district health report card - Lake Cumberland District ... · 4. All Causes 945.7 991.1 976.4 1114.4 850.4 995.2 904.2 861.7 829.4 856.6 909.0 883.6 758.3 n/a D Heart disease and

district healthreport card

A Healthy today fora Brighter tomorrow.

2011-2012

The Lake Cumberland District Health Department is once again delighted to present you with our region’s health

statistics. The most recent data available to us may be from years 2008-2010 depending on the issue. Compared to the nation and Kentucky as a whole, we still attain a D grade in most areas. This is probably not surprising as tobacco use, obesity and lack of exercise by our citizens are among the highest in the nation. Fortunately many communities are becoming smoke free and launching weight loss and exercise programs. The LCDHD is striving to help the individual attain better health by programs such as:

• Cooper Clayton smoking cessation classes • Diabetes education • Cancer prevention programs, including colon cancer screening, mammography, cervical cancer prevention with HPV vaccination and Pap testing

• Support for breast feeding mothers • Work site wellness programs including evaluation of blood pressure, weight and blood lipid profiles • Nutrition education • Outbreak investigation and curtailment

Together we can change and become a healthier community.

DEAR CITIZENS:

2 I 2011-12 Report Card published March 2013

Shawn crabtree MSSW, MpaDirector

christine Weyman, Md, phd, FaapMedical Director

Lake Cumberland District Health Department’s health report card serves as a tool to compare current health indicators in the following ways: compare individual counties; compare individual counties to the Lake Cumberland District; compare individual counties to KY, National, and Healthy People 2020 Goals; and compare the Lake Cumberland District to KY, National, and Healthy People 2020 Goals. The Healthy People 2020 Goals provide a 10-year agenda for improving the health of all Americans. Priority in selecting the indicators was given to measures for which data are readily available and which are commonly used in public health. Where applicable, grades are given for the Lake Cumberland District as follows:

Where applicable, grades are given for the Lake Cumberland District as follows:A = District is better than KY, National, and HP 2020B = District is better than KY and National, but worse than HP 2020C = District is better than KY, worse than National and HP 2020D = District is worse than KY, National, and HP 2020

www.LCDHD.org I 3

TECHNICAL NOTES AND DEFINITIONS

NOTES 1. Census Bureau 2. Median (middle point) total money income received by all persons who occupy an individual housing unit 3. Percentage of total population in poverty4. Percentage of total under age 18 population in poverty5. Rate of students graduating within four years of entering high school, and graduation in more than four years for students with an Individual Education Plan. Based upon new national guidelines for calculating the Averaged Freshman Graduation Rate.

SOuRCES 1. - 3. National Census Data; http://quickfacts.census.gov/4. - 5. Kentucky Youth Advocates - Kids Count Data: http://www.kyyouth.org/ Kentucky State Data Center: http://ksdc.louisville.edu/1kidscount.htm. Kids Count Data Center: http://datacenter.kidscount.org/data/bystate/StateLanding. aspx?state=KY and Kentucky Department for Education - Graduation Rate Data 2011 http://education.ky.gov/AA/Reports/Pages/Graduation-Rate-Data.aspx

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1. 2011 Population Estimates 18,686 15,909 10,201 6,832 11,220 18,285 63,657 17,610 24,731 20,969 208,100 4,369,356 311,591,917 n/a n/a

2. Median Household Income (2007-2011) $31,775 $27,327 $27,654 $29,528 $35,313 $24,292 $33,282 $31,087 $35,054 $26,309 $30,162 $42,248 $52,762 n/a n/a

3. % Persons in Poverty (2007-2011) 19.9% 27.3% 25.7% 23.8% 18.3% 30.9% 23.2% 23.0% 21.4% 27.6% 24.1% 18.1% 14.3% n/a n/a

4. % persons <18 in Poverty (2011) 35% 41% 38% 40% 32% 49% 29% 37% 35% 41% 38% 27% 23% n/a n/a

5. Avg. Freshman Graduation Rate (2011) 76.4 76.3 68.6 75.1 83.9 78 86.2 85.3 82.3 89.5 80 77.8 74.7 n/a n/a

4 I 2011 - 12 Report Card

SOCIOECONOMIC INDICATORS

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INFLuENZALake cumberland district Influenza casesOctober 2007 - May 2008, October 2008-May 2009,September 2009 - May 2010, October 2010 - May 2011

SOuRCESKentucky Department for Public Health - Influenza Surveillance. Kentucky Electronic Public Health Record System





NOTES1. Case rate per 100,000 population 2. Number of persons living with AIDS3. - 16. Case rate per 100,000 population

