DOCSLIB.ORG

2015 Wilkes County Community Health Assessment

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
2015 Wilkes County Community Health Assessment 2015 WILKES COUNTY Report to NCDPH COMMUNITY HEALTH ASSESSMENT March, 2016 Wilkes County Health Department, Wilkes Regional Medical Center, and the Health Foundation, Inc. 1 TABLE OF CONTENTS Acknowledgments ...................................................................................................................... 5 Executive Summary ................................................................................................................... 6 Introduction ............................................................................................................................ 6 The Wilkes County Community............................................................................................... 6 Wilkes County Health Outcomes ............................................................................................ 6 Wilkes County Populations at Risk for Poor Health Outcomes ............................................... 8 Wilkes County Health Priorities .............................................................................................. 8 Next Steps .............................................................................................................................. 8 Introduction: The Community Health Assessment Process ........................................................ 9 Overview ................................................................................................................................ 9 Team Selection Process ......................................................................................................... 9 Team Operational Process ....................................................................................................10 Community Input and Engagement .......................................................................................10 Data Collection Process ........................................................................................................11 Wilkes County: Demographic, Economic and Sociodemographic Data Findings .......................14 County Description and History .............................................................................................14 Demographics .......................................................................................................................15 Economics .............................................................................................................................16 Income ...............................................................................................................................16 Employment .......................................................................................................................16 Sociodemographocs ..............................................................................................................18 Housing .............................................................................................................................18 Primary and Secondary Education .....................................................................................18 Schools and Enrollment ..................................................................................................18 Educational Attainment ...................................................................................................18 High School Drop-out Rate and Graduation Rate ...........................................................18 Crime and Safety ...............................................................................................................19 Crime Rates ...................................................................................................................19 Juvenile Crime ................................................................................................................20 Sexual Assault and Domestic Violence ..........................................................................20 Child Maltreatment .........................................................................................................20 Environmental Data Findings ....................................................................................................22 Air Quality Index ....................................................................................................................22 Toxic Chemical Releases ...................................................................................................22 Drinking Water Systems .....................................................................................................23 2 Solid Waste Disposal .........................................................................................................23 Rabies ...............................................................................................................................23 Health Data Findings.................................................................................................................24 Using Health Data .................................................................................................................24 Health Rankings ....................................................................................................................25 Maternal and Infant Health ....................................................................................................26 Pregnancy Rates ...............................................................................................................26 Overall Pregnancy Rate .................................................................................................26 Teen Pregnancy Rate .....................................................................................................26 Pregnancy Risk Factors .....................................................................................................26 High Parity and Short-Interval Births ...............................................................................26 Lack of Early Prenatal Care ............................................................................................26 Smoking during Pregnancy.............................................................................................27 Birth Outcomes ..................................................................................................................27 Low and Very Low Birth Weight Births ............................................................................27 Infant Mortality ................................................................................................................27 Life Expectancy and Leading Causes of Death .....................................................................28 Life Expectancy..................................................................................................................28 Leading Causes of Death ...................................................................................................28 Morbidity and Chronic Disease ..............................................................................................32 Diabetes ............................................................................................................................32 Overweight and Obesity .....................................................................................................32 Communicable Disease .....................................................................................................33 Mental Health .....................................................................................................................33 Prevention and Health Promotion Needs and Resources ..........................................................34 Health Insurance ...................................................................................................................34 Health Care Providers ...........................................................................................................35 Health Care Facilities ............................................................................................................36 Hospital ..............................................................................................................................36 Health Department .............................................................................................................36 Federally-Qualified Health Center ......................................................................................36 Emergency Medical Services .............................................................................................36 School Health ....................................................................................................................37 Long-Term Care Facilities ..................................................................................................37 Home Care, Home Health and Hospice Services ...............................................................37 Mental Health Services Providers and Service Facilities ....................................................37 3 Other Healthcare Resources ..............................................................................................38 Disease Prevention and Health Promotion Resources .......................................................38 Community Concerns Summary ...............................................................................................40
Load more

Recommended publications
  • Agenda Cumberland County Board of Commissioners Courthouse - Room 118 June 5, 2017 9:00 Am
    AGENDA CUMBERLAND COUNTY BOARD OF COMMISSIONERS COURTHOUSE - ROOM 118 JUNE 5, 2017 9:00 AM INVOCATION Commissioner Marshall Faircloth Minister: Pledge of Allegiance 1. Approval of Agenda 2. Consent Agenda A. Approval of minutes for May 15, 2017 regular meeting. B. Approval of Health Department Request for Payment of Prior Year Invoice. {Pgs. 7-10) C. Approval of Health Department Delinquent Accounts to be Turned Over to the N.C. Debt Set-OffProgram. {Pgs. 11-12) D. Approval of Facilities Committee Report and Recommendations: (Pgs. 13-52) 1) Review of Paving Priorities (For InformationOnly) {Pgs. 14-21) 2) Consideration of Lease Renewal with First Presbyterian Church of Fayetteville {Pgs. 22-24) 3) Consideration of Approval for a Contract forImprovements to Parks for the Towns of Godwin and Wade {Pgs. 25-29) 4) Consideration of Request fromNCDOT for a Drainage Easement (Pgs. 30-35) 5) Update on Headquarters Library Flood Damage Repairs {Pgs. 36-52) 1 E. Approval of Policy Committee Report and Recommendations: (Pgs. 53-65) 1) Consideration and Approval of Local Priorities for the Governor's Resilient Redevelopment Program (Pgs. 54-55) 2) Consideration of Revisions to the County Purchasing Policy (Pgs. 56-65) F. Approval of Declaration of Surplus County Property and Authorization to Accept Insurance Settlement and Approval of Budget Ordinance Amendment B 170848. (Pgs. 66-67) G. Approval of a Proclamation Recognizing Saturday, June 10, 2017 as "International Kingdom Covenant Churches' Youth Summit Day". (Pg. 68) H. Approval of Budget Ordinance Amendments: {Pgs. 69-71) General Fund 101 1) Health Department - Budget Ordinance Amendment Bl 71068 to recognize additional Food and Lodging State funds received in the amount of $19,340 to support Environmental Health operating needs.
    [Show full text]
  • Wilkes County, North Carolina
    MOUNTAIN POVERTY AND RESILIENCE Wilkes County, North Carolina NC Poverty Research Fund ! Summer 2017 Gene Nichol and Heather Hunt NORTH CAROLINA POVERTY RESEARCH FUND 1 MOUNTAIN POVERTY AND RESILIENCE Table of Contents Introduction ................................................................................................................... 2 Statistical Portrait.......................................................................................................... 4 Wilkes’ Distinctive Demographics ....................................................................................... 4 Income and Poverty .............................................................................................................. 9 Housing and Transportation ............................................................................................... 15 Wilkes Labor Force and the Local Economy ..................................................................... 17 Voices of Wilkes County ............................................................................................. 23 The Impact and Challenge of Poverty ............................................................................... 29 Recommendations ...................................................................................................... 32 A Concluding Note – Gene Nichol ............................................................................. 35 Appendix: Additional Figures and Tables ................................................................. 37 Endnotes
    [Show full text]
  • Illicit Drugs in North Carolina
    If you have issues viewing or accessing this file contact us at NCJRS.gov. Illicit Drugs in North Carolina A Perspective from fhe Governor's Crime Commission James B. Hunt Jr. Governor Thurman B. Hampton, Secretary Crime Control and Public Safety Compiled and Edited by The Criminal Justice Analysis Center 7 Illicit Drugs in North Carolina NCJRS. JUN 8 1993 ,<\ CQ U I SITION 5 A Perspective from The Governor's Crime Commission James B. Hunt Jr. Governor Thurman B. Hampton, Secretary Crime Control and Public Safety Compiled and Edited by The Criminal Justice Analysis Center 142547 U.S. Department of Justice National Institute of Justice This document has been reproduced exactly as received from the person or organization originating it. Points of view or opinions stated in this document are those of the authors and do not necessarily represent the official position or policies of the National Institute of Justice. Permission to reproduce this ,I B&ifboaI material has been ~ljtc Danain/BJA u. S. Department of Justice to the National Criminal Justice Reference Service (NCJRS). Further reproduction outside of the NCJRS system requires permission of the ~owner. Preface A major task for the GCC staff is to produce the annual state block grant application for Drug Control and System Improvement Act ftmds from the U.S. Department of Justice. The second half of that larger document is the "Nature and Extent of the Problem" which is an area of interest detailed by the Bureau of Justice Assistance. This year Analysis undertook a complete rewrite of "The Nature and Extent of The Problem" to include some major studies we did plus get the current snapshot of how illegal substances are transported and distributed through our state.
