Midtown DISTRICT Including Flatiron, Herald Square, Midtown, Midtown South, 5 Times Square and Union Square

Home , Upper East Side

MANHATTAN COMMUNITY Midtown DISTRICT Including Flatiron, Herald Square, Midtown, Midtown South, 5 Times Square and Union Square

Health is closely tied to our daily environment. Understanding how our neighborhood affects our physical and mental health is the first step toward building a healthier and more equitable New York City.

COMMUNITY HEALTH PROFILES 2018 COMMUNITY HEALTH PROFILES 2018: MIDTOWN 1 CENTRAL PARK SOUTH

E 59 ST Who We Are

8 AV New York City LEXINGTON AV W 26 ST AV New York City MADISON NYC population by race AV OF THE PAGE 2 AMERICAS PAGE 6 PAGE 2 W 14 ST NYC population by race E 14 ST Black Population by race IRVING New York York City City MidtownBlack PLACE Elementary School Abseentee On time high school graduation 100.0 PAGE 2 100.0 PAGE 2 Latino PAGE 6 POPULATION87.5 87.5 Latino 75.0 75.0 Black 67% Black 90 100 BY RACE AND62.5 NYC population by race 62.5 Population by race Other 100.0 Elementary School Abseentee On time high school graduation ETHNICITY^ 50.0 50.0 Other 87.5 100.0 Latino 37.5 PAGE 2 29% 32% 37.5 PAGELatino 2 Asian PAGE 6 75.0 22% 87.5 25.0 15% 25.0 19%Asian 62.5 75.0 Black 67% Black 75 12.5 12.5 Population by race8% 90 100 50.0 2% 62.5 Other 4% 1% 2% OtherWhite Elementary School Abseentee On time high school graduation 0.0 100.0 0.0 60 87.5 32% 50.0 100.0 White 37.5 Asian Black Latino29% White Other Latino Latino New York75.0 City22% 37.5 87.5 Asian Black Latino White Other 25.0 Asian Asian 62.5 15% 75.0 67% 25.0 19% 90 100 50 12.5 50.0 2% Other62.5 Other 75 0.0 37.5 29% 32% 12.5 Population50.0 4% by age8% 22% White 1% 2% White NYC25.0 Asianpopulation15%Black Latino by ageWhite Other 0.0 Asian37.5 Asian 60 NYC populationTOTAL by race 12.5 25.0 19% 30 2% Asian Black Latino8% White Other 75 0.0 White12.5 4% 45% 1% 2% White 0.0 60 25 PAGE 2 POPULATION 8,537,673Asian Black Latino PAGEWhite 2Other 45.0 53,120 PAGE 6 50 45.0 Asian Black Latino White Other NYC population by age Population by age 50 Black32% Population by race Population byBlack age 100.0 NYC population by age Elementary School Abseentee On30 time high school graduation 87.5 100.0 22% 30 POPULATION Latino 25% 22.5 Latino45% 0 250 75.0 45.0 21% 87.5 45.0 45% 22.5 45.0 45.0 13% 25 62.5 BY AGE 75.0 14% 67% 12% 90 100 50.0 Other62.532%32% 7% Other 32% 9% 50.0 37.5 29% 25% 25.0 22% Asian37.5 25% Asian 22% 15% 22.5 21% 0.0 22.5 22% 0 Highest Level of Education0 Achieved 21% 25.0 19% 22.5 0 0 12.5 22.5 2% 14% 75 0.0 12.5 8% 0-17 18-2412% 25-44 45-6413% 65+ 0.0 9% White 14%4% 1% 2% White 13% Asian Black Latino White Other 0-17 18-24 25-440.0 45-64 65+ 7% 12% 60 9% Asian Black Latino White Other 7% 0.0 0.0 Highest Level of Education Achieved 0-17 18-24 25-44 45-64 65+ 0-17 18-24 25-44 45-64 65+ 50 NYC population by age 0.0 Population by age 0.0 Born outside US English pro ciency Highest Level of Education Achieved Born0-17 outside18-24 US25-44 45-64 65+ English pro ciency0-17 18-24 25-44 45-64 3065+ 45% 45.0 Born outside US45.0 English pro ciencyBorn outside US English pro ciency 25 BORN OUTSIDE32% 25% Born outside US 22%EnglishBorn pro ciency outside US English pro ciency 22.5 21%THE US 22.5 0 0 14% 12% 13% 9% 37% 7% 28% 0.0 0.0 Highest Level of Education Achieved 0-17 18-24 25-44 45-64 65+ 0-17 18-24 25-44 45-64 65+

Born outside US English pro ciencyBorn outside US English pro ciency 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 HAVE LIMITED 2000 ENGLISH PAGE 8 Non-fatal Assault Hospitalizations Incarceration2000 PROFICIENCY 23% PAGE 810%Non-fatal Assault Hospitalizations 1500 0 20 40 60 80 Incarceration100 0 20 40 60 80 100 0 20 40 60 80 100 Edit in Indesign. Graph applies to all CDs. 1000 20001500

PAGE 8 Non-fatal Assault0 20 40 Hospitalizations60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 Incarceration Edit in Indesign. Graph applies to all CDs. ^White, Black, Asian and Other exclude Latino ethnicity. Latino is Hispanic or Latino of any race. 500 2000 15001000 Note: Percentages may not sum to 100% due to rounding. PAGE 8 Non-fatal Assault Hospitalizations0 40 80 120 Incarceration160 200 Sources: Population, Race and Ethnicity and Age: U.S. Census Bureau Population Estimates, 2016; Born Outside the U.S. and English Proficiency: U.S. Census Bureau, American 0 Edit in Indesign. Graph applies to all CDs. Community Survey, 2012-2016 1500 1000500 Edit in Indesign. Graph applies to all CDs. 0 40 801000 120 160 200 2 COMMUNITY HEALTH PROFILES 2018: MIDTOWN 5000 500 0 40 80 120 160 200 0 40 80 120 160 200 0 0 Note from Oxiris Barbot, Commissioner, New York City Department of Health and Mental Hygiene

We are pleased to present the 2018 Community Health Profiles, a look into the health of New York City’s (NYC) 59 diverse community districts.

The health of NYC has never been better. Our city’s life expectancy is 81.2 years, 2.5 years higher than the national average.

However, not all residents have the same opportunities to lead a healthy life. A ZIP code should not determine a person’s health, but that’s the reality in so many cities, including our own.

The Community Health Profiles allow us to see how much health can vary by neighborhood. Policies and practices based on a history of racism and discrimination (often referred to as structural racism) have created neighborhoods with high rates of poverty and limited access to resources that promote health. The practice of removing funding or refusing to provide funding to communities of color has caused poor health outcomes to cluster in these communities.

