THE Wellbeing OF ISLAND Area: Discoveries, Needs, AND Rising ISSUES.

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THE Strength OF ISLAND Area: Discoveries, Needs, AND Rising ISSUES Tim McDonald, MPH, RS Wellbeing Administrations Executive Island Region Wellbeing Office Why is it imperative to quantify and report wellbeing information?
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THE HEALTH OF ISLAND COUNTY: FINDINGS, PRIORITIES, AND EMERGING ISSUES Tim McDonald, MPH, RS Health Services Director Island County Health Department

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Why is it essential to gauge and report wellbeing information? Consistently one million U.S. passings are because of individual wellbeing practices the decisions individuals make every day that influence their wellbeing Can make national/state/region examinations Determine need wellbeing issues & create key arrangements Health organizers/suppliers can address rising wellbeing issues & measure patterns in wellbeing practices Health mediations can be coordinated to zones of most noteworthy need and viability of intercessions can be measured Data is utilized to propose and collect backing for wellbeing strategies, projects, and activities Create reports, realities sheets, press discharges, and different distributions intended to teach people in general, policymakers, wellbeing group, social projects & subsidizing sources

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1) Demographic & Economic Factors 2) Quality of Life/Social Context 3) General Health Status 4) Health Care: Coverage, Access, Use & Satisfaction 5) Environmental Health 6) Unintentional Injury 7) Infectious Disease 8) Chronic Disease & Physical Activity 9) Maternal-Child Health 10) Oral Health 11) Mental Health 12) Substance Abuse 13) Crime & Violence The Health of Island County “Chapters”

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Island County BRFSS (1996, 2000-2001) Washington State BRFSS National BRFSS Census Data State Databases, Surveys and Reports: VISTA, CHARS, essential insights, tobacco, harm, endless ailment, irresistible ailment, growth registry, law requirement, Medicaid, Medicare,Basic Health Plan Local Data Sources: CAPF/CPS tyke misuse measurements, WGH review and clinic records, Sheriff\'s Dept., ICHD WA State & Island County Healthy Youth Surveys Federal information sources and reports Smile Survey (Dental Health) Data Sources

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Modules Examined Many Factors: e.g. Constant Disease Incidence of Disease: Diabetes, Adult and Pediatric Asthma, Cardiovascular Disease, Hypertension, Cancer (bosom, cervical, skin, colorectal) Mortality: Cancer, different sicknesses Screening and Prevention: Mammogram, Pap Test, Colonoscopy, Prostate Blood Test, Blood Cholesterol Screening Risk Factors: Physical Inactivity, Overweight, Smoking, Sunscreen Use

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Chapter Lay-out Fast Facts Island County Issues Background (incorporates WA State information) Local Data and Findings Effective Interventions Healthy People (2000 & 2010) Local Resources Helpful Internet Sites

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Island County and Its People: Demographic and Economic Factors

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Population: We are becoming however not as quick as before (18.9% from 1990-2000, contrasted with 36.7% from 1980-1990). We had 71,558 inhabitants in the 2000 Census, very nearly 1/2 live in provincial territories (34,450). We are, on the other hand, the fifth most thickly populated province in WA. Sexual orientation and Age: Higher rate of guys ages 20-29 (NAS Whidbey); 14% of our inhabitants are over age 65 and 25% under age 18. Middle age is 37 (35.3 WA). Have a bigger extent over age 65 contrasted with the state (14.3% versus 11.2%). Conjugal Status: IC has a higher rate of wedded persons (contrasted with WA) however add up to rate diminished because of development in other family unit structures.

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Demographic and Economic Factors, Continued... Race/ethnicity: Growing in ethnic assorted qualities, racial minorities were 12.8% in 2000, contrasted with 6.8% in 1980 and 8.5% in 1990. Our biggest racial minority gathering is Asian/Pacific Islander ( %). Youngsters are progressively multiracial (7%) contrasted with 2% of grown-ups. Family unit information: We have more families (27,784) yet littler size; 35% have kids < 18 and 25% have a grown-up > 65. Most families will be families however IC expanded in different sorts of families (single, non-family, other).

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Socioeconomic Factors Continued… Income & Poverty: Median pay was $45,513 in 1999 with a for every capita salary of $21,472. Normal yearly wages were $24,731 contrasted with $37,458 in WA. In IC 6.6% of persons live beneath the Federal Poverty level and 10.4% of all youngsters (contrasted and 10.2% and 15.2% in WA state). Youngsters age 5 and under are most influenced by destitution with 1/3 of kids under 200% FPL. Job & Education: IC has numerous occupants in the Armed Forces (11% in IC versus 1% in WA). Most occupants have a secondary school instruction. 10.7% of our kids <18 are not selected in school and 21.3% of our populace ages 18-24 have not moved on from secondary school.

