In 1991, the New Jersey Department of Health published Healthy New Jersey 2000: A Public Health Agenda for the 1990's (HNJ2000) in response to the federal Healthy People 2000 initiative. In 1999, work began on Healthy New Jersey 2010: A Health Agenda for the First Decade of the New Millennium (HNJ2010). Future reports in the New Jersey Health Statistics series will likely follow the HNJ2010 process, but currently data for the HNJ2000 process are still being tracked to ascertain success in that project.

The HNJ2000 process set health objectives to be attained by the year 2000 covering such areas as maternal and child health, cancer, cardiovascular diseases, AIDS, communicable diseases, injuries, and addictions. Data for these objectives have been tracked throughout the decade and graphs for objectives based on vital statistics, communicable disease, and Behavioral Risk Factor Surveillance System data are included in this report. Because population data by race were only available for "whites" and "races other than white" when the HNJ2000 objectives were developed in the early 1990s, many targets were set for "white" and "minority" populations. Most HNJ2010 objectives have separate targets for whites, blacks, Hispanics, and, where sufficient data are available, Asians and Pacific Islanders.

The following table lists the objectives and sub-objectives contained in this report and their likelihood of achievement. In the past, the likelihood categories consisted of "likely," "not likely," and "uncertain." Since the endpoint is only two years away from the most recent data available, the "uncertain" category was removed and a category indicating that the objective has already been achieved was added. The categorizations are based on judgments derived from assessing the data trend lines. No statistical probabilities have been attached to the categorizations.

Increase Access to Preventive and Primary Care
Two measures of access that use vital statistics data are years of potential life lost (YPLL) and life expectancy. By 1998, the objectives for YPLL for the total and minority populations had been met, as had the target for life expectancy among whites. The life expectancy objective for minorities had not been met as of 1998, but if current trends continue, it should be achieved by 2000 (Figures HS1 - HS2).

Improve Infant, Child Health, and Maternal Outcomes
Objectives were developed for infant mortality, birth weight, prenatal care, and alcohol and tobacco abstinence. Of these, only the targets set for infant mortality and no prenatal care for the total population have been met and none of the others appear likely to achieve the objective by 2000 except black infant mortality. Prenatal care onset and tobacco and alcohol use are predictors for birth weight which, in turn, is a predictor for infant mortality. Increases in multiple births and advances in medical care for high-risk newborns may explain some of the increase in low birth weight at the same time that infant mortality is decreasing (Figures HS3 - HS9).

Improve the Health of Adolescents
Teen births and injury deaths among those aged 15-19 are available from vital statistics files. The objectives for births to females 10-14 were met in 1998, however those for females 15-19 do not appear likely to be achieved by 2000. The objectives related to motor vehicles deaths, suicides, and homicides are based on small numbers and therefore create unstable rates, but all appear to be on track for meeting the targets set for 2000 (Figures HS10 - HS14).

Prevent, Detect, and Control Cancer
While two of the targets set for breast cancer mortality have been met, the percentage of women receiving clinical breast exams and mammograms is increasing too slowly to achieve the objective by 2000. Trends are similar for other cancer mortality and related behavioral objectives: lung cancer mortality targets have been met but smoking prevalence will not meet the target; colorectal cancer deaths have achieved the objective but daily fruit and vegetable consumption has remained constant at 80 percent of the target. It appears unlikely that the objectives for cervical cancer and Pap smears will be met for any group except the age-adjusted cervical cancer death rate among minority females (Figures HS15 - HS24).

Prevent, Detect, and Control Cardiovascular and Other Vascular Diseases
Cardiovascular disease results are similar to those seen for the cancer objectives: even though the behavioral objectives related to physical activity, blood pressure checks, and blood cholesterol checks seem unlikely to be met, the mortality targets have been met or appear likely to be met by 2000. The exception to this is the stroke death rate for those aged 65 and over, which does not appear likely to be achieved by 2000 (Figures HS25 - HS32).

Prevent and Control AIDS and HIV Infection
Both the objective for age-adjusted HIV infection deaths and the objective for HIV infection deaths among those aged 25-44 were achieved as of 1998. Declines in AIDS incidence and advances in medical treatment have contributed to sharp declines in HIV mortality since 1996 (Figures HS33 - HS34).

