Health Department Launches Prevention Agenda, Kicks Off Public Health Week

Commissioner Daines to Showcase Public Health Efforts Across NYS

ALBANY, N.Y. (April 7, 2008) – Today the New York State Health Department, in partnership with federal, state and local partners, unveiled a new "Public Health Prevention Agenda for the Healthiest State" and kicked off a week of activities in recognition of National Public Health Week.

At a press conference at the Capitol, the new Prevention Agenda was showcased by State Health Commissioner Richard F. Daines, M.D., who was joined by Julie L. Gerberding, M.D., M.P.H., Director of the U.S. Centers for Disease Control and Prevention; Dennis P. Whalen, Deputy Secretary for Health and Human Services, State Assemblyman Richard N. Gottfried, chair of the Assembly Health Committee; State Senator Kemp Hannon, chair of the Senate Health Committee; James Crucetti, M.D., M.P.H., Albany County Health Commissioner; Sue Ellen Wagner, Vice President for Community Health for the Healthcare Association of New York State (HANYS); and Lindsay Farrell, President and CEO at Open Door Family Medical Centers in Westchester County.

"Too many New Yorkers experience poor health as a result of obesity, tobacco use, and lack of preventive health services," said Commissioner Daines. "The Prevention Agenda is a call to action to local health departments, health care providers, health plans, schools, employers, and businesses to collaborate at the community level to improve the health status of New Yorkers through increased emphasis on prevention."

The Prevention Agenda consists of 10 priority areas, with specific goals for improving outcomes in each area (See attached). For example, one of the goals in the priority area of Tobacco Prevention is to reduce the percentage of adolescents and adults who smoke to 12 percent. Currently, the prevalence of smoking in adults is 18.2 percent.

The State Health Department will assist community partners in achieving Prevention Agenda goals by providing community health data, offering assistance with community health planning, and issuing periodic report cards to assess progress toward the goals. The New York State Public Health Council plans to appoint an Ad Hoc Committee to support activities of the Prevention Agenda.

"New York's Prevention Agenda will help residents improve their health in the places where they live, learn and work," said Dr. Gerberding. "This agenda is consistent with the CDC's Health Protection Goals and our mission to make the United States the Healthiest Nation."

"Thanks to the support of Governor David A. Paterson, the State's new health care budget supports New York's Prevention Agenda by aligning the Medicaid program with our public health priorities and harnessing Medicaid's huge purchasing power to invest in preventive care and improved outcomes for New Yorkers," said Dennis P. Whalen, Deputy Secretary for Health and Human Services.

Assemblyman Richard Gottfried said, "The new state health budget takes important steps for primary and preventive care. Every child in New York State will have access to affordable high-quality health insurance through our expansion of Child Health Plus. This brings us another step closer to universal health care for New York. The budget also begins to shift resources into primary and preventive care delivered by community health centers, hospital outpatient clinics, office-based professionals, and other providers. That's enormously important."

Senator Kemp Hannon said, "The newly enacted state budget ensures each New Yorker has access to high quality health care and recognizes the importance of a strong public health infrastructure. By implementing policies that result in patients receiving the right care at the right time and in the right place, all New Yorkers benefit."

Albany County Commissioner of Health James Crucetti, representing the New York State Association of County Health Officials (NYSACHO), said, "Prevention is at the heart of efforts by county health departments across the state to protect and improve the health of New Yorkers. We look forward to working with our community partners to address key priority areas in this Prevention Agenda."

Sue Ellen Wagner, HANYS Vice President for Community Health, said, "Hospitals across the state are working with local health departments and other partners to assess community health needs and address health priorities. This new Prevention Agenda provides further opportunities for us to work together to improve the health of New Yorkers."

Lindsay Farrell, representing the Community Health Care Association of New York State (CHCANYS) said, "We wholeheartedly endorse this Prevention Agenda. Community health centers across New York provide the coordinated care that people with asthma, diabetes and other chronic conditions need to lead healthier lives. The State's new investments in primary care, including Medicaid payment for asthma and diabetes educators, will strengthen our ability to improve outcomes and reduce unnecessary hospitalizations."

Also attending were Brian Marchetti of the American Lung Association, Kate Breslin of the Primary Care Coalition and CHCANYS, Elie Ward of the American Academy of Pediatrics, Lara Kassel of Medicaid Matters New York, Nancy Huehnergarth of NYS Healthy Eating and Physical Activity Alliance, Julianne Canfield of the American Heart Association, Linda Lambert of the American College of Physicians, Martha Pofit of the NYS Public Health Association, and Catherine Marschilok of the American Diabetes Association.

