Prevention or Cure Kaye Pulsford Executive Director Preventive

Prevention or Cure Kaye Pulsford Executive Director Preventive Health Branch Department of Health 26 March Royal Society of Queensland

Health of Queenslanders Key achievements: life expectancy premature death rates cancer survival risk factors eg smoking Challenges: high chronic disease overweight and obesity years lived with disability

My health, Queensland’s future: Advancing health 2026 One of four directions: 3

Why do they matter? • 1/3 of total burden of disease can be attributed to risk factor • 15% hospitalisations due to risk factor • Leading risk factors for Qld – tobacco smoking, poor diet, overweight and obesity, risky alcohol, physical inactivity

See big beneath the surface… Photo source: Australian Prevention Partnership Centre

Goal: To increase the proportion of Queenslanders who adopt healthy behaviours and reduce unhealthy behaviours Prevention priorities - Smoking - Overweight and obesity - Skin cancer prevention

2020 Targets - adults Adults 2020 Targets No. needed to reach 2020 targets Reduced daily smoking 10% smoking daily (2014: 14%) 157, 000 fewer adults smoking daily Reduced overweight & obesity 55% overweight or obese (2014: 58%) 114, 000 fewer overweight or obese Improved physical activity 65% physically active (2014: 60%) 217, 00 more adults becoming active Increased fruit consumption 64% eating recommended fruit serves daily (2014: 58%) 231, 000 more adults eating recommended fruit serves daily Increased veg consumption 11% eating recommended veg serves daily (2014: 10%) 41, 000 more adults eating recommended veg serve daily Improved sun protection 24% practicing sun protection behaviours (2015: 22% 87, 000 more adults using 30+ sunscreen, wearing broad brimmed hats and protective clothing 9

2020 Targets Children 2020 Targets No. needed to reach 2020 targets Reduced overweight & obesity 23% overweight or obese (2014: 24%) 47, 000 fewer overweight or obese children Improved physical activity 43% children active every day (2014: 39%) 154, 000 more children active everyday Improved fruit consumption 74% eating recommended 265, 000 more children fruit serves daily (2014: eating recommended 67%) fruit serves daily Improved vegetable consumption 7% eating recommended vege serves daily (2014: 6%) 25, 000 more children eating recommended vege serves daily Improved sun protection 51% practicing sun protection behaviours (2014: 47%) 186, 000 more children using 30+ sunscreen, wearing broad brimmed hats and protective clothing 10

Multi-strategy Approach 1. 2. 3. 4. 5. Public policy and legislation Sector development Social marketing Personal skills development Risk assessment, early intervention and counselling 6. Health surveillance and research

Policy and Legislation • Queensland is increasingly becoming smoke-free • Correctional Centres • Hospital facilities • Public places • Menu labelling • Healthy Food and Drink guidelines

Sector Development • • Child care Schools Universities and TAFEs Workplaces Hospitals and Health facilities Communities Food manufacturers

Social marketing • Fruit and vegetable promotion and community-based initiatives (Colour Wheel campaign) • Personalised messages on healthier eating and getting moving for young people and adults (Healthier. Happier. ) 14

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Early interventions and risk assessment programs • Early detection of Type 2 diabetes and cardiovascular disease (including stroke) • Health Care for healthy weight • Childhood Obesity Clin My Health For Life 16

Chief Health Officer reports https: //www. health. qld. gov. au/cho_report/ 17

Health and Wellbeing Report on Progress

Health and Wellbeing Strat Framework: logic model

Seeks to answer: 6 questions Available at: https: //www. health. qld. gov. au/__data/assets/pdf_file/0037/651799/health-wellbeing-strategicframework-measurement. pdf