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1. Tuberculosis Case Rate 0.0 0.0 21.3 14.9 8.7 5.6 0.0 5.8 0.0 0.0 3.0 2.1 3.6 1.0 n/a

2. AIDS Cases 6 7 7 4 6 8 44 8 13 7 110 7,750 478,862 n/a n/a

3. Cryptosporidiosis 5.4 18.9 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.9 2.0 2.7 n/a n/a

4. Ehrlichiosis, Anaplasmosis 0.0 0.0 0.0 14.6 0.0 0.0 0.0 0.0 0.0 4.8 1.0 0.4 0.8 n/a n/a

5. Group A Streptococcal Infection, Invasive* 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.7 n/a n/a n/a

6. Hepatitis A 0.0 0.0 9.8 0.0 0.0 0.0 0.0 0.0 4.0 0.0 1.0 0.6 0.5 n/a n/a

7. Hepatitis B, acute 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.0 0.0 0.5 3.1 1.1 n/a n/a

8. Hepatitis C, acute 0.0 12.6 9.8 0.0 0.0 0.0 0.0 0.0 0.0 23.8 3.8 2.5 0.3 n/a n/a

9. Histoplasmosis 0.0 0.0 9.8 0.0 0.0 0.0 0.0 0.0 8.1 0.0 1.4 1.0 n/a n/a n/a

10. Legionellosis 0.0 0.0 0.0 14.6 0.0 0.0 0.0 0.0 0.0 0.0 0.5 0.7 1.1 n/a n/a

11. Listeriosis 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.2 0.3 n/a n/a

12. Pertussis 37.5 6.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 3.8 7.0 8.8 n/a n/a

13. Rocky Mountain Spotted Fever 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.1 n/a n/a

14. Salmonellosis 0.0 0.0 9.8 0.0 26.7 0.0 7.9 11.4 16.2 28.6 10.1 13.5 17.5 n/a n/a

15. Shiga toxin-producing E. Coli (STEC) 5.4 0.0 0.0 0.0 0.0 0.0 3.1 0.0 8.1 0.0 2.4 1.6 1.8 n/a n/a

16. Streptococcus Pneumoniae, invasive disease

0.0 0.0 0.0 0.0 8.9 0.0 1.6 0.0 0.0 0.0 1.0 4.7 5.3 n/a n/a

INFECTIOuS DISEASE


REFERENCES1. Kentucky Tuberculosis Program 2010: http://chfs.ky.gov/dph/epi/tb.htm. CDC Tuberculosis Cases, Case Rates per 100,000 Population, Deaths, and Death Rates per 100,000 Population, and Percent Change: united States, 1953–2010. Atlanta, GA: u.S. Department of Health and Human Services, CDC, 2010. http://www.cdc.gov/tb/statistics/reports/2010/pdf/Table1.pdf

Indicator

* Group A Streptococcal Infection, Invasive was removed from the 2010 list of Nationally Notifiable Diseases

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INFECTIOuS DISEASEtuberculosis ratesDistrict Trend Data

tuberculosis rate = # of tuberculosis cases per 100,000 population as reported by the Kentucky Tuberculosis program.

REFERENCES (continued from page 6)2. 2009 Cumulative AIDS Cases by Area Development Districts (ADD) and County at the Time of Diagnosis HIV Surveillance Report, Volume 22: Table 16a. Persons living with an AIDS diagnosis, by year and selected characteristics, 2007–2009—united States: http://www.cdc.gov/hiv/ surveillance/resources/reports/2010report/pdf/2010_HIV_Surveil lance_Report_vol_22.pdf#Page=54

3. - 16. Reportable Diseases in Kentucky 2010 Summary, Cabinet for Health and Family Services, Department for Public Health, Division of Epidemiology and Health Planning, http://chfs.ky.gov/dph/epi/reportablediseases.htm MMWR 2009 Reports of Nationally Notifiable Infectious Diseases; Centers for Disease Control and Prevention; http://www.cdc.gov/mmwr/pdf/wk/ mm6032.pdf

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1. Heart Disease 270.4 197.6 190.3 273.9 201.2 312.5 238.9 253.9 194.9 210.7 230.9 213.7 186.5 100.8 D

2. Cerebrovascular disease/Stroke

63.1 68.2 57.5 83.6 52.2 5.8 35.3 44.7 59.6 21.2 44.9 44.4 40.7 33.8 D

3. Diabetes 13.5 11.8 28.2 0.0 24.5 56.1 36.0 31.4 15.8 12.3 20.1 25.9 21.8 65.8 A

4. All Causes 945.7 991.1 976.4 1114.4 850.4 995.2 904.2 861.7 829.4 856.6 909.0 883.6 758.3 n/a D

Heart disease and cancer death rateDistrict Trend Data

Age adjusted death rates per 100,000 population.

