Saturday, March 23, 2013

Health Promotion in Utah County- Julia Kelemen



I am from Provo Utah, born and raised, so I contacted Eric Edwards, Director for Health Promotion in the Utah County Health Department. The Director gave me a list of trends he has seen but what I found most interesting is that he emphasized each one as a leading preventative public health issue for the County as well. The trends he mentioned are some of the most common but there are solutions to them that can to be implemented or that are being implemented right now.
1. Social Determinants of Health was mentioned and how impactful the society and environment really are to the communities’ health.  It was mentioned that SDH is a health trend that has become more recognized in countries all across the globe. Eric Edwards referred to it as the “causes of the causes” because it is a factor that underlies many others, health issues can be tied back to circumstances people grew up or were born in.  Just like anywhere the factors include, poverty, access to health care, level of education, and whether or not they have a voice in society. It is evident that there is disparity in all these things within Utah County and the preventative efforts are becoming more and more important because of the evidence available to show how much SDH effects public health.
2. Another health trend mentioned was tobacco use. The lowest rate of tobacco use for the entire nation is in Utah County but that does not mean it is a health trend to be overlooked. It may be a small problem in comparison to other places but it is still the leading cause of preventable deaths. Use of tobacco and its harmful effects are widely known and there are many things already developed and aimed and helped to prevent the use of it. Yet because of this we should be able to prevent even more of its harmful effects on our communities, ideally eliminate all of it.  Some solutions recommended are educating the communities better about health risks as well as cessation resources. Another preventative solution that has great results is Clinicians talking with the patients about getting rid of the habit. It may be an issue that is overlooked but tobacco is an important health trend to be considered and taken care of.
3. Obesity rates was another issue mentioned that is increasing across all ages. Obesity leads to many chronic illnesses which can be prevented by simple means, having healthier diets and encouraging more active lifestyles. The concern mostly addresses by the health professional I spoke with was obesity among children. Many kids have developed Type 2 diabetes at younger ages which used to be uncommon. Type 2 Diabetes used to be known as “Adult Onset Diabetes” but now because of the rate of children who have developed it doctors and clinicians no longer refer to it as such. This again is something that can be prevented early on by helping to make physical activity and healthy eating habits more common in the community.
4. An issue or health trend commonly known particular to Utah is drug abuse and this was evidently on the list. The misuse of prescription drugs is very harmful to the community and it is difficult to control and prevent because they are made so widely available. All throughout Utah there are many that suffer from drug abuse at “near epidemic levels” and said by Eric Edwards. He mentioned this health issue briefly but made it clear that there is still much to be done in order to prevent the misuse of prescription drugs and to stop this harmful trend.  The Utah County Substance Abuse prevention team has been able to decrease the rates of deaths but it is still very large issue.
5. One last public health issue mentioned was Immunizations. Immunizations are one of the greatest achievements for public health and they are all about helping to prevent diseases. The problem is that many do not go and get their vaccinations or they do not stay up to date with what is recommended. The Utah County Health Departments have worked to get the community to see the significance immunizations have but it has been challenging. Efforts to help to the public understand the safety and benefits that come with getting vaccines have been difficult because of the misinformation that has gotten around the community over the past couple years. The prevention is there, it is more about getting the people to use what is available.

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