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State Program: Colorado
Capacity Building
The Colorado Department of Public Health and Environment began receiving
funds from CDC in 2000 to support a state heart disease and stroke
prevention program.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of death in Colorado, accounting
for 6,425 deaths or approximately 22% of the state's deaths in 2002.
(National Vital Statistics Report 2004;53(5)).
- Stroke is the third leading cause of death, accounting for 1,915
deaths or approximately 7% of the state's deaths in 2002. (National Vital
Statistics Report 2004;53(5)).
- According to Behavioral Risk Factor Surveillance System (BRFSS) survey
results, adults in Colorado reported the following risk factors
for heart disease and stroke:
In 2005,
- 20.1% had high blood pressure
- 33.1% of those screened reported having high blood cholesterol
In 2006,
- 5.3% had diabetes
- 17.9% were current smokers
- 54.9% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 17.4% reported no exercise in the prior 30 days
Key Responsibilities
- Facilitate collaboration among public and private sector
partners, such as managed care organizations, health
insurers, federally funded health centers, businesses,
priority population organizations, and emergency response
agencies.
- Define the burden of heart disease and stroke and assess
existing population-based strategies for primary and
secondary prevention of heart disease and stroke within the
state.
- Develop and update a comprehensive state plan for heart
disease and stroke prevention with emphasis on heart-healthy
policies development, physical and social environments
change, and disparities elimination (e.g., based on
geography, gender, race or ethnicity, or socioeconomic
status).
- Identify culturally appropriate approaches to promote
heart disease and stroke prevention among racial, ethnic,
and other priority populations.
- Use population-based public health strategies to
increase public awareness of the heart disease and stroke
urgency, the signs and symptoms of heart disease and stroke,
and the need to call 9–1–1.
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State Highlights
- The Colorado Heart Disease and Stroke Prevention (HDSP) program
published “The Impact of Heart Disease and Stroke in Colorado” in
May 2005 and distributed it widely to stakeholders and partners. A
Report to the Colorado Legislature from the Colorado Stroke Advisory
Board published in November 2003 made many recommendations for
improving the awareness and treatment of stroke in Colorado.
- The Cardiovascular Health State Plan 2010 was completed in 2002,
revised in 2005, and is undergoing revision in 2007. The state plan
serves as the strategic planning guide for the development of a
comprehensive approach to heart disease and stroke prevention.
- The program coordinates a state-level cardiovascular coalition with
members from health care, government agencies, professional
organizations, and minority health groups.
- The Colorado Department of Public Health and Environment, with
primary support from the Cardiovascular Disease and Stroke Prevention
Program, is the lead agency for the Stroke Advisory Board which was
legislatively established in 2002. The Stroke Advisory Board has
completed its mandate and made recommendations on key strategies to
reduce the burden of stroke in the state. The program will look for ways
to integrate these recommendations into the State Plan. In addition,
some members of the Stroke Advisory Board are willing to form a Stroke
Task Force (under the coalition) to work to implement the
recommendations of the Advisory Board.
- The Colorado Clinical Guidelines Collaborative directed the
development of clinical guidelines by a diverse, multidisciplinary group
to encourage healthcare professionals to conduct a global cardiovascular
risk assessment using the Framingham Risk Score for all of their
patients.
- During the 2005 legislative session, the Colorado General Assembly
enacted legislation (House Bill 05-1262) that allocated sixteen percent
of the revenue generated from the passage of a constitutional amendment
to increase the excise tax on tobacco products for a competitive grants
program for prevention, early detection, and treatment of cancer,
cardiovascular disease, and pulmonary disease. The Cancer,
Cardiovascular, and Pulmonary Disease (CCPD) competitive grants program
is intended to assist in the implementation of the state’s strategic
plans for cancer, cardiovascular disease and pulmonary disease. The
funding available through this program has greatly extended the reach
and breadth of heart disease and stroke efforts in Colorado. For
example, in 2006, CCPD funding was allocated for the development of a
pilot stroke registry using the American Heart Association’s Get with
the Guidelines–Stroke (GWTG) module as the tool. Colorado’s Quality Improvement
Organization received funding to implement the GWTG – Coronary Artery
Disease and Heart Failure modules in hospitals throughout Colorado.
For more information on heart disease and stroke prevention in Colorado, visit
http://www.cdphe.state.co.us/pp/cvd/cvdhom.html.*
To view county-level data, visit our interactive map site at
http://www.cdc.gov/dhdsp/library/maps/statemaps.htm.
*Links to non–Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.
Page last reviewed:
December 5, 2007
Page last modified: December 5, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion |
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