The Community Health Profiles also show how important community resources, and funding to create and sustain these resources, are to health outcomes. For example, supermarkets provide more access to fresh foods than bodegas. However, in some neighborhoods with obesity rates higher than the citywide average, just 5% of food establishments are supermarkets, making it difficult for residents to make healthy choices.

Addressing these inequities may seem like a daunting task, but by working together, we can dismantle the unjust policies and practices that contribute to poor health in our communities. Through Take Care New York 2020 (TCNY 2020), and other New York City Health Department programs, we work with community partners to give every resident the same opportunity for good health. We are making progress, but there is more work to do.

Reducing health inequities requires policymakers, community groups, health professionals, researchers and residents to work together for change at every level. We look forward to working with you to improve the health of our city.

Sincerely,

Oxiris Barbot, MD

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

COMMUNITY HEALTH PROFILES 2018: MIDTOWN 3 Table of Contents

Who We Are Healthy Living PAGE 2 PAGE 13

Understanding Health Health Care Inequities in New York City PAGE 14-15 PAGE 5

Social and Economic Health Outcomes Conditions PAGE 16-18 PAGE 6-8

Housing and Notes Neighborhood Conditions PAGE 19 PAGE 9-10

Map and Contact Maternal and Child Health PAGE 11-12 Information BACK COVER

NAVIGATING THIS DOCUMENT This profile covers all of Manhattan’s Community District 5, which includesFlatiron, Herald Square, Midtown, Midtown South, Times Square and Union Square. This is one of 59 community districts in NYC. The community district with the most favorable outcome in NYC for each measure is presented throughout the report. Sometimes this is the highest rate (e.g., physical activity) and sometimes this is the lowest rate (e.g., infant mortality). Some figures include an arrow to help readers understand the direction of the healthier outcome. This profile uses the following color coding system:

LOWEST/HIGHEST MIDTOWN MANHATTAN NEW YORK CITY COMMUNITY DISTRICT

4 COMMUNITY HEALTH PROFILES 2018: MIDTOWN Understanding Health Inequities in New York City

The ability to live a long and healthy life is not equally available to all New Yorkers. A baby born to a family that lives in the Upper East Side will live 11 years longer than a baby born to a family in Brownsville. This inequity is unacceptable.

Resources and opportunities are at the root of good health. These include secure jobs with benefits, well-maintained and affordable housing, safe neighborhoods with clean parks, accessible transportation, healthy and affordable food, and quality education and health care.1 In NYC, access to these resources and opportunities are not equitably distributed. Neighborhoods with residents of color often have fewer resources.

Since the 1600s—when NYC was established by colonization—racist policies and practices have shaped where New Yorkers live and go to school, what jobs they have and what their neighborhoods look like. Over time, these policies and practices have built on each other to create deep inequity.

For example, in the 1930s the federal government developed a policy known as redlining. As part of this policy, neighborhoods were rated based on the race, ethnicity and national origin of their residents. Neighborhoods that were home to people of color, like Central Harlem and Brownsville, were outlined in red on a map. They were labeled as "hazardous" and no home loans or other investments were approved there. The wealthiest and Whitest neighborhoods in NYC received, and continue to receive, more investment and opportunities for health.2

The denial of resources and opportunities that support good health contributes to the differences in life expectancy we see today. Experiencing racism is also a health burden, creating chronic stress that contributes to major causes of death, like diabetes and heart disease.3

To better understand the successes and challenges in each of NYC’s 59 neighborhoods, the Community Health Profiles present data on a range of measures. These data should be interpreted with an understanding that good health is not only determined by personal choices. Many other factors shape differences in health outcomes, including past and current discrimination based on race, ethnicity, national origin, gender, sexual orientation and other identities. We hope the Community Health Profiles support your efforts in making NYC more equitable for all. For more information on the New York City Health Department programs and services that are closing the gap in health outcomes, visit nyc.gov/health.

1 Marmot M, Friel S, Bell R, et al. Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health. The Lancet. 2008; 372(9650): 1661–1669. 2 Undesign the Redline. http://www.designingthewe.com/undesign-the-redline. Accessed March 13, 2018. 3 Krieger N. Embodying inequality: A Review of Concepts, Measures, and Methods for Studying Health Consequences of Discrimination. International Journal of Health Services. 1999; 29(2): 295-352.

COMMUNITY HEALTH PROFILES 2018: MIDTOWN 5 Social and Economic Conditions

Education Higher education levels are associated with better health outcomes. Missing too many days of school can cause students to fall behind and increases their risk of dropping out. Midtown’s elementary school absenteeism rate is lower than the rate for NYC overall. Nine out of 10 high school students in Midtown graduate in four years, higher PAGE 2 PAGE 2 PAGE 6 PAGEthan the 6 citywide rate.

Black Black ELEMENTARY SCHOOL ABSENTEEISM ON-TIME HIGH SCHOOL GRADUATION PopulationPopulation by race by race Elementary School Abseentee On time high school graduation Elementary(percent School of public Abseentee school students in grades K through 5 missingOn time 19 or high(percent school of public graduation school students graduating in four years) 100.0 100.0 Latino Latino more school days) 87.5 87.5 75.0 96% 75.0 67% 67% 90 90 100 100 92% 62.5 62.5 Other Other 50.0 50.0 37.5 37.5 Asian Asian 75% 25.0 25.019% 19% 75 73% 8% 8% 75 12.5 12.5 4% 4% 1% 2%1% 2% White White 60 0.0 0.0 60 Asian BlackAsianLatinoBlackWhiteLatinoOtherWhite Other PAGEPAGEPAGE 2 2 2 PAGEPAGEPAGE 6 6 6 50 50 BlackBlackBlack PopulationPopulation by age by age PopulationPopulationPopulation by by by race race race ElementaryElementaryElementary School School School Abseentee Abseentee Abseentee OnOnOn time time time high high high school school school graduation graduation graduation 30 100.0100.0100.0 30 LatinoLatinoLatino 45% 45% 87.587.587.5 19% 20% 45.0 45.0 18% 25 25 75.075.075.0 67%67%67% 909090 100100100 62.562.562.5 OtherOtherOther 50.050.050.0 5% 22% 22% 37.537.537.5 22.5 22.5 0 0 AsianAsianAsian 0 0 25.025.025.0 19%19%19% 757575 12% 12% 13% 13% 8%8%8% Midtown Manhattan NYC Lowest: Midtown Manhattan NYC Highest: 7% 12.512.512.5 4%4%4% 1%1%1% 2%2%2% WhiteWhiteWhite 7% 0.00.00.0 Bayside and606060 Little Neck Financial District AsianAsianAsian BlackBlackBlack LatinoLatinoLatinoWhiteWhiteWhite OtherOtherOther 0.0 0.0 HighestHighest Level of Level Education of Education Achieved Achieved 0-17 18-240-1725-4418-2445-6425-44 65+45-64 65+ 505050 PopulationPopulationPopulation by by by age age age Source: NYC Department of Education, 2016-2017 Note: NYC and borough On-time High School Graduation data may differ from rates presented in other published sources. See technical notes in the public use dataset 303030 for more details. 45%45%45% Born outsideBorn outside US US 45.045.045.0EnglishEnglish pro ciency pro ciency Source: NYC Department of Education,25 25201725

