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Virginia’s Planning District 10 (Thomas Jefferson Health District) Community
Health Assessment
2012
Source: Centers for Disease Control and Prevention; National Association of County and City Health Officials
MAPP Model
1. Locality CHA Councils• Review, discuss and determine need for
additional quantitative and qualitative data• Prioritize health issues
Charlottesville-Albemarle Fluvanna Greene Louisa Nelson
2. TJHD MAPP 2 Health Leadership Council• Decide health questions for TJHD phone
survey • Complete Community Health Improvement
Plan for TJHD
• 1-2 reps per CHA locality council• District-wide agencies serving TJHD
• Local government• Schools• Colleges
• Community agencies
• Healthcare organizations• Non-profits
Source: Thomas Jefferson Health District
MAPP 2 Health 2011-12
M2H Organizational Partners2012
Source: TJHD
Albemarle County Creciendo Juntos/United Way Greene County Sheriff Martha Jefferson
Hospital (MJH) Smart Beginnings
Albemarle County Schools Downtown Family Health Care
Greene County Transit and Early Education MJH - Medical Group Stanardsville United
Methodist Church
ASG & CMHWC Emmanuel Christian Center JABA NCAE of ACE State VICAP Counselor
Blue Ridge Medical Center (BRMC)
Family & Consumer Sciences VA Cooperative
Extension ServiceJABA-Nelson Center
Nelson County Department of Social
Services
Thomas Jefferson Health District
BRMC/Rural Health Outreach Program (RHOP)
Fluvanna County Administrator JAUNT Nelson County Health
Department United Way
Charlottesville City Schools Fluvanna County Health Department. Jefferson Area CHIP Nelson County Schools University of Virginia (UVA)
Charlottesville Free Clinic Fluvanna County Public Schools Adult Education
Library Literary Board of Nelson County OK Collaborative UVA Curry School of
Education
Charlottesville Department of Social Services Fluvanna County Schools Louisa County Board of
SupervisorsPiedmont Housing
AllianceUVA Department of Public
Health Sciences
Children, Youth and Family Services
Fluvanna Department of Social Services Louisa County CSA Piedmont Virginia
Community College UVA Emergency Department
City of Charlottesville Greene Care ClinicLouisa County
Department of Human Services
Region Ten UVA School of Nursing
Commission on Children and Families
Greene County Administrator
Louisa County Department. of Social
Services
Regional Literacy Council
Virginia Cooperative Extension
Community Action on Obesity Greene County Board of Supervisors Louisa County Fire & EMS Ride Share Virginia Department of
Health
Community Dental Center Greene County Department of Social Services
Louisa Health and Wellness SARA
Community Mental Health and Wellness Coalition
Greene County Health Department MACAA Skyline CAP, Inc.
Community Health Assessment Data
DemographicsSocioeconomicsHealth Resource Availability
Section One: Who are we and what do we bring to the table?
Demographics
Population Growth TJHD by Locality, 1990-2010
Albemarle (18%)
Charlottesville (8%)
Fluvanna (28%)
Greene (21%) Louisa (29%) Nelson (4%)0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
100,000
68,172
40,475
12,42910,297
20,235
12,778
98,970
43,475
25,691
18,403
33,153
15,020
1990 2000 2010
Locality (% Change 2000-2010)
Nu
mb
er
of
Pe
rso
ns
Liv
ing
in L
oca
lity
Source: Weldon Cooper Center
Percent Change in PopulationTJHD by Locality, TJHD, and Virginia
1990-2010
Source: Weldon Cooper Center and the Thomas Jefferson District Planning Commission
1990 2000 2010 % Change 1990-2000
%Change 2000-2010
Albemarle 68,172 84,186 98,970 23% 18%
Charlottesville 40,475 40,099 43,475 -1% 8%
Fluvanna 12,429 20,047 25,691 61% 28%
Greene 10,297 15,244 18,403 48% 21%
Louisa 20,235 25,627 33,153 26% 29%
Nelson 12,778 14,445 15,020 13% 4%
TJHD 164,476 199,648 234,712 21% 18%
Virginia 6,189,317 7,079,030 8,001,024 14% 13%
Age and Sex Distribution TJHD, 2010
Source: U.S. Census Bureau
Under 5 years5 to 9 years
10 to 14 years15 to 19 years20 to 24 years25 to 29 years30 to 34 years35 to 39 years40 to 44 years45 to 49 years50 to 54 years55 to 59 years60 to 64 years65 to 69 years70 to 74 years75 to 79 years80 to 84 years85 to 89 years
90 years and over
12,0009,0006,0003,00003,0006,0009,00012,000
Male Female
Age Distribution TJHD, 2000,2010
Source: U.S. Census Bureau
Under 18 years 18 to 44 years 45 to 64 years 65 years and over0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
100,000
44,802
84,726
45,632
24,488
48,498
90,530
63,392
32,292
2000 2010
Nu
mb
er
of
Pe
rso
ns
Liv
ing
in L
oca
lity
Racial Composition TJHD, 2010
Source: U.S. Census Bureau
• Other includes: American Indian, Alaska Native, Native Hawaiian, Pacific Islander, and some other race
White79%
Black13%
Asian3%
Other2%
Two or more races2%
White Black AsianOther Two or more races
Percent of Population by RaceTJHD by Locality, 1980-2010
Percent of Population
1980 1990 2000 2010
Albemarle CountyBlack 11% 10% 10% 10%
White 87% 86% 85% 81%
City of CharlottesvilleBlack 18% 21% 22% 19%
White 81% 76% 70% 69%
Fluvanna CountyBlack 29% 23% 18% 15%
White 70% 77% 79% 81%
Greene CountyBlack 8% 6% 6% 6%
White 92% 93% 91% 88%
Louisa CountyBlack 33% 26% 22% 18%
White 67% 74% 77% 78%
Nelson CountyBlack 24% 19% 15% 13%
White 76% 80% 83% 83%
Source: U.S. Census Bureau
Percent Change in Hispanic PopulationTJHD by Locality and Virginia, 2000,2010
Source: U.S. Census Bureau
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
2000 2010
319% in-
crease
92% in-crease
1,102
631,825
289% in-
crease223%
increase
102% in-
crease
167% increase
51% in-crease
Per
cent
of
Tot
al P
erso
ns L
ivin
g in
Loc
alit
y th
at is
H
ispa
nic
Limited English Proficient Student Enrollment
TJHD and Virginia, 2002-2012
Source: Virginia Department of Education
2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-120%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
2.9%
4.6%4.2%
7.2%
TJHD Virginia
Pe
rce
nt
of
To
tal S
tud
en
ts E
nro
lled
in P
ub
lic
Sch
oo
l
Limited English Proficient Student Enrollment
TJHD by Locality, 2002-2012
Source: Virginia Department of Education
2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12-1%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
5.0%6.2%
3.4%
9.1%
0.3% 0.7%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rce
nt
of
To
tal S
tud
en
ts E
nro
lled
in P
ub
lic
Sch
oo
l
*Note: For locality graphs such as this one, only the localities that start or end as the lowest and highest points are labeled
SSI and Disabled OASDI BeneficiariesTJHD by Locality and Virginia, 2011
Source: U.S. Social Security Administration; U.S. Census Bureau
Total Number of
BeneficiariesTotal
PopulationPercent of the
Population
Albemarle 2,428 98,970 2.45%
Charlottesville 1,806 43,475 4.15%
Fluvanna 899 25,691 3.50%
Greene 725 18,403 3.94%
Louisa 1,850 33,153 5.58%
Nelson 891 15,020 5.93%
Virginia 355,299 8,001,024 4.44%
Residents who received SSI (Supplemental Security Income) benefits, excluding those who also received OASDI (Old-Age, Survivors, and Disability Insurance) benefits to avoid duplication, PLUS persons classified as “Disabled” who received OASDI benefits.
Greene County 1.3%
Albemarle County0.9%
Charlottesville2.0%
Fluvanna County1.0%
Nelson County2.4%
Louisa County1.9%
Source: Weldon Cooper Center: County Health Rankings; U.S. Social Security Administration
Percent of Supplemental Security Income (SSI) Recipients, TJHD by Locality, 2010
*Measured as December 2010 recipients of SSI benefits divided by the total population
Percent of Students Receiving Special Education
TJHD by Locality, 2006-2010
Source: Virginia Department of Education; U.S. Census Bureau, Small Area Health Insurance Estimates
2006 2007 2008 2009 20100%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
8.13%6.99%
9.54%
10.14%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rce
nt
of
To
tal C
hild
ren
Ag
ed
19
an
d U
nd
er
Liv
ing
in L
oca
lity
On-time* Graduation Rate: All StudentsTJHD by Locality and Virginia, 2008-2011
Source: Virginia Department of Education
*The percentage of students in a cohort who earn a diploma within 4 years of entering high school**Cohort: Students who entered the ninth grade for the first time together and were scheduled to graduate 4 years later
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
87.9%
74.6%
90.0%
82.6% 82.1% 80.1% 82.1%
92.9%
83.9%
93.3%88.0%
91.5%
85.3% 86.6%
2008 2009 2010 2011
Pe
rce
nt
of
Stu
de
nts
in C
oh
ort
**
On-time* Graduation Rate: Economically Disadvantaged Students
TJHD by Locality and Virginia, 2008-2011
Source: Virginia Department of Education
*The percentage of students in a cohort who earn a diploma within 4 years of entering high school**Cohort: Students who entered the ninth grade for the first time together and were scheduled to graduate 4 years later
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
71.3%
61.4%
80.5%78.2% 78.2%
72.5% 70.6%
86.1%89.1% 89.0%
86.2%
90.4%
84.2% 79.9%
2008 2009 2010 2011
Pe
rce
nt
of
Stu
de
nts
in C
oh
ort
**
Educational AttainmentCharlottesville Metro Area, and Virginia, 2011
Source: American Community Survey
High School 2011 Bachelor's Degree 2011 Advanced Degree 20110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
88.1%
44.7%
21.5%
87.8%
35.1%
14.6%
Charlottesville Metro Area Virginia
Pe
rce
nt
of
To
tal P
ers
on
s A
ge
d 2
5 a
nd
O
ver
Liv
ing
in L
oca
lity
Socioeconomics
Median Household IncomeVirginia and U.S., 2000-2011
Source: U.S. Census Bureau, Small Area Income and Poverty Estimates
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000
$55,000
$60,000
$65,000
$70,000
$75,000
$46,789
$61,877
$41,990
$50,502
Virginia U.S.
An
nu
al I
nco
me
in D
olla
rs
Median Household IncomeTJHD by Locality, 2000-2011
Source: U.S. Census Bureau, Small Area Income and Poverty Estimates
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000
$55,000
$60,000
$65,000
$70,000
$75,000
$53,263
$63,972
$32,903
$41,826
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
An
nu
al I
nco
me
in D
olla
rs
Greene County 9.7%
Albemarle County9.1%
Charlottesville20.2%
Fluvanna County7.3%
Nelson County13.1%
Louisa County9.9%
Source: Weldon Cooper Center: County Health Rankings; US Census Bureau, Small Area Income and Poverty Estimates 2010
Percent of Persons in PovertyTJHD by Locality, 2010
Percent of Persons in PovertyVirginia and U.S., 2000-2011
Source: U.S. Census Bureau, Small Area Income and Poverty Estimates
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
22%
24%
26%
28%
30%
8.9%
11.6%
11.3%
15.9%
Virginia U.S.
Pe
rce
nt
of
To
tal P
ers
on
s L
ivin
g in
Lo
calit
y
Percent of Persons in PovertyTJHD by Locality, 2000-2011
Source: U.S. Census Bureau, Small Area Income and Poverty Estimates
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
22%
24%
26%
28%
30%
16.8%
23.0%
6.5% 7.6%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rce
nt
of
To
tal P
ers
on
s L
ivin
g in
Lo
calit
y
Percent of Children in PovertyVirginia and U.S., 2000-2011
Source: U.S. Census Bureau, Small Area Income and Poverty Estimates
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
22%
24%
26%
28%
30%
12.2%
15.6%
16.2%
22.5%
Virginia U.S.
