Healthy People 2020 is a national initiative that provides specific health objectives and targets to be achieved by 2020. It aims to create a framework to improve population health, engage stakeholders, and establish accountability. New topic areas in Healthy People 2020 include social determinants of health, healthcare-associated infections, and preparedness. Objectives are organized within 42 topic areas and address health disparities. Implementation strategies include providing evidence-based interventions, webinars, and highlighting organizations addressing leading health indicators.
Program among these measures are the NATIONAL HEALTH PROGRAMS, which have been launched by the central government of control/ eradication of communicable diseases, improvement of environmental sanitation, raising the standard of nutrition, control of population and improving rural health. Introduction
The document makes the case for concerted action on adolescent health, it explains CAH's "4S framework" to strengthen the response of the health sector to adolescents, CAH's systematic approach to scaling up health service provision to adolescents, and the rationale and objectives of CAH's work in focus countries.
It is intended for staff from other departments in WHO working on health issues of relevance to adolescents (e.g. reproductive health or mental health), staff in WHO's Regional and Country Offices, staff in other organizations supporting efforts or working themselves to improve the health of adolescents, and policy makers and programme managers in ministries of health.
Presentation delivered by Dr Haifa Madi, Director, Health Protection and Promotion at the 62nd Session of the WHO Regional Committee for the Eastern Mediterranean
Program among these measures are the NATIONAL HEALTH PROGRAMS, which have been launched by the central government of control/ eradication of communicable diseases, improvement of environmental sanitation, raising the standard of nutrition, control of population and improving rural health. Introduction
The document makes the case for concerted action on adolescent health, it explains CAH's "4S framework" to strengthen the response of the health sector to adolescents, CAH's systematic approach to scaling up health service provision to adolescents, and the rationale and objectives of CAH's work in focus countries.
It is intended for staff from other departments in WHO working on health issues of relevance to adolescents (e.g. reproductive health or mental health), staff in WHO's Regional and Country Offices, staff in other organizations supporting efforts or working themselves to improve the health of adolescents, and policy makers and programme managers in ministries of health.
Presentation delivered by Dr Haifa Madi, Director, Health Protection and Promotion at the 62nd Session of the WHO Regional Committee for the Eastern Mediterranean
Complete the followingPart 1 BrochureCreate a six-pa.docxskevin488
Complete the following:
Part 1: Brochure
Create a six-panel persuasive brochure that you can use to influence your selected population to change a behavior that is affecting their health.
Be sure to use at least two constructs from your selected theory or model to influence the specific health behavior.
When your brochure is complete, conduct a SMOG analysis on the content of the brochure.
Part 2: Brochure Explanation and Analysis
In a 1-page MS Word document:
Briefly describe your selected population and their targeted health behavior.
Explain the specific constructs you chose to use in creating your brochure and how you used the constructs to create your message.
Include the results of the SMOG analysis and an explanation of what you changed based on the results.
Healthy People in Healthy Communities What Is Healthy People? Healthy People is a set of goals and objectives with 10-year targets designed to guide national health promotion and disease prevention efforts to improve the health of all people in the United States. Released by the U.S. Department of Health and Human Services each decade, Healthy People reflects the idea that setting objectives and providing science-based benchmarks to track and monitor progress can motivate and focus action. Healthy People 2020 represents the fourth generation of this initiative, building on a foundation of three decades of work. Healthy People is used as a tool for strategic management by the federal government, states, communities, and many other public- and private-sector partners. Its comprehensive set of objectives and targets is used to measure progress for health issues in specific populations, and serves as (1) a foundation for prevention and wellness activities across various sectors and within the federal government, and (2) a model for measurement at the state and local levels. What’s New in Healthy People 2020? Healthy People 2020 is committed to the vision of a society in which all people live long, healthy lives. This decade, several new features will help make this vision a reality: t Emphasizing ideas of health equity that address social determinants of health and promote health across all stages of life t Replacing the traditional print publication with an interactive Web site as the main vehicle for dissemination t Maintaining a Web site that allows users to tailor information to their needs and explore evidencebased resources for implementation The Mission, Vision, and Goals of Healthy People 2020 Vision—A society in which all people live long, healthy lives. Mission—Healthy People 2020 strives to: t Identify nationwide health improvement priorities t Increase public awareness and understanding of the determinants of health, disease, and disability, and the opportunities for progress t Provide measurable objectives and goals that are applicable at the national, state, and local levels t Engage multiple sectors to take actions to strengthen policies and improve pr.
Ageing is an important physiological phenomenon faced by all living individuals that is multifactorial and complex. The causation is still a matter of controversy. There is a lack of consensus regarding the appropriate age of ageing, though most of the countries uses chronological ages.
