1. A Profile of Chronic Disease in Nevada Tracey Green, MD Nevada State Health Officer January 9-10 2012 Shaping a Healthy Nevada: Making a Difference in Chronic Disease Prevention and Health Promotion

2. Overview  Characteristics  Status  Burden  Mortality  Prevalence  Risk Factors  Chronic Disease by:  Location  Gender  Race/Ethnicity  Nevada and National Rates – Health People 2020

3. Chronic Disease Characteristics  Most prevalent, costly, and preventable  Complex causality  Multiple risk factors  Behavioral  Environmental  Social  Genetics  Long latency period  Prolonged course of illness  Do not resolve spontaneously  Ongoing healthcare and treatment  High cost  High disability rates  Responsible for wide gap of health disparity among racial/ethnic groups  Deteriorating quality of life  High mortality rates Source: CDC 2011

4. Source: Nevada Electronic Death Registry 2011

5. Five Chronic Diseases Cause > 62% of Deaths in Nevada Source: Nevada Electronic Death Registry 2011

6. Mortality Due to 5 Chronic Diseases* by Gender - Nevada 2010 * Heart Disease, Cancer, Stroke, DM, and COPD Source: Nevada Electronic Death Registry 2-11

7. Mortality Due to 5 Chronic Diseases* by Location - Nevada 2010 * Heart Disease, Cancer, Stroke, DM, and COPD Source: Nevada Electronic Death Registry 2011

8. Mortality Due to Chronic Disease* by Race/Ethnicity - Nevada 2010 Source: Nevada Electronic Death Registry 2011 * Heart Disease, Cancer, Stroke, DM, and COPD Age-adjusted Death Rate per 100,000 (US Standard Population 2000)

9. Chronic Disease* Five Years Mortality Trends Nevada – 2010 * Heart Disease, Cancer, Stroke, DM, and COPD Age-adjusted Death Rate per 100,000 (US Standard Population 2000) Year Source: Nevada Electronic Death Registry

10. Age-adjusted Death Rate per 100,000 (US Standard Population 2000) Disease Source: Nevada Electronic Death Registry and CDC 2010

11. Chronic Disease Five Years Prevalence Trends Nevada - 2010 Percentage Year Source: BRFSS 2010

12. Five Chronic Disease Hospitalization by Age Group – Nevada 2010 Source: Nevada Hospital Discharge Database 2010

13. Source: BRFSS 2010 Percentage Disease

14. Coronary Heart Disease Prevalence Five Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010

15. Myocardial Infarction Disease Prevalence Five Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010

16. Diabetes Prevalence Five Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010

17. Asthma Prevalence Five Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010

18. Stroke Prevalence Five Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010

19. Prostate Cancer Prevalence* Five Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010 *Prostate cancer questions are asked every other year on BRFSS

20. Prevalence of Chronic Disease Risk Factors Five Years* Trend - Nevada 2010 * Only 2 years of high blood cholesterol and hypertension prevalence Percentage Year Source: BRFSS 2010

21. Percentage Risk Factor Source: BRFSS 2010

22. Tobacco Smoking Prevalence Five Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010

23. Overweight Prevalence Five Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010

24. Physical Inactivity Prevalence Five Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010

25. Hypertension Prevalence* Two Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010 *Hypertension questions are asked every other year on BRFSS

26. High Blood Cholesterol Prevalence* Two Years Trend by Race/Ethnicity - Nevada 2010 Percentage Race/Ethnicity Source: BRFSS 2010 *High blood Cholesterol questions are asked every other year on BRFSS

27. Percentage Risk Factor Source: BRFSS 2010

28. Percentage Risk Factor Source: BRFSS 2009

29. Source: Nevada Hospital Discharge Database 2010

31. Chronic Disease Hospitalization Cost - Nevada 2010

32. More than 1 in 5 Has Multiple Chronic Disease Conditions 21% Prevalence of Multiple Chronic Disease Conditions Source: UNR & Wu, Shin-Yi and Green, Anthony. Projection of Chronic Illness Prevalence October 2010 Number of Chronic Conditions Percentage of Nevadans

33. Thank You QUESTIONS QUESTIONS

34. Dr. Tracy Green, MD State Health Officer Nevada State Health Division 4150 Technology Way Carson City, Nevada 89706 Phone: (775) 684-4200