Pe
rce
nt
of
To
tal C
hild
ren
Ag
ed
18
an
d U
nd
er
Liv
-in
g in
Lo
calit
y
Percent of Children in PovertyTJHD by Locality, 2000-2011
Source: U.S. Census Bureau, Small Area Income and Poverty Estimates
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
22%
24%
26%
28%
30%
20.1%
22.2%
Fluvanna 9.0%
Fluvanna 10.2%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rcen
t of
Tot
al C
hild
ren
Ag
ed 1
8 a
nd U
nde
r Li
v-
ing
in L
ocal
ity
2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-120%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
30.2%
36.0%32.9%
39.7%
TJHD Virginia
Pe
rce
nt
of
To
tal S
tud
en
ts E
nro
lled
in P
ub
lic
Sch
oo
ls in
Lo
calit
y
Source: Virginia Department of Education, School Nutrition Program
Percent of Students Eligible for Free/Reduced Lunch
TJHD and Virginia, 2005-2012
Source: Virginia Department of Education, School Nutrition Program
2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-120%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
Albemarle 21.1% Albemarle 26.5%
50.7%
54.4%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Per
cent
of T
otal
Stu
dent
s E
nrol
led
in P
ublic
S
choo
ls in
Loc
ality
Percent of Students Eligible for Free/Reduced LunchTJHD by Locality, 2005-2012
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
250
500
750
1,000
1,250
1,500
1,750
2,000
2,250
2,500
2,750
3,000
3,250
3,500
775
3,198
1,386
3,052
162
789
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Nu
mb
er
of
Ho
use
ho
lds
En
rolle
dNumber of Households Receiving Supplemental Nutrition Assistance
TJHD by Locality, 2001-2011Percent IncreaseAlbemarle: 313%Charlottesville: 120%Fluvanna: 387%Greene: 269%Louisa: 247%Nelson: 168%
Source: Virginia Department of Social Services, SNAP Participation Report.
Greene County 10.4%
Albemarle County5.8%
Charlottesville12.6%
Fluvanna County6.0%
Nelson County13.7%
Louisa County11.8%
Source: Weldon Cooper Center: County Health Rankings; Virginia Department of Social Services
Percent of Supplemental Nutrition Assistance Program (SNAP) Participants
TJHD by Locality, 2010
*Measured as average monthly persons on SNAP divided by the total population
Number of Homeless PersonsTJHD, 2004-2011
Source: Thomas Jefferson Area Coalition for the Homeless (TJACH)
2004 2005 2006 2007 2008 2009 2010 20110
50
100
150
200
250
300
129
277
235
35 18
Sheltered Unsheltered
Nu
mb
er
of
Ho
me
less
Pe
rso
ns
Unemployment Rate TJHD, Virginia, & U.S., 2000-2011
Source: Virginia Workforce Connection
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
2.1%
5.5%
2.3%
6.2%
4.0%
8.9%
TJHD Virginia United States
Per
cent
of
Tot
al P
erso
ns A
ged
16 a
nd O
ver
Liv
ing
in
Loc
alit
y
Unemployment Rate TJHD by Locality, 2000-2011
Source: Virginia Workforce Connection
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
4.9%
7.0%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rce
nt
of
To
tal P
ers
on
s A
ge
d 1
6 a
nd
Ove
r L
ivin
g in
Lo
calit
y
Health Resource Availability
Sources of Health Insurance Virginia and U.S., 2010
Source: Kaiser Family Foundation
Virginia United States
Employer; 49%
Medicare; 13%
Medicaid; 16%
In-di-vidual; 5%
Other
Pub-lic; 1%
Uninsured;
16%
Employer; 55%
Medicare; 12%
Medicaid; 9%
In-di-vid-ual; 5%
Other Pub-lic; 4%
Uninsured; 14%
Percentages may not sum to 100% due to rounding effects
Health Insurance Coverage by AgeVirginia, 2010-2011
Source: U.S. Census Bureau, Annual Social and Economic Supplement
< 18 yrs 18-64 65+ yrs0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
67.7%70.3%
61.8%
35.4%
18.0%
94.9%
5.9%
18.8%
0.8%
Private Government Not Covered
Pe
rce
nt
of
To
tal P
ers
on
s in
Ag
e G
rou
p L
ivin
g
in L
oca
lity
Estimated Uninsured Persons, 18-64 TJHD and Virginia, 2005-2010
Source: U.S. Census Bureau, Small Area Health Insurance Estimates
2005 2006 2007 2008 2009 2010
-5%
0%
5%
10%
15%
20%
25%
30%
35%
21.5%
17.8%16.7%
TJHD Virginia
Pe
rce
nt
of
To
tal P
ers
on
s A
ge
d 1
8 t
o 6
4 L
ivin
g
in L
oca
lity
Estimated Uninsured Persons, 18-64 TJHD by Locality, 2005-2010
Source: U.S. Census Bureau, Small Area Health Insurance Estimates
2005 2006 2007 2008 2009 20100%
5%
10%
15%
20%
25%
30%
35%
21.0%
15.3%
27.2%
19.7%
18.1%17.5%
21.5%
21.4%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rce
nt
of
To
tal P
ers
on
s A
ge
d 1
8 t
o 6
4 L
ivin
g
in L
oca
lity
Estimated Uninsured Persons <19 Years TJHD and Virginia, 2006-2010
Source: U.S. Census Bureau, Small Area Health Insurance Estimates
2006 2007 2008 2009 2010
-2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
12.8%
7.9%
10.4%
7.0%
TJHD Virginia
Pe
rce
nt
of
Pe
rso
ns
Ag
ed
Le
ss t
ha
n 1
9 Y
ea
rs L
iv-
ing
in L
oca
lity
Estimated Uninsured Persons <19 Years TJHD by Locality, 2006-2010
Source: U.S. Census Bureau, Small Area Health Insurance Estimates
2006 2007 2008 2009 20100%
2%
4%
6%
8%
10%
12%
14%
16%
18%
9.4%
7.5%
15.2%
10.2%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rce
nt
of
Pe
rso
ns
Ag
ed
Le
ss T
ha
n 1
9 Y
ea
rs
Liv
ing
in L
oca
lity
Medicaid Enrollment and Spending by Recipient Group Virginia and U.S., FY 2009
Source: Kaiser Family Foundation
Enrollment 0.95M
Spending $5.55B
Enrollment 62.59M
Spending $346B
Virginia United States
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
55%
25%
49%
21%
16%
10%
26%
14%
11%
20%
10%
23%
18%
45%
15%
42%
Children Adults Elderly Disabled
Pe
rce
nt
of
To
tal E
nro
llme
nt/
Sp
en
din
g
United StatesVirginia
Number of Primary Care ProvidersTJHD by Locality, 2011
Source: UVA Physician Directory; Martha Jefferson Hospital Physician Directory
Internal
MedicinePediatrics
Family Medicine
OB/GYN Geriatrics
Albemarle/Charlottesville 65 39 67 27 8
Fluvanna 3 1 4 - 1
Greene - - 4 - -
Louisa 1 1 8 - -
Nelson - - 9 - -
TJHD 69 41 92 27 9
Number of Charlottesville Free Clinic Medical Patients
TJHD by Locality, FY2012
61040.48%
52134.57%
1036.83%
583.85%
916.04%
261.73%
956.30%
30.20%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Other Unknown
Source: Charlottesville Free Clinic
Number of Dental Service ProvidersTJHD by Locality, 2012
Source: Community Dental Center; DentaQuest; yellow pages
Dentists in General Practice, Oral Surgery and Pediatric Specialists
Albemarle/Charlottesville 189
Fluvanna 11
Greene 8
Louisa 9
Nelson 10
Number of Charlottesville Free Clinic Dental Patients, TJHD by Locality, FY2012
Source: Charlottesville Free Clinic
98952.80%
55829.79%
1105.87%
985.23%
573.04%
30.16%
542.88%
40.21%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Other Unknown
Average Number of Community Dental Center Patients Served Per Month, FY2010-2012
Source: Community Dental Center
FY2010 FY2011 FY20120
50
100
150
200
250
300
350
400
450
500
550
600
495
564
522
Ave
rag
e N
um
be
r o
f P
atie
nts
Se
rve
d P
er
Mo
nth
Medicaid/FAMIS Enrollees <19 Years Receiving Dental ServicesTJHD by Locality, FY 2007-FY 2010
Source: Virginia Smiles for Children
2006-2007 2007-2008 2008-2009 2009-20100%
10%
20%
30%
40%
50%
60%
44.6%
50.3%
54.8%
58.4%
40.4%
44.2%46.4%
52.3%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD
Pe
rce
nt
of
To
tal P
ed
iatr
ic M
ed
ica
id/
FA
MIS
En
rolle
es
Liv
ing
in L
oca
lity
Number of Licensed Mental Health Providers TJHD by Locality, 2011
Source: Mental Health America
Clinicians Practices
PsychiatristsLicensed Therapists
Total Practices
Practices Serving Youth
Practices Accepting Medicaid
Albemarle/Charlottesville
24 115 66 7 35
Fluvanna 0 3 3 2 2
Greene 0 1 1 1 1
Louisa 2 16 4 2 2
Nelson 0 3 2 2 2
TJHD 26 135 73 11 39
Number of Region Ten Community Services Board Direct Service Staff
TJHD by Locality, 2012
Source: Region Ten
Number of Mental Health
Direct Service Staff
Albemarle/Charlottesville 161
Fluvanna 11
Greene 15
Louisa 14
Nelson 18
TJHD 219
All mental health direct service staff at Region Ten – anyone who provides mental health services, whether licensed or not
Number of Public Health Staff by SpecialtyTJHD by Locality, 2012
Local Health
Department
Number of Full-Time Equivalent Positions
Public Health Nurses
Environmental Health
SpecialistsNutritionists Clinicians
Public Health
Specialists
Albemarle/Charlottesville
10.65 9.00 3.70 0.70 4.40
Fluvanna 2.40 1.47 0.19 0.11 0.80
Greene 2.45 1.52 0.29 0.11 0.80
Louisa 4.85 2.59 0.63 0.37 2.00
Nelson 2.15 1.42 0.19 0.11 0.80
TJHD 22.50 16.00 5.00 1.40 8.80
Source: Thomas Jefferson Health District
Section Two: What are the strengths and risks in our community that
contribute to health?
Community ResourcesCommunity SafetyEnvironmental QualityHealth Behaviors
Community Resources
CAT Bus Route AlignmentsMonday-Saturday Service, Charlottesville, 2012
Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017
CAT Top Trip Origin and Destination LocationsCAT Survey Responses, Charlottesville, 2012
Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017
JAUNT PassengersTJHD by Locality, FY2008-FY2012
Source: Jaunt Ridership Report
*Passengers are counted by trip and may be duplicated
FY08 FY09 FY10 FY11 FY120
20,000
40,000
60,000
80,000
100,000
120,000
140,000
93,180
115,176110,209
126,191
13,452Fluvanna 18,047
25,516
33,945
16,018
Nelson 18,508
Albemarle Charlottesville Fluvanna Louisa Nelson
Nu
mb
er
of
Pa
sse
ng
ers
(b
y p
lace
of
ori
gin
)
JAUNT Passengers by TypeTJHD, FY2008–FY2012
Source: Jaunt Ridership Report
FY08 FY09 FY10 FY11 FY120
50,000
100,000
150,000
200,000
250,000
300,000
350,000
75,353 82,703 84,080 81,128 86,606
92,19696,408 96,110 98,122 100,738
67,17879,322 84,377 93,819
93,279
Medical Elderly and Disabled (nonmedical)Children and Youth Elderly Nutrition ServicesRural Routes Other
Nu
mb
er
of
Pa
sse
ng
ers
Greene Transit AuthorityGreene County, January – August 2011
January February March April May June July August0
50
100
150
200
250
300
350
208
313
Nu
mb
er
of
Me
dic
al T
rip
s
Source: Greene County Transit, Inc.