22%22%22% 22.522.522.5 HIGHEST LEVEL OF EDUCATION000 ACHIEVED (percent of adults ages 25 and older) 000 12%12%12% 13%13%13% 7%7%7% High school 0.00.00.0 HighestHighestLessHighest than Level Level Level graduateof of of Education Education Education or Achieved Achieved Achieved 0-170-170-17 18-2418-2418-24 25-4425-4425-44 45-6445-6445-64 65+65+65+ high school some college College graduate Four out of five adults Midtown 6% 17% 78% BornBornBorn outside outside outside US US US 0 20 40 60 0 80 20English100EnglishEnglish40 600 2080 10040pro ciency pro ciency pro ciency60 0 80 20 100 40 060 2080 40100 60 0 80 20 100 40 60 80 100 in Midtown have a college degree. Six 2000 2000 Manhattan 13% 23% 64% percent of adults PAGE 8 PAGENon-fatal 8 Non-fatal Assault Assault Hospitalizations Hospitalizations IncarcerationIncarceration have not completed high school, a rate 1500 1500 NYC 19% 38% 43% lower than the citywide rate. Edit in Indesign.Edit in Indesign. Graph applies Graph appliesto all CDs. to all CDs. 1000 1000 Highest % college graduate: 4% 12% 84% Financial District, Greenwich Village-Soho

0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 500 500Source: U.S. Census Bureau, American Community Survey, 2012-2016 200020002000 0 0 40 40 80 80 120 PAGEPAGEPAGE120 1608 8 8 Non-fatalNon-fatalNon-fatal160 200 Assault Assault Assault200 Hospitalizations Hospitalizations Hospitalizations IncarcerationIncarcerationIncarceration 0 0 150015001500 6 COMMUNITY HEALTH PROFILES 2018: MIDTOWN EditEditEdit in in in Indesign. Indesign. Indesign. Graph Graph Graph applies applies applies to to to all all all CDs. CDs. CDs. 100010001000

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000 404040 808080 120120120 160160160 200200200 000 Social and Economic Conditions

Economic stress Living in high-poverty neighborhoods limits healthy options and makes it difficult to access quality health care and resources that promote health. In Midtown, 11% of residents live in poverty, compared with 20% of NYC residents. Access to affordable housing and employment opportunities with fair wages and benefits are also closely associated with good health. Midtown’s unemployment rate is lower than the citywide average of 9%. Rent burdened households pay more than 30% of their income for housing and may have difficulty affording food, clothing, transportation and health care. Forty-one percent of Midtown residents are rent burdened, a lower rate than residents citywide.

ECONOMIC STRESS Many of the Midtown Manhattan NYC Lowest % factors that affect health happen Poverty 11% 14% 20% 7% (percent of residents) Upper East Side outside of a doctor’s office. Unemployment 5% 7% 9% 4% This includes (percent of people ages 16 and older) Upper East Side access to quality education, jobs Rent Burden 41% 45% 51% 37% and safe spaces (percent of renter-occupied homes) Park Slope and to live. Residents Carroll Gardens in high-poverty

Note: Unemployment data may differ from rates presented in other published sources. See technical notes in the public use dataset neighborhoods for more details. often lack these Sources: Poverty: American Community Survey as augmented by NYC Opportunity, 2012-2016 (community district and NYC), 2016 resources. (borough); Unemployment and Rent Burden: U.S. Census Bureau, American Community Survey, 2012-2016

Is your neighborhood gentrifying? Gentrification transforms a low-income area into a high-income area through neighborhood redevelopment. It is often defined as changes in the racial and ethnic makeup, education level and average income of a neighborhood's residents, as well as changes in housing and commercial businesses. While development may be beneficial, it is often inequitable, and can lead to displacement of long-time residents and businesses.

Gentrification can be measured in many ways. One measure that is used in NYC is to determine if a low-income neighborhood (those with the lowest 40% of average household income in 1990) saw higher than median rent growth over the past 20 years. Based on this definition, of the 24 neighborhoods that were considered low-income in 1990, 17 were considered to be gentrifying. Midtown is one of 35 neighborhoods within the highest 60% of average household income in 1990 and was excluded from the measure.

Source: NYU Furman Center, 2015

COMMUNITY HEALTH PROFILES 2018: MIDTOWN 7 PAGE 2 PAGE 6

Black Population by race Elementary School Abseentee On time high school graduation 100.0 Latino 87.5 75.0 67% 90 100 62.5 Other 50.0 37.5 Asian 25.0 19% 8% 75 12.5 4% 1% 2% White 0.0 60 Asian Black Latino White Other 50 Population by age 30 45% 45.0 25

22% 22.5 0 0 12% 13% 7%

0.0 Highest Level of Education Achieved 0-17 18-24 25-44 45-64 65+

Born outside US English pro ciency

Social and Economic Conditions

0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 Violence Compared with the citywide rate, Midtown has a lower rate of assault-related2000 hospitalizations. PAGE 8 Non-fatal Assault Hospitalizations Incarceration NON-FATAL ASSAULT HOSPITALIZATIONS (per 100,000 people) 1500 Hospitalizations 25 Midtown related to injuries fromEdit assaults in Indesign. Graph applies to all CDs. 49 Manhattan 1000 capture the 59 NYC consequences 500 of community 8 Lowest: Bayside and Little Neck violence. 0 40 80 120 160 200 More healthy Less healthy 0 Source: New York State Department of Health, Statewide Planning and Research Cooperative System, 2012-2014

Incarceration Incarceration takes a toll on individuals, families and communities. Black and Latino New Yorkers experience higher policing compared with non-Latino White New Yorkers. This leads to higher rates of detention, which may include long periods of time spent in jail before trial. People who have been incarcerated are more likely to experience mental and physical health problems. They may also have trouble finding employment and housing and accessing healthy food.

