§ 1602. — Declaration of health objectives.
[Laws in effect as of January 24, 2002]
[Document not affected by Public Laws enacted between
January 24, 2002 and December 19, 2002]
[CITE: 25USC1602]
TITLE 25--INDIANS
CHAPTER 18--INDIAN HEALTH CARE
GENERAL PROVISIONS
Sec. 1602. Declaration of health objectives
(a) The Congress hereby declares that it is the policy of this
Nation, in fulfillment of its special responsibilities and legal
obligation to the American Indian people, to assure the highest possible
health status for Indians and urban Indians and to provide all resources
necessary to effect that policy.
(b) It is the intent of the Congress that the Nation meet the
following health status objectives with respect to Indians and urban
Indians by the year 2000:
(1) Reduce coronary heart disease deaths to a level of no more
than 100 per 100,000.
(2) Reduce the prevalence of overweight individuals to no more
than 30 percent.
(3) Reduce the prevalence of anemia to less than 10 percent
among children aged 1 through 5.
(4) Reduce the level of cancer deaths to a rate of no more than
130 per 100,000.
(5) Reduce the level of lung cancer deaths to a rate of no more
than 42 per 100,000.
(6) Reduce the level of chronic obstructive pulmonary disease
related deaths to a rate of no more than 25 per 100,000.
(7) Reduce deaths among men caused by alcohol-related motor
vehicle crashes to no more than 44.8 per 100,000.
(8) Reduce cirrhosis deaths to no more than 13 per 100,000.
(9) Reduce drug-related deaths to no more than 3 per 100,000.
(10) Reduce pregnancies among girls aged 17 and younger to no
more than 50 per 1,000 adolescents.
(11) Reduce suicide among men to no more than 12.8 per 100,000.
(12) Reduce by 15 percent the incidence of injurious suicide
attempts among adolescents aged 14 through 17.
(13) Reduce to less than 10 percent the prevalence of mental
disorders among children and adolescents.
(14) Reduce the incidence of child abuse or neglect to less than
25.2 per 1,000 children under age 18.
(15) Reduce physical abuse directed at women by male partners to
no more than 27 per 1,000 couples.
(16) Increase years of healthy life to at least 65 years.
(17) Reduce deaths caused by unintentional injuries to no more
than 66.1 per 100,000.
(18) Reduce deaths caused by motor vehicle crashes to no more
than 39.2 per 100,000.
(19) Among children aged 6 months through 5 years, reduce the
prevalence of blood lead levels exceeding 15 ug/dl and reduce to
zero the prevalence of blood lead levels exceeding 25 ug/dl.
(20) Reduce dental caries (cavities) so that the proportion of
children with one or more caries (in permanent or primary teeth) is
no more than 45 percent among children aged 6 through 8 and no more
than 60 percent among adolescents aged 15.
(21) Reduce untreated dental caries so that the proportion of
children with untreated caries (in permanent or primary teeth) is no
more than 20 percent among children aged 6 through 8 and no more
than 40 percent among adolescents aged 15.
(22) Reduce to no more than 20 percent the proportion of
individuals aged 65 and older who have lost all of their natural
teeth.
(23) Increase to at least 45 percent the proportion of
individuals aged 35 to 44 who have never lost a permanent tooth due
to dental caries or periodontal disease.
(24) Reduce destructive periodontal disease to a prevalence of
no more than 15 percent among individuals aged 35 to 44.
(25) Increase to at least 50 percent the proportion of children
who have received protective sealants on the occlusal (chewing)
surfaces of permanent molar teeth.
(26) Reduce the prevalence of gingivitis among individuals aged
35 to 44 to no more than 50 percent.
(27) Reduce the infant mortality rate to no more than 8.5 per
1,000 live births.
(28) Reduce the fetal death rate (20 or more weeks of gestation)
to no more than 4 per 1,000 live births plus fetal deaths.
(29) Reduce the maternal mortality rate to no more than 3.3 per
100,000 live births.
(30) Reduce the incidence of fetal alcohol syndrome to no more
than 2 per 1,000 live births.
(31) Reduce stroke deaths to no more than 20 per 100,000.
(32) Reverse the increase in end-stage renal disease (requiring
maintenance dialysis or transplantation) to attain an incidence of
no more than 13 per 100,000.
(33) Reduce breast cancer deaths to no more than 20.6 per
100,000 women.
(34) Reduce deaths from cancer of the uterine cervix to no more
than 1.3 per 100,000 women.
(35) Reduce colorectal cancer deaths to no more than 13.2 per
100,000.
