Health Reports & Data

Respiratory Diseases

Goal

Promote respiratory health through better prevention, detection, treatment, and education efforts.

Overview:

Asthma1 and chronic obstructive pulmonary disease (COPD)2 are significant public health burdens. Specific methods of detection, intervention, and treatment exist that may reduce this burden and promote health.3,4,5

Asthma is a chronic inflammatory disorder of the airways characterized by episodes of reversible breathing problems due to airway narrowing and obstruction. These episodes can range in severity from mild to life threatening. Symptoms of asthma include wheezing, coughing, chest tightness, and shortness of breath. Daily preventive treatment can prevent symptoms and attacks and enable individuals who have asthma to lead active lives.

COPD is a preventable and treatable disease characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lung to noxious particles or gases (typically from exposure to cigarette smoke).4 Treatment can lessen symptoms and improve quality of life for those with COPD.

Several additional respiratory conditions and respiratory hazards, including infectious agents and occupational and environmental exposures, are covered in other areas of Healthy People 2020. Examples include tuberculosis, lung cancer, acquired immunodeficiency syndrome (AIDS), pneumonia, occupational lung disease, and smoking. Sleep Health is now a separate topic area of Healthy People 2020.

Why are Respiratory Diseases Important?

Currently in the United States, more than 23 million people6,7 have asthma. Approximately 13.6 million adults have been diagnosed with COPD, and an approximately equal number have not yet been diagnosed.8 The burden of respiratory diseases affects individuals and their families, schools, workplaces, neighborhoods, cities, and states. Because of the cost to the health care system, the burden of respiratory diseases also falls on society; it is paid for with higher health insurance rates, lost productivity, and tax dollars. Annual health care expenditures for asthma alone are estimated at $20.7 billion.9

Additional Resources:

HP2020’s National Objectives for Respiratory Diseases
HHDW Reports on Respiratory Diseases

References

  1. Centers for Disease Control and Prevention. National surveillance for asthma–United States, 1980–2004: Surveillance summaries, October 19, 2007. MMWR. 2007;5(SS-8).
  2. Centers for Disease Control and Prevention. Chronic obstructive pulmonary disease surveillance–United States, 1970–2000: Surveillance summaries, August 2, 2002. MMWR. 2002;51(SS-06).
  3. National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI). Guidelines for the diagnosis and management of asthma (EPR-3) [Internet]. Bethesda, MD: NHLBI. Available from: http://www.nhlbi.nih.gov/guidelines/asthma
  4. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary lung disease: Executive summary [Internet]. [cited 2010 Mar 12.] Available from: http://www.goldcopd.com
  5. Rabe KF, Hurd S, Anzueto A, et al. Global initiative for chronic obstructive lung disease. Am J Respir Crit Care Med. 2007 Sep 15;176(6):532-55.
  6. Bloom B, Cohen RA, Freeman G. Summary health statistics for US children: National Health Interview Survey, 2008. National Center for Health Statistics. Vital Health Stat. 2009;10(244):1-81.
  7. Pleis JR, Lucas JW, Ward BW. Summary health statistics for US adults: National Health Interview Survey, 2008. National Center for Health Statistics. Vital Health Stat. 2009;10(242):1-157.
  8. Mannino DM, Homa DM, Akinbami LJ, et al. Chronic obstructive pulmonary disease surveillance—United States, 1971–2000. MMWR Surveill Summ. 2002;51:1-16.
  9. National Institutes of Health, National Heart, Lung, and Blood Institute (NHLBI). Morbidity and mortality: 2009 chart book on cardiovascular, lung and blood diseases. Bethesda, MD: NHLBI; 2009 Oct [cited 2010 Mar 29]. Available from: http://www.nhlbi.nih.gov/resources/docs/cht-book.htm
ID
OBJECTIVES AND SUB-OBJECTIVES

RD-1
Reduce asthma deaths
State Indicator Definition:
Number of asthma deaths (ICD-10 codes J45-J46) among persons under 35 years of age per 1,000,000 persons under age 35 years. The national indicator definition is exactly the same.

State Baseline:
2.6 deaths per 1,000,000 persons under 35 years of age (2003-2012)

Most Recent State Value:
2.7 deaths per 1,000,000 persons under 35 years of age (2006-2015)

HP2020 Target:
This indicator is being tracked for informational purposes. If warranted, a target will be set during the decade.

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of asthma deaths (ICD-10 codes J45-J46) among adults aged 35 to 64 years per 1,000,000 persons aged 35 to 64 years. The national indicator definition is exactly the same.

