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Mississippi Chronic Illness Coalition
  The Mississippi Chronic Illness Coalition was formed in 1996 to improve the long-term health of all Mississippians and help reduce the impact of chronic health conditions affecting the state.

The MCIC has a statewide membership of over 200 individuals representing 120 organizations. The focus of the coalition's activities is expanding from diabetes to cardiovascular disease and other major health concerns. MCIC is raising awareness of these issues with the Know Your Numbers campaign.



Cardiovascular Disease
Cardiovascular Disease (CVD) including heart disease and stroke
11,557 Mississippians died from CVD in 2001 — one death every 45 minutes. One in five CVD deaths occurred in Mississippians under 65 years of age. It was the leading cause of death in Mississippi, accounting for 41% of all deaths in the state.
1,927 Mississippians died from stroke in 2001. It was the third leading cause of death in Mississippi, accounting for 6.8% of all deaths.
Mississippi's CVD mortality is the highest in the nation, with a mortality rate in 2000 that was 29% higher than the U.S. as a whole. More Mississippians die each year from CVD than from all types of cancer, traffic injuries, suicides, and AIDS combined.
In 2002, approximately 8% of Mississippi adults, or 171,000 persons, reported having some form of CVD. 6% of adults — 134,000 persons — had coronary heart disease in some form.
The economic impact of CVD on the Mississippi health care system continues to grow as the population ages. The estimated cost of CVD in Mississippi in 2001 was about $3.7 billion.

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Diabetes
Diabetes and Related Complications
Diabetes contributes to the deaths of 1,600 Mississippians each year.
In 2002, more than 270,000 Mississippians had diabetes. One third of them were undiagnosed.
Mississippi's diabetes prevalence in 2002 was 8.6%, compared to 9.3% the year before.
An estimated 1,700 Mississippians suffer significant diabetes-related complications (lower extremity amputations, blindness, etc.) each year.
In 1997, the estimated cost of diabetes in Mississippi was about $1.7 billion.

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Cancer
Cancer
In Mississippi, cancer accounted for 21% of all deaths in 2001. It was the second leading cause of death.
Of all states, Mississippi had the third-highest rate of death due to all cancers in 1999.
Mississippi had the third-highest death rate due to lung cancer in 1999.
Rates of death from all cancers were 80% higher among men than among women.

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Arthritis
Arthritis
Arthritis is a leading cause of disability among persons aged 15 years and older in Mississippi.
Based on 2004 CDC recommended case definition, arthritis prevalence for Mississippi adults was 29% in 2002.
Based on CDC estimates, the total cost for arthritis in 1999 was $65 billion in the nation. Proportionately, the cost to Mississippi would be $650 million annually.

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Kidney Disease

Chronic Kidney Disease

  • As of November 2007, according to the National Kidney Foundation, it was estimated that 26 million American adults have chronic kidney disease — most are completely unaware of their condition.
  • Diabetes and hypertension are the two leading causes of kidney disease.
  • End-stage renal disease (ESRD; also known as kidney failure), requiring renal replacement therapy such as dialysis or kidney transplant, is the end-point for undiagnosed, untreated CKD. As of December 2007, there were 5,486 dialysis patients in Mississippi. 1,472 patients began dialysis in Mississippi in 2007, and 1,086 Mississippi dialysis patients died in 2007.
  • More patients die from kidney failure each year than from colorectal cancer, breast cancer or prostate cancer.
  • African-Americans are nearly four times more likely to have kidney failure than are whites; Native Americans are twice as likely.
  • Individuals with high blood pressure, diabetes, or a family history of high blood pressure, diabetes, or kidney disease, are at increased risk for kidney disease.
  • Early intervention can slow the progression of kidney disease! Ask your doctor if you are at risk.
  • Free screenings are available from the Mississippi Kidney Foundation. Call 1-800-232-1592 for information on scheduled screenings.

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Risk Factors
Main Risk Factors for Chronic Disease
Smoking: smoking is the single most important modifiable risk factor for CVD/CHD. In 2002, more than one quarter (27%) of adult Mississippians were smokers. In 2003, about one quarter (23%) of Mississippi high school students smoked cigarettes.
High Blood Pressure (Hypertension): approximately 644,000 Mississippi adults are now estimated to have hypertension. In 2001, the prevalence for hypertension had increased to 31% from 28% in 1990.
High Blood Cholesterol: In 2001, the percentage of adult Mississippians reporting a high blood cholesterol level stood at about 31%.
Lack of Regular Physical Activity
  • In 2001, four of five (81%) adult Mississippians were not physically active on a regular basis (at least 5 days per week, at least 30 minutes per session).
  • More than half of Mississippi adults are sedentary: they report no leisure time physical activity or only irregular physical activity. In 2002, 33% of Mississippi adults reported no leisure time physical activity.
  • In 2003, more than 15% of Mississippi high school students did not participate in any vigorous or moderate physical activities during the past seven days.
  • In 2003, more than 54% of Mississippi high school students watched 3 or more hours of TV per day on an average school day.
Being Overweight / Obese
  • Mississippi ranks number one — the highest in the nation — in obesity. In 2002, 36% of adult Mississippians were overweight (BMI was between 25 and 30; 27% were obese (BMI was 30 or more).
  • In 2003, almost one-third (31%) of Mississippi high school students report that they were overweight, or at risk of being overweight.

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Prevention
Health Services and Prevention
Of all states, Mississippi had the fifth-highest percentage (22%) of adults aged 18-64 reporting no health care coverage.
More than 86% of adults aged 50 years or older reported not having had a fecal occult blood test within the past year.
Of all states, Mississippi had the seventh-highest percentage of adults aged 50 years or older who reported not having had a sigmoidoscopy or colonoscopy within the last 5 years.

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Data Sources
2001 Mississippi Vital Statistics
2002 Mississippi Behavioral Risk Factor Surveillance System
2003 Mississippi Youth Risk Behavioral Surveillance System
2003 Mississippi State of the Heart Report (currently being printed)

The Burden of Chronic Diseases and Their Risk Factors, 2002, Department of Health and Human Services

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