# Presentation: 307264

## Healthy People 2010 Focus Area 8:Environmental HealthProgress ReviewFebruary 2, 2007

**Healthy People 2010 ****Focus Area 8:****Environmental Health****Progress Review****February 2, 2007**

## Key Components of 

**Environmental Health**

-    Source: Department of Health and Human Services.  Healthy People 2010. 2nd edition. With understanding and improving health
-    and objectives for improving health. Vol. 1. Washington: U.S. Government Printing Office.  November 2000.

**Water Quality**

**Toxics and Waste**

**Outdoor Air Quality**

**Healthy Homes and Healthy Communities**

**Global Environmental Health**

**Infrastructure and Surveillance**

**Health of Individuals & Communities**

- n=13

- n=13

- n=40

- n=10

- n=8

- n=9

**Notes:**
EH objectives are organized into 6 topic areas.

This presentation highlights one to two objectives from each topic area.

Begin at one o’clock and progress clockwise.

## Criteria† pollutant-related illness alone costs about $250 billion annually.
Excess deaths related to air pollution estimated at 50,000 – 100,000 per year
Excess lifetime cancer risk related to air pollution is estimated at 1,400 per million persons 
Poor indoor air quality costs tens of billions of dollars per year due to
lost productivity
direct medical costs,
and damage to equipment and materials.

**Criteria****†**** pollutant-related illness alone costs about $250 billion annually.**
**Excess deaths related to air pollution estimated at 50,000 – 100,000 per year**
**Excess lifetime cancer risk related to air pollution is estimated at 1,400 per million persons **
**Poor indoor air quality costs tens of billions of dollars per year due to**
**lost productivity**
**direct medical costs,**
**and damage to equipment and materials.**

**† **Criteria pollutants include: ozone, particulate matter, carbon monoxide, nitrogen dioxide, and sulfur dioxide.

## Highlighted Objectives

**Highlighted Objectives**

**Improving ****(n=17)**

**8-1a,b      Ozone, particulate matter**
**8-9****	****  Beaches open and safe for swimming**
**8-11****	****  Elevated blood-lead levels in children**
**8-13****	****  Pesticide exposures causing visits to health care ****	****  facility**
**8-25****b,c,e****  Exposure to cadmium, lead, mercury in children 1-****	****  5 years**

**8-25q  ****	****Mercury in females 18-49 years**
**8-25p****	****Lindane**

**Target met or exceeded  ****(n=14)**

**Getting worse ****(n=8)**

**8-10a,b     Fish consumption advisories**

## Persons Living in Areas that do not 

**Persons Living in Areas that do not **
**Meet EPA Standards for Ozone**

**Percent of population**

**2010 Target = 0%**

**1997**

**Obj. 8-1a**

**Notes:**
Data are available for all years (1997-2001).

Between 1997 and 2000: No change in data point for any group in the template between (because regions keep their “non-attainment” designation for three years).  Thus, trend data not shown.  1997 and 2001 provide only point of comparison.

## Persons Living in Areas that do not 

**Persons Living in Areas that do not **
**Meet EPA Standards for Ozone**

**Percent of population**

**2010 Target = 0%**

**Obj. 8-1a**

**Notes:**
Data are available for all years (1997-2001).

Between 1997 and 2000: No change in data point for any group in the template between (because regions keep their “non-attainment” designation for three years).  Thus, trend data not shown.  1997 and 2001 provide only point of comparison.

## Persons Living in Areas that do not 

**Persons Living in Areas that do not **
**Meet EPA Standards for Particulate Matter**

**Percent of population**

**2010 Target = 0%**

**1997**

- Source: Aeromatic Information Retrieval System (AIRS), Environmental Protection Agency.

**Obj. 8-1b**

## Persons Living in Areas that do not 

**Persons Living in Areas that do not **
**Meet EPA Standards for Particulate Matter**

**Percent of population**

**2010 Target = 0%**

- Source: Aeromatic Information Retrieval System (AIRS), Environmental Protection Agency.

**Obj. 8-1b**

## Monitor Locations

- Particulate
- matter

**Monitor Locations**

- Note: Locations illustrate general distribution of monitors, monitor locations are not georeferenced
- Source: Monitor Data Queries, Office of Air and Radiation, Environmental Protection Agency.

## Monitor Locations

**Monitor Locations**

- Note: Locations illustrate general distribution of monitors, monitor locations are not georeferenced
- Source: Monitor Data Queries, Office of Air and Radiation, Environmental Protection Agency.

## Ozone Non-attainment Counties 

- 1997

**Ozone Non-attainment Counties**** **
**(1-Hr standard)**

- Source: Green Book, Office of Air and Radiation, Environmental Protection Agency.

**Obj. 8-1a**

**2010 Target = 0%**

## Ozone Non-attainment Counties 

- 2004

**Ozone Non-attainment Counties**** **
**(1-Hr standard)**

- Source: Green Book, Office of Air and Radiation, Environmental Protection Agency.

