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    Rebecca Wood

    Center for Health Statistics
    Community Assessment
    Texas Dept. of State Health Services
    Mail Code: 1898
    PO Box 149347
    Austin, Texas 78714-9347
    Phone:  (512) 776-6579

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Attachment A: State and National Public Health Priorities


 1. Texas State Strategic Health Partnership goals

The Texas State Strategic Health Partnership (TSSHP) is a group of public and private organizations convened by the former Texas Commissioner of Health, Dr. Eduardo Sanchez. The Partnership has identified 12 priority goals to improve the health of Texans (six goals focus on improving health status and six goals focus on improving the public health system). These goals and participants' commitments to the goals are published in The Declaration For Health. By joining the partnership, these members of the public health system have committed to share responsibility and accountability for creating a healthier Texas.

  • Goal A: Improve the health of all Texans by promoting healthy nutrition and safe physical activity.
  • Goal B: Promote healthy choices with regard to risky behaviors including, but not limited to tobacco use, risky sexual behavior, substance abuse, and violence to reduce the disease, disability, and premature death resulting from unhealthy choices.
  • Goal C: Recognize mental health as a public health issue. Promote mental health and increase individual and community social connections in order to improve prevention, early detection, and treatment of mental disorders.
  • Goal D: Increase rates of high school graduation, adult literacy, college attendance, and other advanced education and training thereby improving socioeconomic and health status.
  • Goal E: Reduce health threats due to environmental and consumer hazards.
  • Goal F: Reduce infectious disease in Texas with a focus on increasing rates of timely immunization among Texas children and adults.
  • Goal G: By 2010, Texas state statute and local policy will ensure that essential public health services (emphasizing disease/injury prevention and health promotion) are available for all communities in Texas.
  • Goal H: By 2010, a diverse set of governmental and non-governmental partners will actively participate and collaborate to provide the services necessary to meet the public health needs of Texans.
  • Goal I: By 2010, Texas communities will be aware of the structure, function and availability of the public health system.
  • Goal J: By 2010, the public health system workforce will have the education and training to meet evolving public health needs.
  • Goal K: By 2010, the Texas public health system will be operating with a flexible funding system that efficiently and effectively meets the needs of communities for all public health objectives.
  • Goal L: By 2010, the Texas public health system partners will be informed by, and make decisions based on, a statewide, real-time, standardized, integrated data collection and reporting system(s) for demographic, morbidity, mortality, and behavioral health indicators accessible at the local level which also protects the privacy of Texans.

2. Texas Commissioner of Health Priorities

As taken from the website of the former Texas Commissioner of Health, Dr. Eduardo J. Sanchez:

“Public health workers across the state are involved in hundreds of efforts to protect the public health of Texas communities and individuals. In fact, we do so much, it’s sometimes hard for people to keep up with all that we do – and why it’s important. Public health has been good for so long that it is often taken for granted.

“That’s one of the reasons we at DSHS have selected five priorities for special focus. These priorities require our immediate attention and the attention and concern of the people and the leaders of our state. These are issues we must address if we intend to make significant improvements in the health of the people who live here. If we don’t pay attention now, we will face future repercussions.”
  • Focus on fitness by promoting healthy eating and regular physical activity;
  • Protect Texans against vaccine-preventable diseases by improving immunization rates;
  • Eliminate disparities in health among population groups;
  • Improve our ability to respond to disasters or disease outbreaks whether they are intentionally caused or naturally occurring – in other words, “be prepared.”

3. Actual Causes of Death in the United States, 2000
Ali H. Mokdad; James S. Marks; Donna F. Stroup; Julie L. Gerberding JAMA. 2004; 291:1238-1245.

According to the Centers for Disease Control and Prevention (CDC), modifiable behavioral risk factors are the leading causes of premature mortality in the U.S.:

  • Tobacco use
  • Poor diet and physical inactivity
  • Alcohol
  • Microbial agents
  • Toxic agents
  • Motor vehicle
  • Firearms
  • Sexual behavior
  • Illicit drug use

4. Healthy People 2010

As taken from the Healthy People 2010 website:

“Healthy People 2010 is the prevention agenda for the Nation. It is a statement of national health objectives designed to identify the most significant preventable threats to health and to establish national goals to reduce these threats.”

“The (Healthy People 2010) Leading Health Indicators will be used to measure the health of the Nation over the next 10 years. Each of the 10 Leading Health Indicators has one or more objectives from Healthy People 2010 associated with it. As a group, the Leading Health Indicators reflect the major health concerns in the United States at the beginning of the 21st century. The Leading Health Indicators were selected on the basis of their ability to motivate action, the availability of data to measure progress, and their importance as public health issues.

The Leading Health Indicators are:

  • Physical Activity
  • Overweight and Obesity
  • Tobacco Use
  • Substance Abuse
  • Responsible Sexual Behavior
  • Mental Health
  • Injury and Violence
  • Environmental Quality
  • Immunization
  • Access to Health Care.”
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Last updated April 10, 2012