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The Health of Manhattan and New York City
The Health of Manhattan and New York City
Community Health Survey
Community Health Survey
Neighborhoods Most in Need: Harlem, So
Neighborhoods Most in Need: Harlem, So
The Health of Manhattan and New York City
The Health of Manhattan and New York City
Smoking Prevalence in Manhattan (by UHF Neighborhood)
Smoking Prevalence in Manhattan (by UHF Neighborhood)
Annual Deaths from Smoking Compared with Other Causes NYC, 2001
Annual Deaths from Smoking Compared with Other Causes NYC, 2001
Cancer Screening in Manhattan vs
Cancer Screening in Manhattan vs
Colon Cancer Detection & Cure Rates
Colon Cancer Detection & Cure Rates
HIV & AIDS Cases in Manhattan Calendar Year 2001
HIV & AIDS Cases in Manhattan Calendar Year 2001
Rates of People Living w/HIV & AIDS in Manhattan vs
Rates of People Living w/HIV & AIDS in Manhattan vs
Rates of New HIV Diagnoses in Manhattan vs
Rates of New HIV Diagnoses in Manhattan vs
There Has Been a Resurgence of Risky Sexual Behavior
There Has Been a Resurgence of Risky Sexual Behavior
Diabetes Prevalence Has More than Doubled in NYC in the Past 8 Years
Diabetes Prevalence Has More than Doubled in NYC in the Past 8 Years
Percent of Overweight NYC Residents (BMI > 25), by Borough
Percent of Overweight NYC Residents (BMI > 25), by Borough
Percent of Overweight Manhattan Residents BMI > 25, by UHF
Percent of Overweight Manhattan Residents BMI > 25, by UHF
Percent of Obese NYC Residents (BMI > 30), by Borough
Percent of Obese NYC Residents (BMI > 30), by Borough
Percent of Obese Manhattan Residents BMI > 30, by UHF Neighborhood
Percent of Obese Manhattan Residents BMI > 30, by UHF Neighborhood
Diabetes Prevalence in NYC By Borough, 2002
Diabetes Prevalence in NYC By Borough, 2002
Diabetes Prevalence in NYC By Ethnicity, 2002
Diabetes Prevalence in NYC By Ethnicity, 2002
Diabetes Prevalence in NYC By UHF Neighborhood, 2002
Diabetes Prevalence in NYC By UHF Neighborhood, 2002
Good Diabetes Management
Good Diabetes Management
On ABCs, USA Gets an “F”
On ABCs, USA Gets an “F”
Percent of NYC Adults Who Report One or More Binge Drinking Episodes
Percent of NYC Adults Who Report One or More Binge Drinking Episodes
Percent of Manhattan Adults Who Report One or More Binge Drinking
Percent of Manhattan Adults Who Report One or More Binge Drinking
The Health of Manhattan and New York City
The Health of Manhattan and New York City
Trends in Infant Mortality NYC, 1991-2001
Trends in Infant Mortality NYC, 1991-2001
Infant Mortality Rate in Manhattan by HCD, 2001
Infant Mortality Rate in Manhattan by HCD, 2001
Trends in NYC Asthma Hospitalization Rates per 1,000 persons,
Trends in NYC Asthma Hospitalization Rates per 1,000 persons,
Asthma Hospitalizations Are Decreasing But Still More Prevalent Among
Asthma Hospitalizations Are Decreasing But Still More Prevalent Among
Asthma Hospitalizations in Manhattan Hospitalization rate of children
Asthma Hospitalizations in Manhattan Hospitalization rate of children
Too Few People are Getting Flu Shots NYC, 2001 Influenza Immunization
Too Few People are Getting Flu Shots NYC, 2001 Influenza Immunization
Gender and Racial Disparities in Vaccinations NYC, 2001 Influenza
Gender and Racial Disparities in Vaccinations NYC, 2001 Influenza
Gender and Racial Disparities in Vaccinations NYC, 2001 Pneumococcus
Gender and Racial Disparities in Vaccinations NYC, 2001 Pneumococcus
Flu Immunizations in Manhattan vs
Flu Immunizations in Manhattan vs
10 Things Everyone Should Do to Stay Healthy
10 Things Everyone Should Do to Stay Healthy
10 Things Everyone Should Do to Stay Healthy
10 Things Everyone Should Do to Stay Healthy

Презентация на тему: «The Health of Manhattan and New York City». Автор: . Файл: «The Health of Manhattan and New York City.ppt». Размер zip-архива: 1215 КБ.

