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Goal 14-15EInternational travelers receiving prevention services (Developmental)614-15 Prevention services for international travelerss14-15 Potential:Abstract of International Travel to and from the United States, U.S. Department of Commerce. Goal 14-16Q14-16 Invasive early onset group B streptococcal disease (per 1,000 live births)JInvasive early onset group B streptococcal disease (per 1,000 live births)g14-16 Active Bacterial Core Surveillance (ABCs), Emerging Infections Program Network, CDC, NCID. Goal 14-20CReduce hospital-acquired infections in intensive care unit patientsR14-20a National Noscomial Infections Surveillance System (NNIS), CDC, NCID.R14-20e National Noscomial Infections Surveillance System (NNIS), CDC, NCID.R14-20d National Noscomial Infections Surveillance System (NNIS), CDC, NCID.R14-20c National Noscomial Infections Surveillance System (NNIS), CDC, NCID.R14-20b National Noscomial Infections Surveillance System (NNIS), CDC, NCID.+a Baseline has been revised.10\ Persons were asked to select only one race category;selection of more than one race category was not an option. 10 67%10 71%10 69%10 68%10 76%10 70%10 73%10 65%10 66%10 74%~8\ Persons were asked to select only one race category;selection of more than one race category was not an option. Goal 14-21)Antimicrobial use in intensive care unitsI14-21 Antimicrobial use in intensive care units (per 1,000 patient days)1998 1999 2000 2001 20022010 Goal 14-1CReduce or eliminate indigenous cases of vaccine-preventable disease914-1a Vaccine-preventable diseases - Congenital rubella? syndrome (number of cases, children under 1 year)19987NA693---0914-1b Vaccine-preventable diseases - Diphtheria (number, of cases, aged under 35 years)1214-1c Vaccine-preventable diseases - Haemophilus8 influenzae type b and unknown - Children -3 (number of cases, aged under 5 years)163120197181214-1d Vaccine-preventable diseases - Hepatitis B3 (number of cases, aged 2 to 18 years)1997914-1e Vaccine-preventable diseases - Measles (number of cases)74666026714-1f Vaccine-preventable diseases - Mumps (number of666387338266214-1g Vaccine-preventable diseases - Pertussis -< Children (number of cases, aged under 7 years)3,4173,2472,000714-1h Vaccine-preventable diseases - Polio (wild-type& virus) (number of cases)914-1i Vaccine-preventable diseases - Rubella (number of364271176914-1j Vaccine-preventable diseases - Tetanus (number of) cases, aged under 35 years)1410914-1k Vaccine-preventable diseases - Varicella (chicken3 (thousands), aged 17 years and under)400314-2 Hepatitis B in infants and young children -9 Perinatal infections (number of cases, aged 2 years and under)19951,682414-3a Hepatitis B in adults and high-risk groups -> Adults (cases per 100,000 population, aged 19 to 24 years)2.4 Race and ethnicity1 American Indian or Alaska Native16.0* Asian or Pacific Islander AsianDNC= Native Hawaiian or Other Pacific Islander* Black or African American White# Hispanic or Latino' Not Hispanic or LatinoB Black or African American, not Hispanic/Latino1 White, not Hispanic or Latino Gender Female Male! Family income level Poor Near poor# Middle/high income414-3b Hepatitis B in adults and high-risk groups -> Adults (cases per 100,000 population, aged 25 to 39 years)5.1414-3c Hepatitis B in adults and high-risk groups -14-20a Hospital-acquired infections - Adult intensive care patients - Catheter-associated urinary tract infection (per 1,000 days use)14-20b Hospital-acquired infections - Adult intensive care patients - Central line-associated bloodstream infection (per 1,000 days use)z14-20c Hospital-acquired infections - Adult intensive care patients - Ventilator-associated pneumonia (per 1,000 days use)14-20d Hospital-acquired infections - Low birth