Embargoed until: Wendenesday,
Contact: CDC Media Relations (http://www.cdc.gov/media/)
How Americans can get a better return on their health care investments
Lancet special series, The Health of Americans, features CDC scientists
Each year, the U.S. spends nearly
Disparities in health outcomes also occur among populations and geographic areas within the U.S., note CDC Director
"Americans deserve better health, particularly given the amount of money we spend on health care," both authors wrote. "We have made some progress, but much more progress is possible."
How can health in the U.S. improve? Drs. Frieden and Jaffe propose:
Adoption of broad public health policies by federal, state, and local governments. For example, a number of state governments have reduced smoking rates by increasing excise taxes on tobacco products and by creating tobacco-free workplaces and other public spaces. Additionally, laws requiring seat-belt use and child safety-seat use would reduce deaths from car crashes.
Better access to and improved quality of health care. The Affordable Care Act of 2010 will make health insurance available to tens of millions of previously uninsured Americans. Other provisions of the ACA are designed to improve both the quality and efficiency of clinical care.
Increased delivery of preventive services within health care settings. Combining public health and clinical care approaches is the best way to address some chronic illnesses. A good example is the Million Hearts program, aiming to prevent one million heart attacks and strokes within five years. Clinical approaches include the use of aspirin in high-risk individuals, improving blood pressure control and cholesterol management, and providing support to smokers who wish to quit. Public health measures are being taken to decrease smoking, i.e., CDC's Tips From Former Smokers campaign and intake of artificial trans fats and sodium.
Better individual choices. Providing healthy environments and health education increases the opportunities for Americans to make better lifestyle choices.
The commentary is embargoed until
U.S. health is linked to global health
What has global health got to do with the health of Americans? Plenty, according to
In the Lancet Viewpoint article, Global Health and the
"The world is more interconnected than ever before," said Dr. Schuchat. "That's why CDC is working 24/7 to help other nations prevent, detect, and respond to serious health threats of any kind."
Dr. Schuchat and her colleagues highlight several examples of CDC's key participation in U.S. implemented "whole-government" approaches to global health:
The U.S. President's Emergency Plan for AIDS (PEPFAR), started by former President
The CDC is one of five
Since the frightening emergence of Severe Acute Respiratory Syndrome (SARS), CDC has strengthened the nation's surveillance for SARS-like illnesses. This preparedness paid off when the surveillance system detected H7N9 avian influenza soon after it emerged.
CDC's capacity-building program in
"CDC focuses on the protection of Americans and improvements in the health and capacity of people worldwide through partnerships with ministries of health, other
CDC continues to strengthen its commitment to global health. CDC's workforce currently includes more than 300 public health professionals and some 1,330 locally employed staff working in some 60 countries.
The Lancet Viewpoint article, Global health and the
Other CDC articles appearing in the Lancet series: The Health of Americans
Affordable Care Act increasing collaboration between clinical care and public health
One effect of the Patient Protection and Affordable Care Act of 2010 will be to increase the impetus for collaboration between the U.S. public health and health care systems, which for nearly a century have operated with little interaction, notes
Shaw and colleagues suggest that new clinical care/public health collaborations may take different forms. For example, collaborations may address a single disease or common set of risk factors, as seen with the Million Hearts Initiative to prevent a million heart attacks and strokes within five years. Collaboration may come in the form of coordination of care, as when clinical providers refer patients to community programs. Collaboration may also take the form of integration to help make health care systems more affordable, accountable, and better organized.
The researchers sum up in the article the several ways in which the Patient Protection and Affordable Care Act can advance the health of the U.S. population.
The Affordable Care Act was created to expand access to the security of health coverage, control health care costs, and improve health care quality and coordination. Through the Affordable Care Act, millions of Americans will qualify to get health care coverage that fits their needs and budget, including important preventive services such as tobacco use screenings and tobacco cessation, blood pressure screening and aspirin therapy, cancer screenings, and other services that must be covered with no additional costs. Visit Healthcare.gov or call 1-800-318-2596 (TTY/TDD 1-855-889-4325) to learn more.
The Lancet series article, The Patient Protection and Affordable Care Act: opportunities for prevention and public health, is embargoed until
Injury and violence in America is preventable
Every three minutes, an American suffers an injury-related death. In the Lancet series article, Prevention of Injury and Violence in the
The researchers also looked at effective interventions and discussed methods to bring interventions into practice. Alliances between the public health community and medical care organizations, health care providers, states, and communities can reduce injuries and violence. The CDC encourages partnerships between medical and pubic health communities to consistently frame injuries and violence as predictable and preventable, identify and promote adoption of evidence-based interventions, provide scientific information to decision makers, and strengthen the capacity of an integrated health system to prevent injuries and violence.
Infectious diseases in the U.S.: a continuing challenge
Most of the global burden of infectious diseases - nearly a quarter of deaths - is borne by people in low-income countries. Yet, these diseases present substantial challenges to health and health care resources in the U.S., notes
In their Lancet series article Challenges of infectious diseases in the
Eliminating the leading preventable causes of death and disability in the U.S.
Chronic diseases account for most health-related suffering, disability, and death in the U.S. - and for the vast majority of health care spending, notes
To help in addressing this burden, CDC recommends four cross-cutting strategies that address multiple conditions and risk factors simultaneously: enhanced epidemiology and surveillance; environmental approaches that promote health and healthy behaviors; health system interventions to improve use of clinical and other preventive services; and improved linkages between community resources and clinical services.
In their Lancet series article, Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the
Please Note: The prevention articles on injury and violence, infectious diseases and chronic diseases in the
Building U.S. preparedness capabilities
Since 2001, public-health advances make the U.S. better able to prepare for the complex and interconnected threats to national health security, note
In their Lancet Series article, "Health security in 2014: building on preparedness knowledge for emerging health threats," Drs. Khan and Lurie note that these advances made in preparedness have paid off not only in responding to actual incidents, such as the
Other examples include:
Coordination of the state-of-the-art emergency operations centers at HHS and CDC.
Upgrade of CDC's Laboratory Response Network to include more than 150 labs across the U.S.
Improvement of the National Disaster Medical System
Establishment of the
"Complex and interconnected problems have spurred innovation across government to create interconnected solutions," said Dr. Lurie.
The Lancet series article, Health security in 2014: building on preparedness knowledge for emerging health threats, is scheduled to be released by Lancet on
To get copies of articles in "The Health of Americans" series, please email Lancet's media relations office at email@example.com. Starting
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