The document discusses the history and goals of the Healthy People initiative in the United States, which sets national 10-year objectives to improve health and reduce preventable disease and injury. It began in 1979 and is now in its fifth edition, Healthy People 2030. The initiative aims to guide efforts to increase life expectancy and reduce health disparities so the US achieves the full health potential of its population. Healthy People 2030 focuses on issues like reducing adverse childhood experiences, improving care for those with dementia, and engaging leaders across sectors to improve overall population health.

1. HEALTHY PEOPLE

2. HISTORY OF THE HEALTHY PEOPLE INITIATIVE
Healthy People is a national effort that sets goals and objectives to improve the health and well-
being of people in the United States.
Healthy People 2030 is the fifth edition of Healthy People.
It aims at new challenges and builds on lessons learned from its first four decades.
The initiative began in 1979, when Surgeon General Julius Richmond issued a landmark report
titled Healthy People: The Surgeon General's Report on Health Promotion and Disease
Prevention.
This report focused on reducing preventable death and injury. It included ambitious, quantifiable
objectives to achieve national health promotion and disease prevention goals for the United
States within a 10-year period (by 1990).
The report was followed in later decades by the release of updated, 10-year Healthy People
goals and objectives (Healthy People 2000, Healthy People 2010, and Healthy People 2020).

3. WHAT HEALTHY PEOPLE CONTRIBUTES
Healthy People helps users to access data on changes in the health status of the U.S. population;
these data also inform each new decade's goals and objectives.
Communities across the United States may adopt Healthy People goals and objectives.
Communities, which may be as small as neighborhoods or large as municipalities, may alter the
goals and objectives to meet their own needs and use them to set priorities for their region and
population groups.
Healthy People priorities are those aspects of health that are the most critical to overall health
and well-being and can be improved using our available knowledge.

4. Since the Healthy People initiative was first launched, the United States has made significant
progress.
Achievements include reducing major causes of death such as heart disease and cancer; reducing
infant and maternal mortality; reducing risk factors like tobacco smoking, hypertension, and elevated
cholesterol; and increasing childhood vaccinations.
During these decades, the importance of collaborating across agencies at the national, state, local,
and tribal levels, and with the private and public health sectors, has been demonstrated.

5. A key lesson is that a widely accessible plan containing achievable goals and objectives can guide the
action of individuals, communities, and stakeholders to improve health.
To achieve the health and well-being of all people, it is essential to involve, as active partners,
diverse stakeholders from across the public, private, and not-for-profit sectors.
It is important to monitor progress on Healthy People goals and objectives, and to share high-quality
data and feedback on progress with stakeholders and the public.
In addition, we have learned that significant changes (e.g., reduced rates of smoking) may be
difficult, but they are achievable through persistent effort.

6. Although much progress has been made, the United States lags behind other developed countries
(such as other members of the organization for Economic Co-operation and Development) on key
measures of health and well-being, including life expectancy, infant mortality, and obesity, despite
spending the highest percentage of its gross domestic product on health.
A challenge for Healthy People 2030 is to guide the United States in achieving our population's full
potential for health and well-being so we are second to none among developed countries.

7. VISION
A society in which all people can achieve their full potential for health and well-being across the life
span.
MISSION
To promote, strengthen, and evaluate the nation's efforts to improve the health and well-being of all
people.

8. FOUNDATIONAL PRINCIPLES
Foundational principles explain the thinking that guides decisions about Healthy People 2030.
1. Health and well-being of all people and communities are essential to a thriving, equitable society.
2. Promoting health and well-being and preventing disease are linked efforts that encompass physical,
mental, and social health dimensions.
3. Investing to achieve the full potential for health and well-being for all provides valuable benefits to
society.
4. Achieving health and well-being requires eliminating health disparities, achieving health equity, and
attaining health literacy.
5. Healthy physical, social, and economic environments strengthen the potential to achieve health and
well-being.
6. Promoting and achieving the nation's health and well-being is a shared responsibility that is
distributed across the national, state, tribal, and community levels, including the public, private, and
not-for-profit sectors.
7. Working to attain the full potential for health and well-being of the population is a component of
decision making and policy formulation across all sectors.

9. OVERARCHING GOALS
1. Attain healthy, thriving lives and well-being, free of preventable disease,
disability, injury, and premature death.
2. Eliminate health disparities, achieve health equity, and attain health literacy to
improve the health and well-being of all.
3. Create social, physical, and economic environments that promote attaining full
potential for health and well-being for all.
4. Promote healthy development, healthy behaviors, and well-being across all life
stages.
5. Engage leadership, key constituents, and the public across multiple sectors to
take action and design policies that improve the health and well-being of all.

