1 / 39

Healthiest Wisconsin 2020 Baseline and Health Disparities Report Communicable Disease Prevention and Control

Healthiest Wisconsin 2020 Baseline and Health Disparities Report Communicable Disease Prevention and Control. Chapter outline. Chapter Outline. Background Overview of Healthiest Wisconsin 2020 Baseline and Health Disparities Report Healthiest Wisconsin 2020 objectives and indicators

kiele
Télécharger la présentation

Healthiest Wisconsin 2020 Baseline and Health Disparities Report Communicable Disease Prevention and Control

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Healthiest Wisconsin 2020 Baseline and Health Disparities ReportCommunicable Disease Prevention and Control

  2. Chapter outline Chapter Outline Background • Overview of Healthiest Wisconsin 2020 Baseline and Health Disparities Report • Healthiest Wisconsin 2020 objectives and indicators • Rationale • Key points Data • Immunization among youth • Immunization among older adults • Incidence of communicable diseases References Links to additional reports and resources Contacts

  3. Report overview Report Overview • This chapter is part of a larger report created by the Wisconsin Department of Health Services to track progress on the objectives of Healthiest Wisconsin 2020 (HW2020) and identify health disparities in the state. The full report is available at: http://www.dhs.wisconsin.gov/publications/P0/p00522.pdf • The report is designed to address the Health Focus Areas in HW2020. Where direct measures exist, data are presented; where direct measures are not available, related information may be included. • Information about populations experiencing health disparities is provided in the Health Focus Area chapters and is summarized in separate chapters devoted to specific populations. • Technical notes are available at: http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf

  4. Report overview Report Format Sample annotated slide Full Report • Format: PDF • Intended use: reference document Chapters • Format: Annotated PowerPoint slide set • Intended uses: presentations to • Decision-makers • Service providers • Community leaders • The public

  5. Report overview Report Outline Executive Summary Section 1: Introduction Section 2: Demographic overview Section 3: Health focus areas Section 4: Infrastructure focus areas Section 5: Data summaries by population Section 6: Technical notes

  6. Report overview Report Outline: Detail Section 3: Health focus areas Section 4: Infrastructure focus areas

  7. Report overview Report Outline: Detail Section 5: Data summaries by population

  8. Report overview Data notes • Please refer to the Technical Notes chapter for a more detailed description of limitations and methods: http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf • The 95% confidence intervals are denoted by error bars. Where confidence intervals do not overlap, as shown in the example on the right, differences are statistically significant. Larger confidence intervals may indicate less reliable estimates that should be interpreted with caution. • Population estimates that are considered unreliable are excluded. • Misclassification of racial/ethnic groups may affect the accuracy of rates. • Unless otherwise indicated, the Hispanic population may include people of various races; Whites, Blacks, Asians, and American Indians are non-Hispanic.

  9. Report overview Factors that influence health Social determinants of health Source: University of Wisconsin Population Health Institute. County Health Rankings 2013, http://www.countyhealthrankings.org/our-approach

  10. HW2020 objectives Healthiest Wisconsin 2020 objectives and indicators Objective 1 By 2020, protect Wisconsin residents across the life span from vaccine-preventable diseases through vaccinations recommended by the U.S. Advisory Committee on Immunization Practices (ACIP). Objective 1 Indicator • Proportion of population fully immunized according to ACIP recommendations among children aged 0-12 years, teens aged 13-17 years, and adults aged 18 years and older. Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Communicable Disease Focus Area Profile.

  11. Objective 2 By 2020, implement strategies focused to prevent and control reportable communicable diseases and reduce disparities among populations with higher rates. Objective 2 Indicator Population-specific incidence rates of reportable conditions by race and ethnicity, sexual identities and orientations, gender identities, educational or economic status, and other characteristic associated with health disparities. HW2020 objectives Healthiest Wisconsin 2020 objectives and indicators Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Communicable Disease Focus Area Profile.

