Contents
Healthy People 2010, Volume I
Message from the Secretary	iii
Foreword	v
Reader’s Guide	RG-1
Healthy People 2010: Understanding and Improving Health
Introduction	1
A Systematic Approach to Health Improvement	7
Healthy People 2010 Goals	8
Objectives	17
Determinants of Health	18
Health Status	21
Leading Health Indicators	24
Physical Activity	26
Overweight and Obesity	28
Tobacco Use	30
Substance Abuse	32
Responsible Sexual Behavior	34
Mental Health	36
Injury and Violence	38
Environmental Quality	40
Immunization	42 
Access to Health Care	44	
Bibliography	47
Appendix: Short Titles for Healthy People 2010 Objectives	53
Healthy People 2010: Objectives for Improving Health (Part A)
1.  Access to Quality Health Services	1-1
Clinical Preventive Care	1-13
Primary Care	1-18
Emergency Services	1-29
Long-Term Care and Rehabilitative Services	1-34
2.  Arthritis, Osteoporosis, and Chronic Back Conditions	2-1
Arthritis and Other Rheumatic Conditions	2-11
Osteoporosis	2-17
Chronic Back Conditions	2-20
3.  Cancer	3-1
4.  Chronic Kidney Disease	4-1
5.  Diabetes	5-1
6.  Disability and Secondary Conditions	6-1
7.  Educational and Community-Based Programs	7-1
School Setting	7-12
Worksite Setting	7-18
Health Care Setting	7-21
Community Setting and Select Populations	7-22
8.  Environmental Health	8-1
Outdoor Air Quality	8-15
Water Quality	8-18
Toxics and Waste	8-21
Healthy Homes and Healthy Communities	8-24
Infrastructure and Surveillance	8-28
Global Environmental Health	8-31
9.   Family Planning	9-1
10. Food Safety	10-1
11. Health Communication	11-1
12. Heart Disease and Stroke	12-1
Heart Disease	12-16
Stroke	12-19
Blood Pressure	12-20
Cholesterol	12-25
13. HIV	13-1

14. Immunization and Infectious Diseases	14-1
Diseases Preventable Through Universal Vaccination	14-11
Diseases Preventable Through Targeted Vaccination	14-18
Infectious Diseases and Emerging Antimicrobial Resistance	14-22
Vaccination Coverage and Strategies	14-35
Vaccine Safety	14-49
Index	I-1

Healthy People 2010, Volume II
Healthy People 2010: Objectives for Improving Health (Part B)
15. Injury and Violence Prevention	15-1
Injury Prevention	15-11
Unintentional Injury Prevention	15-23
Violence and Abuse Prevention	15-43
16. Maternal, Infant, and Child Health	16-1
Fetal, Infant, Child, and Adolescent Deaths	16-12
Maternal Deaths and Illnesses	16-23
Prenatal Care	16-26
Obstetrical Care	16-29
Risk Factors	16-32
Developmental Disabilities and Neural Tube Defects	16-38
Prenatal Substance Exposure	16-43
Breastfeeding, Newborn Screening, and Service Systems	16-46
17. Medical Product Safety	17-1
18. Mental Health and Mental Disorders	18-1
Mental Health Status Improvement	18-12
Treatment Expansion	18-16
State Activities	18-21
19. Nutrition and Overweight	19-1
Weight Status and Growth	19-10
Food and Nutrient Consumption	19-18
Iron Deficiency and Anemia	19-36

Schools, Worksites, and Nutrition Counseling	19-40
Food Security	19-44
20. Occupational Safety and Health	20-1
21. Oral Health	21-1
22. Physical Activity and Fitness	22-1
Physical Activity in Adults	22-8
Muscular Strength/Endurance and Flexibility	22-13
Physical Activity in Children and Adolescents	22-17
Access	22-25
23. Public Health Infrastructure	23-1
Data and Information Systems	23-9
Workforce	23-14
Public Health Organizations	23-15
Resources	23-19
Prevention Research	23-20
24. Respiratory Diseases	24-1
Asthma	24-13
Chronic Obstructive Pulmonary Disease	24-20
Obstructive Sleep Apnea	24-22
25. Sexually Transmitted Diseases	25-1
Bacterial STD Illness and Disability	25-15
Viral STD Illness and Disability	25-19
STD Complications Affecting Females	25-21
STD Complications Affecting the Fetus and Newborn	25-24
Personal Behaviors	25-25
Community Protection Infrastructure	25-29
Personal Health Services	25-30
26. Substance Abuse	26-1
Adverse Consequences of Substance Use and Abuse	26-13
Substance Use and Abuse	26-22
Risk of Substance Use and Abuse	26-38
Treatment for Substance Abuse	26-43
State and Local Efforts	26-45

27. Tobacco Use	27-1
Tobacco Use in Population Groups	27-10
Cessation and Treatment	27-19
Exposure to Secondhand Smoke	27-24
Social and Environmental Changes	27-29
28. Vision and Hearing	28-1
Vision 	28-12
Hearing	28-14
Appendices
A. Healthy People Consultative Process	A-1
B. Contributors to Healthy People 2010	B-1
C. The Secretary’s Council on National Health Promotion and Disease 
 Prevention Objectives for 2010	C-1
D. Healthy People 2010 Steering Committee	D-1
E. Healthy People 2010 Work Group Coordinators	E-1
F. Healthy People 2010 Work Group Members	F-1
G. Healthy People Consortium Members	G-1
H. List of Abbreviations and Acronyms	H-1
Index	I-1