Public Health Education
offers information on a variety of health topics, and can help you
locate reliable sources of health information. We can assist you in
locating certain health statistics. We collaborate with other agencies
on grant applications related to public health.
Display items are available for loan to community groups, churches,
businesses, and health fairs. We can help you to start a wellness policy
or program for your business. We are happy to partner with others in the
community on projects and events that will improve the health of our
For more information about public health, visit these websites:
works with Saline County Emergency Management and other public and
private organizations to coordinate and plan for the community response
to public health emergencies such as pandemic flu, bioterrorism, disease
outbreaks, and other natural disasters. We set up training, drills, and
community-wide disease surveillance systems.
For information on individual and workplace pandemic flu preparedness,
Health Promotion &
Wellness places an emphasis on preventing chronic disease
through increased physical activity, healthy diet, and tobacco
avoidance. We partner with many community coalitions, schools, and wellness programs;
including the Saline County Tobacco Use Prevention Program, Pound
Plunge, Go Red for Women, Salina Senior Games, Back to School
Fair, American Heart Association, American Cancer Society, and others to reduce the
incidence of heart disease, cancer, diabetes, obesity, and other
We all need to work together to create healthy environments
that support healthy behavior choices. This can happen through a variety
of activities: personal initiative at home, organized sports, and even
policy developments and programs in the community and workplace.
Changing from unhealthy habits to healthy ones is sometimes difficult,
but the benefits of good health are worth it. Eating better, moving more
and quitting tobacco use can help to prevent the leading causes of
death, suffering, and health care costs. Take charge of your health!
Start improving your health today with your free copy of CheckUp: The
Complete Personal Health Manager. CheckUp is a software program that
helps track your health information securely on your personal computer.
Try it - it's free to all Kansans!
In 2007, health care spending in the United States reached $2.3
trillion, and is projected to reach $3 trillion in 2011. Health care
spending is projected to reach $4.2 trillion by 2016. (Source: The
National Coalition on Health Care)
Children and adults are overweight and obese.
61% of Kansans are overweight or obese and 24% of Kansans are
Preventable diseases are rising
The Center for Disease Control and Prevention (CDC) reports
preventable lifestyle-related illnesses account for 70%-90% of all
The reality and cost of obesity:
Only about 1/4 of adults in the US eat the recommended servings
of fruits and vegetables each day.
Obesity rates have increased by more than 60% among adults in
the last 10 years -- 25% of the adult population is obese.
More than 60% of adults do not get enough physical activity.
In Kansas in 1995, 15% to 19% were obese; in 2001, this number
climbed to 20% to 24%.
More than 60% of young people eat too much fat, and less than
20% eat the recommended servings of fruits and vegetables each day.
Children and young adults who are overweight are more likely to
be overweight or obese as adults.
Almost 16% of our children and young adults are overweight. The
Centers for Disease Control (CDC) have estimated that 1 in 3
children will develop diabetes in their lifetime.
In 2000, the total cost of obesity in the US was estimated to be
$117 billion (US Department of Health and Human Services).
The lifetime medical costs of heart-related diseases
(hypertension, diabetes, heart disease, stroke, high cholesterol)
are approximately $10,000 higher for those moderately obese (than
among people at healthy weight).
Increased physical activity reduces illnesses associated with
obesity, which helps re-duce long-term medical costs. Preventable
illness accounts for 70% of the burden of illness and its associated
For more information about obesity, visit these websites:
Physical activity and nutrition guidelines:
The USDA has developed the “My Pyramid” program to help you choose the
foods, amounts and physical exercise that are right for you. For more
information visit www.mypyramid.gov
The 3 goals through the
pyramid system help you:
Make smart choices from every food group
Find your balance between food and physical activity; and
Get the most nutrition out of your calories
Emphasizes fruits, vegetables, whole grains, fat-free or low-fat milk
and milk products
Includes lean meats, poultry fish, beans, eggs and nuts
Is low in saturated fats, trans fats, cholesterol, salt and added sugars
Consume 3 cups per day of fat-free of low-fat milk or milk products.
Choose low-fat or lean meats and poultry. Consume 5.5 ounces of meats
and beans per day (based on 2000 calorie intake).
At least half of your daily “grains” should come from whole grains.
Eat the recommended level of fruits and vegetables each day (for 2000
calorie intake, this is 2 cups of fruit and 2 1/2 cups of vegetables per
Eat 5 to 9 servings of fruits and veggies a day:
What is a serving?
A typical portion is often more than one serving. A large salad,
for example, can add up to 2 to 3 servings. One serving of fruits and
vegetables should fit within the palm of your hand. It's a lot smaller
than most people think.