  12. Communicable diseases (infectious diseases) are illnesses caused by bacteria, viruses, fungi, or parasites that may be transmitted from human to human or from animal to human. Advances in clean water, refrigeration, and sanitation, and the development of safe and effective vaccines, have greatly reduced the threat of communicable diseases; however, common diseases still cause outbreaks and new communicable diseases emerge. Vaccines protect more than the individual immunized; they prevent the spread of disease within the population. With persistently low adult immunization rates, new efforts are needed to encourage vaccination across the life span and increase access in all communities to eliminate disparities in immunization rates. Rationale Rationale Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Communicable Disease Focus Area Profile.

  13. Immunization In 2011, for most age groups, vaccination rates for children living in Wisconsin were comparable to or higher than those of children nationally. A higher percentage of Wisconsin children ages 19-35 months living below poverty received the recommended vaccination coverage compared to their peers nationally. During 2009-2011, 65% of adults ages 65 and older received an influenza (flu) vaccination in the previous 12 months. Low-income seniors had lower flu vaccination rates compared to middle- and high-income seniors. During 2009-2011, 73% of adults ages 65 and older had ever received a pneumonia vaccination. Key points Key points

  14. Incidence of disease Since 2002, the incidence of meningococcal disease in Wisconsin has declined; however, disparities exist by race/ethnicity. During 2007-2010, the rates of infection of both Streptococcispneumonieaeandgroup B streptococcal (GBS) among Blacks and American Indians were considerably higher than among Whites. During 2012, Blacks in Wisconsin had a higher rate of influenza hospitalization compared to other racial/ethnic groups. Asians have the highest rates of Hepatitis B and Tuberculosis of any racial/ethnic group in Wisconsin. Key points Key findings

  15. Immunization among youth

  16. Immunizationamong youth Vaccination coverage with recommended series among children ages 19-35 months, Wisconsin and United States, 2011 Source: National Immunization Survey for Children, 2011.

  17. Immunizationamong youth Vaccination coverage with selected vaccines among adolescents ages 13-17, Wisconsin and United States, 2011 Source: National Immunization Survey for Teens, 2011. Note: * To protect against tetanus, diphtheria, and pertussis. ** To protect against meningococcal disease.

  18. Immunization among youth Vaccination coverage with selected vaccines among adolescents ages 13-17, by federal poverty level (FPL), Wisconsin and the United States, 2011 Source: National Immunization Survey for Teens, 2011. Note: * To protect against tetanus, diphtheria, and pertussis. ** To protect against meningococcal disease.

  19. Immunization among older adults

  20. Immunizationamong older adults Rates of influenza and pneumonia vaccination among older adults (ages 65+) in Wisconsin, by sex, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset.

  21. Immunizationamong older adults Rates of influenza and pneumonia vaccination among older adults (ages 65+) in Wisconsin, by race/ethnicity, 2008-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Estimates that are unreliable (based on Relative Standard Error or small sample size) are not shown; this means an estimate may not be presented for every population group.

  22. Immunizationamong older adults Rates of influenza and pneumonia vaccination among older adults (ages 65+) in Wisconsin, by household income, 2008-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.

  23. Immunizationamong older adults Rates of influenza and pneumonia vaccination among older adults (ages 65+) in Wisconsin, by level of urbanization, 2008-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.

  24. Immunizationamong older adults Rates of influenza and pneumonia vaccination among older adults (ages 65+) in Wisconsin, by disability status, 2008-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset.

  25. Incidence of communicable diseases

  26. Incidence of communicable disease Meningococcal disease cases, Wisconsin, 2002-2011 Wisconsin bill passed Menactra licensed Booster dose recommended Source: Wisconsin Public Health Information Network, Wisconsin Electronic Disease Surveillance System.

  27. Incidence of communicable disease Meningococcal disease by race/ethnicity, crude rate per 100,000, Wisconsin, 2007-2011 Source: Wisconsin Public Health Information Network, Wisconsin Electronic Disease Surveillance System. Note: Data were not available for Hispanics.

