Transcript What do you think is the leading cause of death among

The Cookie Story
A woman is on a business trip and she is
waiting for her flight to board at a busy
airport. She goes into a gift shop and
indulges herself by purchasing a very
expensive box of a half dozen gourmet
cookies. She sits down on a bench and waits
for her flight to board.
After a while she looks on the bench at the
gourmet cookies and decides to go ahead and
have some. She opens the box and gets out a
cookie. The man next to her stares at her when
she does this, then afterwards smiles and
reaches into the box of cookies to take a
cookie! She is surprised and does not know
how to respond.
She puzzles over this strange event as she
eats her cookie. A few moments later the man
reaches into the box and takes a second cookie.
She looks at the man with a shocked
expression and pulls the box a little closer to
her and takes a second cookie of her own. The
man just smiles broadly at her.
After five minutes the man reaches into the
box taking a third cookie then lifts the box
offering her the last one with a smile. She is
amazed by his boldness but does not want to
cause a scene. She scowls at him as the flight
she is waiting for is called to board. She gets
on her flight and is glad to see that the man
was not waiting to board the same flight. She
finds a seat and shuffles through her bag to
get her phone.
She can not wait to tell her sister about
this crazy man. As she opens her bag she is
surprised to find her box of cookies unopened!
This story illustrates a paradigm shift.
A paradigm shift is a new way of
looking at a situation and/or problem
that is completely different from the
way you viewed it in the past.
How are we
experiencing a
major paradigm
shift in health
today?
In the 1800s and early 1900s infectious
(communicable) diseases such as influenza,
tuberculosis, and diphtheria were the leading
causes of death.
In the 20th century
these have been replaced
with the chronic (lifestyle) diseases;
accidents, suicide, heart disease, cancer
(malignant neoplasms), and stroke.
When infectious diseases were the
leading causes of death, health
care was more of a mechanistic
model.
Mechanistic means that you
basically live your life until
something breaks down and
then go see a doctor
and get it fixed.
Now that the leading
causes of death are
lifestyle diseases, a
preventative model is
more critical.
suggests that
health is a culmination of
your lifestyle choices.
Soooooo…
What do you think is the
leading cause of death among
teenagers?
#1 Motor Vehicle Accidents
In 2009, about 3,000 teens in the United States aged 15–19
were killed and more than 350,000 were treated in
emergency departments for injuries suffered in motorvehicle crashes.1,2
Young people ages 15-24 represent only 14% of the U.S.
population. However, they account for 30% ($19 billion)
of the total costs of motor vehicle injuries among males
and 28% ($7 billion) of the total costs of motor vehicle
injuries among females.3
Cause of Death
While unintentional
injury is listed as the
#1 cause of death
with 7137 deaths, of
those
deaths 5522 are from
motor vehicle
accidents
so we consider
motor vehicle
accidents as the #1
cause of death
among 15 – 19 yr.
olds.
Unintentional Injury
* Motor Vehicle Traffic
* Poisoning
* Drowning
* Firearm
* Other Land Transport
* Fire/burn
* Fall
* Unspecified
* Other Transport
* Pedestrian, Other
* Suffocation
No of Deaths
Percent
7137
5522
486
320
107
100
86
83
79
69
68
68
51.67%
39.98%
3.52%
2.32%
0.77%
0.72%
0.62%
0.60%
0.57%
0.50%
0.49%
0.49%
* Other Spec., classifiable
56
0.41%
* Natural/ Environment
* Struck by or Against
* Machinery
* Other Spec., NEC
* Pedal cyclist, Other
* Cut/pierce
30
30
11
11
7
4
0.22%
0.22%
0.08%
0.08%
0.05%
0.03%
# 2 Homicide
Although other teens are responsible for many of the
homicides of teens below age 18, two-thirds of the
murderers are eighteen or older.4 Gang involvement
has been associated with many teen murders; in 2002,
nearly three-quarters of homicides of teens were
attributed to gang violence.5 Although school-related
homicides receive substantial attention, in the 2006-07
school year they accounted for less than two percent
of all child homicides.6
#3 Suicide
In 2006, 1,771 children and teens between the
ages of 10 and 19 committed suicide in the U.S.
Teenage boys were four times as likely as
teenage girls to die by suicide and they were
also more likely to use guns and suffocation
to kill themselves. Girls were more likely
than boys to use pills.
#4 Malignant Neoplasms
(cancer)
Malignant neoplasm implies a
lesion that can invade and destroy
the adjacent tissues and spread to
the distant sites(Metastasize) and
cause death, Malignant tumor are
also called CANCER
#5 Heart Disease
Most of the risk factors that affect children can be
controlled early in life, lowering the risk of heart disease
later in life. Other risk factors are usually passed down
through family members (they are hereditary) or they
are the result of another illness or disease. These risk
factors usually can be controlled. Congenital heart
disease (heart defects you are born with) cannot be
changed, but better tests and treatments are now
available for children with these types of heart
problems.