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Environmental Health Data Set: Clay County, Missouri

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Environmental Health Data Set: Clay County, Missouri CLAY COUNTY PUBLIC HEALTH CENTER Environmental Health Data Set: Clay County, Missouri Environmental Health Protection Section 2015 800 H AINES D RIVE. L IBERTY M ISSOURI 64068 2 Table of Contents Introduction ................................................................................................................................................... 5 Summary of Key Findings ............................................................................................................................ 6 Discussion ................................................................................................................................................... 11 Potential Champions ................................................................................................................................... 14 Supporting Data .......................................................................................................................................... 15 Clay County Demographics .................................................................................................................... 15 Environmental Health ............................................................................................................................. 16 Food Protection ....................................................................................................................................... 16 Surveillance and Infrastructure ........................................................................................................... 18 Foodborne Outbreak Surveillance and Response ............................................................................... 19 Public Health Response to Accidents and Impoundment of Vehicles Transporting Food Products .. 20 Public Education ................................................................................................................................. 20 Recalls ................................................................................................................................................. 20 Lodging Facilities ................................................................................................................................... 21 Child Care Facilities ............................................................................................................................... 22 Vector Control and Zoonotic Diseases ................................................................................................... 22 Food Environment .............................................................................................................................. 24 Physical Activity ................................................................................................................................. 25 Water Quality .......................................................................................................................................... 27 Groundwater and Surface Water ......................................................................................................... 27 Watersheds .......................................................................................................................................... 27 Recreational Waters ............................................................................................................................ 28 Drinking Water ................................................................................................................................... 29 Drinking Water Fluoridation ............................................................................................................... 32 Wastewater Treatment ........................................................................................................................ 32 Homes and Communities ........................................................................................................................ 34 Housing ............................................................................................................................................... 34 Lead..................................................................................................................................................... 34 Radon .................................................................................................................................................. 35 Air Quality .............................................................................................................................................. 37 Indoor Air Quality – Smoking ............................................................................................................ 37 Outdoor Air Quality ............................................................................................................................ 37 Solid Waste ......................................................................................................................................... 4040 3 Toxic Substances and Hazardous Wastes ............................................................................................... 41 Superfund sites ........................................................................................................................................ 41 Recycling ................................................................................................................................................ 45 Emerging Issues in Environmental Health .............................................................................................. 46 Summary of Environmental Health Survey & Community Meeting Results ......................................... 47 Conclusion .................................................................................................................................................. 47 References ................................................................................................................................................... 48 4 Introduction People continuously interact with the environment. This impacts quality of life, years of healthy life, and health disparities between subgroups. Environmental health explores and monitors the complex relationship and interactions between the environment and humans. Activities in environmental health include prevention and control of disease, injury, and disability as they relate to how people interact with the environment. The overall objective for the Clay County Environmental Health Data Profile is to examine environmental health indicators using available public health data. This document provides a comprehensive summary of available environmental health related information for the county. Topics include food protection, foodborne illness, surveillance, outbreak response, vector control and zoonotic diseases, the built environment, water quality, air quality, homes and communities, solid waste, toxic substances and hazardous wastes, superfund sites, recycling, and emerging environmental health issues in public health. This document also includes discussion points for recommended further action based on the information in this profile. 5 Summary of Key Findings • The ultimate goal of environmental health is to promote a healthy environment to prevent or control disease, injury, and disability that occur due to the interaction between humans and the environment.1 • Programs enforced under the Environmental Health Section designated by county ordinances include Food Protection, Onsite Sewage Disposal, and Recreational Waters, and Vector Control. • Clay County Public Health Center’s Environmental Health Section staff permitted an average of 589 food establishments annually and an average of 166 temporary event permits annually from 2010-2014. Each establishment is inspected at a frequency based on their level of risk of food-borne outbreak ranging from a minimum of two inspections to four inspections. An annual average of 1,448 inspections were conducted from 2010- 2014.2 • Though the cause cannot be directly linked to a specific environmental cause, data from the Missouri Department of Health and Senior Services show: o A rate of 0.4 emergency room visits per 1,000 population due to intestinal infection in Clay County residents from 2008 to 2012 (significantly lower than the Missouri rate of 1 per 1,000 population).3 o From 2008 to 2012, there were 17.2 inpatient hospitalizations due to intestinal infections per 10,000 population in Clay County. This was significantly higher than the inpatient hospitalization discharges for Missouri (9 per 10,000 population).4 o In Clay County residents from 2009 to 2013, there were 4 deaths due to Salmonella infections; 0 deaths due to shigellosis and amebiasis; and 58 deaths due to certain other intestinal infections (Clay County rate of 5.7 per 100,000 population, which was significantly higher than the Missouri rate of 3.9 per 100,000 population).5 o Hospital charges due to intestinal infections among Clay County residents totaled over $36.5 million from 2008 to 2012.6 • Recalls on retail food products are an important step in the prevention of foodborne outbreaks by preventing the commerce of contaminated food products. After recalls have been issued by MO DHSS, Clay County Environmental Health staff respond with recommended actions to ensure the removal of recalled foods from commerce. The number of recalls issued vary greatly from year to year. CCPHC
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