  28. Incidence of communicable disease Haemophilisinfluenzae type B (Hib) cases in Amish and non-Amish children <5 years old, Wisconsin, 2002-2011, (n=10 cases) Amish residents by county, Wisconsin, 2010 Source: Clifford Grammich, Kirk Hadaway, Richard Houseal, Dale E. Jones, Alexei Krindatch, Richie Stanley, and Richard H. Taylor. 2012. 2010 U.S. Religion Census: Religious Congregations & Membership Study. Association of Statisticians of American Religious Bodies. Source: Wisconsin Public Health Information Network, Wisconsin Electronic Disease Surveillance System.

  29. Incidence of communicable disease Incidence of invasive Streptocococcuspneumoniaeand group B streptococcal (GBS) disease, Wisconsin, 2002-2011 Source: Wisconsin Public Health Information Network, Wisconsin Electronic Disease Surveillance System.

  30. Incidence of communicable disease Confirmed cases of Streptocococcuspneumoniae and group B streptococcal (GBS) disease, rate per 100,000, by race/ethnicity, Wisconsin, 2007-2011 Source: Wisconsin Public Health Information Network, Wisconsin Electronic Disease Surveillance System. Note: Data were not available for Hispanics.

  31. Incidence of communicable disease Incidence of and mortality from invasive group B streptococcal (GBS) disease among infants less than 90 days old, by race/ethnicity, rates per 100,000 live births, Wisconsin, 2002-2011 Source: Wisconsin Public Health Information Network, Wisconsin Electronic Disease Surveillance System. Note: Data were not available for other races/ethnicities.

  32. Incidence of communicable disease Influenza hospitalizations by race/ethnicity, rate per 100,000, Wisconsin, 2012 Source: Wisconsin Department of Health Services, Bureau of Communicable Diseases and Emergency Response, Wisconsin hospital inpatient database (unpublished data). Note: Racial groups include Hispanics.

  33. Incidence of communicable disease Chronic hepatitis B cases by race/ethnicity, Wisconsin, 2010-2012 Source: Wisconsin Electronic Disease Surveillance System (WEDSS), 2010-2012. Note: Includes chronic hepatitis B virus cases, confirmed or probable.

  34. Incidence of communicable disease Tuberculosis cases by race/ethnicity and foreign-born status, Wisconsin, 2006-2012 Source: Wisconsin Electronic Disease Surveillance System (WEDSS), 2010-2012.

  35. References References • University of Wisconsin Population Health Institute. County Health Rankings, 2013. http://www.countyhealthrankings.org/our-approach • Center for Urban Population Health. Milwaukee Health Report, 2011. http://www.cuph.org/mhr/2011-milwaukee-health-report.pdf • LaVeist TA, Gaskin DA, Richard P (2009). The Economic Burden of Health Inequalities in the United States. Joint Center for Political and Economic Studies. http://www.jointcenter.org/sites/default/files/upload/research/files/The%20Economic%20Burden%20of%20Health%20Inequalities%20in%20the%20United%20States.pdf • Thomas JC, Sage M, Dillenberg J, Guillory VJ (2002). A Code of Ethics for Public Health. Am Journal of Public Health. 92(7):1057–1059. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447186/ • Wisconsin Department of Health Services (DHS). Healthiest Wisconsin 2020. http://www.dhs.wisconsin.gov/publications/P0/P00187.pdf • Centers for DiseaseControland Prevention (CDC). How Vaccines Prevent Disease. http://www.cdc.gov/vaccines/vac-gen/howvpd.htm#why • Healthy People 2020. Immunization and Infectious Disease. http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=23 • CDC. Preteen and Teen Vaccines. http://www.cdc.gov/vaccines/who/teens/for-parents.html

