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Annual Report / Public Health

Annual Report 2022-2023: Public Health

Ensuring Safer, Longer, Healthier Lives

Bloomberg Philanthropies’ Public Health program takes on the world’s leading causes of death from noncommunicable diseases and injuries. We follow the data, build strong partnerships with governments and other organizations, and spread proven solutions to save lives.

Overview


Reducing global tobacco use and youth e-cigarette use in the U.S.


Improving road safety


Promoting healthy diets to combat obesity


Preventing cardiovascular diseases


Strengthening health data collection in low- and middle-income countries


Mobilizing cities to reduce noncommunicable diseases and injuries


Combating the U.S. overdose epidemic


Protecting access to reproductive healthcare


Investing in drowning prevention


Addressing challenges to U.S. life expectancy with the Johns Hopkins Bloomberg School of Public Health

Reducing the Use of Tobacco and E-Cigarettes

Since 2007, Bloomberg Philanthropies has led global efforts to reduce tobacco use in more than 110 low- and middle-income countries. Working with national and local governments, we have advocated for a package of proven policies that can save lives, such as banning smoking in public places, raising taxes on tobacco products, and banning tobacco advertising. In February 2023, we announced another major investment in our work to continue passing strong tobacco control policies. Globally, our efforts have helped drive down global cigarette sales, with roughly 750 billion fewer cigarettes sold in 2021 compared to 2012. Based on progress to date, we are projected to save over 35 million lives by 2030.

Beginning in 2019, we have also worked to reduce teen e-cigarette use in the United States, an epidemic that threatens to hook a new generation on nicotine. To date, the program has helped pass 79 state and local bans on flavored e-cigarettes, which have been shown to attract younger users, including 25 new bans in 2022. In November 2022, we helped to defend California’s flavored tobacco ban from a ballot referendum supported by the tobacco industry that sought to overturn it. With our support alongside partners like the Campaign for Tobacco-Free Kids, voters overwhelmingly upheld the ban in a major victory for our work.

Podcast

Listen to Hear How the Philippines is Working to Combat Youth Vaping

Reached

69

69

countries with smoke-free laws, up from 10 in 2007.

Helped cut global smoking rates by

23%

23%

over 12 years

Helped pass

79

79

U.S. state and local bans on flavored e-cigarettes

With our support, Kampala, Uganda, has worked to increase enforcement of the country’s national smoke-free law.

Strengthening Global Road Safety

Bloomberg Philanthropies works in low and middle-income countries to prevent road traffic crashes, which kill roughly 1.3 million people and injure up to 50 million every year. Our initiative helps implement proven interventions that protect everyone on the road, such as reducing speeding and drinking and driving, improving road infrastructure and vehicle safety standards, increasing the use of helmets and seatbelts, and strengthening data collection. In 2022, our support helped Colombia and Mexico pass major national laws that aim to save lives by reducing speeding and other dangerous road behavior and improving vehicle safety. In total, we have helped strengthen 100 national and subnational laws.

Nearly

4billion

4billion

people protected by at least one new or improved road safety law.

Progress to date is projected to save

312,000

312,000

lives.

We partnered on a campaign in Mumbai to increase helmet use and save lives from traffic crashes.

Mobilizing Cities on Public Health Challenges

Launched in 2017 through Mike’s role as World Health Organization Global Ambassador for Noncommunicable Diseases and Injuries, the Partnership for Healthy Cities is a network of 70 cities focused on reducing noncommunicable diseases and injuries.

Two women and four men including Mike Bloomberg standing on stage in front of a sign that says "Partnership for Healthy Cities Summit", they are holding boxes with a ribbon.
In March 2023, at the Partnership for Healthy Cities Summit in London, we recognized mayors and representatives from the five winning cities for their outstanding public health efforts.

