DefinitionAsthma mortality rate is reported as the number of deaths due to asthma per 100,000 persons in the population per year, age-adjusted to the 2000 U.S. population
NumeratorNumber of deaths among New Mexico residents due to asthma as the underlying cause of death
DenominatorEstimated total number of New Mexico residents (NM population).
Data Interpretation IssuesNew Mexico Data: Results include deaths of New Mexico residents, including those whose death occurred outside of New Mexico. Results do not include non-residents who died in New Mexico.
Population Estimates: All population estimates apply to July 1 of the selected year. Estimates include decimal fractions. The sum of population subgroup estimates may not exactly equal the overall state population estimate due to rounding error.
ICD-Codes:ICD Stands for International Classification of Diseases. It is a coding system maintained by the World Health Organization and the U.S. National Center for Health Statistics used to classify causes of death on death certificates and diagnoses, injury causes, and medical procedures for hospital and emergency department visits. These codes are updated every decade or so to account for advances in medical technology. The U.S. is currently using the 10th revision (ICD-10) to code causes of death.
Why Is This Important?Asthma is one of the chronic diseases that affect both children and adults. Asthma specific causes are still unknown but, most of its symptoms' triggers are. Poorly controlled asthma have adverse consequences including impairment and death. In addition to its medical costs, asthma reduces productivity and causes lost of school or work days. Although a cure for asthma is yet to be found, it can be managed and controlled following guidelines-based recommendations that entail taking the right medication, developing and following an asthma self-management action plan, and eliminating irritants and triggers from the surrounding environment.
Healthy People Objective: RD-1, Reduce asthma deathsU.S. Target: Not applicable, see subobjectives in this category
How Are We Doing?In New Mexico, excluding the year 2013, the overall asthma death rate remained constant from 2011 to 2015. From 1999 to 2015, in New Mexico an annual average of 23.8 asthma deaths (count-numerator) occurred, with a total of 429 deaths.
How Do We Compare With the U.S.?New Mexico age-adjusted asthma death rates have generally fluctuated around 6 to 20 deaths per one million persons from 1999 to 2015, compared with U.S. age-adjusted rates for the same time period that have ranged from 10 to 17 deaths per one million persons. The U.S. rates remained almost constant since 2007.
What Is Being Done?The New Mexico Department of Health Asthma Program collects, analyzes, and disseminates asthma data in order to identify populations that have high burden of asthma. The Asthma Program also works with partners throughout the state (such as hospitals, physician groups, insurance plans, and schools) to design and implement health interventions to lessen the disease burden. Current interventions include providing asthma self-management education to pediatric patients, supporting indoor air quality assessments of schools to limit exposures to potential asthma triggers, and offering provider training on the NAEPP asthma medical guidelines.
Evidence-based PracticesAsthma and its symptoms can be controlled and related impairments or hospitalizations can be prevented. According to the Centers for Disease Control and Prevention, the National Asthma Education and Prevention Program (NAEPP) of the National Institutes of Health-National Heart, Lung, and Blood Institute had issued guidelines for the diagnosis and management of asthma. These guidelines translated advances in scientific and clinical research into practical advice for people with asthma, for the health care providers who look after them, and for the communities where they live.
The guidelines included the best scientific evidence about comprehensive, long term management strategies designed to prevent and reverse airway inflammation and to manage asthma attacks. They set up standardmethods for doctors to gauge the severity of a patient asthma and monitor treatment progress. The guidelines also noted that people with asthma should use a written action plan with treatment instructions to control their illness and handle worsening asthma. They encouraged partnerships among individuals with asthma, families, and clinicians. They also laid out control measures to avoid or eliminate environmental factors that bring on asthma symptoms or attacks.
The NAEPP guidelines were updated in 1997 and 2007 to reflect new research findings, but they marked only the beginning of America road to breathing easier. While caring for individual patients is a crucial step, the road does not end in a doctor office or hospital. Decreasing the burden of asthma also demands a comprehensive and coordinated
public health approach. The National Asthma Control Program is working with states to implement appropriate measures for improving asthma outcomes.
In summary, evidence-based guidelines suggest effective approaches for asthma management and control. These approaches include taking the appropriate short- and long-term medications, creating asthma self-management action plan, and controlling environmental and comorbid conditions.