june 6 th, 2013 aruba bermuda perspective the hon. patricia gordon-pamplin jp,mp minister of health...
TRANSCRIPT
High Level Meeting on Childhood Obesity
June 6th, 2013Aruba
BERMUDA PERSPECTIVE The Hon. Patricia Gordon-Pamplin JP,MP
Minister of Health and Seniors
Island of 21 square miles in mid-Atlantic Ocean (700 miles east of North Carolina, USA)
UK Overseas Dependent Territory
Population: 64, 237 residents * 50, 565 Bermudians* 13, 516 Non-Bermudians* 11,492 approx. visitors
* 22% population under age 20
Racial Composition: 54% Black, 31% white, 4% Asian, ~ 11% multi- racial
Bermuda demographics (2010 census)
Industries: finance, insurance and re-reinsurance, tourism
Median annual income: $106, 389 BMD
Household Expenditures:* Bread or Milk = $6* 1 apple = $1.30* Average home costs nearly $1 million* Average monthly rent $1700 (one bedroom)
Inflation rate 2.1 % (March 2013) Health & Personal care increased 7.7 %
Educational attainment: 29% four years college degree, 38% high school completion; 23% two years technical or vocational school, 8% no high school diploma
Demographics cont’d (2010 census)
Vision: “Healthy people, in healthy communities”
Ministry of Health and Seniors Mission:To serve as the Policy Directorate for Bermuda’s Health System
Department of Health Mission:To promote and protect the physical, psychological and social well being of the community, to enable the island’s residents to realize their optimum quality of life.
Bermuda’s Health Vision & Mission
“Epidemic” levels of diabetes, overweight & obesity in adolescents and seniors (Health in Review, 2011)
School Health Assessments:63% normal BMI31% BMI > 85% centile (overweight)
6% below 5th centile steady 5-year trend upward
The Problem
Complications of Overweight and Obesity:
Heart disease : Leading cause of death; 41 % all deaths in Bermuda (2006)
Diabetes: rate at least 13% (Highest in OECD, twice OECD average, 6.3%) Hypertension: ↑ 25% to 36% in 5 yrs. 18-34 yr. age group doubled to 13% Kidney failure: $24 mil/year spent on dialysis in Bermuda
Health impact
Health promotion & education
Healthy Policy development
Collaboration with public and private
partners
Strategies
1. Well Bermuda: National Health Promotion Strategy Healthy Weight Action Plan
* Move More Bermuda! * Celebrating Wellness * Childhood Wellness Action Group
2. Healthy Schools: Comprehensive School Health Program
3. Community Collaborations—there are many
Interventions
What is the Well Bermuda Strategy?
National Health Promotion Strategy
A unifying vision and voice
A point of convergence for health promoters
Well Bermuda Themes & GoalsHealthy People: Diseases & Conditions
Healthy Weight, Heart health, Cancer, Diabetes, Kidney Disease, Sexual health, Asthma and Mental Health
Healthy Families: Population Groups
Parenting, Childhood, Seniors and Disability
Healthy Communities: Environment
Vector control, Smoke and drugs, Road safety, Stopping the Violence, Respect for the environment, and Emergency preparedness
Comprehensive School Health Program Since 1997, is a partnership between the Ministry of Education and the Department of Health. Coordinates school health services, programs and initiatives provided by the government and community health partners, thus reducing gaps and duplication. Promotes health through eight interrelated components of health (CDC model for school health): Health Education; Physical Education; Health Services; Nutrition Services; Counseling, Psychological and Social Services; Healthy & Safe School Environment; Health Promotion for Staff; and Family, Parent and Community Involvement.EvaluationAnnually, assesses 33/34 schools’ level of compliance to all school health policies and relevant Bermuda Laws through the Healthy Schools Components and Standards.
Healthy Schools
Engagement with Bermuda Diabetes Association, Bermuda Heart Foundation, Bermuda Cancer & Health Centre, Child & Family Services, Bermuda Police Service, Child & Adolescent Services, Department of Youth, Sport & Recreation, Department of Drug Control, Churches, Insurance companies,….
Well Bermuda Partners and Community Collaboration
Research: STEPwise approach to chronic disease risk factor surveillance (WHO/PAHO supported)
Enhanced community assessments: * Agree on definitions * Increase number of children assessed for obesity / overweight * Implement Global School-based Student Health Survey Policy Changes: * Advocate for a Healthy Environment * Mandate Physical Education Curriculum * Advocate Baby Friendly culture: Protect and support Breastfeeding * Standards of Health Care: Improve prevention and standardize health messages
Looking Ahead…