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Healthy People 2010 Focus Area 8 :

Healthy People 2010 Focus Area 8 :. Environmental Health Progress Review March 19, 2003. Key Components of Environmental Health. Outdoor Air Quality. Global Environmental Health. Health of Individuals & Communities. Infrastructure and Surveillance. Water Quality. Toxics and Waste.

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Healthy People 2010 Focus Area 8 :

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  1. Healthy People 2010 Focus Area 8: Environmental Health Progress Review March 19, 2003

  2. Key Components of Environmental Health Outdoor Air Quality Global Environmental Health Health of Individuals & Communities Infrastructure and Surveillance Water Quality Toxics and Waste Healthy Homes and Healthy Communities

  3. Outdoor Air Quality 8-1. Harmful air pollutants 8-2. Alternative modes of transportation 8-3. Cleaner alternative fuels 8-4. Airborne toxins

  4. Criteria Pollutant Monitors Ozone Particulate matter Carbon monoxide Lead Sulfur dioxide Nitrogen dioxide

  5. Persons Living in Nonattainment Areas for Criteria Pollutants, 2001 Outside MSA Within MSA 2010 targets = 0% Total Percent * Lead Ozone Particulate matter Carbon monoxide Nitrogen dioxide Sulfur dioxide * ……………………………………………… …………………………………………….. Criteria Pollutants * MSA: Metropolitan Statistical Area 2010 target met

  6. EPA-Designated Nonattainment Areas, 1990 and 2000 * 2000 1990 * Criteria pollutants: ozone, carbon monoxide, nitrogen dioxide, sulfur dioxide, particulate matter, and lead.

  7. Water Quality 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)

  8. Status of Water Quality Objectives Safe drinking water Water conservation 95% 101 (1995) Waterborne disease outbreaks 85% (1995) 6 (1987-96) Beach advisories/ closings * 90.9 27% (2002) 2 Average number per year Gallons of domestic use per capita per day Beaches with > 1 advisory/ closing per season People served by water meeting EPA regulations * Developmental objective - 2010 target not set. Direction desired Most recent level 2010 target

  9. Toxics and Waste 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

  10. Children Ages 1-5 Years With Elevated† Blood Lead Levels Percent 88.2% 8.6% 4.4% 2.2% 1976-1980 1988-1991 1991-1994 1999-2000 † Blood lead level > 10 ug/dL

  11. Mean† Blood Lead Concentration in Children Ages 1-5 Years Mean blood lead concentration (ug/dL) 1991-1994 1999-2000 Black, not Hispanic Total Mexican American* White, not Hispanic † Geometric mean I 95% Confidence Interval * Can be of any race

  12. Healthy Homes and Communities 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

  13. Homes With Group 1 Dust Mite Allergens in Bed Dust, 1998-1999 Percent of homes Lower limit of detection (> 0.025 ug/g) 84.2% Threshold for allergic sensitization (> 2.0 ug/g) Threshold for asthma sensitization (> 10.0 ug/g) 46.2% 24.2% I 95% Confidence Interval

  14. Hospitalizations for Asthma, 1999 Total Black, not Hispanic Age adjusted rate per 10,000 White, not Hispanic 2010 target 1-4 years * 65+ years 5-64 years Not age adjusted *

  15. Infrastructure and Surveillance 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

  16. Urine Concentrations† of Pesticide Metabolites, Persons Ages 6 and Over 95th percentile Urine concentration (ug/g creatinine) 1988-94 1999-2000 2010 target < LOD 3,5,6-Trichloro-2-pyridinol (chlorpyfifos) Isopropoxyphenol (propoxur) 1-Napthol (carbaryl) Paranitrophenol (methyl parathion/ parathions) * …………………………………. …………………………………… Metabolite (pesticide) 1988-1994 data: 6 years and over. 1999-2000 data: 6-59 years. † 95th percentile I 95% Confidence Interval 2010 target met LOD: Limit of detection *

  17. Blood Serum Concentrations† of DDE, Persons Ages 12 and Over, 1999-2000 95th percentile Serum concentration (ng/g lipid) White, not Hispanic Total Females Males Black, not Hispanic 12-19 years 20+ years Mexican American* † 95th percentile I 95% Confidence Interval * Can be of any race Note: Developmental objective - 2010 target not set

  18. Global Environmental Health 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

  19. Wastewater Sewer Service in Selected U.S.-Mexico Border Communities 2010 target 1997 2002 Percent NA NA * Ciudad Acuna Matamoros Nogales, Sonora Reynosa Mexicali Piedras Negras * * NA: Data not available 2010 target met *

  20. For More Information Progress Review data and slides can be accessed on the web at: http://www.cdc.gov/nchs/hphome.htm

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