weight infants in intensive care - Central line-associated bloodstream infection (per 1,000 days use)14-20e Hospital-acquired infections - Low birth weight infants in intensive care - Ventilator-associated pneumonia (per 1,000 days use) 2 or more races; American Indian or Alaska Native; White4 Black or African American; White78%; Adults (cases per 100,000 population, aged 40 years and over)3.8:14-3d Hepatitis B in adults and high-risk groups - High-; risk groups - Injection drug users (number of1,808:14-3e Hepatitis B in adults and high-risk groups - High-9 risk groups - Heterosexually active persons (number of cases)1,240:14-3f Hepatitis B in adults and high-risk groups - High-= risk groups - Men who have sex with men (number of cases):14-3g Hepatitis B in adults and high-risk groups - High-: risk groups - Occupationally exposed workers62914-4 Bacterial meningitis in young children (new cases8 per 100,000 population, aged 1 to 23 months)13.08.6 Race and ethnicity/ American Indian or Alaska NativeDSU( Asian or Pacific Islander Asian; Native Hawaiian or Other Pacific Islander( Black or African American25.9 White11.0! Hispanic or Latino% Not Hispanic or Latino@ Black or African American, not Hispanic/Latino/ White, not Hispanic or Latino Gender Female Male13.1 Family income level Poor Near poor! Middle/high income? cases per 100,000 population, aged under 5 years)#146#2#358#4#5#6#763#859#9#10#11#1269#1384#14#15#16714-5b Invasive pneumoccoccal infections - Adults (new= cases per 100,000 population, aged 65 years and over)428361714-5c Invasive pneumoccoccal infections - Penicillin-9 resistant - Children (new cases per 100,000- population, aged under 5 years)162017714-5d Invasive pneumoccoccal infections - Penicillin-7 resistant - Adults (new cases per 100,0001 population, aged 65 years and over)914-22a Universally recommended vaccination of children @ aged 19 to 35 months - 4 doses diphtheria-tetanus-0 acellular pertussis (DtaP) vaccine84%83%82%90%6 American Indian or Alaska Native only878%880%877%77%/ Asian or Pacific Islander only887%883% Asian onlyB Native Hawaiian or Other Pacific Islander only76%79%/ Black or African American onlyDNA White only886%( Hispanic or Latino only879%885%C Bl< ack or African American, not Hisp/Latino only876%6 White, not Hispanic or Latino only884%# More than one race81%89%88% Disability status* Persons with disabilities- Persons without disabilities914-22b Universally recommended vaccination of children 8 aged 19 to 35 months - 3 doses Haemophilus- influenzae type b (Hib) vaccine93%94%892%891%890%92%893%91%95%894%895%96%914-22c Universally recommended vaccination of children > aged 19 to 35 months - 3 doses hepatis B (hep B) vaccine87%888%85%889%86%914-22d Universally recommended vaccination of children : aged 19 to 35 months - 1 dose measles-mumps-# rubella (MMR) vaccine914-22e Universally recommended vaccination of children : aged 19 to 35 months - 3 doses polio vaccine914-22f Universally recommended vaccination of children = aged 19 to 35 months - 1 dose varicella vaccine43%58%68%833%862%857%864%75%74%80%843%67%847%861%870%842%858%867%856%866%71%57%46%55%63%42%66%49%60%914-23a Diphtheria-tetanus-acellular pertussis (DtaP) 4 vaccine coverage, children in day care1997-98914-23b Measles-mumps-rubella (MMR) vaccine coverage, " children in day care914-23c Polio vaccine coverage, children in day care 914-23f Diphtheria-tetanus-acellular pertussis (DtaP) < vaccine coverage, children in kindergarten and first grade97%914-23g Measles-mumps-rubella (MMR) vaccine coverage, 6 children in kindergarten and first grade914-23h Polio vaccine coverage, children in kindergarten  and first grade914-23i Hepatitis B vaccine coverage, children in 914-23j Varicella vaccine coverage, children in 914-24a Fully immunized young children