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Revised Final FY 1999 Performance Plan And FY 2000
Performance Plan
XV. Eliminating Racial
and Ethnic Disparities
(Continued)
 
Eliminating Health Disparities in Chronic Disease
The continuing disparities in the burden of death and illness associated
with chronic diseases, such as cancer, cardiovascular disease, and diabetes, experienced by
African-Americans, Hispanics, American Indians and Alaska Natives, and Asian-Americans and
Pacific Islanders, compared to the U.S. population as a whole demands national attention. The
health disparities associated with chronic diseases offers a compelling reason for addressing
this issue. Examples of ethnic health disparities in chronic disease include:
- Diabetes - The prevalence of diabetes in African-Americans is
approximately 70 percent higher than whites and the prevalence in Hispanics is nearly
double that of whites.
- Cardiovascular disease - Racial and ethnic populations have higher
rates of hypertension, tend to develop hypertension at an earlier age, and are less likely
to undergo treatment to control their high blood pressure.
- Cancer - For men and women combined, African-Americans have a cancer
death rate about 35 percent higher than that for whites (171.6 vs. 127.0 per 100,000). The
death rate for cancer for African-American men is about 50 percent higher than it is for
white men (226.8 vs. 151.8 per 100,000).
The demographic changes that will unfold over the next decades magnify the
importance of addressing disparities in health status especially with regards to chronic
diseases. CDC intends to address these three chronic disease issues as part of the President's
Initiative on Race. Recognizing that the future health of the American people as a whole will
be influenced substantially by our success in improving the health of racial and ethnic
groups, CDC is committed to addressing the disparities associated with diabetes,
cardiovascular disease, cancer and infant mortality through new and existing disease
prevention and health promotion strategies.
Performance Goals and Measures
Performance Goal: To achieve meaningful improvement in
the lives of racial and ethnic populations who now suffer disproportionately from the burden
of disease and disability. To develop the necessary tools and strategies that will enable the
Nation to meet the far more challenging goal of eliminating these health disparities by the
year 2010.
Performance Measure:
| FY Baseline |
FY 1999 |
FY 2000 |
| N/A |
CDC, in collaboration with interagency workgroups, will
develop a community planning RFA to fund communities to conduct planning activities for
community-based demonstrations of prevention and service delivery interventions whose
mission is to eliminate racial and ethnic health disparities for the following focus
areas: cancer, cardiovascular disease, diabetes and infant mortality. CDC will fund
selected community demonstration projects in FY 99. |
CDC will fund selected
communities to implement interventions based on community planning activities. Grantees
will collaborate with interagency content workgroups and community leaders to develop
implementation and evaluation programs for selected community demonstration programs
whose mission is to eliminate racial and ethnic health disparities for the following
focus areas: cancer, cardiovascular disease, diabetes, and infant mortality. The
interagency workgroups will provide scientifically and socially substantiative
assistance in the formulation of the implementation and evaluation plans. These plans
will be culturally relevant and unique to each of the communities for which they are
designed. |
Verification/Validation of Performance Measures: By the end of FY
1999, a RFA will be developed and selected community demonstration projects will be funded. In
FY 2000, CDC will fund communities to implement interventions. Grantees will report on the
development of implementation and evaluation plans which will be reviewed by CDC staff. FY
2000 measures will also be evaluated by site visits.
Links to DHHS Strategic Plan
These performance objectives are related to DHHS Goals 1: Reduce
major threats to the health and productivity of all Americans. Development and implementation
of the plan to Eliminate Ethnic Health Disparities is an inter-agency effort within DHHS. CDC
will collaborate with other federal agencies, who will be determined later, in developing and
implementing this initiative. Specific objectives for implementation of the initiative must be
determined through a collaborative inter-agency process.
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