nysdoh health data code-a-thon webinar
DESCRIPTION
TRANSCRIPT
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New York State Health Data
Code-a-Thon
Obesity and Type 2 Diabetes
Prevention
December 13, 2013
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Webinar Housekeeping
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The Obesity and Type 2 Diabetes Epidemics
in NYS
NYS Department of Health
• Maureen Spence
• Susan Millstein
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Obesity and Type 2 Diabetes Data Sources
NYS Department of
Health
• Ian Brissette
• Trang Nguyen
• Rachael Ruberto
• Lynn Edmunds
• George Javitz
NYS Office of Parks
and Recreation
• Sally Drake
• Christina Croll
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Where Are You?
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Obesity
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• According to self-report survey data, 24.5% of
NYS adults are considered obese, and another
35.6% are overweight, impacting 8.5 million
residents.
• Obesity is significantly more prevalent among
non-Hispanic black adults (32.5%) than among
Hispanic (26.3%), non-Hispanic white (23.6%)
and other non-Hispanic adults (16.3%).
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Obesity in NYS Adults
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The rate of obesity is also higher among those
who earn an annual household income less than
$25,000 (26.8%), have less than a college
education (27.1%), or are currently living with a
disability (34.9%).
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Obesity in NYS Adults
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• In the US:
– 31.7% of children and adolescents aged 2-19 are overweight or obese.
• In NYS:
– 32% of public school students (outside NYC) are overweight or obese.
– 40% of NYC public school students ages 6-12 are overweight or obese.
– 32% of children ages 2-4 enrolled in the WIC Program are overweight or obese.
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Obesity in Adolescents and
Children
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0
5
10
15
20
25
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010
Pe
rce
nt
(%)
Black Hispanic White
1990-2003 (↑2.7 )
1989-2003 (↑3.9)
1989-2003 (↑3.4)
2003-2010 (↓3.6)
2003-2010 (↓2.8)
2003-2010 (↓0.6)
Source: 2010 Pediatric Nutrition Surveillance Report, table 18c
Obesity Prevalence Trends among WIC Children 2-4
Years by Race/Ethnicity
New York State, 1990-2010
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Why is Obesity a Public Health
Problem?
• Obesity can:
– Shorten lives
– Reduce quality of life
– Affect academic and work performance
– Carry an economic burden
• Racial, ethnic and income disparities are
significant
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Diabetes
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Type 2 Diabetes
• When you eat food, the body breaks down all of
the sugars and starches into glucose, which is
the basic fuel for the cells in the body.
• Insulin takes the sugar from the blood into the
cells where it can be used for energy
• In type 2 diabetes, there is too little insulin, or
the insulin that is available is not effective
• Glucose/sugar remains in the blood stream at an
elevated level (high blood sugar)
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Risk Factors for Type 2 Diabetes
• Advancing age
• Obesity
• Family history of diabetes
• Prior history of gestational diabetes
• High Blood Pressure
• Physical inactivity
• Race/ethnicity
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Portion Distortion Through the Years
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Sedentary Lifestyles
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AUDIENCE
POLL
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Diabetes in New York State Adults
• Approximately 1.5 million adult new Yorkers or 10.4% of the
population have been diagnosed with diabetes.
• Between 1999 and 2011, the prevalence of diagnosed diabetes
in adults in New York State (NYS) increased from 5.7% to 10.4%.
• During the same years, the prevalence of obesity in adults
increased from 17.4% to 24.5%.
• Because obesity is a leading risk factor for diabetes, the
increase in obesity prevalence translates to nearly one million
additional New Yorkers being at higher risk for developing
diabetes
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Why Do We Care?
• Diabetes affects many parts of the body and can
lead to serious complications such as blindness,
kidney damage and lower limb amputations.
• The total cost of diabetes in NYS was estimated at
$12.9 billion in 2007, including $8.7 billion in
diabetes-related medical expenditures and $4.2
billion attributed to lost productivity costs.
