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The Health of Manhattan and New York City. Thomas R. Frieden, M.D., M.P.H. Commissioner, New York City Department of Health and Mental Hygiene April 24, 2002. Community Health Survey. First ever NYC health survey 10,000 New Yorkers interviewed on health status and lifestyle

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The health of manhattan and new york city

The Health of Manhattan and New York City

Thomas R. Frieden, M.D., M.P.H.

Commissioner, New York City

Department of Health and Mental Hygiene

April 24, 2002


Community health survey
Community Health Survey

  • First ever NYC health survey

    • 10,000 New Yorkers interviewed on health status and lifestyle

    • Largest survey of its kind ever in NYC

  • Data reported and broken down into many different categories

    • More than just traditional demographic information (sex, age, ethnicity)

  • Detail will allow us to target services at the community level on a neighborhood-by-neighborhood basis, as needed


Neighborhoods Most in Need:

Harlem, So. Bronx, Central Brooklyn


Smoking prevalence in manhattan by uhf neighborhood
Smoking Prevalence in Manhattan(by UHF Neighborhood)

HP 2010 Goal: 12%


Annual deaths from smoking compared with other causes nyc 2001
Annual Deaths from Smoking Compared with Other CausesNYC, 2001

* Total includes smoking-related deaths

# Total includes 265 AA587 deaths

+ Total does not include 2,743 WTC deaths



Colon cancer detection cure rates
Colon CancerDetection & Cure Rates

Early-Stage Detection Rates

Colorectal Cancer Cure Rates


Hiv aids cases in manhattan calendar year 2001
HIV & AIDS Cases in ManhattanCalendar Year 2001

Figures as of 12/31/01


Rates of people living w hiv aids in manhattan vs nyc vs us calendar year 2001 rates per 1 000 pop
Rates of People Living w/HIV & AIDS in Manhattan vs. NYC vs. USCalendar Year 2001 – Rates per 1,000 Pop.

Figures as of 12/31/01


Rates of new hiv diagnoses in manhattan vs nyc vs us calendar year 2001 rates per 1 000 pop
Rates of New HIV Diagnoses in Manhattan vs. NYC vs. US USCalendar Year 2001 – Rates per 1,000 Pop.

Figures as of 12/31/01


There has been a resurgence of risky sexual behavior
There Has Been a Resurgence of Risky Sexual Behavior US

Reported Primary and Secondary Syphilis Case Rates, NYC, 2000-2002

  • Syphilis cases more than doubled between 2000 and 2001, increased another 50% in 2002

  • Syphilis increase almost entirely among men, especially MSM

  • Foreshadowing future rise in HIV rates?


Diabetes Prevalence Has More than Doubled in NYC in the Past 8 Years Adults with Self-Reported Diabetes, NYC, 1994-2002


Percent of overweight nyc residents bmi 25 by borough
Percent of Overweight NYC Residents (BMI > 25), by Borough 8 Years

A woman 5’4” tall is considered overweight at 146 lbs. or more

A man 5’10” tall is considered overweight at 175 lbs. or more


Percent of overweight manhattan residents bmi 25 by uhf neighborhood
Percent of Overweight Manhattan Residents 8 Years BMI > 25, by UHF Neighborhood

A woman 5’4” tall is considered overweight at 146 lbs. or more

A man 5’10” tall is considered overweight at 175 lbs. or more


Percent of obese nyc residents bmi 30 by borough
Percent of Obese NYC Residents 8 Years (BMI > 30), by Borough

A woman 5’4” tall is considered obese at 175 lbs. or more

A man 5’10” tall is considered obese at 209 lbs. or more


Percent of obese manhattan residents bmi 30 by uhf neighborhood
Percent of Obese Manhattan Residents 8 Years BMI > 30, by UHF Neighborhood

A woman 5’4” tall is considered obese at 175 lbs. or more

A man 5’10” tall is considered obese at 209 lbs. or more


Diabetes prevalence in nyc by borough 2002
Diabetes Prevalence in NYC 8 Years By Borough, 2002

Healthy People 2010 Goal: 2.5%


Diabetes prevalence in nyc by ethnicity 2002
Diabetes Prevalence in NYC 8 Years By Ethnicity, 2002

