FOR IMMEDIATE RELEASE

Dramatic expansion of state public health system benefits all Nebraskans

In 1889, the first City Health Department in Nebraska was established in Lincoln. Nearly 30 years later, in 1917, the Nebraska State Department of Health was founded. By 1950, both Lancaster and Douglas counties had established county health departments. But in 2000, at a time when most Midwestern states had well-established statewide public health systems, only 22 of Nebraska's 93 counties were served by local health departments.

Now, only two years later, work is in progress to establish local health departments throughout the state. Why the sudden turnabout? Thanks to the Nebraska Legislature's allocation of $11.2 million from the Nebraska Tobacco Settlement Fund, Nebraska is making strides toward creating the type of public health system many states have taken for granted for decades. For an updated list of local health departments, check the Public Health Association of Nebraska website at www.publichealthne.org.

Because Nebraska has been without a statewide system for so long, many residents are uncertain how public health services impact them personally. Pat Lopez, MSN, RN, and president of the Public Health Association of Nebraska, said, "Most people think that public health systems focus on providing health care services for lower-income populations. While many times we do provide those types of services, our true focus is on the assessment of health issues, the development of public health policies, and the assurance that all Nebraskans have access to public health services. From air, water, and food quality to behavioral lifestyle issues, we are working very hard to improve the health and quality of life for all Nebraskans. And without a strong statewide network, we will be unprepared to effectively handle significant outbreaks of contagious diseases or to respond to environmental or biological threats."

In addition, the local health departments can provide a wide range of information and education on important health issues such as:

  • Reducing your risk of developing diabetes.
  • Identifying if you are at risk for coronary heart disease.
  • Raising healthy children, from conception to maturity.
  • Informing and helping people to stop smoking.
  • Educating about healthy lifestyles and eating habits.

Nebraska's public health system addresses many issues from teen pregnancy and drug/alcohol education to obesity, cancer,and heart disease. While public health initiatives have made significant strides improving the public health, we still face substantial challenges.

The introduction to the Nebraska 2010 Health Goals and Objectives, which is anticipated to be released in the spring of 2002, states:

During the last decade, a great deal of progress was made in improving the health of Nebraskans. For example, death rates for coronary heart disease have declined. Significant progress has been made in diagnosing and treating cancer and in reducing the rate of teen pregnancies. The proportion of preschool children who have received recommended vaccinations has increased dramatically. More children under age five are buckled into car seats or safety restraints when riding in a motor vehicle, and more adults report using seatbelts.

Still, diabetes-related deaths continue to rise in Nebraska. The prevalence of obesity has reached a new high in the state, and more than one-quarter of adults do not participate in any physical activity in their leisure hours. Binge drinking and cigarette smoking rates among adolescents have increased. Infant mortality and low birthweights continue to be much higher for some racial and ethnic minority groups than for white Nebraskans.

A closer look at some of Nebraska's leading causes of death as reported in the Nebraska 2010 Health Goals and Objectives and the Nebraska Health and Human Services System website reveals a myriad of public health issues that touch nearly every Nebraskan.

Coronary Heart Disease
Nebraska's leading killer

Although the coronary heart disease (CHD) mortality rate declined by 25 percent in Nebraska between 1990 and 1998, it continues to be the leading cause of death in Nebraska and the nation. Over 4,000 deaths from CHD occurred among Nebraska residents in 2000. The chances of developing CHD can be reduced by controlling blood pressure and cholesterol, by staying physically active, and by not using tobacco.

Diabetes
On the rise at all ages

Diabetes-related deaths in Nebraska have risen nearly 15 percent from 1989 to 1998. And more children than ever are developing diabetes, including a substantial increase in children with Type 2 diabetes, previously found almost exclusively in older, overweight and sedentary adults.

Obesity
Up 75 percent in ten years!

Obesity and obesity-related conditions claim nearly 300,000 lives each year in the U.S. Among preventable causes, only smoking kills more Americans. In 1999, over 20 percent of Nebraskans were obese, up 75 percent from ten years ago!

Cancer
On the decline, but still deadly

Cancer is the second leading cause of death in the United States and in Nebraska. There were over 3,000 deaths attributed to cancer in Nebraska in 2000. Of all cancers, lung cancer is the leading killer for both men and women. Mortality rates for breast cancer and prostate cancer have decreased substantially in the last decade. Still, prostate cancer is the second leading cause of cancer deaths in men, and breast cancer the second leading cause of cancer deaths in women, both across the U.S. and in Nebraska.