This presentation is regarding active ageing that builds up framework that will help the elderly mass to live a disease free active life with active participation and security in life.
This presentation also describes the different challenges faced by the elderly population for active ageing.
Government of India has been working for the aged population and there has been a number of policies and programmes that are solely dedicated to the elderly masses that has been also described here.
UNIT-II DETERMINANT OF HEALTH B.SC II YEAR.pptxanjalatchi
Health is influenced by many factors, which may generally be organized into five broad categories known as determinants of health: genetics, behavior, environmental and physical influences, medical care and social factors. These five categories are interconnected.
UNIT-II DETERMINANT OF HEALTH B.SC II YEAR.pptxanjalatchi
The determinants of health include: the social and economic environment, the physical environment, and. the person's individual characteristics and behaviours.
Position and role of health education in health promotion. Niru Magar
This ppt explores the Position and role of health education in health promotion.Health education is the process of providing individuals and communities with the knowledge, skills, and motivation they need to make informed choices about their health and well-being.
It's more than just learning facts; it's about developing the ability to understand, critically evaluate, and apply that knowledge to your life.
HE is aimed at bringing about behavioral changes in individuals, groups, and larger populations from behaviors that are presumed to be detrimental to health, to behaviors that are conducive to present and future health.
Health promotion is the process of enabling people to take control over and improve their health and its determinants. Health promotion is about creating the conditions and conducive environment for healthy choices for all and where people live, work, age and play.
Health promotion is an umbrella term that includes disease prevention, improvement of health, and enhancing well-being.
Through various platforms and strategies, HE aims to improve health outcomes, reduce health disparities, and foster a culture of informed decision-making and wellness.
TIU, Public health certificate programs Online include Biostatistics, Environmental Health, Public Health Administration and related programs. Our interactive course explore you understand and get knowledge in global health issues.
Taking your event social network literacy webinar 110712Marissa Stone
Taking Your Event Social: Using Social Media to Promote the Priester National Health Extension Conference
This slideshare explains how we used social media to promote the Priester National Health Extension Conference before, during and after the event and how you can use social media to extend the reach of your event exponentially!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
1. Healthy People 2020
Promoting Health and Preventing Disease Throughout the Nation
Debra Nichols, MD, MPH
Office of Disease Prevention and Health Promotion
Debra.nichols@hhs.gov
3. What is Healthy People?
■ A National agenda that communicates a
vision for improving the population’s health
and achieving health equity.
■ A set of specific, measurable objectives with
targets to be achieved by the year 2020.
These objectives are organized within
distinct topic areas.
4. Why Do We Need a National Set
of Health Objectives?
1. Creates a comprehensive, strategic
framework.
2. Requires tracking of data-driven
outcomes.
3. Engages a network of stakeholders.
4. Guides national research, program
planning, and policy efforts.
5. Establishes accountability.
5. Evolution of Healthy People
Target Year 1990 2000 2010 2020
Overarching Decrease Increase span Increase Attain high quality, longer
mortality: of healthy life quality and lives free of preventable
Goals infants-adults years of disease
Reduce health healthy life
disparities Achieve health equity;
eliminate disparities
Increase
independence Achieve access Eliminate
Create social and physical
among older to preventive health
environments that promote
adults services for all disparities
good health
Promote quality of life,
healthy development,
healthy behaviors across
life stages
# Topic Areas 15 22 28 42
# Objectives/ 226/na 312/na 467/969 >1,194/1,194
Measures
8. Healthy People 2020 Mission
■ Identify nationwide health improvement priorities.
■ Increase public awareness and understanding of the
determinants of health, disease, and disability and the
opportunities for progress.
■ Provide measurable objectives and goals that are
applicable at the national, State, and local levels.
■ Engage multiple stakeholders to take actions to
strengthen policies and improve practices that are
driven by the best available evidence and knowledge.
■ Identify critical research, evaluation, and data collection
needs.
12. Why are the determinants of
health important?
The rationale for focusing on determinants
includes:
■ The need to move beyond controlling
disease to address factors that are root
causes of disease;
■ The importance of achieving health equity;
and
■ Practical considerations related to national
prosperity and security.
13. Multi-Sectoral Efforts are
Needed
■ Health is created through the conditions of
our daily lives
■ The commitment of all is needed:
– To implement evidence-based strategies to
improve health, and
– To build the evidence base for such strategies.
14.
15. Social determinants of health:
A new area of focus for HP2020
■ A video on Social Determinants of Health is
viewable on the Healthy People 2020 website
at:
http://healthypeople.gov/2020/about/DOHAbout.aspx
■ A new topic area narrative explaining social
determinants of health is available on the
Healthy People 2020 website.
■ New objectives addressing social determinants
of health are under development for Healthy
People 2020.