Healthy People 2010 Goal: 2.5%


Diabetes prevalence in nyc by uhf neighborhood 2002
Diabetes Prevalence in NYC 8 Years By UHF Neighborhood, 2002

Healthy People 2010 Goal: 2.5%


Good diabetes management
Good Diabetes Management 8 Years

  • Patient education and participation

    • “Know your ABCs”

      • A1c level below 7%

      • Blood pressure less than 130/80

      • Cholesterol (“bad” LDL cholesterol) less than 100

  • Clinical best practices

  • Systematic monitoring of and accountability for HbA1C, retinal, foot care

  • Cardiovascular disease prevention:

    • Smoking, blood pressure, lipid control


On abcs usa gets an f
On ABCs, USA Gets an “ 8 Years F”

  • People with diabetes who have adequately controlled blood sugar – 11%

  • People with hypertension who have adequately controlled blood pressure – 27%

  • People with high cholesterol who have adequately controlled hyperlipidemia – 27%

Despite spending 1 out of

every 7 dollars on health care!


Percent of NYC Adults Who Report One or More Binge Drinking Episodes>5 drinks at one time within past month (by Borough)

Healthy People 2010 Goal: 6%


Percent of Manhattan Adults Who Report One or More Binge Drinking Episodes>5 drinks at one time in past month (by UHF Neighborhood)

Healthy People 2010 Goal: 6%


Trends in infant mortality nyc 1991 2001
Trends in Infant Mortality Drinking EpisodesNYC, 1991-2001

HP 2000 Goal: 7.0

HP 2010 Goal: 4.5


Infant mortality rate in manhattan by hcd 2001
Infant Mortality Rate in Manhattan by HCD, 2001 Drinking Episodes

IMR and 95% Conf. Interval, and Citywide IMR

by Health Center District, NYC, 2001

NYC average IMR: 6.1

HP 2010 Goal: 4.5


Trends in nyc asthma hospitalization rates per 1 000 persons 1990 2000 all ages
Trends in NYC Asthma Hospitalization Drinking EpisodesRates per 1,000 persons, 1990-2000, All Ages


Asthma hospitalizations are decreasing but still more prevalent among low income neighborhoods
Asthma Hospitalizations Drinking EpisodesAre DecreasingBut Still More Prevalent Among Low-Income Neighborhoods


Asthma Hospitalizations in Manhattan Drinking EpisodesHospitalization rate of children under age 15,per 1,000 population, by UHF neighborhood


Too few people are getting flu shots nyc 2001 influenza immunization data
Too Few People are Getting Drinking EpisodesFlu ShotsNYC, 2001 Influenza Immunization Data

Healthy People 2010 Goal: 90%


Gender and racial disparities in vaccinations nyc 2001 influenza immunization data
Gender and Racial Disparities in Vaccinations Drinking EpisodesNYC, 2001 Influenza Immunization Data

Healthy People 2010 Goal: 90%


Gender and racial disparities in vaccinations nyc 2001 pneumococcus immunization data
Gender and Racial Drinking EpisodesDisparities in VaccinationsNYC, 2001 Pneumococcus Immunization Data

Healthy People 2010 Goal: 90%


Flu Immunizations in Manhattan vs. NYC vs. US Drinking EpisodesNYC, 2001 Influenza Immunization Databy UHF Neighborhood

Healthy People 2010 Goal: 90%


10 things everyone should do to stay healthy
10 Things Everyone Should Do Drinking Episodesto Stay Healthy

  • Have a regular doctor or nurse practitioner

  • Don’t smoke and don’t accept smoking around you or your children

  • Know your vital signs and keep them healthy (blood pressure, cholesterol, weight)

  • Know your HIV status and use condoms to protect against HIV and other STDs

  • Don’t live with depression – seek help


10 things everyone should do to stay healthy1
10 Things Everyone Should Do Drinking Episodesto Stay Healthy

  • Know the warning signs of drug/alcohol abuse – ask your doctor to help.

  • Get screened for cancer, especially colon, cervical and breast

  • Get your shots – everyone needs immunizations

  • Live in a home free of violence

  • Be healthy before getting pregnant, plan your pregnancy, and get early and regular prenatal care


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