power point presentation

Heart Disease as the Number One Leading Cause of Death in the District of Columbia

Overview: Nation’s Capital

The District of Columbia serves as the capital of the United States.

It houses the Capitol, the Center of Government, as well as the Senate and Congress (DCHealthMatters, 2019).

★ Geographic Details:

❖ DC’s  area covers 176.76 square kilometers. It is located in the South region, South Atlantic division.

★ The Population Landscape:

❖ As of 2019, DC had a population of roughly 710,893 habitants.

❖ An increase of 18.1 % since 2010 (DCHealthMatters,2019).

❖ 45.2 % correspond to African Americans

❖ White 41.5%

❖ Asian 4.2%

❖ Latino 11.7%

❖ American Indian/Alaskan Native 0.4%

❖ Other race 5.2%

❖ DC is considered the second youngest population in the nation (DCHealthMatters,2019).

❖ Females encompass 52.5% and males 47.5%

❖ Median age of 34.6 years (DCHealthMatters,2019).

❖ Living below poverty level accounts for 16.8 % (Data USA, 2018).

Community Analysis And Health Concerns

❏ DC is broken down into eight wards of pretty near equal population size

❏ DC has a fairly large community of immigrants

❏ Many of whom emigrated from Ethiopia and El Salvador

❏ Residents with lower socioeconomic status often die younger

❏ Due to experiencing poor health than those with more economic power.

According to the CDC (2018), in 2017 DC top leading sources of death were:

❖ Heart disease was ranked number one causing 1,284 deaths.

❖ Cancer

❖ Accidents

❖ Stroke

❖ Diabetes

❖ Chronic lower respiratory disease

❖ Alzheimer’s disease

❖ Homicide

❖ Flu/Pneumonia

❖ HTN

Risk Factors

Recent report from DC Health Matter (2019) on Ward 8 population:

❖ Tobacco use is at 15.6%

❖ Alcohol consumption is at 6.1%

❖ Adults who are overweight 70%

❖ Adults with DM 14.5%

❖ Adults with HTN

❖ Closure of hospitals

❖ Threats to immigrant health

❖ Opioid abuse

 

Evaluation Cont...

●  HP 2020 will serve as the baseline for weight and activity

○  Target: Obesity < 30.5%

○  150 min light activity/75 min Vigorous

■  > 20.1% (HP,2020)

●  Goal: 10% average improvement (weight/activity) over the baseline annually

●  Monthly check in to monitor progress and evaluate effectiveness of interventions

●  Mailed feedback forms and health assessments

Community Resources

DC Million Hearts Program

Community Resources

One organization that the DC Million Hearts Program assists with is DC-PACT (Positive Accountable Community Transformation).

MedStar Health Cardiac Rehabilitation

MedStar Health Cardiac Rehabilitation

Some benefits of this program are:

❏ Improved quality of life, stamina, endurance, and overall strength.

❏ Reduced risk of future heart events, hospital stays, and other heart-related complications.

❏ Emotional support and decreased stress during recovery.

There is also a Medical Fitness program available which is a medically supervised exercise program for individuals that complete the Cardiac Rehab program for a fee of $30 per month.

Community Resources

From 2014-2015, the DC Department of Health and partners were able to increase the number of health care systems represented in the program’s population-level monitoring database from nine to 20 (CDC, 2020). This was a significant increase from 17% to 40% of all health care systems in DC.

A few websites that heart patients can go to for more resources about lifestyle programs in the Washington D.C. area are:

https://www.medstarheartinstitute.org/programs/cardiac-rehabilitation/

https://dchealth.dc.gov/service/heart-disease-and-stroke-prevention-and-care

https://www.heart.org/en/news/guidelines-resource-center

https://www.cdc.gov/wisewoman/docs/ww_brief_partnership_development_lifestyle_programs.pdf

References

Cardiac Rehabilitation. (2019). Retrieved October 21, 2020, from https://www.medstarheartinstitute.org/programs/cardiac-rehabilitation/

CDC (2020). A Public Health Action Plan to Prevent Heart Disease and Stroke. Retrieved from https://www.cdc.gov/dhdSP/action_plan/pdfs/action_plan_full.pdf

CDC (2018).Stats of the District of Columbia. https://www.cdc.gov/nchs/pressroom/states/dc/dc.htm

Council of the District of Columbia (2020). Trayon White, Sr.Councilmember for Ward 8. https://dccouncil.us/council/councilmember-trayon-white-sr/

DATA USA (2018). Washington, DC. https://datausa.io/profile/geo/washington-dc/#health

DC Health Matters (2019). Community health needs assessment District of Colombia, 2019. https://www.dchealthmatters.org/content/sites/washingtondc/2019_DC_CHNA_FINAL.pdf

DC Health Matters (2020). Demographics : Ward 8. https://www.dchealthmatters.org/demographicdata?id=13149

References

DC Healthy Start. (n.d.). Retrieved October 21, 2020, from https://dchealth.dc.gov/service/dc-healthy-start

DC Million Hearts Program: Background and Resources. (2018, June 20). Retrieved October 20, 2020, from https://www.cdc.gov/dhdsp/evaluation_resources/dc_p2.htm

Healthy People (2020). Nutrition, Physical Activity, and Obesity  https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Nutrition-Physical-Activity-and-Obesity/data

Million Hearts. (n.d.). Retrieved October 20, 2020, from http://www.dcpca.org/million-hearts

Nies, M. A., & McEwen, M. (2019). Community/public health nursing: Promoting the health of populations (7th ed.). Saunder

The District of Columbia Department of Health (2013). District of Columbia community health needs assessment, vol. 1. https://doh.dc.gov/sites/default/files/dc/sites/doh/page_content/attachments/2nd%20Draft%20CHNA%20(v4%202)%2006%2004%202013%20-%20Vol%201.pdf