January 27 2016 LCHCCA DRX CA Why is Health a Matter of Justice Food Security Parks amp Recreational Space The Natural Environment Safe Neighborhoods Hope amp Efficacy Social Connectedness ID: 610863
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Xavier Morales, Ph.D., MRP
January 27, 2016
@LCHC_CA
@
DRX_CASlide2Slide3
Why is Health a Matter of Justice?Slide4
Food SecurityParks & Recreational Space
The Natural Environment Safe NeighborhoodsHope & EfficacySocial ConnectednessCultural IdentityAccess to Transportation & Active Transportation OptionsAffordable & Safe HousingAggressive Marketing of Unhealthy Products and ServicesCommunity InfrastructureEconomic JusticeEducational EquityEquitable Health Care AccessImmigration StatusSocial Determinants of HealthSlide5
Impact of Type 2 Diabetes
Today, nearly 14% of adults in California are estimated to have diabetes (diagnosed and undiagnosed) Another 41% of adult Californians are estimated to have prediabetes.15-30% of people with prediabetes are expected to develop diabetes within five years. According to the American Diabetes Association, the risk of diabetes is 77% and 66% higher among African Americans and Latinos, respectively, than among white Americans. Latinos and African Americans are 1.5 to 2 times more likely to die from diabetes than whites. Slide6
Type 2 Diabetes’ Discriminating Taste
Source: California Office of Statewide Health and Planning Development, 201127%White 39%Asian American, Pacific Islander 39%African American
43%
Latino CA Hospital Patients with Diabetes 40.3%American Indian & Alaskan NativeSlide7
The Urgency: Leading Causes of Deaths Among Latinos
Among Latinos, heart disease, cancer, stroke, and diabetes account for over half of all deaths.Source: CDC Deaths: Leading Causes for 2010Slide8
Diabetes, Amputations & PovertySlide9
Amputations and Diabetes
Source: Journal of Military and Veterans' Health and California Healthline
1,407 amputations to US soldiers fighting in Iraq and Afghanistan
over 10 years
13,000 amputations annually in California; 130,000 over 10 years!Between 2003 and 2013…. Slide10
California Cost of Type 2 Diabetes
Source: American Diabetes AssociationThe economic cost of diagnosed diabetes in California, the state with the largest diabetic population, is $37.1 billion per year.Slide11Slide12
Lifetime Risk of Developing Diabetes
1 in 2 Latino and African American kids will now develop diabetes in their lifetime!Source: CDC Diabetes ResourcesSlide13
AB XXXX (Bloom): The Healthy California Fund
Create a dedicated revenue source to comprehensively address the diabetes crisis we are experiencing in California—especially in our communities of color. Fund the revenue source through a 2 cent per ounce health impact fee on the distribution of sugary drinks in California. Invest the anticipated $3 Billion in a comprehensive efforts to address the complex roots of diabetes.Target investment to the zip codes that have the highest rates of diabetes. Slide14
Co-Sponsors
California Rural Indian Health BoardLatino Coalition for a Healthy CaliforniaCalifornia Black Health NetworkAsian Pacific Partners for Empowerment and LeadershipCalifornia Primary Care AssociationAmerican Heart Association Public Health InstituteCalifornia School Based Health AllianceRoots of ChangeSlide15
Revenues will fund:
Nutrition EducationPhysical ActivitiesWater StationsFarm to TableOral HealthCommunityClinicsSchoolsCounty Health DepartmentsActivities and Programs SettingsAt least 60% of the Revenues will go to the zip codes with the highest rates of diabetes!Slide16
The Fee is Levied on Distributors
Excise
tax: A tax on the companies that distribute sugary drinks.$Slide17
It’s Working in Mexico
7%10%13%Slide18
Mexico: Same Trucks, Different Drinks
SUGARY
SUGARY
LOW SUGARLOW SUGARWATERWATERBeforeAfterSlide19
Funding to Prevent Diabetes at its Roots
$3 billionevery yearto help keep us healthy in California Slide20
Arguments against
Job killerRegressiveNanny stateWill hurt small businessWhy are we picking on soda?Slide21
Example in Berkeley! $2 million/yearSlide22
¡Gracias!
Si desea obtener más información: www.lchc.org
@LCHC_CA
Latino Coalition for a Healthy California