10 services of public health
Monitor health status to identify problems Dx & investigate problems / hazards Inform, educate, & empower people Mobilize partnerships Develop policies & plans Enforce laws & regs Link to services & assure care Assure competent public health & healthcare workforce Evaluate effectiveness Research
3 core public health services
-Environmental Health (sanitarians, etc, mostly regulatory) -Disease Control -Health Education / Promotion (best via Policy)
How many communicable diseases in AZ?
more than 80
Top ten reportable disease in AZ
Chlamydia27,532 Influenza 13,850 Gonorrhea8,518 Valley Fever4,331 Syphilis1,299 Campylobacter1,052 MRSA1,015 Hepatitis B 940 Salmonellosis 635 Strep pneumoniae 496
Newly diagnosed chlamydia in Maricopa county since 2004
Risen 104% more commonly diagnosed in women than men
rates of chlamydia in Maricopa county since 2004
64% increase
Newly diagnosed gonorrhea since 2010
215%
When did rates of gonorrhea start to increase?
In 2010 by 139%
newly diagnosed syphilis in maricopa county
risen 112% since 2013
Syphilis male vs female
older disease for males. more common in older men than women
HIV/AIDS rates since 2010
Slight increase in HIV and decrease in AIDS
HIV and Syphilis dual infection
33.2% of syphilis also have HIV
Congenital syphilis in maricopa
double the national average
Chlamydia
75% asymptomatic in women
10-40% of untreated cases result in pelvic inflammatory disease (PID)
14% of PID cases are hospitalized
15% of PID cases will experience infertility
2012 average cost of a hospitalized PID case in Arizona: $19,853
Who are the main disseminators of the flu?
Kids!
rates of obesity in children and adults MC
1 in 7 children
1 in 4 adults
2030 obese rates prediction
CO: 45%
AZ: 59%
MS: 67%
2007-2008 smokers who quit
1 in 5 arizona smokers quit
170000 peeps