The Health of Queensand New York City.ppt

The Health of Queensand New York City Thomas R. Frieden, M.D., M.P.H. Commissioner, New York City Department of Health and Mental Hygiene April 24, 2003 Community Health Survey First ever NYC health survey 10,000 New Yorkers interviewed on health status and lifestyle Largest survey of its kind ever in NYC Data reported and broken down into many different categories More than just traditional demographic information (sex, age, ethnicity) Detail will allow us to target services at the community level on a neighborhood-by-neighborhood basis, as needed Smoking Prevalence in Queens (by UHF Neighborhood) Annual Deaths from Smoking Compared with Other CausesNYC, 2001 Cancer Screening in Queens vs. NYC Colon CancerDetection Cure Rates HIV AIDS Cases in QueensCalendar Year 2001 Rates of People Living w/HIV AIDS in Queens vs. NYC vs. USCalendar Year 2001 – Rates per 1,000 Pop. Rates of New HIV Diagnoses in Queens vs. NYC vs. USCalendar Year 2001 – Rates per 1,000 Pop. There Has Been a Resurgence of Risky Sexual Behavior Syphilis cases more than doubled between 2000 and 2001, increased another 50% in 2002 Syphilis increase almost entirely among men, especially MSM Foreshadowing future rise in HIV rates? Diabetes Prevalence Has More than Doubled in NYC in the Past 8 Years Adults with Self-Reported Diabetes, NYC, 1994-2002 Percent of Overweight NYC Residents (BMI 25), by Borough Percent of Overweight Queens Residents(BMI 25), by UHF District Percent of Obese NYC Residents (BMI 30), by Borough Percent of Obese Queens Residents BMI 30, by UHF District Percent of NYC Residents with Diagnosed Diabetes, by Borough Diabetes Prevalence in NYCBy Ethnicity, 2002 Percent of Queens Residentswith Diagnosed Diabetesby UHF District Good Diabetes Management Patient education and participation “Know your ABCs” A1c level below 7% Blood pressure less than 130/80 Cholesterol (“bad” LDL cholesterol) less than 100 Clinical best practices Systematic monitoring of and accountab