Healthy Border 2010 Program Sam Notzon, Ph.D. National Center for Health Statistics, CDC

U.S. Counties Included in Border Region 2000 Population 50.3 million 11.4 million

U.S.-Mexico Border

Border Region Per Capita Income, 1990

Percent With Less Than 9 Years of Education, 1990

All-Cause Death Rates, Age-Adjusted

Healthy Border 2010 Program: Background Healthy People 2010-type program US-Mexico Border Health Commission Addresses implementing legislation Unique aspects: Covers multi-State area Binational program Combines activities from both countries

Healthy Border 2010 Program: Background Design Team USA SSA Mexico Healthy “Gente” Health Indicators Healthy Border

Healthy “Gente” Objectives: Selection Criteria Key health issues for border Measurable objectives Limited number Compatible with federal and state objectives

Healthy “Gente” Objectives Focus attention on key health issues Improve allocation of health resources Coordinate public and private action Inspire ownership of objectives

Health Indicators of Mexico Designed to track diseases, causes of death, and health-related activities Guidelines: Minimum number of indicators Data-based, using reliable data Data available at regular intervals Initial set of 72 indicators, reduced to 46

Healthy Border 2010 Program Objectives Access to Care Cancer Diabetes Environmental Health HIV/AIDS Immunization and Infectious Diseases Injury Prevention Maternal, Infant and Child Health Mental Health Oral Health Respiratory Diseases

Percent of Population in Primary Care HPSAs, 1998

HPSA Counties Entire County Portion Not HPSA Border Counties in Primary Care HPSAs

(2010 Target) Deaths Per 100,000 Population 17.2 Age-Adjusted WHO World Population Female Breast Cancer Mortality 11.5

Female Breast Cancer Mortality,

(2010 Target) Deaths Per 100,000 Population Age-Adjusted WHO World Population Diabetes Mortality

Source: NCHS, CDC Diabetes Mortality,

(2010 Target) Case Rate Per 100,000 Population Hepatitis A and B Case Rate

Source: NCHS, CDC Tuberculosis Case Rate, 1997

Source: NCHS, CDC AIDS Case Rate, 1997

(2010 Target) Deaths Per 100,000 Population Age-Adjusted WHO World Population Motor Vehicle Mortality

Source: NCHS, CDC Motor Vehicle Mortality,

(2010 Target) Percent 73.0% 85.0% Percent of Live Births with First Prenatal Visit in First Trimester

Initiation of Prenatal Care in First Trimester, 1997 Source: NCHS, CDC

(2010 Target) Rate Per 1,000 Live Births Age-Adjusted WHO World Population Infant Mortality

Source: NCHS, CDC Infant Mortality Rate,

(2010 Target) Deaths Per 100,000 Population Age-Adjusted WHO World Population Suicide Mortality

Source: NCHS, CDC Suicide Mortality Rate,

Major Counties/Municipios on U.S.-Mexico Border Cochise, AZ / Agua Prieta, SN Pima, AZ Santa Cruz, AZ / Nogales, SN Yuma, AZ / San Luis Rio Colorado, SN Imperial, CA / Mexicali, BC Riverside, CA San Diego, CA / Tijuana, BC

Major Counties/Municipios on U.S.-Mexico Border Dona Ana, NM Cameron, TX / Matamoros, TM El Paso, TX / Juarez, CH Hidalgo, TX / Reynosa, TM Maverick, TX / Piedras Negras, CO Val Verde, TX / Cia. Acuna, CO Webb, TX / Nuevo Laredo, TM