Recreational Facilities TJHD by Locality and Virginia, 2009
Source: County Health Rankings
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia0
5
10
15
20
25
12.6
21.3
7.8
5.4
9.1
6.5
11
Fa
cilit
ies
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
cal-
ity
National Bench-mark
Food Stores by TypeTJHD, 2009
57
2
134
9
141
207
11
Grocery stores Supercenters & club stores Convenience stores
Specialized food stores Fast-food restaurants Full-service restaurants
Farmers' markets
Source: U.S. Department of Agriculture
Food Stores by TypeTJHD by Locality, 2009
0
2
4
6
8
10
12
14
16
18
20
22
24
26
3
0
9
0
4
9
0
3
0
10
1
3
11
44
1
23
2
11
9
2
4
0
16
0
7 7
1
Greene Fluvanna Louisa Nelson
Nu
mb
er
of
Fo
od
Sto
res
Ava
ilab
le in
Lo
calit
y
Source: U.S. Department of Agriculture
Food Stores by TypeTJHD by Locality, 2009
Source: U.S. Department of Agriculture
0
10
20
30
40
50
60
70
80
90
100
110
120
25
1
49
3
53
61
4
18
0
27
3
63
110
0
Albemarle Charlottesville
Nu
mb
er
of
Fo
od
Sto
res
Ava
ilab
le in
Lo
calit
y
Number of children < 5 yrs old residing in locality 7,832 1,592 1,310 2,029 727
Licensed Childcare Centers & Preschool Programs
Number of Slots Available (Includes 1 mo to 5 yrs old and 6-12 yrs old after school) 3,919 279 434 381 393
Number of Facilities 54 4 7 12 7
Number of those Facilities that Accept
Ages
1 mo to 1 yr old 19 2 1 1 -1 to 2 yrs old 6 - 1 - -2 to 4 yrs old 23 - 3 7 54 to 5 yrs old 6 2 2 4 2
Licensed Family Day Homes
Number of Slots Available (Includes 1 mo to 5 yrs old and 6-12 yrs old after school) 174 44 0 76 12
Number of Facilities 16 4 0 7 1
Number of those Facilities that Accept
Ages
1 mo to 1 yr old 12 2 - 7 11 to 2 yrs old 1 2 - - -2 to 4 yrs old 3 - - - -4 to 5 yrs old - - - - -
Source: Virginia Department of Social Services
Licensed Child Care FacilitiesTJHD by Locality, 2012
Fluvanna
GreeneLouisa
Nelson
Charlotte
sville &
Albemarle
Community Safety
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
11000
12000
13000
14000
6,016.59
4,336.80
TJHD
Re
po
rte
d G
rou
p A
Off
en
ses*
pe
r 1
00
,00
0 P
er-
son
s L
ivin
g in
Lo
calit
yReported Crime Incidence Rate
TJHD, 2000-2011
*Reported Group A Offenses; arson, assault, bribery, burglary, counterfeiting/forgery, destruction/damage/vandalism of property; drug/narcotic; embezzlement; extortion/blackmail; fraud; gambling; homicide; kidnapping/abduction; larceny/theft; motor vehicle theft; pornography/obscene material; prostitution; robbery; sex, forcible and non-forcible; stolen property; weapon law violations
Source: Department of State Police, Virginia Uniform Crime Reporting Program
Reported Crime Incidence RatesTJHD by Locality, 2000-2011
*Reported Group A Offenses; arson, assault, bribery, burglary, counterfeiting/forgery, destruction/damage/vandalism of property; drug/narcotic; embezzlement; extortion/blackmail; fraud; gambling; homicide; kidnapping/abduction; larceny/theft; motor vehicle theft; pornography/obscene material; prostitution; robbery; sex, forcible and non-forcible; stolen property; weapon law violations
Source: Department of State Police, Virginia Uniform Crime Reporting Program
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
11000
12000
13000
14000
10,067.00
8,470.68
1,975.402,270.19
Albemarle Charlottesville Fluvanna Greene Louisa NelsonRe
po
rte
d G
rou
p A
Off
en
ses*
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Domestic Violence Arrest Rates Albemarle and Charlottesville, 2001-2010
2001 2002 2003 2004 2005 2006 2007 2008 2009 20100
1
2
3
4
5
6
7
8
2.40
1.76
7.40
3.68
Albemarle Charlottesville
Dom
esti
c V
iole
nce
Arr
ests
per
1,0
00 P
erso
ns L
ivin
g in
Loc
alit
y
Source: Commission for Children and Families, Stepping Stones
Domestic Violence Arrest Rate Louisa County, 2009-2011
Source: Louisa County Sheriff’s Office
2009 2010 20110
1
2
3
4
5
6
7
8
1.27
5.67
4.71
Louisa
Do
me
stic
Vio
len
ce A
rre
sts
pe
r 1
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Violence Incidence Rates in SchoolsTJHD and Virginia, 2007-2011
Source: Virginia Department of Education
0
2
4
6
8
10
12
14
16
18
20
22
24
26
15.47
2.74
6.53
2.64
5.20
0.36
2.57
1.001.58
6.08
12.73
3.46
5.03
2.47
6.67
0.35
5.14
0.96 1.45
4.82
TJHD Virginia
Inci
de
nts
pe
r 1
,00
0 S
tud
en
ts E
nro
lled
in
Pu
blic
Sch
oo
ls in
Lo
calit
y
Violence Incidence Rates in Schools TJHD by Locality, 2007-2011
Source: Virginia Department of Education
0
2
4
6
8
10
12
14
16
18
20
22
24
2624.95
3.78
12.97
15.06
7.34
12.15
Albemarle Charlottesville FluvannaGreene Louisa Nelson
Inci
de
nts
pe
r 1
,00
0 S
tud
en
ts E
nro
lled
in
Pu
blic
Sch
oo
ls in
Lo
calit
y
Founded Child Abuse and Neglect Rates
TJHD and Virginia, 2000-2011
Source: Virginia Department of Social Services
*Five-year rolling averages of Rate of Abuse and Neglect per 1,000 Children (Founded Investigations and Duplicated)
2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-10 2007-110
1
2
3
4
5
6
7
1.94
2.853.03
2.47
TJHD Virginia
Fo
un
de
d C
hild
Ab
use
an
d N
eg
lect
Re
po
rts
pe
r 1
,00
0 C
hild
ren
Ag
ed
0-1
7 L
ivin
g in
Lo
calit
y
Founded Child Abuse and Neglect Rates
TJHD by Locality, 2000-2011
Source: Virginia Department of Social Services
*Five-year rolling averages of Rate of Abuse and Neglect per 1,000 Children (Founded Investigations and Duplicated)
2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-10 2007-110
1
2
3
4
5
6
7
0.89 0.95
5.15
6.39
Albemarle Charlottesville Fluvanna Greene Louisa
Fo
un
de
d C
hild
Ab
use
an
d N
eg
lect
Re
po
rts
p
er
1,0
00
Ch
ildre
n A
ge
d 0
-17
Liv
ing
in L
oca
l-ity
Reported Adult Abuse and Neglect Rates, TJHD and Virginia, 2008-2011
Source: Virginia Department of Social Services
2008 2009 2010 20110
1
2
3
4
5
6
7
8
9
10
11
12
5.254.96
2.41 2.88
TJHD Virginia
Ad
ult
Pro
tect
ive
Se
rvic
e R
ep
ort
s p
er
1,0
00
A
du
lts A
ge
d 1
8 a
nd
Ove
r L
ivin
g in
Lo
calit
y
Reported Adult Abuse and Neglect Rates, TJHD by Locality, 2008-2011
Source: Virginia Department of Social Services
2008 2009 2010 20110
1
2
3
4
5
6
7
8
9
10
11
12
9.73
7.00
2.74
5.48
4.02
1.38
Albemarle Charlottesville Fluvanna Greene Louisa
Ad
ult
Pro
tect
ive
Se
rvic
e R
ep
ort
s p
er
1,0
00
A
du
lts A
ge
d 1
8 a
nd
Ove
r L
ivin
g in
Lo
calit
y
Drug/Narcotic Arrest RatesTJHD and Virginia, 2000-2011
Source: Department of State Police, Virginia Uniform Crime Reporting Program
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
100
200
300
400
500
600
700
800
900
1000
1100
1200
439.2
495.0455.4
595.7
TJHD Virginia
Dru
g/N
arco
tic
Arr
ests
per
100
,000
Per
sons
Liv
ing
in
Loc
alit
y
Drug/Narcotic Arrest RatesTJHD by Locality, 2000-2011
Source: Department of State Police, Virginia Uniform Crime Reporting Program
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
100
200
300
400
500
600
700
800
900
1000
1100
1200
900.2871.5
160.9
248.0
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Dru
g/N
arc
otic
Arr
est
s p
er
10
0,0
00
Pe
rso
ns
Liv
-in
g in
Lo
calit
y
Driving Under the Influence (DUI) Arrest Rates, TJHD and Virginia, 2000-2011
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
50100150200250300350400450500550600650700750800850900
TJHD 348.4
251.9
Virginia 352.0368.0
TJHD Virginia
DU
I A
rres
ts p
er 1
00,0
00 P
erso
ns L
ivin
g in
Loc
alit
y
Source: Department of State Police, Virginia Uniform Crime Reporting Program
Driving Under the Influence (DUI) Arrest Rates, TJHD by Locality, 2000-2011
Source: Department of State Police, Virginia Uniform Crime Reporting Program
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
50100150200250300350400450500550600650700750800850900
483.1
298.0
Greene; 814.3
Greene; 234.6188.2
120.2
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
DU
I A
rre
sts
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
-ca
lity
Environmental Quality
Air Quality Index Report Charlottesville CBSA, Fairfax CBSA, Richmond CBSA,
and Virginia Beach CBSA, 2011
Source: Environmental Protection Agency
Air Quality Rating
Total Number of
Days Monitored
(Number of days at each rating)
Good Moderate
Unhealthy for
Sensitive Groups
Unhealthy for
Anyone
Charlottesville CBSA 330 (91%) 34 (9%) 0 (0%) 0 (0%) 364
Fairfax CBSA 295 (82%) 54 (15%) 9 (2%) 2 (1%) 360
Richmond CBSA 283 (78%) 70 (19%) 11 (3%) 1 (0%) 365
Virginia Beach CBSA 276 (76%) 79 (21%) 10 (3%) 0 (0%) 365*Cities are defined as Core Based Statistical Areas (CBSA) – Charlottesville CBSA includes Albemarle, Fluvanna, Greene, and Nelson Counties and the City of Charlottesville; Richmond CBSA includes the Amelia, Caroline, Charles City, Chesterfield, Cumberland, Dinwiddie, Goochland, Hanover, Henrico, King And Queen, King William, Louisa, New Kent, Powhatan, Prince George and Sussex Counties as well as the Cities of Colonial Heights, Hopewell, Petersburg and Richmond.
Good and Impaired Streams in WatershedsTJHD, 2008
Mau
ry
Mid
dle
Jam
es -
Buffa
lo
Mid
dle
Jam
es -
Willi
s
Pamun
key
Rapid
an -
Upper
Rap
paha
nnoc
k
Rivann
a
South
For
k She
nand
oah
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
23
7855 80 77
27
117
33
5925 44 40
28
39
Impaired Streams Good Streams
Pe
rce
nt
of
To
tal S
tre
am
s in
Wa
ters
he
d
Source: Environmental Protection Agency – Surf Your Watershed
Watersheds That Drain IntoTJHD
Source: Environmental Protection Agency
Rivanna
Pamunkey
South Fork Shenandoah
Middle James - Buffalo
Rapidan – Upper Rappahannock
Maury
Middle James - Willis
Impaired Steams TJHD, 2010
Source: Thomas Jefferson District Planning Commission
Rivanna: Biological Health ScoresTJHD, 2006-2009
Source: StreamWatch
6%
22%
56%
13%
3%
Very Good Good
Fair Poor
Very Poor
Samples are scored per an index that reflects the composition and diversity of the array of captured organisms. Site health is assessed based on all scores generated during the assessment window
Lead Exposure: At-Risk Zip Codes*TJHD by Locality, 2011
Source: Virginia Department of Health, Lead Safe Virginia
Albemarle 2290122931
(Covesville)22937
(Esmont)22943
(Greenwood)22947
(Keswick)22959
(North Garden)24590
(Scottsville)
Charlottesville 22903
Fluvanna 23022 23084
Greene 22935(Dyke)
Louisa 23024
Nelson 22938 (Faber)
22964 (Piney River)
22969 (Schuyler)
22971 (Shipman)
24464 (Montebello)
24553 (Gladstone)
*VDH identifies areas in Virginia at risk for lead exposure as those with more than 27% of homes built before 1950 and/or those with an increased prevalence of children with elevated blood lead levels (EBLL)
Elevated Blood Lead Level Tests in Children <72 Months of Age
TJHD by Locality, 2004-2011
Source: Virginia Department of Health, Lead Safe Virginia
2004 2005 2006 2007 2008 2009 2010 20110
100
200
300
400
500
600
700
800
900
248
768
Greene; 58
Greene; 204
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Nu
mb
er
of
Ch
ildre
n <
72
Mo
nth
s o
f A
ge
Te
ste
d
Elevated Blood Lead Level Test Results in Children <72 Months of Age
TJHD by Locality, 2004-2011
Source: Virginia Department of Health, Lead Safe Virginia
2004 2005 2006 2007 2008 2009 2010 20110
2
4
6
8
10
12
1413
2
8
1
3
4
1
3 3
6
2 2
5
4
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Nu
mb
er
of
Te
sts
Re
turn
ing
Po
sitiv
e
Health Behaviors
Low dietary polyunsaturated fatty acids (PUFA)
Low intake of fruits and vegetables
Alcohol use
High dietary trans fatty acids
Low dietary omega-3 fatty acids
High dietary salt
High LDL cholesterol
High blood glucose
Physical inactivity
Overweight-obesity (high BMI)
High blood pressure
Tobacco smoking
0 100 200 300 400 500
15
58
64
82
84
102
113
190
191
216
395
467
Septicemia
Kidney Disease
Influenza and Pneumonia
Alzheimer's Disease
Diabetes
Unintentional Injuries
Chronic Lower Respiratory Diseases
Stroke
Cancer
Heart Disease
-10% 0% 10% 20% 30%
1.4%
1.8%
2.5%
2.8%
3.1%
4.7%
5.1%
6.3%
23.1%
37.2%
Percentage of Total Deaths Deaths (in thousands)
Source: Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, et al. (2009) The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors. PLoS Med 6(4):Heron, M., Tejada-Vera, B. (2009). Deaths: Leading Causes for 2005. National Vital Statistics Reports. 58(8)
Leading Causes of Death Deaths Attributable to Individual Risk Factors
Leading vs. Actual Causes of Death
Self-Reported Adult SmokersTJHD and Virginia, 2000-2010
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%
5%
10%
15%
20%
25%
17.6% 17.9%
22.9%
18.0%
TJHD Virginia
Pe
rce
nt
of
Ad
ults
Ag
ed
20
an
d O
ver
Liv
ing
in
Lo
calit
y
Healthy People 2020
Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey
Tobacco Facts Virginia, 2012
Virginia United States
Adult Smoking Rank(1st = low smoking rates)
31st N/A
Cigarette Tax(per pack)
$0.30($0.35 local tax for Cville)
$1.46
Cigarette Tax Rank(1st = high taxes)
50th N/A
FY 2012 Funding for State TC Programs(millions)
$8.4 $456.7
Tobacco Prevention Spending % of CDC Target
8.1% 12.5%
Tobacco Prevention Spending Rank(1st =high spending rates)
30th N/A
Source: Campaign for Tobacco-Free Kids; City of Charlottesville City Treasurer Website
Physical InactivityTJHD by Locality and Virginia, 2009
Source: Behavioral Risk Factor Surveillance System; County Health Rankings *Numbers are self-reported
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia0%
5%
10%
15%
20%
25%
30%
35%
19%
26%
22%
24%
30%
25%24%
Est
ima
ted
pe
rce
nt
of
ad
ults
ag
ed
20
an
d o
ver
rep
ort
ing
no
le
isu
re t
ime
ph
ysic
al a
ctiv
ity
Percent of Obese Adults by StateU.S., 1990 and 2010
Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System
Percentage of Adults Who Are Obese TJHD by Locality, 2009
Greene County 30.5%
Albemarle County27.1%
Charlottesville26.9%
Fluvanna County29.6%
Nelson County26.4%
Louisa County31.7%
Source: Centers for Disease Control and Prevention: National Diabetes Surveillance System
