Sam Notzon, Ph'D'

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Healthy Gente U.S. - Mexico Border Year 2010
Health Objectives
Sam Notzon, Ph.D. National Center for Health
Statistics
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Development of Border Objectives

• State Border Health Officers
• U.S.-Mexico Border Health Commission

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U.S. Counties Included in Border Region
1996 Population
46.7 million 10.4 million
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Purpose of Border Objectives

• Focus attention on key health issues

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Purpose of Border Objectives

• Focus attention on key health issues
• Improve allocation of health resources

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Purpose of Border Objectives

• Focus attention on key health issues
• Improve allocation of health resources
• Coordinate public and private action

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Purpose of Border Objectives

• Focus attention on key health issues
• Improve allocation of health resources
• Coordinate public and private action
• Inspire ownership of objectives

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Selection Criteria

• Key health issues for border

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Selection Criteria

• Key health issues for border
• Measurable objectives

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Selection Criteria

• Key health issues for border
• Measurable objectives
• Limited number

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Selection Criteria

• Key health issues for border
• Measurable objectives
• Limited number
• Compatible with federal and state objectives

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U.S. Counties Included in Border Region
1996 Population
46.7 million 5.9 million 4.5 million
Counties with Mexican sister communities Other
border counties
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Per Capita Income, 1990
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Percent With Less Than9 Years of Education, 1990
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All-Cause Death Rates, 1995-97Age-Adjusted
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All-Cause Death Rates by Age, 1995-97
0-4 05-14 15-24 25-44 45-64 65-74
75
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Promote Healthy Behaviors

• Reduce proportion obese to 15 percent
• Reduce teen tobacco use by one-third

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Proportion Obese,1988-94
Source NCHS, CDC
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Cigarette Use in Past MonthAdolescents 12-17
Years of Age, USA
Source SAMHSA
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Injury/Violence Prevention

• Reduce motor vehicle crash deaths by 25
  percent
• Reduce alcohol-related motor vehicle crash
  deaths by 50 percent

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Deaths Due to External CausesU.S.-Mexico Border,
1995-97
Motor vehicle 28.1
Other 24.4
Falls 7.5
Drowning 3.9
Homicide 13.6
Suicide 22.5
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Motor Vehicle Crash Deaths1995-97
Source NCHS, CDC
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Alcohol-Related Motor Vehicle Crash Deaths, USA
Source NHTSA, DOT.
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Maternal and Child Health

• Reduce infant mortality rate by 25 percent.
• Reduce infant mortality rate due to all birth
  defects by 30 percent
• Reduce childhood mortality due to accidents by
  15 percent
• Raise first trimester prenatal care initiation
  to 85 percent
• Reduce young teen pregnancy rate by 33 percent

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Infant Mortality Rate1995-97
Source NCHS, CDC
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Infant Deaths due toMalformations 1995-97
Source NCHS, CDC
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Unintentional Injury Deaths0-4 Years of Age,
1995-97
Source NCHS, CDC
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Initiation of Prenatal Carein First
Trimester,1997
Source NCHS, CDC
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Adolescent Pregnancies15-17 Years of Age, USA
Source NCHS/CDC Allan Gutttmacher Institute.
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Teenage Birth RatesWomen 15-17, 1996
Source NCHS, CDC
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Environment

• All countries will meet or exceed EPA air
  quality standards
• All households will be connected to public
  sewage systems or septic tanks
• Reduce reports of acute pesticide poisoning by
  50 percent

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Border Counties and EPA Air Quality Standards
Compliance Status
Not in Compliance
In Compliance
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Access to Care

• 25 percent reduction in persons lacking access
  to primary care provider

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Medically Underserved Border Counties
Underserved Border Counties
Entire County
Portion
Not Underserved
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Oral Health

• 75 percent of population served by
  flouridated community water systems

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Diseases and Disorders

• Reduce diabetes mortality by 10 percent and
  morbidity by 25 percent
• Reduce suicide mortality by 15 percent
• Reduce cervical cancer mortality by 30 percent
• Reduce asthma hospitalization rate by 40
  percent

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Diabetes Mortality1995-97
Source NCHS, CDC
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Hospital Discharge Rate-DiabetesUnited States
Source NCHS/CDC
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Suicide Mortality1995-97
Source NCHS, CDC
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Cancer of Cervix1995-97
Source NCHS, CDC
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Hospital Discharge RateAsthma - United States
Source NCHS/CDC
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Substance Abuse

• Reduce use of illegal substances among 12-17
  year-old youth (objective under development)