Docstoc

Slide 1_3_

Document Sample
Slide 1_3_ Powered By Docstoc
					  Chronic Disease

A Public Health Perspective
   Chronic Disease Overview
• The most prevalent, costly, and preventable
  chronic diseases
  – cardiovascular disease (primarily heart disease
    and stroke),
  – cancer, and
  – diabetes
Leading Causes of Death in the
         U.S., 2003
  Costs of Chronic Disease, U.S.
• In 2005, 133 million people, almost half of all Americans
  lived with at least one chronic condition
• The medical care costs of people with chronic diseases
  account for more than 75% of the nation’s $2 trillion
  medical care costs.
• $17,239 expenditure per household
• Chronic diseases account for one-third of the years of
  potential life lost before age 65.
• Hospitalizations for pregnancy-related complications
  occurring before delivery account for more than $1 billion
  annually.
• The direct and indirect costs of diabetes is $174 billion a
  year.
  Costs of Chronic Disease, U.S.
                       (Continued)
• Each year, arthritis results in estimated medical care
  costs of nearly $81 billion, and estimated total costs
  (medical care and lost productivity) of $128 billion.
• The estimated direct and indirect costs associated with
  smoking exceed $193 billion annually.
• In 2008, the cost of heart disease and stroke in the U.S.
  is projected to be $448 billion.
• The estimated total costs of obesity was nearly $117
  billion in 2000.
• Cancer costs the nation an estimated $89 billion
  annually in direct medical costs.
• Nearly $98.6 billion is spent on dental services each
  year.
Cost-Effectiveness of Prevention
• Water fluoridation
• Smoking cessation
• Safer Choice Program (a school-based
  HIV, other STD, and pregnancy prevention
  program),
• Preconception care
• Arthritis Self-Help Course
• Breast cancer
 CDC's Chronic Disease Programs

• CDC supports a variety of programs to improve the nation's
  health by preventing chronic diseases and their risk factors.
• These programs provide national leadership
• Sample CDS Program
• Arthritis
• Cancer Control
• Diabetes
• Healthy Aging
• Healthy Youth
• Heart Disease and Stroke
• Nutrition, Physical Activity and Obesity
• Safe Motherhood
• Tobacco
          Targeting Arthritis
• Improving Quality of Life for More Than
  46 Million Americans
• The Nation’s Most Common Cause of
  Disability
• Arthritis comprises over 100 different
  diseases and conditions
• Common symptoms
 Why Is Arthritis a Public Health
           Problem?
• An estimated 46 million U.S. adults (about 1 in
  5) reported doctor-diagnosed arthritis
• Nearly 19 million U.S. adults reported activity
  limitations because of arthritis
• Work limitations attributable to arthritis affect
  about 1 in 20 adults
• Arthritis results in 750,000 hospitalizations and
  36 million outpatient visits
• 128 billion dollars in annual costs
• Arthritis is responsible for 9,500 deaths in the
  U.S. annually
   What Can Be Done to Target
           Arthritis?
• Self-management education programs
• Chronic Disease Self-Management
  Program
• Physical activity
• Weight control and injury prevention
• Early diagnosis and appropriate
  management
 What Are CDC and Its Partners
   Doing About Arthritis?

• CDC is committed to leading strategic
  public health efforts to promote well-being,
  prevent chronic disease, and achieve
  health equity.
• For example, the National Arthritis Action
  Plan
    What Activities Does CDC’s
    Arthritis Program Support?
• The primary goal is to improve the quality
  of life for people affected by arthritis.
• The program achieves this goal by
  supporting the following five key activities:
  – Building state programs
  – Reaching the Public
  – Improving the science base
  – Measuring the burden of arthritis
  – Making policy and systems changes
Future Directions for the CDS
• Improve the quality of life for people affected by
  arthritis
• Move state programs from building capacity to
  implementing programs on a wider scale
• Identify model dissemination efforts
• Develop innovative interventions that meet the
  needs of diverse populations
• Work collaboratively with other chronic disease
  programs at federal and state levels
CDC Funding for State Arthritis
      Programs, 2008
       Chronic Disease Indicators
• Ninety indicators that allows states and
  territories to uniformly define, collect, and report
  chronic disease data
• Seven categories:
   –   Physical activity and nutrition
   –   Tobacco and alcohol use
   –   Cancer
   –   Cardiovascular disease
   –   Diabetes
   –   Overarching conditions
   –   Other diseases and risk factors
                     Tobacco Use
• The definition for each indicator includes a hyperlink to additional
  information and data resources. These include—
• Behavioral Risk Factor Surveillance System (BRFSS)
• Alcohol and Public Health
• Youth Risk Behavioral Surveillance System (YRBSS)
• State Tobacco Activities Tracking and Evaluation (STATE) System
• National Program of Cancer Registries
• State Cancer Profiles
• CDC WONDER
• Health-Related Quality of Life
• United States Renal Data System (USRDS)*
• Current Population Survey, American Community Survey
• National Diabetes Surveillance System
• National Oral Health Surveillance System
Tobacco Use: Behavioral Risk Factor
   Surveillance System (YRBSS)
 Tobacco Use: Behavioral Risk Factor
Surveillance System (YRBSS)- California
 Tobacco Use: Behavioral Risk Factor
Surveillance System (YRBSS)- California
 Tobacco Use: Behavioral Risk Factor
Surveillance System (YRBSS)- California
   Tobacco Use: Behavioral Risk Factor
Surveillance System (YRBSS)- California by
                  Income
   Tobacco Use: Behavioral Risk Factor
Surveillance System (YRBSS)- California by
                  Race
   Tobacco Use: Behavioral Risk Factor
Surveillance System (YRBSS)- California by
                 Education
   Tobacco Use: Behavioral Risk Factor
Surveillance System (YRBSS)- California by
                  Gender
Current California Adults
Current California Adults Grouped
            by Income
Current California Adults Grouped
             by Race
Current California Adults Grouped
          by Education
Current California Adults Grouped
           by Gender
  What Does this Information Tell
              Us?
• How would you title a public health
  intervention?
• How would you describe the target
  population?
            What You Can Do
• http://apps.nccd.cdc.gov/brfss/page.asp?cat=TU&yr=200
  7&state=CA#TU
    What You Can Do (Continued)
• Choose one of the other chronic diseases
• Click on the choice
• Explore the links and identify a possible
  public health intervention issue and target
  population

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:8
posted:12/5/2009
language:English
pages:32