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					Health Protection…




            Health Equity
           CDC Mission
To promote health and quality of life
by preventing and controlling disease,
injury, and disability
Health Protection Goals
       Healthy People in
      Every Stage of Life


                  Healthy People in
                   Healthy Places




  People Prepared for
Emerging Health Threats


              Healthy People in a
                Healthy World
      Goals and Strategic Subgoals
  Healthy People                          People Prepared
                     Healthy People in                      Healthy People in a
During Every Stage                         for Emerging
                      Healthy Places                          Healthy World
      of Life                              Health Threats

Infants &            Workplace           Prevent            Health Promotion
    Toddlers         Communities         Detect & Report    Health Protection
Children             Homes               Investigate        Health Diplomacy
Adolescents          Travel &            Control
Adults                 Recreation        Recover
Older Adults         Healthcare          Improve
                       Settings
                     Schools
                     Institutions
         Health Protection: Urgent Challenges
                  Space                                                                      RNC                                        Hurricane
                  Shuttle       Hurricane                                                    2004            Tsunami                     Katrina
                Columbia          Isabel                                                     Aug 04             Dec 04                        Aug. 05
                 Disaster             Sept 03    California
World        West
                    Feb 03                       Wildfires                     G8            DNC                                                                      Hurricane
Trade                                             Oct-Nov 03                                                                   Hurricane                    E.Coli
             Nile               Influenza                                    Summit          2004             West              Wilma                       Nov 06     Isabel
Center      Virus
                                 Sept 03                                     June 04         July 04        Nile Virus               Oct 04                             Sept 03
 Sept                                                                                                        Aug-Nov 04
 2001
            Aug-Nov
                      SARS                        Ricin
              02
                                                Tularemia         Guam             2004
                   Mar-Aug 03
                                                 Anthrax         Typhoon         Summer                                   Influenza           Hurricane              Climate
    Anthrax                                                                      Olympics           Hurricanes                                  Rita
                        Monkey                  Oct-Nov 03          Feb 04
                                                                                                     (Charley,             Vaccine                                   Change
    Attacks                                                                        June 04                                Shortage               Sept. 05
    Oct-Nov 01           Pox                                                                         Frances,
                        June-Aug 03                                                                                         Oct 04
                                                  BSE            Avian         Ricin                Ivan, Jean)                                                          TB
                                Northeast         Dec 03                     Domestic                  Aug-Oct 04
                                Blackout                       Influenza                                                              Marburg                          May ‘07
                                      Aug 03
                                                               Jan-Mar 04    Response                                                  Virus
                                                                               Feb 04
                                                                                                                                         Mar 05
Health Protection – Urgent Realities
    Advantages of Having Goals
• Having goals allows CDC to analyze, harmonize,
  and improve its portfolio of activities and
  investments
• The goals process will
   – identify public health investments
   – support better partnerships and
     collaborations
   – enhance marketing and communication of
     agency priorities
   – inform scientific and programmatic agendas
   – improve the design and delivery of
     interventions
      Characteristics of CDC’s Goals
CDC’s Health Protection Goals
• Complement and support the nation’s Healthy
  People 2010 goals
• Will be achieved in cooperation with numerous
  national, state, and local partners
• Include research and discovery necessary for
  long-term health impact
• Prioritize CDC’s efforts to reduce health problems
  that affect certain populations, especially
  vulnerable groups
    Why we are doing this?
• CDC and all of our organizational components
  are better positioned to support our collective
  work to improve our impact on health
• Greater opportunities to collaborate and work
  with our partners
• Enables a much more powerful Congressional
  Strategy to defend and support public health
• Creates a more durable platform to introduce
  CDC to the incoming USG executive
  administration in late 2008, early 2009

                 Drives us toward “A Healthiest Nation”
        New York State: The Healthiest State
                                             Access To Quality Health Care

                                                     Goal HP
                   Indicator                          2010                    US                          NYS
% of adults with health care coverage**            100%              85.5% (2006)                86.5% (2006)