    [Show full text]
  • State of North Carolina Uniform Crime Report 2005 Annual Report
    North Carolina Department of Justice State Bureau of Investigation CRIME IN NORTH CAROLINA 2005 We ?mjHCAmlibrary of RALBGH Uniform Crime Report Roy Cooper Robin P. Pendergraft Attorney General SBI Director State of North Carolina Uniform Crime Report 2005 Annual Report Roy Cooper Attorney General Department of Justice Robin P. Pendergraft Director State Bureau of Investigation i ! Introduction Please Note Figures used in this report are submitted voluntarily by law enforcement agencies throughout North Carolina. Individuals using these tabulations are cautioned against drawing conclusions by making direct comparisons between cities due to the existence of numerous factors which affect the amount and type of crime from place to place. Some of these factors are listed in this report. More valid use can be made of these figures by determining deviations from state averages and through comparisons with averages for cities in similar population groups. It is important to remember that crime is a social problem and, therefore, a concern of the entire community. The efforts of law enforcement are limited to factors within its control. Prepared By State Bureau of Investigation Research and Planning Section 3320 Gamer Road Raleigh, North Carolina 27610 1-888-498-9429 (919) 662-4500 http://sbi.jus.state.nc.us Issued April, 2007 A special note of acknowledgment and gratitude is extended to the North Carolina's Govemor's Crime Commission for generously providing the funding for printing and distribution of this publication and to the over 500 law enforcement agencies throughout North Carolina whose efforts have made this data available. This publication, printed by N.C.
    [Show full text]
  • Crime, Justice, and Order in the North Carolina Piedmont, 1760-1806
    STROUD, JASON MICHAEL, Ph.D. Crime, Justice, and Order in the North Carolina Piedmont, 1760-1806. (2019) Directed by Dr. Greg O’Brien. 345 pp. This dissertation examines crime and disorder in the North Carolina Piedmont between 1760 and 1806, exploring the ways that criminal justice and the law were enforced in the region. It is rooted in an analysis of the colonial and state Superior Court records from Salisbury and Hillsborough and traces the process by which authorities— first the colonial government and then the revolutionary state—attempted to establish and maintain order in the region. This most basic function of criminal justice necessarily involved the identification of individuals and groups of people as criminals by the state. I argue that understanding this legal and juridical process, which marked many of the people of the region as unfit subjects and citizens, helps provide a framework for understanding the turmoil and disorder that characterized the Revolutionary era in the region. As the North Carolina government sought to assert its legitimacy through imposing order, it marked presumptively disorderly men and women including horse thieves, land squatters, “Regulators,” Loyalists, and, significantly, the enslaved, as outlaws. Faced with alienation from legal and political legitimacy, these people resisted, articulating in the process a different conception of justice, one rooted in the social, political, and cultural realities of the region. This dissertation, then, traces a pattern of conflict and turmoil that reveals very different, and at times diametrically opposed, understandings of justice between governing elites and local men and women in the Piedmont. Moreover, by focusing on the interrelated issues of criminality, justice, and order, this work attempts to deepen scholarly understanding of the Revolution in the North Carolina backcountry, in particular the ways it affected the relationship between individuals and the state.
