1. Maternal and Child Health and Chronic Disease Donna F. Stroup, PhD., M.Sc. Acting Director Coordinating Center for Health Promotion

3. Finding Maternal and Child Health at CDC

4. Kidney disease 05101520 Tobacco Poor diet/Physical inactivity Alcohol consumption Microbial agents Toxic agents Firearms Sexual behavior Motor vehicles Illicit drug use Percentage (of all deaths) Heart Disease Cancer Chronic lower respiratory disease Unintentional Injuries Pneumonia/influenza Diabetes Alzheimer’s disease Stroke Percentage (of all deaths) 05101520253035 * Miniño AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: final data for 2000. National Vital Statistics Reports 2002; 50(15):1-120. † Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291(10):1238-1246. Actual Causes of Death † Causes of Death United States, 2000 Leading Causes of Death*

5. Leading Causes of Disability Among Persons Aged 15 Years and Older United States, 1999 Source: CDC. MMWR 2001;50(7):120–5 Arthritis or rheumatism Back or spine problem Heart trouble Lung or respiratory trouble Deafness or hearing trouble Stiffness or deformity of limb Mental or emotional problem Diabetes Blindness or other visual impairment Stroke

8. Diabetes in Pregnancy … A vicious cycle Mother with diabetes Child or woman Infant of with diabetes diabetic mother

9. Projected Trends in Prevalence of Diagnosed Diabetes Among Women by Age, 2000 to 2050 Boyle JP, et al. Diabetes Care 2001

10. Prevalence of Cigarette Smoking During Pregnancy, 1989-1999 Percent Note: Percentage excludes live births for mothers with unknown smoking status. Sources: National Center for Health Statistics 1992, 1994; Ventura et al. 1995, 1997, 1999, 2000.

11. Percentage of High School Youth Who Are Current * Cigarette Smokers, YRBSS † Adapted from MMWR 2002;51(19):409–12 *Current Use = self-reported use of at least 1 time in past 30 days †Youth Risk Behavior Surveillance System All Races

12. Public Health has a Critical Role to Play Something Can Be Done ….

13. CDC’s Role Data for Decision Makers Funding for Communities Prevention Research Tools National Leadership

15. What You Can Do: Educate the public Educate policy makers Influence community institutions Influence the health care system

16. Imagine a World …….

19. An Invitation to Collaborate