**Body mass was derived from self-report of height and weight from adults 20 and Over.
*Obese = Body Mass Index (BMI) ≥30, or ~ 30 lbs. overweight for 5’ 4” person
Percentage of Adults Who Are Obese TJHD and Virginia, 2000-2010
Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010
-5%
0%
5%
10%
15%
20%
25%
30%
35%
21.6%
27.6%
21.0%
25.9%
TJHD Virginia
Pe
rce
nt
of
Ad
ults
Ag
ed
20
an
d O
ver
Liv
ing
in L
oca
l-ity
Percentage of 5th Graders Who Are Overweight or Obese
Albemarle and Charlottesville Public Schools, 1998-2011
Source: Community Action on Obesity
1998 2003 2004 2007 2009 2010 20110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
17.4% 18.2% 15.9% 16.9% 17.4% 15.9% 18.3%
17.6% 17.6% 19.3% 18.4% 18.3%15.2%
18.4%
Overweight Obese
Pe
rce
nt
of
Fift
h G
rad
ers
En
rolle
d in
Pu
blic
S
cho
ols
in L
oca
lity
Percentage of 5th &10th Graders Who Are Overweight or Obese
Nelson County Public Schools, 2009-2011
Source: Blue Ridge Medical Center
5th 10th 5th 10th 5th 10th2008-2009 2009-2010 2010-2011
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
25.0%15.7%
20.3%13.1% 14.9% 17.5%
25.6%
32.8% 26.1%
22.6%
31.2% 29.9%
% Overweight % Obese
Pe
rce
nt
of
Fift
h a
nd
Te
nth
Gra
de
rs E
nro
lled
in
Pu
blic
Sch
oo
ls in
Lo
calit
y
Seat Belt UsageVirginia, 1987-2011
Source: Virginia Department of Motor Vehicles, Highway Safety Office
19871988
19891990
19911992
19931994
19951996
19971998
19992000
20012002
20032004
20052006
20072008
20092010
20110%5%
10%15%20%25%30%35%40%45%50%55%60%65%70%75%80%85%90%95%
100%
32.5%
81.8%
Virginia
National Average
Pe
rce
nt
of
Dri
vers
an
d P
ass
en
ge
rs U
sin
g S
ea
t B
elts
Three Year Rolling Average Number of Hospitalizations from Motor/Other Vehicle Accidents With and Without Safety
Device Usage, TJHD, 2007-2011
Source: Virginia Department of Health, Office of Emergency Medical Services
*Safety Devices include air bags, child safety seats, helmets, and safety belts; note that the presence of a safety device does not necessarily imply that it was used (properly or otherwise). Similarly, "none" does not necessarily mean that safety device was not used
2007-09 2008-10 2009-110
10
20
30
40
50
60
70
80
54.3 55.0
45.0
67.7
62.7
54.3
TJHD with SD TJHD without SD
Nu
mb
er
of
Ho
spita
liza
tion
s fr
om
MV
As
Three Year Rolling Average Number of Hospitalizations from Motor/Other Vehicle Accidents With and Without Safety
Device Usage, TJHD by Locality, 2007-2011
Source: Virginia Department of Health, Division of Health Statistics
Three-Year Rolling Averages, Number of Hospitalizations from MVAs by Locality
2007-2009 2008-2010 2009-2011
AlbemarleWith SD 14.7 12.7 8.3
Without SD 22.3 20.3 18.7
CharlottesvilleWith SD 7.3 7.7 7.0
Without SD 12.3 9.7 8.7
FluvannaWith SD 5.0 6.0 6.0
Without SD 8.3 6.3 7.0
GreeneWith SD 6.3 6.0 5.0
Without SD 4.7 4.0 3.0
LouisaWith SD 11.0 12.0 9.0
Without SD 10.3 12.0 9.0
NelsonWith SD 10.0 10.7 9.7
Without SD 9.7 10.3 8.0
Source: Virginia Department of Health, Division of Immunization
2008 2009 2010 20110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
95.9% 95.1% 94.8% 93.4%
40.9%
95.7%
84.8%
94.7%
Public School Private School
Pe
rce
nt
of
Kin
de
rga
rte
ne
rs E
nro
lled
in R
e-
po
rtin
g S
cho
ols
*Percentage of Adequately Immunized
KindergartenersTJHD, 2008-2011
*Includes schools that submit student immunization survey results in the Fall of each year – approximately 30 public schools and 6 private schools (only 2 private schools reported in 2008)
2008 2009 2010 20110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%97.5% 97.0% 97.8%
88.4%
21.4%
94.9%
81.8%78.8%
Public School Private School
Pe
rce
nt
of
Six
th G
rad
ers
En
rolle
d in
Re
po
rt-
ing
Sch
oo
ls*
Percentage of Adequately Immunized Sixth Graders
TJHD, 2008-2011
*Includes schools that submit student immunization survey results in the Fall of each school year – approximately 10 public schools and approximately 8 private schools (only 2 private schools reported in 2008)
Source: Virginia Department of Health, Division of Immunization
Section Three: What is our health status?
Maternal and Child HealthLeading Causes of DeathCancerUnintentional InjuryInfectious DiseasesAmbulatory Care Sensitive ConditionsMental Health
Maternal and Child Health
Live Birth Rates TJHD and Virginia, 1998-2011
*Live Births Counted by Place of Residence
Source: Virginia Department of Health. Division of Health Statistics
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
2
4
6
8
10
12
14
16
18
20
12.9
10.8
13.9
12.7
TJHD Virginia
Liv
e B
irth
s* p
er
1,0
00
To
tal P
ers
on
s L
ivin
g in
Lo
calit
y
Live Birth Rates TJHD by Locality, 1998-2011
Source: Virginia Department of Health. Division of Health Statistics
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
2
4
6
8
10
12
14
16
18
20
16.6
12.213.7
8.3
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Liv
e B
irth
s* p
er
1,0
00
To
tal P
ers
on
s L
ivin
g in
Lo
calit
y
*Live Births Counted by Place of Residence
Infant Mortality Rates*TJHD and Virginia,1999-2011
Source: Virginia Department of Health, Division of Health Statistics
*Deaths among infants <1year of age
1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110
2
4
6
8
10
12
14
16
18
20
22
7.06.3
7.2 7.0
TJHD Virginia
Healthy People 2020
Infa
nt
De
ath
s p
er
1,0
00
Liv
e B
irth
s b
y P
lace
of
Re
si-
de
nce
Infant Mortality Rates* by Race TJHD, Virginia, and U.S., 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110
2
4
6
8
10
12
14
16
18
20
22
14.9
17.3
13.8
13.8
TJHD White 5.7
TJHD White 4.5
Virginia White; 5.6 Virginia White; 5.4
TJHD Black Virginia Black U.S. Black TJHD White Virginia White U.S. White
Healthy People 2020
Infa
nt D
eath
s pe
r 1,
000
Live
Birt
hs b
y P
lace
of
Res
iden
ce
*Deaths among infants <1year of age
Neonatal Death Rate* TJHD and Virginia, 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
*Deaths among infants <28 days of age
1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110
2
4
6
8
10
12
14
16
18
20
22
4.4 4.3
5.0 4.7
TJHD Virginia
Healthy People 2020
Infa
nt
De
ath
s p
er
1,0
00
Liv
e B
irth
s b
y P
lace
of
Re
si-
de
nce
2001-2003
2002-2004
2003-2005
2004-2006
2005-2007
2006-2008
2007-2009
2008-2010
10%
11%
12%
13%
TJHD West Central Perinatal Region Virginia
Per
cent
of
Tot
al L
ive
Bir
ths
by P
lace
of
Res
iden
ce
Percentage of Preterm* BirthsTJHD, West Central Perinatal Region and Virginia, 2001-2010
Source: Virginia Department of Health
*Percent of live births born less than 37 weeks gestation
Healthy People 2020
Percentage of Preterm* BirthsTJHD by Locality, 2001-2010
Source: Virginia Department of Health
2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
5.95%
7.96%
11.21%
10.27%
8.59%
6.28%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Per
cent
of
Tot
al L
ive
Bir
ths
by P
lace
of
Res
iden
ce
*Percent of live births born less than 37 weeks gestation
Percentage of Low-Weight* BirthsTJHD, Virginia, and U.S.,1999-2011
Source: Virginia Department of Health, Division of Health Statistics
*Low Birth Weight = Live Births Weighing <2500 grams
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
7.1%7.6%
7.9%
Virginia 7.9%
TJHD Virginia United States
Healthy People 2020
Per
cent
of
Tot
al L
ive
Bir
ths
by P
lace
of
Res
iden
ce
Percentage of Low-Weight* BirthsTJHD by Locality,1999-2011
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
Fluvanna 6.2%
Fluvanna 6.6%
Louisa 8.5%
Louisa 9.4%
Nelson 8.9%
Nelson 5.8%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Per
cent
of T
otal
Liv
e B
irths
by
Pla
ce o
f Res
iden
ce
*Low Birth Weight = Live Births Weighing <2500 grams
Percentage of Low-Weight Births* by Race, TJHD and Virginia, 1999-2011
Source: Virginia Department of Health, Division of Health Statistics
1999-01
2000-02
2001-03
2002-04
2003-05
2004-06
2005-07
2006-08
2007-09
2008-10
2009-11-1%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
TJHD Black Virginia Black TJHD White Virginia White
Pe
rce
nt
of
To
tal L
ive
Bir
ths
by
Pla
ce o
f R
esi
-d
en
ce
Healthy People 2020
*Low Birth Weight = Live Births Weighing <2500 grams
Percentage of Low-Weight Births* by Race, TJHD by Locality, 2005-2011
Source: Virginia Department of Health, Division of Health Statistics
Three-year Rolling Averages, Low Birthweight births as a percentage of Live Births
2005-2007 2006-2008 2007-2009 2008-2010 2009-2011
AlbemarleWhite 6.3% 6.5% 6.4% 5.7% 5.0%
Black 10.9% 9.7% 8.4% 10.3% 12.2%
CharlottesvilleWhite 7.0% 6.9% 6.2% 5.4% 5.2%
Black 13.7% 13.4% 15.0% 13.9% 14.3%
FluvannaWhite 7.5% 7.5% 7.0% 6.2% 6.5%
Black 16.4% 18.4% 14.2% 13.4% 7.5%
GreeneWhite 6.0% 8.6% 8.0% 8.0% 7.2%
Black 25.6% 21.5% 17.0% 8.6% 8.6%
LouisaWhite 9.0% 8.7% 8.6% 8.5% 8.3%
Black 13.3% 12.0% 12.2% 15.0% 16.7%
NelsonWhite 6.6% 6.4% 7.6% 6.2% 6.1%
Black 9.8% 5.1% 6.9% 6.5% 5.1%
*Low Birth Weight = Live Births Weighing <2500 grams
Teen Pregnancy Rates: Ages 10-19TJHD and Virginia, 2000-2011
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110
5
10
15
20
25
30
35
40
45
50
55
60
65
23.2
15.6
29.6
21.3
TJHD Virginia
Pre
gn
an
cie
s p
er
1,0
00
Fe
ma
les
Ag
ed
10
to
19
Teen Pregnancy Rates: Ages 10-19TJHD by Locality, 2000-2011
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110
5
10
15
20
25
30
35
40
45
50
55
60
65
16.0
8.7
23.6
32.1
34.9
19.1
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pre
gn
an
cie
s p
er
1,0
00
Fe
ma
les
Ag
ed
10
to
19
Teen Pregnancy Rates: Ages 15-17TJHD and Virginia, 2000-2011
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110
5
10
15
20
25
30
35
40
45
50
55
60
65
70
27.6
13.3
31.3
19.1
TJHD Virginia
Pre
gn
an
cie
s p
er
1,0
00
Fe
ma
les
Ag
ed
15
-17
Healthy People 2020
Teen Pregnancy Rates: Ages 15-17TJHD by Locality, 2000-2011
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110
5
10
15
20
25
30
35
40
45
50
55
60
65
70
14.9
8.8
57.8
31.831.7
20.5
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pre
gn
an
cie
s p
er
1,0
00
Fe
ma
les
Ag
ed
15
-17
Source: Virginia Department of Health, Division of Health Statistics
Teen Pregnancy Rates by Race,Ages 10-19, TJHD and Virginia, 2000-2011
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
41.2
26.2
48.7
35.1
19.5
13.8
23.6
16.7
TJHD Black Virginia Black TJHD White Virginia White
Pre
gn
an
cie
s p
er
1,0
00
Fe
ma
les
Ag
ed
10
to
19
Teen Pregnancy Rates by Race, Ages 10-19, TJHD by Locality, 2005-2011
Source: Virginia Department of Health, Division of Health Statistics
Three-Year Rolling Averages, Rate of Teen Pregnancies per 1,000 females ages 10-19
2005-2007 2006-2008 2007-2009 2008-2010 2009-2011
AlbemarleWhite 10.4 11.2 10.6 9.8 8.1
Black 29.8 29.3 23.9 20.0 13.9
CharlottesvilleWhite 43.5 37.3 29.9 28.1 24.5
Black 56.0 58.5 61.5 56.4 51.9
FluvannaWhite 15.0 14.6 13.0 10.2 9.0
Black 19.4 20.4 21.2 25.3 22.6
GreeneWhite 26.7 26.1 20.3 17.7 17.9
Black 27.1 17.1 7.2 6.9 6.9
LouisaWhite 26.3 26.8 25.8 27.0 25.8
Black 33.9 32.2 25.9 26.1 20.3
NelsonWhite 28.4 25.5 25.2 21.7 19.4
Black 26.4 33.7 41.6 31.7 16.7
