State of the County Health Report 2009

10 JCPH Johnston County’s Public Health Report 2009 JANUARY 2009 County Status Update Johnston County Public Health Department The Johnston County Public Health Department JCPHD has completed the 2009 State of the County Health Report SOTCH The 2009 SOTCH is a tool that has been created by Marilyn Pearson , MD the Health Education Section to inform the Johnston County community of current health Health Director updates The SOTCH includes updated information on priority issues identified by the Community Health Assessment CHA , new initiatives , and emerging issues that affect 517 N Bright Leaf Blvd the health status of Johnston County Smithfield NC 27577 Demographic & Economic Data Phone 919 989 - 5200 2008 Johnston County Demographics Projected Population in 2010 OSBM 174,876 2008 Population SCHS 162,746 We’re on the Web 2008 Population 0 - 19yrs SCHS 287 wwwjohnstonnccom 2008 Population 20 - 44yrs SCHS 355 2008 Population 45 - 59yrs SCHS 205 2008 Population 60yrs + SCHS 15 2008 Total Households OSBM 61,005 Abbreviations 2008 Median Household Income OSBM 63,630 Legend 2008 Population Below Poverty Level OSBM 128 Percentage of Uninsured Adults NCIOM 228 1 Office of State Budget st and Management 2009 Annual Unemployment Rate 1 Quarter OSBM 106 OSBM 2008 47 Johnston County’s Growth Rate 2008 - 2013 OSBM 35 estimated 2 State Center for Health Statistics SCHS 3 North Carolina Fastest Growing Institute of Medicine NCIOM Counties in 2008 4 North Carolina 1 Union Nutrition and Physical 2 Camden Activity Surveillance 3 Brunswick System NC - NPASS 4 Wake 5 Johnston 5 Behavioral Risk Factor Surveillance System BRFSS 6 American Diabetes Association ADA 1Page 2008 Johnston County Population Estimates White or Caucasian 127,349 Black or African American 26,168 Asian , Indian , Alaska Native , Other & Two or 9,911 More Races Johnston County Total Population 163,428 2008 Johnston County Population Estimates White or Caucasian 9,911 26,168 Black or African American Asian , Indian , Alaska 127,349 Native , Other & Tw o or More Races Data based on American Community Survey Census Data 2PageRising Latino Population In 2008 , the Latino community represented 113 of the population in Johnston County Hispanic or Latino Race Population 2008 831 669 1,496 Mexican Central South America 2,915 Dominican Republic Puerto Rican 12,643 Other The Hispanic population totals were extracted from all ethnic groups based on American Community Survey Census Data Projections Mortality Morbidity Data Accident Alert A sudden increase in deaths due to motor vehicle accidents among 15 - 19 year olds in 2007 led Johnston County to develop strategies to address this issue There was a decrease in the total number of deaths due to motor vehicle accidents amongst the 15 - 19 year old age group in 2008 Motor Vehicle Accident Deaths Year 2007 2008 # Of Deaths Amongst 15 - 19 yr Olds 11 9 Mental Health Notes It’s important to identify a significant number of deaths are caused by mental health disorders identified as organic , symptomatic , vascular dementia , unspecified dementia , and psychoactive substance abuse The leading causes of death in this category , representing a total of 37 deaths in 2008 , are vascular and unspecified dementia Deaths by Mental Behavior Disorders Year 2005 2006 2007 2008 # of Deaths by Mental Behavioral Disorders 20 32 38 38 3PageLeading Causes of Mortality Morbidity Health Priorities 500 s 400 ? 1 in 12 tal 2005 Johnstonians are To 300 2006 affected by Heart eath 2007 200 Disease 2008 D100 ? Trachea , Bronchus , 0 and Lung Cancer Heart Disease Cancer Accidents Chronic CVA Stroke continue to be the Respiratory leading causes of Johnston County cancer deaths , representing 336 SCHS Chart 2 Leading Causes of Mortality Morbidity ? Type II Diabetes rate for Adults is 50 89 SCHS ls45 40 ? Adult Obesity ota 350 3 affects 271 T 25 eath BRFSS 205 1 ? According to the 10 D 5 2005 ADA , 1 in 6 0 2006 overweight ses ary iabetes System Ner 2007 adolescents aged ourin isea l 2008 12 - 19 have it D D stive Centra ey Gen fectious pre - diabetes Dige - ? Childhood Kidn CNS In Overweight affects Johnston County 19 of children ages 2 - 11 years old 2008 NC - NPASS Total Number of Deaths 2005 2006 2007 2008 ? The rate of 1 obesity for 5 - 11 Heart Disease 406 360 373 383 year olds is 2 Cancer 225 249 257 247 rising ; affecting 3 Accidents 61 70 99 108 an estimated 4 CVA Stroke 64 44 50 58 303 5 Chronic Respiratory 62 48 58 56 CNS - Central Nervous System Alzheimer , 6 36 24 41 44 Parkinson , Cerebral Palsy & Others 7 Digestive System 29 43 32 42 8 Kidney Genitourinary 31 33 23 40 9 Diabetes 29 28 25 31 10 Infectious Diseases Bacterial 35 27 24 31 4PagePage pageNumber5Programs , Events and Initiatives 2009 Priority Issue Health Insurance Coverage & Access to Health Care & Affordable Medicine ? Project Access of Johnston County ? Primary Care Clinic of Johnston County Public Health Dept open access patient appointments ? Patient Medication Assistance Program Priority Issue Diabetes ? Cohort III ADA Certification for Local Health Department ? Dinning with Diabetes Diabetes Self Management Class ? Take Charge of Your Diabetes Diabetes Self Management Class Priority Issue Exercise & Obesity & Physical Fitness ? PLAY Promoting a Lifestyle of Activity for You Public Health ? “ A Walk Through History ” 5K Walking Event Community Concerns The Living Well Partnership of Johnston County was recertified for 2008 - 2012 as a Identified by the Healthy Carolinians County Contact the Health Department if you would like to become 2002 - 2006 Community a member Health Assessment Survey Emerging Health Care Issues 1 Health Insurance ? Influenza H1N1 Throughout 2007 - 2008 there were 530 Influenza - like Coverage Uninsured illnesses reported ; 1,343 Influenza - like illnesses were reported in 2 Affordable Medicine Johnston County during 2008 - 2009 3 Elderly Healthcare ? Multidrug Resistant Tuberculosis MDR TB 4 Diabetes ? Methicillin Resistant Staphylococcus Aureus MRSA 5 Obesity Lack of ? Pertussis Physical Activity ? Chlamydia cases are increasing The rise may be due to a reporting process 6 Access to Health update in the North Carolina Electronic Disease Surveillance System NCEDSS Care o In 2007 , 254 cases were reported 7 Dental Health o In 2008 , 523 cases were reported 8 Communicable Disease Public Health Preparedness ? Regional Preparedness Coordinator ? Collaboration with Johnston County Schools Readiness Emergency Management for Schools Grant REMS Grant ? Local Emergency Planning Committee for Johnston County Bio – Terrorism Threats ? Anthrax ? Small Pox ? Chemical Terrorism ie Uranium ? Toxins ie Ricin 5PagePage pageNumber6Environmental Issues ? Safe Food Supply ie Recalls ? Adequate Sewage Disposal ? Outdoor Air Quality ie Fires , Emissions , Chemical Spills and Chemical Odors ? Indoor Air Quality ie Mold and Mildew Additional Health Initiatives ? Reduce Low Birth Rate by improving prenatal care in the first trimester and reducing teen pregnancy ? Comprehensive County Immunization Plan ? Reduce risk of exposure to second hand smoke Dissemination JCPHD will distribute the SOTCH to ? Johnston County Board of Health ? Johnston County Board of Commissioners ? The Living Well Partnership Healthy Carolinians Partnership ? Newspapers ? Johnston County Workforce Development Team ? Environmental Health The SOTCH report will also be available to the public via the Johnston County Website wwwjohnstonnccom health and available upon request at the Health Department 919 989 - 5200 Johnston County Public Health Department Marilyn Pearson , MD Health Director 517 N Bright Leaf Blvd Smithfield NC 27577 Phone 919 989 - 5200 We’re on the Web wwwjohnstonnccom 6Page