Federal Register / Vol. 62, No. 172 / Friday, September 5, 1997 / Notices 46975

Dated: August 28, 1997.

Joseph Retzer,

Division Director, Regulatory Information

Division.

[FR Doc. 97–23630 Filed 9–4–97; 8:45 am]

BILLING CODE 6560–50–M

FEDERAL RESERVE SYSTEM

Sunshine Act Meeting

AGENCY HOLDING THE MEETING: Board of

Governors of the Federal Reserve

System.

TIME AND DATE: 10:00 a.m., Wednesday,

September 10, 1997.

PLACE: Marriner S. Eccles Federal

Reserve Board Building, C Street

entrance between 20th and 21st Streets,

NW., Washington, DC 20551.

STATUS: Closed.

MATTERS TO BE CONSIDERED:

1. Personnel actions (appointments,

promotions, assignments,

reassignments, and salary actions)

involving individual Federal Reserve

System employees.

2. Any items carried forward from a

previously announced meeting.

CONTACT PERSON FOR MORE INFORMATION:

Mr. Joseph R. Coyne, Assistant to the

Board; (202) 452–3204. You may call

(202) 452–3207, beginning at

approximately 5 p.m. two business days

before this meeting, for a recorded

announcement of bank and bank

holding company applications

scheduled for the meeting.

Dated: September 3, 1997.

Jennifer J. Johnson,

Deputy Secretary of the Board.

[FR Doc. 97–23701 Filed 9–3–97; 12:33 pm]

BILLING CODE 6210–01–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Office of the Secretary

Health Promotion and Disease

Prevention Objectives for 2010

AGENCY: DHHS/OS/Office of Public

Health and Science, Office of Disease

Prevention and Health Promotion

(ODPHP).

ACTION: Call for (1) comments on the

proposed structure for Healthy People

2010 national health objectives for the

year 2010 and (2) proposed objectives.

SUMMARY: The Department of Health and

Human Services is soliciting comments

on the proposed structure for Healthy

People 2010, the third set of decadelong national health promotion and

disease prevention objectives. The

Department is also soliciting proposed

objectives for 2010. Guidance for

comments is provided in the DHHS

publication Developing Objectives for

2010. During the fall of 1997,

individuals and organizations are

encouraged to submit (1) comments on

the proposed framework envisioned for

2010 (see Appendix to this Notice) and/

or (2) objectives for 2010. In the fall of

1998, a draft document of Healthy

People 2010 objectives will be made

available for public review and

comment.

DATES: The comment and submission

period is September 15 through

December 15, 1997.

ADDRESSES: By mail, comments

postmarked no later than December 15

can be submitted to—Office of Disease

Prevention and Health Promotion,

Attention: Healthy People 2010

Objectives, Department of Health and

Human Services, Room 738–G Hubert

H. Humphrey Building, 200

Independence Avenue, SW.,

Washington, DC. 20201. Comments sent

by courier service will be accepted until

5 p.m. EST on December 15. Comments

may also be submitted electronically

through the Healthy People Home

Page—http://web.health.gov/

healthypeople.

FOR FURTHER INFORMATION CONTACT:

Office of Disease Prevention and Health

Promotion, Room 738–G Hubert H.

Humphrey Building, 200 Independence

Avenue, SW., Washington, DC 20201,

(202) 205–8583.

SUPPLEMENTARY INFORMATION:

Background

In 1979, the Department of Health and

Human Services began an initiative to

use health promotion and disease

prevention objectives to improve the

health of people living in the United

States. The first set of national health

targets was published that year in

Healthy People: The Surgeon General’s

Report on Health Promotion and

Disease Prevention, which included five

goals to be achieved by 1990 to reduce

mortality among four different age

groups and increase independence

among older adults. The goals were

supported by objectives that were

released in 1980, also with 1990 targets.

Healthy People 2000, the second and

current national prevention initiative,

reflects the progress and experience of

ten years, as well as an expanded

science base and surveillance system.

With the collaboration of an extensive

network of voluntary and professional

organizations, businesses, and

individuals, the framework of Healthy

People 2000 was designed with three

broad goals—increasing the span of

healthy life, reducing health disparities,

and achieving access to clinical

preventive services. To help meet these

goals, 319 objectives and 319 special

population targets, organized into 22

priority areas, aim to achieve

improvements in health status, risk

reduction, and service delivery.

