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Safer, Healthier People
National Conference of State LegislaturesLegislative Summit
Atlanta, GA
August 13, 2013
Thomas R. Frieden, MD, MPH
DirectorCenters for Disease Control and Prevention
Perfect storm of vulnerability
New HIV diagnosis rates are higher in the Southeast and Northeast US
Drug overdose now kills more people than motor vehicle crashes
US, 1980-2010
NCHS Data Brief, December, 2011, updated with 2009 and 2010 mortality data.
0
5
10
15
20
25
1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010
De
ath
s p
er
10
0,0
00
po
pu
lati
on
Motor Vehicle Traffic Drug Poisoning (Overdose)
Washington State is reversing the epidemic of prescription opioid overdose
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
0
100
200
300
400
500
600
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Nu
mb
er
of
De
ath
s
Nu
mb
er
of
De
ath
s
WA State US
Source: CDC/NCHS and Washington State Department of Health, Death Certificates. Note for WA
State: * Tramadol only deaths included in 2009, but not in prior years.
300 or more deaths
prevented
Motor vehicle crash death rates nearly 5x higher in some states than others
Teen pregnancy rates vary 4-fold between States
Source: National Center for Health Statistics, 2009
Teen birth rates by state per 1,000 girls aged 15-19 years,
2009
Adult smoking rates vary widelyNearly 3x higher in some states than in others
BRFSS.
Smoking Prevalence(percent)
10.6 – 12.9
13.0 – 15.9
16.0 – 18.9
19.0 – 21.9
22.0 – 28.3
WY
OR
ID
MT
WA
ND
IA
SD
MN
OH
MI
IN
PA
ME
NY
IL
WI
VT
D.C.
NJ
MD
DE
NH
CTRI
MA
AZ
UT
NV
CA
TX
AROK
LA
KS
NE
CO
NM
MO
TN
AL
KY
MS GA
FL
WVVA
NC
SC
AK
HI
Improved cardiovascular care could save 100,000 lives/year in U.S.
0
10000
20000
30000
40000
50000
60000
70000
80000
20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95%
Nu
mb
er
of
death
s p
reven
ted
(pe
r y
ea
r)
Percent eligible using service
Farley TA, et al. Am J Prev Med 2010;38:600-9.
Smoking cessation
Blood pressure control
Cholesterol control
Aspirin
5% 10% 15%
Status of the ABCS
AspirinPeople at increased risk of cardiovascular events who are taking aspirin
47%
Blood pressurePeople with hypertension who have adequately controlled blood pressure
46%
CholesterolPeople with high cholesterol who are effectively managed
33%
SmokingPeople trying to quit smoking who get help
23%
MMWR. 2011;60:1248-51
Million Hearts: Prevent 1Mheart attacks and strokes over 5 years
Centers for Disease Control and Prevention
1600 Clifton Road NE, Atlanta, GA 30333
Phone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348
E-mail: [email protected] Web: www.cdc.gov
