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The Health Status of Americans in the 21 st Century: How we got here

The Health Status of Americans in the 21 st Century: How we got here. Life Expectancy in the history. Roman Empire – 22 Middle Ages in Europe – 33 American Revolution – 36 1900 – 47 Currently – women 79 and men 72

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The Health Status of Americans in the 21 st Century: How we got here

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  1. The Health Status of Americans in the 21st Century: How we got here

  2. Life Expectancy in the history • Roman Empire – 22 • Middle Ages in Europe – 33 • American Revolution – 36 • 1900 – 47 • Currently – women 79 and men 72 • 39% of women living today and 21% of men can expect to celebrate their 85th birthday • Projections for 2050 – women 85.6, men 79.7

  3. Leading Causes of Death in the U.S. in 1900

  4. Leading Causes of Death, U.S. 2010

  5. Leading Causes of Death in North Carolina, 2011

  6. Click here for YPPL Calculator

  7. Click here for YPLL (75) by State

  8. Three Eras of Public Health In America • Age of Environment 1875 -1930 • Age of Medicine 1931-1960 • Age of Lifestyle 1961 - Today

  9. Ten Great Public Health Achievements of the 20th Century Age of the Environment (1875-1930) • City Health Department • Control of infectious disease • Pasteurization of Milk • Public Health Campaigns • Development of Sanitary Sewers • Safer and healthier food • Safer workplaces • Fluoridation of drinking water

  10. Ten Great Public Health Achievements of the 20th Century Age of Medicine (1931 – 1960) • Antibiotics • Sulfa Drugs • Penicillin • Anti-TB Drugs • Open Heart Surgery/CABG • Vaccines for Diphtheria, Whooping Cough and Polio • Radiation and chemotherapy for cancer • Flouridation of drinking water

  11. Ten Great Public Health Achievements of the 20th Century Age of Lifestyle (1961 – Present) • The first Surgeon General’s Report on Smoking and Health • Recognition of the importance of exercise and health • Recognition of the preventive nutrition • Re-emergence of behaviorally-related infectious disease • Motor Vehicle Safety • Oral Contraception/family planning

  12. Click here to read about the Ten Great Public Health Achievements --- United States, 2001— 2010

  13. Causes of All Deaths in the U.S., 2010 Cardiovascular Disease 32% Other Causes 36% Diabetes 3% COPD 5% Cancer 23%

  14. The Burden of Chronic Disease More than 1.7 million Americans die of a chronic disease each year Chronic diseases account for 75% of the $1.8 trillion we spend on healthcare More than 125 million Americans live with chronic conditions, and millions of new cases are diagnosed each year

  15. Actual Causes of Death in the United States, 2000Mokdad, AH, et al (2004). JAMA, 291, 1238-1246.

  16. Lifestyle The sum of decisions made by individual that impact their health. These decisions may affect health negatively by creating self-imposed risk or positively by creating protective factors.

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