1.Diabetes 2.Substance Abuse/Alcoholism 3.Injuries 4.Breast and Cervical Cancer 5.Dental 6.Mental Health 7.Cancer (all other) 8.Sanitation Facilities 9.Heart Disease 10.Elder care

Indian Findings from WHO Study one out of three children report missing school because of dental pain one out of four children avoid laughing or smiling, one out of five avoid meeting other people because of the way their teeth look one out of four adults are unable to chew hard foods, 20% report difficulty sleeping, and 15% limit their activities (I.e. work and leisure) as a consequence of dental pain

significant loss in dental public health infrastructure - 50+% 30% reduction in fluoridation compliance since FY 1994 disease rates at 1.5 to 10 times the national rate growing recruitment problems with 25% vacancy rates

25% reduction in access to dental services since FY 1992 stakeholders identify dental care as a top priority for funding increases in FY disparities may be increasing

42% increase in the number of children years with no decay. 35% decrease in the number of children years with high decay rates (7 or more cavities) 17% increase in the number of adults years with 20 or more teeth remaining; a 29% increase for years; and a 40% increase for those 55 years and older.

Caries Experience - Indian vs U.S. 6-8 Year-Old Children Source: NHANES, IHS Oral Health Survey, 1999

Caries Experience - Indian vs U.S. Adolescents Age 15 years Source: NHANES, IHS Oral Health Survey, 1999

Oral Health Disparities - Adults Indian vs U.S. Source: NHANES, IHS Oral Health Survey, 1999

Oral Health Status of Indian Pre-School vs. U.S. Children Source: NHANES, IHS Oral Health Survey, 1999