Why do we need to eat more fruits and vegetables?
Research proves that fruits and vegetables are critical to
promoting good health. In fact, fruits and vegetables should be the
foundation of a healthy diet. Most people need to double the amount of
fruits and vegetables they eat every day.
How do fruits and vegetables fight to protect your health?
Fruits and vegetables are packed with essential vitamins,
minerals, fiber, and disease-fighting phytochemicals. Because of this,
eating a variety of fruits and veggies everyday can help reduce your
risk of: heart disease, high blood pressure, type II diabetes, and
Does an apple a day keep the doctor away?
Not necessarily, but there are many benefits from eating apples:
One apple supplies about 20% of the daily fiber recommendation.
The fiber in an apple helps reduce cravings for sweet and salty snacks..
Apples are high in Vitamin C and Potassium.
One medium apple is about 80 calories.
Eating an apple promotes good oral health by decreasing plaque on your
Water is essential to daily living. It helps with body-temperature
maintenance, is needed for your body to function properly and is vital
to electrolyte balance. There are recommended amounts for normal
Women: 8 glasses (64 oz) daily
Men: 12 glasses (96 oz) daily
Of course, with physical exercise, you need to replace the water you
lose. Be sure to drink before, during and after exercise to avoid
Engage in moderate-intensity physical activities for at least 30 minutes
on 5 or more days of the week (Centers for Disease Control). Make sure
to do at least 10 minutes of activity at a time. For example, you can
take three 10-minute brisk walks.
Vigorous exercise includes activities like jogging, running, fast
cycling, aerobic classes, swimming laps, singles tennis, and
racquetball. These activities usually increase your heart rate, make you
sweat and may cause you to breathe faster or with more effort. Moderate
exercise includes activities such as brisk walking, gardening, slow
cycling, dancing, doubles tennis, or hard work around the house.
For more information about wellness and exercise, visit these websites:
Body mass index:
One first step to taking charge of your health is knowing your Body Mass
Index. The term BMI is often used when discussing the obesity epidemic,
but what is BMI?
Body Mass Index is a number that shows body weight adjusted for height.
BMI can be calculated with simple math using inches and pounds, or
meters and kilograms. For adults aged 20 years or older, BMI falls into
one of these categories: underweight, nor-mal, overweight, or obese. BMI
is not the only indicator of health risk.
BMI is just one of many factors related to developing a chronic disease
(such as heart disease, cancer, or diabetes). Other factors that may be
important to look at when assessing your risk for chronic disease
All persons who are obese or overweight should try not to gain
additional weight. In addition, those who are obese or who are
overweight with other risk factors should consider losing weight. A
complete health assessment by a physician is the best way to decide the
right steps for you. Whatever your BMI, talk to your doctor to see if
you are at an increased risk for disease and if you should lose weight.
Even a small weight loss (just 10% of your current weight) may help to
lower the risk of disease. Physical activity and good nutrition are key
factors in leading a healthy lifestyle and reducing risk for disease.
Investing in the health of employees is one of the best decisions a
company can make. At least 25% of the healthcare costs incurred by
working adults are attributed to modifiable health risks such as poor
diet and lack of exercise.
Challenges corporations face today...
With more pressure today than ever before, Corporate America is
struggling to be profitable while healthcare costs continue to rise and
attack their most important resource -- employees.
Most executives know that creating a wellness environment is the only
way to have healthier employees and ultimately lower healthcare costs.
Worksites are crucial to improving the health of their workers. Most
adults spend more of their waking hours at work than anywhere else,
making it a great place for promoting healthful habits. The worksite
organizational culture and environment are powerful influences on
behavior and can influence employees to adopt a healthier lifestyle.
Employee benefits of wellness policies
Improved physical fitness
Lower levels of stress
Increased well-being, self-image and self-esteem
Employer Benefits of Wellness Policies
Enhanced recruitment and retention of healthy employees
Reduced healthcare costs
Decreased rates of illness and injuries
Reduced employee absenteeism
Improved employee relations and morale
A U.S. Department of Health and Human Services report in 2002 revealed
that at worksites with physical activity programs, employers have:
Reduced healthcare costs by 20-55%
Reduced short-term sick leave by 6-32%
Increased productivity by 2-52%
Fitness programs have reduced employer healthcare costs by 20-55%.
Preventable illnesses make up 70% of illness costs in the United States.
Reducing just one health risk increases a person's productivity on the
job by 9% and reduces absenteeism by 2%.
For every $1 the average company spends on its worksite wellness
program, it receives an average net benefit of $3.40 to $7.88.