JAIL INCARCERATION (per 100,000 adults ages 16 and older) 2000

297 425 NYC 407 71 Manhattan 0 Lowest: Upper East Side Midtown Source: NYC Department of Corrections, 2015-2016 PAGE 8 PAGE 10 PAGE 11 ADULTS REPORTING THAT THEIR NEIGHBORS Helpful neighbors Percent of adults who agree that their Bike Lanes Late or no prenatal care Strong social connections can have a positive impact AREneighbors WILLING are TO willing HELP to ONE help ANOTHER one another on the health of community members. Feeling that our (percent of adults) neighbors are willing to help each other is one aspect of Midtown 66% community connection. In Midtown, 66% of residents Manhattan 70% think that their neighbors are willing to help one another. This is similar to the rest of the city. NYC 72% Highest: Tottenville and Great Kills 86% Preterm births

Less healthy More healthy

Source: NYC DOHMH, Community Health Survey, 2015-2016 0 20 40 60 80 100 PAGE 9 8 HomesCOMMUNITY with air conditioners HEALTH PROFILES 2018: MIDTOWN Pedestrian Injury 100 Teen births 80

0 20 40 60 80 100 Homes without maintenance defects

80 0 20 40 60 80 100 70 60 50 PAGE 12 PAGE 12 40 30 Child Asthma emergency Childhood Obesity 20 department visits 10 0 300

Cockroaches 250 200

150

100

0 0 20 40 60 80 100 PAGE 8 Housing and NeighborhoodPAGE 10PAGE 8 Conditions PAGE 11 PAGE 10 PAGE 11 Percent of adults who agree that their Bike LanesPercent of adults who agree that theirLate or no prenatalBike Lanes care Late or no prenatal care neighbors are willing to help one another neighbors are willing to help one another

The environment we live in can make it easier or more difficult for New Yorkers to lead healthy lives.

Air conditioning Air pollution Most heat stroke deaths in NYC occur in homes Though air quality is improving in NYC in general,Preterm it varies births Preterm births PAGE without8 air conditioning. Almost all households in PAGE by10 community district. In Midtown, levels of the PAGEmost 11 Midtown have working air conditioners. harmful air pollutant, fine particulate matter (PM2.5), are Percent of adults who agree that their 0 Bike20 Lanes11.3 micrograms40 60 per cubic80 meter.100 Late or no0 prenatal20 care40 60 80 100 neighbors are willing to help one another PAGE 9 AIR CONDITIONING PAGEAIR POLLUTION 9 Homes (percent with airof households) conditioners PedestrianHomes(micrograms Injury with of fine air particulate conditioners matter per cubic meter) Pedestrian Injury 95% 99% 100 93% 89% 100 11.3 Teen births Teen births 80 More 80 Midtown healthy 60 60 9.0 Preterm births 40 40 Manhattan 7.5 20 Less 20 healthy 0 20 40 60 80 NYC100 0 0 6.0 PAGE Midtown9 Manhattan NYC Highest: Tottenville and Lowest: Homes with air conditioners 0 Pedestrian20 40Injury 60 80 100 Rockaway and Broad Channel 0 20 40 60 80 100 Homes without maintenance defectsGreat Kills Homes without maintenance defects 100 Source: NYC Housing and Vacancy Survey, 2014 Source: NYC DOHMH, Community Air Survey, 2016 Teen births 80 80 0 20 40 60 80 100 0 20 40 60 80 100 80 70 Housing quality 70 60 60 Every resident has the right to live in housing that is safe and 60pest-free. Poorly maintained housing is associated with poor 50 PAGE 1250 PAGE 12 PAGE 12 PAGE 12 40 health outcomes, including worsened asthma and other respiratory illnesses. In Midtown, only 54% of renter-occupied 40 40 homes are adequately maintained by landlords – free Childfrom heating Asthma breakdowns, emergency cracks, holes, peeling paint and other 30 20 30 Childhood ObesityChild Asthma emergency Childhood Obesity 20 defects. Fifteen percent ofMidtown households reportdepartment seeing20 cockroaches, visits which is a potential asthma trigger. department visits 10 0 10 0 HOMES WITHOUT MAINTENANCE 0HOMES REPORTING COCKROACHES 300 300 DEFECTS (percent of renter-occupied homes) 0 (percent20 of 40households)60 80 100 Homes without maintenance defects Cockroaches 250 Cockroaches 250 More 75% 200 0 20 40 60 80 100 80 healthy 200 70 15% Midtown 60 54% 150 150 48% 50 44% PAGE 12 PAGE 12 100 20% Manhattan 100 40 30 50Child Asthma emergency Childhood Obesity50 NYC 20 department visits23% Less 10 0 0 healthy 0 0 20 40 60 80 100 00% 20 40 Lowest:60 Tottenville80 and Great 100Kills Midtown Manhattan NYC Highest: 300 Tottenville and Cockroaches Great Kills 250 Note: Maintenance defects include water leaks, cracks and holes, inadequate 200 Source: NYC Housing and Vacancy Survey, 2014 heating, presence of mice or rats, toilet breakdowns or peeling paint. Source: NYC Housing and Vacancy Survey, 2014 150

100

COMMUNITY HEALTH PROFILES 2018: MIDTOWN 50 9 0 0 20 40 60 80 100 PAGE 8 PAGE 10 PAGE 11

Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another

Housing and Neighborhood Conditions

Preterm births Bicycle network coverage Pedestrian injury Twenty-seven percent of roads in Midtown have Midtown residents have a similar pedestrian injury PAGE 8 PAGEbike lanes, 10 which is higher than NYC overall. PAGE0hospitalization 11 20 rate40 compared60 with80 NYC 100overall. PAGE 9 Percent of adults who agree that their BikeBICYCLEHomes Lanes with NETWORK air conditioners COVERAGE Late orPEDESTRIANPedestrian no prenatal Injury care INJURY HOSPITALIZATIONS neighbors are willing to help one another (percent of streets with bike lanes) (per 100,000 people) 100 Teen births

80 27% Midtown 18 Midtown 60 29% Manhattan 21 Manhattan 40 NYC 23 NYC 20 10% Preterm births Highest: Crown Heights 0 45% and Prospect Heights 9 Lowest: Greenwich Village and Soho

0Less healthy20 40 60 80 More100 healthy 0More healthy20 40 60 80Less healthy100 PAGE 9 Homes without maintenance defects Source: New York State Department of Health, Statewide 0 20 40 60 80 100 Homes with air conditioners 80Pedestrian Injury Planning and Research Cooperative System, 2012-2014 70 Access to bike lanes can make it easier and 100 60 safer to ride a bike more often. Teen births 50 PAGE 12 PAGE 12 80 40 Source: NYC Department of Transportation, 2017 60 30 Child Asthma emergency Childhood Obesity 20 department visits 40 10 0 20 300 Food environment 0 250 BodegasCockroaches are less likely to have healthy food options than SUPERMARKET TO BODEGA RATIO 0supermarkets.20 The40 lowest60 ratio among80 NYC100 community For200 every one supermarket in Midtown, there are 11 bodegas. Homes without maintenance defects districts is one supermarket for every three bodegas 150 (healthier); the highest is one supermarket for every 570 20 40 60 80 100 80 100 11 70 bodegas (less healthy). Midtown is home to four of NYC’s 60 farmers markets, another source of healthy food. 50 50 PAGE 12 PAGE 12 40 0 Child0 Asthma20 emergency40 60 80 100 30 It is easier to make healthy choices when Childhood Obesity1 20 department visits 10 healthy, affordable food is readily available. 0 300 Supermarket Bodegas Cockroaches 250 200 Source: Farmers Markets: NYC DOHMH Bureau of Chronic Disease Prevention and Tobacco Control, 2017; Supermarket to Bodega Ratio: New York State Department of 150 Agriculture and Markets, October 2016

100

0 0 20 40 60 80 100

10 COMMUNITY HEALTH PROFILES 2018: MIDTOWN Maternal and Child Health

Pregnancy outcomes In Midtown, the rate of expectant mothers receiving late or no prenatal Access to quality health care is lower than the citywide rate. One in 15 births to Midtown care is critical to a mother’s residents is preterm (three or more weeks before the due date), lower health before, during and after than the citywide rate. pregnancy, and to the health of our littlest New Yorkers.