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Type 2 Diabetes in New York State
Youth
• No registry or other means to accurately
account for the number of children with type
2 diabetes.
• Based on national studies, we estimate there
are approximately 1,100 youths, aged 0-19,
with type 2 diabetes in NYS.
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>1.5 million with diagnosed
Diabetes
4.5 millionwith Prediabetes
Approximately 750,000 have
diabetes but don’t know it
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Prediabetes
• Blood glucose (sugar) levels that are
higher than normal but not yet high
enough to be diagnosed as diabetes.
• People with pre-diabetes are at increased
risk for developing type 2 diabetes and for
having heart disease and stroke.
• Many people are unaware that they have
pre-diabetes, because it usually has no
symptoms.
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Type 2 Diabetes Can be Delayed or
Prevented
• Weight loss of 5-7% of body weight
• Healthier food choices
• Physical activity 30 minutes a day,
most days of the week
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NYS Diabetes Prevention Program
• Lifestyle change program led by trained
coaches in community settings for people at
high risk
• Goal is to achieve 5-7% weight loss
• We have the programs, we need the
participants
• Health care providers need to diagnose,
communicate and refer
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Consequences of No Action
• One out of 3
children born in the
U.S. in the year
2000 will develop
type 2 diabetes, if
this epidemic is left
unchecked.
• This could be the
first generation of
children to not
outlive their
parents.
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How is the NYS Department of Health
Addressing the Twin Epidemics?
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Environmental Approaches
Environmental approaches promote health
and support and reinforce healthful behaviors
in schools and childcare, worksites, and
communities.
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Health Systems Approaches
Improve the clinical
environment to more
effectively deliver
quality preventive
services and help New
Yorkers more effectively
use and benefit from
those services.
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Community-Clinical LinkagesEnsuring that communities support and healthcare
providers refer patients to programs that improve the
prevention and management of chronic conditions.
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The Prevention Agenda 2013-17 is the blueprint
for state and local action to improve the health of
New Yorkers in five priority areas and to reduce
health disparities for racial, ethnic, disability,
socioeconomic and other groups who
experience them.
Prevention Agenda 2013-2017: New
York State's Health Improvement Plan
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Setting the Context for Innovation:
Review of Key Data Assets
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Outline for Presentation
Defining innovation
Public health practice: epidemiology, public
health surveillance and program evaluation
Categories of data assets on Open Data NY
and Health Data NY
Demonstrations by Data Owners
Making data Open for use: API Foundry
Your Questions
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Innovation
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Defining Innovation
Innovate (verb):
To introduce
something new or
different;
To renew what exist
already;
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Data With A Purpose: Epidemiology and
Public Health Surveillance
Public Health Surveillance
Epidemiology
Data collected as part of public
health practice are done so to
understand the distribution of
disease or factors associated
with disease over time, place
and person;
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Variation… over time,
place
and person
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Public Health Program Evaluation
Evaluation is the systematic investigation of the
merit, worth or significance of an organized public
health action.
• Was the program implemented as planned?
• Did the program reach the desired segment of the
population?
• Do individuals who participate in the program experience a
health benefit?
• Is program implementation associated with a change in
population health?
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Your Mission… Should You Choose
to Accept ItUtilize Open Data
to develop an innovative
concept to help address
the twin epidemics of obesity and type 2
diabetes.
