BUILDING THE CAPACITY OF HEALTH
MINISTRIES TO SERVE EFFECTIVELY
WEDNESDAY, NOVEMBER 4, 2015
Bishop Horace E. Smith, M.D. Presenter
UNIVERSITY PLACE HILTON
Charlotte, NC
“OUR CHILDREN’S HEALTH
WE ARE
Using Today’s Predictive Health Standards
WHAT IS THEIR FUTURE?
© APOSTOLIC FAITH CHURCH
Bishop Horace E. Smith, M.D., Pastor
HEALTH <<<
A state of complete physical, mental and social well being,
and not merely the absence of disease or infirmity
God creates human beings as whole persons—each one a
dynamic unity of body, mind, and spirit.
Genuine health has function, as an essential part of its
definition.
HEALTH <<<
An organism (person) is ‘healthy’ when it is able to
function as it was designed.
Health is wholeness and balance, an inner
resilience that allows you to meet the demands of
living without being overwhelmed.
Optimal health should also bring with it a sense of
strength and joy, so that motivates you toward a
bright future.
HEALTH CHECK
• What is the health status of the average
American?
• What is the health status of African-Americans?
• What is the health status of those we serve in
our churches?
• What is the health status of our young people?
THE CDC REPORTS SOME
SOBERING STATISTICS
ABOUT AMERICANS:
• Chronic diseases are the leading causes of death and disability.
• 70% of annual deaths are due to chronic diseases.
• These preventable conditions not only compromise quality of
life, they add to rising health care costs—75% of our health care
dollars are devoted to treat these diseases.
• Among adults ages 20 to 74, diabetes remains the leading cause
of kidney failure, blindness, and non-traumatic lower-extremity
amputations.
CHRONIC DISEASES AND CONDITIONS—SUCH AS
HEART DISEASE, STROKE, CANCER, DIABETES,
OBESITY, AND ARTHRITIS—ARE AMONG THE
MOST COMMON, COSTLY, AND PREVENTABLE OF
ALL HEALTH PROBLEMS.
• As of 2012, about half of all adults—117 million
people—had one or more chronic health conditions.
One of four adults had two or more chronic health
conditions.
• Seven of the top 10 causes of death in 2010 were
chronic diseases. Two of these chronic diseases—
heart disease and cancer—together accounted for
nearly 48% of all deaths.
HEALTH RISK BEHAVIORS
THAT CAUSE
HEALTH RISK BEHAVIORS ARE UNHEALTHY
BEHAVIORS YOU CAN CHANGE. FOUR OF THESE
HEALTH RISK BEHAVIORS—LACK OF EXERCISE
OR PHYSICAL ACTIVITY, POOR NUTRITION,
TOBACCO USE, AND DRINKING TOO MUCH
ALCOHOL—CAUSE MUCH OF THE ILLNESS,
SUFFERING, AND EARLY DEATH RELATED TO
CHRONIC DISEASES AND CONDITIONS.
• In 2011, more than half (52%) of adults aged 18 years
or older did not meet recommendations for aerobic
exercise or physical activity. In addition, 76% did not
meet recommendations for muscle-strengthening
physical activity.
• About half of US adults (47%) have at least one of the
following major risk factors for heart disease or stroke:
uncontrolled high blood pressure, uncontrolled high
LDL cholesterol, or are current smokers. Ninety
percent of Americans consume too much sodium,
increasing their risk of high blood pressure.
•
In 2011, more than one-third (36%) of adolescents
and 38% of adults said they ate fruit less than once a
day, while 38% of adolescents and 23% of adults said
they ate vegetables less than once a day.
• More than 42 million adults—close to 1 of every 5—
said they currently smoked cigarettes in 2012.
Cigarette smoking accounts for more than 480,000
deaths each year.
Each day, more than 3,200 youth younger than 18
years smoke their first cigarette, and another 2,100
youth and young adults who smoke every now and
then become daily smokers.
• Drinking too much alcohol is responsible for 88,000
deaths each year, more than half of which are due to
binge drinking
About 38 million US adults report
binge drinking an average of 4 times a month, and
have an average of 8 drinks per binge, yet most binge
drinkers are not alcohol dependent.
MUCH OF THE CHRONIC DISEASE BURDEN IS
ATTRIBUTABLE TO A SHORT LIST OF KEY RISK
FACTORS; MOST US ADULTS HAVE MORE THAN
ONE OF THESE RISK FACTORS:
 High blood pressure.
 Tobacco use and exposure to secondhand smoke.
 Obesity (high body mass index).
 Physical inactivity.
 Excessive alcohol use.
 Diets low in fruits and vegetables.
 Diets high in sodium and saturated fats.
THE HEALTH OF
Robert Bellah wrote in his book The Good Society, that the
major problems facing our world today require a great deal of
caring, “indeed a politics of care.”
He states, “The most obvious problem is the neglect of
children in our society, levels of infant mortality, child poverty,
and inadequate educational opportunities.”
Bellah continues, “We fight the war on drugs but do not fight
what causes despair leading to drug abuse. More police,
prisons, or military interventions are not the answer.”
