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Finally, in 2010, Healthy People 2020 was launched to guide health work for the next 10 years or up to 2020. Sometime during the mid-period or thereabouts of each of the ten-year programs, a mid-course review is conducted. For instance, the mid-course review for Healthy People 2010 was started to be published in December 2006. Presumably, therefore, a mid-course review for Healthy People 2020 will be done sometime 2015 or thereabouts. The launching of Healthy People 2020 was announced by the U.S. Department of Health and Human Services through an official press release on 2 December 2010. According to the U.S. Department of Health and Human Services (2011), there are four overarching goals in Healthy People 2020. First, the attainment of “high-quality, longer lives free of preventable disease, disability, injury and premature death.” The second overarching goal is the achievement of health equity, elimination of health disparities, and improvement of health of all groups. The third overarching goal is the creation of social and physical environments that promote good health. Finally, the fourth overarching goal is the promotion of a quality of life, health development, and healthy behaviors across all life stages. The four overarching goals are declared in the official website of the U.S. ...
4), the population of Montgomery was estimated at 366,900 as of 1 July 2010. Approximately, 60 percent of the population resides in Montgomery County. Further, according to the U.S. Department of Housing and Urban Development (2010, pp. 4-5), Montgomery’s population was growing at an average of 1.3 percent annually during the 1990s but the population growth rate dropped to 0.1 percent annually since 1 July 2008. Unemployment rate in Montgomery was at least 10.1 percent in 2010 compared to the usual unemployment rate of only 4.1 percent from 2003 to 2007 (U.S. Department of Housing and Urban Development, 2010, p. 2). For at least in the short run, the unemployment figures are not likely to improve given the bleak economic forecast by many analysts for the United States and the global economy. Montgomery’s population is in about 137,300 households in 2010 and about one third of the households are renters (U.S. Department of Housing and Urban Development, 2010, p. 5). The median family income in Montgomery is $56,400 (U.S. Department of Housing and Urban Development, 2010, p. 9). This means that half of families live below the median family income. In contrast, an international study in 2004, placed at a minimum of $90 the daily cost of maintenance for people with end-stage renal disease (Sandoz et al., 2004, p. 454). Meanwhile, Arikan (2005, p. 149) placed at roughly $22,644 the annual cost for hemodialysis while at roughly $22,350 for peritoneal dialysis. This means that households having a family member suffering from end stage renal disease will have a lower quality of life given the burden that they will have to carry. III. Morbidity and Mortality with End Stage Renal Disease Hall and Chertow (2007, p.1) estimated ...Show more


Montgomery, End Stage Renal Disease, and Healthy People 2020 I. Introduction This work focuses on people with end stage renal disease in Montgomery, Alabama. The work is a health needs assessment executed in relation with Healthy People 2020. The United States federal government has been conducting ten-year programs for at least the last 20 years…
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Healthy People 2020
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