Surgeon General

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Surgeon Generals Global Health Priority David
Satcher, M.D., Ph.D. Assistant Secretary for
Health Surgeon General National Aeronautics
Space Administration January 14, 2000
2

• Surgeon Generals
• Health Priorities
• _______________
• Balanced Approach to Community Health
• Elimination of Racial and Ethic Disparities in
  Health Status
• Global Approach to Health Promotion and Disease
  Prevention

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• 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 Childrens 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

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• 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 Generals Columns on Global Health in the
  Journal of the American Medical Association

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Global Health Priority Polio Eradication
Initiative _________________ World Poliovirus
1988 more World Poliovirus 1998 less
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• Global Health Priority ERIDS Initiative
• _________________
• HIV/AIS
• Tuberculosis
• Malaria
• Bioterrorism
• Blood Safety

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Global Health Priority ERIDS Initiative-HIV/AIDS _
___________
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
North America 890,000 Caribbean 330,000 Latin
America 1.4 million
Total HIV Infections 33.4 Million
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Global Health Priority ERIDS Initiative
-Tuberculosis _________________
Estimated Cumulative Tuberculosis
Cases Estimated Cumulative Tuberculosis Deaths
1990 - 1999 1990 -
1999 Eastern Europe Eastern
Europe 2,020,000 302,000 North America
Western Europe East Asia Pacific North
America Western Europe East Asia
Pacific 320,000 1,110,000
20,460,000 22,000 70,000
7,162,000 South South-East Asia Japan South
South-East Asia Japan 35,140,000 577,000 12,30
0,000 42,000 North Africa Middle
East North Africa Middle East 7,502,000 2,9
17,000 Latin America Caribbean Sub-Saharan Lat
in America Carribean Sub-Saharan 5,065,000 15,01
2,000 1,210,000 5,945,000 Australia New
Zealand Australia New Zealand 30,000 2,000

Tuberculosis Tuberculosis Cases Deaths 88
Million 30 Million
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Global Health Priority Tobacco Initiative ________
______ 3.5 10 Million Million Deaths
Deaths Per Per Year Year At
by Present 2020-30 Tobacco Deaths in
1990 Tobacco Deaths in 2020
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Global Health Priority Violence and Injury
Initiative _______________ Global Burden of
Disease Global Burden of Disease 1990 2020 1
. Lower respiratory infections 1. Unipolar
major depression 2. Diarrheal diseases 2.
Road Traffic accidents 3. Perinatal
conditions 3. Ischemic heart disease 4.
Unipolar major depression 4. Chronic
obstructive pulmonary disease 5.
Tuberculosis 5. Cerebrovascular disease 6.
Measles 6. Tuberculosis 7. Malaria 7.
Lower respiratory infections 8. Ischemic
heart disease 8. War 9. Congenital
anomalies 9. Diarrheal diseases 10.
Cerebrovasular Disease 10. HIV 11. Road
traffics accidents 11. Perinatal Conditions 12.
Chronic obstructive pulmonary disease 12.
Violence 13. Falls 13. Congenitial
anomalies 14. Iron-deficiency anemia 14.
Self-inflicted injuries 15. Protein energy
malnutrition 15. Falls 16. War 16.
Bipolar disorder