Modifications to Objectives and Subobjectives

The following discussion highlights the modifications, including changes, additions, and deletions, to this focus area's objectives and subobjectives as a result of the midcourse review.

As stated in Healthy People 2010: "Most developmental objectives have a potential data source with a reasonable expectation of data points by the year 2004 to facilitate setting 2010 targets in the mid-decade review. Developmental objectives with no baseline at the midcourse will be dropped." Accordingly, at the midcourse review some developmental objectives and subobjectives were deleted because they lacked a data source. However, the U.S. Department of Health and Human Services (HHS) and the agencies that serve as the leads for the Healthy People 2010 initiative will consider ways to ensure these public health issues retain prominence despite their current lack of data.

Two objectives—decrease the proportion of women with gestational diabetes (5-8) and reduce the frequency of foot ulcers in persons with diabetes (5-9)—were deleted from Healthy People 2010 due to the lack of an adequate, nationally representative data source.

The developmental objective for annual urinary microalbumin measurements among adults with diabetes (5-11) became measurable. The objective was changed to track adults in keeping with the data collected by the new data source, the U.S. Renal Data System developed and maintained by the National Institutes of Health.

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