and adolescents - + Children aged 19 to 35 months73%874%72%70%914-24b Fully immunized young children and adolescents - - Adolescents aged 13 to 15 years914-25a Providers who measure childhood vaccination 7 coverage levels - Public health providers914-25b Providers who measure childhood vaccination 1 coverage levels - Private providers914-26 Children participating in population-based 8 immunization registries (aged under 6 years)1999a21%24%914-27a Vaccination coverage among adolescents - 3 or = more doses of hepatitis B (aged 13 to 15 years)48%69%59%62%47%65%44%52%61%! Geographic location6 Urban (metropolitan statistical area)50%9 Rural (nonmetropolitan statistical area)56%64%956%962%914-27b Vaccination coverage among adolescents - 2 or ? more doses of measles, mumps, rubella (aged 13 to 15 years)989%992%914-27c Vaccination coverage among adolescents - 1 or > more doses of tetanus-diptheria booster (aged 13 to 15 years)995%991%914-27d Vaccination coverage among adolescents - 1 or < more doses of varicella (excluding adolescents7 who have varicella) (aged 13 to 15 years)45%54%40%51%53%41%39%33%37%9DSU945%914-28a Hepatitis B vaccination among high-risk groups - - Long-term hemodialysis patients35%914-28b Hepatitis B vaccination among high-risk groups - ' Men who have sex with men9%914-28c Hepatitis B vaccination among high-risk groups - , Occupationally exposed workers98%914-29a Influenza and pneumococcal vaccination of high- 9 risk adults - Noninstitutionalized adults -: Influenza vaccine in the past 12 months (age/ adjusted, aged 65 years and over)> Education level (persons aged 65 years and over)& Less than high school% High school graduate& At least some collegea,963%a,960% Select populations Age groupsB Persons aged 18 to 49 years (not age adjusted)B Persons aged 50 to 64 years (not age adjusted)B Persons aged 65 to 74 years (not age adjusted)a60%B Persons aged 75 to 84 years (not age adjusted)a67%< Persons aged 85 years and older (not age adjusted)2 Persons with high-risk conditions) Persons with diabetesa66%. Persons with heart diseasea68%- Persons with lung diseasea70%@ Persons with lung disease (excluding asthma)a71%/ Persons with kidney diseasea65%. Persons with liver diseasea51%' Persons with cancera56%914-29b Influenza and pneumococcal vaccination of high- ? Pneumococcal vaccine ever received (age adjusted,% aged 65 years and over)36%26%31%23%29%a48%a,953%a,945%a42%a52%a47%a50%a54%a63%a64%914-29c Influenza and pneumococcal vaccination of high- : risk adults - Noninstitutionalized high-risk> adults - Influenza vaccine in the past 12 months1 (age adjusted, aged 18 to 64 years)27%28%32%30%22%25%; Education level (persons aged 25 to 64 years)a,929%a,925%21%a43%a36%a27%a26%a28%a32%914-29d Influenza and pneumococcal vaccination of high- > adults - Pneumococcal vaccine ever received (age, adjusted, aged 18 to 64 years)13%14%15%aDSU16%a12%11%8%10%18%a,918%a,910%12%a10%a22%a17%19%a13%a15%a19%17%a14%914-29e Influenza and pneumococcal vaccination of high- 9 risk adults - Institutionalized - Influenza> vaccine in the past 12 months (aged 18 years and> Education level (persons aged 25 years and over)914-29f Influenza and pneumococcal vaccination of high- < risk adults - Institutionalized - Pneumococcal< vaccine ever received (aged 18 years and over)38%914-30a Adverse events from vaccinations - Associated & paralytic polio (number)5914-30b Adverse events from vaccinations - Febrile < seizures caused by pertussis vaccines (number)15220419675914-31 Active surveillance for vaccine safety via large 0 linked databases (number (millions))13 Objective/number DATA SOURCEN14-1a National Congenital Rubella Syndrome Registry (NCRSR), CDC, NIP.Q14-1b National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.