Using these suggestions can help you have a healthy meeting, training,
Have a morning meeting and provide:
Low-fat breakfast burrito
Low or non-fat yogurt
Hard cooked eggs
Whole wheat or multi-grain mini bagels -- 3½” diameter or less (or cut
regular bagels in half)
Small muffins (2-2½ or smaller) -- bran, oatmeal, or multi-grain (large
muffins can be cut into smaller portion sizes)
Fruit quick breads (i.e., oatmeal, banana, pumpkin) -- cut into small
Whole grain toast or English muffins
Offer low fat cheese, low fat cream cheese, peanut butter, jam or jelly
Granola bars -- low fat (5 grams of fat or less per bar)
What about lunch/dinner? Try these suggestions:
Salad with low-fat or fat-free dressing on the side
Soups -- vegetarian broth based or skim milk based (not cream)
Pasta salad with low-fat dressing
Sandwiches made with whole grain breads or wraps made with lean meats,
low-fat cheese, low-fat condiments
Fresh fruit, canned fruit in fruit juice or light syrup
Include at least one vegetable -- fresh or cooked (avoid cream sauces)
Baked potatoes with low fat toppings (low-fat sour cream, low-fat plain
yogurt, or salsa)
Boxed lunches/dinners -- whole grain or pita bread or wraps prepared
with low-fat mayonnaise lettuce, sprouts, tomatoes, onions, pickles,
mustard, catsup; meats, poultry or marinated tofu (low-fat = 3 grams
fat/oz); cheese, request fruit or veggies instead of chips; or if
including chips request pretzels or baked chips (7 grams fat or less/oz)
When serving desserts, offer small serving sizes:
Angel food cake (2” square) with fresh fruit topping
Low-fat ice cream or frozen yogurt
Ask if it’s really necessary to provide food at the meetings,
presentations, and seminars, especially mid-morning and mid-afternoon?
If so, here are more suggestions:
Fresh fruit -- cut up and offered with low-fat yogurt dip
Tortilla chips -- baked and offered with salsa dip
Raw vegetables -- cut up and offered with fat-free or low-fat dressing
or salsa dip
Pretzels, hot pretzels cut in pieces or baked chips (7 grams of fat or
less per ounce)
Low-fat cheese, string cheese
Granola bars -- low fat (5 grams of fat or less per bar)
“Lite” popcorn (air-popped, or low fat and lightly salted)
Whole grain crackers
Dried fruit or trail mix
Having a catered event but still want to keep it healthy?
Select an entrée with no more than 12-15 gram of fat
Always offer a vegetarian entrée
Avoid fried foods or cream sauces
Fresh fruit -- cut up and offered with low-fat yogurt dip
Include at least one vegetable -- fresh or cooked, with no butter or
cream sauces added
Choose lower fat/lower calorie desserts: low-fat ice cream or frozen
yogurt, sherbet or
sorbet, angel food cake with fruit topping
Having a reception but still want to keep it healthy?
Raw vegetables salads marinated in fat-free or low-fat Italian dressing
Raw vegetables -- cut up and offered with fat-free or low-fat dressing,
salsa or tofu dip
Pasta, tofu, and vegetable salad with fat-free or low-fat dressing
Fresh fruit - cup up and offered with low-fat yogurt dip
Vegetable sushi rolls
Vegetable spring rolls -- fresh, not fried
Low fat cheese slice or small cubes
Reduced or low-fat whole grain crackers
Salmon (poached or steamed, no breading)
Lean beef or turkey -- 1 ounce slices
Miniature meatballs made with lean meat
Mushroom caps with low-fat cheese stuffing
Miniature pizzas made with English muffins, tomato sauce, mozzarella
cheese, and mushrooms
Cake -- cut into small 2” squares
Water -- bottled, plain, sparkling or flavored sparkling with no added
100% fruit or vegetable juice, avoid large-size bottles
Skim or 1% milk
Coffee and flavored coffees -- regular and decaffeinated
Tea -- regular and herb teas -- hot and cold
Coffee/tea creamer of skim milk, 1% milk or fat-free half & half
And don’t forget to add a walking break, if possible.
For more information about creating a healthy worksite, visit these
The Health Department is a member of the Salina
Area Tobacco Use Prevention Coalition at Central Kansas Foundation.
For information about quitting smoking, call CKF at 785-825-6224. You can also call the free Kansas Tobacco Quitline at 1-800-QUIT
NOW. A trained quit counselor will help you make a plan to quit
smoking for good! The Quitline is answered in English and Spanish
by trained stop smoking specialists 24 hours a day, seven days a week,
and it's FREE!
quitting tobacco Web Coach offers cessation counseling by live chat
and e-mail. You will also have access to a private, online
community where you can complete activities, watch videos, and join
discussions with others. A quit coach will help you to create your plan
to quit tobacco use, find strategies to fight cravings, and keep you on
track to becoming tobacco free! Web Coach can be used alone or in
addition to the Quitline phone support.
