8

Environmental
Health

Outdoor Air Quality

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8-1

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Harmful air pollutants

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8-1a

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Ozone

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8-1b

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Particulate matter

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8-1c

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Carbon monoxide

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8-1d

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Nitrogen dioxide

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8-1e

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Sulfur dioxide

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8-1f

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Lead

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8-1g

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Total number of people

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8-2

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Alternative modes of transportation

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8-2a

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Trips made by bicycling

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8-2b

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Trips made by walking

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8-2c

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Trips made by transit

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8-2d

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Persons who telecommute

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8-3

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Cleaner alternative fuels

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8-4

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Airborne toxins

Water Quality

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8-5

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Safe drinking water

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8-6

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Waterborne disease outbreaks

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8-7

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Water conservation

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8-8

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Surface water health risks

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8-9

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Beach closings

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8-10

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Fish contamination

Toxics and Waste

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8-11

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Elevated blood lead levels in children

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8-12

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Risks posed by hazardous sites

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8-12a

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National Priority List sites

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8-12b

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Resource Conservation and Recovery Act facilities

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8-12c

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Leaking underground storage facilities

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8-12d

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Brownfield properties

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8-13

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Pesticide exposures

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8-14

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Toxic pollutants

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8-15

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Recycled municipal solid waste

Healthy Homes and Healthy Communities

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8-16

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Indoor allergens

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8-16a

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Dust mite allergens that exceed 2ug/gram

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8-16b

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Dust mite allergens that exceed 10ug/gram

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8-16c

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German cockroach allergens

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8-17

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Office building air quality

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8-18

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Homes tested for radon

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8-19

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Radon-resistant new home construction

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8-20

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School policies to protect against environmental hazards

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8-21

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Disaster preparedness plans and protocols

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8-22

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Lead-based paint testing

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8-23

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Substandard housing

Infrastructure and Surveillance

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8-24

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Exposure to pesticides

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8-24a

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1-naphthol

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8-24b

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Paranitrophenol

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8-24c

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3,5,6-trichloro-2-pyridinol

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8-24d

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Isopropoxyphenol

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8-25

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Exposure to heavy metals and other toxic chemicals

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8-25a

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Arsenic

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8-25b

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Cadmium

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8-25c

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Lead

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8-25d

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Manganese

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8-25e

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Mercury

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8-25f

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2,4-D

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8-25g

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o-phenylphenol

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8-25h

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Permethrins

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8-25i

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Diazinon

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8-25j

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Polychlorinated biphenyls

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8-25k

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Dioxins

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8-25l

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Furans

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8-25m

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Chlordan

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8-25n

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Dieldrin

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8-25o

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DDT

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8-25p

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Lindane

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8-26

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Information systems used for environmental health

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8-27

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Monitoring environmentally related diseases

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8-27a

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Lead poisoning

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8-27b

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Pesticide poisoning

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8-27c

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Mercury poisoning

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8-27d

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Arsenic poisoning

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8-27e

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Cadmium poisoning

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8-27f

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Methemoglobinemia

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8-27g

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Acute chemical poisoning

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8-27h

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Carbon monoxide poisoning

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8-27i

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Asthma

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8-27j

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Hyperthermia

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8-27k

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Hypothermia

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8-27l

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Skin cancer

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8-27m

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Malignant melanoma

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8-27n

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Other skin cancer

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8-27o

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Birth defects

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8-28

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Local agencies using surveillance data for vector control

Global Environmental Health

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8-29

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Global burden of disease

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8-30

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Water quality in the United States-Mexico border region

Wastewater sewer service:

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8-30a

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Ciudad Acuna

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8-30b

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Matamoros

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8-30c

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Mexicali

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8-30d

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Nogales, Sonora

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8-30e

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Piedras Negras

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8-30f

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Reynosa

Wastewater receiving treatment:

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8-30g

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Ciudad Acuna

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8-30h

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Matamoros

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8-30i

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Mexicali

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8-30j

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Nogales, Sonora

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8-30k

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Piedras Negras

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8-30l

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Reynosa



Outdoor Air Quality

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8-1.

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Reduce the proportion of persons exposed to air that does not meet the U.S. Environmental Protection Agency’s health-based standards for harmful air pollutants.

8-1a.      Ozone.

National Data Source

Aerometric Information Retrieval System, EPA, OAR.

State Data Source

Aerometric Information Retrieval System, EPA, OAR.

Leading Health Indicator

Environmental Quality.

Healthy People 2000 Objective

Adapted from 11.5 (Environmental Health).

Measure

Percent.

Baseline

43 (1997).

Numerator

Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for ozone in 1997.

Denominator

Number of persons.

Population Targeted

U.S. resident population.

Questions Used To Obtain the National Data

Not applicable.

Expected Periodicity

Annual.

Comments

All areas (100 percent) are required by law to come into attainment no later than 2012 for all pollutant criteria except particulate matter 2.5, which will come into attainment by 2017. EPAs air quality monitoring and NAAQS data collection have historically taken place in large urban centers and other appropriate areas generally considered to have the Nations poorest air quality.