[14-1c Active Bacterial Core Surveillance (ABCs), Emerging Infections Programs, CDC, NCID.Q14-1d National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.Q14-1e National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.R14-1f National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.Q14-1g National Notifiable Diseases Surveillance System (NNDSS), C< DC, EPO.Q14-1h National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.R14-1i National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.R14-1j National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.A14-1k National Health Interview Survey (NHIS), CDC, NCHS.\14-2 Perinatal Hepatitis B Prevention Program, CDC, NCID;National Vital Statistics_ System - Natality (NVSS-N), CDC, NCHS;State Perinatal Hepatitis B Prevention; Programs;State Vital Statistics Systems.Q14-3a National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.Q14-3b National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.Q14-3c National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.Q14-3d National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.Q14-3e National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.R14-3f National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.Q14-3g National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.D14-4 Active Bacterial Core Surveillance (ABCs), CDC, NCID.14-5a #1,#3-#16:H Active Bacterial Core Surveillance (ABCs), CDC, NCID.: #2 Arctic Investigations Program, CDC.14-5b #1,#3-#16:14-5c #1,#3-#16:14-5d #1,#3-#16:C14-22a National Immunization Survey (NIS), CDC, NIP and NCHS.C14-22b National Immunization Survey (NIS), CDC, NIP and NCHS.C14-22c National Immunization Survey (NIS), CDC, NIP and NCHS.C14-22d National Immunization Survey (NIS), CDC, NIP and NCHS.C14-22e National Immunization Survey (NIS), CDC, NIP and NCHS.D14-22f National Immunization Survey (NIS), CDC, NIP and NCHS.>14-23a Annual Immunization Assessment Reports, CDC, NIP.>14-23b Annual Immunization Assessment Reports, CDC, NIP.>14-23c Annual Immunization Assessment Reports, CDC, NIP.?14-23f Annual Immunization Assessment Reports, CDC, NIP.>14-23g Annual Immunization Assessment Reports, CDC, NIP.>14-23h Annual Immunization Assessment Reports, CDC, NIP.C14-24a National Immunization Survey (NIS), CDC, NIP and NCHS.\14-24b Potential:National Immunization Survey (NIS), CDC, NIP and NCHS;National Health6 Interview Survey (NHIS), CDC, NCHS.?14-26 Annual Immunization Assessment Reports, CDC, NIP.@14-27a National Health Interview Survey (NHIS), CDC, NCHS.@14-27b National Health Interview Survey (NHIS), CDC, NCHS.@14-27c National Health Interview Survey (NHIS), CDC, NCHS.@14-27d National Health Interview Survey (NHIS), CDC, NCHS.P14-28a Annual Survey of Chronic Hemodialysis Centers, CDC, NCID, and HCFA.-14-28b Young Men's Survey, CDC, NCHSTP.:14-28c Periodic vaccine coverage surveys, CDC, NCID.@14-29a National Health Interview Survey (NHIS), CDC, NCHS.@14-29b National Health Interview Survey (NHIS), CDC, NCHS.@14-29c National Health Interview Survey (NHIS), CDC, NCHS.@14-29d National Health Interview Survey (NHIS), CDC, NCHS.<14-29e National Nursing Home Survey (NNHS), CDC, NCHS.=14-29f National Nursing Home Survey (NNHS), CDC, NCHS.P14-30a National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.W14-30b Vaccine Adverse Event Reporting System (VAERS) and Vaccine Safety Datalink# (VSD), CDC, NIP.614-31 Vaccine Safety Datalink (VSD), CDC, NIP. Goal 14-2 Goal 14-3 Goal 14-4.Reduce bacterial meningitis in young children. Goal 14-5(Reduce invasive pneumococcal infections. Goal 14-22uAchieve and maintain effective vaccination coverage levels for universally recommended vaccines among young children. Goal 14-23Maintain vaccination coverage levels for children in licensed day care facilities and children in kindergarten