Prevention Flashcards
2010 life expectancy US
78.7
percent of reduction of CV death in US and Europe between 70s-90s attributed to risk factor reduction
50-60%
causes of death in US, 1-5
- Heart dz, 2. Cancer, 3. chronic lower respiratory dz 4. Stroke 5. Accidents
causes of death in US, 6-10
- ALzheimers 7. DM, 8. flu/pneumonia, 9. nephritis, nephrotic syndrome, nephrosis, 10. suicide
causes of death in US, 11-15
- sepsis 12. HTN 13. HTN renal dz 14. ??? 15. homocide
female US life expectancy
80.9
male US life expectancy
76.0
Top 3 cancers that kill women
- lung 2. breast 3. colon
younger people die of
HIV, accidents, liver dz, suicide, homocide
top 3 cancers that kill men
- lung (90% smoking) 2. prostate 3. colorectal
highest life expectancy by race
hispanic (worse: black)
deaths and costs of chronic dz
70% deaths, 83% costs
preventative healthcare expeditures
2-3%
2.9 billion dollars in prevention would save
16.5 billion annually
goals of healthy people 2020
Attain high quality, longer lives free of preventable disease, disability, injury, and premature death
Achieve health equity, eliminate disparities, and improve the health of all groups
Create social and physical environments that promote good health for all
Promote quality of life, healthy development, and healthy behaviors across all life stages
HP2020 indicators A1c
over 9
HP2020 indicators AQI
over 100
HP2020 indicators second hand smoke
children 3-11
primary prevention
prevents dz occurence (helmets, vaccines, smoking assessment)
secondary prevention
detect asymptomatic dz, improve outcome (pap smear, bp screening)
tertiary prevention
invention to reduce complications of established dz: optho for DM, statins for postMI
RISE
risk assessment, immunization and chemoprophylaxis, screening, education
white female 14-25 death
- accidents 2. suicide 3. cancer 4. homocide 5. cardiac 6. congenital 7. flu/pneumo 8. pregnancy 9 .stroke 10. DM
black female 14-25 death
- accidents 2. homocide 3. cancer 4. heart dz 5. pregnancy 6. suicide 7. flu/pneumo 8. HIV 9. congenital 10. lower respiratory dz
zoster vaccine
all pt over 60 even if they’ve had zoster)
flu vaccine
all pt over 6mos old
PPSV23 vaccine
all pt over 65
pts w/chronic lung, heart, liver dz, alcoholism, cochlear implants, csf leaks, asplenia, nursing home, smokers
PCV 13 vaccine
all adults over 65
Hep B vaccine
all diabetics 19-59, older at doctor’s discretion
Hep A vaccine
pt at risk for exposure