Fayetteville Public Health Concern

Anonymous
timer Asked: Apr 13th, 2018
account_balance_wallet $15

Question Description

Research a public health concern in your jurisdiction, and highlight how your local public health agency is taking steps to reduce or eliminate risks. Include the following information:

  • Define your jurisdiction (Introduction).
  • Define the public health concern.
  • Describe the steps that your Public Health Department has taken to reduce or eliminate risks.
  • Conclusion
  • 400–600 words, APA Format, in text citation
  • See attachment for the jurisdiction focus (Fayetteville,NC), please use other references too

Resources Help

http://www.co.cumberland.nc.us/docs/default-source... (see attachment as well)

Unformatted Attachment Preview

Cumberland County Community Health Assessment-2016 Cumberland County Department of Public Health 1235 Ramsey Street Fayetteville, NC 28301 (910) 433-3600 1 Table of Contents TABLE OF CONTENTS…………………………………………………………………….2 ACKNOWLEDGEMENTS…………………………………………………………………..3 EXECUTIVE SUMMARY…………………………………………………………………..4 SECTION 1: BACKGROUND AND PROCESS……….………………..…………….......8 SECTION 2: HISTORICAL AND GEOGRAPHIC OVERVIEW……………………….....10 SECTION 3: HEALTH DATA COLLECTION PROCESS..………………………………14 SECTION 4: HEALTH DATA RESULTS.…………………………………………………16 SECTION 5: PREVENTION AND HEALTH PROMOTION……………………………...47 SECTION 6: HEALTH PRIORITIES………………………………………………….........52 APPENDIX……………………………………………………………………………….......54 2 Acknowledgements The Cumberland County Department of Public Health would like to thank all of our community partners and others for their contributions and support in conducting the 2016 Community Health Assessment. Community Health Assessment Team: Name Buck Wilson, Health Director Sandy Godwin, Executive Director for Corporate Planning William Haithcock, Sr. Financial Analyst Barbara Carraway, Health Education Supervisor Sharon Gallagher, ProfessorNursing Melvin Lindsay Phyllis McLymore, Health Educator II Susan Dover, Health Educator I Marisa Ramos-Mason, Health Educator I Antwi Innocent, Intern Student Artimisha Campbell-Williams, Student Miranda Chang, Student Agency Cumberland County Department of Public Health Cape Fear Valley Health System Role/Contribution Advisory to CHA Team Cape Fear Valley Health System Coordinator/ CHA Work Group Cumberland County Department of Public Health Fayetteville State University Coordinator/ CHA Work Group Cumberland-Fayetteville Park and Recreation Cumberland County Department of Public Health CHA Work Group Cumberland County Department of Public Health Cumberland County Department of Public Health Liberty University Methodist University CHA Work Group Advisory to CHA Team CHA Work Group CHA Work Group CHA Work Group CHA Work Group Analyzed and wrote narrative for primary data Methodist University Analyzed and wrote narrative for primary data Dr. Warren McDonald Methodist University Instructor /Adviser to Methodist students. Theresa Lofton Cumberland County Department Review and Edit document. of Public Health Special thanks to senior groups that help to prioritize the health issues. 3 Executive Summary The Cumberland County Department of Public Health and Cape Fear Valley Health Systems launched a comprehensive community health assessment and planning process collaborating with a wide range of community partners on January 28, 2016. The Community Health Assessment (CHA) describes the health of the community by identifying and presenting information on the community’s health status, needs, and resources. Its goal is to describe the health needs of the community and to develop strategies to address those needs. The CHA also identifies areas where better information is needed, especially information on health disparities among various subpopulations, and the quality of health care. The CHA is the basis for all local public health planning, giving the local health unit the opportunity to identify and interact with key community leaders, organizations and concerned residents about health priorities and needs. This information forms the basis of improving the health status of the community through a strategic community action plan. The CHA is conducted every three to four years to meet requirements for the Consolidated Agreement between the NC Division of Public Health and State Accreditation of Local Health Departments. As a part of the Affordable Care Act, Non-profit Hospitals are now required to conduct a Community Health (Needs) Assessment at least every three years. http://publichealth.nc.gov/lhd/cha/about.htm The Department of Public Health and Cape Fear Valley Health Systems decided to collaborate on the CHA since both agencies were required to conduct an assessment. This collaboration created a broad-range of partners (Human Service Agencies, Institutions of Higher Learning, and Non-Profits etc.) to complete a comprehensive overview of the county’s health. Data Collection: Primary data was collected through distribution of Community Health Assessment (CHA) Opinion