In March 2023, we hosted the first Partnership for Healthy Cities Summit in London with over 200 mayors and city delegates, where we recognized five cities for their outstanding efforts on public health challenges: Montevideo, Uruguay, for food policy; Mexico City, Mexico, for road safety; Vancouver, Canada, for data management and surveillance; Athens, Greece, for overdose prevention; and Bengaluru, India, for tobacco control.

In Kumasi, Ghana, local residents and health professionals marched to raise awareness of the harms of sugary drinks and the need for taxation. Credit: Advocating for Health (A4H) Coalition Ghana

Spotlight

Food Policy

In 2022, our partners in Colombia secured major wins in the country. After nearly six years of advocacy, Colombia’s Congress approved a tax on sugary drinks and ultra-processed products, making it one of just a handful of countries to tax both categories.

Supporters urging Colombia's Congress to tax sugary beverages

At Colombia’s National Congress, our partners advocated for taxes on sugary beverages and ultra-processed foods.

Following the tax approval and in the face of intense industry opposition, the Ministry of Health finalized a strong regulation for front-of-package warning labels based on our partners’ recommendations. Because of our partners’ efforts, a court also ordered the ministry to create a committee to monitor implementation, free of influence from the food and beverage industry. It marked the first time that a court authorized civil society to monitor a public health regulation.

Podcast

Listen to How We Are Raising Awareness of Unhealthy Food and Beverage Marketing

Preventing Cardiovascular Diseases

Through a partnership with Resolve to Save Lives, an initiative founded by Dr. Tom Frieden, former director of the U.S. Centers for Disease Control and Prevention, Bloomberg Philanthropies also supports efforts to prevent cardiovascular diseases, the world’s leading cause of death. The initiative works predominantly in low- and middle-income countries and focuses on three key strategies: improving treatment of high blood pressure, eliminating artificial trans fats, and reducing sodium. Bloomberg Philanthropies has directed funding to help reduce risk factors in over 60 countries, including priority countries like Bangladesh, China, Ethiopia, India, and countries throughout the Americas.

Improving Health Data Collection and Policymaking

Launched in 2015, our Data for Health initiative works with low- and middle-income countries to improve the collection and use of critical birth, death, and health data. Globally, many countries lack strong systems to collect this data, which prevents them from effectively allocating resources or designing policies and leaves millions of people without access to medical care.

More than

860million

860million

people now covered by stronger data collection practices

10 countries passed

41

41

new policies based on improved data collection and use

Community health volunteers facilitated birth and death registration in rural Gambia with our support. Credit: Vital Strategies

Preventing Drowning Deaths

To address a leading cause of injury-related deaths, Bloomberg Philanthropies supports local, data-driven solutions to save lives from drowning deaths in countries with high drowning rates, such as Bangladesh, Ghana, Uganda, and Vietnam.

Spotlight

A swimming pool full of kids wearing inflatable orange vests and holding the guard rail while swimming, a male teacher is in the middle of the pool.

In Vietnam, over 26,000 children have now passed a survival swimming course that we supported.

Drowning Prevention

Beginning in 2012, when we discovered that drowning was the leading cause of death for children under five in Bangladesh, we tested solutions to save lives. We funded more than 2,500 community daycare sites to supervise and help educate kids at the same time and found that they reduced drowning deaths by as much as 88%. In 2022, our success spurred the government of Bangladesh to take over the program and commit to scaling it from 50,000 children to 200,000 annually.

Classroom with young kids watching a female teacher write on a small chalkboard, there are alphabet, animal and bird posters attached to the walls.

Children in Bangladesh attended a daycare site supported through our drowning prevention program.

Defending Access to Reproductive Healthcare

In 2022, the U.S. Supreme Court overturned Roe v. Wade in its ruling on Dobbs v. Jackson Women’s Health Organization, eliminating federal protections for the right to abortion. Mike has continued to strongly support organizations that are fighting to protect and expand abortion rights, as he has for decades. Following the decision, he was a leading supporter in successful state advocacy efforts. He helped elect pro-choice majorities to state supreme courts through public education campaigns, backed ballot measures in Kansas, Kentucky, and Michigan, and supported pro-choice candidates nationwide. After many states criminalized abortion, our team worked with partners to provide legal resources and aid for providers, patients, and supporters.

Training a New Generation of Public Health Leaders

In 2016, we established the Bloomberg American Health Initiative at the Johns Hopkins Bloomberg School of Public Health to address declining U.S. life expectancy and train new public health leaders. The program focuses on five major health threats facing the United States: addiction and overdose; risks to adolescent health; environmental challenges; food systems for health; and violence.

Group photo of a diverse group of people standing on a long staircase inside a building. A poster behind them says "Bloomberg American Health Summit 2022".
In December 2022, the Bloomberg American Health Summit drew over 400 experts, officials, journalists, and advocates. Speakers included Pennsylvania Governor-elect Josh Shapiro, New Mexico Governor Michelle Lujan Grisham, and Bloomberg School faculty and fellows.

It supports full scholarships for Master of Public Health and Doctor of Public Health fellows, with the requirement that each prospective fellow apply with a collaborating organization and continue working with that organization in the community for at least a year after graduation. To date, 339 students have graduated or are currently enrolled in the program.

Combating the U.S. Overdose Epidemic

To address record overdose deaths and declining life expectancy in the United States, Bloomberg Philanthropies leads efforts to combat the overdose crisis by increasing access to medication treatment and supporting harm reduction interventions. Our initiative focuses on three core strategies: developing and implementing effective policies and interventions in seven key states; creating and disseminating tools that can guide all states; and pushing for federal reform through lobbying, education, and awareness. In 2022, the initiative helped pass important legislation in Kentucky, Michigan, Pennsylvania, and New Mexico, as well as nationally.

Top photo: Children in Vietnam received survival swimming classes with support from our drowning prevention program, which identifies local solutions to save lives from drowning.

Annual Report / Public Health

Annual Report 2021: Public Health

Ensuring Safer, Longer, Healthier Lives

The Public Health program takes on noncommunicable diseases and injuries to reduce preventable deaths from tobacco use, unhealthy diets, road traffic crashes, and other leading causes. Bloomberg Philanthropies follows the data and builds strong partnerships with national and local governments and organizations, sharing and helping implement solutions proven to save lives. This approach also allowed the team to quickly pivot to tackle COVID-19 and support recovery efforts in cities and countries around the world.

Reducing the Use of Tobacco and E-Cigarettes

Bloomberg Initiative to Reduce Tobacco Use

Since 2007, Bloomberg Philanthropies has made major investments to reduce tobacco use, which causes one in ten deaths globally every year.

Let's Make Kampala Smoke Free campaign on the streets of Kamapala
With support from Bloomberg Philanthropies, Kampala, Uganda, is working to increase enforcement of the country’s national law prohibiting smoking in public places like parks, restaurants, workplaces, and more.

The initiative works with national and local governments to enact a package of policies that are proven to reduce tobacco use and save lives, such as prohibiting smoking in indoor public places, enforcing bans on tobacco advertising, and raising taxes on tobacco. It also takes on the tobacco industry’s efforts to undermine science-based policy. The initiative’s work has covered more than 112 countries and focuses on the world’s largest smoking populations, including in China, India, Indonesia, and Bangladesh. It has contributed to significant progress: Today, roughly 5.3 billion people are protected by at least one comprehensive tobacco control measure, up from one billion people in 2007. Roughly 4.4 billion people in 98 countries are covered by at least two comprehensive tobacco control measures, up from less than 500,000 in 2007. Based on progress to date, the initiative is projected to save 35 million lives by 2030.

Global Cigarette Sales Continue to Decline

Billions of cigarette sticks sold, with percent change from previous year
Cigarette sales

Source: Euromonitor

Spotlight

Every single South American country now has a comprehensive smoke-free law, following a recent presidential decree in Paraguay that banned smoking in indoor public places. Bloomberg initiative partners worked with many of these countries to reach this incredible achievement.

Protect Kids: Fight Flavored E-Cigarettes

In 2019, Bloomberg Philanthropies teamed up with the Campaign for Tobacco-Free Kids, the U.S. Centers for Disease Control and Prevention, and the CDC Foundation to combat a boom in youth e-cigarette use in the United States, which put a new generation at risk of becoming addicted to nicotine. While teen smoking has fallen drastically over the last 20 years, nearly two million high school students use e-cigarettes, largely because of kid-friendly flavors and branding produced by the tobacco industry.

Spotlight

Successfully advocated for flavored e-cigarette bans in 22 cities and counties in 2021 – bringing the total number of local bans supported to 55 since 2019.

In 2021, the initiative successfully advocated for 22 U.S. cities and counties to ban flavored e-cigarettes, bringing the total number of state and local bans supported to 55 since work began. While youth e-cigarette use remains alarmingly high, these efforts have helped spur a decline from 27.5 percent of high schoolers using e-cigarettes in 2019 to 19.6 percent in 2020. Partners worked steadily throughout 2021 to draw attention to the importance of the FDA’s review of marketing applications for flavored e-cigarette products. The FDA rejected nearly one million flavored products and temporarily halted sales of 4.5 million more while it requested additional information.

Read more

Improving Road Safety Around the World

Initiative for Global Road Safety

Bloomberg Philanthropies works in low- and middle-income countries around the world to prevent road traffic crashes, which kill roughly 1.3 million people and injure up to 50 million every year. These efforts help protect everyone on the road, including pedestrians, bicyclists, motorcyclists, and vehicle occupants.

Since 2007, the initiative has expanded to reach 25 cities across 15 countries, focusing on five major strategies: strengthening road safety laws; reducing dangerous behavior, such as speeding, drinking and driving, and failing to wear safety equipment like helmets and seatbelts; improving road infrastructure to make streets safer; strengthening road traffic mortality, injury, and crash surveillance systems; and advocating for improved vehicle safety standards.

Before
After

Bloomberg Philanthropies supported the redesign of the Barrio Inglés roundabout in Bogotá, Colombia, to reclaim space for pedestrians and add a protected bike lane. The city reduced road fatalities by 38 percent between 2014 and 2020. Credit: Global Designing Cities Initiative

In 2021, the initiative provided 35 grants across 13 countries to support local organizations advocating for stronger road safety laws. With that support, for example, Ecuador adopted a law reducing speeds and mandating helmet use, and several Chinese cities adopted helmet requirements for e-bike riders. The initiative also built local capacity by training nearly 20,000 city staff and other stakeholders in road safety strategies, like police enforcement, safe street design, and communications; impacted road users’ behavior by airing 12 media campaigns in six cities and four countries, reaching over 35 million people; and made streets safer by helping cities redesign 75 high-risk intersections.

Read more

Strengthening Health Data Collection and Policy-Making

Data for Health

Every year, half of all deaths in the world go unrecorded, and too many health policy decisions are based on inadequate or incomplete information. The Data for Health initiative partners with low- and middle-income countries to collect better birth, death, and additional health data to close crucial information gaps and improve public health policy-making.

Thanks to co-funding from the Australian government and the Bill & Melinda Gates Foundation, Bloomberg Philanthropies has provided nearly 50 countries with technical assistance to improve the scope and accuracy of their data collection. Countries like Bangladesh and Senegal have improved their ability to measure COVID-19 deaths by using rapid mortality surveillance to understand the increase in deaths above past averages. Others, like Colombia, the Philippines, and Rwanda, are now collecting data on deaths in rural areas for the first time ever. And countries like Sri Lanka, Vietnam, and Zambia have changed their death certificates to the best-practice international standard.

Read more

Community health volunteers facilitate birth and death registration in rural Gambia after receiving a grant from the Data for Health program. Credit: Vital Strategies
Community health volunteers facilitate birth and death registration in rural Gambia after receiving a grant from the Data for Health program. Credit: Vital Strategies

Podcast

Listen to Learn How PhD Candidates Are Committed to Creating Healthier Food Environments Through Public Policy

The initiative works in seven focus geographies – Barbados, Brazil, Colombia, Jamaica, Mexico, South Africa, and the United States – as well as in additional countries through evaluation efforts and rapid response grants for policy advocacy. In 2021, initiative support helped pass front-of-package warning labels on unhealthy foods in Argentina and Colombia, demonstrating important momentum since Chile became the first country to implement a warning label policy in 2016. With the initiative’s support, several additional Latin American countries now have similar policies. To support the case for healthy food policies, the program has also supported the publication of over 200 peer-reviewed journal articles related to healthy food policy and promising solutions to address it.

Read more

A digital media campaign in Colombia advocates for front-of-package labeling on ultraprocessed products. Translation: “Junk food doesn’t speak head-on. We need front warning labels on ultraprocessed food and drink packaging.” Credit: Red PaPaz, Colombia 2020-2021

Cardiovascular Health Initiative

Through a partnership with Resolve to Save Lives, an initiative founded by Dr. Tom Frieden, former director of the U.S. Centers for Disease Control and Prevention, Bloomberg Philanthropies supports efforts to tackle cardiovascular diseases. These include heart attacks and strokes and are the world’s leading cause of death, killing 18 million people every year.

The initiative works in low- and middle-income countries, where 50 percent of these deaths occur in people younger than 70, and focuses on three key strategies: eliminating artificial trans fats, reducing sodium intake, and controlling high blood pressure. Achievements to date include helping to pass trans fat bans in 32 countries; supporting the development of best practices to reduce sodium consumption and working to establish them in Ethiopia, India, and Vietnam; and registering 3.3 million people in nine countries and regions to have their high blood pressure treated.

Read more

Woman getting her blood pressure measured
A woman has her blood pressure measured during a home health visit in Addis Ababa, Ethiopia. Credit: Resolve to Save Lives

Mobilizing Cities to Reduce Noncommunicable Diseases and Injuries

Partnership for Healthy Cities

First launched by Mike Bloomberg in 2017 through his role as World Health Organization Global Ambassador for Noncommunicable Diseases and Injuries, the Partnership for Healthy Cities is a network of 70 cities focused on reducing noncommunicable diseases and injuries.

Each year, more than 45 million people die from injuries and noncommunicable diseases (NCDs) – chronic, noninfectious health conditions like cardiovascular disease, cancer, diabetes, and more. The Partnership has identified 14 proven strategies to tackle the challenge in urban communities, and each city has agreed to implement at least one, from passing laws to reduce tobacco use, to setting healthier nutrition standards, to reducing speeding and drinking and driving.

Read more

Partnership for Healthy Cities Spotlight

Lima, Peru

Kids in Lima, Peru

Credit: Paola Flores/Vital Strategies

Adopted policies requiring healthy foods in schools and promoting healthier menu items in restaurants.

Bandung, Indonesia

Bandung, Indonesia

Credit: Vital Strategies.

Adopted a local regulation designating additional smoke-free areas, outlining penalties for violations, and strengthening enforcement.

Lusaka, Zambia

Supported a national policy to lower speed limits and focused on improving safety in seven school zones, including infrastructure improvements and speed reduction signage.

Protecting Access to Reproductive Health Care

U.S. Reproductive Health

As the U.S. Supreme Court considers a challenge to its decision in Roe v. Wade, millions of women across the United States are at risk of losing access to safe, affordable reproductive health care. As he has for decades, Mike Bloomberg continues to strongly support critical organizations that are defending women’s reproductive rights and challenging laws that would deny them, both at the state and federal levels.

