Heart Disease, Diabetes, Stroke, Cancer, and Injuries are among the top causes of death and disability in Wilson County. Many of these diseases can be avoided by making lifestyle changes and reducing your risk. Does your Company offer wellness programs for its employees? Are you self-insured? Would you like to encourage healthier habits in your community? Community groups interested in consulting with the Health Promotion Team can call and make an appointment 237-3141. (Ask for Health Education). We can offer suggestions and make referrals to the health sources you need to get started on a community-based wellness initiative. NOTE: The Health Promotion Team can visit your health fair or organizational meetings and provide informational lectures on making healthy lifestyle choices. Give us a call 237-3141. Wilson County Health Promotion Coalition Coalition Outline: Public Health focuses on preventive health services including health promotion, disease prevention, and health education. Health prevention and diseae prevention are the primary components of preventive care. As outlined in Healthy People 2010, health promotion encompasses physical activity, nutrition, and tobacco use with educational and community-based programs. Comprehensive prevention encompasses personal, clinical preventive services, community-based interventions, and social policies consistent with preventive services. Prevention activities and services must be the foundation of health reform. Wilson County Department of Public Health was asked to complete two deliverables (a 3-year Strategies Plan/Long Term Plan and Annual Action Plan). In the 3 year Strategies Plan the Health Department faced many challenges transitioning from providing individual services to an environmental and policy focus. A coalition will plan groundwork strategies toward achieving changes to the community environment and policy practices. The coalition will provide the infrastructure for diverse community groups to work together. Through multiple intervention strategies the coalition will conduct assessments, make recommendations and ultimately impact health status of Wilson County. Ultimate Health Outcome Goal for Wilson County: Enhance cardiovascular health and quality of life for Wilson County residents and workers through promotion of healthy lifestyle behaviors (tobacco avoidance, physical activity, and nutrition) and the reduction of risks for heart disease, stroke, and cancer. Ultimate Health Objectives for Wilson County: Impact mortality and morbidity of CVD through community-based CVD prevention initiatives that targets changes in the social and physical environment and changes in health behaviors. Modifying behavior, health risk status and the social and physical environment in which we live can prevent cardiovascular disease and other related health problems (The Burden of Cardiovascular Disease in North Carolina). Ultimate Reduction of Risk factor Goals for Wilson County: Physical Activity *Sedentary Lifestyle 65.1% in Wilson County Goal 1:Improve the health, fitness, and quality of life for all Wilson County residents and workers through the adoption and maintenance of regular physical actvitiy. Poor Nutrition *Overweight 26.5% in Wilson County Goal 2:Promote health and reduce chronic disease risk associated with dietary factors and nutritional status among all Wilson County Residents and workers. Tobacco Use * Current Smoking 26.5% in Wilson County Goal 3:Reduce disease, disability, and death among Wilson County residents and workers related to tobacco use and exposure to secondhand smoek by (1) preventing initiation of tobacco use, (2) promoting cessation of tobacco use, (3) eliminating exposure to secondhand smoke. Other risk factors: Diabetes Goal 4:Reduce mortality rate in Wilson County. NOTE: Prior to conducting a community health promotion problem analysis and needs assessment quantifying risk reduction is limited. Current statistics reported from The Burden of Cardiovascular Disease in North Carolina N.C. Heart Disease and Stroke Prevention Task Force. Program Goal for Wilson County: Increase opportunities for Wilson County residents through physical activity, health food choices, and tobacco avoidance in Wilson County through changes to the physical and social environment. Program Mission for Wilson County: Impact healthy lifestyle behaviors through community-based prevention initiatives that target changes in policy, social and physical environments to promote and improved quality of life for the residents of Wilson County. Guiding Principles for Wilson County: Active involvement of community organizations and priority populations to ensure a