PAGE 8 PAGE 10 PAGE 11 LATE OR NO PRENATAL CARE Percent of adults who agree that their Bike Lanes (percentLate or of nolive births)prenatal care neighbors are willing to help one another PAGE 8 PAGE 10 PAGE 11 1.3% 2.5% 4.9% 6.7% Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another Lowest: Midtown Manhattan NYC Financial District PAGE 8 Source:Preterm NYCPAGE DOHMH, births 10 Bureau of Vital Statistics, 2015 PAGE 11 Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another 0 20 40 60 80 100 PRETERMPreterm births BIRTHS PAGE 9 (percent of live births) 8.7% Homes with air conditioners Pedestrian Injury Preterm birth is 0 20 40 60 80 100 a key driver of 100 5.4% 6.7% 8.3% PAGE 9 Teen births infant death. 80 Preterm births Homes with air conditioners Pedestrian Injury Lowest: Midtown Manhattan NYC 60 Greenpoint and Williamsburg 100 Source:Teen NYC births DOHMH, Bureau of Vital Statistics, 2015 40 80 0 20 40 60 80 100 20 PAGE 9 60 0 Homes with air conditioners Pedestrian Injury 40 TEEN BIRTHS 20 0100 20 40 60 80 100 Teen pregnancy Teen births Homes without maintenance defects Teen pregnancy has declined across NYC; (per 1,000 females ages 15 to 19) 0 80 0Midtown's 20teen birth rate40 is 4.0 per60 1,000 80 100 80 60 4.0 Midtown teen girls. 70 0 20 40 60 80 100 40 60Homes without maintenance defects 12.0 Manhattan 50 PAGE 12 PAGE 12 20 4080 0 20 40 60 80 100 NYC 3070 Child0 Asthma emergency Childhood Obesity 19.3 2060 department visits 50 PAGE 12 PAGE 12 Lowest: Greenwich Village and Soho 10 0 20 40 60 80 100 1.0* 400 Homes300 without maintenance defects *Interpret estimate with caution due to small number of events. 30 Child Asthma emergency Childhood Obesity department visits 0Source: NYC DOHMH,20 Bureau of Vital40 Statistics, 2013-201560 80 100 20Cockroaches 80250 10 70 0 200 60300 50 PAGE 12 PAGE 12 150 40250 Cockroaches Child Asthma emergency 30100 COMMUNITY HEALTH PROFILES 2018: MIDTOWN Childhood Obesity 11 20200 department visits 10 50 150 0 0 300 0 20 40 60 80 100 100 250 Cockroaches50 200 0 0 20 40 60 80 100 150

100

0 0 20 40 60 80 100 PAGE 8 PAGE 10 PAGE 11

Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another

Preterm births

0 20 40 60 80 100 PAGE 9 PAGE 8 PAGE 10 PAGE 11 Homes with air conditioners Pedestrian Injury

Percent100 of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another Teen births 80

20 0 Preterm births

0 20 40 60 80 100 Homes without maintenance defects Maternal and Child Health 0 20 40 60 80 100 80 0 20 40 60 80 100 PAGE70 9 Homes60 with air conditioners Pedestrian Injury 50 ChildhoodPAGE obesity 12 CHILDHOODPAGE 12 OBESITY (percent of public school children in grades K through 8) 40 One out of 11 Midtown children in grades K 100 Child Asthma emergency Childhood Obesity Teen births 30 through 8 has obesity. This is lower than the 9% 16% 20% 5% 2080 department visits 10 citywide rate of one in five. 060 300 40 250 Cockroaches20 200 Midtown Manhattan NYC Lowest: 0 150 Financial District

100 0 20Source: NYC Department40 of Education,60 2016-2017 80 100 Homes without maintenance defects 50 80 0 20 40 60 80 100 70 0 0 20 40 60 80 100 60 50 PAGE 12 PAGE 12 40 Children’s emergency department visits CHILD ASTHMA EMERGENCY 30 Many childhood asthma emergency departmentChild AsthmaDEPARTMENT emergency VISITS Childhood Obesity 20 department visits visits could be prevented by reducing the presence (per 10,000 children ages 5 to 17) 10 0 of pests, mold, secondhand smoke and other asthma 300 triggers, and by taking daily medication. The asthma 264 Cockroaches emergency department visit rate among children250 ages 223 5 to 17 in Midtown is less than half of the citywide200 rate. The TCNY 2020 goal is to have fewer than 210 asthma 150 emergency department visits per 10,000 children 98 across the entire city. 100

50 28

0 0 20 40 60 80 100 Midtown Manhattan NYC Lowest: Financial District

Source: New York State Department of Health, Statewide Planning and Research Cooperative System, 2015

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

12 COMMUNITY HEALTH PROFILES 2018: MIDTOWN PAGE 12 PAGE 15

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

40 40

20 20

Healthy Living 0 0

0 100 200 300 400 500 600 700 800 PAGE 16 80 Self-reported health PAGEADULTS 13 REPORTING THEIR OWN HEALTHHIV AS "EXCELLENT," How residents feel about their own health Self-Reported"VERY GOOD" Health OR "GOOD" (percent of adults) can be a good measure of overall mental Midtown 86% Edit in Indesign. Graph applies to all CDs. and physical health. Eighty-six percent of Manhattan 83% Midtown residents rank their health as “excellent,” “very good” or “good,” higher NYC 78% than the rest of NYC. The TCNY 2020 goal Highest: Upper West Side 93% for the city is at least 82%. 0 20 40 60 80 100 Less healthy More healthy Source: NYC DOHMH, Community Health Survey, 2015-2016 0 PAGE 14 Physical activity, diet and smoking PAGE 17 Eighty-three percent of Midtown adults reportAvoidable getting any Hospitalizations physical activity in the past HEP C 150 30 days, higher than New Yorkers overall. The percentage of Midtown adults who report Federal guidelines eating at least one serving of fruits or vegetables in the past day is similar to the citywide recommend average of 87%. that adults get Edit in Indesign. Graph applies to all CDs. 150 minutes of Sugary drink consumption can increase the risk of type 2 diabetes, heart disease, moderate exercise cavities, weight gain and obesity. Industry marketing can affect behavior and sugary each week. People drinks are heavily marketed to youth and communities of color. While sugary drink who are physically consumption has decreased to 23% in NYC, the TCNY 2020 goal is to reduce sugary drink active are more consumption to less than 19% citywide. Eleven percent of Midtown adults drink at least likely to live longer, 0 200 400 600 800 1000 1200 one sugary drink a day. healthier lives.0 PAGE 18 The adult smoking rate in Midtown is similarFalls to the rest of the borough and other parts of NYC. The City is committed to reducing the citywide adult smoking rate to 12% by 2020. Psychiatric hospitalizations Infant Mortality

