The Goal
Note: Age at death was not available for year s 1947-1948.
Source: VDH, Division of Health Statistics, April, 2011
How do we get there?
An example- Heart Attacks
By The Numbers
Virginia Heart Attacks^
^ Myocardial infarctions (MI)† Age-adjusted mortality rates / 100,000 population. Population data from U.S. Census Bureau‡ Unadjusted hospitalization rates / 100,000 population. Population data from U.S. Census BureauData Source: Mortality rate data – VDH Division of Health Statistics. Hospitalization rate data - Virginia Health Information via the VDH Data Warehouse Prepared by: Health Informatics & Integrated Surveillance Systems – Division of Disease Prevention - Office of Epidemiology
45% Drop in overall
heart attack mortality rates† between 2000-
2009
1,872 Fewer Virginians died from heart attacks in 2009
than 2000
22%2000
1%2009
% disparity between white and black female
heart attack rates ‡
Heart Attack^ Rates† Among Virginia Residents by Race, 2000 - 2009
^ Acute myocardial infarctions, based on ICD-9 code 410. † Unadjusted rates of reported Virginia hospitalization data / 100,000 population. Population data from U.S. Census BureauData Source: Hospital inpatient data provided to VDH Data Warehouse via Virginia Health Information. Prepared by: Health Informatics & Integrated Surveillance Systems staff – Division of Disease Prevention - Office of Epidemiology
Heart Attack^ Rates† Among Virginia Females by Race, 2000 - 2009
^ Acute myocardial infarctions, based on ICD-9 code 410. † Unadjusted rates of reported Virginia hospitalization data / 100,000 population. Population data from U.S. Census BureauData Source: Hospital inpatient data provided to VDH Data Warehouse via Virginia Health Information. Prepared by: Health Informatics & Integrated Surveillance Systems staff – Division of Disease Prevention - Office of Epidemiology
An example- Heart Attacks
The Goal
Infant Mortality – The last Sixty Years
Comparative Deaths - Virginia 2009
740755
937
366
2 1325
2447
0
100
200
300
400
500
600
700
800
900
1000
Motor Vehicle Suicide Homicide Infant Mortality
Num
ber of D
eath
s
>18 years
<18 years
< 1 year
Source: VDH Division of Health Statistics Resident Live Birth, Fetal Death, and Induced Terminations of Pregnancy Certificates 1999-2009, compiled by the Policy & Assessment Unit, Office of Family Health Services
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Black 14.5 12.9 12.4 15.5 14.5 13.9 14.4 14.4 13.8 15.5 12.2 13.7
Total 7.4 7.2 6.8 7.4 7.3 7.6 7.4 7.4 7.1 7.7 6.7 7.0
Hispanic 5.1 5.7 5.6 5.0 5.1 6.3 5.7 5.2 4.1 6.8 6.1 6.8
White 5.5 5.6 5.4 5.3 5.6 6.1 5.8 5.9 5.5 6.0 5.4 5.6
Asian 1.6 3.3 3.4 2.7 3.7 3.8 2.5 3.2 4.2 3.3 4.0 2.4
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
Infa
nt
De
ath
s p
er
1,0
00
Liv
e B
irth
sResident Infant Death Rates By Race/Ethnicity
Virginia, 1998-2009
Black
Total
Hispanic
White
Asian
Source: VDH Division of Health Statistics Resident Live Birth, Fetal Death, and Induced Terminations of Pregnancy Certificates 1999-2009, compiled by the Policy & Assessment Unit, Office of Family Health Services
Top 10 Causes of Infant Death Virginia, 2009
Disorders Related to Short Gestation and Low Birth
Weight , 146
Congenital Malformations, Deformations, and
Chromosomal Abnormalities, 127
SIDS, 78
Maternal Complications of Pregnancy , 54
Complications of Placenta, Cord, and Membranes, 37
Other Conditions in the Perinatal Period, 36
Necrotizing Enterocolitis of Newborn, 24
Unintentional Injury (Accidents) , 25
Abnormal Clinical Findings , 21
Respiratory Distress, 21
Source: VDH Division of Health Statistics Resident Live Birth, Fetal Death, and Induced Terminations of Pregnancy Certificates 1999-2009, compiled by the Policy & Assessment Unit, Office of Family Health Services
Resident Preterm* BirthsVirginia, 1990-2009
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
Pre
term
Bir
ths
Preterm Births Number 8,079 7,902 8,471 7,971 8,353 8,546 8,996 8,942 9,431 9,658 10,321 9,904 10,236 10,810 11,405 11,333 11,151 11,621 11,211 10,678
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Source: VDH Division of Health Statistics Resident Live Birth, Fetal Death, and Induced Terminations of Pregnancy Certificates 1999-2009, compiled by the Policy & Assessment Unit, Office of Family Health Services
7.2
7.8
6.8
6.9
7.0
7.1
7.2
7.3
7.4
7.5
7.6
7.7
7.8
7.9
2005 2006 2007 2008 2009
Year
Pe
rce
nt
of
late
pre
term
bir
ths
(34
-36
co
mp
lete
d w
ee
ks)
The rate of late preterm births declined by 8% from 2005 to 2009.
