Preventing Chronic Diseases

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1 Priority Areas of County Health Departments The following information was obtained through the New York State Department of Health. It was provided to them by the Prevention Agenda Technical Support Awardees from each region of the State. If the information is not correct, or if additional information on your priority is available, please that information to Preventing Chronic Diseases Focus Area 1: Reduce Obesity in Children and Adults Broome County Monroe County Sullivan County Cattaraugus County Montgomery County Ulster County Cayuga County Nassau County Washington County Chautauqua County Onondaga County Wayne County Chemung County Ontario County Yates County Dutchess County Oswego County Essex County Putnam County Franklin County Schuyler County Fulton County Seneca County Livingston County Steuben County Madison County Suffolk County Focus Area 2: Reduce Illness, Disability and Death related to Tobacco Use and Secondhand Smoke Exposure Chemung County Delaware County Monroe County Oswego County Putnam County Rensselaer County Washington County Focus Area 3: Increase Access to High Quality Chronic Disease Preventive Care and Management in Both Clinical and Community Settings Albany County- Type 2 Diabetes and Asthma Columbia County Dutchess County Erie County- Diabetes, Hypertension and colorectal Cancer Essex County

2 Franklin County Fulton County Genesee County- Diabetes and Cancer Screening Greene County Livingston County- Diabetes Madison County Monroe County Nassau County Niagara County Ontario County- Hypertension Orange County Orleans County- Diabetes and Cancer Screening Rensselaer County- Diabetes and Asthma Rockland County Schuyler County- Diabetes Steuben County- Hypertension Suffolk County Warren County Wayne County Heart Disease Westchester County-Prevention of Premature Deaths among Blacks and Hispanics Wyoming County- Diabetes and Cancer Screening

3 Promote a Healthy and Safe Environment Focus Area 1- Outdoor Air Quality Focus Area 2- Water Quality Focus Area 3- Build Environment Clinton County Focus Area 4- Injuries, Violence and Occupational Health Cattaraugus County- Injuries, Falls among the elderly Montgomery County- Injuries, Falls 65 years and older Niagara County- Injuries, Falls among elderly

4 Promoting Healthy Women, Infants and Children Focus Area 1- Maternal and Infant Health Goal 1- Reduce premature births in NY State. Goal 2- Increase the proportion of NYS babies who are breastfed. Cayuga County Delaware County Erie County Westchester County Goal 3- Reduce the rate of maternal deaths in NY State. Other- Chautauqua County- Healthy Women, Infants and Children- Neonatal drug exposure Onondaga County- Newborn drug related hospitalization Focus Area 2- Child Health Goal 4- Increase the proportion of NYS children who receive comprehensive well child care in accordance with AAP guidelines. Goal 5- Reduce the prevalence of dental caries among NYS children. Focus Area 3- Reproductive, Preconception and Inter-Conception Health Goal 6- Prevention of unintended and adolescent pregnancy

5 Orange County Goal 7- Increase utilization of preventive health care services among women of reproductive ages.

6 Promote Mental Health and Prevent Substance Abuse (MHSA) Action Plan Focus Area 1: Promote mental, emotional and behavioral (MEB) well-being in communities: The 2009 Institute of Medicine report concluded there is increasing evidence promotion of positive aspects of mental health is an important approach to reducing MEB disorders and related problems. It will serve as a foundation for both prevention and treatment of MEB disorders. Clinton County Madison County Warren County Focus Area 2: Prevent Substance Abuse and other Mental Emotional Behavioral Disorders: Substance abuse, depression and other MEB disorders hurt the health, public safety, welfare, education, and functioning of New York State residents. In addition to evidence substance abuse and other MEB disorders can be prevented, there is confirmation that early identification and adequate societal support can prevent and alleviate serious consequences such as death, poor functioning and chronic illness. Albany County Chemung County Columbia County Greene County Livingston County Sullivan County Ulster County Focus Area 3: Strengthen Infrastructure across Systems: MEB health promotion and disorders prevention is a relatively new field, requiring a paradigm shift in approach and perspective. Meaningful data and information at the local level, training on quality improvement, evaluation and evidence-based approaches, and cross-disciplinary collaborations need to be strengthened. Genesee County Orleans County Wyoming County

7 Prevent HIV/STDs, Vaccine-Preventable Disease and Healthcare- Associated Infections Focus Area 1: Prevent HIV and STDs Goal #1: Decrease HIV morbidity in New York State. Saratoga County Goal #2: Increase early access to, and retention in, HIV care in New York State. Goal #3: Decrease STD morbidity in New York State. Saratoga County Rockland County Goal #4: Decrease HIV and STD disparities in New York State. Goal #5: Increase and coordinate hepatitis C (HCV) prevention and treatment capacity in NYS. Chenango County Focus Area 2: Prevent Vaccine-Preventable Diseases Saratoga County Goal #1: Improve childhood and adolescent immunization rates. Goal #2: Educate all parents about the importance of immunizations. Goal #3: Decrease the burden of pertussis disease. Goal #4: Decrease the burden of influenza disease. Goal #5: Goal 5: Decrease the burden of disease caused by human papillomavirus.

8 Goal #6: Increase adult immunization rates. Focus Area 3: Prevent Healthcare-Associated Infections Goal #1: Reduce Clostridium difficile (C. difficile) infections (CDIs) Goal #2: Reduce infections caused by multidrug-resistant organisms. Goal #3: Reduce device-associated infections.