PHYSICAL ACTIVITY, DIET AND SMOKING (percent of adults)

Midtown Manhattan NYC Highest %

Any physical activity in the past 30 days 83% 81% 73% 90% Financial District, Greenwich Village- Soho At least one serving of fruits or vegetables per day 0 91%500 1000 90%1500 2000 87%2500 0 10096%200 300 400 500 600 700 800 0 1 2 3 4 5 Financial District, Greenwich Village- Soho CD NYC Midtown Manhattan NYC Lowest % Binge Drinking (use graph to the right to mark points) Premature One or more 12-ounce sugary drinks 11% 17% 23% 8% Death per day Financial District, Greenwich Village- Soho Current smokers 11% 13% 14% 8% Upper East Side Source: NYC DOHMH, Community Health Survey, 2015-2016 Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

COMMUNITY HEALTH PROFILES 2018: MIDTOWN 13 Binge Drinking (use graph below to mark points) 100 80 60 40 20 00 20 40 60 80 100 PAGE 12 PAGE 15

Avoidable hospitalizations HPV Flu among children Health Care 100 100

80 80

60 60 Access to health care Citywide, the percentage of uninsured New Yorkers decreased in the last five years Health insurance40 40 from 20% to 12%. In Midtown, 11% of adults are uninsured and 8% report going without can make it easier 20 20 needed medical care in the past 12 months, similar to the rest of NYC. The TCNY 2020 to get affordable primary care, goal is to have less than 9% of New Yorkers going without needed medical care. 0 0 which can help New Yorkers ACCESS TO HEALTH CARE (percent of adults) 0 100 200 300 400 500 600 700 800 PAGE 16 manage chronic 80 PAGE 13 conditions and Midtown Manhattan NYC Lowest % HIV Self-Reported Health stay healthy. Adults without 11% 9% 12% 3%* Edit in Indesign. Graph applies to all CDs. health insurance Stuyvesant Town Edit in Indesign. Graph applies to all CDs. and Turtle Bay

Adults without 8% 10% 10% 3%* needed medical care Bayside and Little Neck 0 20 40 60 80 100 *Interpret estimate with caution due to small sample size. Source: NYC DOHMH, Community Health Survey, 2015-2016 0 PAGE 14 PAGE 17 AVOIDABLE HOSPITALIZATIONS Avoidable hospitalizations Avoidable Hospitalizations HEP C 150 “Avoidable hospitalizations” are those that could be AMONG ADULTS (per 100,000 adults) prevented if adults had access to quality primary care. The rate of avoidable hospitalizations among adults in 688 Midtown Edit in Indesign. Graph applies to all CDs. Midtown is lower than the citywide rate. 1,072 Manhattan

1,033 NYC

426 Lowest: Greenwich Village and Soho

Source: New York State Department of Health, Statewide 0 200 400 600 800 1000 1200 0 Planning200 and Research400 Cooperative600 800 System,1000 2014 1200 0 FALL-RELATED HOSPITALIZATIONS AMONG PAGE 18 Fall-related hospitalizations Falls Midtown’s rate of fall-related hospitalizations among OLDER ADULTS (per 100,000 adults ages 65 and older) Psychiatric hospitalizations Infant Mortality adults ages 65 and older is similar to the citywide average. The TCNY 2020 goal is fewer than 1,410 1,668 Midtown hospitalizations per 100,000 older adults citywide. 1,813 Manhattan

1,604 NYC

667 Lowest: Queens Village

Source: New York State Department of Health, Statewide 0 500 1000 1500 2000 2500 0 Planning500 and Research1000 Cooperative1500 System,2000 2012-20142500 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY. CD NYC Binge Drinking (use graph to the right to mark points) Premature Death 14 COMMUNITY HEALTH PROFILES 2018: MIDTOWN

Binge Drinking (use graph below to mark points) 100 100 80 80 60 60 40 40 20 20 00 0 20 40 60 80 100 Health Care

Influenza (flu) and pneumonia are the third leading causes of death in NYC. Everyone ages 6 months and older should get the flu vaccine every year.

Vaccinations The human papillomavirus (HPV) vaccine protects against cancers caused by HPV. The vaccine is recommended for all children between the ages of 11 and 12. Sixty-three percent of teens ages 13 to 17 in Midtown receive all recommended doses of the HPV vaccine. Half of Midtown adults report getting a flu vaccine in the past 12 months, higher than the rest of NYC.

PAGE 12PAGE 12 PAGE 15PAGEHPV 15 VACCINATION FLU VACCINATION (percent of teens ages 13 to 17 who received all (percent of adults) AvoidableAvoidable hospitalizations hospitalizations HPV HPVrecommended doses of the vaccine) Flu Flu among childrenamong children 100 100 100 100 85% More More 80 80 healthy 80 80 healthy 63% 63% 59% 62% 60 60 60 60 51% 50% 43% 40 40 40 40

20 20 20 20 Less Less 0 0 healthy 0 0 healthy Midtown Manhattan NYC Highest: Midtown Manhattan NYC Highest: 0 100 200 0300 100400 200500 300600 400700 500800 600 700 800 Hunts Point and Upper West Side PAGE 16PAGE 16 Longwood PAGE 13PAGE 13 80 80 HIV Sources:HIV HPV Vaccination: NYC DOHMH, Citywide Immunization Registry, 2017; Flu Vaccination: NYC DOHMH, Community Health Survey, 2015-2016 Self-ReportedSelf-Reported Health Health Edit in Indesign.Edit in Indesign. Graph applies Graph toapplies all CDs. to all CDs.

0 0 20 20 40 40 60 60 80 80100 100

0 0 PAGE 14PAGE 14 PAGE 17PAGE 17 AvoidableAvoidable Hospitalizations Hospitalizations HEP C HEP150 C 150

Edit in Indesign.Edit in Indesign. Graph applies Graph toapplies all CDs. to all CDs.

