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State of Health in Nevada County

State of Health in Nevada County. Nevada County Community Leadership Institute February 24, 2012 Jeff Brown, Director Nevada County Health and Human Services Agency. Health & Human Services Agency. Behavioral Health

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State of Health in Nevada County

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  1. State of Health in Nevada County Nevada County Community Leadership Institute February 24, 2012 Jeff Brown, Director Nevada County Health and Human Services Agency

  2. Health & Human Services Agency • Behavioral Health • Children’s and adults mental health focused on mentally ill adults and emotionally disturbed children – Medi-Cal is priority • Crisis response • AOD Treatment • Odyssey House & Catherine Lane

  3. Health & Human Services Agency • Public Health • Communicable disease control • Emergency preparedness • Nursing home visitation • Health and Wellness • Vital Records • Clinic services • WIC Nutrition

  4. Health & Human Services Agency • Social Services • Adult and Child Protective Services • CalWORKS & Employment Services • Safety net programs – Food Stamps, GA, Medi-Cal and CMSP • Veteran’s Services

  5. Health & Human Services Agency • Child Support and Collections • Paternity establishment • Child support order establishment/enforcement • Child & spousal support collection/distribution • Medical support establishment/enforcement

  6. Other Elements of Safety Net • Clinical medical & behavior health services – hospitals, clinics and private medical providers and therapists • Foster families and group homes • Family resource centers • Non-profit service providers (e.g. hospice, domestic violence, homeless, housing, AOD treatment, child development, etc.)

  7. The health status of Nevada County residents is better than the average Californian? • True • False

  8. Nevada County Health Status • Recent survey using 2003-09 data lists Nevada County overall health outcomes ranking as 11th best of 56 California counties rated!

  9. Health is most dependent on? • Access to quality health care • Social factors --- education, housing, employment, income, neighborhood, etc. • Genetics

  10. Determinants of Health • Access to quality medical care only determines 15-20% of a person’s health. • Up to 75% of a person’s health is dependent on the social determinants of health --- housing, education, employment, income, neighborhood, social support

  11. Children and Adolescent Indicators

  12. % Persons Under 18 in Poverty California County Health Status Profiles 2011

  13. Vital Statistics 2004-2011

  14. Vital Statistics 2011 – 875 births • 464 Sierra Nevada Memorial Hospital (SNMH); 354 Tahoe Forest Hospital (TFH); 57 home births 2010 – 900 births • 457 SNMH; 394 (TFH); 49 home births 2009 – 916 births • 465 SNMH; 417 TFH; 34 home births 2008 - 1,047 births - 542 SNMH; 472 TFH; 33 home births 2007 - 1,040 births - 477 SNMH; 516 TFH; 47 home births 2006 – 965 births - 480 SNMH; 446 TFH; 39 home births

  15. Estimate of Child Vaccination Rates • 55% • 75% • 90%

  16. Immunizations 73.0% of Kindergarteners have obtained all required immunizations 17.7% of Kindergarteners have Personal Belief Exemptions (PBE) California Department of Public Health 2011

  17. Immunizations Percentage of Nevada County Children 2 - 4 years of age with all recommended vaccinations in licensed childcare 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 California 93.4% 93.7% 93.3% 93.6% 93.5% 92.9% 91.9% Nevada Co. 81.7% 76.5% 77.6% 76.1% 74.4% 71.7% 71.9% Vaccine Preventable Diseases and Immunization Coverage in California, SIRE, Immunization Branch California Department of Public Health (CDPH)

  18. % Children’s Dental Insurance 2007 CHIS 2007

  19. % Children’s Health Insurance 2007 & 2009 CHIS 2007 & 2009

  20. 3rd Graders with Cavities HP 2010 Goal – 42% Nevada County PHD Healthy Smiles 2007 Survey

  21. 3rd Graders with Untreated Dental Decay Nevada County PHD Healthy Smiles 2007 Survey

  22. 7th Grade School Fitness Zone Results - % Not Passing California Dept of Education 2010-11 Physical Fitness Report

  23. % Children Engaging in Vigorous Activity 3 or More Days Per Week CHIS 2007 & 2009

  24. Children with Entries into Foster Care Center for Social Services Research, UC Berkeley, 7/2011

  25. Prevalence of Children inFoster Care Center for Social Services Research, UC Berkeley 2/2011

  26. Ozone - # of Days Above State 8 hr Standard California Air Resources Board, 2011

  27. Asthma • Approximately 1.7 million children in California have been diagnosed with asthma. The Burden of Asthma in California, A Surveillance Report June 2007, California Department of Health Services. • Nevada County’s age adjusted rate (per 10,000) for asthma hospitalizations for the years 2000-2005 is 6.0 (368 cases) compared with the state of California 10.5 (220,777 cases) The Burden of Asthma in California, A Surveillance Report June 2007, California Department of Health Services

  28. % of Teens Diagnosed with Asthma CHIS 2007 & 2009

  29. Nevada County Teens’ Substance of Choice • Methamphetamine • Marijuana • Alcohol • Prescription Pain Killers

  30. CHKS - NUJHSD 2010-11 & Truckee Unified 2009-10

  31. 12 10 8 Percent 6 4 2 0 NJUHSD 9th Graders NJUHSD 11th Graders TTUSD 9th Graders TTUSD 11th Graders 2007-08 2009-10 % Students Using Prescription Painkillers 4 or More Times

  32. Teen Birthrates Ages 15-19 California County Health Status Profiles 2011

  33. Adult Indicators

  34. Vital StatisticsLeading Causes of Death for 2010 • Male • Heart Disease • Prostate Cancer • Chronic Obstructive Pulmonary Disease (COPD) • Pneumonia • Lung Cancer • Female • Heart Disease • Pneumonia • Lung Cancer • Breast Cancer • COPD • Alzheimer’s Disease/Dementia Nevada County PHD 2010

  35. Mortality per 100,000 – The Good

  36. Mortality Per 100,000 – The Bad

  37. Communicable Diseases – Incidence Rates per 100,000 California County Health Status Profiles 2011

  38. Communicable Disease

  39. % Adults with Chronic Diseases CHIS 2009 *Data from CHIS 2005 ^Data from CHIS 2007

  40. 2008 County-level Estimates Diabetes Adults aged ≥ 20 years Age-adjusted percent www.cdc.gov/diabetes

  41. Health & Dental Insurance *Dental is CHIS 2007 data CHIS 2009

  42. Mental Health • 4.7% of county adults likely had psychological distress within the last year • 13.7% of residents needed help for emotional/mental health problems or alcohol/substance abuse issues • 11.5% had thoughts of committing suicide CHIS 2009

  43. Group with Greatest Suicides • 0-17 years of age • 18-39 years of age • 40-64 years of age • 65+ years of age

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