CHILDREN AND
Prevalence of Overweight and Obesity
Among Children and Adolescents: United
States, 1963–1965 Through 2011–2012
by Cheryl D. Fryar, M.S.P.H., Margaret D. Carroll,
M.S.P.H., and Cynthia L. Ogden, Ph.D., Division of Health
and Nutrition Examination Surveys
Results from the 2011–2012 National Health and
Nutrition Examination Survey (NHANES), using measured
heights and weights, indicate that an estimated 16.9% of
U.S. children and adolescents aged 2–19 years are
obese, and another 14.9% are overweight.
Health Effects of Childhood Obesity
Immediate health effects:
• Obese youth are more likely to have risk
factors for cardiovascular disease, such as
high cholesterol or high blood pressure.
• In a population-based sample of 5- to 17year-olds, 70% of obese youth had at least
one risk factor for cardiovascular disease.
Health Effects of Childhood Obesity
Immediate health effects:
• Obese adolescents are more likely to have
prediabetes, a condition in which blood glucose
levels indicate a high risk for development of
diabetes.
• Children and adolescents who are obese are at
greater risk for bone and joint problems, sleep
apnea, and social and psychological problems such
as stigmatization and poor self-esteem.
Health Effects of Childhood Obesity
Long-term health effects:
• Children and adolescents who are obese are likely to be
obese as adults and are therefore more at risk for adult
health problems such as heart disease, type 2 diabetes,
stroke, several types of cancer, and osteoarthritis.
• One study showed that children who became obese as
early as age 2 were more likely to be obese as adults.
PREVENTION IS THE KEY
• Healthy lifestyle habits:
–healthy eating
–physical activity
can lower the risk of becoming obese and
developing related diseases.
1. People of all ages, both male and female, benefit
from regular physical activity.
2. Significant health benefits can be obtained by
including a moderate amount of physical activity,
(e.g. 30 minutes of brisk walking or raking leaves;
15 minutes of running or 45 minutes of playing
volleyball) on most if not all days of the week.
3. Additional health benefits can be gained through
greater amounts of physical activity.
4. Physical activity reduces the risk of premature mortality in general, and of
coronary heart disease, hypertension, colon cancer, and diabetes in
particular. Physical activity also improves mental health, and is important
for the health of muscles, bones, and joints.
5. More than 60% of American adults are not regularly physically active. 25%
of all adults are not active at all.
6. Nearly half of American youths 12-21 years of age, are not vigorously active
on a regular basis. And physical activity declines dramatically during
adolescence.
7. Daily enrollment in physical education classes declined among high school
students, 42% in 1991 to 25% in 1995.
Prevention is the Key
Quality Schools: Education
• Schools play a particularly critical role by
establishing a safe and supportive environment
with policies and practices that support healthy
behaviors.
• Schools also provide opportunities for students to
learn about and practice healthy eating and
physical activity behaviors.
Adolescents & Sexual Risk Behavior
HIV, STD & Teen Pregnancy Prevention
Many young people engage in sexual risk
behaviors that can result in unintended health
outcomes.
For example, among U.S. high school students
surveyed in 2013
• 47% had ever had sexual intercourse.
• 34% had had sexual intercourse during the previous 3
months, and, of these
– 41% did not use a condom the last time they had sex.
• 15% had had sex with four or more people during
their life.
Adolescents & Sexual Risk Behavior
HIV, STD & Teen Pregnancy Prevention
• Only 22% of sexually experienced students have ever been
tested for HIV.*
• Sexual risk behaviors place adolescents at risk for HIV infection,
other sexually transmitted diseases (STDs), and unintended
pregnancy:
• Nearly 10,000 young people (aged 13-24) were diagnosed with
HIV infection in the United States in 2013.
Adolescents & Sexual Risk Behavior
HIV, STD & Teen Pregnancy Prevention
• Young gay and bisexual men (aged 13-24) accounted for an
estimated 19% (8,800) of all new HIV infections in the United
States, and 72% of new HIV infections among youth in 2010.
• Nearly half of the 20 million new STDs each year were among
young people, between the ages of 15 to 24.
• Approximately 273,000 babies were born to teen girls aged
15–19 years in 2013
The Academic Success of Our Young
People is Strongly Linked with Their
Health.
• Health-related factors such as hunger, physical and
emotional abuse, and chronic illness can lead to poor
school performance.
• Health-risk behaviors such as early sexual initiation,
violence, and physical inactivity are consistently linked
to poor grades and test scores and lower educational
attainment.
The Academic Success of Our Young
People is Strongly Linked with Their
Health.
• In turn, academic success is an excellent indicator
for the overall well-being of youth and a primary
predictor and determinant of adult health
outcomes.
• Leading national education organizations recognize
the close relationship between health and
education, as well as the need to foster health and
well-being within the educational environment for
all students.
VIOLENCE
AS A PUBLIC
HEALTH ISSUE
THE ISSUE OF VIOLENCE AS A
NATIONAL AND GLOBAL PUBLIC
HEALTH ISSUE
Violence is now clearly recognized as a public
health problem, but just 30 years ago the words
“violence” and “health” were rarely used in the
same sentence.