COMMUNITY HEALTH PROFILES 2018: MIDTOWN 15

0 200 0 400200600400800600100080012001000 1200 0 0 PAGE 18PAGE 18 Falls Falls PsychiatricPsychiatric hospitalizations hospitalizations Infant MortalityInfant Mortality

0 5000 1000500 15001000 20001500 25002000 2500 0 100 2000 300100400200500300600400700500800600 700 800 0 1 0 2 1 3 2 4 3 5 4 5

CD NYCCD NYC Binge DrinkingBinge Drinking (use graph (use to graph the right to the to markright topoints) mark points) PrematurePremature Death Death

Binge DrinkingBinge Drinking (use graph (use below graph to below mark topoints) mark points) 100 80 100 60 80 40 60 20 40 00 20 20 00 40 20 60 40 80 60 10080 100 Health Outcomes

Obesity, diabetes and hypertension Midtown’s adult obesity rate is 10%, which is lower than the rest of NYC. The TCNY 2020 goal is to reduce the obesity rate to less than 23% citywide. More than 700,000 adult New Yorkers have been told they have diabetes. An additional 164,000 are estimated to have diabetes but not be aware. Five percent of Midtown adults have been diagnosed with diabetes and 18% of adults have been told they have hypertension. Rates for both are lower than the rest of NYC.

OBESITY, DIABETES AND HYPERTENSION (percent of adults)

Midtown Manhattan NYC Lowest % Obesity can lead to diabetes, high Obesity 10% 15% 24% 4% Financial District, blood pressure Greenwich and other health Village- Soho conditions.

Diabetes 5% 8% 11% 3% Hypertension, Financial District, Greenwich also known as high Village- Soho blood pressure, is a leading risk factor Hypertension 18% 23% 28% 15% Financial District, for heart disease Greenwich and stroke. Village- Soho

Source: NYC DOHMH, Community Health Survey, 2015-2016

New HIV diagnoses Getting an HIV test is the first step to accessing treatment if you are positive or developing an HIV prevention strategy if you are negative.

NEW HIV DIAGNOSES (per 100,000 people)

28.5 18.8* Manhattan 24.0 NYC

0 Midtown *Interpret with caution due to small number of events. Source: NYC DOHMH, HIV/AIDS Surveillance Registry, 2016

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

16 COMMUNITY HEALTH PROFILES 2018: MIDTOWN PAGE 12 PAGE 15

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

40 40

20 20

0 0

0 100 200 300 400 500 600 700 800 PAGE 16 80 PAGE 13 HIV Self-Reported Health Edit in Indesign. Graph applies to all CDs.

0 20 40 60 80 100

0 PAGE 14 PAGE 17 Avoidable Hospitalizations HEP C 150

PAGE 12 PAGE 15 Edit in Indesign. Graph applies to all CDs.

Avoidable hospitalizations HPV Flu among children 100 100 Health Outcomes 80 80

60 60 0 200 400 600 800 1000 1200 New hepatitis C reports 40 0 40 Hepatitis C is a virus that damages the liver. New Yorkers born between 1945 and 1965 and people who have ever injected 20 20 PAGE 18 drugs shouldFalls be tested because hepatitis C can be cured. Psychiatric hospitalizations Infant Mortality NEW HEPATITIS C REPORTS (per 100,000 people) 0 0

150 0 100 200 300 400 500 600 700 800 PAGE 16 80 PAGE 13 HIV Self-Reported Health 79.1 77.5 Edit in Indesign.Manhattan Graph applies to all CDs. 71.8 NYC

0 500 1000 1500 2000 2500 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 0 20 40 60 80 100 0 Midtown Source: NYC DOHMH, Communicable Disease Surveillance Registry, 2016 0 CD NYC PAGE 14 Binge Drinking (use graph to thePAGE right 17 to mark points) Premature BingeAvoidable drinking Hospitalizations HEP C 150 Death Binge drinking is linked to high-risk behaviors and chronic health problems. The binge drinking rate in Midtown is higher than the rest of NYC. The TCNY 2020 goal is to reduce binge drinking to less than 17% citywide. Edit in Indesign. Graph applies to all CDs. BINGE DRINKING 9% 17% 25% 31% (percent of adults)

Lowest: Bensonhurst NYC Manhattan Midtown

Note: Binge drinking is defined as five or more drinks for men and four or more drinks for women on one occasion during the past 30 days. Source: NYC DOHMH, Community Health Survey, 2015-2016 0 200 400 600 800 1000 1200 0 Psychiatric hospitalizations PSYCHIATRIC HOSPITALIZATIONS 100 80 60 40 20 00 20 40 60 80 100 Binge Drinking (use graph below to mark points) PAGE 18 The rateFalls of adult psychiatric hospitalization in Midtown is (per 100,000 adults) lower than the citywide rate. Psychiatric hospitalizations Infant Mortality 562 Midtown High psychiatric hospitalization rates likely reflect the challenges residents in 750 Manhattan underresourced neighborhoods face, including 676 NYC difficulty accessing preventive services and early care, greater exposure to stressors and 223 Lowest: Woodside and Sunnyside interruptions in health insurance coverage. Source: New York State Department of Health, Statewide Planning and Research 0 500 1000 1500 2000 2500 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 Cooperative System, 2015

CD NYC Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For moreBinge information, Drinking visit nyc.gov/health (use graph and search to for the TCNY right. to mark points) Premature Death

COMMUNITY HEALTH PROFILES 2018: MIDTOWN 17

Binge Drinking (use graph below to mark points) 100 80 60 40 20 00 20 40 60 80 100 PAGE 12 PAGE 15

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

40 40

20 20

0 0

0 100 200 300 400 500 600 700 800 PAGE 16 80 PAGE 13 HIV PAGE 12 Self-Reported Health PAGE 15 Avoidable hospitalizations HPV EditFlu in Indesign. Graph applies to all CDs. among children 100 100

80 80

0 20 40 60 60 80 100 60

40 40 0 PAGE 14 20 PAGE 17 20 150 Avoidable Hospitalizations 0 HEP C 0

0 100 200 300 400 500 600 700 800 PAGE 16 80 Edit in Indesign. Graph applies to all CDs. PAGE 13 HIV Self-Reported Health Edit in Indesign. Graph applies to all CDs. Health Outcomes 0 200 400 600 800 1000 1200 0 0 20 40 60 80 100 PAGE 18 Falls Infant mortality Psychiatric hospitalizations InfantINFANT Mortality MORTALITY (per 1,000 live births) 0 NYC’s infant mortality rate has declined in recent years. PAGE 14 In Midtown the infant mortality rate is lower than the PAGE 17 2.3* Midtown citywide rate. The TCNY 2020 goal is a citywide rate of Avoidable Hospitalizations HEP C 150 less than 4.4 per 1,000 live births. 3.4 Manhattan