    [Show full text]
  • 2019 Annual Report Table of Contents
    2019 ANNUAL REPORT TABLE OF CONTENTS A Message from Attorney General Josh Stein 2 What does the North Carolina Department of Justice Do? 5 Your Return on Investment in the North Carolina Department of Justice 7 Fighting Crime in North Carolina 8 State Crime Lab 11 North Carolina Justice Academy 15 Law Enforcement Commissions 16 Protecting North Carolina's Seniors and Consumers 18 Addressing the Opioid Crisis 24 Ensuring Access to Clean Air and Water and Protecting Natural Resources 27 Protecting the State and its Taxpayers 30 Educating North Carolinians 35 Standing Up for North Carolinians 38 The Office of Solicitor General 41 Recognizing Leaders in North Carolina 42 A Message to North Carolinians It has been my great honor to serve as your North Carolina Attorney General for three years now. I have the pleasure of working alongside the talented people at the Department of Justice each and every day to do everything in my power to protect the people of this state. I am proud of the work we’ve done to protect North Carolinians from crime and fraud, to protect taxpayers, and to protect our environment. I hope you will enjoy reading more about that work in our 2019 Annual Report. Updates on the Attorney General’s Priorities As you will see in the pages of this report, our work is varied and vast. I’d like to highlight just a few of my top priorities in this introduction. Testing Sexual Assault Kits In 2017, the Department of Justice conducted an inventory of sexual assault kits in local law enforcement custody.
    [Show full text]
  • 2011 Burke County Community Health Assessment Volume I (PDF)
    Burke County Community Health Assessment BURKE COUNTY 2011 COMMUNITY HEATLH ASSESSMENT VOLUME I - 1 - - 1 -Page 1 of 155 Burke County Community Health Assessment Narrative In Burke County a coalition of community partners, Healthy Burke, strives to promote better health for all residents throughout the community. This coalition plus an extended group of community partners and agencies provided assistance with collecting resources and data for the 2011 Community Health Assessment. Together the coalition developed a multi-phase plan for conducting the assessment. The team gathered secondary data from online resources, state and federal level data systems, local county agencies and the Western Piedmont Council of Governments. Second phase gathered primary data from surveys developed and distributed in paper form and online survey managed by Survey Monkey. The team distributed paper surveys and the online link to numerous agencies throughout the county. Third phase included analyzing, detailing and documenting all the data into the final Community Health Assessment report. The next phases will be taking place over the next several months when the team will determine action plans and task forces and strategies to best address the priorities (red flags) found during the assessment period. The last and important phases will be to present this wealth of information back to the stakeholders; the community. A community forum will be held in the Spring of 2012 to present the information and secure manpower and resources to implement successful strategies to improve the health and well being of the entire community. During the data analysis, several things became very clear that the shift in Burke County’s population will be driving a change in some priorities due to the increase of the older adults.