Prevent and Control Sexually Transmitted Diseases
Primary and secondary syphilis incidence and gonorrhea incidence are on the decline and targets have been met. While chlamydia incidence is rising, probably due at least in part to improvements in reporting, it has remained below the objective set for 2000. Congenital syphilis, on the other hand, has continued to rise well above the target level (Figures HS35 - HS38).

Prevent and Control Vaccine-Preventable and Other Infectious Diseases
Since the measles outbreaks of 1991 and 1994, measles incidence has remained extremely low, virtually meeting the target. Tuberculosis (TB) incidence among the total population is decreasing too slowly to achieve the target by 2000, but the rate for the minority population appears likely to meet its objective. Lyme disease incidence is generally increasing with no likelihood of reaching the target in 2000 (Figures HS39 - HS41).

Prevent and Control Injuries
Objectives for reducing motor vehicle fatalities have been met in the total population and among those aged 15-24. For persons aged 70 and over, however, the target has not been met; it is possible that it could be achieved by 2000. The percentage of adults who report using seat belts always or nearly always has consistently been above the target since data became available in 1991. The fall-related death rate among those 65-84 has fluctuated near the target and could be met by 2000; the rate among those 85 and over has remained well above its target and is unlikely to be met. Objectives for homicide rates among minority males and females 15-44 have been met. The suicide target for persons 15-24 has been met, but the rate for white males 65 and over remains well above the objective level and is unlikely to be met by 2000 (Figures HS42 - HS47).

Reduce the Rates of Morbidity and Mortality Due to Addiction
Though the percentage of adults engaging in binge drinking (consumption of five or more drinks on one occasion at least once per month) remains above the objective level and is unlikely to achieve it by 2000, the total and minority male age-adjusted chronic liver disease and cirrhosis death rates have met the targets. The age-adjusted drug-related death rate appears to be declining slightly but it is unlikely that the objective will be met by 2000 (Figures HS48 - HS50).

HEALTHY NEW JERSEY 2000 OBJECTIVE	ACHIEVED AS OF 1998	LIKELY TO BE ACHIEVED	NOT LIKELY TO BE ACHIEVED
Years Of Potential Life Lost - Total	X
Years Of Potential Life Lost - Minority	X
Life Expectancy - White	X
Life Expectancy - Minority		X
Infant Mortality Rate - Total	X
Infant Mortality Rate - Black		X
Low Birth Weight - Total			X
Low Birth Weight - Black			X
Very Low Birth Weight - Total			X
Very Low Birth Weight - Black			X
First Trimester Prenatal Care - Total			X
First Trimester Prenatal Care - Black			X
First Trimester Prenatal Care - Hispanic			X
No Prenatal Care - Total	X
No Prenatal Care - Black		X
Alcohol Abstinence During Pregnancy			X
Tobacco Abstinence During Pregnancy			X
Births To Females 10-14 - Total	X
Births To Females 10-14 - Minority	X
Births To Females 15-19 - Total			X
Births To Females 15-19 - Minority			X
Motor Vehicle Fatalities - 15-19		X
Suicides - White Males 15-19		X
Homicides - Minority Males 15-19		X
Breast Cancer Deaths - Total, Age-Adjusted	X
Breast Cancer Deaths - Females 50-64	X
Breast Cancer Deaths - Females 65 And Over			X
Mammogram			X
Lung Cancer Deaths - Total, Age-Adjusted	X
Lung Cancer Deaths - Minority Males, Age-Adjusted	X
Smoking Prevalence			X
Colorectal Cancer Deaths - Total, Age-Adjusted	X
Fruits And Vegetables			X
Cervical Cancer Deaths - Total, Age-Adjusted			X
Cervical Cancer Deaths - Minority, Age-Adjusted		X
Cervical Cancer Deaths - Females 65 And Over			X
Pap Smear - Total			X
Pap Smear - Minority			X
Pap Smear - 65 And Over			X
HEALTHY NEW JERSEY 2000 OBJECTIVE	ACHIEVED AS OF 1998	LIKELY TO BE ACHIEVED	NOT LIKELY TO BE ACHIEVED
Coronary Heart Disease Deaths - Total, Age-Adjusted	X
Coronary Heart Disease Deaths - Minority, Age-Adjusted	X
Coronary Heart Disease Deaths - Total 45-64	X
Coronary Heart Disease Deaths - Minority 45-64	X
Stroke Deaths - Total, Age-Adjusted	X
Stroke Deaths - Minority, Age-Adjusted	X
Stroke Deaths - Total 45-64		X
Stroke Deaths - Minority 45-64	X
Stroke Deaths - Total 65 And Over			X
Physical Activity			X
Blood Pressure Checks			X
Blood Cholesterol Checks			X
AIDS Deaths - Total, Age-Adjusted	X
AIDS Deaths - 25-44	X
Primary & Secondary Syphilis Incidence - Total	X
Primary & Secondary Syphilis Incidence - Minority	X
Congenital Syphilis Incidence - Total			X
Congenital Syphilis Incidence - Minority			X
Gonorrhea Incidence - Total	X
Chlamydia Incidence - Total	X
Measles Incidence - Total		X
Active Tuberculosis Incidence - Total			X
Active Tuberculosis Incidence - Minority		X
Lyme Disease Incidence - Total			X
Motor Vehicle Fatalities - Total, Age-Adjusted	X
Motor Vehicle Fatalities - 15-24	X
Motor Vehicle Fatalities - 70 And Over		X
Seat Belt Usage	X
Fall-Related Deaths - 65-84		X
Fall-Related Deaths - 85 And Over			X
Homicide Deaths - Minority Males 15-44	X
Homicide Deaths - Minority Females 15-44	X
Suicides - 15-24	X
Suicides - White Males 65 And Over			X
Binge Drinking			X
Cirrhosis Deaths - Total, Age-Adjusted	X
Cirrhosis Deaths - Minority Males, Age-Adjusted	X
Drug-Related Deaths			X

