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Healthy People 2010 Focus Area 8: Environmental Health Progress Review February 2, 2007

Healthy People 2010 Focus Area 8: Environmental Health Progress Review February 2, 2007. Key Components of Environmental Health. Outdoor Air Quality. Global Environmental Health. n=13. n=13. Health of Individuals & Communities. Infrastructure and Surveillance. Water Quality. n=8. n=40.

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Healthy People 2010 Focus Area 8: Environmental Health Progress Review February 2, 2007

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  1. Healthy People 2010 Focus Area 8:Environmental HealthProgress ReviewFebruary 2, 2007

  2. Key Components of Environmental Health Outdoor Air Quality Global Environmental Health n=13 n=13 Health of Individuals & Communities Infrastructure and Surveillance Water Quality n=8 n=40 Healthy Homes and Healthy Communities Toxics and Waste n=9 n=10 Source: Department of Health and Human Services. Healthy People 2010. 2nd edition. With understanding and improving health and objectives for improving health. Vol. 1. Washington: U.S. Government Printing Office. November 2000.

  3. Environmental Health • Criteria† pollutant-related illness alone costs about $250 billion annually. • Excess deaths related to air pollution estimated at 50,000 – 100,000 per year • Excess lifetime cancer risk related to air pollution is estimated at 1,400 per million persons • Poor indoor air quality costs tens of billions of dollars per year due to • lost productivity • direct medical costs, • and damage to equipment and materials. † Criteria pollutants include: ozone, particulate matter, carbon monoxide, nitrogen dioxide, and sulfur dioxide.

  4. Highlighted Objectives Target met or exceeded (n=14) 8-25q Mercury in females 18-49 years 8-25p Lindane Improving (n=17) 8-1a,b Ozone, particulate matter 8-9 Beaches open and safe for swimming 8-11 Elevated blood-lead levels in children 8-13 Pesticide exposures causing visits to health care facility 8-25b,c,e Exposure to cadmium, lead, mercury in children 1- 5 years Getting worse (n=8) 8-10a,b Fish consumption advisories

  5. Persons Living in Areas that do not Meet EPA Standards for Ozone Decrease desired American Indian Asian Hispanic Black White Total Native Hawaiian 1997 Percent of population 2010 Target = 0% Obj. 8-1a Source: Aeromatic Information Retrieval System (AIRS), Environmental Protection Agency.

  6. Persons Living in Areas that do not Meet EPA Standards for Ozone 1997 2004 Decrease desired American Indian Asian Hispanic Black White Total Native Hawaiian Percent of population 2010 Target = 0% Obj. 8-1a Source: Aeromatic Information Retrieval System (AIRS), Environmental Protection Agency.

  7. Persons Living in Areas that do not Meet EPA Standards for Particulate Matter Decrease desired American Indian Asian Hispanic Black White Total Native Hawaiian 1997 Percent of population 2010 Target = 0% Source: Aeromatic Information Retrieval System (AIRS), Environmental Protection Agency. Obj. 8-1b

  8. Persons Living in Areas that do not Meet EPA Standards for Particulate Matter 1997 2004 Decrease desired American Indian Asian Hispanic Black White Total Native Hawaiian Percent of population 2010 Target = 0% Source: Aeromatic Information Retrieval System (AIRS), Environmental Protection Agency. Obj. 8-1b

  9. Monitor Locations Particulate matter Note: Locations illustrate general distribution of monitors, monitor locations are not georeferenced Source: Monitor Data Queries, Office of Air and Radiation, Environmental Protection Agency.

  10. Monitor Locations Ozone Particulate matter Note: Locations illustrate general distribution of monitors, monitor locations are not georeferenced Source: Monitor Data Queries, Office of Air and Radiation, Environmental Protection Agency.

  11. Decrease desired Ozone Non-attainment Counties (1-Hr standard) 1997 2010 Target = 0% Obj. 8-1a Source: Green Book, Office of Air and Radiation, Environmental Protection Agency.

  12. Ozone Non-attainment Counties (1-Hr standard) Decrease desired 2004 2010 Target = 0% Obj. 8-1a Source: Green Book, Office of Air and Radiation, Environmental Protection Agency.

  13. Decrease desired Particulate Matter Non-attainment Counties (10 micron standard) 1997 2010 Target = 0% Obj. 8-1b Source: Green Book, Office of Air and Radiation, Environmental Protection Agency.

  14. Decrease desired Particulate Matter Non-attainment Counties (10 micron standard) 2004 2010 Target = 0% Obj. 8-1b Source: Green Book, Office of Air and Radiation, Environmental Protection Agency.

  15. Beaches Open and Safe for Swimming Increase desired 2002 2005 Percent of beach days 100 2010 Target: 98 95 90 85 80 0 Source: BEACH Program, U.S. Environmental Protection Agency. Obj. 8-9

  16. Fish Consumption Advisories Decrease desired 2002 2004 Percent of assessed waters under advisories 2010 Targets River and Stream Miles Lake and Reservoir Acreage Obj. 8-10a-b Source: National Listing of Fish Advisories, Office of Water, U.S. Environmental Protection Agency.

  17. Children ages 1-5 years with Elevated Blood-lead Levels Decrease desired 1991-1994 Percent 2010 Target: 0 % * * Black Med. Total White Female Male Low High Race/ethnicity Gender Family Income *Data are statistically unreliable and are suppressed. Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. Obj. 8-11

  18. Children ages 1-5 years with Elevated Blood-lead Levels Decrease desired 1999-2004 1991-1994 Percent 2010 Target: 0 % * * Black Med. Total White Female Male Low High Race/ethnicity Gender Family Income *Data are statistically unreliable and are suppressed. Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. Obj. 8-11

  19. Pesticide Exposures Pesticide Exposures (Resulting in Visits to Health Care Facilities) Decrease desired Visits (in thousands) 24 22 20 18 16 14 2010 Target: 11.398 12 10 0 1997 1998 1999 2000 2001 2002 2003 2004 Source: Toxic Exposure Surveillance System (TESS), American Association of Poison Control Centers Obj. 8-13

  20. Heavy Metals in the Blood (Highest concentration for 95% of the population) Decrease desired 2001-2002 1999-2000 Blood concentration (ug/L) 2010 Targets Cadmium Lead Females & Males 1-5 years Females 16-49 years ………. ………. Mercury Source: National Report on Human Exposure to Environmental Chemicals, CDC, NCHS Obj. 8-25b,c,e,q

  21. Lindane (beta-HCH) in the Blood (Highest concentration for 95% of the population) Decrease desired 2001-2002 1999-2000 Serum concentration (ng/g lipid) 90 80 70 60 2010 Target: 48.2 50 40 0 Source: National Report on Human Exposure to Environmental Chemicals, NCEH, CDC. Obj. 8-25p

  22. Status of Environmental Health Objectives Target met or exceeded Improving Little or no change Getting worse No tracking data Dropped at midcourse Retained as developmental 14 17 6 8 30 6 12

  23. Data Challenges, Barriers, and Strategies • Challenges • Environmental measurements are only proxies for human exposure, which through mobility varies from day to day, and place to place. • Barriers • Lack of systematic data collection • Strategies New or enhanced data systems • National Biomonitoring Program • National Environmental Public Health Tracking Program New tools for assessment of exposure and health • Genes and Environment Initiative / Exposure Biology Program • National Children’s Study

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

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