Salina passed an ordinance in 2009 banning smoking
in all enclosed public areas, including workplaces, restaurants, hotels, and
bars. The purpose is to protect you and all citizens from exposure
to the poisons in secondhand smoke.
The Kansas Legislature passed a Clean Indoor Air Ordinance in 2010
for the entire state. However, local ordinances that are more
strict than the state law, (such as Salina's), must be followed in
addition to the state law.
Tobacco-free workplace policies
The costs of employee tobacco use to the employer are significant.
Direct costs to the employer include healthcare costs associated with
tobacco use. Indirect costs include lost productivity, absenteeism and
recruitment and retraining costs resulting from death and disability
related to tobacco use.
Tobacco-free workplaces can enhance productivity in two ways. The
effects of secondhand smoke on nonsmokers is reduced. Additionally,
smokers who are motivated to quit as a result of the tobacco-free policy
will have reduced absenteeism. Especially for small businesses that have
employees who handle a variety of tasks, productivity can be greatly
increased by reduced absenteeism.
A smoker who quits could save his/her employer an estimated $960 in
excess illness costs each year. Persons who quit smoking before age 65
are estimated to save from 40-67% of the lifetime excess medical costs
of persons who continue to smoke. Smokers are absent from work 50% more
often than nonsmokers, have twice as many on-the-job accidents, and are
50% more likely to be hospitalized than workers who do not smoke.
Recognizing that employees of smoke-free companies may be healthier
year-round, many insurers are inclined to give those companies a break
on premiums. Some fire and casualty companies, for example, will cut
their premiums by 50%.
Finally, managers in tobacco-free workplaces are relieved to have a
clear process for dealing with tobacco use in the workplace. Maintenance
costs go down when smoke, matches and cigarette butts are eliminated
from facilities. Office equipment, carpets, and furniture last longer.
Besides being wise for health-related reasons, being a tobacco-free
workplace just makes good business sense!
For more information on smoke-free policies in your workplace, visit:
In this country, lung disease is responsible for one in seven deaths.
Quitting smoking not only greatly reduces serious risks to your health
but it also can greatly increase your disposable income. Smokers in the
US spend nearly $50 million annually on cigarettes.
HIV/AIDS Case Management manages HIV/AIDS cases
for persons in a 31-county area of North Central and Northwest Kansas,
and coordinate local medical outreach clinics from KUMC-Wichita.
The CDC National AIDS Hotline can be reached by calling:
1-800-342-AIDS (2537) or at
1-800-342-SIDA (7532) for Spanish
In Salina-Saline county, contact:
Case Manager – Health Educator
Phone: 785-826-6600 x106
Title B CARE Services
In 1990, the federal government passed the Ryan White Comprehensive AIDS
Resources Emergency (CARE) act. The purpose of this act was to increase
access of basic medical services to those living with HIV and AIDS
through federally-funded programs within each state.
To be eligible for assistance through CARE, you must:
reside in Kansas
have proof of HIV infection (i.e., signed Medical
Eligibility Form, medical records) and copies of recent labs
have documentation proving family income is at or
below 300% of Federal poverty guidelines (i.e., paystub,
unemployment check, Social Security award letter, W-2 form or income
not be institutionalized or living within a facility
that is primarily responsible for medical and health care services
provide updated information through a semi-annual
(every six month) renewal process with their Ryan White Title B Case
Manger; any changes prior to this renewal process (i.e., income,
address, insurability, etc.) must be reported immediately to their
Ryan White Title B Case Manager
Kansas Case Management Regions and Agencies
Regions 1 and 2 Kansas City, Missouri Health Department
2400 Troost, Suite 3100
Kansas City, MO 64108
Region 3 Lawrence
Douglas County AIDS Project
2518 Ridge Court, #244
Lawrence, KS 66044
Region 4 Topeka
Topeka AIDS Project
708 SW 6th St.
Topeka, KS 66603
Crawford County Health Department
410 E. Atkinson, Suite B
Pittsburg, KS 66762
Manhattan-Riley County Health Department
2030 Tecumseh Rd.
Manhattan, KS 66502
Phone: 785-776-4779 ext. 250
Region 7 Salina
Salina-Saline County Health Department
125 West Elm
Salina, KS 67401
Phone: 785-826-6600 ext. 106