HEALTH STATUS ILLUSTRATIONS
Figure HS1	YPLL Before Age 65
Figure HS2	Life Expectancy at Birth
Figure HS3	Infant Mortality
Figure HS4	Low Birth Weight
Figure HS5	Very Low Birth Weight
Figure HS6	First Trimester Prenatal Care by Race
Figure HS7	First Trimester Prenatal Care by Ethnicity
Figure HS8	No Prenatal Care
Figure HS9	Alcohol and Tobacco Abstinence during Pregnancy
Figure HS10	Births to Females 10-14 Years of Age
Figure HS11	Births to Females 15-19 Years of Age
Figure HS12	Motor Vehicle Fatality Rate, Ages 15-19
Figure HS13	Suicide Deaths Among White Males Aged 15-19
Figure HS14	Homicide Deaths Among Minority Males Aged 15-19
Figure HS15	Age-Adjusted Breast Cancer Death Rate
Figure HS16	Age-Specific Breast Cancer Death Rate
Figure HS17	Mammography
Figure HS18	Age-Adjusted Lung Cancer Death Rate
Figure HS19	Adult Smoking Prevalence
Figure HS20	Age-Adjusted Colorectal Cancer Death Rate
Figure HS21	Daily Servings of Fruits and Vegetables
Figure HS22	Age-Adjusted Cervical Cancer Death Rate
Figure HS23	Cervical Cancer Death Rate, Females 65 and Over
Figure HS24	Pap Smear
Figure HS25	Age-Adjusted Coronary Heart Disease Death Rate
Figure HS26	Coronary Heart Disease Death Rates, Ages 45-64
Figure HS27	Age-Adjusted Cerebrovascular Disease Death Rate
Figure HS28	Cerebrovascular Disease Death Rates, Ages 45-64
Figure HS29	Cerebrovascular Disease Death Rate, Ages 65 and Over
Figure HS30	Participation in Physical Activity
Figure HS31	Blood Pressure Checks
Figure HS32	Blood Cholesterol Checks
Figure HS33	Age-Adjusted HIV Infection Death Rate
Figure HS34	HIV Infection Death Rate, Ages 25-44
Figure HS35	Primary and Secondary Syphilis Incidence Rate
Figure HS36	Congenital Syphilis Incidence Rate
Figure HS37	Gonorrhea Incidence Rate
Figure HS38	Chlamydia Incidence Rate
Figure HS39	Measles Incidence
Figure HS40	Verified Tuberculosis Incidence Rate
Figure HS41	Lyme Disease Incidence
Figure HS42	Age-Adjusted Motor Vehicle Fatality Rate
Figure HS43	Age-Specific Motor Vehicle Fatality Rate
Figure HS44	Seat Belt Usage
Figure HS45	Fall-Related Death Rate
Figure HS46	Minority Homicide Rate
Figure HS47	Suicide Rate
Figure HS48	Binge Drinking
Figure HS49	Age-Adjusted Cirrhosis Death Rate
Figure HS50	Age-Adjusted Drug-Related Death Rate