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CHRONIC ILLNESS

Death Rate

NOTES1. - 4. Age adjusted death rates per 100,000 u.S. standard population

SOuRCES1. - 4. KY Annual Vital Statistics Report, 2008: http://chfs.ky.gov/dph/vital/ and National Vital Statistics Reports Vol. 59, No. 10, December 7, 2011: http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_10.pdf

CANCER

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1. Cancer Incidence (All) 540.3 631.6 518.6 646.4 537.1 490.9 573.0 598.0 623.1 577.4 572.6 564.0 472.3 n/a D

2. Cancer (All) Death Rate 228.9 335.4 410.2 414.1 251.5 163.1 267.2 225.7 263.9 241.9 264.4 220.3 185.8 160.6 D

3. Lung Cancer Incidence 87.5 144.0 95.6*** 136.0*** 64.4*** 100.8 111.4 100.1 107.8 92.3 104.5 102.0 66.6 n/a D

4. Lung Cancer Death Rate 100.5 146.3 157.8 133.1 86.7 78.7 117.1 69.5 94.8 91.9 106.1 79.9 52.1 45.5 D

5. Female Breast Can-cer Incidence 86.5*** 158.7 66.0*** 162.2*** 144.2*** 129.5*** 124.0 90.5*** 155.4 215.3 131.6 146.7 123.2 n/a D

6. Female Breast Can-cer Death Rate 32.9 23.9 81.1 57.3 51.6 22.7 12.9 33.6 15.3 57.3 29.9 25.6 26.3 20.6 D

7. Colorectal Cancer Incidence 74.7 79.6 26.5*** 32.2*** 33.3*** 58.8*** 56.3 39.1*** 67.3 45.9*** 54.7 57.9 45.1 n/a C

8. Colorectal Cancer Death Rate 22.3 24.4 31.6 44.4 26.0 0.0 26.4 23.2 12.4 4.8 20.2 20.4 17.4 14.5 C

9. Cervix/Uteri Cancer Incidence 21.7*** 0.0 18.0*** 0.0 0.0 0.0 12.0*** 29.1*** 22.4*** 23.7*** 13.9 8.4 7.9 n/a D

10. Cervix/Uteri Cancer Death Rate 11.0 12.0 40.6 0.0 0.0 0.0 6.4 0.0 0.0 0.0 5.8 2.9 2.6 2.2 D

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NOTES1. - 10. Age-adjusted Incidence Rates or Crude Death Rates per 100,000 population for u.S. Standard Population ***Counts < 15 are too few to calculate a stable age-adjusted rate

REFERENCES1. - 10. Kentucky Cancer Registry university of Kentucky, Markey Cancer Control Program 2008 (http://cancer-rates.info/ky/index_mort.php). u.S. Cancer Statistics Working Group. united States Cancer Statistics: 2008 Incidence and Mortality Web-based Report. Atlanta: National Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Available at: http://apps.nccd.cdc.gov/uscs/index.aspx.


MATERNAL AND INFANT HEALTH

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1. Total Births 219 195 141 64 124 206 815 233 332 253 2,582 56,900 4,247,694 n/a n/a

2. Infant Mortality (rate) 4.6 10.3 7.1 15.6 8.1 4.9 7.4 0.0 6.0 11.9 7.0 6.9 6.5 6.0 D

3. Low Weight Birth (percentage)

6.9% 7.2% 9.9% 10.9% 7.3% 11.2% 8.3% 7.7% 9.9% 10.3% 8.8% 9.0% 8.2% 7.8% C

4. Teen Births (percentage)

3.3% 4.9% 6.3% 4.5% 4.0% 5.3% 5.2% 8.6% 4.4% 7.0% 5.3% 3.9% 3.0% 3.6% D

5. No Prenatal Care First Trimester (percentage)

34.3% 28.7% 30.0% 41.3% 25.0% 24.9% 20.1% 26.4% 32.3% 22.5% 26.3% 27.8% 29.0% 22.0% B

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NOTES1. Total number of births 2. Crude rate per 1,000 live births3. Low Weight Birth = Percentage weighing less than 2500 grams (5lbs. 8 oz.) 4. Teen Births = Percentage of total births born to females ages 10-17. 5. Prenatal Care = Percentage of mothers not receiving prenatal care in the first trimester. National Data is for only selected states, including KY because the 2003 Revision of the National Certificate of Live Birth after January 1, 2004.