4.4 NYC Edit in Indesign. Graph applies to all CDs. 0.8* Lowest: Upper East Side

*Interpret estimate with caution due to small number of events. 0 500 1000 1500 2000 2500 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 Source: NYC DOHMH, Bureau of Vital Statistics, 2013-2015

Premature death CD NYC Cancer and heart disease are the leading causes of premature death (death before the age of 65) in Midtown, similar to 0 200 400 Binge600 Drinking800 1000 (use1200 graph to the right to mark0 points) Premature the rest of NYC. However, Midtown residentsDeath die prematurely at a lower rate. Colorectal cancer, lung cancer and liver cancer are the three leading causes of cancer-relatedPAGE 18 premature death in Midtown. Falls Psychiatric hospitalizations Infant Mortality NYC’s premature mortality rate (death before age 65) decreased 19% from 2006 to 2015. However, longstanding disparities persist. People living in high-poverty neighborhoods and Black New Yorkers are dying before age 65 at higher rates.

TOP CAUSES OF PREMATURE DEATH Binge Drinking (use graph below to mark points)rate of death before age 65 per 100,000 people 100 80 60 40 20 00 20 40 60 80 100 (number of deaths) 0 500 1000 1500 2000 2500 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 Rank Midtown NYC Rank Overall rate 122.8CD 169.5NYC 36.6 46.2 Binge Drinking (use graph to the right to mark points) Cancer Premature 1 (88) 1 Death 22.3 32.9 Heart disease 2 (51) 2 9.8 9.4 Drug-related 3 (24) 3 7.5 5.1 Suicide 4 (19) 7 4.1* 6.4 Accidents 5 (11) 4 (excluding drug poisoning)

Binge Drinking (use graph below to mark points) *Interpret estimate with caution due to small number100 of events.80 60 40 20 00 20 40 60 80 100 Note: Top causes of premature cancer deaths are based on a small number of events and may fluctuate from year to year. NYC rate includes premature deaths among NYC residents only and will differ from other published sources. Source: NYC DOHMH, Bureau of Vital Statistics, 2011-2015

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

18 COMMUNITY HEALTH PROFILES 2018: MIDTOWN Notes

Neighborhood Definitions The 59 Community Districts (CDs) were established citywide by local law in 1975. For a complete listing of all CDs and their boundaries, visit communityprofiles.planning.nyc.gov. The CDs correspond to NYC Community Boards, which are local representative bodies. The names of neighborhoods within CDs are not officially designated. The names used in this document are not an exhaustive list of all known neighborhood names within this area.

Analyses For most data, 95% confidence intervals were calculated for CD, For a complete dataset borough and NYC estimates. If the confidence intervals did not overlap, including numbers, rates and a significant difference was inferred. This is a conservative measure of confidence intervals, as well statistical difference. For most population-level data, if a CD rate was as more technical notes on within 5% of the NYC estimate, the CD was considered similar to NYC, neighborhood definitions, otherwise the CD rate was considered higher or lower than the NYC analyses and data sources estimate. For Community Health Survey data, a t-test comparing the CD with complete citations, visit with the rest of NYC and the rest of the borough was conducted where nyc.gov/health and search for p-values ≤0.05 were considered an indication of statistical significance. Community Health Profiles or Report text highlights significant findings but does not include all visit on.nyc.gov/chp. significant results. Thepublic use dataset contains additional data.

Most estimates were evaluated for statistical stability. Estimates with a relative standard error (RSE) > 30% or with a small sample size or small numbers of events (≤ 10) are flagged as follows: “Interpret estimate with caution due to small number of events or small sample size.”

Acknowledgements Thank you to all the individuals who contributed to these reports: Loren Adams, Nellie Afshar, Tracy Agerton, Tejumadé Ajaiyeoba, Amaka Anekwe, Sonia Angell, Andrea Archer, Hannah Arnett, George Askew, Zinzi Bailey, María Baquero, Katherine Bartley, Gary Belkin, Oni Blackstock, Angelica Bocour, Sarah Braunstein, Shadi Chamany, Kuen (Iris) Cheng, Aldo Crossa, Gretchen Culp, Kisha Cummings, Sophia Day, Danielle De Souza, Regan Deming, MaryAnn Dogo-Isonagie, Christine Dominianni, Carlos Espada, Stephanie Evergreen, Shannon Farley, Stephanie Farquhar, Pauline Ferrante, Alison Frazzini, Lawrence Fung, Patrick Germain, Sasha Gibbel, Olivia Giordano, Sharon Greene, Sophia Greer, Danielle Gurr, Samson Hadush Mesfin, Myla Harrison, Fangtao He, Charisma Hooda, Seth Hostetter, Mary Huynh, Stephen Immerwahr, John Jasek, Jillian Jessup, Sarah Johnson, Kim Kessler, Kevin Konty, Hillary Kunins, Kathryn Lane, Marisa Langdon-Embry, Michael Larkin, Rachael Lazar, Carl Letamendi, Wenhui Li, Sungwoo Lim, Constance Lopez, Joseph Lormel, David Lucero, Nneka Lundy De La Cruz, Chantol Manning, Karen Aletha Maybank, Alejandra McDonough, Wendy Mckelvey, Katharine McVeigh, Aaron Mettey, Chris Miller, Caroline Mills, Tanicha Miranda, Brent Morita, Julia Morrill, Christina Norman, Carolyn Olson, Emiko Otsubo, Denise Paone, Vassiliki Papadouka, Sneha Patel, Sarah Perl, Parppim Pimmaratana, Roger Platt, Angeline Protacio, Lisa Ramadhar, Kathleen Reilly, Susan Resnick, Sojourner Rivers, Rebekkah Robbins, Subir Saha, Hannah Searing, Amber Levanon Seligson, Sophie Sharps, Tejinder Singh, Ariel Spira-Cohen, Catherine Stayton, Ying Sun, Cassiopeia Toner, Kadiatou Traore, Maryellen Tria, Tsu-Yu Tsao, Ellenie Tuazon, Rugile Tuskeviciute, Mary-Elizabeth Vachon, Gretchen Van Wye, Ashwin Vasan, Aishwarya Viswanath, Sarah Walters, Amy Wang, Jeannette Williams, Ricky Wong, Yihong Zhao, Jane Zucker and Kimberly Zweig.

COMMUNITY HEALTH PROFILES 2018: MIDTOWN 19 Life Expectancy by Community District

Midtown’s average life expectancy is 3.6 years longer than NYC overall.

84.8 75.1-79.6 years Life Expectancy

79.7-81.4 years

81.5-83.8 years

83.9-85.9 years

Unpopulated areas

Source: NYC DOHMH, Bureau of Vital Statistics, 2006-2015

Want more maps? