WEBVTT

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>> THERE'S AN ALARMING GAP IN

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LIFE EXPECTANCY IN CENTRAL

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INDIANA; RESIDENTS IN FISHERS

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LIVE 17 YEARS LONGER THAN

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HOOSIERS WHO LIVE LESS THAN 20

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MILES AWAY IN ONE OF THE MOST

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DISADVANTAGED AREAS IN

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INDIANAPOLIS. IT'S A STAT THAT

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INSPIRED ELI LILLY AND COMPANY

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TO INVEST EVEN MORE IN ITS

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HOMETOWN. BUSINESS OF HEALTH

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REPORTER KYLIE VELETA HAS MORE.

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KYLIE.

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>> THANK YOU, GERRY.

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JUST A FEW YEARS AGO, THE LIFE

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EXPECTANCY GAP WAS 14 YEARS

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BETWEEN NEIGHBORHOODS IN INDY'S

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URBAN CORE, COMPARED TO THE

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NORTHERN SUBURB OF FISHERS.

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THAT'S WHEN LILLY INVESTED SEVEN

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MILLION DOLLARS TO LAUNCH THE

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DIABETES IMPACT PROJECT, BECAUSE

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THESE NEIGHBORHOODS OF COLOR

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ALSO HAVE HIGHER RATES OF

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DIABETES.

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THEN A REPORT IN AUGUST SHOWED

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THE LIFE EXPECTANCY GAP HAD

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GROWN EVEN WIDER, NOW TO 17

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YEARS. IT INSPIRED LILLY TO GET

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EVEN MORE AGGRESSIVE AND INVEST

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AN EXTRA FIVE MILLION DOLLARS IN

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THE DIABETES IMPACT PROJECT.

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JOINING ME NOW TO TELL US HOW

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LILLY IS EXPANDING THEIR WORK IS

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COURTNEY ROBERTS, DIRECTOR OF

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GLOBAL HEALTH EQUITY

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PARTNERSHIPS AT LILLY.

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HI, COURTNEY. THANKS FOR BEING

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ON THE SHOW TODAY.

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>> HI, KYLIE, THANKS FOR HAVING

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M.

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>> THE PROJECT GOT UNDER WAY IN

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2018, GIVE US AN OVERVIEW OF

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WHAT THE PROJECT IS.

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>> THE DIABETES IMPACT PROJECT

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INDIANAPOLIS NEIGHBORHOODS ALSO

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KNOWN AT DIP IN IS A PARTNERSHIP

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TO ADDRESS DIABETES IN THREE

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INDIANAPOLIS BE NEIGHBORHOODS

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WHERE LIFE EXPECTANCY IS AMONG

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THE LOWEST IN THE CITY, WHERE

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83% OF RESIDENTS ARE PEOPLE OF

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COLOR, AND WHERE DIABETES RATES

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ARE NEARING 20%, WHICH IS ALMOST

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TWICE THE NATIONAL AVERAGE. IT

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WAS INITIALLY LAUNCHED IN 2018

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WITH THE MANTRA WHERE YOU LIVE

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SHOULDN'T DETERMINE HOW LONG YOU

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LIVE, IN RESPONSE TO THE LIFE

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EXPECTANCY STUDY BY FAIRBANKS

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PUBLIC HEALTH GERRY JUST

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REFERENCED. THAT SHOWED A LIFE

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EXPECTANCY GAP OF 14 YEARS

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BETWEEN THE NORTHERN SUBURBS OF

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THE CITY AND THE URBAN CORE. AND

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SOME ZIP CODES IN THIS CITY IN

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THE LIFE EXPECTANCY OF IRAQ. WE

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FELT LIKE WE COULD PLAY A ROLE

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IN CLOSING THAT GAP. DIP IN IS A

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MULTI-FACETTED PARTNERSHIP LED

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BY THE THREE COMMUNITIES IN

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THEMSELVES IN THE CITY OF

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INDIANAPOLIS. IT PROVIDED A

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HOLISTIC APPROACH TO DIABETES,

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PREVENTION AND CONTROL,

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INCLUDING NEIGHBORHOOD

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RESIDENTS, AS WELL AS COMMUNITY

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HEALTH WORKERS.

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>> SO LILLY HAS REALLY

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INTENSIFIED ITS EFFORTS,

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INVESTIGATION AN EXTRA

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$5 MILLION IN THE PROJECT. A LOT

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HAS CHANGED SINCE 2018 WHEN THIS

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PROJECT STARTED. EXPLAIN WHY

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LILLY WANTED TO REINVEST IN IT.

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>> THIS INVESTMENT MAKES SENSE

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RIGHT AT THIS PARTICULAR MOMENT

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IN TIME FOR A FEW REASONS,

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KYLIE. FIRST, THE UPDATED DATA

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THAT THE LIFE EXPECTANCY GAP HAS

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WIDENED EVEN FURTHER FROM 14

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YEARS WHEN WE LAUNCHED THE

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PARTNERSHIP NOW TO 17 YEARS.

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ACCORDING TO THIS DATA, PEOPLE

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IN THE DIP IN NEIGHBORHOOD CAN

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EXPECT TO LIVE NEARLY 17 YEARS

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LESS THAN PEOPLE WHO LIVE 20

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MILES NORTH. AND SECONDLY, OUR

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DECISION TO REINVEST WAS ALSO

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INFLUENCED BY COVID, WHICH HAS

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ONLY ILLUMINATED HEALTH

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DISPARITIES, WE KNOW PEOPLE OF

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COLOR ARE EXPERIENCING HIGHER

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BURDEN OF CASES,

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HOSPITALIZATIONS AND DEATHS,

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PEOPLE WITH UNDERLYING MEDICAL

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CONDITIONS LIKE DIABETES ARE

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MORE LIKELY TO HAVE SERIOUS

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COMPLICATIONS. WE DON'T KNOW THE

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IMPACT ON LIFE EXPECTANCY IN

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THESE COMMUNITIES, WE CAN ONLY

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GUESS THAT IT WILL WIDEN GIVEN

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WHAT WE KNOW ABOUT THE VIRUS.

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THIRD, CHANGING THE HEALTH OF AN

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ENTIRE COMMUNITY TAKES TIME.

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THIS IS NOT JUST AN EXTENDED

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INVESTMENT IN FUNDING. IT'S ALSO

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AN EXTENDED INVESTMENT OF TIME.

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AND HEALTH INEQUITIES DIDN'T

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OCCUR OVERNIGHT. AND TURNING THE

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TIDE ON THAT DOESN'T HAPPEN

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OVERNIGHT EITHER. THIS NEW

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INVESTMENT IS CRUCIAL TO

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ACHIEVING LONG-TERM SUSTAINABLE

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COMMUNITY LEVEL CHANGE.

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>> AND REALLY AT THE HEART OF

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THE CHANGE IS LILLY'S FOCUSING

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ON SOCIAL DETERMINANTS OF

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HEALTH. CAN YOU EXPLAIN HOW THIS

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PROGRAM REALLY GETS AT THE HEART

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OF THE SOCIAL DETERMINANTS OF

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HEALTH?

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>> SOCIAL DETERMINANTS OF HEALTH

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ARE THE CONDITIONS OF A PERSON'S

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LIFE, THE CONDITIONS WHERE THEY

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LIVE AND WORK AND LEARN, AND

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THEY AFFECT BOTH HEALTH AND

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QUALITY OF LIFE. SOCIAL

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DETERMINANTS OF HEALTH ARE AT

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THE CENTER OF THIS WORK. WE

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CANNOT ADDRESS DIABETES WITHOUT

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ALSO ADDRESSING THOSE ISSUES

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THAT OUR NEIGHBORS WORRY ABOUT

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EVERY SINGLE DAY. LACK OF ACCESS

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TO FRESH FOODS, SAFETY, ECONOMIC

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SECURITY. THESE ISSUES

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CONTRIBUTE TO DIABETES, AND

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IMPACT A PERSON'S ABILITY TO

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MANAGE DIABETES. A MAJOR FOCUS

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OF THIS NEXT PHASE OF THIS

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PARTNERSHIP WILL BE ON SOCIAL

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DETERMINANTS OF HEALTH. THE

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RESIDENTS OF THESE NEIGHBORHOODS

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WILL LOOK AT TACKLING BARRIERS

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OF FOOD ACCESS, STRESS AND

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MENTAL HEALTH AS WELL AS

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OPPORTUNITIES AND ACCESS TO

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PHYSICAL ACTIVITY. BECAUSE OF --

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>> I'M SORRY, GO AHEAD. YOU GO

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AHEAD.

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>> AND BECAUSE OF THIS FOCUS,

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THIS WORK ACTUALLY HAS THE

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POTENTIAL TO IMPACT EVERY SINGLE

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RESIDENT OF THESE COMMUNITIES,

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WHETHER THEY HAVE DIABETES OR

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NOT. AND WE KNOW THAT WE CAN'T

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CHANGE THE HEALTH OF THESE

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COMMUNITIES WITHOUT ALSO

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ADDRESSING THE TOTALITY OF

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PEOPLE'S LIVES.

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>> AND ONLY ABOUT 20 SECONDS

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LEFT. I WANT YOU TO MENTION THE

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COMMUNITY HEALTH WORKERS, HOW

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THEY'RE EMBEDDED IN THE

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NEIGHBORHOOD. CAN YOU EXPLAIN

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HOW THEY HELP GUIDE SOME OF THE

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CHANGE?

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>> YES. WE LISTENED TO AND TRUST

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THOSE CLOSEST TO US, OUR

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NEIGHBORS, OUR FAITH LEADERS,

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OUR FRIENDS. THIS IS WHERE THE

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COMMUNITY HEALTH WORKER COMES

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IN. THE COMMUNITY HEALTH WORKER

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ISN'T A DOCTOR OR NURSE, THEY'RE

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SOMEONE WHO LIVES IN THE

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COMMUNITY WHO MAKES DOOR-TO-DOOR

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VISITS TO NEIGHBORHOOD

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RESIDENTS, THEY KNOW THE

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BARRIERS AND WORRIES THAT THE

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RESIDENTS FACE. AND OVER THE

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LAST TWO YEARS, COMMUNITY HEALTH

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WORKERS HAVE BEEN EMBEDDED INTO

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THESE NEIGHBORHOOD. WHILE MUCH

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OF THAT WORK HAS FOCUSED ON

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DIABETES TREATMENT AND

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PREVENTION, THE COMMUNITY HEALTH

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WORKERS ARE HELPING INDIVIDUALS

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LIVING WITH DIABETES ADDRESS

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THOSE SOCIAL DETERMINANTS OF

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HEALTH THAT MIGHT BE

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CONTRIBUTING TO DIABETES.

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>> COURTNEY, THANK YOU FOR

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SHARING