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CHRONIC DISEASE IN WYOMING Joseph Grandpre, PhD, MPH Wyoming Department of Health

CHRONIC DISEASE IN WYOMING Joseph Grandpre, PhD, MPH Wyoming Department of Health. CRYPTO. PERTUSSIS. MENINGITIS. INFECTIOUS DISEASE. TULEREMIA. VARICELLA. RABIES. MEASLES. HEPATITIS. CHRONIC DISEASE. CARDIOVASCULAR CANCER DIABETES. Leading Causes of Death in WY.

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CHRONIC DISEASE IN WYOMING Joseph Grandpre, PhD, MPH Wyoming Department of Health

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  1. CHRONIC DISEASE IN WYOMING Joseph Grandpre, PhD, MPH Wyoming Department of Health

  2. CRYPTO PERTUSSIS MENINGITIS INFECTIOUS DISEASE TULEREMIA VARICELLA RABIES MEASLES HEPATITIS

  3. CHRONIC DISEASE CARDIOVASCULAR CANCER DIABETES

  4. Leading Causes of Death in WY 2009 2010* Heart Disease 950 900 Cancer 919 934* Chronic Resp. 306 319 Stroke 229 183 Alzheimers 135 140 Diabetes 105 104 Flu & Pneumonia 125 96 Chronic Disease 59.3% 56.0% With Alzheimers 62.5% 59.2% Wyoming Vital Records

  5. Cancer • WY 2008 Cancer Incidence: Prostate = 453 Breast = 343(334 Female, 9 Male) Lung = 291 Colorectal = 222 Bladder = 130

  6. Cancer • Based on rates from 2005-2007, 40.77% of men and women born today will be diagnosed with cancer of all sites at some time during their lifetime. • This number can also be expressed as 1 in 2 men and women will be diagnosed with some type of cancer during their lifetime. CDC – Surveillance Epidemiology & End Results (SEER)

  7. Cancer • WY 2008 Cancer Mortality: • Lung = 224 • Colorectal = 87 • Ill-Defined = 73 • Pancreas = 59 • Breast & Prostate = 52 each

  8. Cancer • WY 2008 Cancer Incidence: Prostate = 453 Breast = 343(334 Female, 9 Male) Lung = 291 Colorectal = 222 Bladder = 130

  9. Cancer Incidence Rates from 2004-2008 Per 100,000 Population

  10. Cancer Mortality Rates from 2004-2008 Per 100,000 Population

  11. Heart Disease & Stroke • An estimated 82.6 Million Americans have some form of Cardiovascular disease (CVD) - (e.g., hypertension, CHD, stroke, etc…) • Over 1 in 3 adults has some form of CVD • On average someone has a stroke in the U.S. every 40 seconds Heart Disease & Stroke Statistics-2011 Update AHA

  12. Heart Disease & Stroke • According to the 2009 Wyoming Behavioral Risk Factor Surveillance System (BRFSS)– 27.0% of Wyoming adults had 3 or more CVD Risk Factors (smoking, hypertension, high cholesterol, obesity, lack of physical activity, and diabetes) • 84.2% of Wyoming Adults had at least one risk factor • These are down from 28.4% and 86.1% in 2007

  13. Heart Disease Mortality Rates from 2003-2007

  14. Stroke Mortality Rates from 2003-2007

  15. Diabetes • As of 2010, 18.8 Million people in the U.S. had been diagnosed as having diabetes • Another 7.0 Million were undiagnosed • 1.9 Million new cases were diagnosed in people over 20 years old in 2007 CDC – National Diabetes Fact Sheet, 2011

  16. http://wdh.state.wy.us/brfss/brfssdata.aspx

  17. http://wdh.state.wy.us/brfss/brfssdata.aspx

  18. Diabetes • 1 in every 400-600 children has Type I diabetes • Type II is not just limited to adults anymore • Estimated that 45% of all new cases of Type II are being diagnosed in large Pediatric Centers (CSG-Trends Alert 2006)

  19. Diabetes • End Stage Renal Disease (ERSD) Network #15 2009 Annual Report • 89 new cases of end-stage renal disease in 2009 • 37 (41.6%) of these cases directly linked to diabetes • As of 2009 there were a total of 239 Wyoming citizens on dialysis because of end stage renal disease • 102 (42.7%) due directly to diabetes

  20. Risk Factors • Several risk factors associated with Chronic Diseases • High Blood Pressure • Obesity • Smoking • Physical Activity (too little) • Poor Nutrition • Age

  21. High Blood Pressure

  22. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1994 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC

  23. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC

  24. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1996 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC

  25. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC

  26. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 1998 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC

  27. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC

  28. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC

  29. Obesity Trends* Among U.S. AdultsBRFSS, 2001 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% Source: Behavioral Risk Factor Surveillance System, CDC

  30. Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% Source: Behavioral Risk Factor Surveillance System, CDC

  31. Obesity Trends* Among U.S. AdultsBRFSS, 2003 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% Source: Behavioral Risk Factor Surveillance System, CDC

  32. Obesity Trends* Among U.S. AdultsBRFSS, 2004 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% Source: Behavioral Risk Factor Surveillance System, CDC

  33. Obesity Trends* Among U.S. AdultsBRFSS, 2005 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  34. Obesity Trends* Among U.S. AdultsBRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  35. Obesity Trends* Among U.S. AdultsBRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  36. Obesity Trends* Among U.S. AdultsBRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  37. Obesity Trends* Among U.S. AdultsBRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  38. http://wdh.state.wy.us/brfss/brfssdata.aspx

  39. http://wdh.state.wy.us/brfss/brfssdata.aspx

  40. http://wdh.state.wy.us/brfss/brfssdata.aspx

  41. http://wdh.state.wy.us/brfss/brfssdata.aspx

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