Induced Termination Rates TJHD and Virginia, 2003-2011
Source: Virginia Department of Health, Division of Health Statistics
2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
12.1 11.7
16.215.1
TJHD Virginia
Ind
uce
d T
erm
ina
tion
s p
er
1,0
00
Wo
me
n A
ge
d 1
5-4
4
Induced Termination Rates TJHD by Locality, 2003-2011
Source: Virginia Department of Health, Division of Health Statistics
2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
6.1
6.1
26.926.0
6.6
4.4
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Ind
uce
d T
erm
ina
tion
s p
er
1,0
00
Wo
me
n A
ge
d 1
5-4
4
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%
10%
20%
30%
40%
50%
60%
70%
80%
90%
79.3%
77.0%
84.7% 83.2%
TJHD Virginia
Healthy People 2020
Per
cent
of
Tot
al L
ive
Bir
ths
to M
othe
rs b
y P
lace
of
Res
iden
cePercentage of Mothers Entering Prenatal
Care in the 1st TrimesterTJHD and Virginia, 2000-2010
Source: Virginia Department of Health, Division of Health Statistics
*Percentage of Total Live Births to mothers with Prenatal Care Beginning in the First 13 Weeks
Percentage of Mothers Entering Prenatal Care in the 1st Trimester
TJHD by Locality, 2000-2010
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Charlottesville; 76.6%
Charlottesville; 75.0%
Louisa; 81.8% Louisa; 79.4%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Per
cent
of T
otal
Liv
e B
irths
to M
othe
rs
by P
lace
of R
esid
ence
*Percentage of Total Live Births to mothers with Prenatal Care Beginning in the First 13 Weeks
Percentage of Mothers Who had 10 or More Prenatal Care Visits
TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
79.8%
66.0%
82.7%
77.7%
TJHD Virginia
Pe
rce
nt
of
To
tal L
ive
Bir
ths
to M
oth
ers
by
Pla
ce o
f R
esi
de
nce
Percentage of Mothers Who had 10 or More Prenatal Care Visits
TJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Charlottesville; 84.4%
Charlottesville; 64.1%
Louisa; 79.8%
Louisa; 69.9%
Nelson; 79.2%
Nelson; 64.0%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rce
nt
of
To
tal L
ive
Bir
ths
to M
oth
ers
by
Pla
ce o
f R
esi
de
nce
Percentage of Mothers With <12th Grade Education
TJHD by Locality and Virginia, 2002-2010
Source: Virginia Department of Health, Division of Health Statistics
2002 2003 2004 2005 2006 2007 2008 2009 20100%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
19%
14%
9% 9%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia
Pe
rce
nt
of
To
tal L
ive
Bir
ths
to M
oth
ers
by
Pla
ce o
f R
esi
de
nce
Percentage of Mothers Who Report Smoking during Pregnancy
TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
9.2%7.5%
8.4%
6.2%
TJHD Virginia
Healthy People 2020
Pe
rce
nt
of
To
tal L
ive
Bir
ths
to M
oth
ers
by
Pla
ce
of
Re
sid
en
ce
Percentage of Mothers Who Report Smoking during Pregnancy
TJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03
2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
5.6%4.7%
15.3% 15.5%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rce
nt
of
To
tal L
ive
Bir
ths
to M
oth
ers
by
Pla
ce o
f R
esi
de
nce
Reported Substance Exposed Infants*TJHD, FY1999-2011
Source: Virginia Department of Social Services
99-00 00-01 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 09-10 10-110
2
4
6
8
10
12
14
16
18
20
22
24
2
22
TJHD
Nu
mb
er
of
Re
po
rte
d S
ub
sta
nce
Exp
ose
d
Infa
nts
*Newborn infants that may have been exposed to controlled substances prior to birth (as indicated by a positive drug toxicology of the mother with presence of a controlled substance or by the child being born dependent on a controlled substance and demonstrating withdrawal symptoms) or have a diagnosis of fetal alcohol syndrome
Leading Causes of Death
Mortality Rates TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
100
200
300
400
500
600
700
800
900
1,000
1,100
1,200
857.8
678.5
882.9
747.7
TJHD VirginiaAg
e-A
dju
ste
d D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
cal-
ity
Mortality RatesTJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
100
200
300
400
500
600
700
800
900
1,000
1,100
1,200
768.4
670.3
972.9
648.7
1021.3
765.9
Albemarle Charlottesville Fluvanna Greene Louisa NelsonAg
e-A
dju
ste
d D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
cal-
ity
Mortality Rates by Race TJHD and Virginia, 2002-2011
Source: Virginia Department of Health, Division of Health Statistics
2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
100
200
300
400
500
600
700
800
900
1,000
1,100
1,200
937.33TJHD Black; 896.86
1,048.97
Virginia Black 891.33
766.81
644.81
799.65
720.70
TJHD Black Virginia Black TJHD White Virginia WhiteAge
-Adj
uste
d D
eath
s pe
r 10
0,00
0 P
erso
ns L
ivin
g in
Loc
al-
ity
Mortality Rates by RaceTJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
Three-Year Rolling Averages, Mortality Rate per 100,000 Persons Living in Locality
2004-2006 2005-2007 2006-2008 2007-2009 2008-2010
AlbemarleWhite 710.8 728.8 713.5 715.9 720.0
Black 815.0 878.5 890.6 997.6 879.0
CharlottesvilleWhite 596.1 558.0 522.0 512.7 516.2
Black 963.3 974.2 969.5 995.7 909.6
FluvannaWhite 675.4 709.0 703.2 692.1 685.5
Black 908.7 911.6 945.6 942.6 883.0
GreeneWhite 903.3 843.7 799.4 776.0 773.5
Black 891.3 987.9 1042.2 1051.5 748.2
LouisaWhite 769.7 765.6 760.0 763.6 746.0
Black 990.8 996.5 878.7 872.8 919.5
NelsonWhite 780.3 730.0 689.3 681.3 812.9
Black 907.8 923.8 1101.2 963.0 1277.0
Five Leading Causes of DeathTJHD and Virginia, 2010
1. Cancer
2. Heart Disease
3. Stroke
4. Chronic Respiratory Disease (Chronic Obstructive Pulmonary Disease (COPD) and Asthma)
5. Unintentional Injuries
Source: Virginia Department of Health, Division of Health Statistics
Leading Causes of Death By AgeVirginia, 2010Youth/Teens
Source: Virginia Department of Health, Division of Health Statistics
6.1%
24.2%
3.0%
6.1%
60.6%
<1 Year
32.4%
12.4%
5.7%
1.0%
48.6%
1-14 Years
11.1%
7.3%
0.6%
0.3%
80.6%
15-24 Years
Leading Causes of Death By AgeVirginia, 2010
Adults
Source: Virginia Department of Health, Division of Health Statistics
21.4%
21.3%
3.0%1.1%
53.2%
25-39 Years
47.0%
31.9%
5.4%
3.5% 12.2%
40-59 Years
52.5%
30.4%
5.5%
7.4%
4.2%60-64 Years
Leading Causes of Death By AgeVirginia, 201065 and over
Source: Virginia Department of Health, Division of Health Statistics
50.7%
30.0%
6.6%
9.8%
2.9%
65-74 Years
39.5%
36.1%
9.6%
11.1%
3.7%75-84 Years
22.0%
50.8%
14.5%
8.1%
4.6%85 and over Years
Heart Disease Death RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
25
50
75
100
125
150
175
200
225
250
275
300
325
222.6
148.8
243.3
171.6
TJHD Virginia
Ag
e-A
dju
ste
d H
ea
rt D
ise
ase
De
ath
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
Heart Disease Death RatesTJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
25
50
75
100
125
150
175
200
225
250
275
300
325
198.6
133.9
Fluvanna 223.4
Fluvanna 180.2
Nelson 259.5
Nelson 176.2
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Ag
e-A
dju
ste
d H
eart
Dis
ease
Dea
ths
per
100,
000
P
ers
ons
Liv
ing
in L
oca
lity
Heart Disease Death Rates by Race TJHD and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-090
25
50
75
100
125
150
175
200
225
250
275
300
325
274.8
207.5
284.2
223.0
205.5
143.7
226.5
170.9
TJHD Black Virginia Black TJHD White Virginia White
Ag
e-A
dju
ste
d H
ea
rt D
ise
ase
De
ath
s p
er
10
0,0
00
P
ers
on
s L
ivin
g in
Lo
calit
y
Heart Disease Death Rates by RaceTJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
Three-Year Rolling Averages, Heart Disease Mortality Rate per 100,000 Persons Living in Locality
2004-2006 2005-2007 2006-2008 2007-2009 2008-2010
AlbemarleWhite 148.9 151.3 142.2 142.4 140.7
Black 194.3 221.0 183.1 195.7 190.1
CharlottesvilleWhite 145.6 132.3 132.3 131.1 126.1
Black 232.4 249.2 245.1 245.3 255.0
FluvannaWhite 149.2 165.3 166.9 161.7 158.8
Black 181.1 223.8 226.7 308.7 303.2
LouisaWhite 182.8 175.3 168.3 176.2 176.7
Black 243.3 193.5 144.6 136.2 146.3
NelsonWhite 207.7 168.0 155.0 158.1 165.5
Black 209.4 242.0 231.0 187.5 144.4
Stroke-Related Death Rates TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
10
20
30
40
50
60
70
80
90
100
110
120
78.2
44.2
67.2
41.9
TJHD Virginia
Ag
e-A
dju
ste
d S
tro
ke-R
ela
ted
De
ath
s p
er
10
0,0
00
P
ers
on
s L
ivin
g in
Lo
calit
y
Stroke-Related Death Rates TJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
10
20
30
40
50
60
70
80
90
100
110
120
91.7
41.7
Greene 85.5
Greene 60.8
70.5
35.9
60.8
45.0
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Ag
e-A
dju
ste
d S
tro
ke-R
ela
ted
De
ath
s p
er
10
0,0
00
P
ers
on
s L
ivin
g in
Lo
calit
y
Stroke-Related Death Rates by Race TJHD and Virginia, 2000-2009
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090
10
20
30
40
50
60
70
80
90
100
110
120110.9
52.5
69.5
39.9
87.3
60.9
60.1
39.0
TJHD Black TJHD White Virginia Black Virginia White
Ag
e-A
dju
ste
d S
tro
ke-R
ela
ted
De
ath
s p
er
10
0,0
00
P
ers
on
s L
ivin
g in
Lo
calit
y
Source: Virginia Department of Health, Division of Health Statistics
Cancer-Related Death RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
25
50
75
100
125
150
175
200
225
250
275
300
190.4179.6
206.9
174.5
TJHD Virginia
Ag
e-A
dju
ste
d C
an
cer
De
ath
s p
er
10
0,0
00
Pe
r-so
ns
Liv
ing
in L
oca
lity
Cancer-Related Death RatesTJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
25
50
75
100
125
150
175
200
225
250
275
300
179.3
Albemarle 181.9
Charlottesville 217.5
165.3
Fluvanna 191.1
222.8
243.4
199.1
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Ag
e-A
dju
ste
d C
an
cer
De
ath
s p
er
10
0,0
00
Pe
r-so
ns
Liv
ing
in L
oca
lity
Cancer-Related Death Rates by RaceTJHD and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090
25
50
75
100
125
150
175
200
225
250
275
300
239.4 226.6
256.5
217.9
180.0
TJHD White 171.2
193.7
Virginia White 173.5
TJHD Black Virginia Black TJHD White Virginia White
Age
-Adj
uste
d C
ance
r D
eath
s pe
r 10
0,00
0 P
er-
sons
Liv
ing
in L
ocal
ity
Cancer-Related Death Rates by RaceTJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
Three-Year Rolling Averages, Cancer Mortality Rate per 100,000 Persons Living in Locality
2003-2005 2004-2006 2005-2007 2006-2008 2007-2009
AlbemarleWhite 168.5 180.7 183.0 191.5 183.8
Black 145.4 171.7 166.7 204.0 212.8
CharlottesvilleWhite 156.5 128.6 126.9 119.7 121.0
Black 254.1 255.1 269.2 251.9 234.6
FluvannaWhite 164.2 163.3 170.2 177.7 182.1
Black 291.3 315.9 259.9 255.9 217.0
LouisaWhite 190.9 193.8 204.0 216.5 209.1
Black 171.6 192.5 234.1 211.1 243.5
Four-Year Rolling Average 2002-2005 2003-2006 2004-2007 2005-2008 2006-2009
NelsonWhite 198.3 205.8 196.3 201.7 178.6
Black 202.3 222.0 183.2 187.3 250.8
COPD-Related Death Rates TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100
5
10
15
20
25
30
35
40
45
50
55
60
65
40.5
34.9
42.5
38.6
TJHD Virginia
Ag
e-A
dju
ste
d C
OP
D D
ea
ths
pe
r 1
00
,00
0 P
er-
son
s L
ivin
g in
Lo
calit
y
Four-year rolling averages
COPD-Related Death Rates TJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100
5
10
15
20
25
30
35
40
45
50
55
60
65
36.9 36.2
37.8
24.2
41.1
54.755.0
39.1