Combating the U.S. Overdose Epidemic

Bloomberg Overdose Prevention Initiative

To address record numbers of overdose deaths and declining life expectancy in the United States, Bloomberg Philanthropies launched an initiative to combat the overdose crisis in 2018 and expanded it in 2021. The initiative promotes lifesaving, evidence-based approaches across three key strategies: developing and implementing effective policies and interventions in focus states; creating and disseminating tools and guidelines that can guide all states; and pushing for federal reform through lobbying, education, and awareness.

On October 27, 2021, partners in Pennsylvania organized a rally at the State Capitol in Harrisburg to call for expanding harm-reduction services.

In Michigan and Pennsylvania, the initiative’s first two focus states and among the hardest hit by the crisis, data from the U.S. Centers for Disease Control and Prevention showed that prior to the pandemic, both states successfully reduced overdose deaths. When COVID-19 infection rates reached their highest points, both states saw lower increases in overdose deaths than the national average. Bloomberg Philanthropies’ support has helped implement more than 20 projects in each state to increase access to medication treatment, expand harm-reduction services, and promote a public health approach to drug use over punitive responses, while ensuring that equity, data, and sustainability drive the work.

Through the recent expansion, the initiative will support five additional focus states: Kentucky, New Jersey, New Mexico, North Carolina, and Wisconsin. The program will continue spreading proven interventions, like increasing access to overdose-reversing naloxone and medications like buprenorphine that help treat opioid use disorder.

Read more

Preventing Deaths from Drowning Through Local Solutions

Drowning Prevention

More than 235,000 people die from drowning every year, over 90 percent in low- and middle-income countries. Half are younger than 30, with children under five at the highest risk. Bloomberg Philanthropies supports local solutions to save lives in countries with high drowning rates and has partnered with the World Health Organization to share effective global measures.

Bangladesh

Supported community daycare supervision for 50,000 children ages 1-4 – and home wellness visits when the pandemic closed educational institutions – and advocated for the government’s early childhood development plan to include community daycares, which reduce drowning risk by 88 percent.

Vietnam

Joined with the government to provide survival swimming classes to nearly 14,000 children ages 6-15 in 12 provinces, which the government is now using as a model to expand drowning prevention efforts around the country.

Uganda

Funded a study to understand drowning incidence, showing that adults ages 20-39 in lakeside districts had the highest drowning rates.

Read more

Training a New Generation of Public Health Leaders

Bloomberg American Health Initiative

To address alarming declines in U.S. life expectancy, Bloomberg Philanthropies established the Bloomberg American Health Initiative at the Johns Hopkins Bloomberg School of Public Health in 2016. The initiative supports full scholarships for Master of Public Health and Doctor of Public Health fellows, with the requirement that each prospective fellow apply together with a collaborating organization and continue working for that organization in their community for at least a year after graduation. To date, 211 students have graduated or are currently enrolled in the program.

The initiative focuses on five of the biggest public health challenges facing the country: addiction and overdose; adolescent health; environmental challenges; obesity and the food system; and violence. In November 2021, the program’s annual summit drew more than 800 public health experts, elected officials, journalists, and advocates from across the country. Among the speakers were five governors, U.S. Assistant Secretary for Health Admiral Rachel Levine, and Bloomberg School faculty and fellows.

Read more

A commitment to tackling five critical health threats facing the United States:

Addiction and Overdose

Addiction and Overdose

Risks to Adolescent Health

Risks to Adolescent Health

Environmental Challenges

Environmental Challenges

Obesity and the Food System

Obesity and the Food System

Violence (including gun violence)

Violence
(including gun violence)

Top photo: Bloomberg Philanthropies supports efforts to improve global road safety through strategies like improving road infrastructure. In Recife, Brazil, new bike lanes, crosswalks, and other safety measures are helping to protect everyone on the road.

Credit: Samuel Caetano/City Hall of Recife

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