BOH minutes 062619 - Laserfiche WebLink

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH June 26, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ June Page 2 3.0. Below are some highlights. • Public Health 1.0 – Late 19th to 20th Century o The 1st wave of public health preventative services emerged during this period. The goal was to prevent and reduce communicable diseases by use of vaccinations, chest x-rays, clinical inspections, etc. o Mobile vans were used as a method to deliver vaccinations to people. o In the 1960 state budget, only 9% of the budget was allocated to health care. o During this period, epidemiology and laboratory science was expanded, food and water safety was improved and systemized sanitation introduced. • Public Health 2.0 – 1980s to Now o The 10 essential health services emerged during this period. The goal was to promote and contribute to the highest level of health possible by way of policy development and patient education. o The Community Health Assessment became a standard. Accreditation, policies and prevention, management and treatment of diseases were the focus. Performance standards were established. o In the 1990 state budget, the health care budget doubled from 30 years prior to 18% of the budget. • Public Health 3.0 – Now to the Future o The goal is to address the determinants of health by screening for unmet health- related resources such as food insecurity, housing and transportation. o Fiscal year 2020 state budget allocates 32% of state spending to health care. o To strategically address the public’s needs, we should:  act as Chief Health Strategists,  engage with cross-sector partnerships,  ensure that every person is served by a nationally accredited health department  provide quality data and clear metrics so that all partners (school systems, public safety, etc.) can understand the data, and  enhance funding. • Evolution of the Public Health System o Traditional Clinical Prevention  Examples include preventive services such as routine health screenings, weight monitoring, scheduled immunizations. o Innovative Clinical Prevention  Examples include health fairs, workplace health assessments. o Community-wide Prevention  Examples include thinking about the policies, being held to certain standards, ecology, pollution, living wages. • Health determinants compared to health spending in the U.S. • When determining one’s health status in the US: o Environment equates to 36% o Medical care equates to 11% o Genetics/biology equates to 22% o Social circumstance equates to 24% o Individual behavior equates to 7% • When comparing the elements that determines one’s health status to the percentage of spending in the US: o Environment equates to 5% o Medical care equates to 60%