**Obj. 8-1a**

**2010 Target = 0%**

## Particulate Matter Non-attainment Counties 

- 1997

**Particulate Matter Non-attainment Counties**** **
**(10 micron standard)**

- Source: Green Book, Office of Air and Radiation, Environmental Protection Agency.

**Obj. 8-1b**

**2010 Target = 0%**

## Particulate Matter Non-attainment Counties 

- 2004

**Particulate Matter Non-attainment Counties**** **
**(10 micron standard)**

- Source: Green Book, Office of Air and Radiation, Environmental Protection Agency.

**Obj. 8-1b**

**2010 Target = 0%**

## Beaches Open and Safe for Swimming

**Percent of beach days**

- Source: BEACH Program, U.S. Environmental Protection Agency.

**Obj. 8-9**

**2010 Target: 98**

**100**

**95**

**90**

**85**

**80**

**0**

## Fish Consumption Advisories

- Source: National Listing of Fish Advisories, Office of Water, U.S. Environmental Protection Agency.

**Fish Consumption Advisories**

**Obj. 8-10a-b**

**2010 Targets**

**River and Stream**
**Miles**

**Lake and Reservoir**
**Acreage**

**Percent of assessed waters**
**under advisories**

## Children ages 1-5 years with 

**Children ages 1-5 years with **
**Elevated Blood-lead Levels**

- *Data are statistically unreliable and are suppressed.
- Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS.

**Percent **

**Black**

**Low**

**Total**

**White**

**2010 Target: 0 %**

**Obj. 8-11**

**Female**

**Male**

**1991-1994**

**Med.**

**High**

*****

*****

**Race/ethnicity**

**Gender**

**Family Income**

## Children ages 1-5 years with 

**Children ages 1-5 years with **
**Elevated Blood-lead Levels**

- *Data are statistically unreliable and are suppressed.
- Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS.

**Percent **

**Black**

**Low**

**Total**

**White**

**2010 Target: 0 %**

**Obj. 8-11**

**Female**

**Male**

**1991-1994**

**1999-2004**

**Med.**

**High**

*****

*****

**Race/ethnicity**

**Gender**

**Family Income**

## Pesticide Exposures

- Source:  Toxic Exposure Surveillance System (TESS), American Association of Poison Control Centers

**Obj. 8-13**

**Pesticide Exposures**
**(Resulting in Visits to Health Care Facilities)**

**2010 Target: 11.398**

**Visits**
**(in thousands)**

**24**

**22**

**20**

**18**

**16**

**0**

**14**

**12**

**10**

**1997**

**1998**

**1999**

**2000**

**2001**

**2002**

**2003**

**2004**

## Heavy Metals in the Blood

**(Highest concentration for 95% of the population)**

**Cadmium**

**Lead**

**Blood concentration (ug/L****)**

**Females & Males**
**1-5 years**

**Females**
**16-49 years**

- ..........            ..........

**Mercury**

**2010 Targets**

- Source: National Report on Human Exposure to Environmental Chemicals, CDC, NCHS

**Obj. 8-25b,c,e,q**

## Lindane (beta-HCH) in the Blood

**Lindane (beta-HCH) in the Blood**
**(Highest concentration for 95% of the population)**

**Obj. 8-25p**

**2010 Target: 48.2**

**Serum concentration **
**(ng/g lipid)**

**90**

**80**

**70**

**60**

**50**

**0**

**40**

## Target met or exceeded
Improving
Little or no change
Getting worse
No tracking data
Dropped at midcourse
Retained as developmental

- Target met or exceeded
- Improving
- Little or no change
- Getting worse
- No tracking data
- Dropped at midcourse
- Retained as developmental

- 14
- 17
- 6
- 8
- 30
- 6
- 12

**Notes:**
No objective that can be assessed is moving in the wrong direction.

## Challenges
Environmental measurements are only proxies for human exposure, which through mobility varies from day to day, and place to place.
Barriers
Lack of systematic data collection
Strategies
New or enhanced data systems
National Biomonitoring Program
National Environmental Public Health Tracking Program
New tools for assessment of exposure and health
Genes and Environment Initiative / Exposure Biology Program
National Children’s Study

- Environmental measurements are only proxies for human exposure, which through mobility varies from day to day, and place to place.
- Barriers
- Lack of systematic data collection
- Strategies
- New or enhanced data systems
- National Biomonitoring Program
- National Environmental Public Health Tracking Program
- New tools for assessment of exposure and health
- Genes and Environment Initiative / Exposure Biology Program
- National Children’s Study

**Data Challenges, Barriers, and Strategies**

**Notes:**
No objective that can be assessed is moving in the wrong direction.

## Progress Review data and slides 

**can be accessed on the web at:**
**http://www.cdc.gov/nchs/hphome.htm**