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1. 2. 3. 4. 5. Hypertension Upper respiratory infections (“colds”) Arthritis Diabetes Back pain 6. 7. 8. 9. 10. Prenatal care Routine check up Cancer Arthritis Heart disease 3 Rank Cause of Death Death Rate per 100,000 1 Heart disease 195 2 Cancer 185 3 COPD 45 4 Stroke 42 5 Accidental death 38 6 Alzheimer's Disease 26 7 Diabetes 22 8 Influenza and pneumonia 18 9 Kidney disease 16 10 Suicide 12 4 United States Public Health: Life Expectancy Leveling Off Source: CDC 5 Why is Life Expectancy Leveling Off? Preventable Causes of Death in the U.S. Daniels et al, PLoS 2009 Where Do We Stand in 2012? Only 32% of Americans Are at a Healthy Weight Obesity Overweight Healthy, 32.10% Healthy Obesity, 33.90% Overweight, 34.40% Smoking Statistics in the U.S.: Sadly, Still a Major Problem     More deaths each year due to tobacco use than by all deaths from HIV, illegal drug use, alcohol use, motor vehicle injuries, and suicides combined 443,000 deaths annually Adults who smoke cigarettes die an average of 14 years earlier than nonsmokers Men who smoke increase their risk of dying from COPD by nearly 10 times and from lung cancer by more than 22 times. Source: U.S. CDC, 2012 Data        46 million American have no health insurance 1/3 of all American have a major chronic illness 1/5 of Americans still smoke cigarettes 2/3 of Americans are overweight or obese An increasing shortage of primary care (general medical) doctors even in major cities Impending primary care crisis? Aging population post “baby boom” 9 10