% of adults with regular health provider**         96%               80% (2006)                  85.0% (2006)

% of adults who have seen a dentist in the past    83.0%             70.3% (2006)                71.8% (2006)
year**

Early stage cancer diagnosis: Breast Cervical                        63% 53% 40% (1996-          64% 52% 40% (2000-
Colorectal                                                           2003)                       2004)



                                                           Tobacco Use

                          Indicator                            Goal HP 2010             US                      NYS
  % cigarette smoking in adolescents(past month)               16.0%              23.0% (2005)       16.3% (2006)

  % cigarette smoking in adults                                12%                20.1% (2006)       18.2% (2006)

  COPD hospitalizations among adults 18 + years (per                              23.0 (2004)        41.8 (2004-2006)
  10,000)

  Lung cancer incidence (per 100,000) Male Female                                 85.3 54.2          82.2 * 53.9 * (2000-
                                                                                  (2004)             2004)
    CDC: Next steps to make it
           actionable
• Accountability
  – Is the portfolio of activities effective as a
    set of projects across the organization to
    achieve the Goal?
  – Are we having an impact on health?
  – What is needed to be effective or to
    improve this effort?
     CDC: Next steps to make it
            actionable
• Measurement
  – Moving out of measuring disease status
    into measuring health status.

• Individual action
  – “I understand what we are going to do with
    Goals”
  – “I see the next steps”
  – “I know my role”
   Moving Goals into Actionable
             Items
• Green Hospital project
  – Combination of environmental interests,
    patient safety, satisfaction and quantifying
    costs
  – Large, complex database
  – Effect of
     • Single rooms, sunlight on early discharges,
       reduced infections and patient satisfaction
     • Use of environmentally friendly cleaning
       agents
     • Staging shift changes for nursing staff
 Community Partners: Making it
         actionable
• Walmart’s Personal Sustainability Project
  – educate associates on sustainability to
    improve their health and well being, foster
    widespread community engagement
  – Participation in the project is voluntary.
    Associates create their own PSPs and adopt
    a pledge to improve their bodies, their
    families, or their community.
Individually: making it actionable
• Nano-practices
  – Bike to work.
  – Park in the spot that’s farthest from where
    you’re going.
  – Change your incandescent light bulbs to
    compact fluorescents.
  – Care for a park.
   For More Information
   Learn more about CDC’s Health
Protection Goals through our Internet
                 site:
        www.cdc.gov/goals
                                   Healthy/Mothers/Healthy Babies/Healthy Children


                                                                     Goal HP
                                Indicator                             2010       US                  NYS
% early prenatal care (1st trimester)                                90.0%     83.9%    75.4% (2005)
                                                                               (2005)


% low birthweight births (<2500 grams)                               5.0%      8.2%     8.3% (2005)
                                                                               (2005)


Infant mortality (per 1,000 live births)**                           4.5       6.9      5.8 (2005)
                                                                               (2005)


Increase % of 2 year old children who receive recommended vaccines   80%       80.6%    83.5% (2006)
(4 DTaP, 3 polio, 1 MMR, 3 Hib, 3 HepB)                                        (2006)


% of children with at least one lead screening by age 36 months                         77% (NYS excl. NYC)
                                                                                        (2002 birth cohort)


Prevalence of tooth decay in 3rd grade children                      42%       53.0%    54.1% (2004)
                                                                               (2004)


Pregnancy rate among females aged 15-17 years** (per 1,000)          43.0      44.4     36.5 (2005)
                                                                               (2002)
                                                  Physical Activity/Nutrition


                               Indicator                                     Goal HP 2010            US               NYS
% of overweight/obese children in grades: 2-4 Years (WIC) K 2 4 7 10                             14.8% (2004)   15.5% (2005)

% of adults who are obese (BMI>30)**                                         15.0%               25.1% (2006)   22.9% (2006)