(36) Reduce to no more than 11 percent the proportion of
individuals who experience a limitation in major activity due to
chronic conditions.
(37) Reduce significant hearing impairment to a prevalence of no
more than 82 per 1,000.
(38) Reduce significant visual impairment to a prevalence of no
more than 30 per 1,000.
(39) Reduce diabetes-related deaths to no more than 48 per
100,000.
(40) Reduce diabetes to an incidence of no more than 2.5 per
1,000 and a prevalence of no more than 62 per 1,000.
(41) Reduce the most severe complications of diabetes as
follows:
(A) End-stage renal disease, 1.9 per 1,000.
(B) Blindness, 1.4 per 1,000.
(C) Lower extremity amputation, 4.9 per 1,000.
(D) Perinatal mortality, 2 percent.
(E) Major congenital malformations, 4 percent.
(42) Confine annual incidence of diagnosed AIDS cases to no more
than 1,000 cases.
(43) Confine the prevalence of HIV infection to no more than 100
per 100,000.
(44) Reduce gonorrhea to an incidence of no more than 225 cases
per 100,000.
(45) Reduce chlamydia trachomatis infections, as measured by a
decrease in the incidence of nongonococcal urethritis to no more
than 170 cases per 100,000.
(46) Reduce primary and secondary syphilis to an incidence of no
more than 10 cases per 100,000.
(47) Reduce the incidence of pelvic inflammatory disease, as
measured by a reduction in hospitalization for pelvic inflammatory
disease to no more than 250 per 100,000 women aged 15 through 44.
(48) Reduce viral hepatitis B infection to no more than 40 per
100,000 cases.
(49) Reduce indigenous cases of vaccine-preventable diseases as
follows:
(A) Diphtheria among individuals aged 25 and younger, 0.
(B) Tetanus among individuals aged 25 and younger, 0.
(C) Polio (wild-type virus), 0.
(D) Measles, 0.
(E) Rubella, 0.
(F) Congenital Rubella Syndrome, 0.
(G) Mumps, 500.
(H) Pertussis, 1,000.
(50) Reduce epidemic-related pneumonia and influenza deaths
among individuals aged 65 and older to no more than 7.3 per 100,000.
(51) Reduce the number of new carriers of viral hepatitis B
among Alaska Natives to no more than 1 case.
(52) Reduce tuberculosis to an incidence of no more than 5 cases
per 100,000.
(53) Reduce bacterial meningitis to no more than 8 cases per
100,000.
(54) Reduce infectious diarrhea by at least 25 percent among
children.
(55) Reduce acute middle ear infections among children aged 4
and younger, as measured by days of restricted activity or school
absenteeism, to no more than 105 days per 100 children.
(56) Reduce cigarette smoking to a prevalence of no more than 20
percent.
(57) Reduce smokeless tobacco use by youth to a prevalence of no
more than 10 percent.
(58) Increase to at least 65 percent the proportion of parents
and caregivers who use feeding practices that prevent baby bottle
tooth decay.
(59) Increase to at least 75 percent the proportion of mothers
who breast feed their babies in the early postpartum period, and to
at least 50 percent the proportion who continue breast feeding until
their babies are 5 to 6 months old.
(60) Increase to at least 90 percent the proportion of pregnant
women who receive prenatal care in the first trimester of pregnancy.
(61) Increase to at least 70 percent the proportion of
individuals who have received, as a minimum within the appropriate
interval, all of the screening and immunization services and at
least one of the counseling services appropriate for their age and
gender as recommended by the United States Preventive Services Task
Force.
(c) It is the intent of the Congress that the Nation increase the
proportion of all degrees in the health professions and allied and
associated health profession fields awarded to Indians to 0.6 percent.
(d) The Secretary shall submit to the President, for inclusion in
each report required to be transmitted to the Congress under section
1671 of this title, a report on the progress made in each area of the
Service toward meeting each of the objectives described in subsection
(b) of this section.
(Pub. L. 94-437, Sec. 3, Sept. 30, 1976, 90 Stat. 1401; Pub. L. 102-573,
Sec. 3(b), Oct. 29, 1992, 106 Stat. 4526.)
Amendments
1992--Pub. L. 102-573 amended section generally. Prior to amendment,
section read as follows: ``The Congress hereby declares that it is the
policy of this Nation, in fulfillment of its special responsibilities
and legal obligation to the American Indian people, to meet the national
goal of providing the highest possible health status to Indians and to
provide existing Indian health services with all resources necessary to
effect that policy.''
Section Referred to in Other Sections
This section is referred to in sections 13f, 1616l, 1621, 1621b,
1621m, 1665g, 1671 of this title.
