Healthy People 2010 Focus Area 8 : Environmental Health Progress Review March 19, 2003

Key Components of Environmental Health Water Quality Toxics and Waste Outdoor Air Quality Healthy Homes and Healthy Communities Global Environmental Health Infrastructure and Surveillance Health of Individuals & Communities

8-1.Harmful air pollutants 8-2. Alternative modes of transportation 8-3. Cleaner alternative fuels 8-4. Airborne toxins Outdoor Air Quality

OzoneParticulate matterCarbon monoxide Nitrogen dioxide Sulfur dioxide Lead Criteria Pollutant Monitors

Persons Living in Nonattainment Areas for Criteria Pollutants, 2001 MSA: Metropolitan Statistical Area 2010 target met 2010 targets = 0% Percent OzoneSulfur dioxide Nitrogen dioxide Carbon monoxide Particulate matter * * Lead Outside MSAWithin MSA Total * Criteria Pollutants ……………………………………………… ……………………………………………..

EPA-Designated Nonattainment Areas, 1990 and 2000 * Criteria pollutants: ozone, carbon monoxide, nitrogen dioxide, sulfur dioxide, particulate matter, and lead *

8-5.Safe drinking water 8-6. Waterborne disease outbreaks 8-7. Water conservation 8-8. Surface water quality (developmental) 8-9. Beach closings (developmental) Fish contamination (developmental) Water Quality

Status of Water Quality Objectives Most recent level 2010 target Direction desired Developmental objective target not set. * People served by water meeting EPA regulations 85% (1995) 95% Safe drinking water Average number per year 2 Waterborne disease outbreaks 6 ( ) Gallons of domestic use per capita per day 90.9 Water conservation 101 (1995) Beaches with > 1 advisory/ closing per season 27% (2002) Beach advisories/ closings *

8-11. Elevated blood lead levels in children Risks posed by hazardous sites Health care visits due to pesticide exposure Toxic pollutants generated for energy recovery (developmental) Recycled municipal solid waste Toxics and Waste

Children Ages 1-5 Years With Elevated † Blood Lead Levels † Blood lead level > 10 ug/dL Percent % 8.6% 4.4% 2.2%

Mean † Blood Lead Concentration in Children Ages 1-5 Years † Geometric mean I 95% Confidence Interval * Can be of any race Mexican American* White, not Hispanic Mean blood lead concentration (ug/dL) Black, not Hispanic Total

8-16. Indoor allergens Office building air quality Homes tested for radon Radon-resistant new home construction School policies to protect against hazards Disaster preparedness plans and protocols Lead-based paint testing in pre-1950s homes Substandard housing Healthy Homes and Communities

Homes With Group 1 Dust Mite Allergens in Bed Dust, I 95% Confidence Interval Percent of homes (> 10.0 ug/g) Lower limit of detection Threshold for allergic sensitization Threshold for asthma sensitization 84.2% 46.2% 24.2% (> ug/g) (> 2.0 ug/g)

Hospitalizations for Asthma, 1999 Not age adjusted 5-64 years Age adjusted rate per 10, years 1-4 years * TotalBlack, not Hispanic 2010 target White, not Hispanic *

8-24. Exposure to pesticides Exposure to pesticides, heavy metals, and other toxic chemicals (developmental) Information systems used for environmental health Monitoring environmentally related diseases Local agencies using surveillance for vector control Infrastructure and Surveillance

Urine Concentrations † of Pesticide Metabolites, Persons Ages 6 and Over † 95 th percentile I 95% Confidence Interval 2010 target met LOD: Limit of detection 1-Napthol (carbaryl) Paranitrophenol (methyl parathion/ parathions) 3,5,6-Trichloro-2-pyridinol (chlorpyfifos) Metabolite (pesticide) Isopropoxyphenol (propoxur) data: 6 years and over data: 6-59 years. < LOD Urine concentration (ug/g creatinine) target * * …………………………………. …………………………………… 95 th percentile

Blood Serum Concentrations † of DDE, Persons Ages 12 and Over, † 95 th percentile I 95% Confidence Interval * Can be of any race Note: Developmental objective target not set Total years Mexican American* Serum concentration (ng/g lipid) 20+ years MalesFemalesBlack, not Hispanic White, not Hispanic 95 th percentile

8-29. Global burden of disease due to poor water quality, sanitation, and hygiene Water quality in the U.S.-Mexico border region Global Environmental Health

Wastewater Sewer Service in Selected U.S.-Mexico Border Communities NA: Data not available 2010 target met Ciudad Acuna Percent target MexicaliPiedras Negras Matamoros Nogales, Sonora Reynosa NA * * * *

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