Mission Statement

Contra Costa Health Services cares

for and improves the health of all

people in Contra Costa County, with

special attention to those who are

most vulnerable to health

problems.

Rate of Childhood Asthma HospitalizationContra Costa 2002-2004

12.3

49.0

13.3 13.017.0

0.0

10.0

20.0

30.0

40.0

50.0

60.0

White AfricanAmerican

Latino Asian Countywide

Rate per 10,000

Overweight Children in Richmond

Source: California Physical Fitness Test 2006-07, Census 2005

U.S. Obese Adults (20-74 years old): 1960-2004

0

5

10

15

20

25

30

35

40

1960-1962 1971-1974 1976-1980 1988-1994 1999-2000 2001-2002 2003-2004

Per

cen

t

Source: National Center for Health Statistics, Health, United States, 2006.

Notes: Data include the civilian non-institutionalized population and are from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Examination Survey and National Health and Nutrition Examination Survey. Estimates are age-adjusted to the 2000 standard population using five age groups: 20-34 years; 35-44 years; 45-54 years; 55-64 years; and 65-74 years. Obese is defined as a BMI greater than or equal to 30. Pregnant women 20 years of age and over were excluded in all years.

Overweight 5th GradersContra Costa, 2002-2004

35.8*38.2*

22.1 19.7

27.5

0

10

20

30

40

50

African American Latino/Hispanic Asian White Countywide

Percent

Fast Food Restaurants 61%

Convenience Stores 22%

Supermarkets 13%

Produce Stores 2%

Farmers Markets 2%

Retail Food Environment Index

Source: California Center for Public Health Advocates, January 2007

Influencing policy and legislation

Fostering coalitions and networks

Changing organizational practices

Educating providers

Promoting community education

Strengthening individual knowledge and skills

Mobilizing neighborhoods and communities

Assuring access to quality health care

Integrated Spectrumof Prevention

In the long run, improving population health requires universal health

coverage delivered through organizedhealth systems, coupled with

effective and adequately fundedpopulation environmental interventions

focused on the broadEnvironmental Determinants

of Health (EDH)