    [Show full text]
  • Nccoa227.Pdf
    NORTH CAROLINA COURT OF APPEALS REPORTS VOLUME 227 7 MAY 2013 4 JUNE 2013 RALEIGH 2016 CITE THIS VOLUME 227 N.C. APP. TABLE OF CONTENTS Judges of the Court of Appeals .......................... v Table of Cases Reported ................................ vii Table of Cases Reported Without Published Opinions ....... viii Opinions of the Court of Appeals ........................ 1-651 Headnote Index ....................................... 653 iii This volume is printed on permanent, acid-free paper in compliance with the North Carolina General Statutes. iv THE COURT OF APPEALS OF NORTH CAROLINA Chief Judge LINDA M. McGEE Judges WANDA G. BRYANT J. DOUGLAS McCULLOUGH ANN MARIE CALABRIA CHRIS DILLON RICHARD A. ELMORE MARK DAVIS MARTHA GEER RICHARD D. DIETZ LINDA STEPHENS JOHN M. TYSON DONNA S. STROUD LUCY INMAN ROBERT N. HUNTER, JR. VALERIE J. ZACHARY Emergency Recall Judges GERALD ARNOLD RALPH A. WALKER Former Chief Judges GERALD ARNOLD SIDNEY S. EAGLES, JR. JOHN C. MARTIN Former Judges WILLIAM E. GRAHAM, JR. JAMES C. FULLER JAMES H. CARSON, JR. K. EDWARD GREENE J. PHIL CARLTON RALPH A. WALKER BURLEY B. MITCHELL, JR. HUGH B. CAMPBELL, JR. HARRY C. MARTIN ALBERT S. THOMAS, JR. E. MAURICE BRASWELL LORETTA COPELAND BIGGS WILLIS P. WHICHARD ALAN Z. THORNBURG DONALD L. SMITH PATRICIA TIMMONS-GOODSON CHARLES L. BECTON ROBIN E. HUDSON ALLYSON K. DUNCAN ERIC L. LEVINSON SARAH PARKER JOHN S. ARROWOOD ELIZABETH G. McCRODDEN JAMES A. WYNN, JR. ROBERT F. ORR BARBARA A. JACKSON SYDNOR THOMPSON CHERI BEASLEY JACK COZORT CRESSIE H. THIGPEN, JR. MARK D. MARTIN ROBERT C. HUNTER JOHN B. LEWIS, JR. LISA C. BELL CLARENCE E. HORTON, JR. SAMUEL J.
    [Show full text]
  • North Carolina Human Trafficking Resource Directory October 2020
    North Carolina Human Trafficking Resource Directory October 2020 DISCLAIMER: The NC HTC has not vetted the organizations or persons listed in this directory. Do not construe placement on this directory as an endorsement or recommendation. We encourage you to research and assess each entity. This project was support by Grant number 2018-V2-GX-0061 awarded by the Office of Victims of Crime, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication, program/exhibition are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office of Victim’s Crime. NC Human Trafficking Resource Directory Important Notes The purpose of this directory is to provide a centralized resource for agencies and groups working to combat human trafficking across the state. The NC Human Trafficking Commission (NC HTC) has not vetted the organizations or persons listed in this directory. Do not construe placement on this directory as an endorsement or recommendation. We encourage all users to research and assess each entity by reviewing agency websites, learning agency mission and values, asking questions about policies, procedures, political or religious affiliations, and previewing admission paperwork or client agreements before determining appropriate fit for referrals. The NC Secretary of State website is also a resource to search for information on a business or charity, including charitable solicitation license status. To search the document for services or location, we recommend using control + find (ctrl + f) Consistent Terminology o Emergency shelter beds: provide 24/7 emergency shelter. To be included in this section, the agency should provide shelter admissions to its target population 24/7, with low barrier requirements.
    [Show full text]
  • Healthy North Carolina 2030: a Path Toward Health
    JANU ARY 2020 HEAL THY N ORTH CAROLIN A A P A TH T O W ARD HEAL T H FUFUNNDEDDED BY BY THE THE B LBUELUE CROSS CROSS AND AND BL UEBL UESH ISHELDIELD OF NORTHOF NORTH CAROL CAROLINA FOUNINA FOUNDATIONDA,TION, THETHE DUKE DUKE END ENDOOWWMMENETN, TAND, AND THE THE KA TEKA TEB. REYB. REYNOLDSNOLDS CHAR CHARITABLEITABLE TRUS TRUST T In partnership with Division of Public Health NC TABLE OF CONTENTS 4 ACKNOWLEDGEMENTS 6 TASK FORCE AND WORK GROUP MEMBERS 16 ACRONYMS 17 EXECUTIVE SUMMARY 21 CHAPTER 1 Introduction The North Carolina Institute of Medicine (NCIOM) is a nonpolitical source of analysis and advice on important CHAPTER 2 health issues facing the state. The NCIOM convenes stakeholders and other interested people from across the 27 state to study these complex issues and develop workable solutions to improve health care in North Carolina. Background CHAPTER 3 The full text of this report is available online at: www.nciom.org 33 Social & Economic Factors North Carolina Institute of Medicine CHAPTER 4 Keystone Office Park 51 630 Davis Drive, Suite 100 Physical Environment 919.445.6150 63 CHAPTER 5 Suggested Citation Health Behaviors North Carolina Institute of Medicine. Healthy North Carolina 2030: A Path Toward Health. Morrisville, NC: North CHAPTER 6 Carolina Institute of Medicine; 2020. 81 Clinical Care Funded by the Blue Cross and Blue Shield of North Carolina Foundation, The Duke Endowment, and the Kate B. 93 CHAPTER 7 Reynolds Charitable Trust. Health Outcomes Any opinion, finding, conclusion, or recommendations expressed in this publication are those of the Task Force and 100 CONCLUSION do not necessarily reflect the views and policies of the Blue Cross and Blue Shield of North Carolina Foundation, The Duke Endowment, and the Kate B.