17. Healthy People 2020 Topic Areas
From Healthy People 2010
■ Access to Health Services ■ Immunization and Infectious
■ Arthritis, Osteoporosis, and Diseases
Chronic Back Conditions ■ Injury and Violence Prevention
■ Cancer ■ Maternal, Infant, and Child
■ Chronic Kidney Disease Health
■ Diabetes ■ Medical Product Safety
■ Disability and Health ■ Mental Health and Mental
■ Educational and Community- Disorders
Based Programs ■ Health Communication and
■ Environmental Health Health Information Technology
■ Family Planning ■ Hearing and Other Sensory or
■ Food Safety Communication Disorders
■ Nutrition and Weight Status ■ Heart Disease and Stroke
■ Occupational Safety and Health ■ Respiratory Diseases
■ Oral Health ■ Sexually Transmitted Diseases
■ Physical Activity ■ Substance Abuse
■ Public Health Infrastructure ■ Tobacco Use
■ HIV ■ Vision
18. New Healthy People 2020
Topic Areas
■ Life Stages ■ Healthcare-Associated
– Adolescent Health Infections
– Early and Middle Childhood ■ Preparedness
– Older Adults ■ Sleep Health
■ Blood Disorders and ■ In Development
Blood Safety – Lesbian, Gay, Bisexual, and
Transgender Health
■ Dementias, including – Health-Related Quality of
Alzheimer’s Disease Life and Well-being
■ Genomics – Social Determinants of
Health
■ Global Health
19. Healthy People 2020 Objectives
■ Represent quantitative values to be achieved
over the decade.
■ Organized within the Topic Areas.
■ Managed by lead Federal agencies.
■ Supported by scientific evidence.
■ Address population disparities.
■ Data driven and prevention oriented.
27. Implementation and
Communication Strategies
■ Provide interventions for each objective
– Preventive Services Task Force recommendations
– Federal government reports
– Pilot studies, interventions research
– Promising practices
■ Healthy People content syndication:
http://healthfinder.gov/contentsyndication/index.
aspx
■ Webinars
■ App Challenge
■ Companion documents
28. “Who’s Leading the Leading
Health Indicators?”
■ Monthly series, “Who’s Leading the Leading
Health Indicators?”
■ Highlight organizations using evidence-based
approaches to address one of the Healthy
People 2020 Leading Health Indicator (LHI)
topics.
29. What are the Leading Health
Indicators (LHIs)?
Leading Health Indicators are:
■ Critical health issues that, if addressed appropriately,
will dramatically reduce the leading causes of
preventable deaths and illnesses.
■ Linked to specific Healthy People objectives.
■ Intended to motivate action to improve the health of
the entire population.
30. Leading Health Indicator Topics
■ Access to Health Services
■ Clinical Preventive Services
■ Environmental Quality
■ Injury and Violence
■ Maternal, Infant, and Child Health
■ Mental Health
■ Nutrition, Physical Activity, and Obesity
■ Oral Health
■ Reproductive and Sexual Health
■ Social Determinants
■ Substance Abuse
■ Tobacco
31. State and Community Awards
■ Twenty-four new Healthy People 2020 state, tribal
and territorial projects.
■ Projects were initiated on June 1, 2011 and will be
completed by May 31, 2012.
■ 91 Community Innovations Projects funded December
1, 2011 will be complete May 31,2012.
■ CBOs awarded up to $10,000 to address one or more
HP2020 topic areas, with special emphasis on
Environmental Justice, Health Equity, or Healthy
Behaviors Across All Life Stages.
32. Ways To Connect With Healthy
People
■ Spread the word about 2020 objectives.
■ Follow Healthy People on Twitter @gohealthypeople.
■ Connect with Healthy People on LinkedIn.
■ Join the Healthy People listserv.
■ Join the Healthy People Consortium.
■ E-mail: healthypeople@nhic.org
■ Sign up for e-mail updates at the website.
33. Healthy People 2020:
In Summary
■ Web-based interactive resource to expand reach and
usability (www.healthypeople.gov)
■ Dynamic system to accommodate changing health
needs and priorities
■ “Who’s Leading the Leading Health Indicators?”
monthly series
■ Eat Healthy • Be Active Community Workshops
(www.health.gov/dietaryguidelines)
■ Will be available online April 23, 2012
The number of objectives has increased with each decade. Healthy People 1990 released 226 objectives, Healthy People 2000 included 312 objectives, Healthy People 2010 identified 467 objectives with 1,000 measures, and Healthy People 2020 has almost 1,200 measures.As you can see, the objectives for Healthy People 2020 are described differently. That’s because we have adopted a new system of nomenclature to make things easier for everyone. In the past we had objectives and subobjectives. Now, we describe anything with a target as being an objective. This decade’s expansion for Healthy People 2020 occurred because both our Advisory Committee (made up of public health experts) and our Federal Interagency Workgroup felt that our Internet capabilities have vastly improved and can handle the load. And the larger number of objectives allows us to relate to more issues and stakeholders.
