Louisville Medicine Volume 61, Issue 11 | Page 27

(continued from page 23) sale of e-cigarettes and herbal hookah products to minors under age 18. Mayor Fischer has proposed legislation to enact such a ban with Metro Council members Vickie Aubrey Welch, Mary Woolridge, and Marilyn Parker sponsoring the ordinance. The report recommends increasing smoking-cessation services for expectant parents, and expanding smoke-free areas to include public and private rental housing and such outdoor public spaces as playgrounds, spraygrounds and swimming pools. While reducing smoking and obesity are absolutely essential to improving health in Louisville, other goals of Healthy Louisville 2020 are also important, including the reduction of Louisville’s infant mortality rate from 7.5 to 6.75 per 1,000 live births, improving mental health, reducing substance abuse, and making strides in educational attainment and other social determinants of health. Healthy Louisville 2020 strives to increase the percentage of Louisville adults covered by health insurance through outreach to implement the Affordable Care Act. Furthermore, its wide-ranging goals aim to improve air quality, and to lower the rates of teen pregnancy and new HIV infections. Making Louisville a healthier city over the next six years cannot be done by government alone. Healthy Louisville 2020 is a shared community agenda to guide behavior and decision making for residents, community organizations, academic partners, business leaders, and the faith based community, as well as for city officials. The plan is designed to encourage collaboration across all parts of the community, to empower individuals toward making informed health decisions, and to measure the impact of preventive programs. Later this year, we will also launch the Healthy Louisville community dashboard. The on-line tool will allow us to track our progress toward achieving our health goals and will also serve as a way for community partners to communicate their ideas for improving community health. The entire Healthy Louisville 2020 report is available at louisvilleky.gov/health. LM Note: Dr. Nesbitt, a family physician, is the director of the Louisville Metro Department of Public Health and Wellness. Healthy Louisville 2020 Goals Access to Health care Mental and Behavioral Health Goal: All Louisville Metro residents will have health insurance coverage and a medical home. Goal: Improve the mental and emotional well-being of Louisville Metro residents. Cancer Prevention and Screening Obesity Prevention Goal: Decrease the incidence and death rates for all cancers in Louisville Metro. Goal: Reduce the proportion of Louisville Metro residents who are overweight /obese. Chronic Disease Prevention and Screening Oral Health Goal: Prevent, detect, and reduce risk factors that cause diabetes, coronary heart disease, and stroke among Louisville Metro residents. Goal: Improve the oral health of Louisville Metro residents by reducing tooth decay and gum disease. Healthy Homes and Healthy Neighborhoods Public Health Infrastructure Goal: Reduce the prevalence of and death rate related to tobacco use and exposure to secondhand smoke in Louisville Metro. Goal: Ensure LMPHW has the infrastructure to provide Louisville Metro residents’ public health services at an optimal level on a daily basis, as well as during emergencies. Healthy Mothers and Healthy Babies Social Determinants of Health Goal: Improve the health and well-being of mothers and babies in Louisville Metro. Goal: Create social and physical environments that promote good health for all Louisville Metro residents. HIV Prevention and Screening Substance Abuse Goal: Reduce human immune-deficiency virus (HIV) infection among Louisville Metro residents. Goal: Reduce the number of Louisville Metro adults and youth engaging in risky behaviors such as binge drinking and drug abuse. Injury and Violence Prevention Goal: Decrease the prevalence of violence and unintentional injuries in Louisville Metro. April 2014 25