10. PLAN OF ACTION
1. Set national goals and measurable objectives to guide evidence-based policies, programs, and
other actions to improve health and well-being.
2. Provide data that are accurate, timely, accessible, and can drive targeted actions to address
regions and populations with poor health or at high risk for poor health in the future.
3. Foster improvement through public and private efforts to improve health and well-being for
people of all ages and the communities in which they live.
4. Provide tools for the public, programs, policy makers, and others to evaluate progress toward
improving health and well-being.
5. Share and support the implementation of evidence-based programs and policies that are
replicable, scalable, and sustainable.
6. Report biennially on progress throughout the decade from 2020 to 2030.
7. Stimulate research and innovation toward meeting Healthy People 2030 goals and highlight
critical research, data, and evaluation needs.
8. Facilitate development and availability of affordable means of health promotion, disease
prevention, and treatment.

11. Objectives
Healthy People 2030 includes 8 overall health and well-being measures (OHMs):
Well Being:
Overall well-being
Health Life Expectancy:
Life expectancy at birth without activity limitation
Life expectancy at birth free of disability
Life expectancy at birth in good or better health
Mortality and Health:
Life expectancy at birth
Free of activity limitation
Free of disability
Respondent-assessed health status

12. Healthy People 2030 includes four objectives regarding adverse childhood experiences, or ACEs, such
as poverty and abuse.
These four objectives aim to reduce the number of young adults reporting 3 or more ACE's, increase
proportion of children with symptoms of trauma who get treatment, increase the proportion of
children who show resilience to challenges and stress and increase the number of early childcare
educational settings that are informed regarding childhood traumas.
Healthy People 2030 also focuses on elderly populations.
The Healthy People 2030's core objectives includes improving the health and quality of life for
people with Alzheimer's disease and dementia.
Increasing the proportion of older adults with dementia, or their caregivers, who know they have it
Reducing the proportion of preventable hospitalizations in older adults with dementia
Increasing proportion of adults with subjective cognitive decline (SCD) who have consulted a health
care professional regarding their memory loss or confusion.

13. Goals directly related to physical therapy are
 Increase the quality and years of healthy life
 Inc. incidence of people reporting healthy days
 Reporting active days
 Reduce activity limitations
 Reduce days of pains for arthritis,
osteoporosis, chronic back pains
 Increased adaptation of daily
physical life
 Increase leisure time
 Exercise: Muscle fitness increase
 Reduce incidence of death from cancer
 Increase diagnosis & reduce incidence of type 2 diabetes

14. 1. Dec. incidence of depression
2. Heart diseases, stroke, high bp
3. Dec incidence High cholesterole level
4. Eliminate health disparities
5. Dec personal stress levels n mental health
problems
6. Reduce steroid use
7. Reduce accidents, destructive habits, pollution
8. Access to health information
9. People with good eating habits
10. Healthy weight and over weight

15. Health education resources
parents of young children
Healthy nutrition
Fitness activities for young children
Protecting young children from preventable injuries
Effective discipline for young children
Protection against childhood illness
Protection in childhood sports activities
Proper nutrition for physical activity
Reduce childhood obesity
Safety when swimming (including
protection against skin cancer)

16. Children ages 8 to 12
Good nutrition
Fitness activities
Safety issues for children
Playing it safe(protection in sports activities)
Proper nutrition for physical activity
Getting in shape(managing childhood obesity)
Safety at the swimming pool/protection against skin
cancer
Ergonomics for children(including wearing
backpacks and playing at the computer)

17. Adolescents
Good nutrition
Fitness activities
Principles of fitness training
Safety issues for athletes
Protection against infection
Proper nutrition for physical activity
Screening for fitness
Red flags for depression
Prevention and management of obesity
Pregnancy—healthy behaviors for a healthy baby
Pregnancy—ways to reduce back pain
Child development for teenage mothers/pregnant teenagers
Screening for poor posture (including scoliosis)
Changing your life to engage in healthy lifestyle habits
Screening for stress
Stress management
Ergonomics for the workplace (computer users)

18. Young and middle aged adults
Good nutrition
Fitness activities
Principles of fitness training
Choosing the right shoes for fitness training
Proper nutrition for physical activity
Screening for fitness
Ergonomics for work place(manual therapy)
Red flags for depression
Prevention n management of obesity
Pregnancy ways to reduce back pain
Child development for new mothers
Healthy lifestyle habits
Screening for poor posture, diabetes, heart disease, stress,
Screening for fitness training
Stress management
Prevention of low back pain
Medications benefits n risks
Prevention of skin cancer

19. Older adults
Reducing risk of fall
Good nutrition
Physical activities for health n wellness
Fitness training for older adults
Choosing the right shoes for fitness training
Proper nutrition for physical activity
red flags for depression
How to maintain healthy bones
Ergonomics for computer use
Ergonomics for the home
Screening for stress
Stress management
medications