  36. References • Pediatrics. Middle School Vaccination Requirements and Adolescent Vaccination Coverage. http://pediatrics.aappublications.org/content/early/2012/05/02/peds.2011-2641.full.pdf • Centers for Medicare and Medicaid Services. Immunizations. http://www.cms.gov/Medicare/Prevention/Immunizations/index.html?redirect=/immunizations/ • Wisconsin Department of Health Services (DHS). Meningococcal Disease Factsheet. http://www.dhs.wisconsin.gov/publications/P4/P42072.pdf • DHS. Wisconsin Epi Express, April 2011. http://www.dhs.wisconsin.gov/communicable/WiEpiExpress/PDFfiles/2011WEE/2011WEE0420.pdf • National Foundation for Infectious Disease. Meningococcal Vaccination: Improving Rates in Adolescents and Reducing Racial, Ethnic and Socioeconomic Disparities. http://stopmeningitis.nfidinitiatives.org/professional-resources/meningococcal-cta.pdf • CDC. Active Bacterial Core Surveillance (ABCs): Emerging Infections Program Network. http://www.cdc.gov/abcs/reports-findings/survreports/mening10.html • Wisconsin Department of Health Services. Haemophilusinfluenzae. http://www.dhs.wisconsin.gov/immunization/hib.htm • CDC.ThePink Book: HaemophilusinfluenzaeType b. http://www.cdc.gov/vaccines/pubs/pinkbook/hib.html • Pediatrics. HaemophilusinfluenzaeType b Disease Among Amish Children in Pennsylvania: Reasons for Persistent Disease http://pediatrics.aappublications.org/content/108/4/e60.full.pdf

  37. References • Wisconsin Department of Health Services. Streptococcus pneumoniae, Invasive (Pneumococcal disease). http://www.dhs.wisconsin.gov/publications/p4/p42093.pdf • Wisconsin Department of Health Services. Group B Streptococcal Infections (GBS), Invasive: http://www.dhs.wisconsin.gov/publications/p4/p42049.pdf • CDC. The Pink Book: Pneumococcal disease. http://www.cdc.gov/vaccines/pubs/pinkbook/pneumo.html • American Journal of Public Health. Socioeconomic and Racial/Ethnic Disparities in the Incidence of Bacteremic Pneumonia Among US Adults. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2936986/ • CDC. Group B Strep Prevention in Newborns. http://www.cdc.gov/groupbstrep/about/prevention.html • The Mayo Clinic. Group B strep disease. http://www.mayoclinic.com/health/group-b-strep/DS01107/DSECTION=risk-factors • CDC. Perinatal Group B Streptococcal Disease After Universal Screening Recommendations—United States, 2003—2005. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5628a1.htm • Wisconsin Department of Health Services. Influenza (Flu) http://www.dhs.wisconsin.gov/communicable/influenza/ • World Health Organization (WHO). Hepatitis B. http://www.who.int/mediacentre/factsheets/fs204/en/ • WHO. Tuberculosis (TB). http://www.who.int/topics/tuberculosis/en/

  38. Wisconsin Immunization Program: http://www.dhs.wisconsin.gov/immunization/index.htm National Immunization Survey: http://www.cdc.gov/nchs/nis.htm Wisconsin Department of Health Services: Invasive bacteria. http://www.dhs.wisconsin.gov/communicable/InvasiveBacteria/Index.htm Links Links to additional reports and resources

  39. Bureau of Communicable Diseases and Emergency ResponseDivision of Public HealthWisconsin Department of Health Services Immunizations: Stephanie Schauer, PhD Wisconsin Immunization Program Epidemiologist Email: Stephanie.Schauer@dhs.wisconsin.gov Dan Hopfensperger Wisconsin Immunization Program Director Email: Dan.Hopfensperger@dhs.wisconsin.gov Invasive Bacterial Disease: Susann Ahrabi-Fard, MSCommunicable Disease EpidemiologistEmail: Susann.AhrabiFard@dhs.wisconsin.gov Contacts Contacts Influenza: Tom Haupt, MS Influenza Surveillance CoordinatorWisconsin Department of Health ServicesEmail: Thomas.Haupt@dhs.wisconsin.gov Tuberculosis: Lorna Will, RN, MA Director Tuberculosis Control Program Wisconsin Department of Health Services Email: Lorna.Will@dhs.wisconsin.gov

More Related