Full Text of HR1276 100th General Assembly
HR1276 100TH GENERAL ASSEMBLY |
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| 1 | | HOUSE RESOLUTION
| 2 | | WHEREAS, November is American Diabetes Month, and | 3 | | approximately 1,325,000 people in Illinois, or 12.5% of the | 4 | | adult population, have diabetes; residents of Asian American | 5 | | heritage comprise 7.8% of the population of the State of | 6 | | Illinois; and
| 7 | | WHEREAS, Diabetes is the fifth leading cause of death among | 8 | | Asian Americans; and
| 9 | | WHEREAS, Asian Americans are over 30% more likely to have | 10 | | diabetes than white Americans; and | 11 | | WHEREAS, Asian Americans are also at greater risk of | 12 | | developing prediabetes, diabetes, and associated risks, such | 13 | | as cardiovascular disease, at a lower body mass index (BMI) | 14 | | than whites, Hispanics, African Americans, or Native | 15 | | Americans; and | 16 | | WHEREAS, Asian Americans face a healthcare disparity in | 17 | | type 2 diabetes detection and diagnosis; this is due in part to | 18 | | general guidelines calling for screening at a body mass index | 19 | | of 25kg/m2; this current guideline misses 36% of diabetes | 20 | | diagnoses in Asian Americans over the age of 45 in Illinois, | 21 | | approximately 16,030 individuals; this also underestimates the |
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| 1 | | prevalence of prediabetes among Asian Americans and the | 2 | | increased risk of both among younger Asian Americans; and | 3 | | WHEREAS, Two out of three persons with type 2 diabetes die | 4 | | from heart attack or stroke, and adults with diabetes are at | 5 | | risk for developing end stage renal disease and kidney failure, | 6 | | blindness, and lower limb loss; and | 7 | | WHEREAS, The per capita health care cost of direct medical | 8 | | expenses for diagnosed and undiagnosed diabetes, prediabetes, | 9 | | and gestational diabetes, along with associated indirect costs | 10 | | and productivity loss in Illinois, is an estimated $8,981 per | 11 | | year; in 2017, the annual cost for diabetes in Illinois was | 12 | | estimated at $8.7 billion in medical costs plus $3.2 billion in | 13 | | productivity loss; and | 14 | | WHEREAS, Early detection and treatment can mitigate | 15 | | diabetes-related complications, risks, and costs; and | 16 | | WHEREAS, Interventions focusing on nutrition, physical | 17 | | activity, and healthy weight loss have been shown to reverse | 18 | | prediabetes, improve glucose function in diabetics, and reduce | 19 | | the need for multiple medications; and | 20 | | WHEREAS, Screening Asian American patients aged 45 and | 21 | | older at a body mass index of 23kg/m2 instead of 25kg/m2 would |
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| 1 | | unmask over 9,222 diabetes cases and many thousands more | 2 | | prediabetes cases and would lead to increased screenings among | 3 | | younger Asian Americans at risk for diabetes at BMI 23, thereby | 4 | | initiating treatment or early interventions to reduce negative | 5 | | co-morbidities like heart diseases, kidney diseases, and limb | 6 | | amputation; and | 7 | | WHEREAS, The National Institutes of Health found that more | 8 | | than half of Asian Americans with diabetes are undiagnosed, | 9 | | greatly increasing their overall health risk; and | 10 | | WHEREAS, According to community-based participatory | 11 | | research and studies on Asian American subpopulations, Asian | 12 | | Americans also have increased risk for diabetes and | 13 | | prediabetes; and | 14 | | WHEREAS, Recent analysis of cross-sectional national data | 15 | | shows Asian Americans are the least likely ethnic group to | 16 | | receive recommended diabetes screening, with a 34% lower rate | 17 | | of diabetes screening than white Americans; and
| 18 | | WHEREAS, The World Health Organization recommends | 19 | | screening Asian patients at a lower body mass index than | 20 | | non-Hispanic whites, and the 2015 official guidelines of the | 21 | | American Diabetes Association recommend that Asian Americans | 22 | | should be tested for type 2 diabetes at a body mass index of |
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| 1 | | 23; and
| 2 | | WHEREAS, The Asian American, Native Hawaiian, and Pacific | 3 | | Islander Diabetes Coalition has coordinated the Screen at 23 | 4 | | campaign with the support of over 40 national and regional | 5 | | health organizations; and
| 6 | | WHEREAS, The State of Illinois has the opportunity to join | 7 | | Hawaii, California, and Massachusetts as the fourth state to | 8 | | formally recognize and recommend screening adult Asian | 9 | | Americans for type 2 diabetes at a body mass index of 23, | 10 | | enabling thousands of individuals to get the early care and | 11 | | treatment needed to live healthier and happier lives; | 12 | | therefore, be it
| 13 | | RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE | 14 | | HUNDREDTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that we | 15 | | endorse and support the Screen at 23 campaign and urge the | 16 | | Illinois Department of Public Health to endorse and support the | 17 | | Screen at 23 campaign's efforts to increase awareness of | 18 | | diabetes among Asian American communities, including using | 19 | | appropriate screening measures for Asian American patients, | 20 | | and to eliminate disparities; and be it further | 21 | | RESOLVED, That the Illinois Department of Public Health is | 22 | | urged to actively encourage, via existing communication |
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| 1 | | protocols and internal mechanisms, all public and private | 2 | | health providers and facilities to also participate in these | 3 | | efforts; and be it further
| 4 | | RESOLVED, That suitable copies of this resolution be | 5 | | delivered to the Governor and the Director of Public Health.
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