Lou K. Brewer, RN, MPH
• Health Director
• Tarrant County Public Health

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 Americas
  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
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
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
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
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
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
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
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