REFERENCES1. - 5. KY Annual Vital Statistics Report, 2008: http://chfs.ky.gov/dph/vital/, and National Vital Statistics Reports for Births and Deaths: http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_07.pdf http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_01.pdf

MATERNAL AND INFANT HEALTH

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teen Birth = percentage of total births to females ages 10-17Infant Mortality = rate of deaths under 1 year of age per 1000 live birthsLow Birth Weight = percentage weighing less than 2500 grams (5 lbs. 8 Oz.)

INJuRIES AND CRIME

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1. Homicide Death Rate 11.0 5.3 13.6 23.2 0.0 7.2 3.2 7.1 12.9 5.9 7.0 5.5 5.9 5.5 D

2. Suicide Death Rate 19.3 0.0 33.6 36.4 34.0 18.6 9.5 9.9 3.3 8.1 13.1 13.5 11.6 n/a C

3. Motor Vehicle Death Rate

19.1 12.3 83.6 14.7 34.4 11.6 23.0 17.3 16.6 19.3 24.2 19.1 13.1 12.4 D

4. Child Abuse Neglect - # of Reports

358 179 183 31 187 297 766 229 427 322 2,979 63,438 676,569 n/a n/a

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NOTES1. - 2. Age adjusted death rate per 100,000 u.S. Standard Population 3. Crude death rate per 100,000 population 4. Number of Child Abuse Neglect Reports

REFERENCES1. - 3. KY Annual Vital Statistics Report 2008 (http://chfs.ky.gov/dph/vital/) and National Vital Statistics Reports Vol. 59, No. 10, December 7, 2011 (http://www.cdc.gov/nchs/ data/nvsr/nvsr59/nvsr59_10.pdf)4. Child Abuse Neglect Report by County - Prevent Child Abuse Kentucky. Statistics Provided by the Cabinet for Health and Family Services, Jan. 1, 2011 - Dec. 31, 2011 http://www.pcaky.org/stats_research.html. Child Maltreatment - Administration for Children and Families - Department for Health And Human Services: http://www.acf.hhs.gov/sites/default/files/cb/cm11.pdf


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INJuRIES AND CRIMEHomicide, Motor Vehicle, Suicide death ratesDistrict Trend Data

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* National Median is the middle value of the prevalence estimates from all 50 states, Washington D.C. and Puerto Rico.

** Healthy People 2020 benchmarks are being used to compare 2010 data forward, whereas KY 2010 was used until 2009.

percent of overweight IndividualsDefinition: Individuals age 18 or older who have a body mass index (BMI) of greater than or equal to 25 kg/m2

percent of obese IndividualsDefinition: Individuals age 18 or older who have a body mass index (BMI) of greater than or equal to 30 kg/m2

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HP 2020** Grade

2000 57.1 61.0 55.0 25 B2001 59.1 62.1 60.7 25 C2002 58.9 62.5 65 25 D2003 59.4 63.1 68.2 25 D2004 60.4 63.4 68 25 D2005 67.5 64.8 64.2 25 B2006 61.6 66.4 70.6 25 D2007 63 69.1 68.3 25 C2008 63.1 66.6 71.6 25 D2009 63.4 67.1 68.8 25 D2010 63.7 67.5 66.1 30.6 C2011 63.5 66.5 68.4 30.6 D

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HP 2020 Grade

2000 20.1 23.0 20.4 n/a C2001 21.1 24.6 22.9 n/a C2002 22.2 24.4 26.3 n/a D2003 22.7 25.6 21.2 n/a B2004 23.2 25.8 29.6 n/a D2005 24.4 28.6 29.4 n/a D2006 25.1 28 33.3 n/a D2007 26.3 28.7 27.5 n/a C2008 26.6 30.2 33 n/a D2009 27.2 32.4 30.5 n/a C2010 27.5 31.8 32.1 n/a D2011 27.8 30.4 29 n/a C


WEIGHT

SOuRCESKentucky Behavioral Risk Factor Surveillance System (http://www.chfs.ky.gov/dph/epi/brfss.htm)

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overweight definition: Individuals age 18 or older who have a body mass index (BMI) of greater than or equal to 25 kg/m2. obese definition: Individuals age 18 or older who have a body mass index (BMI) of greater than or equal to 30 kg/m2.

Lake CumberLand distriCt HeaLtH department 500 Bourne Avenue, Somerset, KY 42501

(606) 678-4761 • Toll Free: 1-800-928-4416www.LCDHD.org

Documents

district health report card - Lake Cumberland District ... · 4. All Causes 945.7 991.1 976.4 1114.4 850.4 995.2 904.2 861.7 829.4 856.6 909.0 883.6 758.3 n/a D Heart disease and