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March 2008

in this issue

Prevention and Wellness

Sexually Transmitted Diseases

Obesity

Nutrition and Physical Activity

Immunizations

Insurance Coverage Trends and the Uninsured

HIV and AIDS

Health Disparities

Nutrition

Recent Reports


 

State Health Policy Resources
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PBS Series Explores Health Disparities, Effect of Socioeconomic Status on Health
Thursday March 27at 10 p.m. PBS stations will begin airing a four-part documentary titled, "Unnatural Causes: Is Inequality Making Us Sick?" The series will feature issues such as the health status of Hispanic immigrants, how racial discrimination can lead to chronic stress that affects blacks, how job insecurity has affected residents of western Michigan, Type 2 diabetes prevalence among two American Indian communities in Arizona, and a gap in life expectancy between wealthy and working-class neighborhoods in Louisville, KY. Click here to find more information about the series.

Ask the Experts: Tax Subsidies and Health Insurance
In this webcast, experts reviewed the current system of employer-sponsored insurance tax preferences, discussed how subsidies for non-group coverage might work and addressed the proposals to change that structure including those advocated by the presidential candidates. Click here to access the transcript and podcast of this webcast.

Health Reform Forum: Are Individual Mandates the Answer?
This first of four health-policy forums hosted by the National Federation of Independent Business focuses on the pros, cons and effects of individual mandates in health care markets. Click here to access video of this webcast.

Today's Topic in Health Disparities- Immigration and Health Care: What are the Policy Choices?
This webcast discusses the influence that immigration policies have on federal and state decisions about access to health care and coverage. The panel discusses the health coverage and access to care challenges legal and undocumented immigrants are facing in this country and how state and local governments and health providers differ in their approaches to addressing the health care needs of recent immigrants. Click here to access the transcript and podcast of this webcast.

Recent State Legislation Reports
2007 Trends in State Public Health Legislation
Summaries and lists of state bills in more than 15 public health issue areas including chronic disease prevention, health disparities, oral health, HIV/STD prevention and immunizations.

Talking Points For State Legislators
Click here to get a quick and handy two-page overview of major state public health issues including: Youth Obesity and Wellness, School Health, Adult Obesity, Wellness and Prevention, Smoking Prevention, Health Disparities, Heart Disease and Stroke Prevention, HIV/AIDS and STD Prevention and Immunizations

Legislator Policy Briefs
Concise summaries of key public health issues, including advice from state legislators, how to get involved in your state and programs that work. Click here to access to legislator policy briefs on topics such as Obesity, Smoking Prevention, School Health, Wellness and Prevention, Health Disparities, Heart Disease & Stroke Prevention, HIV/AIDS and STD Prevention and Immunizations.

Tool Kits
Tool Kit: Preventing Colorectal Cancer
This Tool Kit informs state policymakers about colorectal cancer prevention in people over 50, including state legislation examples and cost-effective strategies for states.

Graduated Driver Licensing (GDL)
Find out why GDL laws are needed and what state legislators can do to save lives by improving their state's laws for teenage drivers.

Preventing HIV/AIDS and Sexually Transmitted Diseases (STDs)
Describes disparities in STDs and includes a checklist for state legislators on how to support STD prevention.

Trends Alerts:
Costs of Chronic Diseases: What Are States Facing?

Using Sound Science to Prevent Chronic Disease: State Policy Implications

Targeting Low Immunization Rates in Adolescents

State Official's Guide to Wellness


  • Prevention and Wellness
  • National: Organizations Emphasize Wellness Initiatives
    The Chicago-based insurance company Health Care Services Corp. is stepping up its efforts to encourage wellness with the launch of a variety of initiatives. The company is integrating wellness programs into basic health benefits packages, developing campaigns to educate children and their families about healthy lifestyles, and supporting the development of databases to track the progress of local and statewide obesity prevention efforts.

    Click here to access our new publications Workplace Wellness Legislator Policy Brief and Talking Points.

    The Chicago Tribune
  • Sexually Transmitted Diseases
  • National: About 3.2 Million Teenage Girls Have a Common STD
    According to recent Centers for Disease Control and Prevention estimates, an estimated 3.2 million U.S. girls ages 14 to 19 have at least one of the four common types of sexually transmitted infections: human papillomavirus, chlamydia, trichomoniasis and herpes . The study found that roughly 50 percent of African-American girls had at least one of the four STDs, compared with 20 percent of white girls.

    Click here to access our new publication Confronting Disparities in Sexually Transmitted Diseases Talking Points

    The New York Times
  • Obesity
  • Hawaii: Report Underscores Need for Improved Activity and Nutrition Habits
    This month the Hawaii Department of Health released a comprehensive report suggesting that more adults and children in the state need to adopt healthier eating and lifestyle habits. The report finds that only 32 percent of adults ate the recommended amounts of fruits and vegetables in 2005 and nearly half of adults failed to meet the recommended levels of daily physical activity. The report estimates that if more adults were active, the state would save an estimated $140 million in health care costs related to heart disease, stroke and diabetes. The health department is promoting a walking campaign and will host four Active Living Community Workshops where participants will discuss strategies for improving walkability in Hawaii communities.

    Click here to access our new publications Adult Obesity and Community Programs for Wellness Talking Points

    Honolulu Star-Bulletin
  • Nutrition and Physical Activity
  • Illinois: State Awards Safe Routes to Schools Grants
    This month the Illinois Department of Transportation awarded $8.3 million to projects across the state designed to make it safer for children to walk and bike to school. The funds will support projects to repair traffic signals, create walking and cycling clubs, and launch a walking school bus program to eliminate barriers that prevent children from being more active.

    Click here to access our new publication Community Design for Healthy Living Talking Points.