State Baseline:
15.2 deaths per 1,000,000 persons aged 35 to 64 years (2008-2012)

Most Recent State Value:
16.0 deaths per 1,000,000 persons aged 35 to 64 years (2011-2015)

HP2020 Target:
National: 4.9 deaths per 1,000,000 persons aged 35 to 64 years

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of asthma deaths (ICD-10 codes J45-J46) among adults aged 65 years and older per 1,000,000 persons aged 65 years and older. The national indicator definition is exactly the same.

State Baseline:
48.9 deaths per 1,000,000 persons aged 65 years and older (2008-2012)

Most Recent State Value:
46.5 deaths per 1,000,000 persons aged 65 years and older (2011-2015)

HP2020 Target:
National: 21.5 deaths per 1,000,000 persons aged 65 years and older

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse

RD-2
Reduce hospitalizations for asthma
State Indicator Definition:
Number of hospitalizations due to asthma (ICD-9-CM code 493) among children under 5 years old per 10,000 children of the same age. The national indicator is defined in exactly the same way.

State Baseline:
18.5 hospitalizations per 10,000 children under 5 years (2010)

Most Recent State Value:
19.7 hospitalizations per 10,000 children under 5 years (2012)

HP2020 Target:
National: 18.2 hospitalizations per 10,000 children under 5 years

National Data Source:
National Hospital Discharge Survey

State Data Source:
Hawaii Health Information Corporation

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of hospitalizations due to asthma (ICD-9-CM code 493) among persons aged 5 to 64 years old per 10,000 persons of the same age (age-adjusted to the 2000 U.S. Standard Population). The national indicator is defined in exactly the same way.

State Baseline:
5.5 hospitalizations per 10,000 persons aged 5-64 years (2010)

Most Recent State Value:
5.8 hospitalizations per 10,000 persons aged 5-64 years (2012)

HP2020 Target:
National: 8.7 hospitalizations per 10,000 persons aged 5-64 years

National Data Source:
National Hospital Discharge Survey

State Data Source:
Hawaii Health Information Corporation

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of hospitalizations due to asthma (ICD-9-CM code 493) among persons aged 65 years and older per 10,000 persons of the same age (age-adjusted to the 2000 U.S. Standard Population). The national indicator is defined in exactly the same way.

State Baseline:
17.9 hospitalizations per 10,000 persons aged 65 years and older (2010)

Most Recent State Value:
18.7 hospitalizations per 10,000 persons aged 65 years and older (2012)

HP2020 Target:
National: 20.1 hospitalizations per 10,000 persons aged 65 years and older

National Data Source:
National Hospital Discharge Survey

State Data Source:
Hawaii Health Information Corporation

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

RD-3
Reduce emergency department (ED) visits for asthma
State Indicator Definition:
Number of emergency department visits with a first-listed diagnosis of asthma (ICD-9-CM code 493) among children under 5 years old per 10,000 children of the same age. The national indicator is defined in exactly the same way.

State Baseline:
131.0 emergency department visits per 10,000 children under 5 years (2010)

Most Recent State Value:
119.4 emergency department visits per 10,000 children under 5 years (2011)

HP2020 Target:
National: 95.7 emergency department visits per 10,000 children under 5 years

National Data Source:
National Hospital Discharge Survey

State Data Source:
Hawaii Health Information Corporation

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of emergency department visits with a first-listed diagnosis of asthma (ICD-9-CM code 493) among persons aged 5 to 64 years old per 10,000 persons of the same age. The national indicator is defined in exactly the same way.

State Baseline:
43.5 emergency department visits per 10,000 persons aged 5-64 years (2010)

Most Recent State Value:
44.6 emergency department visits per 10,000 persons aged 5-64 years (2011)

HP2020 Target:
National: 49.6 emergency department visits per 10,000 persons aged 5-64 years

National Data Source:
National Hospital Discharge Survey

State Data Source:
Hawaii Health Information Corporation

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of emergency department visits with a first-listed diagnosis of asthma (ICD-9-CM code 493) among persons aged 65 years and older per 10,000 persons of the same age. The national indicator is defined in exactly the same way.

State Baseline:
28.3 emergency department visits per 10,000 persons aged 65 years and older (2010)

Most Recent State Value:
30.0 emergency department visits per 10,000 persons aged 65 years and older (2011)

HP2020 Target:
National: 13.7 emergency department visits per 10,000 persons aged 65 years and older

National Data Source:
National Hospital Discharge Survey

State Data Source:
Hawaii Health Information Corporation

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of deaths due to chronic obstructive pulmonary disease (ICD-10 codes J40-J44, excludes asthma) among adults aged 45 years and older per 100,000 persons of the same age. The national indicator is defined in exactly the same way.

State Baseline:
45.4 deaths per 100,000 adults aged 45 years and older (2010)

Most Recent State Value:
50.0 deaths per 100,000 adults aged 45 years and older (2015)

HP2020 Target:
National: 102.6 deaths per 100,000 adults aged 45 years and older

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System>

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse