Emphasizing
the value of data and importance of building coalitions,
Brenda Fitzgerald, M.D., commissioner of the Georgia
Department of Public Health, told attendees of the inaugural
State of Public Health Conference the state's broader public
health status is trending in the right direction.
The
conference brought together more than 200 representatives
from public health, primary care and academic and business
communities to discuss the various public health challenges
facing Georgia. Hosted by the Georgia Public Health Training
Center at the University of Georgia, the conference featured
several interactive, solution-driven workshops tackling a
variety of key public health issues in the state.
Fitzgerald
said the conference was a clear signal of the level of
support for advancing a positive public health agenda in
Georgia.
"The final
analysis is that we are ready to soar, and this inaugural
conference is pretty indicative of that," Fitzgerald said.
"That's because a lot of people know that we can help
determine where Georgia can go as far as our health. This
conference will develop an actionable plan to outline what
we can do to move forward so we can improve the health and
protect the lives of every single person in Georgia."
Fitzgerald's
speech focused on the successes DPH has had during the past
two years. One of its early success stories is the state's
reduction in its infant mortality rate from 8.4 percent in
2006 to 6.3 percent today. Fitzgerald said the state relied
on its existing data to identify the roots of the problem,
then assembled a coalition of multiple partners to determine
how to use that data to address the problem.
The state
mapped out one-square-mile grids of where the mothers lived,
factored in various pieces of relevant data and examined
instances of infant mortality in those grids. Fitzgerald
said one piece of data that stood out during the initial
analysis was that in 2009, Georgia had an elective premature
(pre-39 weeks of pregnancy) birth rate of 65 percent.
She said
children born prior to 39 weeks have more respiratory
issues, higher rates of stay in neo-natal intensive care,
higher instances of antibiotic use and even lower
standardized test scores than those born 39 weeks or later.
Working with multiple partners, including the March of
Dimes, DPH worked to share the data with the medical
community and the public and, as of September 2012, the
state's elective premature rate had plummeted to 4.5
percent.
Fitzgerald
also shared initial findings from Gov. Nathan Deal's SHAPE
initiative, designed to combat childhood obesity in Georgia.
As part of SHAPE, children in Georgia must take a physical
activity assessment, known as a FitnessGram, measuring their
level of fitness.
She said
only 16 percent of schoolchildren in Georgia were able to
pass the test's most basic parts, while 20 percent were
unable to pass any portion of the FitnessGram.
Fitzgerald
announced her department, in collaboration with the UGA
College of Public Health and the state's Department of
Education, will work with all of Georgia's elementary
schools to increase physical activity by adding 30 minutes
of activity into the classrooms each day.
"What
Georgia has to do is not just have the state do certain
things like change rules for schools lunches," Fitzgerald
said. "We need every segment of society to make some
changes, and that includes changing what we do, what our
children do, what our parents do, what our schools do and,
ultimately, what society does. I'm convinced we can do it."
Earlier in
the day, Tyler Norris, vice president of total health
partnerships at Kaiser Permanente, called on conference
attendees to emphasize how public health can not only boost
societal health, but also educational performance and
economic development.
"We have to be transpartisan in this environment," Norris
said. "We need to focus on health and prosperity, not
partisanship and divide, and doing so will help us get
beyond the toxicity of Washington, D.C. for some real
change."