1. Surgeon General’s Global Health Priority David Satcher, M.D., Ph.D. Assistant Secretary for Health & Surgeon General National Aeronautics & Space Administration January 14, 2000

2. Surgeon General’s Health Priorities _______________ Balanced Approach to Community Health Elimination of Racial and Ethic Disparities in Health Status Global Approach to Health Promotion and Disease Prevention

3. Balanced Approach to Community Health _________________ Healthy Start for Every Child Promoting Health Lifestyles Balance Prevention with treatment Access to Quality Care Mental Health

4. Elimination of Racial and Ethnic Disparities in Health Status __________________________ Infant Mortality HIV/AIDS Cancer Screening and Management Diabetes Adult and Child Immunizations Cardiovascular Disease

5. Global Approach to Health Promotion and Disease Prevention ________________ Polio Eradication Emerging and Reemerging Infectious Diseases (ERIDs) HIV/AIDS Tuberculosis Malaria Bioterrorism Blood Safety Tobacco Control and Prevention Violence and Injury Prevention

6. Global Health Priority Multilateral Partners _________________ World Health Organization Pan American Health Organization Western Pacific Regional Office United Nations Children’s Fund United Nations Program on HIV/AIDS United Nation Population Fund United Nations High Commissioner for Refugees World Bank

7. Global Health Priority Bilateral Partners ________________ South Africa Gore-Mbeki Commission Heath Working Group chaired by the Assistant Secretary for Health and Surgeon General Russia Gore-Putin Commission Health Committee chaired by the Administrator of the Agency for Healthcare Research and Quality

8. Global Health Priority Bilateral Partners ______________ India Indo-United States Vaccine Action Program Japan United States-Japan Common Agenda Mexico United States-Mexico Binational Commission United States-Mexico Border XXI Program United States-Mexico Border Health Commission

9. Global Health Priority Accomplishments ______________ Cooperation with the Institute of Medicine on Creating a High Profile for Global Health Surgeon General’s Columns on Global Health in the Journal of the American Medical Association

10. Global Health Priority Polio Eradication Initiative _________________ World Poliovirus 1988 moreWorld Poliovirus 1998 less

11. Global Health Priority ERIDS Initiative _________________ HIV/AIS Tuberculosis Malaria Bioterrorism Blood Safety

12. Global Health Priority ERIDS Initiative-HIV/AIDS ____________ North America 890,000 Caribbean 330,000 Latin America 1.4 million Western Europe 500,000 North Africa & Middle East 210,000 Sub-Saharan Africa 22.5 million Eastern Europe & Central Asia 270,000 East Asia & Pacific 560,000 South & South-East Asia 6.7 million Australia & New Zealand 12,000 Total HIV Infections = 33.4 Million

13. Global Health Priority ERIDS Initiative -Tuberculosis _________________ Estimated Cumulative Tuberculosis CasesEstimated Cumulative Tuberculosis Deaths 1990 - 19991990 - 1999Eastern Europe 2,020,000302,000 North America Western Europe East Asia & Pacific 320,000 1,110,000 20,460,00022,000 70,000 7,162,000 South & South-East AsiaJapan 35,140,000577,00012,300,00042,000North Africa & Middle East 7,502,0002,917,000 Latin America & CaribbeanSub-SaharanLatin America &CarribeanSub-Saharan 5,065,00015,012,0001,210,0005,945,000Australia & New Zealand 30,0002,000 Tuberculosis Cases Deaths 88 Million30 Million

14. Global Health Priority Tobacco Initiative ______________ 3.510MillionDeathsPerYear Atby Present2020-30 Tobacco Deaths in 1990 Tobacco Deaths in 2020

15. Global Health Priority Violence and Injury Initiative _______________Global Burden of Disease 19902020 1. Lower respiratory infections1. Unipolar major depression 2. Diarrheal diseases2. Road Traffic accidents 3. Perinatal conditions3. Ischemic heart disease 4. Unipolar major depression4. Chronic obstructive pulmonary disease 5. Tuberculosis5. Cerebrovascular disease 6. Measles6. Tuberculosis 7. Malaria7. Lower respiratory infections 8. Ischemic heart disease8. War 9. Congenital anomalies9. Diarrheal diseases 10. Cerebrovasular Disease10. HIV 11. Road traffics accidents11. Perinatal Conditions 12. Chronic obstructive pulmonary disease12. Violence 13. Falls13. Congenitial anomalies 14. Iron-deficiency anemia14. Self-inflicted injuries 15. Protein energy malnutrition15. Falls 16. War16. Bipolar disorder