1. Number of residents (all ages): 158.3 million (2011) 15.8% of women age >18 currently smoke 36% of women age >20 are obese 33% of women age >20 have hypertension 68% of women age >40 had a mammogram in the past 2 years 75% of women age >18 had Pap smear in past 3 years

2. Heart Disease Cancer Stroke 3. Balanced Diet Proper Exercise GetAdequate Sleep on a Regular Basis Decrease/Manage Stress Immunizations (seek advice from health provider)* Screening Exams (seek advice from health provider)* Approach Health Holistically (mind, body, spirit) 4. Health screening and immunization recommendations may vary depending on the source (Center for Disease Control, American Cancer Society, National Institute of Health,Your Insurance Provider, etc.) Specific health conditions or risk factors may require earlier or more frequent testing than discussed in this module. 5. Yearly influenza vaccine everyone aged 6 months and up HPV vaccine age 9 up to age 26; the CDC recommends that all 11 or 12 year old girls get the 3 doses (shots) of either brand of HPV vaccine to protect against cervical cancer. Gardasil also protects against most genital warts, as well as some cancers of the vulva, vagina and anus. Girls and young women ages 13 through 26 should get HPV vaccine if they have not received any or all doses when they were younger. 6. Meningococcal vaccine for college students and military recruits Tetanus-diphtheria-pertussis booster every 10 years all ages Pneumococcal vaccine Pneumococcal conjugate vaccine (PCV13)is recommended for all kids younger than 5 and for adults with certain risk factors. Children 2 or older who are at high risk should also receive the pneumococcal polysaccharide vaccine (PPSV23). All adults 65 and older and those 19 or up with risk factors such as asthma, COPD, diabetes should receive the vaccine. 7. PPSV23.Herpes Zoster (Shingles) vaccine The vaccine for shingles (Zostavax) is recommended for people 60 and up in order to prevent shingles. 8. Get tested at least every 2 years if your blood pressure is normal (lower than 120/80). You should be tested once a year if you have blood pressure between 120/80 and 139/89. Discuss treatment with your doctor or nurse if your blood pressure is 140/90 or higher. 9. Your height and weight will be checked at your annual wellness visit Ask your provider for recommendations if your BMI (body mass index) suggests that you are overweight 10. Women over age 44 should be checked every 5 years. If you have diabetes, heart disease, kidney problems, or certain other health issues, you may need to checked more frequently. 11. Elevated blood sugar is often asymptomatic Check at least every 3 years starting in 40s More frequent and earlier testing would be appropriate for those at higher risk such as those with a family history, obesity, high blood pressure, or certain other conditions 12. Pap Smears should be done once every 2 - 3 years. Pelvic exams may be done more often to check for other disorders. If your Pap smears have been normal three times in a row, your health provider may tell you that you only need a Pap smear once every 3 years. Women who have had a total hysterectomy (uterus and cervix removed) may opt not to have Pap smears. Women who are sexually active should be checked for chlamydia infection.This can be done during a pelvic exam. 13. Women 40 or older should have a mammogram done every 1-2 years, depending on their risk factors, in order to check for breast cancer. Consult your health provider if you have a family history. 14. 20s and 30s at least every 3 years 40s and over, every year Between 10-15% of breast lumps are not visible on standard mammogram. 15. Being a woman Cigarette Smoking Obesity Never having had a child Family history Ethnicity 16. Breast cancer diagnosed < age 50 Ovarian cancer at any age Two primary breast cancers Male breast cancer Triple negative breast cancer Pancreas cancer with additional HBOC cancer Ashkenazi Jew descent with additional HBOC cancer A previously identified BRCA gene mutation in the family 17. All women who have gone through menopause and have fractures should have a bone density test (DEXA scan). Women under the age of 65 who have risk factors for osteoporosis should be screened. 18. Begins at age 50 Colonoscopy every 10 years until late 70s Alternative study Flexible Sigmoidoscopy every 5 years with annual fecal blood test Annual fecal blood test alone 19. Centers for Disease Control and Prevention U.S. Department of Health and Human Services, Office ofWomens Health NationalCancer Institute at the National Institutes of Health