Healthy People 2020

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HealthyPeople 2020:

Immunizationand Infectious Diseases in Baltimore


HealthyPeople 2020 program is a joint initiative that involves the Federalgovernment and department of health to ensure the wellbeing of thenation improves significantly. One of the objectives includes ease ofaccessibility to quality healthcare services. Ideally, the level ofhealthcare services ought to improve through the initiative such thatpeople do not wait in queues for long before they can receivetreatment. Importantly, there is a need to focus on infectiousdiseases, as well as immunization as this could help in reduction ofthe number of people that may be affected. In particular, the focuson children and youth is a crucial perspective that will ensure theburden on the healthcare practitioners reduces significantly.

HealthyPeople 2020: Immunization and Infectious Diseases in Baltimore

Thedepartment of health and human resources is crucial as it promoteshealth and prevents some of the prevalent diseases, and this has beenmade possible by unveiling healthy people 2020 program. The long-termplan is to ensure all the people in the country have easy access tomedical services while some of the communicable diseases areannihilated. Accordingly, the country has not reached its fullpotential in health services and additional strategies are needed toenhance the quality and quantity of the industry. Ideally, theleadership indicates that it is important to achieve the nationalgoals and monitor the progress so that areas of weakness improvesignificantly. The initiative develops new perspectives in areas suchas adolescent fitness, quality of health that relates to well-beingand infections that are associated with healthcare. Thus, this paperfocuses on immunization and prevention of infectious diseases inrelation to the plan that the management of Baltimore city incepts toimprove health indicators.

Overviewof Problem

Fora nation to progress in politics, environment, and social sense,there is a need to have healthy people that are actively involved inthe labor market. However, with the increasing number of ailments andchronic illnesses, many people are distracted from their dailyactivities. It is evident that the health sector is among the leadingspenders in the country such that it limits the amount of resourcesthat the government can use in development projects. Thus, thissituation warrants health improvements nationwide by the Federalgovernment while the state and county government inject theircontribution to the situation. Importantly, many people succumb tosome of the diseases that may be prevented while some children haveto grapple with complications that emanate from ailments that can beimmunized such as polio (Baltimore City Government, 2016). Innately,the institutions that have the mandate to safeguard the health of thenation have to consider public awareness of wellbeing such that theycan identify indicators of possible disease outbreaks and recognizeopportunities for progress. In such a perspective, the leadership inthe health sector may use the resources spent to build more hospitalsand specialized institutions that deal with the chronic and deadlydiseases. In fact, there is a need for more research so that some ofthe untreatable diseases can find a cure that will annihilateunwarranted deaths that claim lives of many citizens. For thisreason, the department indicates that it is critical to engage incritical research, evaluation, and data collection so that prevailingcases are monitored effectively.

Dataand Demographic

Itis important for the government to provide healthcare services thatimprove the well-being of the citizens so that they can be productivein the economic, social, and political setup. Additionally, it issignificant as this preserves the dignity of life, especiallyindividuals that suffer from chronic diseases such as HIV/AIDS yetthey can be prevented. Imperatively, statistics indicate thatBaltimore is the largest city in Maryland such that recentapproximations in 2014 state that the number of people that reside inthe area maybe more than 620, 000 (Baltimore City Government, 2016).Therefore, the state government has to consider various strategies inthe health sector that will enhance health services in the city.Apparently, the city has two of the leading scientific researchcenters that could be instrumental to help annihilate immunizable andinfectious diseases that affect a significant percentage of thepopulation (Centersfor Disease Control and Prevention, 2016).The two centers include the John Hopkins Hospital and the Universityof Maryland Hospital. Ideally, this gives the area an added advantageas the professionals that the government deploys in the healthcenters can improve research, as well as find alternative andeffective ways to protect the society. Notwithstanding, the healthypeople 2020 blueprint encourages the manufacturers of equipment andmachinery to ensure that they provide distinctive and applicationsthat are easy to use so that practitioners can serve many people inshort periods (Lau,Adams, Park, Boscardin, &amp Irwin, 2014). Additionally, this makes it easy to detect some of the infectiousdiseases that patients can transfer to unsuspecting people. On thisnote, it is an encouragement to induct information technology inservice provision so that the industry achieves the goals andobjectives of the strategy that has a lifespan of ten years.

Accordingto studies by the initiators of the healthy people 2020 plan, it isevident that the U.S. only achieves an approximation of 71% of fitindividuals’ needs, which is below the expectations of a developedworld. Further statistics indicate that some of the prevalent chronicdiseases such as diabetes, cancer, and heart complications attributeto over 70 percent of the deaths in every ten people. Additionally,the researchers indicate that spending on chronic diseases accountsfor 75% of the costs in health sector such that individuals that mayneed special medical attention do not receive the treatment theyneed. Thus, it is imperative to consider an improvement using thegoals of objectives of the Baltimore Health Department such that theleaders contain the situation through involvement of healthpractitioners, partners, and non-governmental organizations. Throughsuch collective efforts, the health indicators will improve such thatinfectious diseases are minimized while immunization is given to allchildren to prevent the diseases that may occur (Centersfor Disease Control and Prevention, 2016).For instance, disability due to complications of polio should beannihilated by ensuring all children that attain the immunization agereceive the vaccines.


