| Asthma
in Michigan
Healthy
People 2010
The U.S. Department
of Health and Human Services has developed Healthy People 2010
– a set of disease prevention and health promotion objectives
for the nation to achieve over the first decade of the new century.
Michigan has had some success in reaching certain asthma objectives
for some groups. Click for more information about Healthy
People 2010.
The
Healthy People 2010 Objectives for Asthma
- Reduce hospitalization rates for
pediatric asthma.
- Reduce asthma deaths.
- Reduce hospitalizations for asthma.
- Reduce emergency department visits
for asthma.
- Reduce activity limitations among
persons with asthma.
- Reduce the number of school or workdays
missed by persons with asthma due to asthma.
- Increase the proportion of persons
with asthma who receive formal patient education.
- Increase the proportion of persons
with asthma who receive appropriate asthma care according
to the NAEPP Guidelines. Including:
- written asthma management plans
from health care provider.
- instruction on how to use a prescribed
inhaler properly.
- education about recognizing early
signs and symptoms of asthma episodes and how to
respond properly, with lessons on peak flow monitoring
for those using daily therapy.
- medication regimens that prevent
the need for more than 1 canister of short acting
inhaled beta agonists per month for relief of symptoms.
- follow-up medical care for long-term
management after a hospitalization due to asthma.
- assistance with assessing and
reducing exposure to environmental risk factors.
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- Michigan is showing success in meeting the target asthma hospitalization
rates overall and among whites.
- Conversely, asthma hospitalization rates for blacks ages 5
to 64 are not moving closer to the Healthy People 2010 target.
- Recent data shows that the asthma hospitalization rate for
persons age 5 to 64 years is lower than the Healthy People 2010
target rate in 15 counties: Chippewa, Emmet, Grand Traverse,
Ionia, Isabella, Kalkaska, Lapeer, Livingston, Manistee, Marquettte,
Mason, Mecosta, Osceola, Ottawa, and Wexford.
- The most recent death rates indicate that Michigan has met
the target rate for adults age 65 years and older.
- Despite these results, there remains a striking difference
in asthma hospitalization rates between whites and blacks of
Michigan. Efforts to reduce the burden of asthma in Michigan
must address this issue.
- Between 1990 and 2004, there has been a significant drop
in asthma hospitalization rates for children in Michigan, toward
the Healthy People 2010 target rate.
- Between 1990 and 2004, there was a significant overall drop
in asthma hospitalization rates for whites in Michigan age 5
to 64 years. No such drop is observed for blacks in this age
group.
- For adults age 65 years and older, asthma death rates have
met the Healthy People 2010 target rate in recent years.
Rates1
(per 10,000) of Hospitalization due to Asthma2 Compared
to Healthy People 2010 Target for Objective 1-9a, for Children
(<18 Years), Michigan, 1990 to 2004
Rates1
(per 1,000,000) of Asthma2, 3 Mortality by Age Group
Compared to
Healthy People 2010 Targets for Objective 24-1, Michigan, 1990
to 2004.
| |
0
to 4
Years |
5
to 14
Years |
15
to 34
Years |
35
to 64
Years |
65+
Years |
| 1999 |
* |
6.0 |
7.3 |
19.8 |
46.9 |
| 2000 |
* |
4.1 |
8.1 |
16.3 |
58.1 |
| 2001 |
* |
3.4 |
6.2 |
16.1 |
54.6 |
| 2002 |
* |
4.8 |
8.8 |
13.4 |
53.6 |
| 2003 |
* |
4.8 |
8.0 |
13.0 |
43.7 |
| 2004 |
* |
6.3 |
7.6 |
13.2 |
43.3 |
| Target |
0.9 |
0.9 |
1.9 |
8.0 |
47.0 |
Rates1,
2 of Asthma3 Hospitalization (per 10,000) by
Year and Race4, 5, Compared to
Healthy People 2010 Target for Objective 24-2, Age 5 to 64 Years,
Michigan, 1990 to 2002.
Also, please review the fact sheet
"Targeting
Asthma in Michigan, The Healthy People 2010 Objectives".
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