1. Kids Count in Michigan Data Book 2007 Focus on healthy children and youth

2. Kids Count in Michigan Data Book 2007: Context 27 th among the 50 states – at or near national average on 8 of 10 measures 36% increase in child poverty between 2000 and 2005 $4 billion in cuts to state budget since 2000 Persistent structural deficit

3. Global Economy – Child Well-Being in the U.S. 21st in Health and Safety  2nd highest infant mortality rate - ideal of protecting every pregnancy  2nd highest death rate of children under 18 due to accident or injury 20th in Family and Peer Relationships 20th in Behaviors and Risk

4. Mission of Kids Count in Michigan To improve the status of children, youth and families Kids Count in Michigan collects and disseminates data as a basis for –public policy development and –community action.

5. Healthy People 2010 a set of health objectives for the nation to achieve over the first decade of the new century.

6. Two Overarching Goals of HP 2010 Increasing the –quality and –years of life and Eliminating disparities in health outcomes.

7. 18 objectives for children and youth Decision Criteria Kids Count indicator e.g. infant mortality, teen deaths, low-birthweight, child abuse/neglect victims Variations thereof – teen pregnancies (ages 15-17), prenatal care first trimester, child deaths Background indicators – hospitalizations for asthma, lead poisoning Critical areas with state data: mental health, nutrition, exercise, substance abuse, and tobacco

8. Target met—three indicators Immunization of toddlers Teen pregnancies Physical fights

9. Michigan reached Healthy People 2010 target for immunized toddlers in 2002.

11. Michigan met Healthy People 2010 target for teen pregnancies, but racial disparities remained in 2005.

13. Michigan rate for physical fights among teens reached Healthy People 2010 target, but racial and gender disparities persisted.

14. Substantial improvement Binge drinking Tobacco use

15. Binge drinking among Michigan adolescents declined for most groups, but the state rate remained double the Healthy People 2010 target.

16. Michigan neared the Healthy People 2010 target for tobacco use among adolescents with declines for most groups in the early half of the decade.

17. Worsening—four indicators Low-birthweight babies Overweight among high school students Vigorous exercise Confirmed victims of abuse/neglect

18. The low-birthweight rate in Michigan remained higher than the Healthy People 2010 target in the first half of the decade, and racial disparity persisted.

20. The share of overweight adolescents in Michigan increased and remained much higher than the Healthy People 2010 target.

21. Adolescents in Michigan overall made no progress towards the Healthy People 2010 target for time spent each week participating in vigorous physical activity.

22. The overall Michigan child maltreatment rate remained close to the Healthy People 2010 target, but large disparities persisted between racial groups.

23. Little or no progress (less than 4 percent) Infant mortality Asthma Young child deaths (ages 1-4) Prenatal care

24. Michigan made little progress in moving its infant mortality rate to Healthy People 2010 target.

25. The 2005 hospitalization rate of young children in Michigan for asthma remained almost twice as high as the Healthy People 2010 target.

26. Child death rates among young children in Michigan remained above the Healthy People 2010 target, and large disparities persisted by race.

27. Michigan lags on progress towards Healthy People 2010 target for timely prenatal care.

29. Nine indicators require 35 percent improvement or more between 2005 and 2010

30. In 2006 Michigan remained far from Healthy People 2010 target of no lead-poisoned children.

31. Testing for lead among children under age 7 almost doubled between 2000 and 2006.

32. Summary and Recommendations Make child health a priority. Striking disparities must be addressed. Invest in families and communities.