Our Aim Solution-Focused Use of Data
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Types of Data Assets on Health Data NY
Data assets that define the burden of
diabetes, obesity and related conditions
• Student Weight Status Category
• Community Health Indicators – Diabetes and
Obesity
• Prevention Agenda County Tracking Indicators
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Types of Data Assets on Health Data NY
Data assets about existing programs to
prevent obesity and type 2 diabetes…
• Women Infants and Children Program
• Child and Adult Care Food Program
• Easy Tips to Prevent Type 2 Diabetes
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Types of Data Assets on Open Data NY
Data assets that can be re-envisioned to
promote the prevention of obesity and
diabetes…
• Farmers Markets
• State Park Facility Points
• Accessible Outdoor Recreation Destinations
• Regulated Childcare Facilities
• Transportation: CDTA and MTA Sites
• Retail Food Establishments
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Dataset*: Community Health: Obesity and
Diabetes Related Indicators
• Data include: county level data for New York State
residents:
• Childhood and adult obesity prevalence
• Individual behaviors related to obesity:
breastfeeding, time watching TV, exercise, eating
fruit/vegetables.
• Diabetes prevalence among adults.
• Health burden: diabetes hospitalizations and
complications and deaths; cardiovascular disease
hospitalizations and deaths. *Dataset is currently on the test site and will be available on Open Data before the Code-a-thon
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Indicator List
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How can the data be used?
• Obesity and related diseases are among the State’s health
priorities, included in the State Health Improvement Plan:
Prevention Agenda 2013-2017
(www.health.ny.gov/prevention/prevention_agenda/2013-
2017/ ). These data are used for setting state objectives and
monitoring progress.
• Local health departments and hospitals use these data in
community health needs assessments, planning, monitoring and
evaluating public health interventions.
• Data can be used in conjunction with other data sources for
research, grant applications, community engagement,
educational materials, identifying and communicating local
priorities for interventions.
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www.health.ny.gov/statistics/chac/indicators/
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Student Weight Status Category
Reporting System
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Background
• Established by amendments to NYS Education Law
903 & 904 in 2007
– Added body mass index (BMI) and weight status category to
the school health certificate required at school entry (PreK
or K) and in grades 2, 4, 7 & 10
• Mandatory reporting of aggregated data to the NYS
Department of Health began during the 2008-09
school year
• New York City public schools, BOCES, special act
schools (4201 designated schools), charter, and
private schools are excluded
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Student Weight on Health Data NY
• Dataset includes separate estimates of the % of
students overweight, obese and overweight or obese
for all reportable grades within the district, county
and/or region and by grade groups
• Variables representing the # of students on which
the percentages are based are also included
• An area identifier code is provided to enable linkage
of the district and county-level data with other data
sources
• Metadata documenting all the variables included
within the dataset is provided
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Area identifier Estimates (counts, percentages)
Filter by grade level or area type
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Statewide…
Region….
County….
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How is Student Weight Data Used?
• Statewide surveillance of childhood obesity in New
York State
• Monitor progress towards achieving NYS Prevention
Agenda objectives
• Encourage collaboration/use among local partners to
tailor obesity prevention programs
• Linkage analyses with economic data from NY State
Education Department
• Help identify high need communities in NYS
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Local-level charts/graphs
Prevention agenda tracking
Community needs index
Reports & analyses
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Student Weight: Geographic Representation
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Link to Code-a-thon Theme
• This data can be used to describe the problem of
childhood obesity at the district, county, regional
and state level
• The data can be used to locate obesity prevention
programs in districts or areas with the highest rates
of obesity
• This data can also be linked with a variety of other
data sets available at the federal, state & local level
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Limitations/Barriers to Innovation
• Have not used this data in combination with other
data available from DOH and other state/federal
agencies, such as:
– Food retail stores & restaurant locations
– Places to be physically active (parks, trails, etc.)
– Adult obesity/diabetes rates at the county level
– Rates of obesity among low-income preschoolers
– Census data
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Diabetes Type 2 Prevention Tips
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Prevention Tips on Health Data
• A set of over 60 quick and easy tips to
encourage lifestyle changes that may help
prevent type 2 diabetes.
• Some tips may also be useful for people who
already have type 2 diabetes
• Tips were compiled from four National
Diabetes Education Program (NDEP)
publications.