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Ag
e-A
dju
ste
d C
OP
D D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Four-year rolling averages
COPD-Related Death Rates by Race TJHD and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-090
5
10
15
20
25
30
35
40
45
50
55
60
65
38.1
21.2
31.526.3
44.7
39.0
46.3
42.6
TJHD Black Virginia Black TJHD White Virginia White
Ag
e-A
dju
ste
d C
OP
D D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Diabetes-Related Death RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
Five-year rolling averages
1999-03 2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-100
5
10
15
20
25
30
35
40
45
50
55
21.1
15.7
23.7
20.1
TJHD Virginia
Ag
e-A
dju
ste
d D
iab
ete
s D
ea
ths
pe
r 1
00
,00
0
Pe
rso
ns
Liv
ing
in L
oca
lity
Diabetes-Related Death RatesTJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
Five-year rolling averages
1999-03 2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-100
5
10
15
20
25
30
35
40
45
50
55
12.5
11.8
26.524.8
19.3
10.5
37.6
20.3
Albemarle Charlottesville Fluvanna Louisa Nelson
Ag
e-A
dju
ste
d D
iab
ete
s D
ea
ths
pe
r 1
00
,00
0
Pe
rso
ns
Liv
ing
in L
oca
lity
Diabetes-Related Death Rates by RaceTJHD and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090
5
10
15
20
25
30
35
40
45
50
55
38.3
41.5
47.8
37.9
TJHD White; 19.5
12.5
Virginia White 19.7
16.3
TJHD Black Virginia Black TJHD White Virginia White
Ag
e-A
dju
ste
d D
iab
ete
s D
ea
ths
pe
r 1
00
,00
0
Pe
rso
ns
Liv
ing
in L
oca
lity
Unintentional Injury Death RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
Four-year rolling averages
1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
TJHD; 33.8
38.4
Virginia; 34.0 34.5
TJHD Virginia
Ag
e-A
dju
ste
d U
nin
ten
tion
al I
nju
ry D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Unintentional Injury Death RatesTJHD by Locality, 1999-2010
Source: Virginia Department of Health, Division of Health Statistics
1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
24.6
36.3
37.8
30.7
69.6
51.8
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Ag
e-A
dju
ste
d U
nin
ten
tion
al I
nju
ry D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Four-year rolling averages
Unintentional Injury Death Rates by Race TJHD and Virginia, 2000-2009
Source: Virginia Department of Health, Division of Health Statistics
2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-090
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
39.7
47.8
33.4
53.5
TJHD White 35.3
39.9VA White, 35.9
38.6
TJHD Black Virginia Black TJHD White Virginia White
Ag
e-A
dju
ste
d U
nin
ten
tion
al I
nju
ry D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Four-year rolling averages
Suicide and Homicide Rates TJHD and Virginia, 1999-2009
Source: Virginia Department of Health, Virginia Online Injury Reporting System
1999-2001
2000-2002
2001-2003
2002-2004
2003-2005
2004-2006
2005-2007
2006-2008
2007-2009
0
2
4
6
8
10
12
14
16
18
20
4.60
2.80
6.12
4.98
14.49
TJHD Suicide 11.4111.05
Virginia Suicide 11.54
TJHD Homicide Virginia Homicide TJHD Suicide Virginia SuicideAge
-Adj
uste
d D
eath
s pe
r 100
,000
Per
sons
Liv
ing
in L
ocal
ity
Youth Suicide RatesTJHD and Virginia, 2004-2008
• Suicide is the third leading cause of death for 10-24 year-olds.
• On average, two Virginia youths die each week from suicide.
• The suicide rate is higher in males than the rate of females.
• The White suicide rate is 2.4 times higher than the Black suicide rate.
Source: Virginia Department of Health, Office of Family Health Services
TJHD Virginia0
2
4
6
8
10
4.39
6.86
2004-2008
Dea
ths
per
100,
000
Per
sons
Liv
ing
in L
ocal
ity
Cancer
Lung Cancer Incidence RatesTJHD by Locality, TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD Virginia0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
64.97
60.99
49.93
59.68
81.89
61.6564.43 64.44
69.80
61.77
67.99
74.72 77.51
83.64
69.8768.40
Ag
e-A
dju
ste
d R
ate
of
Lu
ng
& B
ron
chu
s C
an
cer
Ca
ses
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Lung Cancer Incidence Rates by Race TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Black White Black WhiteTJHD Virginia
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
73.38
63.31
69.12
64.39
78.06
69.0671.73
68.91
Ag
e-A
dju
ste
d R
ate
of
Lu
ng
& B
ron
chu
s C
an
cer
Ca
ses
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Lung Cancer Death Rates TJHD and Virginia, 1996-2007
Source: Virginia Department of Health, Division of Health Statistics
1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-20070
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
55.252.5
60.7
54.8
TJHD Virginia
Ag
e-A
dju
ste
d R
ate
of
Lu
ng
Ca
nce
r D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Breast Cancer Incidence Rates TJHD by Locality, TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD Virginia0
20
40
60
80
100
120
140
160
180
200
175.67
158.68
119.13 116.16
103.84 106.35
144.81
124.5
140.7
109.6
131.5
102.0
115.7
146.6
127.5 124.8
Ag
e-A
dju
ste
d R
ate
of
Fe
ma
le B
rea
st C
an
cer
Ca
ses
pe
r 1
00
,00
0 F
em
ale
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Breast Cancer Incidence Rates by Race TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Black White Black WhiteTJHD Virginia
0
10
20
30
40
50
60
70
80
90
100
110
120
130
140
150
160
129.15
147.74
118.13
126.59133.84
125.95 127.06 124.83
Ag
e-A
dju
ste
d R
ate
of
Fe
ma
le B
rea
st C
an
cer
Ca
ses
pe
r 1
00
,00
0 F
em
ale
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Breast Cancer Death Rates TJHD and Virginia, 1996-2007
Source: Virginia Department of Health, Division of Health Statistics
1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-20070
10
20
30
40
50
60
70
80
90
100
26.6
20.9
28.825.4
TJHD Virginia
Ag
e-A
dju
ste
d R
ate
of
Bre
ast
Ca
nce
r D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Prostate Cancer Incidence Rates TJHD by Locality, TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD Virginia0
25
50
75
100
125
150
175
200
225
172.68
137.05145.13
99.11
129.64
202.11
154.94
165.13171.89
152.38 155.70
145.27
167.55 165.51 163.15
160.73
Ag
e-A
dju
ste
d R
ate
of
Pro
sta
te C
an
cer
Ca
ses
pe
r 1
00
,00
0 M
ale
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Prostate Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Black White Black WhiteTJHD Virginia
0
25
50
75
100
125
150
175
200
225
250
275
207.16
145.56
248.15
148.09
202.91
156.68
242.00
145.10
Ag
e-A
dju
ste
d R
ate
of
Pro
sta
te C
an
cer
Ca
ses
pe
r 1
00
,00
0 M
ale
s L
ivin
g in
Lo
calit
y
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Prostate Cancer Death RatesTJHD and Virginia, 1996-2007
Source: Virginia Department of Health, Division of Health Statistics
1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-200705
101520253035404550556065707580859095
100105
34.2 TJHD 27.3
36.8
Virginia 26.6
TJHD Virginia
Ag
e-A
dju
ste
d R
ate
of
Pro
sta
te C
an
cer
De
ath
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
Colorectal Cancer Incidence Rates TJHD by Locality, TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD Virginia0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
55.36
43.1346.30 46.38
57.87
66.80
53.0850.20
46.53
34.54
44.9547.26
52.32
38.20
44.17 45.14
Ag
e-A
dju
ste
d R
ate
of
Co
lore
cta
l Ca
nce
r C
ase
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Colorectal Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008
Source: Virginia Cancer Registry
Black White Black WhiteTJHD Virginia
0
5
10
15
20
25
30
35
40
45
50
55
60
65
7067.45
50.93
59.66
48.57
60.97
41.66
55.02
43.24
Ag
e-A
dju
ste
d R
ate
of
Co
lore
cta
l Ca
nce
r C
ase
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
19
99
-2
00
3
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
20
04
-2
00
8
Colorectal Cancer Death RatesTJHD and Virginia, 1996-2007
Source: Virginia Department of Health, Division of Health Statistics
1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-20070
5
10
15
20
25
30
35
40
45
50
55
60
65
70
18.9
15.6
21.4
17.3
TJHD Virginia
Ag
e-A
dju
ste
d R
ate
of
Co
lore
cta
l Ca
nce
r D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Unintentional Injury
Percent of Hospitalizations due to Unintentional Injury by Cause
TJHD and Virginia, 1999-2009
TJHD Virginia
Source: Virginia Department of Health, Virginia Online Injury Reporting System
Falls; 52.5%
Motor Vehicles/Other Transport Crashes, 20.2%
Stuck by,
against;
2.8%
Poi-son-ing,
4.3%
Bites/Sting
s, 1.9%
Other/Un-
speci-fied, 18.2%
Falls; 53.2%
Motor Vehicles/Other Transport Crashes, 17.2%
Stuck by,
against;
2.9%
Poi-son-ing;
5.4%
Bites/Sting
s, 1.9%
Other/Un-specified, 19.4%
Percent of Hospitalizations due to Unintentional Injury by Cause
TJHD by Locality, 1999-2009
Source: Virginia Department of Health, Virginia Online Injury Reporting System
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
58.1%
28.1%
3.5%
20.7%
4.7%2.6%
Albemarle-Charlottesville Fluvanna GreeneLouisa Nelson
Perc
ent of T
ota
l Hospita
lizatio
ns d
ue to U
nin
tentio
nal I
nju
ry b
y
Cause
Hospitalizations due to Unintentional Injury by Cause and Age Group, TJHD and Virginia, 1999-2009
0-19 20-64 65 and over
Number % Number % Number %
FallsTJHD 174 19% 1263 30% 3653 79%
Virginia 8384 23% 48821 33% 127603 78%
Motor Vehicle/Other Transport Crashes
TJHD 393 43% 1333 32% 234 5%
Virginia 11899 33% 39778 27% 7981 5%
Struck by, againstTJHD 76 8% 139 3% 56 1%
Virginia 2793 8% 5546 4% 1892 1%
PoisoningTJHD 45 5% 230 6% 143 3%
Virginia 2752 8% 11512 8% 4606 3%
Bites, StingsTJHD 24 3% 117 3% 47 1%
Virginia 1314 4% 3960 3% 1158 1%
Other/UnspecifiedTJHD 199 22% 1059 26% 506 11%
Virginia 8566 24% 38530 26% 20352 12%
Source: Virginia Department of Health, Virginia Online Injury Reporting System
Rates of Hospitalizations due to Falls among Persons Aged 65+, TJHD and Virginia, 1999-2009
Source: Virginia Department of Health, Virginia Online Injury Reporting System
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-090
25
50
75
100
125
150
175
200
225
151.86
168.08160.99
193.04
TJHD VirginiaRe
po
rte
d H
osp
ital D
isch
arg
es
for
Inju
rie
s d
ue
to
Fa
lls p
er
10
0,0
00
Pe
rso
ns
Ag
ed
65
an
d O
ver
Liv
ing
in L
oca
lity
Rates of Unintentional Injury Deaths by Cause, TJHD and Virginia,1999-2009
Source: Virginia Department of Health, Virginia Online Injury Reporting System
Falls Transport Crashes Suffocation Poisoning Drowning Fire/Flame Other/Unspecified0
5
10
15
20
25
30
5.54
17.13
2.753.67
0.960000000000001 1.1
5.5
5.4
13.04
2.32
5.89
1.06 1.22
4.66
TJHD Virginia
Ag
e-A
dju
ste
d U
nin
ten
tion
al I
nju
ry D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Rates of Unintentional Injury Deaths by Cause, TJHD by Locality,1999-2009
Source: Virginia Department of Health, Virginia Online Injury Reporting System
Falls Transport Crashes Suffocation Poisoning Drowning Fire/Flame Other/Unspecified0
5
10
15
20
25
30
6.78
29.72
3.984.76
1.12999999999998
3.71
9.45
Albemarle-Charlottesville Fluvanna Greene Louisa Nelson
