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        MMWR: Ten Great Public Health Achievements — Worldwide, 2001–2010

        June 24, 2011


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        MMWR: Ten Great Public Health Achievements — United States, 2001–2010

        May 20, 2011


        Learn more about the CDC science and programmatic work that went into the “Ten Great Public Health Achievements — United States, 2001–2010” at these links:


        TABLE. Healthy People 2010 improvements related to public health achievements --- United States*

        Area of public health achievement

        Healthy People 2010 objective measure?

        Improvement

        Vaccine-preventable diseases

        Vaccination of each U.S. birth cohort with current childhood immunization schedule

        14-24a. Proportion of children aged 19--35 months receiving the recommended vaccines

        From 73% (1998) to 78% (2008)

        Pneumococcal disease

        14-22g. Children aged 19--35 months receiving ≥4 doses of the pneumococcal conjugate vaccine

        From 20% (2002) to 80% (2008)

        Varicella

        14-22f. Children aged 19--35 months receiving ≥1 dose of the varicella vaccine
        14-27d. Adolescents aged 13--15 years receiving ≥1 dose of the varicella vaccine (excluding those who have reported having varicella)

        From 43% (1998) to 91% (2008) (14-22f) and from 45% (1997) to 86% (2008) (14-27d)

        Hepatitis A

        14-6. New cases of hepatitis A (per 100,000 population)

        From 11.2 (1997) to 0.9 (2008)

        Prevention and control of infectious diseases

        Tuberculosis cases

        14-11. New cases of tuberculosis (per 100,000 population)

        From 6.6 (1998) to 4.2 (2008)

        Central line--associated blood stream infections

        14-20b. Hospital-acquired central line--associated bloodstream infections among intensive-care unit patients (per 1,000 days use)

        From 5.5 (1995-98) to 1.6 (2009)

        Tobacco

        Adult tobacco use

        27-1a. Cigarette smoking among adults aged ≥18 years (age-adjusted)

        From 24% (1998) to 21% (2008)

        Youth tobacco use

        27-2b. Cigarette smoking among students (grades 9--12)

        From 35% (1999) to 19% (2009)

        States with comprehensive smoke-free laws

        27-13a, b, c, i. Smoke-free indoor air laws (specific to private workplaces, public workplaces, restaurants, and bars).

        From zero (1998) to 30 (2009) states (27-13a), 10 (1998) to 34 (2009) states (27-13b), one (1998) to 28 (2009) states (27-13c), and zero (1998) to 22 states (2009) (27-13i)

        Combined average federal and average state excise tax

        27-21a. Combined average federal and state tax on cigarettes (dollars per standard U.S. package of cigarettes)

        From $0.63 (1998) to $2.35 (2009)

        Maternal and infant health

        Pregnancies affected by neural tube defects

        16-15. Live births and fetal deaths at ≥20 weeks gestation with diagnoses of spina bifida and other neural tube defects (new cases per 10,000 live births)

        From six (1996) to five (2007)

        Newborn hearing screening

        28-11a. Newborns receiving an objective
        physiologic hearing screening procedure before age 1 month

        From 66% (2001) to 82% (2007)

        Motor vehicle safety

        Deaths per 100,000 persons per vehicle mile traveled

        15-15a. Motor vehicle deaths (age-adjusted per 100,000 standard population)
        15-15b. Motor vehicle deaths (per 100 million vehicle miles traveled)

        From 14.7 (1999) to 13.8 (2007) (15-15a) and from 1.6 (1998) to 1.3 (2008) (15-15b)

        Injuries per 100,000 persons per vehicle mile traveled

        15-17. Nonfatal motor vehicle injuries (per 100,000 population)

        From 1,181 (1998) to 771 (2008)

        Pedestrian deaths

        15-16. Pedestrian deaths on public roads (per 100,000 population)

        From 1.9 (1998) to 1.5 (2008)

        Cardiovascular disease prevention

        Age-adjusted coronary heart disease deaths

        12-1. Coronary heart disease deaths (age-adjusted per 100,000 population)

        From 195 (1999) to 126 (2007)

        Age-adjusted stroke deaths

        12-7. Stroke deaths (age-adjusted per 100,000 population)

        From 62 (1999) to 42 (2007)

        Occupational safety

        Work-related injury deaths

        20-1a. Work-related injury deaths -- all industries (per 100,000 workers aged ≥16 years)

        From 4.5 (1998) to 3.3 (2009)

        Work-related injuries

        20-2a. Work-related injuries -- all industries (per 100 full-time workers)

        From 6.2 (1998) to 3.4 (2009)

        Cancer prevention

        Colorectal cancer death rate per year

        3-5. Colorectal cancer deaths (age-adjusted per 100,000 standard population)

        From 20.9 (1999) to 16.9 (2007)

        Breast cancer death rate per year

        3-3. Female breast cancer deaths (age-adjusted per 100,000 standard population)

        From 26.6 (1999) to 22.9 (2007)

        Cervical cancer death rate per year

        3-4. Cervical cancer deaths (age-adjusted per 100,000 standard population)

        From 2.8 (1999) to 2.4 (2007)

        Childhood lead poisoning prevention

        % of children with blood lead levels ≥10 μg/dL

        8-11. Children aged 1--5 years with blood lead levels ≥10 μg/dL

        From 4.4% (1991--1994) to level too small for reliable measurement (2005--2008)

        Public health preparedness and response

        No related Healthy People 2010 objectives

        Source: DATA2010 (Healthy People 2010 database). Available at http://wonder.cdc.gov/data2010.

        * Most recent data available. The Healthy People 2010 Final Review will be published in fall 2011; data presented in this table might not be final.

        ? Additional information available at http://wonder.cdc.gov/data2010.



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