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
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
Oklahoma Tobacco Settlement Endowment Trust
(2000- present)
Minnesota State Health Improvement Plan
(2008-present)
Massachusetts Prevention and Wellness Trust
(2012-2016)
FUNDING SOURCE
Earnings from Tobacco Master Settlement Agreement funds.
FUNDING AMOUNT
RECIPIENTS
RESULTS
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.
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.