©2018 by California Alliance for Prevention Funding.

Making Prevention Possible

Good quality health care is essential for all Californians to have long, healthy lives.  By investing in creating healthier communities that prevent chronic disease, injury, and inequitable health conditions, we keep people from needing care in the first place, improve lives, and make healthcare dollars go further.

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Growing Dollars for Prevention: a California Wellness Trust Webinar

View the full presentation with details about the proposal, examples of successful local prevention initiatives and concrete steps you can take to make a California Wellness Trust a reality.

CHRONIC DISEASE AND INJURY IN CALIFORNIA 

Burden of preventable illness and death costs $billions in California

28,757,130

number of cases of the top six chronic conditions  in 2010.

$98 BILLION

spent on the top six chronic conditions

  in 2010.

18,152

number of  deaths due to injury in 2014.

$20 

Billion

in lifetime costs for injuries. $538 for every resident.

Unhealthy environments drive

health inequities

1 out of 5

children live in poverty

Low-income communities and communities of color have a greater burden of 

chronic disease & injury

due to historical injustices and:

  • limited access to physical activity

  • unhealthy food environments

  • unsafe streets

  • aggressive marketing of harmful products

  • lack of affordable housing

  • high unemployment & poverty

PREVENTION SAVES LIVES AND MONEY

Restrictions on marketing of unhealthy food and beverages to children would prevent 129,000 children from becoming obese nationally and save $31 in health care costs for every dollar invested over ten years.

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Investing in trails for walking and cycling, changing zoning  to promote their construction, and funding programs to promote active transportation can save money. In one study the annual cost per trail user was $235 while the per capita annual health care cost of physical inactivity was $622.

 

Exercise programs for seniors can reduce injuries from falls. Fall prevention community programs cost $100 to $200 per participant and save on average from $346 to $634 per participant in health care costs from avoided falls.

RETURN ON INVESTMENT

$7.40

amount saved per dollar invested by comprehensive programs that use multiple public health prevention strategies to achieve synergistic effects. Evaluation found that $2.50 invested in these programs per person, per year, would realize a return of $7.40 over an 11 year period.

STATE WELLNESS TRUSTS IN ACTION

$46 million

in 2016

($11.70 per capita)

Local health departments, community-based organizations, schools, and research centers through sustained direct allocations and competitive grants. 

Fund covers 94% of population.

Smoking declined 32% among adults and 45% among youth from 2001-2016, ten times faster than similar states, with $1.2 billion in direct medical costs for tobacco avoided. Research centers attract $3 for every $1 invested.

Tax on healthcare providers and health insurance premiums.

$35 million

bi-annually in 2015

($3.20 per capita)

All local health departments and tribal partners through sustained direct allocations. 

Fund covers all counties.

Smoking declined 31% among 11th graders from 2013-2016. Adult smoking declined 31% between 1999-2014. Adult obesity now firmly below neighboring states. Increased access to healthy food and physical activity for 339,000 students from 2013-2015.

One time fee on large public hospital systems and insurers.

$57 million

over 4 year pilot

($2.10 per capita)

Nine regional partnerships of clinical providers and community agencies through competitive grants. 

Fund did not reach entire state.

Pilot reached over 372,000 people. Decline in prevalence of pediatric asthma. Decrease in number of and hospitalizations for senior falls. Increase in controlled and treated hypertension. Reduction in blood pressure.

PROGRAM

FUNDING SOURCE

Earnings from Tobacco Master Settlement Agreement funds.

FUNDING AMOUNT

RECIPIENTS

RESULTS

Contact Us

@ The Public Health Institute

510-285-5741

555 12th St, 10th Floor
Oakland, CA 94607

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