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Maternal and Child Health and Chronic Disease Donna F. Stroup, PhD., M.Sc. Acting Director Coordinating Center for Health Promotion Finding Maternal and Child Health at CDC Causes of Death United States, 2000 Actual Causes of Death† Leading Causes of Death* Heart Disease Tobacco Cancer Poor diet/Physical inactivity Stroke Alcohol consumption Chronic lower respiratory disease Microbial agents Unintentional Injuries Toxic agents Motor vehicles Diabetes Firearms Pneumonia/influenza Alzheimer’s disease Sexual behavior Kidney disease Illicit drug use 0 5 10 15 20 25 30 Percentage (of all deaths) 35 0 5 10 15 20 Percentage (of all deaths) * Miniño AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: final data for 2000. National Vital Statistics Reports 2002; 50(15):1-120. † Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291(10):1238-1246. Leading Causes of Disability Among Persons Aged 15 Years and Older United States, 1999 Arthritis or rheumatism Back or spine problem Heart trouble Lung or respiratory trouble Deafness or hearing trouble Stiffness or deformity of limb Mental or emotional problem Diabetes Blindness or other visual impairment Stroke 0 5 10 Percentage Source: CDC. MMWR 2001;50(7):120–5 15 20 Diabetes in Pregnancy … A vicious cycle Mother with diabetes Child or woman with diabetes Infant of diabetic mother Projected Trends in Prevalence of Diagnosed Diabetes Among Women by Age, 2000 to 2050 0-44 45-64 65-74 75+ Prevalence (%) 20 15 10 5 0 2000 2005 2010 Year Boyle JP, et al. Diabetes Care 2001 2025 2050 Prevalence of Cigarette Smoking During Pregnancy, 1989-1999 25 Percent 20 15 10 5 0 1989 1991 1993 1995 1997 Note: Percentage excludes live births for mothers with unknown smoking status. Sources: National Center for Health Statistics 1992, 1994; Ventura et al. 1995, 1997, 1999, 2000. 1999 Percentage of High School Youth Who Are Current* Cigarette Smokers, YRBSS† 40 35 Percent 30 All Races 25 20 15 10 5 0 1991 1993 1995 1997 Yea r Adapted from MMWR 2002;51(19):409–12 * Current Use = self-reported use of at least 1 time in past 30 days † Youth Risk Behavior Surveillance System 1999 2001 Public Health has a Critical Role to Play Something Can Be Done …. CDC’s Role • Data for Decision Makers • Funding for Communities • Prevention Research • Tools • National Leadership What You Can Do: • Educate the public • Educate policy makers • Influence community institutions • Influence the health care system Imagine a World ……. Imagine a World ……. An Invitation to Collaborate