Ag
e-A
dju
ste
d U
nin
ten
tion
al I
nju
ry D
ea
ths
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
*Crashes are by place of occurrence
Rates of Motor Vehicle AccidentsTJHD and Virginia, 2000-2011
Source: Virginia Department of Motor Vehicles
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
250
500
750
1,000
1,250
1,500
1,750
2,000
2,250
2,500
2,750
3,000
3,250
3,500
2317.64
1659.472010.26
1471.82
TJHD Virginia
Mo
tor
Ve
hic
le A
ccid
en
ts p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
*Crashes are by place of occurrence
Rates of Motor Vehicle AccidentsTJHD by Locality, 2000-2011
Source: Virginia Department of Motor Vehicles
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
250
500
750
1,000
1,250
1,500
1,750
2,000
2,250
2,500
2,750
3,000
3,250
3,500
3000.91
1716.27
1228.58
1006.37
2046.23 2025.78
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Mo
tor
Ve
hic
le A
ccid
en
ts p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
Motor Vehicle Crash Fatality RatesTJHD and Virginia, 2000-2011
Source: Virginia Department of Motor Vehicles
Five Year Averages
2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-10 2007-110
5
10
15
20
25
30
35
40
45
50
19.98
16.20
12.73 10.38
TJHD Virginia
Mo
tor
Ve
hic
le C
rash
Fa
talit
ies
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Percent of Alcohol-Related Motor Vehicle Crashes, TJHD and Virginia, 2000-2011
Source: Virginia Department of Motor Vehicles
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
TJHD 8.1% 8.5%
Virginia 7.9%7.4%
TJHD Virginia
Pe
rce
nt
of
To
tal M
oto
r V
eh
icle
Cra
she
s in
w
hic
h A
lco
ho
l wa
s In
volv
ed
--
by
Pla
ce o
f O
ccu
rre
nce
Percent of Alcohol-Related Motor Vehicle Crashes, TJHD by Locality, 2000-2011
Source: Virginia Department of Motor Vehicles
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
6.6%
8.2%
13.3%
11.7%
10.3%
6.7%
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Pe
rce
nt
of
To
tal M
oto
r V
eh
icle
Cra
she
s in
w
hic
h A
lco
ho
l wa
s In
volv
ed
--
by
Pla
ce o
f O
ccu
rre
nce
Percent of Alcohol-Related Motor Vehicle Crash Fatalities, TJHD and Virginia, 2000-2011
Source: Virginia Department of Motor Vehicles
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
44.5%
33.0%
38.3%
37.0%
TJHD Virginia
Pe
rce
nt o
f To
tal M
oto
r V
eh
icle
Cra
sh F
ata
litie
s in
w
hic
h A
lco
ho
l wa
s In
volv
ed
--
by
Pla
ce o
f O
ccu
rre
nce
v
Infectious Diseases
Rates of Reportable Communicable Diseases, TJHD and Virginia, 2000-2010
CommunicableDisease
TJHD Virginia
AverageNumber of
Cases
Average RatePer 100,000*
AverageNumber of
Cases
Average RatePer 100,000*
Chlamydia 559 260.2 23,406 306.7
Gonorrhea 134 62.3 8,723 119.3
Pertussis 56 26.3 246 3.3
Salmonellosis 35 16.3 1,186 15.8
Giardiasis 33 15.5 489 6.5
Chicken Pox 25 11.7 1,079 14.3
Campylobacteriosis 21 9.8 687 9.2
Lyme Disease 20 9.1 514 6.7
Source: Virginia Department of Health, Division of Surveillance and Investigation
*Population data based on U.S. Census Data for TJHD and State of Virginia (2000-2010)
Chlamydia Incidence RatesTJHD and Virginia,1997-2010
Source: Virginia Department of Health, Division of Disease Prevention
1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
25
50
75
100
125
150
175
200
225
250
275
300
325
350
375
400
425
219.6
280.7
189.3
397.7
TJHD VirginiaRe
po
rte
d C
ase
s o
f Ch
lam
ydia
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
cal-
ity
Chlamydia Incidence RatesTJHD by Locality,1997-2010
Source: Virginia Department of Health, Division of Disease Prevention
1997-99
1998-00
1999-01
2000-02
2001-03
2002-04
2003-05
2004-06
2005-07
2006-08
2007-09
2008-10
0
25
50
75
100
125
150
175
200
225
250
275
300
325
350
375
400
425
Albemarle-Charlottesville 229.8
342.4
150.8 Greene 162.2
Louisa 236.0
230.8
Albemarle-Charlottesville Fluvanna Greene Louisa NelsonRe
po
rte
d C
ase
s o
f Ch
lam
ydia
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
-ca
lity
Gonorrhea Incidence RatesTJHD and Virginia,1997-2010
1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
20
40
60
80
100
120
140
160
94.3
68.6
134.4
109.4
TJHD VirginiaRe
po
rte
d C
ase
s o
f Go
no
rrh
ea
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
-ca
lity
Source: Virginia Department of Health, Division of Disease Prevention
Gonorrhea Incidence RatesTJHD by Locality,1997-2010
Source: Virginia Department of Health, Division of Disease Prevention
1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
20
40
60
80
100
120
140
160
119.1
89.5
34.2
25.8
Albemarle-Charlottesville Fluvanna Greene Louisa NelsonRe
po
rte
d C
ase
s o
f Go
no
rrh
ea
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
-ca
lity
HIV and AIDS Incidence RatesTJHD and Virginia, 1997-2009
Source: Virginia Department of Health, Division of Disease Prevention
1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-090
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
8.2
5.9
10.2
6.1
13.5 13.4
15.1
8.9
TJHD HIV TJHD AIDS Virginia HIV Virginia AIDSRe
po
rte
d C
ase
s o
f HIV
/AID
S p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
l-ity
Syphilis (early) Incidence RatesTJHD and Virginia,1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
1
2
3
4
5
6
7
8
0.5
2.8
4.1
6.8
TJHD Virginia
Rep
orte
d C
ases
of
Syp
hilis
per
100
,000
Per
sons
Liv
ing
in L
ocal
ity
Pertussis Incidence RatesTJHD, and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
5
10
15
20
25
30
35
40
45
50
20.4 16.4
2.23.5
TJHD VirginiaRe
po
rte
d C
ase
s o
f Pe
rtu
ssis
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
cal-
ity
Chicken Pox Incidence RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
5
10
15
20
25
30
2.1
16.3
12.7
12.1
TJHD VirginiaRep
orte
d C
ases
of C
hick
en P
ox p
er 1
00,0
00 P
erso
ns L
ivin
g in
Loc
ality
Hepatitis B Incidence RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
2.3
0.4
2.4
1.4
TJHD Virginia
Healthy People 2020
Re
po
rte
d C
ase
s o
f He
pa
titis
B p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
o-
calit
y
Salmonellosis Incidence RatesTJHD and Virginia,1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
20
22
18.5
14.0
17.4
14.9
TJHD Virginia
Healthy People 2020
Rep
orte
d C
ases
of
Sal
mon
ello
sis
per
100,
000
Per
sons
Liv
ing
in L
ocal
ity
Campylobacteriosis Incidence Rates TJHD and Virginia,1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
14.2
11.7
8.5 9.5
TJHD Virginia
Rep
orte
d C
ases
of
Cam
pylo
bact
erio
sis
per
100,
000
Per
sons
Li
ving
in L
ocal
ity
E. Coli O157:H7 Incidence Rates TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
2.7
3.4
1.0
2.3
TJHD Virginia
Healthy People 2020
Rep
orte
d C
ases
of
E.
Col
i O15
7:H
7 pe
r 10
0,00
0 P
erso
ns L
ivin
g in
Loc
ality
Giardiasis Incidence Rates TJHD and Virginia,1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
20
22
24
26
28
17.8
12.8
6.3
6.2
TJHD VirginiaRe
po
rte
d C
ase
s o
f Gia
rdia
sis
pe
r 1
00
,00
0 P
ers
on
s L
ivin
g in
Lo
-ca
lity
Legionellosis Incidence Rates TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Disease Prevention
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
1.932.1
1.87
0.9
TJHD VirginiaRe
po
rte
d C
ase
s o
f Le
gio
ne
llosi
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
o-
calit
y
Lyme Disease Incidence Rates TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
5
10
15
20
25
30
TJHD 1.7
25.3
Virginia 2.0
13.2
TJHD VirginiaRep
orte
d C
ases
of
Lym
e D
isea
se p
er 1
00,0
00 P
ers
on
s Li
ving
in L
ocal
ity
Spotted Fever Rickettsiosis Incidence Rates, TJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Surveillance and Investigation
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
0.5
4.4
0.3
1.5
TJHD Virginia
Rep
orte
d C
ases
of S
potte
d F
ever
Ric
ketts
iosi
s pe
r 10
0,00
0 P
erso
ns L
ivin
g in
Loc
ality
Tuberculosis Incidence RatesTJHD and Virginia, 1999-2010
Source: Virginia Department of Health, Division of Disease Prevention
1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
1.8
2.9
4.4
3.6
TJHD Virginia
Healthy People 2020
Re
po
rte
d C
ase
s o
f Tu
be
rcu
losi
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
o-
calit
y
Ambulatory Care-Sensitive Conditions
Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance System
Percent of Adults Diagnosed with Diabetes (Self-Reported), TJHD and Virginia, 2000-2010
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
3.9%
8.7%
6.1%
7.8%
TJHD Virginia
Pe
rce
nt
of
To
tal A
du
lts A
ge
d 2
0 a
nd
Ove
r L
ivin
g
in L
oca
lity
Hospital Discharge Rates for DiabetesTJHD and Virginia, 2000-2011
Source: VDH Data Warehouse; Virginia Hospital Information Systems
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
TJHD 15.8317.01
Virginia 15.4614.82
TJHD Virginia
Ag
e-A
dju
ste
d H
osp
ital D
isch
arg
es
for
Dia
be
tes
p
er
10
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Hospital Discharge Rates for DiabetesTJHD by Locality, 2000-2010
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
Albemarle 14.59
15.76
24.60
26.13
12.75
17.25
Albemarle Charlottesville FluvannaGreene Louisa Nelson
Ag
e-A
dju
ste
d H
osp
ital D
isch
arg
es
for
Dia
be
tes
p
er
10
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Source: VDH Data Warehouse; Virginia Hospital Information Systems
Hospital Discharge Rates for AsthmaTJHD and Virginia, 2000-2010
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
20
22
15.85
11.94
14.99
12.66
TJHD Virginia
Ag
e-A
dju
ste
d H
osp
ital D
isch
arg
es
for
Ast
hm
a p
er
10
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Source: VDH Data Warehouse; Virginia Hospital Information Systems
Hospital Discharge Rates for AsthmaTJHD by Locality, 2000-2010
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
2
4
6
8
10
12
14
16
18
20
22
Albemarle; 13.62
12.00
16.68
9.39
18.80
16.50
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Ag
e-A
dju
ste
d H
osp
ital D
isch
arg
es
for
Ast
hm
a p
er
10
,00
0 P
ers
on
s L
ivin
g in
Lo
calit
y
Source: VDH Data Warehouse; Virginia Hospital Information Systems
Hospital Discharge Rates for Hypertension, TJHD and Virginia, 2000-2011
Source: VDH Data Warehouse; Virginia Hospital Information Systems
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110
1
2
3
4
5
6
7
8
9
10
TJHD; 2.69 TJHD; 2.68
Virginia; 2.68 Virginia; 2.64
TJHD Virginia
Age
-Adj
uste
d H
ospi
tal D
isch
arge
s fo
r H
yper
tens
ion
per
10,0
00 P
erso
ns L
ivin
g in
Loc
ality
Hospital Discharge Rates for COPDTJHD and Virginia, 2000-2010
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
5
10
15
20
25
30
22.49
17.69
21.52
18.18
TJHD Virginia
Ag
e-A
dju
ste
d H
osp
ital D
isch
arg
es
for
CO
PD
pe
r 1
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
Source: VDH Data Warehouse; Virginia Hospital Information Systems
Hospital Discharge Rates for COPDTJHD by Locality, 2000-2010
2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100
5
10
15
20
25
30
20.9017.72
24.44
14.96
27.30
23.1923.30
26.10
Albemarle Charlottesville Fluvanna Greene Louisa Nelson
Ag
e-A
dju
ste
d H
osp
ital D