through the first grade. Goal 14-24Increase the proportion of young children who receive all vaccines that have been recommended for universal administration for at least 5 years. Goal 14-25Increase the proportion of providers who have measured the vaccination coverage levels among children in their practice population within the past 2 years.rIncrease the proportion of children who participate in fully operational population-based immunization registries. Goal 14-28=Increase hepatitis B vaccine coverage among high-risk groups. Goal 14-27L(Developmental) Increase routine vaccination coverage levels of adolescents. Goal 14-29Increase the proportion of adults who are vaccinated annually against influenza and ever vaccinated against pneumococcal disease. Goal 14-30)Reduce vaccine-associated adverse events. Goal 14-31gIncrease the number of persons under active surveillance for vaccine safety via large linked databases.aReduce chronic hepatitis B virus infections in infants and young children (perinatal infections).Reduce hepatitis B.814-5a Invasive pneumococcal infections - Children (newThe proposed numerator is the number of surveyed enrollees in kindergarten and/or first grade who received the varicella antigen. The proposed denominator is the number of surveyed enrollees in kindergarten and/or first grade9  Baseline     Target9 Objective Year Goal 14-9Reduce hepatitis C.14-9 Hepatitis C.(new cases per 100,000) ;14-9 Sentinel Counties Study of Viral Hepatitis, CDC, NCID.Reduce hepatitis A.14-6 Hepatitis AG14-6 National Notifiable Disease Surveillance System (NNDSS), CDC, EPO. Goal 14-11Reduce Tuberculosis;14-11 National TB Surveillance System, CDC, NCHSTP.14-11 Reduce Tuberculosis Goal 14-12cIncrease the proportion of all tuberculosis patients who complete curative therapy within 12 months14-12 Curative therapy for TB;14-12 National TB Surveillance System, CDC, NCHSTP.34%20%1 DSU1 46%1 59%1 46%1 67%1 58%1 44%1 57%|1 Persons reported only one race or reported more than one race and identified one race as best representing their race.1 90%1 87%1 95%1 88%1 93%1 89%1 91%1 92%1 96%1 49%1 54%1 43%1 40%1 55%3a Baseline has been revised. Goal 14-17+Peptic Ulcer hospitalizations (per 100,000)3 DSU3 87.093\ Data by race and ethnicity may be under reported. 3 51.0 Goal 14-13BTreatment for high-risk persons with latent tuberculosis infectionF14-13 Aggregate Reports for TB Reports Evaluation, CDC, NCHSTP. Goal 14-14eTimely laboratory confirmation of tuberculosis cases - Average number of days to report 75% of cases 614-7 Meningococcal disease - (new cases per 100,000 population)214-8 Lyme disease - In endemic States - (5-year< average annual new cases per 100,000 population)1992-96914-10 Identification of persons with chronic hepatitis C) &14-17 Peptic Ulcer hospitalizations.;14-17 National Hospital Discharge Survey (NHDS), CDC, NCHS.I14-13 Treatment for high-risk persons with latent tuberculosis infection4 pox) - (annual average number of cases14-7 Active Bacterial Core Surveillance (ABCs), CDC, NCID; National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO.O14-8 National Notifiable Diseases Surveillance System (NNDSS), CDC, EPO. Goal 14-8 Reduce Lyme Disease Goal 14-7 Reduce Meningococcal disease Goal 14-109Increase idenfication of persons with chronic Hepatitis C14-10 Potential:State health department databases of persons with HCV infect<dion; National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. Goal 14-18bAntibiotics prescribed for ear infections, courses prescribed (per 100,000 children under 5 years)F14-18 Antibiotics prescribed for ear infections, courses prescribed.$(per 100,000 children under 5 years)1996-97A 69 A 63A 73 A 67 A 72 &A\ Baseline has been revised 14-18 National Ambulatory Medical Care Survey (NAMCS), CDC, NCHS;National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS. Goal 14-19HAntibiotics prescribed for common cold, courses prescribed (per 100,000)14-19 National Ambulatory Medical Care Survey (NAMCS), CDC, NCHS;National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS. (per 100,000)C14-19 Antibiotics prescribed for common cold, courses prescribed.17.318.111.44\ 1998-99 data5\ 2000-2001 data8887724019518515868716537803410094824557519267525550642219353338211523812826a/ Data are provisionalT6/ Estimate represents an aggregate of data from all types of ICUs during 1995-1998.7/ Estimate represents an aggregate of data from all types of ICUs during 2002 only, due to a definition change which lowered pneumonia infection rates by 1/3 to 1/2.8/ Estimate represents an aggregate of data from high-risk nurseries (level II-III and III neonatal intensive care units) during 1995-19989/ Estimate represents an aggregate of data from high-risk nurseries (level II-III and III neonatal intensive care units) during 2002 only, due to a definition change which lowered pneumonia infection rates by 1/3 to 1/2.87.2104.4104.2104.1O14-21 National Noscomial Infections Surveillance System (NNIS), CDC, NCID.a7082002 a4 544 524 554 474 615 595 455 655 615 584 1,7804 2,4354 1,6774 1,9464 1,6065 1,8345 1,9515 1,8225 1,8458 12.28 4.97 5.99 3.13 DSU 3 67.83 43.23 60.73 45.1'14-25a Vaccines for Children, CDC, NIP.)14-25b. Vaccines for Children, CDC, NIP.1 45%1/ Data are preliminary.b 59b 75.8a 84.2A\ Baseline has been revised.a, 6 5.5 a, 6 10.1b 55 1,577a 2, 228B\ Target is proposed. Revision requested due to methodological error. Revised target represents a proportional reduction due to the revised baseline. Original target is set at 88.B\ Target is proposed. Revision requested due to methodological error. Revised target represents a proportional reduction due to a a revised baseline. Original target is set at 5.3.B\ Target is proposed. Revision requested due to methodological error. Revised target represents a proportional reduction due to a a revised baseline. Original target is set at 120.a 40%a 11%A\ Baseline has been revised.914-22g Universally recommended vaccination of children a 90%U14-22g Potential Source: National Immunization Survey (NIS), CDC, NIP and NCHS.hA\ Proposed target. Measure is a new objective and has not yet been approved by the steering committee.C aged 19 to 35 months - 3 doses pneumoccocal vaccine bB [B\ Proposed new objective. Objective has not yet been approved by the steering committee.N14-23j Proposed: School Entry Immunization Assessment Report, CDC, NIP.O14-23i Proposed: School Entry Immunization Assessment Report, CDC, NIP.H14-23d Proposed: National Immunization Survey, CDC, NIP, and NCHS.H14-23e Proposed: National Immunization Survey, CDC, NIP, and NCHS.;14-23d Hepatitis B vaccine coverage, children in day care 1: :14-23e Varicella vaccine coverage, children in day care 1 8  91%2 95%3 96%4 92%'1/ Proposed Healthy People 2010 measure'2/ Proposed Healthy People 2010 target, kindergarten and first grade 1+ 3/ Based on data from 40 states and the District of Columbia. All states require 3 doses of HepB, however the District of Columbia requires 2 doses.@4/ Based on data from 24 states and the District of Columbia. D\ Target is proposed. Revision requested due to methodological error. Revised target represents a proportional reduction due to a a revised baseline. Original target is set at 10.C\ Target is proposed. Revision requested due to methodological error. Revised target represents a proportional reduction due to a a revised baseline. Original target is set at 4.8.c 5 Goal 14-6 Goal 14-26d 9.1J2 O) ""ij#D $% % X&2 M'' m(G V)0f*@+v,0:123m4d5m>666>789?::;<s=)4>>@_@@}@SB CwDx VF F ~G4 xH. 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