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Global Health Data Details

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  • GH-1 Reduce the number of cases of malaria reported in the United States

    About the Data

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    number
    Baseline (Year): 
    1,298 (2008)
    Target: 
    999
    Target-Setting Method: 
    Projection/trend analysis
    Target-Setting Method Justification: 
    Worldwide malaria control efforts have increased. Information on malaria cases reported in the United States since 2000 was used to predict how fast the number of cases could fall. By 2020, malaria cases in the United States were projected to be less than 1,000. However, since 2011 after the initial target was set, the number of cases has been steadily increasing. This trend may have an impact on reaching the projected target.
    Numerator: 

    Number of confirmed new cases of malaria reported to CDC by local health departments

    Comparable Healthy People 2010 Objective: 
    Not applicable
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      A confirmed case definition for malaria is available from CDC.

      Although both the NNDS and the NMSS rely on passive reporting, the numbers of reported cases reported by each data system may differ because of differences in data collection and transmission procedures. A major difference between the data collected by these two systems is that NMSS receives more detailed clinical and epidemiologic data regarding each case (e.g., travel information for the infected person). Data for for this objective are an aggregate of cases reported to CDC by these systems.

    Revision History

    Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

    Description of Changes Since the Healthy People 2020 Launch: 
    In 2016, GH-1 was archived.

    References

    Additional resources about the objective

  • GH-2 Reduce the tuberculosis (TB) case rate for foreign-born persons living in the United States

    About the Data

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    per 100,000
    Baseline (Year): 
    20.4 (2008)
    Target: 
    14.0
    Target-Setting Method: 
    Projection/trend analysis
    Target-Setting Method Justification: 
    The rate of tuberculosis (TB) disease in the foreign-born population has declined more slowly than the rate of the U.S.-born population. The proportion of U.S. TB cases among foreign-born persons has increased each year since 1993, reflecting high rates of TB in countries of origin for U.S. immigrants. During the same time period, the proportion of TB among U.S.-born persons has fallen. U.S. efforts to combat TB must include initiatives tailored to the foreign-born population in order to achieve a significant decline in the overall rate of TB disease. The National Tuberculosis Surveillance System collects data annually. Information should be available for each year from 2010–20, allowing for changes and trends to be identified in a timely manner.
    Numerator: 

    Number of confirmed new cases of tuberculosis among the foreign-born population reported to CDC by health departments in all 50 States and the District of Columbia

    Denominator: 

    Number of foreign-born persons

    Comparable Healthy People 2010 Objective: 
    Not applicable
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      A confirmed case definition for tuberculosis is available from CDC. Data are based on the CDC report of verified case of Tuberculosis, Form 72.9A, Rev.05/93, and Forms 72.9B-C.

      Foreign-born persons (i.e., persons residing in the U.S. but who were not born in the U.S.) bear a disproportionate burden of TB disease in the U.S.

    Revision History

    Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

    Description of Changes Since the Healthy People 2020 Launch: 
    In 2013, the original baseline was revised from 20.2 cases per 100,000 population to 20.4 cases per 100,000 population due to surveillance data updates. The target was not adjusted. In 2016, GH-2 was archived.

    References

    Additional resources about the objective

    1. CDC Case Definition.

    2. Reported Tuberculosis in the United States, 2011.

  • GH-3 Increase the number of Global Disease Detection (GDD) Regional Centers worldwide to detect and contain emerging health threats

    About the Data

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

    Data Source: 
    Global Disease Detection Program
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    number
    Baseline (Year): 
    7 (2009)
    Target: 
    18
    Target-Setting Method: 
    Maintain consistency with national programs, regulations, policies, and laws.
    Target-Setting Method Justification: 
    Global Disease Detection (GDD) Centers are based in Central America (Guatemala), Eastern Africa (Kenya), South Africa (South Africa), the Middle East (Egypt), India, Bangladesh, China, and Southeast Asia (Thailand). Two centers are in development in the Caucuses (Kazakhstan) and Republic of Georgia. Significant geographic gaps in disease surveillance coverage limit the ability of the United States and its international partners to rapidly detect and contain emerging health threats. The long-term goal for the GDD program is to establish three GDD centers in each of the six World Health Organization Regions.
    Numerator: 

    Number of countries that have a Global Disease Detection (GDD) Regional Center worldwide to detect and contain emerging health threats

    Comparable Healthy People 2010 Objective: 
    Not applicable
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      The long-term goal for GDD is 18 Regional Centers operating at full capacity.

    Revision History

    Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

    Description of Changes Since the Healthy People 2020 Launch: 
    In 2012, the target was revised from 13 centers to 18 centers based on the re-examination of program data.
  • GH-4 Increase the number of public health professionals trained by Global Disease Detection (GDD) programs worldwide

    About the Data

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

    Data Source: 
    Global Disease Detection Program
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    number
    Baseline (Year): 
    37,221 (2009)
    Target: 
    300,000
    Target-Setting Method: 
    Projection/trend analysis
    Target-Setting Method Justification: 
    The Global Disease Detection (GDD) program operates Regional Centers in seven countries around the world. Between 2006 and 2010, fully operational GDD Regional Centers provided short-term training for an average of 2,000 public health professionals per year per Regional Center. GDD aims to establish a total of 18 Regional Centers, 3 per World Health Organization Region. This target is projected based on the assumption that GDD Regional Centers are established at a rate of one per year and allows for an average of 1 year for the Regional Center to be fully staffed and operational.
    Numerator: 

    The number of participants, both national and regional/international, who completed short-term public health training programs

    Comparable Healthy People 2010 Objective: 
    Not applicable
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      Public health training topics include epidemiology and laboratory, rapid response, general and all hazards preparedness, International Health Regulations, health/risk communications, and others.

    Revision History

    Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

    Description of Changes Since the Healthy People 2020 Launch: 
    In 2012, the original baseline was revised from 37,132 to 37,221 public health professionals trained by GDD programs worlwide due to the re-examination of program data. The target was adjusted from 144,132 to 300,000 trained by GDD programs worlwide using the original target-setting method.
  • GH-5 Increase diagnostic testing capacity in host countries and regionally through the Global Disease Detection (GDD) Regional Centers

    About the Data

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

    Data Source: 
    Global Disease Detection Program
    Changed Since the Healthy People 2020 Launch: 
    Yes
    Measure: 
    number
    Baseline (Year): 
    156 (2009)
    Target: 
    1,000
    Target-Setting Method: 
    Projection/trend analysis
    Target-Setting Method Justification: 
    This measure represents increased capacity to conduct pathogen-specific tests either within the host country Ministry of Health, other Ministries of Health within the region, or the GDD Regional Center. It measures the number of diagnostic tests established for the first time, or significantly improved laboratory testing capacity.
    Numerator: 

    The number of pathogen-specific tests for which Global Disease Detection (GDD) Regional Centers build capacity

    Comparable Healthy People 2010 Objective: 
    Not applicable
    Data Collection Frequency: 
    Annual
    Methodology Notes: 

      This measure assesses testing capacity in-country –either within the ministry of health, the region, or the GDD Center. Testing capacity includes the number of tests established for the first time, as well as tests that are substantially improved (even though the test may be for a pathogen for which different testing existed before).

    Revision History

    Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

    Description of Changes Since the Healthy People 2020 Launch: 
    In 2012, the baseline was revised from 154 pathogen-specific tests to 156 pathogen-specific tests due to the re-examination of program data. The target was adjusted from 264 pathogen-specific tests to 1,000 pathogen-specific tests using the original target setting method of projection/trend analysis.