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Gramercy Park Murray Hill Community New York City Department of Health and Mental Hygiene Health Profiles nyc.gov/health 10022 The Health of 10017 10016 Gramercy 10010 Park and Murray Hill Manhattan This community health profile highlights important health issues facing the Message residents of Gramercy Park and Murray Hill, with a special focus on preventable causes of illness and death. Preventing illness requires people making healthy life choices, From neighborhood resources that promote healthy living, and high-quality, accessible medical care. the New York City is the most diverse city in the U.S. This is reflected in the unique character of each neighborhood. Strategies to improve New Yorkers’ health Commissioner should take local concerns into account and be based on an understanding of how decisions at the city level affect local residents. The burden of illness and death does not fall equally across New York City’s neighborhoods. One of the primary goals of the Department of Health and Mental Hygiene is to reduce and eliminate these disparities by improving health in communities with the greatest need. Improving the health of all New Yorkers requires the involvement and cooperation of individual residents, community-based organizations, and the public health community. We hope that this health profile will support this effort in Gramercy Park and Murray Hill and across New York City. Thomas R. Frieden, MD, MPH Commissioner Snapshots Number of people living in Gramercy Park and From the Murray Hill in 2000: 124,477 Census There is a high Gramercy Park/ New York proportion of Murray Hill City Age younger adults in Children (0–17 years) 7% 24% Gramercy Park Adults (18–64 years) 79% 64% and Murray Hill Adults (65 years and above) 14% 12% 2 or more races 2% African-American 4% Other race <1% 2 or more races 3% Compared to New York Asian 11% Hispanic 7% African- City as a whole, more Asian 10% American Race/Ethnicity people in Gramercy 25% Park and Murray Hill White White 35% Hispanic are of White 76% race/ethnicity Gramercy Park/ 27% Murray Hill New York City 1 in 4 residents of Gramercy Park and Murray Hill was Gramercy Park/Murray Hill 25% foreign-born Country of Origin born outside the U.S. (Top 3 countries of origin: Japan, New York City 36% foreign-born United Kingdom, India) 2 COMMUNITY HEALTH PROFILES This summary shows how the health of residents of Gramercy Park and Murray Hill Report compares to 41 other neighborhoods in New York City. In general, people living in Gramercy Park and Murray Hill are healthier than residents of other New York City Card on neighborhoods. However, there remain many health issues that can be improved. The challenge of improving these indicators does not fall only on neighborhood Health residents but is a shared responsibility between all sectors of society. Gramercy Park and Murray Hill compared to 41 other NYC neighborhoods Below Average Average Above Average (bottom 10) (middle 22) (top 10) General health ✓ Maternal and child health ✓ Infectious diseases (including pneumonia, influenza, HIV/AIDS) ✓ Chronic diseases (including heart disease, diabetes, ✓ lung diseases) Prevention in doctors’ offices (including cancer screening and ✓ immunizations) Access to medical care ✓ Please see the technical notes on page 11 for details on how these measures were calculated. In a recent survey, adults in Gramercy Park and Murray Hill and across New York How City were asked to rate their own health. The options were “Excellent,” “Very Good,” “Good,” “Fair,” and “Poor.” In Gramercy Park and Murray Hill, 90% said Residents their health is “Good,” “Very Good,” or “Excellent.” How people rate their own health is a good indication of the overall health of a community. Rate Most people in Gramercy Park and Murray Hill Their consider themselves healthy 100 90 86 Own 81 80 Health 60 40 "Very Good," or "Excellent" 20 Percent who Percent say health is "Good," 0 Gramercy Park/ New York City USA Murray Hill The Health of Gramercy Park and Murray Hill 3 Heart disease and cancer caused the most deaths in 2001 among Gramercy Park Major and Murray Hill residents. The death rates for most causes were lower in Gramercy Park and Murray Hill than in New York City as a whole, though the Causes of suicide rate was higher. Death Leading Causes of Death in Gramercy Park and Murray Hill, 2001 Gramercy Park/ Gramercy Park/ New York City Murray Hill compared Murray Hill and to NYC as a whole Death rate Death rate No. of (per 100,000 (per 100,000 Higher by Lower by deaths Hospital people)* people)* All causes 783 572736 20% Admissions Heart disease 262 190 304 40% Cancer 246 175 167 5% Pneumonia and influenza 37 27 32 15% Chronic lung disease 27 20 21 5% Stroke 27 20 