Get Healthy DC!
“There
are many different types of disadvantaged neighborhoods in America,
but poor urban minority neighborhoods seem to be especially
unhealthy. Some of these neighborhoods have the highest mortality rates
in the country, but this is not, as many believe, mainly because of drug
overdoses and gunshot wounds. It is because of chronic diseases -- mainly
diseases of adulthood that are probably not caused by viruses, bacteria
or other infections and that include stroke, diabetes, kidney disease,
high blood pressure and certain types of cancer.”
GHETTO MIASMA; Enough To Make You Sick?
By Helen Epstein
Over
half of adult District residents qualify as overweight, and nearly
one quarter qualify as obese. The links between obesity and disease
are
reflected in the top five chronic diseases that affect District residents:
hypertension (25 percent of population), asthma (10 percent), diabetes
(8 percent), heart disease (5 percent), and cerebrovascular disease (3
percent). Obesity and associated chronic diseases cost the city over
2 billion dollars annually in medical costs.
The
Carl Vogel Center (CVC) created Get Healthy DC!, to address obesity
and chronic disease in
the District of Columbia. Our strategies to reduce
barriers to the identified target populations include encouraging DC
residents who go untested to receive a health screening by providing
intensive outreach and dialogue about obesity and chronic disease;
offering a one-stop low barrier screening on an array of diseases so
individuals
are easily able to obtain a range of test results; providing ongoing
education to target populations to prevent diabetes, hypertension and
obesity; providing a care coordinator so that services are well coordinated
and follow-up occurs; and training peer educators to develop community-based
capacity to maintain health gains.
The greatest
opportunity to halt the obesity epidemic lies in empowering the community
to respond to their
health needs. Residents can collectively
work together to promote the social and environmental conditions
that favor healthy eating and physical activity and that prevent overweight
from occurring in the first place. One of the main goals of Get Healthy
DC! is to develop community capacity— that is to determine
what the challenges are in the community, how to fix the problems,
generate
or redirect resources, and implement community-devised solutions
to obesity and chronic diseases.