    [Show full text]
  • Chapter 1 Key Trends and Indicators
    Chapter 1 Key Trends and Indicators KEY TRENDS AND INDICATORS This chapter is a summary of the Greensboro City Data Book, with selected trends and indi- cators chosen from other chapters in the Book because of their importance in directly effect- ing the future growth and development of Greensboro. It is hoped that these major issues will provide glimpse into the City and its place within the Triad region, from population to fi- nances. The criteria for selecting a trend or an indicator to be monitored are that: · the analysis of pertinent data result in change rates that can be tracked over time; · the indicator or trend influences various policies; · the indicator or trend can be measured against state and national data or regulatory standards; and/or · the indicator or trend is a regional force that can impact Greensboro’s future over the next 20 years. The key indicators and trends chosen for inclusion in the second edition of the Greensboro Data Book simply provide a starting point from which further assessment and analysis may be meaningful and useful to the ongoing review and revision of the City’s Comprehensive Plan. These indicators will be followed, with a few potential alterations, throughout the com- ing years in order to examine trends that are impacting the City. List of Key Trends and Indicators • Employment Growth in Triad Regional Counties; • Triad Regional Retail Sales; • Greensboro Annual Population Growth; • Per Capita Income by Selected Areas; • Greensboro’s Unemployment Rate; • Guilford County Employment by Sector;
    [Show full text]
  • Gay Activism and Aids in Charlotte, 1970-1992
    “HOW COULD LOVE BE WRONG?” GAY ACTIVISM AND AIDS IN CHARLOTTE, 1970-1992 by Christina Anne Wright A thesis submitted to the faculty of The University of North Carolina at Charlotte in partial fulfillment of the requirements for the degree of Master of Arts in History Charlotte 2017 Approved by: ______________________________ Dr. Cheryl Hicks ______________________________ Dr. David Goldfield ______________________________ Dr. Kent Brintnall ©2017 Christina Anne Wright ALL RIGHTS RESERVED ii ABSTRACT CHRISTINA ANNE WRIGHT. “How could love be wrong?” Gay activism and AIDS in Charlotte, 1970-1992. (Under the direction of DR. CHERYL HICKS) Sustained gay activism in Charlotte, North Carolina, only emerged in response to the HIV AIDS epidemic. Community building among Charlotte’s closeted gays and lesbians began in the 1970s with the emergence of safe spaces, particularly gay bars. However, before the mid 1980s, activism was intermittent, largely inward facing, and suffered from over-reliance on a few leaders. As the reality of AIDS gripped the community after 1985, two imperatives created by the epidemic gave rise to sustained gay and lesbian activism. First, the critical need to provide care for people suffering from AIDS galvanized the gay community into action and led to the creation of the Metrolina AIDS Project (MAP). MAP became the first outward looking and visible gay organization in Charlotte, and, critically, it enjoyed a degree of civic legitimacy. However, this civic legitimacy did not extend to the second imperative, the more contentious terrain of AIDS education. In this arena Charlotte’s gay activists came into conflict with the Religious Right and the county government, which forced activists to become more politically organized.
    [Show full text]