Tobacco
Twenty-three percent still use tobacco

Even in the face of extensive education efforts, data shows that the prevalence of current cigarette smoking among Nebraska adults has changed little over time, with rates of 24 percent reported in 1987 and 23 percent in 1999. In comparison, according to the 1999 Youth Risk Behavior Survey, the prevalence of current cigarette smoking among Nebraska's 9th through 12th graders has shown a slight increase over time, from 34 percent in 1993 to 37 percent in 1999.

In March 2000, the Nebraska Legislature directed $7 million per year for three years to the Tobacco Free Nebraska Program to conduct a comprehensive tobacco control and prevention program. The program operates according to the "best practices" advised by the CDC and has four basic goals:

  • To prevent the initiation of tobacco use among young people
  • To eliminate exposure to environmental tobacco smoke
  • To identify and eliminate disparities related to tobacco use and its effects among different population groups
  • To promote quitting the use of tobacco among adults and youth

Infant Mortality
Lowest in state history

A total of 162 infant deaths occurred among Nebraska residents in 1999, resulting in a mortality rate of 6.8 infant deaths per 1,000 live births. This rate is the lowest ever recorded in the state's history, yet the five-year average infant mortality rates for African Americans in Nebraska were more than double the rate for white infants.

To find out more about Nebraska's public health system, visit the Public Health Association of Nebraska website: www.publichealthne.org.

 

CONTACTS:

Pat Lopez, President
Public Health Association of Nebraska
402-441-8057
plopez@ci.lincoln.ne.us

Bruce Dart, President-Elect
Public Health Association of Nebraska
402-441-8001
bdart@ci.lincoln.ne.us

David Corbin, Ph.D., APHA Affiliate
Public Health Association of Nebraska
402-554-3237
dcorbin@unomaha.edu

Rita Parris, Marketing Director
Public Health Association of Nebraska
402-483-1039
PublicHealthNe@cs.com

 

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FOR IMMEDIATE RELEASE

Public Health:  Extending Life Expectancy Expanding in Nebraska

Today people are living longer than ever before. In 1900, the life expectancy for the average American was under 45. Now it's in the upper 70s. According to the Centers for Disease Control and Prevention, this 30-year life span increase is due, in large part, to public health initiatives. Five of those years can be attributed to improvements in drugs and medicine. The other 25 years are the result of public health initiatives such as vaccination, sanitation, chlorination, and pasteurization.

Public health provides broad protection in areas affecting our entire population--assuring that our air, water, and food supplies are clean and protected from disease and contamination.

Nebraska public health system expanding

In Nebraska, your local health department works with other organizations to address a broad range of health issues. Nebraska is in the process of expanding its statewide public health system. Prior to 2001, only 22 of Nebraska's 93 counties were served by local public health departments. By the end of 2002, nearly all of Nebraska's counties will have access to a local or district health department.

This expansion is funded by an $11.2 million allocation from the Nebraska Tobacco Settlement Fund. These funds are available to counties to develop and enhance local health departments. Visit www.publichealthne.org for updated information on local health departments.

Essential services of public health

As Nebraska expands its public health system, it will be following national recommendations in the development of policies and services. These recommendations use the broad-based essential services of public health to provide the framework for an integrated public health system.

  • Monitoring health status to identify community health problems, including disease surveillance and trend analysis, patterns, and cycles of disease.
  • Investigating and diagnosing health problems and health hazards in the community, such as communicable diseases, environmental problems, and disease detection and monitoring.
  • Informing, educating, and empowering people regarding health issues.
  • Mobilizing community partnerships to identify and solve health problems.
  • Developing policies and rules that support individual and community health efforts.
  • Enforcing laws and regulations that protect health and the environment, and ensure safety.
  • Linking people to needed medical and mental health services and assuring the provision of healthcare when otherwise unavailable.
  • Assuring a competent public health and personal health care workforce through licensing and standards.
  • Evaluating the effectiveness, accessibility, and quality of personal and population-based health services with assessments and surveys.
  • Researching new insights and innovative solutions to health problems.

For more information on public health issues and services in Nebraska, visit the Public Health Association of Nebraska website: www.publichealthne.org.



CONTACTS:

Pat Lopez, President
Public Health Association of Nebraska
402-441-8057
plopez@ci.lincoln.ne.us

Bruce Dart, President-Elect
Public Health Association of Nebraska
402-441-8001
bdart@ci.lincoln.ne.us

David Corbin, Ph.D., APHA Affiliate
Public Health Association of Nebraska
402-554-3237
dcorbin@unomaha.edu

Rita Parris, Marketing Director
Public Health Association of Nebraska
402-483-1039
PublicHealthNe@cs.com

 

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