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State Program: Oklahoma
Capacity Building
The Oklahoma State Department of Health
began receiving funds from CDC in 2000 to support a state heart disease and
stroke prevention program.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of
death in Oklahoma, accounting for 11,230 deaths or approximately 32% of
the state's deaths in 2002. (National Vital Statistics Report
2004;53(5)).
- Stroke is the third leading cause of
death, accounting for 2,427 deaths or approximately 7% of the state's
deaths in 2002. (National Vital Statistics Report 2004;53(5)).
- According to Behavioral Risk Factor
Surveillance System (BRFSS) survey results, adults in Oklahoma
reported having the following risk factors for heart disease and stroke:
In 2005,
- 29.8% had high blood pressure
- 37.8% of those screened reported having high blood cholesterol
In 2006,
- 10.0% had diabetes
- 25.1% were current smokers
- 64.8% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 29.8% reported no exercise in the prior 30 days
Key Responsibilities
- Facilitate collaboration among public and private sector
partners, such as managed care organizations, health
insurers, federally funded health centers, businesses,
priority population organizations, and emergency response
agencies.
- Define the burden of heart disease and stroke and assess
existing population-based strategies for primary and
secondary prevention of heart disease and stroke within the
state.
- Develop and update a comprehensive state plan for heart
disease and stroke prevention with emphasis on heart-healthy
policies development, physical and social environments
change, and disparities elimination (e.g., based on
geography, gender, race or ethnicity, or socioeconomic
status).
- Identify culturally appropriate approaches to promote
heart disease and stroke prevention among racial, ethnic,
and other priority populations.
- Use population-based public health strategies to
increase public awareness of the heart disease and stroke
urgency, the signs and symptoms of heart disease and stroke,
and the need to call 9–1–1.
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State Highlights
- The Data Subcommittee of the Oklahoma Task Force to Eliminate Health
Disparities and the Oklahoma Turning Point Council published a four-page
monograph regarding disparities in cardiovascular disease in Oklahoma.
The chronic disease surveillance coordinator served as chair of the data
subcommittee of the task force for three years.
- Oklahoma Statewide Stroke Systems Committee is partnering to change
policy and systems to increase awareness of stroke signs and the need
for action among the public, and improved stroke recognition by health
care professionals through “Get with Guidelines” seminars for hospitals.
- A pilot cardiovascular and diabetes disease management program was
conducted with state employees. There were two desired outcomes—to
reduce the risk of cardiovascular events among state employees, and to
change the state employee benefits package to address the control of
cardiovascular disease and diabetes through disease management utilizing
the chronic care model. The pilot project was an e-health project
focusing on disease management and risk reduction. Results of the pilot
project reflected 12.5% cardiovascular event reduction for all employees
and a 20.6% reduction in persons with high risk for the 10-year
Framingham CHD Risk Score in Employees With and Without CHD. The results
were so dramatic that the board governing the Oklahoma Employees
Benefits Council authorized the change in benefits effective 2006 and
the state legislature followed with authorization. The 2008 health
benefit package for state employees stabilized and there is no increase
for state agencies.
- Rural Health Network’s workgroup, in which the program staff are
members aimed to increase the efficiency of Automated External
Defibrillator (AED) placement and use in rural communities and increase
knowledge of the signs an symptoms of heart disease and stroke. Rural
communities in Oklahoma received an AED through the Health Resources and
Services Administration (HRSA) cooperative
agreement and designated heart disease and stroke prevention staff provided technical assistance and
offered Cardiopulmonary resuscitation (CPR) and AED classes to the
community. Staff also assisted the communities in developing a strategic
plan for increasing the awareness of heart disease and stroke in the
rural communities. The first strategy was to increase the awareness of
signs and symptoms of heart attack and the recommended actions. These
strategies were documented in the Early Recognition section of the
Oklahoma’s state plan. The second strategy was to increase the awareness
of heart disease and stroke burden in small businesses and promote a
heart healthy business plan. For more information, visit the Oklahoma
Heart Disease and Stroke Health Program Web site at
www.health.state.ok.us/program/cds/cvd.html.*
To view county–level data, visit our
interactive map site at
http://www.cdc.gov/dhdsp/library/maps/statemaps.htm.
*Links to non–Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.
Page last reviewed: December 5, 2007
Page last modified: December 5, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion
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