As note earlier, the social determinants of health have been an important focus of Healthy People 2020 since the early stages of its development…
The impact of interventions such as policies, programs, and information on determinants of health at multiple levels (e.g., individual; social, family and community; living and working conditions; and broad social, economic, cultural, health, and environmental conditions) to improve outcomes. The results of such interventions can be demonstrated through assessment, monitoring, and evaluation. Through dissemination of evidence-based practices and best practices, these findings would feed back to intervention planning to enable the identification of effective prevention strategies in the future.
Achieving health requires more than just controlling disease. It requires us to assure conditions in which people can be healthy. Health results from the choices that people are able to make in response to the options that they have. Conditions in the social and physical environments determine the range of options that are available, their attractiveness, and their relative ease or difficulty of use. Extensive evidence points to ways that environmental factors influence health.A close examination of the underlying causes of specific diseases reveals many of the same factors are at play and, over time, can result in physiologic changes that exacerbate chronic disease. Therefore, focusing on these common underlying determinants has the potential to impact many different health and disease outcomes. Because the effects of determinants begin to take hold well before disease processes appear on the clinical horizons, addressing these factors can offer an opportunity to prevent or delay the development of disease.
For three decades, the Healthy People initiative has led efforts to educate the nation that health is about more than the absence of disease, and is created through the conditions of our daily lives—not at the doctor’s office. Healthy People has long provided a vehicle for channeling diverse and distinct disease prevention and health promotion efforts throughout the U.S. toward the common goal of improving the nation’s health. It has offered an undergirding structure for tracking and monitoring health and disease, and has sought to inspire action by setting science-based targets for progress. As we begin a new decade, Healthy People 2020 re-energizes this long-standing vision, infusing it with a new focus on creating a society in which all people live long and healthy lives. Yet this vision cannot become reality without the active and deep engagement of many sectors of our society.Healthy People 2020 can be used as a tool to convene partners from across sectors—including housing, urban planning, education, transportation, and the environment— to improve the health of the nation. Indeed, examples of the type of multi-sectoral efforts needed to accomplish the goals of Healthy People and improve the health of the nation, are already occurring. An important example is the National Prevention Council, whose members include the Secretaries of the Departments of Agriculture, Education, Transportation, the FTC, the Environmental Protection Agency, the Department of Homeland Security, and others.
The goals and objectives of Healthy People 2020 are intended to be aspirational, yet achievable. Translating noble aspirations into tangible progress will require the commitment of all to implementing evidence-based strategies to improve health, and to build the evidence base for such actions where it does not currently exist. A key focus of these efforts must be on addressing the social and physical environmental factors that affect population health.
The Healthy People 2020 redesigned Web site was launched in December 2010.
Here you can see the Index page for all the Healthy People 2020 topic areas. New topic areas that were added for 2020 are indicated by the “new” icon in red – including three life stages topic areas, social determinants of health, LGBT health, preparedness and others.
Let’s look at the Tobacco Use topic area as an example. Each topic area contains 3 tabs: a narrative overview which is displayed here, objectives, and interventions and resources for that area.
Here is the objectives page for Tobacco Use. Each objective contains baseline and target values, a target-setting method, and a data source (unless they are developmental). When you click on the “more information” link, it takes you to the HHS Health Indicators Warehouse…
…where you can access all kinds of information about the data for each objective.
For each topic area we currently have listed evidence-based interventions and recommendations from the US Preventive Services Task Force Clinical Guide, CDC Community Guide, and healthfinder Quick Guide for Healthy Living, when available (cue animation).
The Implementing section of the Web site provides examples of implementation, planning and funding resources, links to State Healthy People plans, and the MAP-IT framework, which provides step-by-step guidance for developing an implementation plan.Each step of the MAP-IT process contains downloadable, printer-friendly tools and real-life examples from people using Healthy People (cue animation). The entire Implementation section will become more robust over the coming months and years.
In summation, HHS has sought to engage stakeholders in a number of ways and make Healthy People 2020 a useful initiative. Interventions are provided on the web siteWebinars provide more in depth information on particular interventions or Topic AreaThe LHI App Challenge is an opportunity for public health to engage new stakeholders: programmers and developers. Developers and public health experts must co-design an application that makes the leading health indicators customizable and easy to use. This challenge is open through March 9, 2012. Companion documents are being developed to help focus efforts on specific areas or populations, e.g., Healthy Youth and Rural Healthy People