The Health of Manhattan and New York City

содержание презентации «The Health of Manhattan and New York City.ppt»
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1 The Health of Manhattan and New York City

The Health of Manhattan and New York City

Thomas R. Frieden, M.D., M.P.H. Commissioner, New York City Department of Health and Mental Hygiene April 24, 2002

2 Community Health Survey

Community Health Survey

First ever NYC health survey 10,000 New Yorkers interviewed on health status and lifestyle Largest survey of its kind ever in NYC Data reported and broken down into many different categories More than just traditional demographic information (sex, age, ethnicity) Detail will allow us to target services at the community level on a neighborhood-by-neighborhood basis, as needed

3 Neighborhoods Most in Need: Harlem, So

Neighborhoods Most in Need: Harlem, So

Bronx, Central Brooklyn

4 The Health of Manhattan and New York City
5 Smoking Prevalence in Manhattan (by UHF Neighborhood)

Smoking Prevalence in Manhattan (by UHF Neighborhood)

HP 2010 Goal: 12%

6 Annual Deaths from Smoking Compared with Other Causes NYC, 2001

Annual Deaths from Smoking Compared with Other Causes NYC, 2001

* Total includes smoking-related deaths # Total includes 265 AA587 deaths + Total does not include 2,743 WTC deaths

7 Cancer Screening in Manhattan vs

Cancer Screening in Manhattan vs

NYC

HP 2010: 90%

8 Colon Cancer Detection & Cure Rates

Colon Cancer Detection & Cure Rates

Early-Stage Detection Rates

Colorectal Cancer Cure Rates

9 HIV & AIDS Cases in Manhattan Calendar Year 2001

HIV & AIDS Cases in Manhattan Calendar Year 2001

Figures as of 12/31/01

10 Rates of People Living w/HIV & AIDS in Manhattan vs

Rates of People Living w/HIV & AIDS in Manhattan vs

NYC vs. US Calendar Year 2001 – Rates per 1,000 Pop.

Figures as of 12/31/01

11 Rates of New HIV Diagnoses in Manhattan vs

Rates of New HIV Diagnoses in Manhattan vs

NYC vs. US Calendar Year 2001 – Rates per 1,000 Pop.

Figures as of 12/31/01

12 There Has Been a Resurgence of Risky Sexual Behavior

There Has Been a Resurgence of Risky Sexual Behavior

Syphilis cases more than doubled between 2000 and 2001, increased another 50% in 2002 Syphilis increase almost entirely among men, especially MSM Foreshadowing future rise in HIV rates?

Reported Primary and Secondary Syphilis Case Rates, NYC, 2000-2002

13 Diabetes Prevalence Has More than Doubled in NYC in the Past 8 Years

Diabetes Prevalence Has More than Doubled in NYC in the Past 8 Years

Adults with Self-Reported Diabetes, NYC, 1994-2002

14 Percent of Overweight NYC Residents (BMI > 25), by Borough

Percent of Overweight NYC Residents (BMI > 25), by Borough

A woman 5’4” tall is considered overweight at 146 lbs. or more A man 5’10” tall is considered overweight at 175 lbs. or more

15 Percent of Overweight Manhattan Residents BMI > 25, by UHF

Percent of Overweight Manhattan Residents BMI > 25, by UHF

Neighborhood

A woman 5’4” tall is considered overweight at 146 lbs. or more A man 5’10” tall is considered overweight at 175 lbs. or more

16 Percent of Obese NYC Residents (BMI > 30), by Borough

Percent of Obese NYC Residents (BMI > 30), by Borough

A woman 5’4” tall is considered obese at 175 lbs. or more A man 5’10” tall is considered obese at 209 lbs. or more

17 Percent of Obese Manhattan Residents BMI > 30, by UHF Neighborhood

Percent of Obese Manhattan Residents BMI > 30, by UHF Neighborhood

A woman 5’4” tall is considered obese at 175 lbs. or more A man 5’10” tall is considered obese at 209 lbs. or more

