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Million Hearts: Prevention at Work In 2011, HHS, the Centers for Medicare & Medicaid Services (CMS), and CDC launched the Million Hearts campaign. This initiative seeks to prevent one million heart attacks and strokes among Americans during the next 5 years. It also seeks to improve clinical care by helping patients learn and follow their ABCS: Appropriate Aspirin use for people at risk. Blood pressure control. Cholesterol management. Smoking cessation. The Million Hearts campaign is also designed to reduce the number of people who need cardiovascular treatment. To support this initiative, state, county, and local health officials are encouraged to PROMOTE smoke-free air policies, effective tobacco packaging labels, restricted tobacco advertising, and higher tobacco prices. SUPPORT education programs, tobacco prevention incentives, wellness programs, recognition programs, and efforts to reduce sodium and eliminate trans fats in the food supply. INCREASE awareness of heart disease and stroke and their risk factors. BUILD local partnerships to enhance the effectiveness and efficiency of efforts to prevent heart attack and stroke. For more information, go to http://millionhearts.hhs.gov/index.html. PAGE 22 The State of Aging and Health in America 2013
Call to Action Monitoring Vaccination Rates for Shingles Shingles, also known as herpes zoster, is a disease that causes a painful skin rash. It can also lead to severe pain that can last for months or even years after the rash goes away, a condition known as post-herpetic neuralgia. Pain from shingles has been described as excruciating, aching, burning, stabbing, and shock-like. It can cause depression, anxiety, difficulty concentrating, loss of appetite, and weight loss. Shingles may interfere with activities of daily living, such as dressing, bathing, eating, cooking, shopping, and travel. To prevent shingles, CDC recommends that people aged 60 years or older receive a onetime vaccination. 27 To date, only national data have been available to monitor the use of the shingles vaccine. In 2010, 14.4% of adults aged 60 or older reported receiving the vaccine, an increase from the 10% reported in 2009. 28 Recognizing the need for state and selected MMSA (metropolitan and micropolitan statistical area) data, CDC created a question about shingles vaccination for the BRFSS survey. Since 2009, this question has been available as an optional module that states can use to ask about the receipt of shingles vaccination among adults aged 50 years or older. Five states used the question in 2009 and six states used it in 2010. 29 Starting in 2014, the shingles vaccination question will be part of the BRFSS “core” questionnaire that all states use every 3 years. These data will allow states and MMSAs to monitor trends in vaccination rates and identify disparities. Program planners can use this information to identify problems so they can adopt corrective strategies. Indicator 13. Colorectal cancer screening • This report identifies the percentage of older adults who have been screened for colorectal cancer by having a fecal occult blood test (FOBT) during the past year, a flexible sigmoidoscopy within 5 years and FOBT within 3 years, or a colonoscopy within 10 years. • Colorectal cancer almost always develops from precancerous polyps (abnormal growths) in the colon or rectum. Screening tests can find precancerous polyps so that they can be removed before they turn into cancer. They can also detect colorectal cancer early, when treatment works best. 33 • Two-thirds of all new cases of colorectal cancer are in people aged 65 or older. 34 The State of Aging and Health in America 2013 PAGE 23
Page 1 and 2: National Center for Chronic Disease
Page 3 and 4: Foreword “The State of Aging and
Page 5 and 6: But improvement on the remaining He
Page 7 and 8: Contents An Introduction to the Hea
Page 9 and 10: An Introduction to the Health of Ol
Page 11 and 12: 27.6% The Burden of Chronic Disease
Page 13 and 14: Major Contributor to Health Care Co
Page 15 and 16: Call to Action Developing a New Hea
Page 17 and 18: 65+ 65+ Figure 4. Binge Drinking Am
Page 19 and 20: Call to Action Addressing Lesbian,
Page 21 and 22: 19. US Preventive Services Task For
Page 23 and 24: The National Report Card on Healthy
Page 25 and 26: Call to Action Addressing Mental Di
Page 27 and 28: New Resource for Data on Disabiliti
Page 29: Indicator 9. Taking medications for
Page 33 and 34: References 1. Centers for Disease C
Page 35 and 36: The State-by-State Report Card on H
Page 37 and 38: Table 3. State-by-State Report Card
Page 43 and 44: Spotlight: Mobility Mobility Impair
Page 45 and 46: Environmental and Policy Approaches
Page 47 and 48: Regional Collaboration Makes for Li
Page 49 and 50: (e.g., sidewalks, crosswalks, traff
Page 51 and 52: State Examples of Complete Street P
Page 53: References 1. Satariano WA, Guralni
Page 56 and 57: Healthy People 2020 Older Adult Obj
Page 58 and 59: Notes _____________________________
Page 60: www.cdc.gov/aging

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