Structure of Healthy People 2010

The healthy People 2010 process will

build on Healthy People 2000. To

ensure that the year 2010 goals and

objectives address the needs of their

many stakeholders, your input is

requested. ODPHP is soliciting public

assessment and comments on a

preliminary framework (see Appendix

to this Notice), which was developed

with the assistance of focus groups

composed of representatives from

Healthy People 2000 Consortium

member organizations. This draft

framework includes a vision statement

‘‘Healthy People in Healthy

Communities.’’ Two overarching goals

for the Nation are proposed: (1) Increase

years of healthy life, and (2) eliminate

health disparities. This first goal

continues the year 2000 goal with an

emphasis on increasing quality life

years, not just life expectancy. The

second goal strengthens the Healthy

People 2000 goal of reducing health

disparities by calling for the elimination

of those disparities. Four proposed

enabling goals accompany the

overarching ones. Their purpose is to

provide strategies to achieve the

overarching goals by: (Promoting

healthy behaviors; (2) protecting health;

(3) assuring access to quality health

care; and (4) strengthening community

prevention activities.

The proposed focus areas are

analogous to, and for the most part use

the same names as, Healthy People 2000

priority areas. The term ‘‘focus area’’

was chosen to avoid any implication of

prioritization. New focus areas have

been suggested in response to changes

in health care and public health during

the last 10 years and those anticipated

over the next decade. These include

mental and physical impairment and

disability, and public health

infrastructure. Since one of the

overarching goals is to eliminate health

disparities, specific special population

focus areas—low income, race/ethnicity,

gender, age, and people with

disabilities—are under consideration to

address this goal. In each of these focus

areas, special population objectives

would target the most significant
46976 Federal Register / Vol. 62, No. 172 / Friday, September 5, 1997 / Notices

disparities in health status, health risk,

and service delivery.

Comments on the framework are

invited to address (1) The proposed

framework in its entirety; (2) the

proposed vision statement; (3) the two

proposed overarching goals; (4) the four

proposed enabling goals; (5) the

proposed focus areas; (6) the proposed

arrangement of focus areas; or (7)

entirely new proposals. For each

heading addressed, the commenter

should consider the appropriateness

and usefulness of the proposed

approach and/or offer alternative

approaches. After the close of the

comment period, the framework will be

reconsidered and recast on the basis of

comments received. A revised

framework will be included in the draft

2010 document and a notice calling for

public comment on the draft will be

published in the Federal Register in the

fall of 1998.

Objectives for Healthy People 2010

Objectives for Healthy People 2010

can be updated or modified Healthy

People 2000 objectives or entirely new

ones submitted by commenters. The

proposed approach for Healthy People

2010 calls for two broad types of

objectives—measurable and

developmental objectives.

Recommendations for both types will be

accepted during the comment period.

Measurable objectives provide

direction for action. They have baselines

that use valid and reliable data derived

from currently established, nationally

recognized data systems. These baseline

data provide the point from which a

2010 target can be set. Whenever

possible, objectives should be measured

with national systems that either build

on, or are comparable with, state and

local data systems. However, state data

are not a prerequisite for developing an

objective. Proxy data may be used when

national data are not available or when

regional data provide better

measurability. When providing an idea

for a measurable objective, please cite

the data source. An example of a

measurable objective is ‘‘Reduce the

infant mortality rate by (XX) percent to

no more than (X) per 1,000 live births.’’

The current Healthy People 2000

baseline is 10.1 per 1,000 live births in

1987, as recorded by National Vital

Statistics System, the data source.

Developmental objectives describe a

desired outcome or achieved health

status. However, current surveillance

systems do not provide data on these

objectives. The purposes of

developmental objectives is to identify

areas that are important and to stimulate

the development of data systems to

measure them. An example of a

developmental objective is ‘‘Increase to

at least 90 percent the proportion of

pregnant women and infants who

receive risk-appropriate care.’’ Baseline

data to measure such an objective are

not currently available.

Proposals for 2010 objectives received

by ODPHP will be assigned for

consideration to lead agencies of DHHS,

which will select proposed objectives

for inclusion in the draft 2010

document. This draft will be available

for public review and comment from

October to December 1998. A listing of

lead agencies is contained in the DHHS

publication Developing Objectives for

Healthy People 2010. This publication

is for sale by the U.S. Government

Printing Office, stock #017–001–00530–

4; the price is $18, which includes

shipping and handling. All orders must

be prepaid. To order, call (202) 512–

1800; FAX (202) 512–2250; or send

orders to—Superintendent of

Documents P0 Box 371954, Pittsburgh,

PA 15250–7954.

Information about the Healthy People

initiative as well as many publications

relating to it are available electronically

on the Healthy People Home Pages—

http://odphp.osophs.dhhs.gov/pubs/

hp2000 and http://web.health.gov/

healthy people

Dated: August 29, 1997.

John M. Eisenberg,

Acting Assistant Secretary for Health.

BILLING CODE 4160–17–M
Federal Register / Vol. 62, No. 172 / Friday, September 5, 1997 / Notices 46977

[FR Doc. 97–23567 Filed 9–4–97; 8:45 am]

BILLING CODE 4160–17–C