MODULE 1

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CLIMATE CHANGE
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• The True Vector of Yellow Fever

Aedes aegypti (urban cycle)
Aedes africanus others (sylvatic cycle)
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Distribution of aedes aegypti in the Americas at
the end of the eradication program in 1970, and
in 1997
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Laboratory confirmed Dengue hemorrhagic fever
reporting in the Americas
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Countries at Risk for Yellow Fever and Having
Reported at Least One Outbreak, 1985-1999
At risk
Reported outbreak
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Laredo, Texas
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1999 on the inexorable march of West Nile Virus
Appropriate vectors are abundant throughout the
continent
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Obesity
Obesity is not a simple condition of eating too
much. It is now recognized that obesity is a
serious, chronic disease. No human conditionnot
race, religion, gender, ethnicity or disease
statescompares to obesity in prevalence and
prejudice, mortality and morbidity, sickness and
stigma. American Obesity Association, 2002
Perhaps the most important emerging disease of
the early 21st century
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Obesity Trends Among U.S. AdultsBRFSS, 1985
(BMI ? 30, or 30 lbs overweight for 54
person)
Source BRFSS, CDC.
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Obesity Trends Among U.S. AdultsBRFSS, 1991
(BMI ? 30, or 30 lbs overweight for 54
person)
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Obesity Trends Among U.S. AdultsBRFSS, 1995
(BMI ? 30, or 30 lbs overweight for 54
person)
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Obesity Trends Among U.S. AdultsBRFSS, 1999
(BMI ? 30, or 30 lbs overweight for 54
person)
Source BRFSS, CDC.
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Obesity Trends Among U.S. AdultsBRFSS, 2000
(BMI ? 30, or 30 lbs overweight for 54
person)
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Source TDH
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Age-Standardized Prevalence of Diagnosed Diabetes
per 100Adult Population by State, United States,
1994
                                                                                                 
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Age-Standardized Prevalence of Diagnosed Diabetes
per 100Adult Population by State, United States,
1998
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Age-Standardized Prevalence of Diagnosed Diabetes
per 100Adult Population by State, United States,
2000


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Number (million) of Persons with Diagnosed
Diabetes, United States, 1980-1999
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Age-Specific Prevalence of Diagnosed Diabetes, by
Race/Ethnicity and Sex, United States, 1999
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Texas deaths diabetes Rates per
100,000 1990-1998
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DEATHS FROM LIVER CANCER BY STATE
13.5/100,000
Texas Hispanics
Texas, all whites
Data are from the National Cancer Institute
Figure 1 Liver cancer in white males (includes
Hispanics) 1990-1994 (age adjusted), all ages.
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DataTDH
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LRGV
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Data sources NIH, CDC, ADA, TDH
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Brownsville Laredo McAllen San
Angela Victoria Lubbock Abilene Texarkana El
Paso Killeen Wichita Falls Waco Bryan-College
Station Amarillo Sherman Corpus
Christi Longview San Antonio Galveston Tyler Midla
nd-Odessa Beaumont Fort Worth Brazoria Austin Hous
ton Dallas
Occupational Wage Index for Texas Cities
Sources Occupational Employment Statistics
Survey, Bureau of Labor
.0
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1.1
1.2
1.3
1.4
Adjusted for Occupational rate
Unadjusted
Statistics authors calculation From Dallas
Federal Reserve Report On the Border Economy,
June 2001 (www.dallasfed.com)
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Border Region Surpasses Texas and U.S. in
Population Growth in Past Decade (Percent change,
1990 to 2000)
Percent
60
50
40
30
20
10
0
McAllen
Laredo
Brownsville
Texas
El Paso
United States
SOURCE U.S. Census Bureau and Dallas Federal
Reserve Report On the Border Economy, June 2001
(www.dallasfed.com)
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