Nonattainment areas may include single counties, multiple counties, parts of counties, municipalities, or combinations of the preceding jurisdictions. When an area is designated as nonattainment,” it retains this status for 3 years, regardless of annual changes in air quality. Nonattainment areas may also include jurisdictions in which the source of the pollutants are located, even if that jurisdiction meets all NAAQS.



The areas monitored may change over time to reflect changes in air quality or the pollutants being monitored.



The population estimates used for the baseline are based on 1990 census estimates and do not reflect growth or depletion of population since that date. The NAAQS were revised in 1997 by EPA, but the revisions are currently being contested in court; resolution of the court case may affect the population estimates in the baseline.



The use of nonattainment areas in this objective represents an important measurement distinction from the measure used in Healthy People 2000 objective 11.5, which used counties that did not meet NAAQS in the previous 12 months. Nonattainment areas may include counties that did not meet NAAQS, but also counties that met the standards, but are sources of the pollutants.



This objective is one of the measures used to track the Environmental Quality Leading Health Indicator. See Appendix H for a complete list.



See Appendix A for focus area contact information.

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8-1b.      Particulate matter.

National Data Source

Aerometric Information Retrieval System, EPA, OAR.

State Data Source

Aerometric Information Retrieval System, EPA, OAR.

Healthy People 2000 Objective

Adapted from 11.5 (Environmental Health).

Measure

Percent.

Baseline

12 (1997).

Numerator

Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for particulate matter in 1997.

Denominator

Number of persons.

Population Targeted

U.S. resident population.

Questions Used To Obtain the National Data

Not applicable.

Expected Periodicity

Annual.

Comments

See Comments provided with objective 8-1a for more information.

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8-1c.      Carbon monoxide.

National Data Source

Aerometric Information Retrieval System, EPA, OAR.

State Data Source

Aerometric Information Retrieval System, EPA, OAR.

Healthy People 2000 Objective

Adapted from 11.5 (Environmental Health).

Measure

Percent.

Baseline

19 (1997).

Numerator

Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for carbon monoxide in 1997.

Denominator

Number of persons.

Population Targeted

U.S. resident population.

Questions Used To Obtain the National Data

Not applicable.

Expected Periodicity

Annual.

Comments

See Comments provided with objective 8-1a for more information.

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8-1d.      Nitrogen dioxide.

National Data Source

Aerometric Information Retrieval System, EPA, OAR.

State Data Source

Aerometric Information Retrieval System, EPA, OAR.

Healthy People 2000 Objective

Adapted from 11.5 (Environmental Health).

Measure

Percent.

Baseline

5 (1997).

Numerator

Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for nitrogen dioxide in 1997.

Denominator

Number of persons.

Population Targeted

U.S. resident population.

Questions Used To Obtain the National Data

Not applicable.

Expected Periodicity

Annual.

Comments

See Comments provided with objective 8-1a for more information.

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8-1e.      Sulfur dioxide.

National Data Source

Aerometric Information Retrieval System, EPA, OAR.

State Data Source

Aerometric Information Retrieval System, EPA, OAR.

Healthy People 2000 Objective

Adapted from 11.5 (Environmental Health).

Measure

Percent.

Baseline

2 (1997).

Numerator

Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for sulfur dioxide in 1997.

Denominator

Number of persons.

Population Targeted

U.S. resident population.

Questions Used To Obtain the National Data

Not applicable.

Expected Periodicity

Annual.

Comments

See Comments provided with objective 8-1a for more information.

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8-1f.       Lead.

National Data Source

Aerometric Information Retrieval System, EPA, OAR.

State Data Source

Aerometric Information Retrieval System, EPA, OAR.

Healthy People 2000 Objective

Adapted from 11.5 (Environmental Health).

Measure

Percent.

Baseline

<1 (1997).

Numerator

Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for lead in 1997.

Denominator

Number of persons.

Population Targeted

U.S. resident population.

Questions Used To Obtain the National Data

Not applicable.

Expected Periodicity

Annual.

Comments

See Comments provided with objective 8-1a for more information.

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8-1g.      Total number of people.

National Data Source

Aerometric Information Retrieval System, EPA, OAR.

State Data Source

Aerometric Information Retrieval System, EPA, OAR.

Healthy People 2000 Objective

Adapted from 11.5 (Environmental Health).

Measure

Number.

Baseline

119,803,000 (1997).

Numerator

Number of persons living in areas that exceed the National Ambient Air Quality Standards (nonattainment areas) for either ozone, carbon monoxide, nitrogen dioxide, sulfur dioxide, particulate matter 10 or 2.5, or lead.

Denominator

Not applicable.

Population Targeted

U.S. resident population.

Questions Used To Obtain the National Data

Not applicable.

Expected Periodicity

Annual.

Comments

See Comments provided with objective 8-1a for more information.

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8-2.

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Increase use of alternative modes of transportation to reduce motor vehicle emissions and improve the Nation’s air quality.

