1. HEALTHY PEOPLE 2010 Objectives for Improving Health Richard Harvey, Ph.D. VA National Center for Health Promotion and Disease Prevention (NCP)

2. Healthy People 2010 w Released in late January 2000 by the then Surgeon General, Dr. David Satcher

3. History of HEALTHY PEOPLE 2010 w 1979- “Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention” w 1980- “Promoting Health/Preventing Disease: Objectives for the Nation”- 226 targeted health objectives.

4. History of HEALTHY PEOPLE 2010 w 1990- “Healthy People 2000: National Health Promotion and Disease Prevention Objectives”- numerous objectives in 22 focus areas. w 2000- “Healthy People 2010” - 467 objectives in 28 focus areas.

5. How Healthy People 2010 came to be w A massive effort beginning in 1997 w The Healthy People Consortium - includes 350 national organizations & 250 public health agencies w Coordinated by the Office of Disease Prevention & Health Promotion, US Dept. Health & Human Services

6. Central Goals for Healthy People 2010 w INCREASE the quality and years of healthy life w Eliminate health disparities

7. Years of Life w Our life expectancy (M=72.5; F=78.9) is below that of at least 18 other countries.

8. Health-Related Quality of Life w Measured by: Peoples’ “global assessment” of their health as “poor”, “fair”, “good”, “very good”, or “excellent” “Healthy days” estimates the number of days of poor physical or mental health in the last 30 days vs. days absent of poor physical or mental health.

9. Health-Related Quality of Life “Years of healthy life” estimates the average number of days spent in less than optimal health.

10. Health Disparities w Health status is currently different depending upon: w Age, gender, race, ethnicity, income, education, geographic location, disability, and sexual orientation.

11. “Leading Health Indicators” w These are general categories of health activities which relate to the more specific objectives, because they contribute to those areas. w These indicators will be monitored.

12. Physical Activity w “Increase the proportion of adolescents who engage in vigorous physical activity that promotes cardiorespiratory fitness 3 or more days per week for 20 or more minutes per occasion” (1997 data) from: 64% to 85%

13. Physical Activity w “Increase the proportion of adults who engage regularly, preferably daily, in moderate physical activity for at least 30 minutes per day” (1997 data) from: 15% to 30%

14. Overweight & Obesity w “Reduce the proportion of children and adolescents who are overweight or obese” (1994 data) from: 11% to 5%

15. Overweight & Obesity w “Reduce the proportion of adults who are obese” (1994 data) from: 23% to 15%

16. Tobacco Use w “Reduce cigarette smoking by adolescents” (1997 data) from: 36% to 16%

17. Tobacco Use w “Reduce cigarette smoking by adults” (1997 data) from: 24% to 12%

18. Substance Abuse w “Increase the proportion of adolescents NOT using alcohol or any illicit drugs during the past 30 days” (1997 data) from: 77% to 89%

19. Substance Abuse w “Reduce the proportion of adults using any illicit drug during the past 30 days” (1997 data) from: 6% to 3%

20. Substance Abuse w “Reduce the proportion of adults engaging in binge drinking of alcoholic beverages during the past month” (1997 data) from: 16% to 6%

21. Responsible Sexual Behavior w “Increase the proportion of adolescents who abstain from sexual intercourse or use condoms if sexually active” (1997 data) from: 85% to 95%

22. Responsible Sexual Behavior w “Increase the proportion of sexually active persons who use condoms” (1995 data) from: 23% to 50%

23. Mental Health w “Increase the proportion of adults with recognized depression who receive treatment” (1997 data) from: 23% to 50%

24. Injury and Violence w “Reduce deaths caused by motor vehicle crashes” (1997 data) from: 15.8 per 100,000 people to 9 per 100,000 people

25. Injury and Violence w “Reduce homicides” (1997 data) from: 7.2 per 100,000 people to 3.2 per 100,000 people

26. Environmental Quality w “Reduce the proportion of persons exposed to air that does not meet the U.S. Environmental Protection Agency’s health based standards for ozone” (1997 data) from: 43% to 0%

27. Environmental Quality w “Reduce the proportion of nonsmokers exposed to environmental tobacco smoke” (1994 data) from: 65% to 45%

28. Immunization w “Increase the proportion of young children who receive all vaccines that have been recommended for universal administration for at least 5 years” (1998 data) from: 73% to 80%

29. Immunization w “Increase the proportion of noninstitutionalized adults who are vaccinated annually against influenza and ever against pneumococcal disease” (1998 data) from: 63% (flu) & 43% (pneumovax) to 90%

30. Access to Health Care w “Increase the proportion of persons with health insurance” (1997 data) from: 86% to 100%

31. Access to Health Care w “Increase the proportion of persons who have a specific source of ongoing care” (1997 data) from: 86% to 96%

32. Access to Health Care w “Increase the proportion of pregnant women who begin prenatal care in the first trimester of pregnancy” (1997 data) from: 83% to 90%

33. Focus Areas w A total of 467 specific objectives are included, in 28 focus areas, as follows: w Access to Quality Health Services w Arthritis, Osteoporosis, & Chronic Back conditions

34. Focus Areas w Cancer w Chronic Kidney Disease w Diabetes w Disability & Secondary Conditions

35. Focus Areas w Educational & Community-Based Programs w Environmental Health w Family Planning

36. Focus Areas w Food Safety w Health Communication w Heart Disease & Stroke w HIV

37. Focus Areas w Immunization & Infectious Diseases w Injury & Violence Prevention w Maternal, Infant, & Child Health w Medical Product Safety

38. Focus Areas w Mental Health & Mental Disorders w Nutrition & Overweight w Occupational Safety & Health w Oral Health

39. Focus Areas w Physical Activity & Fitness w Public Health Infrastructure w Respiratory Diseases w Sexually Transmitted Diseases

40. Focus Areas w Substance Abuse w Tobacco Use w Vision & Hearing

41. How Will This All Come to Be? What Can We Do? w Public awareness - we must go forth & spread the word. w We must incorporate the relevant prevention & health improvement goals into our professional practices.

42. How Will This All Come to Be? What Can We Do? w We must support and encourage applicable research. w We must encourage & reinforce public policy which supports these objectives.

43. How Will This All Come to Be? What Can We Do? w We must all work together on improving the health of our nation’s people. w Perhaps most importantly, we must personally practice what we preach!

44. How Can I Get the Report? w It is available on the web at: www.health.gov.healthypeople/ or call 1-800-367-4725

45. May You Enjoy Good Health and Happiness