The Health Status of Americans in the 21 st Century: How we got here

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The Health Status of Americans in the 21 st Century: How we got here

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The Health Status of Americans in the 21 st Century: How we got here. Life Expectancy in the history. Roman Empire – 22 Middle Ages in Europe – 33 American Revolution – 36 1900 – 47 Currently – women 79 and men 72 - PowerPoint PPT Presentation

Transcript of The Health Status of Americans in the 21 st Century: How we got here

Page 1: The Health Status of Americans in the  21 st  Century:  How we got here

The Health Status of Americans in the 21st Century: How we got here

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Life Expectancy in the history

Roman Empire – 22 Middle Ages in Europe – 33 American Revolution – 36 1900 – 47 Currently – women 79 and men 72 39% of women living today and 21% of men can

expect to celebrate their 85th birthday Projections for 2050 – women 85.6, men 79.7

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Leading Causes of Death in the U.S. in 1900

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Leading Causes of Death, U.S. 2010

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Leading Causes of Death in North Carolina, 2011

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Click here for YPPL Calculator

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Click here for YPLL (75) by State

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Three Eras of Public Health In America

Age of Environment 1875 -1930

Age of Medicine 1931-1960

Age of Lifestyle 1961 - Today

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Ten Great Public Health Achievements of the 20th Century

Age of the Environment (1875-1930) City Health Department Control of infectious disease Pasteurization of Milk Public Health Campaigns Development of Sanitary Sewers Safer and healthier food Safer workplaces Fluoridation of drinking water

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Ten Great Public Health Achievements of the 20th Century

Age of Medicine (1931 – 1960) Antibiotics

Sulfa Drugs Penicillin Anti-TB Drugs

Open Heart Surgery/CABG Vaccines for Diphtheria, Whooping Cough and Polio Radiation and chemotherapy for cancer Flouridation of drinking water

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Ten Great Public Health Achievements of the 20th Century

Age of Lifestyle (1961 – Present)

The first Surgeon General’s Report on Smoking and Health

Recognition of the importance of exercise and health Recognition of the preventive nutrition Re-emergence of behaviorally-related infectious

disease Motor Vehicle Safety Oral Contraception/family planning

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Causes of All Deaths in the U.S., 2010

CardiovascularDisease

32%

Cancer23%

COPD5%

Diabetes3%

Other Causes36%

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Chronic diseases account for 75%

of the $1.8 trillion we spend

on healthcareMore than 125 million

Americans live with chronic conditions, and millions of

new cases are diagnosed each year

More than 1.7 million Americans die of a More than 1.7 million Americans die of a chronic disease each yearchronic disease each year

The Burden of Chronic Disease

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Actual Causes of Death in the United States, 2000Mokdad, AH, et al (2004). JAMA, 291, 1238-1246.

Causes Number PercentageTobacco 400,000 18.1%Poor Diet/Physical Activity 300,000 16.6%Alcohol Consumption 100,000 3.5%Microbial Agents 90,000 3.1%Toxic Agents (pollutants) 60,000 2.3%Motor Vehicles 43,000 1.8%Firearms 29,000 1.2%Sexual Behavior 20,000 0.8%Illicit Drug Use 17,000 0.7%

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04/19/23

Lifestyle

The sum of decisions made by individual that impact their health. These decisions may affect health negatively by creating self-imposed risk or positively by creating protective factors.

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