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Pamlico County Pamlico County State Of The County Health State Of The County Health
(SOTCH) Report 2012(SOTCH) Report 2012
State of the County Health Report
• In between Community Health Assessments, the SOTCH helps us:– Promote a broader understanding of the
health of the community– Measure local progress in improving the
health of the community through collaboration measures with community partners
Community Health Assessment (CHA)
• The Pamlico County Health Department provides leadership to conduct, produce and distribute a comprehensive CHA
• Determines the major health concerns in the county
• Gives statistical data on how the county ranks compared to North Carolina’s rates
Community Assessment
• Completed the Community Health Assessment in 2011
• Next assessment to be completed in 2014• An important component of the Pamlico County
Health Department’s Strategic planning process• A benchmark for community collaboration
measured through the NC Public Health Department Accreditation process
Community Health Assessment Priorities
• These priorities were selected as a result of the most recent community health assessment.– Obesity– Substance Abuse– Tobacco Use
Demographics
• Pamlico County’s 2011 population estimate was 13,214 with a growth of .5% since April 2010. 51.1% are males and 48.9% are females. Minorities accounted for 22% of the total population.
• The population is spread out with 19% ≤ 19, 6% from 20 to 24, 23% from 25 to 44, 29% from 45 to 64, and 23% who were 65 years of age or older.
NC Office of State Budget & Management
County & Municipal Estimates (October 2012)
14%
10%
24%
13%
4%
8%
17%
5%5% Alliance
Arapahoe
Bayboro
Grantsboro
Mesic
Minnesott Beach
Oriental
Stonewall
Vandemere
Employment Security Commission of NC
Pamlico County Vital Statistics
• Reports from the NC State Center for Health Statistics indicate that from 2009 to 2010: – Marriages increased by 3 or 3.6% (82
marriages)– Divorces/annulments decreased by 11 or
17% (52 divorces/annulments)
Pamlico County Pregnancies
• Reports from the NC State Center for Health Statistics indicate that from 2009 to 2010:– Induced abortion decreased by 2 or 9% – Live births decreased by 7 or 6% – Fetal deaths (stillbirths) increased by 4
2010 Pregnancy Outcomes
• 21 induced abortions– 76% white moms– 24% african-american moms
• 104 live births– 58% boys– 42% girls
• 124 pregnancies
• 4 fetal deaths
Resident Live Birth Rates Per 1,000 Population, 2006-2010
NC State Center for Health Statistics
Total White Black Hispanic
Pamlico County
8.7 8.7 7.3 30.1
NC 13.8 11.4 15.1 30.4
Number of Reported Abortions in Pamlico County, 2000-2010
18
14
28
17 17
26
15
2321
0
5
10
15
20
25
30
2002 2003 2004 2005 2006 2007 2008 2009 2010
No
. o
f In
du
ced
Ab
ort
ion
s
Pamlico County Resident Live Births, 2002-2010
100110
123111
118
100112 111
104
0
20
40
60
80
100
120
140
2002 2003 2004 2005 2006 2007 2008 2009 2010
No. o
f Liv
e Bi
rths
Pamlico County Teenage Pregnancy Outcomes, 2010
• Current reports from the NC State Center for Health Statistics indicate that from 2009 to 2010:– Teenage induced abortions decreased by
33% or 3 abortions– Teenage live births increased 57% or 8 births– Teenage pregnancies increased by 22% or 5
pregnancies
Teenage Induced Abortions in Pamlico County (Aged 15-19), 2002-2010
32
3
5
3
5
2
9
6
0
2
4
6
8
10
2002 2003 2004 2005 2006 2007 2008 2009 2010
No. o
f Ind
uced
Abo
rtion
s
Teenage Live Births in Pamlico County (Aged 15-19), 2002-2010
2018
21 20 19
13
27
14
22
0
5
10
15
20
25
30
2002 2003 2004 2005 2006 2007 2008 2009 2010
No.
of I
nduc
ed A
bort
ions
Teenage Pregnancies in Pamlico County (Aged 15-19), 2002-2010
2321
2426
23
18
29
23
28
0
5
10
15
20
25
30
35
2002 2003 2004 2005 2006 2007 2008 2009 2010
No. o
f Liv
e Bi
rths
Pamlico County Death Rates, 2010
• In 2010, Pamlico County had a death rate of 11.3 which is higher than the NC rate of 8.2.
• Current reports from the NC State Center for Health Statistics indicate that from 2009 to 2010:– Deaths in Pamlico County increased by 6%
or 8
Resident Deaths in Pamlico County, 2002-2011
157137
146
169
122
158147 140 148 141
020406080
100120140160180
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
No. o
f Dea
ths
Leading Causes of Death in 2010
• Current reports from the NC State Center for Health Statistics indicate that Pamlico County had higher death rate for: – Cerebrovascular disease– Cancer– Heart disease– Cancer – Trachea, Bronchus & Lung– HIV Disease – Septicemia– Pneumonia & Influenza– Chronic Lower Respiratory Diseases– Chronic Liver Disease and Cirrhosis– Nephritis, Nephrotic Syndrome, and Nephrosis– Motor Vehicle Injuries & all other unintentional injuries– Suicide– Homicide
Leading Causes of Death in 2010
• Current reports from the NC State Center for Health Statistics indicate that Pamlico County had lower death rate for:– Cancer –Colon, Rectum, Anus– Cancer – Prostate– Diabetes mellitus
Pamlico County Leading Causes of Death, 2011
Rank Cause Number
TOTAL DEATHS—All Causes 141
1 Cancer 30
2 Diseases of the heart 29
3 Cerebrovascular disease 15
4 Chronic lower respiratory diseases 10
5 Alzheimer’s disease 8
6 Diabetes mellitus 6
7 Parkinson’s disease 5
7 Hypertension 5
9 Other Unintentional injuries 4
10 Motor vehicle injuries 3
Leading Causes Of Death in Pamlico County, 2011
27%
25%13%
9%
7%
5%
4%4%
3%3%
Cancer Disease of the heart Cerebrovascular disease
Chronic lower respiratory diseases Alzheimer's disease Diabetes mellitus
Parkinson's disease Hypertension Other Unintentional injuries
Motor vehicle injuries
Infant Deaths
• For the year 2010, Pamlico County had a rate of 19.2 infant deaths per 1,000 live births, which is higher than the NC rate of 7.0.
• In 2011, there were 2 infant and child deaths in Pamlico County.
NC State Center for Health Statistics
Infant Deaths in Pamlico County, 2002-2011
1 1
2
0 0 0
1
2 2 2
0
0.5
1
1.5
2
2.5
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
No.
of D
eath
s
Child Deaths
• From 2008 to 2011, child death numbers in Pamlico County has remained at 2.– Cause:
• Birth defects• All other
– Age:• 1-4 year old• 14-17 year old
Child Deaths in Pamlico County, 2002-2011
2 2
6
1 1
0
2 2 2 2
0
1
2
3
4
5
6
7
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
No. o
f Dea
ths
Obesity
• According to the 2011Behavioral Risk Factor Surveillance Survey, 36.0% of respondents in Eastern NC reported that they are overweight; 32.4% of respondents in Eastern NC reported that they are obese.
Eastern NC Overweight/Obesity Rates, by Percentage
0
10
20
30
40
50
Overweight 36.8 38.3 36.1 36 34 37.1 36
Obese 28.7 29.3 31 32 35.6 33.1 32.4
2005 2006 2007 2008 2009 2010 2011
(BRFSS, 2011)
Tobacco Use
• According to the 2011Behavioral Risk Factor Surveillance Survey, 23.9% of respondents in Eastern NC reported that smoke. 20.8% reported that they smoked in 2010.
Substance Use
• According to the 2011Behavioral Risk Factor Surveillance Survey, 94% of respondents in Eastern NC reported that do not participate in heavy drinking. In 2010, 97% of respondents reported that they do not heavily drink.
Hospital Discharges - Asthma
• In 2010,Pamlico County had a discharge rate of 98.7 per 100,000 which is lower than the NC rate of 109.8.
• There were 13 hospital discharges with a primary diagnosis of asthma.
• In 2010, Pamlico County had a rate of 52.2 per 100,000 which is lower than the NC rate of 166.0 for children ages 0-14.
• There was 1 hospital discharge with a primary diagnosis of asthma.
