Healthy People 2000 Citizens Chart the Course (1990) / Chapter Skim
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27 Other Chronic Diseases and Disabling Conditions
27 Other Chronic Diseases and Disabling Conditions
Pages 196-203
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From page 196... ...
As Matthew Liang of Harvard Medical School observes, "Although each disease has its unique biology, the impact each has on the patients' energy, psychological and physical functioning, emotional state, and productivity is similarly pervasive and handicapping.n (#132) Patience Drake of the Michigan Department of Management and Budget and Robert Dolsen of the Statewide Health Coordinating Council emphasize that those with chronic diseases face special problems because the health care system is oriented toward acute disease and does not offer the necessary systematic response to all people with chronic needs for health services.
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From page 197... ...
The fracture rates, mortality, and cost are expected to double by the year 2000, according to testimony from Paul Miller of the University of Colorado Health Sciences Center.4 (#367J Witnesses reported that primary reductions In bone mass (i.e., reductions not associated with another condition or medication) are a result of aging and decreased estrogen levels due to menopause.
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From page 198... ...
198 Healthy People 2000: Citizens Chart the Course Wayne Tsuji of the Washington State Arthritis Foundation emphasizes primary prevention approaches to osteoarthritis. He notes that risk factors for the condition include advancing age, obesity, injuries, adverse workplace environment, and hip dysplasia Preventive strategies should be directed toward reducing these risk factors, where possible.
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From page 199... ...
Glenna JojolaEllison of the All Indian Pueblo Council calls for a 50 percent reduction in the incidence of diagnosed otitis media by the year 2000. Her strategy for reducing the incidence and severity of the condition includes improved prenatal care, development of highrisk registries, encouragement of breast-feeding or discouragement of bottle propping, isolation of sick children in day-care/group baby-sitting environments, and eliminating exposure to cigarette smoke.
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From page 200... ...
Hupp calls for a 60 percent reduction in the incidence of legal blindness due to diabetes by the year 2000; this can be achieved if all segments of the population receive eye exams early enough to detect problems when they are treatable. Hupp notes that large numbers of diabetics-especially indigent people-are not receiving regular eye exams and says that physicians should be educated about new eye treatments for diabetes patients.
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From page 201... ...
On the biomedical side, the AAMR seeks increased support for immunization programs, prenatal care, mandatogr lead screening, and other interventions aimed at reducing the incidence of mental retardation. f#O45J Several 1990 Objectives are aimed at preventing mental retardation, and Sharon Davis, representing the Association for Retarded Citizens of the United States, urges that these be updated and retained in the Year 2000 Health Objectives.
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From page 202... ...
152 Monaghan, Susan; Hunter Bellevue School of Nursing 198 Sheps, Cecil; American Public Health Association 213 Tumblin, John; American Optometric Association 214 Turner, Suzanna; National Osteoporosis Foundation 261 Thomas, John and Neser, William; Mehar~y Medical College 265 Hupp, Saunders; University of South Alabama 281 Greenwald, Maria; Universitr of California, Los Angeles 332 Chestnut, III, Charles; University of Washington 339 Tsuji, Wayne; Washington State Arthritis Foundation 361 Downs, Marion; University of Colorado Health Sciences Center 367 Miller, Paul; University of Colorado Health Sciences Center 373 Lappin, Debra; National Arthritis Foundation 396 Sparks, Shirley; Western Michigan Universi~ 410 Hawthorne, Victor; University of Michigan 420 Drake, Patience; Michigan Department of Management and Budget and Dolsen, Robert; Statewide Health Coordinating Council 424 Lusk, Sally; University of Michigan 433 Marge, Michael; Syracuse University 202 Healthy People 2000: Citizens Chart the Course
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From page 203... ...
Michael; Kelsey-Seybold Clinic 699 Porte, Jr., Daniel; Seattle Veterans Administration Medical Center 720 Kleinstein, Robert; University of Alabama at Birmingham 732 Hill, Nina; International Center for the Disabled 758 Whitener, John; American Public Health Association, Vision Care Section 794 Katzman, Robert; University of California, San Diego Other Chronic Diseases and Disabling Conditions 203
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