Source: Virginia Department of Health, Division of Health Statistics, compiled by the Office of Family Health Services, Division of Child and Family Health, 2005-2009
Virginia’s Late Preterm Birth Rate is Declining
Virginia’s Teenage Pregnancy Rate is Declining
Source: Virginia Department of Health, Division of Health Statistics, compiled by the Office of Family Health Services, Division of Child and Family Health, 2000-2009
The rate of pregnancies to teens ages 10-19 years declined by 22%
from 2000 to 2009.
24.3
31.3
20.0
22.0
24.0
26.0
28.0
30.0
32.0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
Te
en
Pre
gn
an
cy R
ate
p
er
1,0
00
fe
ma
les
ag
ed
10
-19
ye
ars
Source: Virginia Department of Health, Division of Health Statistics, compiled by the Office of Family Health Services, Division of Child and Family Health
By the Numbers
580
Fewer late preterm births in Virginia from 2005 to 2009
1,085
More full-term births in Virginia
from 2005 to 2009
22%
Decline in Virginia’s teen
pregnancy rates from 2000
to 2009
Induced Terminations: National ComparisonUnited States Virginia
Number of Induced Terminations, 2008 1.21 million 25,822
Induced Terminations Rate per 1,000 females ages 15-44, 2008
19.6 per 1,000 16.1 per 1,000
Largest proportion of Induced Terminations:
Race/ethnicity, 2008 Non-Hispanic White (36%) Non-Hispanic White (42%)
Age group, 2008 20-29 years (58%) 20-29 years (57%)
Marital Status, 2008 Unmarried (85%) Unmarried (72%)
Previous Induced Terminations, 2008 No previous induced terminations (50%)
No previous induced terminations (45%)
Previous Live Births, 2008 One or more previous live births (61%)
One or more previous live births (60%)
National Data Sources: (1) Guttmacher Institute, Facts on Induced Abortions in the United States, January 2011; (2)Jones RK, Finer LB, and Singh S, Characteristics of US Abortion Patients, 2008, New York, Guttmacher Institute 2010. Virginia Data Sources: VDH Division of Health Statistics Resident Live Birth, Fetal Death, and Induced Terminations of Pregnancy Certificates 2009, compiled by the Policy & Assessment Unit, Office of Family Health Services
Induced Terminations: Percent of Total
Pregnancies, Virginia 1999-2009
Source: VDH Division of Health Statistics Resident Live Birth, Fetal Death, and Induced Terminations of Pregnancy Certificates 1999-2009, compiled by the Policy & Assessment Unit, Office of Family Health Services
19.119.419.119.218.4
20.8 20.4
18.818.919.5
18.5
0
5
10
15
20
25
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Pe
rcen
t o
f T
ota
l Pre
gn
anci
es
0
5000
10000
15000
20000
25000
30000
35000
10-14 15-17 18-19 20-24 25-29 30-34 35-39 40-44 45UP
Tota
l Bir
ths a
nd In
duce
d Te
rmin
ation
s
Maternal Age in years
Resident Live Births and Induced TerminationsVirginia 2009
Births
ITOP
104,979 Live Births26,356 Induced Terminations
Source: VDH Division of Health Statistics Resident Live Birth and Induced Terminations of Pregnancy Certificates compiled by the Policy & Assessment Unit, Office of Family Health Services, 2009.
Virginia State Profile 2009
Virginia
Birth Rate(per 1,000 total population)
13.3 per 1,000
Pregnancy Rate(per 1,000 females ages 15-44)
84.5 per 1,000
Infant Mortality Rate(per 1,000 live births)
7.0 per 1,000
Teen Pregnancy Rate(per 1,000 females ages 10-19)
24.3 per 1,000
Induced Terminations Rate (per 1,000 females ages 15-44)
16.1 per 1,000
Immunization Rate(Percent Up-to-Date 4:3:1:3:3:1 Immunizations per 100 24 month old health district clients)1
56.1%
Source: VDH Division of Health Statistics Resident Live Birth, Fetal Death, Induced Terminations of Pregnancy, and Infant Death Certificates, and NCHS population estimates 2009, compiled by the Policy & Assessment Unit, Office of Family Health Services. 1VDH Division of Immunization.
Plan First Monthly Enrollment
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
Women Men
*DMAS estimated eligibles based on 2006 Guttmacher Institute WIN data and 2008 Census Bureau percentage of women under 200%FPL who are uninsured and living in Virginia (35.7%) .
*Estimated eligibles: 92,247
The Seen Epidemic
Obesity Trends Among U.S. AdultsBRFSS, 1985
No Data <10% 10%–14%
Obesity Trends Among U.S. AdultsBRFSS, 1990
No Data <10% 10%–14%
Obesity Trends Among U.S. AdultsBRFSS, 1995
No Data <10% 10%–14% 15%–19%
Obesity Trends Among U.S. AdultsBRFSS, 2000
No Data <10% 10%–14% 15%–19% 20%–24%
Obesity Trends Among U.S. AdultsBRFSS, 2002
Source: Behavioral Risk Factor Surveillance System, CDC
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
How do we get there?