Surveys. The purpose of the survey was to gather information about the health and quality of life of the community. The survey measured perceptions and attitudes of Cumberland County residents toward a variety of health and allied health issues that impact their lives. Survey results can be found in the appendix. Appendix C Secondary Data was collected from a variety of sources, including the North Carolina State Center for Health Statistics, U S Census Bureau, the Shep Center and other data sources for comparison with State data. Once all of the data was collected and analyzed the CHA work 4 group, advisory group and community members selected the top four priority health concerns/issues. Health Priorities: After the CHA team reviewed and discussed the data obtained from the surveys and local and state agencies the following health problems were identified: Obesity, Heart Disease, Cancer, Fitness and Nutrition, Diabetes, Chronic Lower Respiratory Diseases, Stroke, Substance Abuse, Sexually Transmitted infections and AIDS, Teenage unwanted pregnancy. The CHA team and community residents provided feedback on the data to help determine the major health issues. Participants were given a list of the health concerns identified and asked to rank them as to what problem they wanted to see changed first, second, etc. Participants were given a health problem work sheet with a short summary of the data findings and the criteria for rating the health problems: (1) Magnitude, (2) Seriousness of the Consequences, (3) Feasibility of Correcting, (4) Community and Financial Resources and (5) Existing Partnerships. The participants were asked to score each problem one to ten with ten being the highest. The scores were tallied and the health problem with the highest number was selected by descending order. The following health problems were selected:    Chronic diseases including: Heart Disease, Cancer, Diabetes/Obesity Sexually Transmitted Infections (STIs), AIDS, and Adolescent unwanted pregnancy Substance/Opioid Abuse During the period, 2011-2015, heart disease was the leading cause of age-adjusted death and cancer (all sites) was the second leading cause of age-adjusted death. Heart disease and cancer were selected due to the number of people affected and the effectiveness and feasibility of interventions to address them. Diabetes death rate moved from fifth to sixth leading cause of death in Cumberland County, it appears that the efforts at prevention may be working. Diabetes affects every part of the body and may cause many complications that have an impact on the quality of life. Obesity goes hand in hand with preventing diabetes and promoting increased physical activity and healthy eating. During the period 2011-2015, Sexually Transmitted Infections and AIDS remain higher than peer counties. Cumberland County’s Syphilis, Gonorrhea, Newly Diagnosed HIV infection and AIDs rates remained higher than the state’s and peer counties’ rates. In 2015, Cumberland County’s total teen pregnancy rate was higher than the state and peer counties rates. When an adolescent faces an unwanted pregnancy, her life becomes disrupted as she might quit school and expose herself and her unborn child to poverty and various other socio-economic and health disparities. 5 Cumberland County Demographics-2015 Population: 323,838 Race/Ethnicity: Demographic and Population Characteristics: White-Non-Hispanic 44.6 % African American 37.9% Hispanic 11.3% Gender: Male 48.9% Female 51.1%  In 2015, there were 323,838 people living in Cumberland County.  Cumberland County has a young population. The median age is 31 years.  In 2015, Cumberland County is a diverse county: White, non-Hispanic, 44.6%, African-American, 37.9% and Hispanic/Latino, 11.3% Age: 5 years and below 8.2% 18 years and below 25.6% 65 years and above 11.3% 19-64 years 63.1% Unemployment: 2016 Socio-Economic Characteristics:  In 2016, Cumberland County unemployment rate was 6.1%, higher than the State’s unemployment rate of 4.9%.  During the period 2011-2015,the percentage of Cumberland County families living in poverty was slightly higher (18.8%) than the State (16.4%) and the percentage of Cumberland County children living in poverty (27.4%) was slightly higher than the State (25.1%).  During the period 2011-2015, Cumberland County’s median household income ($44,171) was lower than the State’s median household income ($46,868).  