10. 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

11. Indian Findings from 1988-91 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

13. 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

14. 25% reduction in access to dental services since FY 1992 stakeholders identify dental care as a top priority for funding increases in FY 1999-2001 disparities may be increasing

15. 42% increase in the number of children 5- 19 years with no decay. 35% decrease in the number of children 5- 19 years with high decay rates (7 or more cavities) 17% increase in the number of adults 35- 44 years with 20 or more teeth remaining; a 29% increase for 45-54 years; and a 40% increase for those 55 years and older.

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

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

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

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