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Healthy Border 2010 Program. Sam Notzon, Ph.D. National Center for Health Statistics, CDC. U.S. Counties Included in Border Region. 2000 Population. 50.3 million 11.4 million. U.S.-Mexico Border. Border Region Per Capita Income, 1990. Percent With Less Than 9 Years of Education, 1990.
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Healthy Border 2010 Program Sam Notzon, Ph.D. National Center for Health Statistics, CDC
U.S. Counties Included in Border Region 2000 Population 50.3 million 11.4 million
Healthy Border 2010 Program:Background • Healthy People 2010-type program • US-Mexico Border Health Commission • Addresses implementing legislation • Unique aspects: • Covers multi-State area • Binational program • Combines activities from both countries
Healthy Border 2010 Program: Background Design Team USA SSA Mexico Healthy “Gente” Health Indicators Healthy Border
Healthy “Gente” Objectives: Selection Criteria • Key health issues for border • Measurable objectives • Limited number • Compatible with federal and state objectives
Healthy “Gente” Objectives • Focus attention on key health issues • Improve allocation of health resources • Coordinate public and private action • Inspire ownership of objectives
Health Indicators of Mexico • Designed to track diseases, causes of death, and health-related activities • Guidelines: • Minimum number of indicators • Data-based, using reliable data • Data available at regular intervals • Initial set of 72 indicators, reduced to 46
Access to Care Cancer Diabetes Environmental Health HIV/AIDS Immunization and Infectious Diseases Injury Prevention Maternal, Infant and Child Health Mental Health Oral Health Respiratory Diseases Healthy Border 2010 ProgramObjectives
Border Counties inPrimary Care HPSAs HPSA Counties Entire County Portion Not HPSA
Female Breast Cancer Mortality Deaths Per 100,000 Population 17.2 11.5 (2010 Target) Age-Adjusted WHO World Population
Diabetes Mortality Deaths Per 100,000 Population 74.6 (2010 Target) 13.7 (2010 Target) Age-Adjusted WHO World Population
Diabetes Mortality, 1995-97 Source: NCHS, CDC
Hepatitis A and B Case Rate Case Rate Per 100,000 Population 28.3 28.0 (2010 Target) (2010 Target)
Tuberculosis Case Rate, 1997 Source: NCHS, CDC
AIDS Case Rate, 1997 Source: NCHS, CDC
Motor Vehicle Mortality Deaths Per 100,000 Population 14.9 7.4 (2010 Target) (2010 Target) Age-Adjusted WHO World Population
Motor Vehicle Mortality, 1995-97 Source: NCHS, CDC
Percent of Live Births with First Prenatal Visit in First Trimester Percent 85.0% (2010 Target) 73.0% (2010 Target)
Initiation of Prenatal Care in First Trimester, 1997 Source: NCHS, CDC
Infant Mortality Rate Per 1,000 Live Births 21.2 6.3 (2010 Target) (2010 Target) Age-Adjusted WHO World Population
Infant Mortality Rate, 1995-97 Source: NCHS, CDC
Suicide Mortality Deaths Per 100,000 Population 10.7 4.8 (2010 Target) (2010 Target) Age-Adjusted WHO World Population
Suicide Mortality Rate, 1995-97 Source: NCHS, CDC
Major Counties/Municipios on U.S.-Mexico Border • Cochise, AZ / Agua Prieta, SN • Pima, AZ • Santa Cruz, AZ / Nogales, SN • Yuma, AZ / San Luis Rio Colorado, SN • Imperial, CA / Mexicali, BC • Riverside, CA • San Diego, CA / Tijuana, BC
Major Counties/Municipios on U.S.-Mexico Border • Dona Ana, NM • Cameron, TX / Matamoros, TM • El Paso, TX / Juarez, CH • Hidalgo, TX / Reynosa, TM • Maverick, TX / Piedras Negras, CO • Val Verde, TX / Cia. Acuna, CO • Webb, TX / Nuevo Laredo, TM