Healthy People 2010 Focus Area 8:

Environmental Health

Progress Review

March 19, 2003

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

8-1. Harmful air pollutants

8-2. Alternative modes of transportation

8-3. Cleaner alternative fuels

8-4. Airborne toxins

Outdoor Air Quality

Ozone Particulate matter Carbon monoxide

Nitrogen dioxide Sulfur dioxide Lead

Criteria Pollutant Monitors

Persons Living in Nonattainment Areasfor Criteria Pollutants, 2001

MSA: Metropolitan Statistical Area 2010 target met

41

4

51

11

1

14 13

1

16

0 0 0 1 1 0 0 02

0

10

20

30

40

50

60

2010 targets = 0%Percent

Ozone Sulfur dioxide

Nitrogen dioxide

Carbon monoxide

Particulate matter *

*Lead

Outside MSA Within MSATotal

*

Criteria Pollutants……………………………………………… ……………………………………………..

EPA-Designated Nonattainment Areas,1990 and 2000

* Criteria pollutants: ozone, carbon monoxide, nitrogen dioxide, sulfur dioxide, particulate matter, and lead.

1990 2000

*

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

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 *

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

Children Ages 1-5 Years With Elevated† Blood Lead Levels

† Blood lead level > 10 ug/dL

0

20

40

60

80

100

Percent

1988-1991 1999-20001976-1980 1991-1994

88.2%

8.6%4.4% 2.2%

Mean† Blood Lead Concentration in Children Ages 1-5 Years

† Geometric mean I 95% Confidence Interval * Can be of any race

0

1

2

3

4

5

Mexican American*

White, not Hispanic

Mean blood lead concentration (ug/dL)

Black, not Hispanic

Total

1991-1994 1999-2000

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

Homes With Group 1 Dust Mite Allergens in Bed Dust, 1998-1999

I 95% Confidence Interval

0

20

40

60

80

100

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)

Hospitalizations for Asthma, 1999

Not age adjusted

0

20

40

60

80

100

120

5-64 years

Age adjusted rate per 10,000

65+ years1-4 years *

Total Black, not Hispanic

2010 target

White, not Hispanic

*

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

Urine Concentrations† of Pesticide Metabolites, Persons Ages 6 and Over

† 95th 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.

0

10

20

30

40

< LOD

Urine concentration (ug/g creatinine) 1988-94 1999-2000 2010 target

*

*

…………………………………. ……………………………………

95th percentile

Blood Serum Concentrations† of DDE, Persons Ages 12 and Over, 1999-2000

† 95th percentile I 95% Confidence Interval * Can be of any race Note: Developmental objective - 2010 target not set

0

1,500

3,000

4,500

6,000

7,500

Total 12-19years

Mexican American*

Serum concentration (ng/g lipid)

20+years

MalesFemales Black,not

Hispanic

White,not

Hispanic

95th percentile

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

Wastewater Sewer Service in Selected U.S.-Mexico Border Communities

NA: Data not available 2010 target met

0

20

40

60

80

100

Ciudad Acuna

Percent 1997 2002 2010 target

Mexicali PiedrasNegras

Matamoros Nogales,Sonora

Reynosa

NA NA

* **

*

For More Information

Progress Review data and slides

can be accessed on the web at:

http://www.cdc.gov/nchs/hphome.htm