Thescope of improvement of health in Baltimore in relation toimmunization and prevention of infectious diseases ought to beinstrumental in reduction of the mortality rate (Centersfor Disease Control and Prevention, 2016).After the inception of the healthy people 2020 initiative, thewellbeing indicators show an improvement. For example, the mortalityrate in 2015 was 8.4 per 1000 deaths, which is the lowest number thatthe city has achieved. Significantly, the past half a decade hasshown an improvement since the mortality rate had dropped by 19% whencompared to the rate in 2014 (Baltimore City Government, 2016). In2012, statistics indicate that the rate was 9.7 deaths per 1000,which shows continuous progress over the years. Nonetheless, the cityappreciates tourism and the various sites that are an attraction topeople from different areas. However, this is a cause of concern tothe leadership because the emergence of communicable diseases isprevalent. For instance, the city has to define various avenues theycan use to combat the Zika virus, which affects many people acrossthe globe. On this context, the congress approved the budget thatmay be used to prevent the population from the communicable diseases,and this has been an instrumental factor to maintain health status ofthe citizens.

Immunizationamong children to prevent some diseases is a protective measure thatthe city adopts since some of the illnesses and complications do nothave treatment (Centersfor Disease Control and Prevention, 2016).Nonetheless, the area has a significantly large number of adolescentsand this could be a risk factor, especially in relation to infectiousdiseases such as sexually transmitted infections. For instance, thereis focus on females attending family planning clinics and youngadults attending sexually transmitted infections clinics. More so, itis indicated that two in every three adults in the United States haverisk of obesity and overweight, yet this increases the chances ofdiabetes and heart attack (Spencer, Petteway, Bacetti &amp Barbot,2011). Notwithstanding, the individuals have to sensitize the youthon reduction of tobacco use by teenager and increasing activity amongthe nation so that health disparities do not affect provision ofwellbeing services.

Rationalefor Program

Baltimoreleadership is instrumental in the improvement of the health sector asit introduces policies that can develop the healthcareinfrastructure, especially in connection with immunization andprevention of infectious diseases (Centersfor Disease Control and Prevention, 2016).Additionally, they induct laws and regulations that enhanceenvironmental, economic and social setting although with minimalchanges that could affect the stability of the health sector. Moreso, there is induction of preventive care, quality access to healthservices, and care to vulnerable populations such that the number ofaffected people reduces significantly (Hargreaves,Elliott, Viner, Richmond, &amp Schuster, 2015). In the same context, there is engagement of the communities througheducational forums and workshops that denote the plans to improve thewellbeing of the society. Thus, the involvement of stakeholders toenhance the health indicators of Baltimore residents is a crucialperspective that has had positive progress, and the governmentstrives to make additional changes that will help in achievement ofhealthy people 2020.


Insummation, healthy people 2020 initiative is crucial for theenhancement of health indicators across the United States, andthrough involvement of state, as well as local governments, theobjectives and goals can be achieved. Through the various strategicchanges, the city of Baltimore has recorded a drop in the mortalityrate while additional efforts to prevent infectious diseases areevident. For instance, focusing on the youth is a criticalperspective that may improve the health of the nation for a longtime. Notwithstanding, the availability of two major research centersin the city makes it possible to conduct studies and define theappropriate measures to undertake. Thus, the city’s preparation toenhance the health of the people is on the right track although thereis a need to increase investments in the sector.


BaltimoreCity Government. (2016). Healthy Baltimore 2015. Baltimore: BaltimoreCity Government.

Centersfor Disease Control and Prevention (2016). Immunization.Washington D.C: National center for health statistics.

Hargreaves,D. S., Elliott, M. N., Viner, R. M., Richmond, T. K., &amp Schuster,M. A. (2015). Unmet health care need in US adolescents and adulthealth outcomes.&nbspPediatrics,&nbsp136(3),513-520.

Lau,J. S., Adams, S. H., Park, M. J., Boscardin, W. J., &amp Irwin, C.E. (2014). Improvement in preventive care of young adults after theAffordable Care Act: the Affordable Care Act is helping.&nbspJAMApediatrics,&nbsp168(12),1101-1106.

Spencer,M, Petteway, R., Bacetti L., &amp Barbot, O. (2011). HealthyBaltimore 2015: A city where all residents realize their full healthpotential.Baltimore: Baltimore City Health Department.

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