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Q&A
Executive plan's approach to addressing drivers of mortality in NYC
3:20:53
·
3 min
Council Member Schulman inquires about how the executive plan addresses various drivers of mortality in New York City. Commissioner Morse provides a detailed response covering multiple health issues and initiatives.
- Cardiovascular disease and diabetes: $30 million budget for chronic disease activities, including $10 million for the Groceries to Go program
- COVID-19: Continued focus on community engagement for respiratory viral vaccinations
- Black maternal mortality: $51 million allocated across maternal health programs, with positive results from expanded doula programs
- Mental health and suicide prevention: Utilization of programs like 988 and Teen Space
- Overdose reduction: Multiple programs utilizing opioid settlement funds
- Cancer: Efforts to improve screening, with a goal to reduce screenable cancer deaths by 10% by 2030
Lynn Schulman
3:20:53
How does the executive plan meaningfully address the following drivers of mortality?
3:20:58
COVID nineteen, diabetes, heart disease, screenable cancer, drug overdose, homicide, suicide, and pregnancy associated death.
3:21:06
Want those again?
3:21:07
I got it.
3:21:07
Those are the seven drivers.
Michelle Morse
3:21:09
Go ahead.
3:21:09
Thank you for that.
3:21:11
I'll start with specifically focusing on cardiovascular cardiovascular disease and diabetes since that is the number one killer of New York residents unfortunately.
3:21:21
The exact budget does allow us to continue a lot of our activities related to chronic disease across the health department budget.
3:21:30
About $30,000,000 of our FY twenty six budget is dedicated to our chronic disease activities.
3:21:37
And of course we do have $10,000,000 in the FY '20 '6 budget for groceries to go.
3:21:42
That program is specifically focused on people with diabetes and high blood pressure, and so that is one of the areas of focus in the FY '20 '6 budget.
3:21:53
For COVID, we again are continuing to figure out what the approach will be around COVID vaccination, but we hope to be able to continue our community engagement activities around the value, safety, and efficacy of respiratory viral vaccinations.
3:22:10
For black maternal mortality, we did have a convening back in September where we released the most recent five year report on black maternal mortality and overall citywide maternal mortality.
3:22:24
We have a number of programs that are intended to continue to improve those rates.
3:22:29
And in FY twenty six there's about $51,000,000 across our maternal health programs that are focused on the issue of reducing maternal mortality.
3:22:41
We're also proud that there was recently an audit of our doula programs.
3:22:46
The audit demonstrated that the doula program that we've expanded across New York City over the past two years had really positive impact.
3:22:55
It reduced the rates of cesarean section, it reduced the rates of preterm delivery, and it reduced the rates of low birth weight for infants born to mothers with doulas.
3:23:09
So, we're hopeful that we'll be able to continue that work as well in FY '20 '6.
3:23:13
For suicide, we're continuing to use programs like nine eighty eight, our teen space program, and so many others to really address the issues of suicide across New York City.
3:23:26
And then our overdose goal is related.
3:23:29
You know, we have a lot of work related to the opioid settlement funds and overdose reduction.
3:23:35
Overall, there are at least 10 or 15 programs that we have that are working specifically on that driver.
3:23:41
And then I think I'm missing one.
3:23:43
Oh cancer, of course.
3:23:44
How could I forget?
3:23:44
Cancer.
3:23:45
Cancer is unfortunately often the second leading cause of premature mortality and mortality across New York City.
3:23:52
We have a number of different things that we're doing in the area of improving screening for cancer, and our goal is to reduce death related to screenable cancer by at least ten percent by 02/1930.
3:24:06
I think we have a lot more work to do in that space, we're continuing conversations with OMB about what additional work we could do in that area.
Lynn Schulman
3:24:14
Okay, no great.