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The Citizen's Guide to Better Health

As residents around the country engage in conversations about the future of our country, we hope that everyone discusses the health impact of decisions, and how improving the health of our neighborhoods will allow for a just, safe, and equitable future.
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This spring, conversations across the country are focusing on the state of the economy, public safety, and education. These are all essential issues -- but there is another critical topic that cuts across all of them: health.

In my city of Baltimore, we see that the currency of inequality is years of life, and the opposite of poverty is health and well-being. The average life expectancy in the community of Roland Park, for example, is 84 years; in Downtown/Seton Hill it is 65 years -- nearly a 20-year difference. For decades, many of our citizens have experienced concentrated poverty and rampant disparities that are glaringly obvious when we compare health outcomes across neighborhoods.

At the same time, improving health is key to better educational outcomes. If children cannot see, they cannot learn; if they have untreated medical conditions, they cannot focus in school. Simple health interventions such as lead paint abatement and home visiting for pregnant women result in not only improved health for children but also higher rates of graduation, reduced crime, and a more robust workforce.

Public health researchers provide unbiased, evidence-based data on the state of health in the community. As city, state, and federal elections approach, we encourage community members to take part in conversations about the importance of health, in particular around the following five priority areas:

#1: Programs like Baltimore's B'More for Healthy Babies program have resulted in unprecedented reductions in teen birth rates and infant mortality rates. How will we support such public-private collaborations that improve youth health and wellness? Can we commit to expanding school health services so that every child can obtain physical and mental health services in their schools and not miss class?

#2: Opioid addiction is a public health emergency that is claiming dozens of lives every day. Will we invest in effective programs like Baltimore's opioid overdose prevention and response program to stop overdose deaths? How will we go beyond the rhetoric and increase funding for expanding mental health services and addiction treatment?

#3: Violence can be understood as a public health issue: It spreads from person to person and it can be prevented and treated. Programs like Baltimore's Safe Streets have been highly effective in reducing violent crime and teaching conflict mediation. Can we agree that we must go "upstream," for example, through reducing violence by eliminating lead paint exposure in children?

#4: The No. 1 contributor to early death in both men and women is heart disease, which has known causes including smoking and poor diet. Can we commit to additional efforts to curb smoking, including enforcement efforts to reduce sales to minors and increased tobacco taxes? Sugary drinks have no nutritious value and lead to childhood obesity and diabetes; will we support efforts to help parents make more nutritious choices for children?

#5: Health Insurance coverage has expanded under the Affordable Care act, but health insurance does not equal good health care or good health. How will we further advocate for services for our most vulnerable residents, including for older adults to have comprehensive care and a community to age-in-place? How will we maintain and expand safety net services including HIV prevention and treatment, sanitation, animal protection, and emergency preparedness for disease outbreaks?

Public health is a powerful social justice tool to level the playing field of inequality; it is the key to revitalizing the economy, reducing crime, and improving education. As residents around the country engage in conversations about the future of our country, we hope that everyone discusses the health impact of decisions, and how improving the health of our neighborhoods will allow for a just, safe, and equitable future.

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Need help with substance abuse or mental health issues? In the U.S., call 800-662-HELP (4357) for the SAMHSA National Helpline.