community-based approach Focus on population-based strategies which provide for policy and environmental changes Identify and target disparities among population groups Be responsive to community norms Utilize multiple intervention strategies using the Socio-Ecological Model Health Promotion Coalition: Purpose: Through multiple intervention strategies the coalition will conduct assessments, make recommendations and ultimately impact the health status of Wilson County residents. The coalition will plan groundwork strategies toward achieving changes to the community environment and policy practices in Wilson County. The focus will be on promoting physical activity, improving nutrition, and reducing tobacco use. The coalition will provide the infrastructure for diverse community groups to work together. Purpose of Environmental and Policy Strategies: The primary focus of environmental and policy strategies is not to directly change individuals but, instead change our environment(s) to support individual change. Environments can be physical or social. The primary focus of policy strategies is to create healthier environments, but they do not ensure healthier environments. Policies may be public or private. Contact: Barbara Williams Lead Health Promotion Coordinator Wilson County Department of Public Health Health Education Branch 1801 Glendale Drive Wilson, NC 27889 Phone: (252) 237-3141 ext. 696 Fax: (252) 243-0367 Email: bwilliams@wilson-co.com Ultimate Health Objectives for Wilson County: Impact mortality and morbidity of CVD through community-based CVD prevention initiatives that targets changes in the social and physical environment and changes in health behaviors. Modifying behavior, health risk status and the social and physical environment in which we live can prevent cardiovascular disease and other related health problems (The Burden of Cardiovascular Disease in North Carolina). Ultimate Reduction of Risk factor Goals for Wilson County Physical Activity *Sedentary Lifestyle 65.1% in Wilson County National 2010 Objective for NC *Increase to at least 30% physically active Goal 1:Improve the health, fitness, and quality of life for all Wilson County residents and workers through the adoption and maintenance of regular physical activity. Poor Nutrition *Overweight 26.5% in Wilson County National 2010 Objective for NC *Increase to at least 75% eating fruits and vegetables Goal 2: Promote health and reduce chronic disease risk associated with dietary factors and nutritional status among all Wilson County Residents and workers. Tobacco Use *Current Smoking 26.5% in Wilson County National 2010 Objective for NC *Reduce to 13% who use tobacco products Goal 3: Reduce disease, disability, and death among Wilson County residents and workers related to tobacco use and exposure to secondhand smoke by (1) preventing initiation of tobacco use, (2) promoting cessation of tobacco use, (3) eliminating exposure to secondhand smoke. Other Risk Factors   Coronary Heart Disease(leading cause of death) *Total deaths due to heart 28.2% in Wilson County National 2010 Objective 20-1:Reduce coronary heart disease deaths to no more than 51 per 100,000(Age adjusted to estimated Year 2000 U.S. population) Stroke(3rd leading cause of death) *Total deaths due to stroke 9.6% in Wilson County (Top 15 counties in NC) National 2010 Objective 20-14:Reduce stroke death to no more than 16 per 100,000 (Age adjusted to estimated Year 2000 U.S. population) Cancer(2nd leading cause of death) *Total deaths due to cancer 20.2% in Wilson County National 2010 Objective 17-1:Reduce cancer deaths to a rate of no more than 103 per 100,000 people. (Age adjusted to estimated Year 2000 U.S. population) NOTE: Current statistics reported from The Burden of Cardiovascular Disease in North Carolina, N.C. Heart Disease and Stroke Prevention Task Force 1997 and State Center for Health Statistics. WEBPAGE RESOURCE LINKS: BeActive NC Start With Your Heart Health Promotion Coalition Membership Wilson Parks and Recreation Wilson Memorial Hospital Wilson Family in Action Wilson County NC Cooperative Extension American Heart Association Wilson Daily Times Wilson Community Health Center Wilson Mental Health Association Wilson Safe Communities Ladies Workout Express Wilson Chamber of Commerce United Way of Wilson County Wilson Community Council Wilson Volunteer Action Center Y.O.U.T.H. of Wilson Office of Senior Citizens Affairs Wilson County Public Schools Wilson County Public Library American Heart Association Wilson County Manager's Office Wilson EMS Wilson County Department of Social Services Wilson Community College Wilson County Housing Authority Wilson Physical Therapy (YMCA)