For additional information on this and other activities scheduled for Public Health Week visit www.nyhealth.gov

Indicators For Tracking Public Health Priority Areas

* Rate age-adjusted to the 2000 US population

** Substantial differences between race/ethnicity – specific rates

Access To Quality Health Care
Indicator Goal HP 2010 US NYS
% of adults with health care coverage** 100% 85.5% (2006) 86.5% (2006)
% of adults with regular health provider** 96% 80% (2006) 85.0% (2006)
% of adults who have seen a dentist in the past year** 83.0% 70.3% (2006) 71.8% (2006)
Early stage cancer diagnosis: Breast Cervical Colorectal   63% 53% 40% (1996-2003) 64% 52% 40% (2000-2004)
Tobacco Use
Indicator Goal HP 2010 US NYS
% cigarette smoking in adolescents(past month) 16.0% 23.0% (2005) 16.3% (2006)
% cigarette smoking in adults 12% 20.1% (2006) 18.2% (2006)
COPD hospitalizations among adults 18 + years (per 10,000)   23.0 (2004) 41.8 (2004-2006)
Lung cancer incidence (per 100,000) Male Female   85.3 54.2 (2004) 82.2 * 53.9 * (2000-2004)
Healthy/Mothers/Healthy Babies/Healthy Children
Indicator Goal HP 2010 US NYS
% early prenatal care (1st trimester) 90.0% 83.9% (2005) 75.4% (2005)
% low birthweight births (<2500 grams) 5.0% 8.2% (2005) 8.3% (2005)
Infant mortality (per 1,000 live births)** 4.5 6.9 (2005) 5.8 (2005)
Increase % of 2 year old children who receive recommended vaccines (4 DTaP, 3 polio, 1 MMR, 3 Hib, 3 HepB) 80% 80.6% (2006) 83.5% (2006)
% of children with at least one lead screening by age 36 months     77% (NYS excl. NYC) (2002 birth cohort)
Prevalence of tooth decay in 3rd grade children 42% 53.0% (2004) 54.1% (2004)
Pregnancy rate among females aged 15-17 years** (per 1,000) 43.0 44.4 (2002) 36.5 (2005)
Physical Activity/Nutrition
Indicator Goal HP 2010 US NYS
% of overweight/obese children in grades: 2-4 Years (WIC) K 2 4 7 10   14.8% (2004) 15.5% (2005)
% of adults who are obese (BMI>30)** 15.0% 25.1% (2006) 22.9% (2006)
% of adults engaged in some type of leisure time physical activity 80.0% 77.4% (2006) 74.0% (2006)
% of WIC moms breastfeeding at 6 months   50% 23.4% (2004) 39.5% (2005)
Unintentional Injury
Indicator Goal HP 2010 US NYS
Unintentional injury mortality (per 100,000) hospitalizations (per 10,000) 17.1 39.1* (2005) 19.9 * 59.3 * (2003-2005)
Motor vehicle crash related mortality (per 100,000) 8.0 15.2 * (2005) 7.7 * (2003-2005)
Pedestrian injury Hospitalizations (per 10,000)     2.0 (2004-2006)
Fall related hospitalizations age 65+ years (per 10,000)     206.3 (2004-2006)
Healthy Environment
Indicator Goal HP 2010 US NYS
Incidence of children <72 months with confirmed blood lead level> = 10ug/dl (per 100 children tested) 0.0   1.7 (2001-2003) (Rate for NYS Excluding NYC)
Asthma related hospitalizations (per 10,000)** Total Ages 0-17 years 17.3 16.6 *(2005) 22.6 (2003) 22.2 * 34.1 (2003-2005)
Work related hospitalizations (per 10,000 employed persons aged 16+ years)     15.3 (2003-2005)
Elevated blood lead levels (>25 ug/dl) per 100,000 employed persons age 16+ years 0.0   6.4 (2003-2005)
Chronic Disease
Indicator Goal HP 2010 US NYS
Diabetes prevalence in adults 2.5% (includes children) 7.5% (2006) 7.6% (2006)
Diabetes short-term complication hospitalization rate (per 10,000) Age 6-17 years Age 18+ years   2.9 5.5 (2004) 3.1 5.2 (2005-2006)
Coronary heart disease hospitalizations (per 10,000)     63.7 * (2003-2005)
Congestive heart failure hospitalization rate per 10,000 (ages 18+ years)   48.9 (2004) 44.3 (2005-2006)
Cerebrovascular (Stroke) disease mortality (per 100,000) 50 46.6 * (2005) 32.6 * (2003-2005)
Infectious Disease
Indicator Goal HP 2010 US NYS
HIV infection rate (per 100,000) - 18.5 (2006) 25.5 (2003-2005)
Gonorrhea case rate (per 100,000)   120.9 (2006) 90.7 (2006)
Tuberculosis cases (per 100,000) 1.0 4.4 (2007) 7.2 (2003-2005)
Bacterial pneumonia hospitalization rate per 10,000 (ages 18+ years)   41.8 (2004) 38.1 (2005-2006)
% of adults 65+ years with immunizations - flu shot past year - ever pneumonia 90% 90% 69.6% 66.9% (2006) 64.7% 61.0% (2006)
Community Preparedness
Indicator Goal HP 2010 US NYS
% population living within jurisdiction with state-approved emergency preparedness plans     100% (2007)
Mental Health/Substance Abuse
Indicator Goal HP 2010 US NYS
Suicide mortality rate (per 100,000) 4.8 10.9 * (2005) 6.0 * (2003-2005)
% adults reporting 14 or more days with poor mental health in last month     10.4% (2003-2005)
% binge drinking past 30 days (5 + drinks in a row) in adults 13.4% 15.4% (2006) 15.8% (2006)
Drug-related hospitalizations (per 10,000)     34.6 * (2003-2005)