Pamlico County Sexually Transmitted Infections
• Reports from the NC Department of Health & Human Services, Epidemiology Branch indicate that from 2010 to 2011:– Chlamydia has increased by almost 3% or 1
case– Gonorrhea has increased by 31% or 4 cases– HIV disease has decreased by 1 at 0
Pamlico County Chlamydia Cases, 2002-2011
19
6
1620
35
28
3735 36 35
0
5
10
15
20
25
30
35
40
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
No. o
f Rep
orte
d Ca
ses
Pamlico County Gonorrhea Cases, 2002-2011
9
57
5
10
23
5
13
17
02468
1012141618
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
No. o
f Rep
orte
d Ca
ses
Un-Insured and/or Under-insured
• HOPE patients earn less than two times the federal poverty level, but earn too much to qualify for Medicaid. They are too young for Medicare and can not afford insurance to take care of their chronic conditions
• In 2011, HOPE Clinic helped 800 people.
Employment Security Commission of NC
Pamlico County Employment
5076
4995
4831
4961
4700
4750
4800
4850
4900
4950
5000
5050
5100
Sept. 2009 Sept. 2010 Sept. 2011 Sept. 2012
No.
Em
ploy
ed
Unemployment Rates, 2009-2012
9.510.4
8.87.6
10.49.7
10.4
8.910
8.3
10.3 10
0
2
4
6
8
10
12
Sept. 2009 Sept. 2010 Sept. 2011 Sept. 2012
US NC Pamlico
Employment Security Commission of NC
*
Per Capita Personal Income, 2006-2010
$0
$10,000
$20,000
$30,000
$40,000
$50,000
US
NC
Pamlico
US $37,725 $39,506 $40,947 $38,846 $39,937
NC $33,373 $34,761 $35,741 $34,147 $35,007
Pamlico $30,517 $33,518 $35,674 $34,542 $35,325
2006 2007 2008 2009 2010
Employment Security Commission of NC
Commuting Patterns - 2006
23%
46%
31%
Commuting Into Pamlico Commuting Out Of Pamlico Live/Work in Pamlico
Employment Security Commission of NC
Top Employers in Pamlico County (9/2012)
1. Pamlico County Board of Education2. State of NC Dept of Correction3. County of Pamlico4. Pamlico Community College5. Food Lion, LLC6. All Safe Industrial Services, Inc.7. Home Life Inc.8. Arapahoe Charter School9. YMCA10. Principle Long Term Care, Inc.
Employment Security Commission of NC
Obesity• Pamlico County Health Department
conducted an assessment of fruit/vegetable outlets in Pamlico County.
• Working closely with Region 10 Community Transformation Program to increase the number of new/revised comprehensive plans that include health consideration & increase the number of joint-use agreements that increase access to physical activity opportunities.
Obesity
• County employees continue to participate in the County Walking Program on Tuesday’s and Thursday’s at the Pamlico County High School track.
Obesity
• Girls On The Run (GOTR) programs are being held and taught at Fred Anderson Elementary School & Arapahoe Charter School.– In December, all 22 girls from this fall GOTR session
plus 7 girls from previous seasons completed the 5K Fun Run.
– The Girls On The Run Dream Team consists of over 100 girls who have participated in GOTR since 2009.
– Of the 109 Dream Team girls, 53 made Honor Roll, Principal’s List or Director List during the 2nd Quarter.
Substance Abuse
• A recent medicine drop held in Pamlico County yielded 10 pounds of prescription medication.
• A permanent, locked, prescription drop-off location has been established in the lobby of the Pamlico County Sheriff’s Department.
Pamlico County Substance Abuse Task
Substance Abuse
• Coastal Coalition for Substance Abuse Prevention is offering Youth Empowered Solution conference in December 2012. The training will teach 40 youths how to speak in public, partner with adults, build community support, and work with policy makers by making their lives healthier and safer by preventing underage drinking.
Tobacco Use
• Conducted an assessment of tobacco policies in local municipalities in Pamlico County.
• Working closely with Region 10 Community Transformation Project to increase the number of smoke-free public places in Pamlico County.
Emerging Issues
• Gonorrhea
• Syphillis
• Mothers Smoking During Pregnancy– 25% of pregnant mothers in Pamlico County
last year– 36% of African-American pregnant mothers in
Pamlico County
New Initiatives
• PCHD is working with the Department of Social Services to better improve service delivery for public health clients.
For more information:
• Contact:Tamara JonesPublic Health Educator IIPamlico County Health DepartmentPost Office Box 306Bayboro, NC 28515: 252-745-5111
: 252-745-7684 : [email protected]