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Comment on Comment on Healthy People Healthy People

20102010Draft Draft

ObjectivesObjectivesSeptember 15 – September 15 – December 15, 1998December 15, 1998http://web.health.gov/http://web.health.gov/healthypeoplehealthypeople

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Call for Comments on Healthy Call for Comments on Healthy People 2010People 2010

Proposed StructureProposed Structure Goals 1 and 2Goals 1 and 2 Major sectionsMajor sections Focus areasFocus areas Figure: Healthy People Figure: Healthy People

2010, Healthy people 2010, Healthy people in Healthy in Healthy CommunitiesCommunities

Leading health Leading health IndicatorsIndicators CriteriaCriteria IndicatorsIndicators

Specific Focus AreasSpecific Focus Areas ImprovementsImprovements AdditionsAdditions DeletionsDeletions

Specific ObjectivesSpecific Objectives ImprovementsImprovements AdditionsAdditions DeletionsDeletions Data issuesData issues

– SourcesSources– TargetsTargets– Select populationsSelect populations

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Healthy People 2010Healthy People 2010Healthy People in Healthy CommunitiesHealthy People in Healthy Communities

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History of the InitiativeHistory of the Initiative19791979 Surgeon General’s ReportSurgeon General’s Report, , Healthy PeopleHealthy People published published

Fall 1980Fall 1980 Promoting Health, Preventing Disease: Objectives Promoting Health, Preventing Disease: Objectives for the Nationfor the Nation released released

19871987 Institute of Medicine formed the Institute of Medicine formed the HEALTHY PEOPLEHEALTHY PEOPLE20002000 Consortium Consortium

19901990 Healthy People 2000: National Health Promotion and Healthy People 2000: National Health Promotion and Disease Prevention Disease Prevention ObjectivesObjectives released at the released at the National Kick-off in Washington, DCNational Kick-off in Washington, DC

19951995 Healthy People 2000 Midcourse Review and 1995 Healthy People 2000 Midcourse Review and 1995 RevisionsRevisions

19971997 Developing Objectives for Healthy People 2010Developing Objectives for Healthy People 2010

19981998 Draft Healthy People 2010 ObjectivesDraft Healthy People 2010 Objectives

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Healthy People 2010 Healthy People 2010 Objectives:Objectives:

Draft for Public CommentDraft for Public Comment

Promote Healthy BehaviorsPromote Healthy Behaviors Promote healthy and Safe CommunitiesPromote healthy and Safe Communities Improve Systems for Personal and Public Improve Systems for Personal and Public

HealthHealth Prevent and Reduce Diseases and DisordersPrevent and Reduce Diseases and Disorders

Four CategoriesFour Categories

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Healthy People 2010 Objectives: Draft for Public CommentHealthy People 2010 Objectives: Draft for Public Comment

Table of ContentsTable of Contents Guide for Commenting on Focus Areas Guide for Commenting on Focus Areas

and Objectives...and Objectives... iiiiiiA.A. Introduction, BackgroundIntroduction, Background

1. Introduction1.1. What Is Healthy People? ....................................... 1

2.2. Call for Comments....................................................3

3.3. How Can Organizations and Individuals Contribute to Healthy People? .. ..….......…..….......…..…..........… 4

4.4. Schedule of Healthy People 2010 Development ..... 6

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Healthy People 2010 Objectives: Draft for Public CommentHealthy People 2010 Objectives: Draft for Public Comment

Table of Contents cont.Table of Contents cont.A.A. Introduction, Background cont.Introduction, Background cont.2.2. BackgroundBackground

1.1. Leading Health Indicators ......................................… 7

2.2. Criteria for Objectives Development ......................… 9

3.3. Types of Objectives ..............................................… 10

4.4. Data Issues ..................................…........…..….……11

5.5. The Secretary’s Council on National Health Promotionand Disease Prevention Objectives........................…13

6.6. The Healthy People Steering Committee ................. 14

7.7. Healthy People Work Group Coordinators ............... 17

8.8. Acronyms and Abbreviations Used in This Book ...... 27

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Healthy People 2010 Objectives: Draft for Public CommentHealthy People 2010 Objectives: Draft for Public Comment

Table of Contents cont.Table of Contents cont.B. GOALS

1.. Increase Quality and Years of Healthy Life........... G - 3

2.. Eliminate Health Disparities ........................... G - 19Figure: Healthy People 2010, Healthy People in Healthy Figure: Healthy People 2010, Healthy People in Healthy

CommunitiesCommunities ……………………………........G - 23G - 23

C.C. OBJECTIVESOBJECTIVES Promote Healthy BehaviorsPromote Healthy Behaviors11.. Physical Activity and Fitness ...................................... 1-12.. Nutrition ......…............................................................ 2-13.. Tobacco Use .............................................................3-1

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Healthy People 2010 Objectives: Draft for Public CommentHealthy People 2010 Objectives: Draft for Public Comment

Table of Contents cont.Table of Contents cont.C.C. OBJECTIVES cont.OBJECTIVES cont.Promote Healthy and Safe CommunitiesPromote Healthy and Safe Communities

44..Educational and Community-Based Programs .........4-15..Environmental Health ............................................... 5-16..Food Safety ............................................................... 6-17..Injury/Violence Prevention ........................................ 7-1

a..Injuries That Cut Across Intent .................................7-3

b..Unintentional Injuries ..............................................7-8c..Violence and Abuse ................................................ 7-21

