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Welcome to the Pueblo City-County Health Department

Welcome to the Pueblo City-County Health Department. Thank you for being here today! Restrooms are located by the elevators This is a tobacco-free campus. Thank you for not using tobacco on Health Department grounds

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Welcome to the Pueblo City-County Health Department

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  1. Welcome to the Pueblo City-County Health Department Thank you for being here today! • Restrooms are located by the elevators • This is a tobacco-free campus. Thank you for not using tobacco on Health Department grounds • We are a green building; green plastic bins in the back of the room are available for recycling • In case of an emergency, please exit the building using the stairs at the front or back of the building

  2. Agenda • Introduction/Purpose of Meeting (15 minutes) • Community Process to Determine Priorities (15 minutes) • Overview of Public Health Priorities: statistics, capacity, possible strategies (60 minutes) • Community Input (30 minutes) • Break (10 minutes) • Rank Public Health Priorities (30 minutes) • Next Steps (10 minutes)

  3. Process to Narrow Down Priorities

  4. PUEBLO COMMUNITY HEALTH ASSESSMENT

  5. Mission of Pueblo Community Health Assessment Pursuant to the Colorado Public Health Reauthorization Act –Colorado counties are required to complete a comprehensive community health assessment. To that end, Pueblo City-County Health Department is tasked to partner with various county-wide organizations and individuals to complete a community health assessment. The purpose of the assessment is to assist Pueblo in deciding what its community health priorities are for the next 5 years and what strategies will be used by various public health organizations and partners to improve the overall health of Pueblo residents. * Based on geography of Pueblo County

  6. Contributions to Health Assessment Process • PCCHD Community Health Assessment Team Internal (CHATI) Members: • Heather Maio • Chad Wolgram • Jenna Ward • Julie Kuhn • Lynn Procell • Kim Whittington • Sarah Joseph • Shylo Dennison • Community Health Assessment Steering Committee Members • Donald Moore • Mary Gunn • Randy Evetts • Angela Jensen • Tony LaCombe • John LeFebre • Charlotte Yianokopolus-Veatch • Cindy Lau • Kirsten Taylor • Michelle DesLauriers • Barb Mettler

  7. Steps of the Community Health Assessment • Community Health Assessment & Status Report (Data collection based on health indicators; strengths; & weaknesses) 2) Capacity Assessment & Report (Who is doing what & how well?) 3) Prioritization process of public health issues for community 4) Community Health Improvement Plan (Priorities identified and responsibilities assigned) 5) Strategic Plan for Pueblo City-County Health Department

  8. Top 8 Priorities *In alphabetical order • Cardiovascular Disease • Communicable/Infectious disease prevention • Diabetes • Lack of providers/Access to care • Mental health • Obesity (adult and childhood) • Poverty • Teen Pregnancy/Unintended pregnancy

  9. Rate of Cardiovascular Disease 1074.2 per 100,000- Pueblo County 961.8 per 100,000- Colorado 26% of all deaths caused by Heart Disease in Pueblo Disparities Minority populations have greater disparities for CVD Cardiovascular Disease

  10. Cardiovascular Disease • Evidence based strategies • Comprehensive strategies to reduce blood pressure (http://www.bmj.com/content/326/7404/1419.short) • Ensure screenings for high risk individuals (http://www.bmj.com/content/326/7404/1419.short)

  11. Communicable/Infectious Disease • Influenza (flu) • Pueblo County: 33 influenza-associated hospitalizations 2010-2011 • Colorado average: 20.9 • Disparities • Elderly • Infants • Immune-compromised individuals • Tuberculosis • Pueblo County: 1.9 cases per 100,000 • Colorado: 2.3 cases per 100,000 • Disparities • Prison and homeless populations

  12. Communicable/Infectious Disease • Disparities • 18-24 year olds • Minority females • Those with multiple partners • Drug users

  13. Communicable/Infectious Disease • Evidence based strategies (www.cdc.gov) • Increase vaccines with chart reminders, electronic health records, mailed/telephoned reminders • Comprehensive education on preventing transmission • Increase and encourage testing

  14. Diabetes • 5% of all deaths in Pueblo are caused by Diabetes Mellitus, Type II • Evidence based strategies (www.thecommunityguide.org) • Case management interventions to improve glycemic control • Self-management education in community-gathering places for adults with type 2 diabetes

  15. Lack of Providers/Access to Care • Disparities • Low socioeconomic individuals • Ethnic and minority populations

  16. Evidence based strategies Ensuring eligible individuals are enrolled in available insurance programs (i.e. CHP+, Medicaid, etc.) Increase the number of physician assistants and nurse practitioners Lack of Providers/Access to Care

  17. Poor mental health days was highest at 31% for ages 18-24 in Pueblo County Disparities Greatest percentage of suicides occurred among non-Hispanic whites Highest race/ethnicity and age-specific rates were among American Indian/Alaska Native adolescents and young adults. Mental Health

  18. Mental Health • Evidence based strategies • Collaborative care for managing depressive disorders • Home and clinic-based depression care management

  19. Obesity • Children Eating Fruits and Vegetables • Pueblo County: 5.8% consumed five or more fruits and vegetables per day Colorado: 9.6%

  20. Obesity • Disparities • Lower socioeconomic status and middle income (living in suburban areas without connectivity) • Minority populations • Evidence based strategies (www.thecommunityguide.org) • Behavioral interventions to reduce screen time • Multi-component coaching or counseling interventions to reduce weight and maintain weight loss • Worksite wellness programs (trainings, policy/system changes)

  21. Poverty

  22. Poverty • Disparities • Ethnic and Minority Populations • Evidence based strategies • Increase financial literacy (http://www.practicalmoneyskills.com/foreducators/state_standards/process.php) • Improve graduation rates (http://www.cdc.gov/PCD/issues/2007/oct/pdf/07_0063.pdf)

  23. Pueblo County: 55.6% unintended and 44.4% intended Pueblo County Hispanic population: 49.7% of pregnancies considered intended In 2009, 17% of all births in Pueblo County were to teens Teen/Unintended Pregnancy

  24. Teen/Unintended Pregnancy • Disparities • Lower socio-economic women • Young women whose mothers were teen moms • Hispanic teens • Evidence based strategies (www.thecommunityguide.org) • Youth development, behavioral interventions: interventions coordinated with community service to reduce sexual risk behaviors in adolescents • Comprehensive risk reduction intervention for adolescents (abstinence as well as other scientifically proven prevention methods)

  25. Questions?

  26. For Further Questions Call Shylo Dennison, Public Health Planner 719-583-4353 dennison@co.pueblo.co.us

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