When asked what issues most affect the quality of life in Cumberland County, 40.9% stated low income/poverty and 26.3% stated violent crime. Cumberland County-6.1% State- 4.9% Residents living in poverty (2011-2015) Cumberland County-18.8% State- 16.4% Children living in poverty2011: Cumberland County- 27.4% State-25.1% http://www.census.gov/quickfacts -2015; 2011-2015 6 Chronic Diseases create a heavy burden on health and health care. Heart Disease, Cancer (all sites) and death rates exceeded the State. Health Priorities Chronic Diseases: Chronic diseases, such as heart disease, stroke, cancer and diabetes, are among the leading causes of age-adjusted death and are among the most common, costly, and preventable of all health problems in Cumberland County. Chronic diseases create a heavy burden on health and healthcare. According to the 2016 community health assessment (CHA) survey, when asked what would you like to see more of available in the community, diabetes/obesity/ nutrition/fitness ranked first, heart disease ranked second, and cancer ranked third Heart Disease: During the period 2011-2015, Cumberland County’s total heart disease death rate of 193.5 was higher than the State’s heart disease death rate of 163.7. Some of the contributing factors for heart disease are:  High Blood Pressure  High blood cholesterol  Diabetes  Tobacco use  Physical inactivity  Poor nutrition  Obesity According to the 2016 CHA survey, when asked if they had ever been told by a doctor or health care professional if they had any health condition, 422 reported discussing overweight/obesity with their doctor and 363 reported discussing hypertension with their doctor. Cancer: During the period 2011-2015Cumberland County’s Cancer (all sites) death rate of 181.3 was higher than the State’s cancer (all sites) death rate of 169.1. Some of the contributing factors for cancer are:  Environmental carcinogens  Tobacco  Diet  Obesity  Sedentary lifestyle  Family history Sources: 2016 Community Health Assessment Survey. www.schs.state.nc.us/SCHS/data/databook, 2017 Diabetes/Obesity: The diabetes death rate of 29.2 moved from fifth to sixth leading cause of age-adjusted death in Cumberland County, and was higher than the state’s diabetes age-adjusted death rate of 29.2. The community residents who responded to the community health survey ranked the need for “diabetes information” as number one. Obesity goes hand-in-hand with preventing diabetes and promoting increased physical activity and healthy eating. 7 Section 1: Background and Process By providing the basis for discussion and action, the Community Health Assessment (CHA) is the foundation for improving and promoting the health of community members. The role of the community assessment is to identify factors that affect the health of a population and determine the availability of resources within the community to adequately address these factors. Through collaborative efforts forged among community leaders, public health agencies, businesses, hospitals, private practitioners, and academic centers, a community assessment team works to identify, collect, analyze, and disseminate information on community assets, strengths, resources, and needs. A CHA usually culminates in a report or a presentation that includes information about the health of the community as it is today and about the community's capacity to improve the lives of residents. Cumberland County initiated the CHA process on January 11, 2016 when invitation letters signed by the Director of the Department of Public Health and the CEO of Cape Fear Valley Health Systems (CFVHS) were mailed to approximately fifteen community agencies. The first CHA meeting was held on January 28, 2016 with ten agency representatives present. A review of the CHA process and requirements for Health Departments and Nonprofit Hospitals was presented to the group. A CHA team was created to help guide the process. The CHA team was composed of an advisory group and a work group. The advisory group consisted of those in a leadership role; the work group was composed of representatives from three community agencies and four staff members from the Department of Public Health. The work group had approximately five meetings and numerous email correspondences. The work group was responsible for: developing and distributing the CHA survey tool, coordinating survey analysis and interpretation with Methodist University and setting criteria for prioritizing health problems. Also, members from the work group were assigned a section of the CHA to complete i.e. Socio-economic, Education etc. The health education staff was responsible for secondary data collection. After examining the results of the CHA survey (primary data) and secondary health data the CHA team selected three health priorities for 2017: Heart Disease, Cancer and Diabetes/Obesity. The CHA team will continue to meet and prepare for development of the community action plans to address the selected priority health problems. 8 The Community Health Assessment Team Name Buck Wilson, Health Director Sandy Godwin, Executive Director for Corporate Planning William Haithcock, Sr. Financial Analyst Barbara Carraway, Health Education Supervisor Sharon Gallagher, ProfessorNursing Melvin Lindsay Phyllis McLymore, Health Educator II Susan Dover, Health Educator I Marisa Ramos-Mason, Health Educator I Antwi Innocent, Intern Student Artimisha Campbell-Williams, Student Miranda Chang, Student Dr. McDonald Agency Cumberland County Department of Public Health Cape Fear Valley Health System Role/Contribution Advisory to CHA Team Cape Fear Valley Health System Coordinator/ CHA Work Group Cumberland County Department of Public Health Fayetteville State University Coordinator/ CHA Work Group Cumberland-Fayetteville Park and Recreation Cumberland County Department of Public Health CHA Work Group Cumberland County Department of Public Health Cumberland County Department of Public Health Liberty University Methodist University CHA Work Group Methodist University Methodist University Advisory to CHA Team CHA Work Group CHA Work Group CHA Work Group CHA Work Group Analyzed and wrote narrative for primary data Analyzed and wrote narrative for primary data Instructor /Adviser to Methodist students. 