The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon...

25
The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service The Promotion of Collaboration in Public Health

Transcript of The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon...

Page 1: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

The Fourth Annual John Horder Lecture

James M. Galloway, MD, FACP, FACC, FAHA 

Assistant Surgeon GeneralRear Admiral, U.S. Public Health ServiceProfessor of Clinical Medicine, Northwest University

The Promotion of Collaboration in Public Health

Page 2: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

The Promotion of Collaboration in Public Health

DISCLOSURE INFORMATION:

James M. Galloway, M.D., F.A.C.P., F.A.C.C. has no relationships to disclose

Page 3: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Medicine and Public Health at a Crossroads

Acknowledgements:Hugh Barr

Mattie SchmidtSamantha Swartzman

Lesley CraigNadiah Mohajir

Thomas A. PearsonMark Veazie

Page 4: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.
Page 5: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Page 6: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1986

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Page 7: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1987

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Page 8: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1988

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Page 9: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1989

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Page 10: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1990

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Page 11: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1991

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Page 12: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1992

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Page 13: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1993

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Page 14: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1994

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Page 15: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1995

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Page 16: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1996

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Page 17: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1997

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Page 18: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1998

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Page 19: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 1999

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Page 20: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 2000

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Page 21: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 2001

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Page 22: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

Obesity Trends* Among U.S. AdultsBRFSS, 2002

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Page 23: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: CDC Behavioral Risk Factor Surveillance System.

Obesity Trends* Among U.S. AdultsBRFSS, 2003

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Page 24: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: Behavioral Risk Factor Surveillance System, CDC.

Obesity Trends* Among U.S. AdultsBRFSS, 2004

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Page 25: The Fourth Annual John Horder Lecture James M. Galloway, MD, FACP, FACC, FAHA Assistant Surgeon General Rear Admiral, U.S. Public Health Service Professor.

Source: Behavioral Risk Factor Surveillance System, CDC.

Obesity Trends* Among U.S. AdultsBRFSS, 2005

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%