# Presentation: 216409

## Surgeon General’s

**Global Health Priority**
- David Satcher, M.D., Ph.D.
- Assistant Secretary for Health & Surgeon General
- National Aeronautics & Space Administration
- January 14, 2000

## Surgeon General’s

- Health Priorities
- _______________
- Balanced Approach to Community Health
- Elimination of Racial and Ethic Disparities in Health Status
- Global Approach to Health Promotion and Disease Prevention

## Balanced Approach to

- Community Health
- _________________
- Healthy Start for Every Child
- Promoting Health Lifestyles
- Balance Prevention with treatment
- Access to Quality Care
- Mental Health

## Elimination of Racial and Ethnic

- Disparities in Health Status
- __________________________
- Infant Mortality
- HIV/AIDS
- Cancer Screening and Management
- Diabetes
- Adult and Child Immunizations
- Cardiovascular Disease

## Global Approach to Health Promotion and 

- Disease Prevention
- ________________
- Polio Eradication
- Emerging and Reemerging Infectious Diseases (ERIDs)
- HIV/AIDS
- Tuberculosis
- Malaria
- Bioterrorism
- Blood Safety
- Tobacco Control and Prevention
- Violence and Injury Prevention

## Global Health Priority

- Multilateral Partners
- _________________
- World Health Organization
- Pan American Health Organization
- Western Pacific Regional Office
- United Nations Children’s Fund
- United Nations Program on HIV/AIDS
- United Nation Population Fund
- United Nations High Commissioner for Refugees
- World Bank

## Global Health Priority

- Bilateral Partners
- ________________
- South Africa
- Gore-Mbeki Commission
- Heath Working Group chaired by the Assistant Secretary for Health and Surgeon General
- Russia
- Gore-Putin Commission
- Health Committee chaired by the Administrator of the Agency for Healthcare Research and Quality

## Global Health Priority 

- Bilateral Partners
- ______________
- India
- Indo-United States Vaccine Action Program
- Japan
- United States-Japan Common Agenda
- Mexico
- United States-Mexico Binational Commission
- United States-Mexico Border XXI Program
- United States-Mexico Border Health Commission

## Global Health Priority

- Accomplishments
- ______________
- Cooperation with the Institute of Medicine on Creating a High Profile for Global Health
- Surgeon General’s Columns on Global Health in the Journal of the American Medical Association

## Global Health Priority

- Polio Eradication Initiative
- _________________
- World Poliovirus 1988 more		World Poliovirus 1998 less

## Global Health Priority ERIDS Initiative

- _________________
- HIV/AIS
- Tuberculosis
- Malaria
- Bioterrorism
- Blood Safety

## Global Health Priority

- ERIDS Initiative-HIV/AIDS
- ____________

- North America
- 890,000
- Caribbean
- 330,000
- Latin America
- 1.4 million

- Western Europe
- 500,000
- North Africa
- & Middle East
- 210,000
- Sub-Saharan Africa
- 22.5 million

- Eastern Europe &
- Central Asia
- 270,000
- East Asia & Pacific
- 560,000
- South
- & South-East Asia
- 6.7 million
- Australia
- & New Zealand
- 12,000

- Total HIV Infections = 33.4 Million

## Global Health Priority 

- ERIDS Initiative -Tuberculosis
- _________________

- Estimated Cumulative Tuberculosis Cases		Estimated Cumulative Tuberculosis Deaths
-                    1990 - 1999				1990 - 1999
- Eastern Europe				Eastern Europe
- 2,020,000				302,000
- North America	     Western Europe      East Asia & Pacific	 North America	     Western Europe      East Asia & Pacific
- 320,000	     1,110,000	     20,460,000		22,000	     70,000                     7,162,000
- South & South-East Asia	Japan		 South & South-East Asia	Japan
- 35,140,000		577,000		12,300,000		42,000
- North Africa & Middle East			North Africa & Middle East
- 7,502,000				2,917,000
- Latin America & Caribbean	Sub-Saharan		Latin America &Carribean	Sub-Saharan
- 5,065,000		15,012,000		1,210,000		5,945,000
- Australia & New Zealand			Australia & New Zealand
- 30,000				2,000

- Tuberculosis			Tuberculosis
- Cases 			Deaths
- 88 Million			30 Million

## Global Health Priority

- Tobacco Initiative
- ______________
- 3.5							10
- Million						Million
- Deaths						Deaths
- Per							Per
- Year							Year
- At							by
- Present						2020-30
- Tobacco Deaths in 1990
- Tobacco Deaths in 2020

## Global Health Priority

- Violence and Injury Initiative
- _______________
- Global Burden of Disease		Global Burden of Disease
- 1990					2020
- 1.   Lower respiratory infections			1.   Unipolar major depression
- 2.   Diarrheal diseases				**2.   Road Traffic accidents**
- 3.   Perinatal conditions				3.   Ischemic heart disease
- 4.   Unipolar major depression			4.   Chronic obstructive pulmonary disease
- 5.   Tuberculosis				5.   Cerebrovascular disease
- 6.   Measles					6.   Tuberculosis
- 7.   Malaria					7.   Lower respiratory infections
- 8.   Ischemic heart disease				**8.   War**
- 9.   Congenital anomalies				9.   Diarrheal diseases
- 10. Cerebrovasular Disease			10. HIV
**11. Road traffics accidents**			11. Perinatal Conditions
- 12.  Chronic obstructive pulmonary disease		**12. Violence**
**13.  Falls**					13. Congenitial anomalies
- 14.  Iron-deficiency anemia				**14.  Self-inflicted injuries**
- 15.  Protein energy malnutrition			**15.  Falls**
**16.  War**					16.  Bipolar disorder