24 15% Many deaths Drug-related 19 13 10 40% from heart AIDS 17 12 22 45% disease, the Suicide 15 10 5 2 times biggest killer in *Age-adjusted New York City and nationwide, are caused by preventable or Premature death controllable People who die before age 75 can be thought of as dying factors, such as prematurely. The difference between 75 years and the How the overall death rate in Gramercy Park smoking, high age of a person who dies before that is called the “years and Murray Hill ranks among 42 New York City blood pressure, of potential life lost.” Two thirds of the years of neighborhoods high cholesterol, potential life lost in Gramercy Park and Murray Hill were diabetes, and due to 4 causes: cancer, heart disease/stroke, drug- More healthy obesity. related causes, and AIDS. More than 5,000 years of potential life were lost before age 75 in Gramercy Park and Murray Hill in 2001 Other causes: 35% 2,005 years lost Cancer: 28% 1,618 years lost Less healthy AIDS: 9% Heart disease and stroke: 16% 518 years lost 922 years lost Drug-related causes: 11% 645 years lost 4 COMMUNITY HEALTH PROFILES Causes of hospitalization Mental illness is the leading cause of adult hospitalization in Gramercy Park and Murray Hill. The hospitalization data also reveal the burden of illness due to accidents and injuries, as well as alcohol abuse. Hospitalization rates for mental illness and alcohol-related causes were higher in Gramercy Park and Murray Hill than in New York City as a whole. Leading Causes of Hospitalization in Adults in Gramercy Park and Murray Hill, 2001 Gramercy Park/ Gramercy Park/ New York City Murray Hill compared Murray Hill to NYC as a whole No. of Admission rate Admission rate admissions (per 100,000 (per 100,000 Higher by Lower by people)* people)* All causes 13,093 11,876 14,140 15% Mental Illness 1,394 1,193 671 80% Accidents and injuries 1,285 1,191 1,209 <2.5% Heart disease 1,271 1,226 1,744 30% Alcohol-related 990 855 387 2 times Cancer 790 750 654 15% Drug-related 325 278 492 45% Pneumonia and influenza 316 299 433 30% Stroke 295 286 379 25% HIV/AIDS 155 132 167 20% Chronic lung disease 135 131 193 30% *Age-adjusted Mental illness Depression is a common and serious health problem that often goes undiagnosed but is treatable. Other treatable mental health problems, such as anxiety, affect many New Yorkers. The high number of hospitalizations for mental illness among Gramercy Park and Murray Hill residents is one indication of the burden of mental illness there. In addition, in a recent telephone survey, 4% of adults in Gramercy Park and Murray Hill — corresponding to about 4,000 people — reported experiencing serious emotional distress. Thousands of adults in Gramercy Park and Murray Hill report serious emotional distress 7 6 6 5 4 4 3 Percent of Percent adults 2 1 0 Gramercy Park/ New York City Murray Hill The Health of Gramercy Park and Murray Hill 5 Reducing risky HIV/AIDS sexual behavior, While the number of AIDS deaths has dropped dramatically across New York City getting tested for over the past decade, HIV/AIDS remains a very serious public health problem. More HIV, and ensuring than a thousand people in Gramercy Park and Murray Hill are living with HIV/AIDS. high-quality treatment of all HIV-infected people are effective ways of HIV/AIDS in Gramercy Park and Murray Hill, 2001 preventing new HIV Number of people newly diagnosed with HIV 99 infections and AIDS. Number of people living with HIV/AIDS 1,587 The health of mothers and children is an important measure of the overall health The of a community. Ensuring that children get a healthy start and learn healthy Health of behaviors has many long-term benefits. Maternal and infant health Women receiving late or no Mothers prenatal care, 2001 40 Three important measures of 30 and maternal and infant health are: 30 20 1. Early prenatal care (care 15 National 10 Children initiated in the first trimester) goal: Less Percent of Percent live births than 10% 0 2. Low birthweight, which Gramercy Park/ New York City increases the risk for many Murray Hill health problems Babies born with low birthweight, 2001 3. Infant mortality (deaths of 10 (<2,500 grams/5.5 lbs) Healthy 88 babies under one year of age) 8 babies start 6 National with healthy Gramercy Park and Murray Hill are goal: Less 4 mothers who at or better than the citywide than 5% 2 get early, average for these indicators. of Percent live births 0 Gramercy Park/ New York City regular, and Murray Hill high-quality Infant mortality, 1999–2001 prenatal care. 10 8 6.2 6 National 4 3.0 goal: Less than 4.5 1,000 live births 2 Number of deaths per 0 Gramercy Park/ New York City Murray Hill 6 COMMUNITY HEALTH PROFILES Asthma can be Children’s health controlled.
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