1. BY….. Evelyn Kihunde, Linda A. Dufie, Richie Isom 1

2.  Chronic Obstructive Pulmonary Disease  Originates from exertional dyspnea  Risk factor of lung cancer  Two types of disorder : Chronic and Acute  Fourth leading cause of death in the U.S 2

3.  Differences In  incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups 3

4.  Neighborhood/community  Exposure to dust and gases has similarly been associated with respiratory symptoms and COPD  Socioeconomic status  Genetics 4

5. Level of education (Bachelor’s degree) Poverty level rate 5

6.  61, 510 out of 627,654 Hispanics are unemployed  331,711 out of 5,265,236 Caucasians unemployed 6

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9.  Hispanics have a high mortality rates due to poor socioeconomics and certain diseases such as emphysema and chronic bronchitis 9

10.  DO NOT SMOKE!!!  Affordable healthcare  Trained interpreters  Cultural history  Educate yourself 10

11.  “Several Massachusetts hospitals — including two in Central Massachusetts — will no longer hire job applicants if they smoke or use tobacco products.”  “About 71 percent of Massachusetts hospitals are smoke- or tobacco-free, according to Ms. Nicholas at the Massachusetts Hospital Association. That means that staff and visitors as well as patients cannot smoke on hospital property.” -Telegram & Gazette 24 February, 2013 11

12.  Why is COPD a disparity in Massachusetts  Cause of COPD disparity  Possible preventions of disparity 12

13.  medical-dictionary.thefreedictionary.com  Scholarworks.umb.edu  http://www.hcup- us.ahrq.gov/reports/statbriefs/sb121.pdf  lung.org lung.org  Quickfacts.census.gov/qfd/states/25000.html  CDC.gov  Mass.gov  NIH.gov  Google (for images)  http://www.telegram.com/article/20130224/NE WS/102249988/0/newsrewind&TEMPLATE=MOBIL E 13