Mel Downey-Piper, MPH, CHESFebruary 20, 2013

2012 State of Durham County’s Health report

PurposeReports progress on health priorities

identified in the community health assessmentAccess to healthcareHIV / STIsObesity and chronic illnessPovertyEducationSubstance abuse and mental health

Celebrates successesNotes emerging issues

Durham meets 10 NC targets

Healthy NC 2020 ObjectivesWomen who smoke during pregnancyTraffic crashes that are alcohol relatedSuicide rate Children aged 1-5 years enrolled in Medicaid

who receive dental care Adults who had permanent teeth removed due

to tooth decay or gum diseaseUnintentional poisoning mortality rateAdults reporting good, very good or excellent

healthAdults who are neither overweight nor obese

Other successes and progressHealthy Mile TrailCommunity Transformation Grant ProjectSmoking RuleAffordable Care Act

Access to HealthcareRanked “mid-high” for uninsured adults

(22.2%) Ranked “high” for uninsured children (10.1%)

PROGRESS & NEXT STEPSCoordinated Access to Care and Housing for

Homeless (CATCH) – respite care and housing for homeless discharged from area hospitals

ACA education and advocacyFocus on transportation as an access issue

HIV and other STIsHIV rate has remained stable at 27.3 per

1,000 (NC=16.4)Syphilis declined

12.1

9.1 9.3

5.2 4.13.63.2

6.2

4.24.5

0

10

20

2007 2008 2009 2010 2011

Rates

Syphilis rates per 100,000primary, secondary and early latent

Durham North Carolina

NEXT STEPS•CDC Hep C Testing•NTS 3-year grant

Obesity and chronic illness59% of adults and 30% of high school students

are overweight or obese 15% of adults are current smokers45% of middle school students and 26% of

Durham high school students eat breakfast every day

51% of middle school students and 20% of high school students get eight or more hours of sleep on school nights

PROGRESS & NEXT STEPSBull City Open StreetsPolicy changeHealthy Mile Trail

Poverty19% of Durham County residents below the

poverty line (NC =17%) 29% of single mothers are in poverty53% of residents spend more than 30% of

their income on rental housing

PROGRESSFaith Summit, CirclesDurham Health Connections – social

prescriptionsCATCH (medical respite care and permanent

supportive housing)

EducationGraduation rates continue to riseCertain groups are much less likely to

graduate

Substance abuse and mental healthReported feeling sad or helpless: 22% of

middle and 24% of high school students Ever used marijuana: 9% of middle school

and 45.7% of high school students

PROGRESS AND NEXT STEPSAlliance Behavioral HealthcareLearned more about resources related

to bullying and suicideRecovery Celebration

Emerging issues

Durham Diabetes CoalitionAims to reduce morbidity and mortality from

type 2 diabetes and identify people unknowingly living with the disease by Implementing neighborhood-based interventions. Offering home-based clinical care to people who have

difficulty accessing traditional care.Using multiple forms of media to spread type 2

diabetes health messages and engage the community.

Social Determinants of HealthDurham Health Summit and work groups