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Prevention Tips on Health Data
• The tips are grouped into five broad categories
based on each aspect of lifestyle change they
address:
-Reduce portion sizes
-Be physically active
-Make healthy food choices
-Stress reduction/mental health
-Prevention programs
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How is the Data Used?
• Different from our traditional health datasets
because it includes resource information
• The information itself is displayed in tabular form
rather than our typical data which include
numerical counts or rates.
– This data can be used by individuals at high
risk for developing diabetes to identify easy
steps that may help prevent or delay the
onset of type 2 diabetes.
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Link to Code-a-thon Theme
• This dataset provides
information about
lifestyle changes that
can help prevent type
2 diabetes and even
help those with
diabetes manage their
disease to avoid
complications.
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Limitations/Barriers to Innovation
• This information hasn’t been linked to places
or resources in the community that could
help people adopt some of these behaviors:
– These tips could be linked to existing data sources
on Health Data NY or Open Data NY
– Turning resource information into action
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ExamplesTip: Use calorie labeling information at fast food restaurants and on restaurant menus.
Link to data on locations of retail food establishments in NYS
Tip: Get off the bus one stop early and walk the rest of the way home or to work if it is safe.
Link to data on locations of CDTA bus stops
Tip: Walking is one of the best ways to increase your activity level. Start slowly by walking 5 minutes more each day.
Link to data on locations of parks and trails in NYS
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Special Supplemental Nutrition
Program for Women, Infants, and
Children (WIC)
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About WIC
Mission - To safeguard the health of low-
income women, infants, and children up to
age 5 who are at nutrition risk by providing
nutritious supplemental foods, breastfeeding
support, nutrition education, and referrals to
health care and social services.
Vouchers for supplemental foods are used at
authorized food stores.
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Who is Eligible?
Must meet each of 4 criteria:
1. Be a:
– Pregnant woman;
– Infant or child up to 5 years;
– Mother of a baby up to 6 months of age; OR
– Breastfeeding mother of baby up to 12 months
2. Resident of New York State
3. Meet income eligibility guidelines
4. Be at nutritional risk as determined by a health
professional
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500,000Approximate
#
participants
served
monthly
94Contracting
Agencies
210Permanent
Sites
259Temporary
Sites
5VMAs
Reach of WIC
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Open WIC Data
Data sets include:
WIC program eligibility criteria
Income eligibility guidelines
WIC site locations
Benefits of Open WIC data
Assist consumers with assessing potential
eligibility
Connecting consumers with local WIC services and
vendors
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Open WIC Data
Data sets include:
WIC program eligibility criteria
Income eligibility guidelines
WIC site locations
Benefits of Open WIC data
Assist consumers with assessing potential
eligibility
Connecting consumers with local WIC services and
vendors
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WIC Program Eligibility
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WIC Income Guidelines
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WIC Program Site Information
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WIC Program Site Map
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WIC Sites Filtered
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New York State Office of Parks, Recreation and Historic Preservation
Office of Parks, Recreation and Historic Preservation
Mission Statement
The mission of the Office of Parks, Recreation and Historic Preservation is to provide safe and enjoyable recreational and interpretive opportunities for all New York State residents and visitors and to be responsible stewards of our valuable natural, historic,
and cultural resources.