8-2a.      Trips made by bicycling.

National Data Sources

National Center for Bicycling and Walking; Nationwide Personal Transportation Survey (NPTS), DOT, FHWA.

State Data Source

Nationwide Personal Transportation Survey (NPTS), DOT, FHWA.

Healthy People 2000 Objective

Not applicable.

Measure

Percent.

Baseline

0.9 (1995).

Numerator

Number of trips taken by bicycling.

Denominator

Total number of trips.

Population Targeted

U.S. civilian noninstitutionalized population.

Questions Used To Obtain the National Data

From the 1995 Nationwide Personal Transportation Survey:



Now I have some questions about all trips (you/Person) took (yesterday/on Travel Day), (including long trips that may have already been reported). For these questions, a “trip” is any time (you/Person) went from one address to another by car, bus, walking, bicycling, or some other means. For example, if you leave work, stop at the store, and then continue home that would be two trips C one to the store and one from the store to home.



Ø       Did (you/Person) go anywhere (yesterday/on Travel Day)?



(Excluding the trips taken as a regular part of the job), please tell me everywhere (you/Person) went (yesterday/on Travel Day). Remember, we want to know about any time (you/Person) went from one place to another for any purpose.



Ø       Where did (you/Person) go first (yesterday/on Travel Day)?



Ø       When (you/Person) left (Destination) where did (you/Person) go next?

Repeat question until no more trips....



For nonsegmented trips:

Ø       How did (you/Person) get to (Destination)? That is, what means of transportation did (you/Person) use for this trip?

Bicycle                                Bus     
Elevated rail                        Subway
Walking                              Streetcar or trolley
Commuter rail

For multisegment trips:

Ø       What means of transportation did (you/Person) use for the (first/next) part of this trip to (Destination)?

Bicycle                                Bus     
Elevated rail                        Subway
Walking                              Streetcar or trolley
Commuter rail

Continue for additional segments...

Expected Periodicity

Periodic.

Comments

The number of trips is the sum of nonsegment trips plus each part of a multisegment trip. The 1995 NPTS characterizes a trip” as travel to a destination (for example, worksite). Travel to work, for instance, that includes two stops along the way (trip chains) would constitute three trips.



NPTS is a household survey that uses resident logs of their trips; data are collected every 5 years. The 1995 NPTS sample design provided a scientific sample of households with telephones in the United States, covering all 50 States and the District of Columbia. The sample was stratified by geography and time so that the data collection would be dispersed nearly uniformly throughout the country and across the data collection period. The sampling was also controlled by day of week to capture variations in personal travel within a week. A Mitofsky-Waksberg random-digit-dialing design was used to select the sample telephone numbers, both listed and unlisted.



Demographic data for each household member included age, sex, and race of the household reference person (person who owned or rented the home), and the relationship of each household member to the reference person, annual combined household income, and education. The travel day was defined as beginning at 4:00 a.m. on the designated day and ending at 3:59 a.m. on the following day.



The data for this objective are different from those for objective 22-15 in the Physical Activity and Fitness focus area because the Physical Activity and Fitness objective specifies distance and age; the data presented for this objective do not include these restrictions.



See Appendix A for focus area contact information.


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8-2b.      Trips made by walking.

National Data Sources

National Center for Bicycling and Walking;  Nationwide Personal Transportation Survey (NPTS), DOT, FHWA.

State Data Source

Nationwide Personal Transportation Survey (NPTS), DOT, FHWA.

Healthy People 2000 Objective

Not applicable.

Measure

Percent.

Baseline

5.4 (1995).

Numerator

Number of trips taken by walking.

Denominator

Total number of trips.

Population Targeted

U.S. civilian noninstitutionalized population.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with objective 8-2a.

Expected Periodicity

Periodic.

Comments

See Comments provided with objective 8-2a for more information.

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8-2c.      Trips made by transit.

National Data Sources

National Center for Bicycling and Walking;  Nationwide Personal Transportation Survey (NPTS), DOT, FHWA.

State Data Source

Nationwide Personal Transportation Survey (NPTS), DOT, FHWA.

Healthy People 2000 Objective

Not applicable.

Measure

Percent.

Baseline

1.8 (1995).

Numerator

Number of trips taken by transit.

Denominator

Total number of trips.

Population Targeted

U.S. civilian noninstitutionalized population.

Questions Used To Obtain the National Data

See Questions Used To Obtain the National Data provided with objective 8-2a.

Expected Periodicity

Periodic.

Comments

Transit is defined as having used bus, elevated rail, subway, commuter rail, or streetcar or trolley. See Comments provided with objective 8-2a for more information.

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8-2d.      (Developmental) Persons who telecommute.

Comments

An operational definition could not be specified at the time of publication.



The proposed data source for people who telecommute will be available from the Federal Highway Administration through 2010.



See Appendix A for focus area contact information.

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8-3.

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Improve the Nation’s air quality by increasing the use of cleaner alternative fuels.