Key winnable public health battles for the United States

Nutrition, Physical Activity, Obesity

Healthcare-Associated

Infections

HIV

Food Safety

Tobacco

Teen Pregnancy

Motor Vehicle Injuries

Key winnable public health battles for the United States

Nutrition, Physical Activity, Obesity

Healthcare-Associated

Infections

HIV

Food Safety

Tobacco

Teen Pregnancy

Motor Vehicle Injuries

• Each area is a leading cause of illness, injury, disability, or death, and/or represents enormous societal costs

• Evidence-based, scalable interventions already exist and can be broadly implemented

• Our effort can make a difference• We can get results within a few years―but it

won’t be easy

Winnable Battles

Tobacco

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4603661/

Adult smoking rates vary widelyNearly 3x higher in some states than in others

2011-2015. Centers for Disease Control and Prevention (CDC). State Tobacco Activities Tracking and Evaluation (STATE) System. BRFSS Survey Data; http://www.cdc.gov/statesystem/cigaretteuseadult.html

Smoking prevalence (%)9.1% - <12.8% 12.8% - <16.4% 16.4% - <20.1% 20.1% - <23.7% 23.7% - 27.4%

FL

MO

NY

NC

OK SC

VT

VA

ID

AK

CTNJDEMD

NH

RIMA

IN

ME

CA

OR

UT

WA

NV

AZ

CO

NDMT

NM

WY

ALAR

GA

LA

MS

KS

TX

IL

IA

KY

MI

MN

OH

WV

WI

PANE

SD

DC

HI

TN

Adult smoking rates have fallen in recent years

10%

12%

14%

16%

18%

20%

22%

24%

Prevalence of current smoking among adults age 18+, U.S., 1997–2015

CDC/NCHS, National Health Interview Survey, 1997–2015, Sample Adult Core component; MMWR Nov. 11, 2016, https://www.cdc.gov/mmwr/volumes/65/wr/mm6544a2.htm?s_cid=mm6544a2_ww

0%

No significant decrease

25%

21% 21%

15%

Many states have passed smoke-free laws in worksites, restaurants, and bars

Laws in effect as of March 31, 2017. 1995-2016. Centers for Disease Control and Prevention (CDC). State Tobacco Activities Tracking and Evaluation (STATE) System. Legislation – Smokefree Indoor Air. http://www.cdc.gov/statesystem/smokefreeindoorair.html

No Law - designated areas –or separate ventilation law

100 % smokefreein one location

100 % smokefreein three locations

FL

MO

NY

NC

OK SC

VT

VA

ID

AK

CTNJDEMD

NH

RIMA

IN

ME

CA

OR

WA

NV

AZ

CO

NDMT

NMAL

ARGA

LA

MS

KS

TX

IL

IA

KY

MI

MN

OH

WV

WI

PANE

SD

DC

HI

TN

WY

UT

100 % smokefreein two locations

Progress in tobacco control

2016 Tips from Former Smokers Campaign:

Profiles people who are living with the significant adverse health effects due to smoking

cdc.gov/Tips

Nutrition, physical activity, obesity, and food safety

Rates of obesity are high in all states among adults

Source: Behavioral Risk Factor Surveillance System, CDC, 2015

Prevalence of Self-Reported Obesity Among U.S. Adults 2015

20%–<25%25%–<30%

30%–<35%

FL

MO

NY

NC

OK SC

VT

VA

ID

AK

CTNJDEMD

NH

RIMA

IN

ME

CA

OR

WA

NV

AZ

CO

NDMT

NMAL

ARGA

LA

MS

KS

TX

IL

IA

KY

MI

MN

OHWV

WI

PANE

SD

DC

HI

TN

WY

UT

>35%

Progress in nutrition, physical activity, obesity, and food safety

Healthcare-associated infections

CAUTI* has improved in some states, but further prevention is needed

*CAUTI: Catheter-associated urinary tract infections†SIR: Standardized infection ratioSource: 2014 HAI Progress Report DataTables, Table 4a Below national baseline of 1.0

CAUTI SIR†

confidence interval

Includes national baseline of 1.0

Fully above national baseline of 1.0

DC

FL

MO

NY

NC

OK SC

VT

VA

ID

AK

CTNJDEMD

NH

RIMA

IN

ME

CA

OR

WA

NV

AZ

CO

NDMT

NMAL

ARGA

LA

MS

KS

TX

IL

IA

KY

MI

MN

OH

WV

WI

PANE

SD

HI

TN

WY

UT

Progress in healthcare-associated infections

SIR for central-line associated bloodstream infections declined sharply

-50%

National and State Healthcare-associated Infections Progress Report, published January 2016, based on 2014 data; www.cdc.gov/hai/surveillance/progress-report/index.html

0

0.2

0.4

0.6

0.8

1

2008 2009 2010 2011 2012 2013 2014

Stan

dard

ized

Infe

ctio

n Ra

tio (S

IR)

1.00

0.82

0.680.59

0.56 0.540.50

Motor vehicle injuries

Motor vehicle crash death rates nearly 5x higher in some states than others

http://www.iihs.org/iihs/topics/t/general-statistics/fatalityfacts/state-by-state-overview/2015

3.1–9.9 10.0–14.9 15.0–24.7Death per 100,000population, 2015

Progress in motor vehicle injuriesMotor vehicle-related deaths

decreased between 2007–2015

-15%

20000

25000

30000

35000

40000

45000

50000

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Fata

litie

s(pe

r yea

r)

http://www.iihs.org/iihs/topics/t/general-statistics/fatalityfacts/overview-of-fatality-facts

15% drop

Teen pregnancy

Teen birth rates lowest in Northeast, upper Midwest, upper Northwest, and

highest in South

National Vital Statistics Report, CDC, 2015

12.1–22.9 23–39.9Teen birth rate per 1,000

women aged 15–19

FL

MO

NY

NC

OK SC

VT

VA

ID

AK

CTNJDEMD

NH

RIMA

IN

ME

CA

OR

WA

NV

AZ

CO

NDMT

NMAL

ARGA

LA

MS

KS

TX

IL

IA

KY

MI

MN

OHWV

WI

PANE

SD

DC

HI

TN

WY

UT

Progress in teen pregnancy

Major decrease in teen birthsbetween 2007-2015

48.8

41.5

22.3

0.0

10.0

20.0

30.0

40.0

50.0

60.0B

irths

per

1,0

00 fe

mal

es

CDC/NCHS, National Vital Statistics System

46% drop

-46%

HIV/AIDS

Achieving Viral SuppressionOf those diagnosed with HIV

Monitoring Selected National HIV Prevention and Care Objectives by Using HIV Surveillance Data United States and 6 Dependent Areas, 2014 (www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-supplemental-report-vol-21-4.pdf)

Linked to Care 74.5%

Retained in Care56.5%

Virally Suppressed 54.7%

HIV diagnosis rates are higher in the South and Northeast U.S.

Note: Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. Data includes adults and adolescents only. Data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data for the year 2015 are preliminary and based on 6 months reporting delay. Source: https://www.cdc.gov/hiv/library/slidesets/index.html

<9.19.2-13.7>13.8

Rates per 100,000population

Progress in HIV/AIDS

Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA 30333

Phone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: cdcinfo@cdc.gov Web: www.cdc.gov