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The Health of Brooklyn and New York City. Thomas R. Frieden, M.D., M.P.H. Commissioner, New York City Department of Health and Mental Hygiene April 24, 2003. 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 Brooklyn and New York City

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The Health of Brooklynand New York City

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

Commissioner, New York City

Department of Health and Mental Hygiene

April 24, 2003


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 Brooklyn(by UHF Neighborhood)

Healthy People 2010 Goal: 12%


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


Cancer Screening in Brooklyn vs. NYC

HP 2010: 90%


Colon CancerDetection & Cure Rates

Early-Stage Detection Rates

Colorectal Cancer Cure Rates


HIV & AIDS Cases in Brooklyn Calendar Year 2001

Figures as of 12/31/01


Rates of People Living w/HIV & AIDS in Brooklyn vs. NYC vs. USCalendar Year 2001 – Rates per 1,000 Pop.

Figures as of 12/31/01


Rates of New HIV Diagnoses in Brooklyn vs. NYC vs. USCalendar Year 2001 – Rates per 1,000 Pop.

Figures as of 12/31/01


There Has Been a Resurgence of Risky Sexual Behavior

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

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

A man 5’10” tall is considered overweight at 174 lbs.


Percent of Overweight Brooklyn Residents (BMI > 25), by UHF District

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

A man 5’10” tall is considered overweight at 174 lbs.


Percent of Obese NYC Residents (BMI > 30), by Borough

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

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


Percent of Obese Brooklyn Residents (BMI > 30), by UHF District

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

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


Percent of NYC Residents with Diagnosed Diabetes, by Borough


Diabetes Prevalence in NYCBy Ethnicity, 2002

Healthy People 2010 Goal: 2.5%


Percent of Brooklyn Residents with Diagnosed Diabetes, by UHF District


Good Diabetes Management

  • 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”

  • 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!


Hospital Admissions in BrooklynRelated to Mental DisordersAge adjusted rates per 10,000 population, excluding alcohol-related, by UHF Neighborhood, 2000


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 All Brooklyn Adults Reporting One or More Binge Drinking Episodes>5 Drinks per Month (by UHF District)


Trends in Infant MortalityNYC, 1991-2001

HP 2000 Goal: 7.0

HP 2010 Goal: 4.5


Infant Mortality Rate by Brooklyn HCD, 2001

NYC average IMR: 6.1

HP 2010 Goal: 4.5


Trends in NYC Asthma HospitalizationRates per 1,000 persons, 1990-2000, All Ages


Asthma Hospitalization Is DecreasingBut Still More Prevalent Among Low-Income Neighborhoods


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


Too Few People are Getting Flu ShotsNYC, 2001 Influenza Immunization Data

Healthy People 2010 Goal: 90%


Gender and Racial Disparities in VaccinationsNYC, 2001 Influenza Immunization Data

Healthy People 2010 Goal: 90%


Gender and RacialDisparities in VaccinationsNYC, 2001 Pneumococcus Immunization Data

Healthy People 2010 Goal: 90%


10 Things Everyone Should Do to 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 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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