    Chicago Sun-Times
  • Immunizations
  • National: Vaccine Exemptions as Public Health Risk
    In February, 12 children were infected with measles in San Diego; nine of them were not vaccinated against the virus. Public health officials are concerned about a recent trend of parents taking advantage of exemptions to laws requiring vaccination of school-age children. There is concern that communities with clusters of unvaccinated children or individuals can pose a risk of infection for the broader community. Twenty states allow school vaccine exemptions and nearly 3 percent of school children went without vaccines in 2004.

    Click here to access our new publications Eliminating Health Disparities in Immunizations and Paying for Vaccines Talking Points

    The New York Times
  • Insurance Coverage Trends and the Uninsured
  • Massachusetts: Insurance Connector Approves 10% Premium Increases
    This month the Massachusetts Health Insurance Connector Authority voted to approve a 10 percent increase in premiums for Commonwealth Care, the state's subsidized health insurance program. About 35 percent to 40 percent of beneficiaries with incomes greater than 100 percent of the federal poverty level will face premium increases. In addition, co-payments for visits to primary care physicians and prescription drugs will increase.

    Boston Globe
  • HIV and AIDS
  • California: State Launches Media Campaign to discourage Crystal Meth Use and Risky Sexual Behavior
    California drug officials recently launched an $11 million media campaign to discourage men who have sex with men from using crystal methamphetamine to reduce risky sexual behavior and the spread of HIV. A recent statewide survey found that crystal meth use was 11 times more common among men who have sex with men than the general population in the state. In addition, the same survey found that men who have sex with men who used crystal meth were five times more likely to test HIV-positive than those among that population who did not use the drug.

    Los Angeles Times
  • Health Disparities
  • National: Disparities Exist Between the Life Expectancies of Higher- and Lower-Income U.S. Residents
    A recent study found that a large disparity exists between the life expectancies of high- and low-income U.S. residents. The study found that from 1998 to 2000, higher-income residents lived an average of 79.2 years, compared with 74.7 years for lower-income residents. The largest disparity in 2000 was between the life expectancies of affluent white women and poor black men.

    The New York Times
  • Nutrition
  • Maryland: Baltimore to Ban Trans Fats in 2009
    This month the Baltimore City Council approved a citywide ban on trans fats. The ban would require all restaurants, delis, fast food chains and other establishments that serve prepared food to eliminate use of trans fats. State legislators introduced a bill that would create a task force to study the trans fat ban in an effort to push lawmakers toward a statewide ban.

    Baltimore Sun
  • Recent Reports
  • 2008 Alzheimer'sDisease Facts & Figures
    According to this report, the U.S. will have about 500,000 new case cases of Alzheimer's in 2010 and this development will cost the U.S. health care system as much as $160 billion by 2010. According to the report, 70 percent of Alzheimer's and other dementia patients live at home, where family and friends provide care.

    Residents Concerned with Health Care and Long-Term Care
    According to this AARP Hawaii report, 57 percent of Hawaiian voters believe that the state's health and long-term care services are experiencing a crisis. According to the report, the number of state residents ages 65 and older is expected to increase by 86 percent between 2008 and 2030. The report also notes that long-term care costs about $16,000 annually for two hours of daily in-home care, compared with $107,000 annually for nursing home care.

    Language Diversity and English Proficiency by Los Angeles County Service Planning Area
    This report by the Asian Pacific American Legal Center indicates that one third of Los Angeles County residents face language barriers in accessing health care services. The report calls for expanded language services to address the problem that can result in delayed care, misdiagnoses and unnecessary procedures.

    Trends in Tuberculosis-United States, 2007
    According to this Centers for Disease Control and Prevention CDC report, there were 13,293 tuberculosis cases reported in the U.S. in 2007, a decline of 4.2 percent from the previous year. Of the total tuberculosis cases reported in 2007, 60 percent were among residents born in other nations. The report also found that among U.S. born residents, minorities were more likely than whites to be infected. Asian Americans were 23 times more likely than whites to have tuberculosis, Hispanics were seven times more likely, and blacks were eight times more likely.

    Racial and Ethnic Disparities in U.S. Health Care: A Chartbook
    This Commonwealth Fund report uses 75 charts to examine the causes of racial disparities in health care. The chartbook incorporates an evolving understanding of the nation and etiology of disparities and addresses other racial health disparity issues. The chartbook is designed as an "easily accessible resource" to help policymakers, researchers and others understand disparities in their communities and to formulate solutions.

    2007 National Healthcare Disparities Report
    This report by the Agency for Healthcare Research and Quality describes the quality and access to care for multiple subgroups across the United States. Overall, disparities in quality and access for minority groups and populations have not been reduced. The report indicates that the problem of persistent uninsurance is a major barrier to reducing disparities.

    State Estimates of Substance Use from 2005-2006
    This report by the Substance Abuse and Mental Health Services Administration provides analyses of substance use and mental health patterns occurring in each state. The report indicates wide variations among the states in problems related to underage alcohol use and binge drinking, illicit drug use, tobacco use, substance dependence and abuse, and mental health problems. Click here to access state-specific data.

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    Health Policy Highlights/Healthy States e- Weekly is a part of the Healthy States Initiative, a partnership between The Council of State Governments, National Hispanic Caucus of State Legislators, National Black Caucus of State Legislators and the Centers for Disease Control and Prevention. For more information about the initiative for state legislators, please visit http:// www.healthystates.csg.org.

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    Health Policy Highlights/Healthy States e- Weekly is a FREE weekly e-mail service from The Council of State Governments sent to CSG's subscribers free of charge and bringing the latest health policy news, resources, reports and upcoming events straight to your inbox. Funding for this publication is provided by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, under Cooperative Agreement U38/CCU424348. Points of view in this document are those of the author and do not necessarily represent the official position or policies of the U.S. government.


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