9 Section 2: Historical and Geographic Overview Cumberland County is located in the southeastern section of the State and is bounded by Sampson, Bladen, Robeson, Hoke, Harnett and Moore counties. The present land area is 652.32 square miles. Cumberland County was named in honor of William Augustus, Duke of Cumberland, and third son of King George II. Cumberland was the commander of the English Army at the Battle of Culloden, in which the Scotch Highlanders were defeated in 1746. Many of them came to America, and their principal settlement was in Cumberland County. Cumberland was changed to Fayette County in early 1784, but the act was repealed at the next General Assembly, which met in November 1784. The county seat was first called Cumberland Court House. In 1762, Campbellton was established at Cross Creek with provisions for the public buildings. In 1778, Cross Creek and Campbellton were joined and the courthouse was ordered to be erected in that part of the town known as Cross Creek. In 1783, Campbellton was changed to Fayetteville in honor of Lafayette. Currently, Fayetteville is the County’s seat and its largest municipality. Other municipalities in Cumberland County are Eastover, Falcon, Godwin, Hope Mills, Linden, Spring Lake, Stedman and Wade. Cumberland County consists of 664 square miles located in the upper coastal plain section of the State. The area is better known as the “Sandhills”. Elevations in Cumberland County range from 40 to 486 feet above sea level. Cumberland County has progressed from its beginnings as a river front distribution center to a highly commercialized area offering a variety of services to its citizens. Fayetteville is located in the Coastal Plain at the foot of North Carolina’s Piedmont plateau. The city, located next to the Cape Fear River, is 107 feet above sea level. Climate The climate in Cumberland County is comparable to other communities in the Carolinas, with pleasant spring and fall seasons, mild winters and hot summers. Snow and sleet are rare and even freezing temperatures normally occur only during the months of December through February. Although hurricanes do occur along the coast of North Carolina, and can wreak damage far inland, only 8 hurricanes in the past 50 years have had a significant impact on Cumberland County. Fayetteville is 90 miles from the closest point on the NC coast, and the effect of storms is usually limited to water damage caused by heavy rains. Cumberland County gets 47 inches of rain per year. Snowfall is 3 inches. The number of days with any measurable precipitation is 106. On average, there are 217 sunny days per year in Cumberland County. The July high is around 91 degrees. The January low is 31. Our comfort index, which is based on humidity during the hot months, is a 32 out of 100, where higher is more comfortable. www.bestplaces.net/climate/county/north_carolina/cumberland 10 Fort Bragg is one of the U.S. Army's largest installations in the world. The installation covers about 161,000 acres, or 251 square miles, stretching into six counties. Fort Bragg underwent significant change in the 1990s. From the removal of wooden barracks to building construction/renovation through expansion of training areas into the newly purchased Overhills site, Fort Bragg greeted the new century with a fresh appearance. Since 2000, Fort Bragg Soldiers have participated in combat and humanitarian operations in countries around the world. Fort Bragg responded to provide support to those impacted by Hurricane Katrina in 2005 and in Haiti after the 2010 earthquake. Fort Bragg serves a vital role in the war on terror, deploying and supporting more troops than any other post, in support of Operations Enduring Freedom, Iraqi Freedom and New Dawn. Fort Bragg continues to invest to modernize and expand facilities. The 82nd Airborne Division's 1955 barracks complex was replaced with modern buildings. Office buildings and barracks have also been constructed for units recently added to the division. A new headquarters building was constructed on Knox and Randolph Streets for the U.S. Army Forces Command (FORSCOM) and the U.S. Army Reserve Command. These two major commands moved to Fort Bragg in 2011 when Fort Macpherson, Georgia, was closed under the Base Realignment and Closure (BRAC) legislation. BRAC moves also resulted in the 7th Special Forces Group completing their reloc ...
Purchase answer to see full attachment