isch
arg
es
for
CO
PD
pe
r 1
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
lity
Source: VDH Data Warehouse; Virginia Hospital Information Systems
Mental Health
Average Number of Poor Physical/Mental Health in the Last 30 Days (Self-reported)
TJHD by Locality, TJHD and Virginia, 2004-2010
Source: County Health Rankings
*Numbers are self-reported
Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD Average Virginia0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
2.2
2.9
3.4
2.9
4.7
1.2
2.883.2
2.5 2.8
2.1
2.8
3.7
2.5 2.73
3.2
Average Number of Physically Unhealthy Days reported in past 30 daysAverage Number of Poor Mental Health Days reported in past 30 daysNational Benchmark for Physically Unhealthy DaysNational Benchmark for Poor Mental Health Days
Nu
mb
er*
of
Ph
ysic
ally
Un
he
alth
y/P
oo
r M
en
tal H
ea
lth D
ays
0%
5%
10%
15%
20%
25%
30%
25%
12%11%
9%
7% 7%
3%2%
Pe
rce
nt
of
To
tal R
eg
ion
Te
n P
atie
nts
Se
rve
d
Region Ten Community Services Board’s Most Frequent Diagnosed Disorders, 2011
Source: Region Ten Community Services Board
Number of Emergency Services Delivered by Region 10 Community Services Board by Type of Service
1996-2009
Source: Region Ten Community Services Board
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 20090
500
1000
1500
2000
2500
3000
1453
2306
1042
629
Emergency Custody Order Evaluations Temporary Detention Orders IssuedTotal Evaluations Hospital AdmissionsWellness Recovery Center Referrals
Nu
mb
er
of
Re
gio
n T
en
Se
rvic
es
De
live
red
Source: Substance Abuse and Mental Health Services Administration
Adults with a co-occuring MH and AOD disorder
Children with a co-occurring MH and AOD disorder
0%
5%
10%
15%
20%
25%
30%
35%32.8%
7.6%
20.0%
4.6%
Virginia US
Per
cent
of
Tot
al A
dult
s/C
hild
ren
Ser
ved
thro
ugh
Sta
te M
enta
l Hea
lth
Age
ncie
sPercent of Persons Served though State Mental
Health Agencies with Co-Occurring Mental Health and Substance Abuse Disorders, Virginia and U.S., 2010
MH = Mental Health; AOD = Alcohol and Other Drug
Source: Substance Abuse and Mental Health Services Administration
Adults with a SMI and a substance abuse disorder
Children with a SMI and a substance abuse disorder
0%
5%
10%
15%
20%
25%
30%
35%31.8%
7.9%
24.4%
8.7%
Virginia US
Pe
rce
nt
of
To
tal A
du
lts/C
hild
ren
Se
rve
d
thro
ug
h S
tate
Me
nta
l He
alth
Ag
en
cie
sPercent of Persons Served though State Mental Health Agencies with Co-Occurring Severe Mental Health and
Substance Abuse Disorder, Virginia and U.S., 2010
Adults with a serious mental illness (SMI) are Persons 18 years and Over who, “at any time during a given year, had a diagnosable mental, behavioral, or emotional disorder without the benefit of treatment or other support services … that has resulted in functional impairment which substantially interferes with or limits one or more major life activities.…"
Hospital Discharge Rates for PsychosesTJHD and Virginia, 2000-2011
Source: VDH Data Warehouse; Virginia Hospital Information Systems
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
100
200
300
400
500
600
700
800
677.19
418.60
586.01
563.09
TJHD VA
Ho
spita
l Dis
cha
rge
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
l-ity
Hospital Discharge Rates for Neurotic Disorders, Personality Disorders, and other Nonpsychotic Mental Disorders
TJHD and Virginia, 2000-2011
Source: VDH Data Warehouse; Virginia Hospital Information Systems
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
50
100
150
200
250
300
257.45
206.30199.55
140.88
TJHD VAHo
spita
l Dis
cha
rge
s p
er
10
0,0
00
Pe
rso
ns
Liv
ing
in L
oca
l-ity
Section Four: What are community members’ perceptions of health in their
communities?
Thomas Jefferson Area Community Survey
MAPP 2 Health Focus Groups
Louisa County Qualitative Data
Thomas Jefferson Area Community Survey
Thomas Jefferson Area Community Survey (TJACS)
TJHD, 2012
Source: UVA Center for Survey Research
• Conducted by the UVA Center for Survey Research (CSR) in January 2012
• Survey of 1,098 individuals living in Charlottesville City and Albemarle, Nelson, Fluvanna, Greene, and Louisa Counties
• Conducted through a Random Digit Dial (RDD) sample of landline and cell-phone numbers – Also included a random sample of directory-listed landline
households
Medical Doctors DentistsCounselors for
Mental Health or Substance Abuse
Urgent Care
FacilitiesHospitals
Albemarle 15.0% 22.1% 40.7% 12.8% 9.4%
Charlottesville 14.9% 26.6% 33.5% 9.8% 15.3%
Fluvanna 10.1% 12.0% 10.1% 43.8% 24.0%
Greene 15.3% 8.0% 15.1% 40.0% 21.6%
Louisa 18.5% 6.2% 7.9% 35.5% 31.9%
Nelson 7.7% 9.8% 17.6% 27.3% 37.6%
TJHD11.3% 13.4% 20.7% 17.9% 14.9%
19.7% Insists No Problems
Question 1: Thinking about [your county], which of the following
services is most difficult to get care from?
Source: UVA Center for Survey Research
Problems with cost, insurance
or Medicaid
Distance or Transportation
Not enough doctors, dentists or counselors
Language or cultural
difficulties
Albemarle 77.8% 12.0% 6.7% 3.5%
Charlottesville 77.1% 10.3% 10.5% 2.2%
Fluvanna 43.5% 36.7% 19.8% 0.0%
Greene 36.9% 38.7% 24.4% 0.0%
Louisa 43.8% 36.9% 18.8% 0.4%
Nelson 45.2% 41.8% 6.7% 6.3%
TJHD 59.4% 20.4% 11.0% 2.2%
Question 2: Thinking about [your county], what is the biggest difficulty people have in getting health services?
Source: UVA Center for Survey Research
SmokingWeight and
obesityAlcohol/ drug use
Infant Death
Mental Health
Albemarle 8.5% 36.1% 25.5% 4.0% 25.9%
Charlottesville 10.0% 39.4% 25.8% 2.8% 22.1%
Fluvanna 5.8% 32.4% 40.4% 7.6% 13.8%
Greene 5.8% 38.8% 45.0% 2.3% 8.1%
Louisa 7.1% 28.7% 48.7% 0.0% 15.5%
Nelson 3.8% 43.1% 40.7% 0.0% 12.4%
TJHD 7.8% 36.0% 32.7% 3.1% 20.3%
Question 3: Which of the following public health concerns is the most
important for [your county] to give more attention to?
Source: UVA Center for Survey Research
MAPP 2 Health Focus Groups
Focus Group DemographicsTJHD, 2012
Number PercentAttendees 47 100.0%
GenderMale 15 31.9%
Female 32 68.1%
RaceBlack or African American 4 8.5%
White 40 85.1%
Other 3 6.4%
EthnicityHispanic or Latino 4 8.5%
Not Hispanic or Latino 43 91.5%
Age
18-27 7 14.9%
28-37 3 6.4%
38-47 5 10.6%
48-57 8 17.0%
58-67 13 27.7%
>68 10 21.3%
Focus Group Demographics TJHD, 2012
Number Percent
Marital Status
Married 27 57.4%
Widowed 3 6.4%
Divorced 6 12.8%
Never Married 8 17.0%
No Answer 3 6.4%
Employment status
Employed 26 55.3%
Homemaker 1 2.1%
Student 2 4.3%
Self-Employed 3 6.4%
Retired 8 17.0%
Unemployed 4 8.5%
Disabled/ Unable to Work 1 2.1%
No Answer 2 4.3%
Focus Group DemographicsTJHD, 2012
Number Percent
Education Completed
Less than eighth grade 1 2.1%
High school diploma or GED 8 17.0%
College degree (4 years or less of college) 23 48.9%
Advanced degree 14 29.8%
No Answer 1 2.1%
Income
< $15,000 11 23.4%
$15,000–$29,000 5 10.6%
$30,000–$44,000 10 21.3%
$45,000–$59,000 5 10.6%
$60,000–$74,000 4 8.5%
$75,000–$89,000 1 2.1%
>90,000 3 6.4%
No answer 8 17.0%
Focus Group Health Care CharacteristicsTJHD, 2012
Number Percent
Medical Insurance
None 4 8.5%
Medicare 11 23.4%
Medicaid 6 12.8%
Private 13 27.7%
Employment-based 20 42.6%
Other 4 8.5%
No Answer 1 2.1%
On average, how many times each month do you use health care services (doctor, dentist, hospital, etc)?
1- 4 33 70.2%
5-9 3 6.4%
10-14 0 0.0%
15 or more 0 0.0%
Other: 1-4/year 7 14.9%
Never 3 6.4%
No Answer 1 2.1%
Focus Group Health Care CharacteristicsTJHD, 2012
Number Percent
Do you have any of the following conditions? Check all that apply:
Smoking 5 10.6%
Diabetes 5 10.6%
Heart Disease 2 4.3%
Cancer 2 4.3%
Asthma 6 12.8%
High Blood Pressure 14 29.8%
Other 5 10.6%
TJHD Focus Group Results2012
• Weight and Obesity– Education about health and nutrition is important in
combating weight and obesity issues
– The cost of nutritious foods, the convenience of unhealthy
foods, and a lack of activity are important contributing
factors to obesity
– Fluvanna, Greene, and Nelson participants reported a lack of walking trails and places to take part in physical activity• This was not considered a problem by Charlottesville and
Albemarle participants
TJHD Focus Group Results2012
• Transportation– Noted as an issue by Fluvanna, Greene and Nelson
participants: Some citizens of these counties rely on public transportation to get healthcare from providers in Charlottesville/Albemarle
– Current transportation system presents some barriers to community members, such as the cost and the schedule
• Urgent Care– Urgent care centers in Greene and Fluvanna would be a
helpful, may reduce reliance on the rescue squad
TJHD Focus Group Results2012
• Mental Health and Substance Abuse Issues– Drug abuse is heavily tied to mental health issues
• Those who do not receive mental healthcare more likely to turn to drugs and alcohol in order to “self-medicate”
– Barriers to receiving mental healthcare are stigma, cost, and availability of providers
– Fluvanna and Nelson participants believed that drug use was affected by a lack of recreational activities
TJHD Focus Group Results2012
• Resources– Participants reported frustration over the lack of a
central location to access information about resources• Recommend disseminating information through the
media (television, radio, newspaper)
• Recommend having people that assist community members in navigating services
Louisa County Qualitative Data
Issue
Percent of respondents that said it
was important
Percent of respondents that were:
Additional CommentsSatisfied Unsatisfied
Neither satisfied
nor unsatisfied
Having emergency/urgent medical care facilities 94.2% 16.2% 58.7% 25.1% 27% expressed desire to have a facility in Louisa
County
Having affordable medical care choices 92.4% 30.7% 33.8% 35.4% 16% travel outside of Louisa for medical care
Having drug/alcohol abuse treatment programs 68.4% 14.5% 29.3% 56.2% 36% lack knowledge of available resources and/or
didn’t need the service
Having affordable dental care choices 81.6% 25.5% 34.7% 39.9% 25% commented on the high cost of dental care and
poor service locally
Having mental health treatment programs 69.1% 18.3% 30.1% 51.6% 20% expressed need for more programs because it
would help the community as a whole
Having recreational programs for youth 91.3% 43.0% 22.9% 34.1% 4% would like more programs geared for younger
children
Having supervised after school programs for youth 76.9% 31.8% 23.6% 44.7%
10% commented that activities for youth are important to their quality of life and for working parents
Having support programs for caregivers of senior citizens
75% 18.2% 25.5% 56.3% 49% lacked knowledge of available resources and/or didn’t need the service
Having domestic violence education/awareness programs
72.8% 11.9% 28.6% 59.6% 29% expressed that there is a need for more programs
Having parenting skills education programs 63.8% 17.6% 31.9% 50.5% 6% thought churches could become more involved
Louisa County Citizen Survey: Health-related questions
Source: County of Louisa
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