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

2. 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

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

4. OzoneParticulate matterCarbon monoxide Nitrogen dioxide Sulfur dioxide Lead Criteria Pollutant Monitors

5. 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 ……………………………………………… ……………………………………………..

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

7. 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) 8-10. Fish contamination (developmental) Water Quality

8. Status of Water Quality Objectives Most recent level 2010 target Direction desired Developmental objective - 2010 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 (1987-96) 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 *

9. 8-11. Elevated blood lead levels in children 8-12. Risks posed by hazardous sites 8-13. Health care visits due to pesticide exposure 8-14. Toxic pollutants generated for energy recovery (developmental) 8-15. Recycled municipal solid waste Toxics and Waste

10. Children Ages 1-5 Years With Elevated † Blood Lead Levels † Blood lead level > 10 ug/dL Percent 1988-19911999-20001976-19801991-1994 88.2% 8.6% 4.4% 2.2%

11. 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 1991-19941999-2000

12. 8-16. Indoor allergens 8-17. Office building air quality 8-18. Homes tested for radon 8-19. Radon-resistant new home construction 8-20. School policies to protect against hazards 8-21. Disaster preparedness plans and protocols 8-22. Lead-based paint testing in pre-1950s homes 8-23. Substandard housing Healthy Homes and Communities

13. Homes With Group 1 Dust Mite Allergens in Bed Dust, 1998-1999 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% (> 0.025 ug/g) (> 2.0 ug/g)

14. Hospitalizations for Asthma, 1999 Not age adjusted 5-64 years Age adjusted rate per 10,000 65+ years 1-4 years * TotalBlack, not Hispanic 2010 target White, not Hispanic *

15. 8-24. Exposure to pesticides 8-25. Exposure to pesticides, heavy metals, and other toxic chemicals (developmental) 8-26. Information systems used for environmental health 8-27. Monitoring environmentally related diseases 8-28. Local agencies using surveillance for vector control Infrastructure and Surveillance

16. 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) 1988-1994 data: 6 years and over. 1999-2000 data: 6-59 years. < LOD Urine concentration (ug/g creatinine) 1988-941999-20002010 target * * …………………………………. …………………………………… 95 th percentile

17. Blood Serum Concentrations † of DDE, Persons Ages 12 and Over, 1999-2000 † 95 th percentile I 95% Confidence Interval * Can be of any race Note: Developmental objective - 2010 target not set Total 12-19 years Mexican American* Serum concentration (ng/g lipid) 20+ years MalesFemalesBlack, not Hispanic White, not Hispanic 95 th percentile

18. 8-29. Global burden of disease due to poor water quality, sanitation, and hygiene 8-30. Water quality in the U.S.-Mexico border region Global Environmental Health

19. Wastewater Sewer Service in Selected U.S.-Mexico Border Communities NA: Data not available 2010 target met Ciudad Acuna Percent 1997 2002 2010 target MexicaliPiedras Negras Matamoros Nogales, Sonora Reynosa NA * * * *

20. For More Information Progress Review data and slides can be accessed on the web at: http://www.cdc.gov/nchs/hphome.htm