Tutor Answer

PROF_HARRY
School: UC Berkeley

Attached.

Running head: MACON COUTY PUBLIC HEALTH CONCERN

Macon County Public Health Concern
Name
Institution
Instructor
Course
Date

1

PUBLIC HEALTH CONCERN

2

Public health is the science of guarding the health safety of people by enlightening
them of their health conditions Public health initiatives and facilities address an extensive
list of concerns that affect the well-being of individuals, relatives and communities.
Macon county public health is one of the facilities that strives to be a typical example of
public health practices by enhancing and protecting good health for communities. Macon
County guarantee a state of readiness for public health calamities that may arise through
acquiring emergency supplies and equipment, employee training and developing effective
and efficient disaster plans (Evenson, 2002).

One of the leading public health concerns in most parts of the world is food safety.
End user awareness of food safety and concerns about it is vital. Accessibility to adequate
volumes of safe and nutritious food is critical in promoting good health and sustaining life.
At least two hundred diseases are caused by unsafe food that may hide harmful viruses, pests,
bacteria or chemical elements. Food safety is a space of public health departments to take
action to guard consumers from the threats of chronic or acute foodborne diseases and food
poisoning. Recent research shows that in every year, at least 48million Americans are sick
from foodborne illnesses, that is, (approximately 17% of people in the U.S). This leads to
hospital admission of around 128,000 and a reported 3,000 deaths annually. A part of this
illness percentage is formed by foodborne outbreaks, which occurs when more than one case
of related illnesses is caused by eating similar food. Analysis of data on behaviors that
contaminat...

flag Report DMCA
Review

Anonymous
awesome work thanks

Similar Questions
Related Tags

Brown University





1271 Tutors

California Institute of Technology




2131 Tutors

Carnegie Mellon University




982 Tutors

Columbia University





1256 Tutors

Dartmouth University





2113 Tutors

Emory University





2279 Tutors

Harvard University





599 Tutors

Massachusetts Institute of Technology



2319 Tutors

New York University





1645 Tutors

Notre Dam University





1911 Tutors

Oklahoma University





2122 Tutors

Pennsylvania State University





932 Tutors

Princeton University





1211 Tutors

Stanford University





983 Tutors

University of California





1282 Tutors

Oxford University





123 Tutors

Yale University





2325 Tutors