18 Diabetes Prevalence in NYC By Borough, 2002

Diabetes Prevalence in NYC By Borough, 2002

Healthy People 2010 Goal: 2.5%

19 Diabetes Prevalence in NYC By Ethnicity, 2002

Diabetes Prevalence in NYC By Ethnicity, 2002

Healthy People 2010 Goal: 2.5%

20 Diabetes Prevalence in NYC By UHF Neighborhood, 2002

Diabetes Prevalence in NYC By UHF Neighborhood, 2002

Healthy People 2010 Goal: 2.5%

21 Good Diabetes Management

Good Diabetes Management

Patient education and participation “Know your ABCs” A1c level below 7% Blood pressure less than 130/80 Cholesterol (“bad” LDL cholesterol) less than 100 Clinical best practices Systematic monitoring of and accountability for HbA1C, retinal, foot care Cardiovascular disease prevention: Smoking, blood pressure, lipid control

22 On ABCs, USA Gets an “F”

On ABCs, USA Gets an “F”

Despite spending 1 out of every 7 dollars on health care!

People with diabetes who have adequately controlled blood sugar – 11% People with hypertension who have adequately controlled blood pressure – 27% People with high cholesterol who have adequately controlled hyperlipidemia – 27%

23 Percent of NYC Adults Who Report One or More Binge Drinking Episodes

Percent of NYC Adults Who Report One or More Binge Drinking Episodes

>5 drinks at one time within past month (by Borough)

Healthy People 2010 Goal: 6%

24 Percent of Manhattan Adults Who Report One or More Binge Drinking

Percent of Manhattan Adults Who Report One or More Binge Drinking

Episodes >5 drinks at one time in past month (by UHF Neighborhood)

Healthy People 2010 Goal: 6%

25 The Health of Manhattan and New York City
26 Trends in Infant Mortality NYC, 1991-2001

Trends in Infant Mortality NYC, 1991-2001

HP 2000 Goal: 7.0

HP 2010 Goal: 4.5

27 Infant Mortality Rate in Manhattan by HCD, 2001

Infant Mortality Rate in Manhattan by HCD, 2001

IMR and 95% Conf. Interval, and Citywide IMR by Health Center District, NYC, 2001

NYC average IMR: 6.1

HP 2010 Goal: 4.5

28 Trends in NYC Asthma Hospitalization Rates per 1,000 persons,

Trends in NYC Asthma Hospitalization Rates per 1,000 persons,

1990-2000, All Ages

29 Asthma Hospitalizations Are Decreasing But Still More Prevalent Among

Asthma Hospitalizations Are Decreasing But Still More Prevalent Among

Low-Income Neighborhoods

30 Asthma Hospitalizations in Manhattan Hospitalization rate of children

Asthma Hospitalizations in Manhattan Hospitalization rate of children

under age 15, per 1,000 population, by UHF neighborhood

31 Too Few People are Getting Flu Shots NYC, 2001 Influenza Immunization

Too Few People are Getting Flu Shots NYC, 2001 Influenza Immunization

Data

Healthy People 2010 Goal: 90%

32 Gender and Racial Disparities in Vaccinations NYC, 2001 Influenza

Gender and Racial Disparities in Vaccinations NYC, 2001 Influenza

Immunization Data

Healthy People 2010 Goal: 90%

33 Gender and Racial Disparities in Vaccinations NYC, 2001 Pneumococcus

Gender and Racial Disparities in Vaccinations NYC, 2001 Pneumococcus

Immunization Data

Healthy People 2010 Goal: 90%

34 Flu Immunizations in Manhattan vs

Flu Immunizations in Manhattan vs

NYC vs. US NYC, 2001 Influenza Immunization Data by UHF Neighborhood

Healthy People 2010 Goal: 90%

35 10 Things Everyone Should Do to Stay Healthy

10 Things Everyone Should Do to Stay Healthy

Have a regular doctor or nurse practitioner Don’t smoke and don’t accept smoking around you or your children Know your vital signs and keep them healthy (blood pressure, cholesterol, weight) Know your HIV status and use condoms to protect against HIV and other STDs Don’t live with depression – seek help

36 10 Things Everyone Should Do to Stay Healthy

10 Things Everyone Should Do to Stay Healthy

Know the warning signs of drug/alcohol abuse – ask your doctor to help. Get screened for cancer, especially colon, cervical and breast Get your shots – everyone needs immunizations Live in a home free of violence Be healthy before getting pregnant, plan your pregnancy, and get early and regular prenatal care

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