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Quality of Life & Social Context

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Quality of Life & Social Context Home ownership—IC has an expansive number of mortgage holders who have lived in their homes for a long time, around 10% of homes are utilized occasionally. The lion\'s share considers IC neighborhoods to be protected. Sheltered and moderate housing—Many (77%) occupants feel there is sufficient protected and reasonable lodging. Of concern are rising quantities of persons looking for sanctuary (destitute).

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Quality of Life & Social Context Social support—Most inhabitants have somebody to help them with their enthusiastic needs and/or social bolster Nutrition—About 5% of occupants were worried about sufficiently having nourishment Language—92% of IC inhabitants communicate in English as their essential dialect

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Social Context/Quality of Life

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General Health Status

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General Health Status Average future is 80.2 years. Numerous IC inhabitants rate their wellbeing as fabulous or great with 10% reporting their wellbeing as reasonable or poor. Around 10-15% occupants have a wellbeing issue/disability that influences their working (half are in torment). Constraints and handicaps increment with age. Relatives offer the most help with consideration needs, however 5% had nobody to offer assistance.

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General Health Status The guideline reasons for death in IC for a really long time 1-64 are to a great extent preventable. Right around 10% of the populace reported dozing inadequately for 3-30 days a month. Destitution is connected with weakness status. BRFSS respondents gaining $20,000 or less had more elevated amounts of poor/reasonable wellbeing contrasted with those winning more than $20,000 (25% versus 6%).

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Health Care: Access, Satisfaction & Coverage

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Findings: Health Status and Access Trends

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Healthcare Coverage Most persons had wellbeing scope (94% versus 90.2% in WA and 88.1% US). Most (56.5%) had current scope > 5 years. Absence of protection was connected with low salary, mid-age (35-54), having kids at home, and/or living on Camano Island. Most uninsured (54%) couldn\'t bear the cost of premiums. Wellbeing protection is basically government-based (44% Medicare, Military, or Medicaid). More than one quarter had a second type of wellbeing protection, especially among >65. Much provincial variety ran from a low of 4.2% uninsured in North Whidbey to 11.0% uninsured in Camano- - straightforwardly identified with military scope.

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Health Care Findings Overall IC occupants are fulfilled by the medicinal services framework (85% rate great, great or great). Most(85%) occupants had a facility/place they run with their wellbeing concerns and numerous inhabitants were getting preventive consideration. Eight percent of occupants had been not able to fill a remedy because of expense.

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Environmental Health

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Environmental Health Overall our physical surroundings is extremely solid. Very nearly 70% of occupants are served by on location sewage frameworks. 15-20% of IC wells may not meet the new EPA arsenic principles for vast water frameworks. IC reacts to and researches 10-20 foodborne diseases a year. IC had more than typical flare-ups in 2000 (Salmonella, Shigella and Giardiasis) and 2002 (Norwalk-like). IC had the first steed with West Nile Virus in 2002 and 2 bats tried positive for rabies in 2003. 6% of inhabitants report being artificially delicate.

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Unintentional Injury

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Unintentional Injury Factors

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Unintentional Injury Motor vehicle mishaps are the main source of unexpected damage passing to persons < 65, right around 13% of IC occupants don\'t generally wear their safety belt. Guns: 38% of grown-ups studied had guns in the house, 47% of those were opened, 21% were stacked (around half of these were likewise opened). Suffocating/vessel security: 37% of grown-ups reviewed had been in a little pontoon (< 20 ft.) in the previous year. Of these 21.6% never wear a lifejacket. IC had 3 drownings in 2001. Falls constitute the most elevated number (65%) of non-deadly hospitalizations for inadvertent harm.

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Always Wore a Bicycle Helmet Of concern are the 16.7% of youngsters who utilization bike caps once in a while (6.3), occasional (3.1) or never (7.3), as indicated by guardian report (BRFSS).

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Infectious Disease

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Infectious Disease Pertussis (whooping hack): Island County keeps on encountering episodes of pertussis (34 cases in 1999 and 10 cases in 2000) . . . exclusively among unvaccinated kids. Hepatitis A, B, and C: IC had 10 instances of Hep C in 2001 and 25 cases in 2002. Sexually transmitted diseases: STD r ates are higher in IC than the State average… and are rising each of the previous 3 years with chlamydia being by a wide margin the most well-known STD (80% of the cases happening among those ages 15-24) and rates multiplied between 2001-2002.

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Infectious Disease Issues Influenza: Pneumonia and flu passings together constitute the sixth driving reason for death. In 2000-2001, 67% of grown-ups > 65 years got shots for this season\'s flu virus and 71% for pneumonia. Tetanus: Almost one quarter (23%) IC grown-ups were not or did not know whether they were a la mode on their tetanus shot.

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Chronic Disease & Physical Activity

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Findings: Chronic Disease

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Heart Disease Cardiovascular Disease: Diseases of the heart are the main source of death in IC. Incremen

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