8..Occupational Safety and Health Occupational Safety and Health ............................... 8-18-1

9.9.Oral Health Oral Health ............................................................................................ 9-19-1

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Table of Contents cont.Table of Contents cont.C.C.OBJECTIVES cont.OBJECTIVES cont.Improve Systems for Personal and Public HealthImprove Systems for Personal and Public Health

10.10.Access to Quality Health Services ..................................10-1

a.a. Preventive Care ....................................................10-11

b.b. Primary Care ........................................................ 10-15

c.c. Emergency Services ..............................................10-22

d.d. Long-Term Care and Rehabilitative Services ....... 10-25

11.11.Family Planning ............................................................ 11-1

12.12.Maternal, Infant, and Child Health ................................ 12-1

13.13.Medical Product Safety ................................................... 13-1

14.14.Public Health Infrastructure ........................................... 14-1

15.15.Health Communication .................................................. 15-1

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Healthy People 2010 Objectives: Draft for Public CommentHealthy People 2010 Objectives: Draft for Public Comment

Table of Contents cont.Table of Contents cont.C.C. OBJECTIVES cont.OBJECTIVES cont.Prevent and Reduce Diseases and DisordersPrevent and Reduce Diseases and Disorders

16.16. Arthritis, Osteoporosis, and Chronic Back Conditions ....16-1

17.17. Cancer ............................................................................17-1

18.18. Diabetes .........................................................................18-1

19.19. Disability and Secondary Conditions ............................. 19-1

20.20. Heart Disease and Stroke ..............................................20-1

21.21. HIV .................................................................................21-1

22.22. Immunization and Infectious Diseases .......................... 22-1

23.23. Mental Health and Mental Disorders ............................. 23-1

24.24. Respiratory Diseases .....................................................24-1

25.25. Sexually Transmitted Diseases ......................................25-1

26.26. Substance Abuse ...........................................................26-1

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Types of ObjectivesTypes of Objectives

Measurable objectives provide direction Measurable objectives provide direction for action. for action. They have baselines.They have baselines.

Developmental objectives provide a Developmental objectives provide a vision for a desired outcome or health vision for a desired outcome or health status but have no data.status but have no data.

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Criteria for Measurable and Criteria for Measurable and Developmental Objectives for Developmental Objectives for

20102010 Drive ActionDrive Action MeasurableMeasurable Important and UnderstandableImportant and Understandable Continuity and ComparabilityContinuity and Comparability Scientific EvidenceScientific Evidence Prevention OrientedPrevention Oriented Useful and RelevantUseful and Relevant

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Select populationsSelect populations

Race/EthnicityRace/Ethnicity GenderGender SESSES People with People with

disabilitiesdisabilities

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Regional Meetings for Healthy People 2010Regional Meetings for Healthy People 2010

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Early-bird registration before October 15, 1998Registration accepted until November 1, 1998

Non on-site registrationTo register for this meeting visit

http://web.health.gov/healthypeople1-800-367-4725

You Are Invited to Attend the National Healthy People Consortium Meeting

“Building the Next Generation of Healthy People”

November 12 and 13, 1998Capital Hilton, Washington, D.C.

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Progress on Healthy People Progress on Healthy People 2000 Targets2000 Targets

46%

18%

10%

26%

Right DirectionWrong DirectionNo ChangeNo Data

51%

30%

3%

16%

Total Population Total Population (319 Targets)(319 Targets) Special Population Special Population (210 Targets)(210 Targets)

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Healthy People TimelineHealthy People Timeline19991999 Workgroups review and integrate publicWorkgroups review and integrate public

comment into documentcomment into document

April:April: Secretary’s Council MeetingSecretary’s Council Meeting

July:July: Clearance ProcessClearance Process

20002000

JanuaryJanuary Healthy People 2010 ReleasedHealthy People 2010 ReleasedVolume I People and SettingsVolume I People and SettingsVolume II 2010 ObjectivesVolume II 2010 ObjectivesVolume III DataVolume III DataBegin Release of Companion DocumentsBegin Release of Companion DocumentsBegin Release of State PlansBegin Release of State Plans

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WHAT Can Be WHAT Can Be Accomplished?Accomplished?

Consensus on directionConsensus on direction

Identify challengesIdentify challenges

Result in improved data Result in improved data qualityquality

Provide incentives for changeProvide incentives for change

Demonstrate returns on public Demonstrate returns on public investment in preventioninvestment in prevention

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Building the Framework for Building the Framework for Healthy People 2010Healthy People 2010

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Call for Comments on Healthy Call for Comments on Healthy People 2010People 2010

Submit electronic comments at:Submit electronic comments at:

http://web.health.gov/healthypeoplehttp://web.health.gov/healthypeople

Submit paper comments to:Submit paper comments to:

Office of Disease Prevention and Health PromotionOffice of Disease Prevention and Health Promotion

U.S. Department of Health and Human ServicesU.S. Department of Health and Human Services

Attention: Healthy People 2010 ObjectivesAttention: Healthy People 2010 Objectives

Hubert H. Humphrey Bldg., Room 738GHubert H. Humphrey Bldg., Room 738G

200 Independence Avenue, SW200 Independence Avenue, SW

Washington, DC 20201Washington, DC 20201

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Let Your Voice be Heard!Let Your Voice be Heard!September 15 - December 15, 1998September 15 - December 15, 1998

COMMENT!http://web.health.gov/healthypeople