Since 1965, homicide and suicide have
consistently been among the top 15 leading
causes of death in the United States
THE ISSUE OF VIOLENCE AS A
NATIONAL AND GLOBAL PUBLIC
HEALTH ISSUE
The risk of homicide and suicide reached
epidemic proportions during the 1980s among
specific segments of the population including
youth and members of minority groups.
Suicide rates among adolescents and young
adults 15 to 24 years of age almost tripled
between 1950 and 1990.
THE ISSUE OF VIOLENCE AS A
NATIONAL AND GLOBAL PUBLIC
HEALTH ISSUE
Similarly, from 1985 to 1991 homicide rates
among 15- to 19-year-old males increased 154
percent, a dramatic departure from rates of the
previous 20 years for this age group.
This increase is particularly acute among young
African American males.
THE ISSUE OF VIOLENCE AS A
NATIONAL AND GLOBAL PUBLIC
HEALTH ISSUE
Violence is now clearly recognized as a public
health problem, but just 30 years ago the words
“violence” and “health” were rarely used in the
same sentence.
Since 1965, homicide and suicide have
consistently been among the top 15 leading
causes of death in the United States
The Scope of Youth Violence
• Youth violence is widespread in the United States
(U.S.). It is the third leading cause of death for young
people between the ages of 15 and 24.1
• • In 2012, 4,787 young people aged 10 to 24 years were
victims of homicide—an average of 13 each day.
• • Over 599,000 young people aged 10 to 24 years had
physical assault injuries treated in U.S. emergency
departments—an average of 1642 each day.
The Scope of Youth Violence
• In
a 2013 nationwide survey, about 24.7% of high school
students reported being in a physical fight in the 12
months before the survey.
• About 17.9% of high school students in 2013 reported
taking a weapon to school in the 30 days before the
survey.
• In 2013, 19.6% of high school students reported being
bullied on school property and 14.8% reported being
bullied electronically.
• Each year, youth homicides and assault-related injuries
result in an estimated $16 billion in combined medical and
work loss costs
How Chicago Became Known as
“Chiraq!”
• Over the July 4 weekend, 82 people were
shot and 14 of them killed in Chicago.
• It’s not the first time a holiday was
marred by gun violence. Over Easter, 45
people were shot in the city that's come
to be known as“Chiraq.”
• Six of them were children
BLACK LIVES MATTER
ALL LIVES MATTER
HUMAN LIFE HAS BEEN
DEVALUED:GOD IS NOT HAPPY!
Isa 59:14-15
• 14 So justice is driven back, and
righteousness stands at a distance; truth
has stumbled in the streets, honesty
cannot enter.
• 15 Truth is nowhere to be found, and
whoever shuns evil becomes a prey. The
LORD looked and was displeased that
there was no justice. (NIV)
WHY YOUR CHURCH NEEDS A
STRONG HEALTH MINISTRY
There is a deep soul cry for comprehensive, communitybased, compassionate care that speaks to the broad
spectrum of emotional, psychological, relational and practical
conditions that contribute to healthy living.
There is a perfect storm of frustration, isolation, and
fragmented support brewing that requires a thoughtful
strategic approach.
WHY YOUR CHURCH NEEDS A
STRONG HEALTH MINISTRY
Now is the time for the Church to reclaim its
role in promoting health and wholeness. The
Church has always demonstrated its role in
promoting spiritual health, but it also has a
profound ability and obligation to influence
physical and mental health
CENTERED IN THE LOCAL
CONGREGATION
PREVENTATIVE HEALTH AND
WELLNESS
HEALTH AND FAMILY
Health, healing, and wholeness are
relational. Being healthy means being in
relationship with all aspects of the self,
others, God and creation.
Raising the Standard of Health
Care to Being Truly HUMANE
Being committed to love, truth,
and justice, on a global level.
© 2011 HORACE E. SMITH, M.D.
The Eight Components of Christian Community
Development
by Dr. Wayne L. Gordon
•
•
•
•
•
•
•
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Relocation: Living Among the People
Reconciliation
Redistribution (Just Distribution of Resources)
Leadership Development
Listening to Community
Church-Based
Wholistic Approach
Empowerment
“OUR CHILDREN’S HEALTH”
ARE WE READY TO BE
WHAT IS THE CHURCH
PREPARED TO DO?
WHAT IS THE CHURCH
CALLED TO DO?
1. Family structure and dynamics
2. Our attitude and approach to sex and
sexuality
3. The churches’ budget allocation
4. Owning and taking responsibility for our
community
5. Our definition and commitment to justice
WORLD VISION STATEMENT
Remember the Wonder of those we are
called to Serve!
© APOSTOLIC FAITH CHURCH
Bishop Horace E. Smith, M.D., Pastor
HEALTHY CHURCHES
2020 NATIONAL CONFERENCE
Charlotte, NC
WEDNESDAY, NOVEMBER 4, 2015
Bishop Horace E. Smith, M.D.
Presenter
DR. PERNESSA C. SEELE, FOUNDER AND CEO,
The Balm In Gilead, Inc.