| |
Name/ Organization | Summary of Comment |
| 1 |
Richard Riegelman, HP Curriculum Task Force |
Consortium of public health and clinical educators was put
together to address objective 1.7 of 2010. Have developed
recommendations and a framework for educational underpinnings to guide
educational users of 2020. Look at K-20. Built on 3 movements: health
literacy, undergrad pH evidence based practice. All three IOM
roundtables. Submitted a packet of information to give you more
background. Particularly undergraduate PH. |
| 2 |
Kelly Hipp, Director of PR, Optometric Assoc. |
Supports Healthy People vision statement. Concur with 4 goals.
2010 created much excitement and enthusiasm from optometry. Encouraged
collaboration at the local level, awards in excess of $800,000. Vision
disorders are an important public health issue. Eye diseases will
double by 2020. Healthy vision important to quality of life. Strongly
encouraged to maintain vision objective. |
| 3 |
Patra Stephan, National Abstinence Education |
Focus on emphasizing primary prevention and risk avoidance.
Abstinence education follows a risk avoidance strategy, while risk
reduction leaves kids at risk for risk. CDC recently revealed that 1
in 4 teenage girls has an STD. Move away from high risk behavior.
Sexually experienced teens enrolled in an abstinence program were more
likely to abstain than other teens. |
| 4 |
Robert Collins, on behalf of self |
Since 1980, this document has been a rallying point for the public
health community. Overall general health. Water fluoridation, dental
sealants. Young men in Maryland who died last year due to an untreated
tooth abscess. Formerly a dentist for the Indian Health Service. We
began to look at HP 2000 objectives and focused on dental sealants. We
looked on objective of 75 percent, we focused on it, and within a
period of 5 years we were at 74 percent. Encourage you to continue
oral health as part of HP 2020. |
| 5 |
Teresa Morrow, Women Against Prostate Cancer |
1 in 6 men diagnosed with prostate cancer during their lifetime.
Prostate cancer has huge impact on our society. The disease will cause
over 28000 deaths. Significant economic, physical, emotional costs.
Significant costs, especially when caught at later stages. When
detected early, highly treatable. HP 2020 goals should address. Gender
disparities in health do not affect men in isolation, but affect
entire families. Hope that HP 2020 will continue to address gender
disparities. |
| 6 |
Richard Hamburg, Trust for America's Health |
Provide common charge to feds, states, and local. Consider impact
of programs on PH. Coordinated partnership needed at all levels of
government. Goals and objective should be realistic, achievable,
assign responsibility. Intermediate indicators help collect data when
not available. Consider PH workforce. Goals for data collection about
needs, deficiencies. Definite financing needs for PH for the next
decade. Physical Activity, improved nutrition. Collecting necessary
data is important. In clinics and community, HP 2020 can serve as
important platform for research. Planning to release study in July,
happy to share findings. |
| 7 |
Dolph Chianchiano, National Kidney Foundation |
Kidney diseases relevant to multiple areas—21 million Americans
with diabetes. 21 million with chronic kidney diseases. Organization
of focus areas could omit kidney disease. Early detection of
asymptomatic individuals. Focus on primary prevention, but also
address issues for people with diagnosis. |
| 8 |
Laura Stokowski, National Nursing Network |
Nurses want change. Cultural shift to prevention in healthcare.
Proposed leadership should be coordinated by Office of the National
Nurse. Nurses have always done most of the health teaching for nurses,
goal is to keep people out of the hospital. Promote healthy
lifestyles, reduce disparities. National Nurse could be staffed by
chief nurse—should be within office of the Surgeon General. Strongly
believe we need a national nurse. |
| 9 |
Scott Williams, Men's Health Network |
Eliminate health disparities. Determine response to HP goal.
Currently based health resources. National phone, direct mail survey.
Feb to May, 2000—found that men's health issues are not addressed at
the same level as women's health. Statistics comparing women's health
resources, versus lack of men's health resources. |
| 10 |
Jason Spangler, Partnership for prevention |
Greatest health benefit, least cost value. Underuse of effective
preventive care is a wasted opportunity. Measures used to assess
preventive services need to be consistent with those of US Clinical
Services Task Force. Community preventive services—particularly policy
and environmental organizations—should be included. Many societal
conditions include cultural environmental parental. Significant pH
advances have happened through policy interventions. Enormous impact
on ph. |
| 11 |
Janet Leigh, HIV Dental Care, New Orleans |
Continue oral health measures in HP 2020. Addressing health care
workforce issues. Dental caries remains a significant issue for people
who are living in poverty. People with HIV—oral health care a major
unmet need. In Louisiana, goals set forth in 2010 HIV positive
individuals. HIV primary care facilities integrate oral health care. |
| 12 |
Cris Mulford, US Breastfeeding Committee |
Work collaboratively on breast feeding as a primary prevention
strategy. Turned in a written statement. We like your draft vision,
mission, goals, and like the framework organize around environmental
risk factors. Breast is best. Promote healthy behaviors like optimal
infant feeding. Agree with making PH community your target audience.
HP has been very important for us. It has been 30 years since 1979 and
we've finally hit 75 percent initiation, but there are huge disparities. |
| 13 |
Mary Louise Embrey, National Association of School Nurses |
School nurses want to influence the vision, goals of HP because
when children are reached, adult health goals are advanced. School
nurses interested in 8 areas 1) research 2) wellness 3) safety net 4)
emergency prep 5) reducing health disparities. |
| 14 |
Barbara Kornblau, Special Olympics |
Activities for children and adults with disabilities. Almost
550,000 athletes with disabilities participated in sports
competitions. Research shows that people with intellectual
disabilities have poorer health. Health equity and health disparities
are a significant issue for people with intellectual disabilities.
Definition of health equity. Consider individuals with intellectual
disabilities in discussion. |
| 15 |
Rebecca Fox, LGBT Health |
Excited by your original definition that listed sexual orientation
and gender identity in definition. No data being collected on this
population in any survey. African American teen moms who are LGBT have
higher rates of repeat pregnancies. African American LGBT men with HIV
astronomically higher rate. Conversations around family. Don't organize indicators around heterosexual Americans with children. If
you're going to measure family health, measure things like communication,
access to a parental figure. |
| 16 |
Dawn Jacobson, LA County |
Focus on the end-user to improve understanding of measures. I
think terms can be very confusing. Separate structure is needed that
lays that out clearly, such as the 10 essential services. Lay out what
we achieve, versus what we do. The way HP 2010 is structured now, when
you're trying to link what we achieve and what we do l, policy
interventions, taxes that we raise, it's challenging. |
| 17 |
Keith Whyte, Problem Gambling |
Problem gambling is a significant public health issue because of
its co-morbidities. Problem gamblers are five times more likely to be
alcohol dependent, suffer from anxiety disorder, depression, suicide,
substance abuse. They experience tolerance withdrawal craving, chronic
relapses. Significantly correlated with other issues. |