% of adults engaged in some type of leisure time physical activity           80.0%               77.4% (2006)   74.0% (2006)

% of WIC moms breastfeeding at 6 months                                      50%                 23.4% (2004)   39.5% (2005)




                                                      Unintentional Injury


                            Indicator                                Goal HP 2010           US                  NYS
Unintentional injury mortality (per 100,000) hospitalizations (per   17.1            39.1*             19.9 * 59.3 * (2003-
10,000)                                                                              (2005)            2005)

Motor vehicle crash related mortality (per 100,000)                  8.0             15.2 *            7.7 * (2003-2005)
                                                                                     (2005)

Pedestrian injury Hospitalizations (per 10,000)                                                        2.0 (2004-2006)

Fall related hospitalizations age 65+ years (per 10,000)                                               206.3 (2004-2006)
                                             Healthy Environment
                                                              Goal
                                                               HP
                        Indicator                             2010          US                  NYS
Incidence of children <72 months with confirmed blood        0.0                      1.7 (2001-2003) (Rate
lead level> = 10ug/dl (per 100 children tested)                                       for NYS Excluding NYC)

Asthma related hospitalizations (per 10,000)** Total Ages    17.3      16.6 *(2005)   22.2 * 34.1 (2003-2005)
0-17 years                                                             22.6 (2003)

Work related hospitalizations (per 10,000 employed                                    15.3 (2003-2005)
persons aged 16+ years)

Elevated blood lead levels (>25 ug/dl) per 100,000           0.0                      6.4 (2003-2005)
employed persons age 16+ years


                                                Chronic Disease

                            Indicator                                Goal HP 2010        US             NYS
Diabetes prevalence in adults                                        2.5% (includes   7.5%       7.6% (2006)
                                                                     children)        (2006)

Diabetes short-term complication hospitalization rate (per                            2.9 5.5    3.1 5.2
10,000) Age 6-17 years Age 18+ years                                                  (2004)     (2005-2006)

Coronary heart disease hospitalizations (per 10,000)                                             63.7 *
                                                                                                 (2003-2005)

Congestive heart failure hospitalization rate per 10,000 (ages 18+                    48.9       44.3 (2005-
years)                                                                                (2004)     2006)

Cerebrovascular (Stroke) disease mortality (per 100,000)             50               46.6 *     32.6 *
                                                                                      (2005)     (2003-2005)
                                                     Infectious Disease
                                                                           Goal HP
                             Indicator                                      2010              US               NYS
HIV infection rate (per 100,000)                                       -               18.5 (2006)      25.5 (2003-2005)

Gonorrhea case rate (per 100,000)                                                      120.9 (2006)     90.7 (2006)

Tuberculosis cases (per 100,000)                                       1.0             4.4 (2007)       7.2 (2003-2005)

Bacterial pneumonia hospitalization rate per 10,000 (ages 18+                          41.8 (2004)      38.1 (2005-2006)
years)

% of adults 65+ years with immunizations - flu shot past year - ever   90% 90%         69.6% 66.9%      64.7% 61.0%
pneumonia                                                                              (2006)           (2006)


                                                   Community Preparedness
                                       Indicator                                         Goal HP 2010   US        NYS
% population living within jurisdiction with state-approved emergency preparedness                           100%
plans                                                                                                        (2007)



                                              Mental Health/Substance Abuse
                                                                             Goal HP
                              Indicator                                       2010             US              NYS
Suicide mortality rate (per 100,000)                                       4.8            10.9 *        6.0 * (2003-2005)
                                                                                          (2005)

% adults reporting 14 or more days with poor mental health in last                                      10.4% (2003-
month                                                                                                   2005)

% binge drinking past 30 days (5 + drinks in a row) in adults              13.4%          15.4%         15.8% (2006)
                                                                                          (2006)
Drug-related hospitalizations (per 10,000)                                                              34.6 * (2003-
                                                                                                        2005)

				
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posted:11/7/2011
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