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Office of Parks, Recreation and Historic Preservation
Allegany: 4 parks Central: 20 parks,7 historic sites
Finger Lakes: 25 parks, 2 historic sites
Genesee: 8 parks
Long Island: 26 parks, 3 historic sites
New York City: 7 parks Niagara: 17 parks2 historic sites
Palisades: 21 parks6 historic sites
Saratoga-Capital District: 12 parks, 8 historic sites
Taconic: 13 parks,6 historic sites
Thousand Islands: 26 parks,1 historic sites
11 State Park Regions, 179 State Parks, 35 Historic Sites, 60 million visitors
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New York State’s Expansive System of Parks, Historic Sites,
Recreational Facilities and Infrastructure Tops the Nation
Office of Parks, Recreation and Historic Preservation
214 State Parks and Historic Sites
350,000 Acres 60 Million Visitors Annually 5000 Buildings 29 Golf courses 36 Swimming pools 67 Beaches 27 Marinas 40 Boat Launch Sites 18 Nature Centers 3 major concert venues 817 Cabins 8,355 Campsites 2000 Miles of Trails Hundreds of Miles of Roads
1st in Operating Facilities; 2nd in Visitation; 5th in Acreage
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New York State Parks: Connecting with our Communities, Providing Safe and Enjoyable Outdoor Recreation
Office of Parks, Recreation and Historic Preservation
Open Data:
Connecting People to
Our Parks
Datasets posted to
data.ny.gov to date
include:
•State Park Facilities
Point Map
•Campgrounds by
County
•State Park Golf
Courses
•State Historic Sites
•State Nature Centers
•State Park Boat
Launch SitesRoberto Clemente State Park
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New York State Parks: Connecting with our Communities, Providing Safe and Enjoyable Outdoor Recreation
Office of Parks, Recreation and Historic Preservation
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New York State Parks: Connecting with our Communities, Providing Safe and Enjoyable Outdoor Recreation
Office of Parks, Recreation and Historic Preservation
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Office of Parks, Recreation and Historic Preservation
Promoting Outdoor Recreation at State Parks for Healthy Communities Where it Makes the Greatest Impact
How: Identify where parks are located in proximity to:• Poverty areas• High incidence of childhood obesity• High incidence of physician-diagnosed adult diabetes
What: Use that information to inform park planning, develop a message campaign, and work with state and community partners to identify ways to increase park attendance in those areas.
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Office of Parks, Recreation and Historic Preservation
Data Identification
Use publicly available data to identify areas of high obesity among school-aged children near our parks
• Poverty Data: US Census Bureau• http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
• Childhood Obesity Data: NYS Department of Health• https://www.health.ny.gov/statistics/chac/indicators/obs.htm
• Adult Diabetes: NYS Department of Health• https://www.health.ny.gov/statistics/chac/indicators/dia.htm
• Park Location Data: NYS OPRHP GIS Bureau• https://data.ny.gov/Recreation/State-Park-Facility-Points/9uuk-x7vh
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Office of Parks, Recreation and Historic Preservation
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Office of Parks, Recreation and Historic Preservation
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Office of Parks, Recreation and Historic Preservation
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Office of Parks, Recreation and Historic Preservation
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Office of Parks, Recreation and Historic Preservation
Process
• Data was obtained from the various sources
outlined
• Data sets were joined to geographic data such as
census tracts and county boundaries
• Result was a map used by staff to inform decision
makers about the proximity to parks to areas of
interest
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Office of Parks, Recreation and Historic Preservation
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Using APIs with
HealthDataNY
and
OpenNY
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What is an API
• An application programming interface (API) specifies how some software components should
interact with each other.
• In addition to accessing databases or computer hardware, such as hard disk drives or video
cards, an API can be used to ease the work of programming graphical user
interface components
* Wikipedia
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Socrata’s Open Data APIs
* From Socrata.com/open-data-portal
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Socrata’s Open Data APIs
* From Socrata.com/open-data-portal
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Socrata’s Developer Resources
* From dev.socrata.com
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Socrata Open Data API
* From dev.socrata.com
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Socrata Open Data API
* From dev.socrata.com
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Featured NYS APIs
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HealthDataNY Featured APIs
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HealthDataNY Featured APIs
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HealthDataNY Featured APIs
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HealthDataNY Featured APIs
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Example Code
First, get dataset identifier
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Then use identifier in request URL
Example Code
Use .csv to return CSV file
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Example Code
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Thank You!Maureen Spence
Tel: (518) 408-5142
Ian Brissette
Tel: (518) 473-7817
George Javitz
HealthDataNY Team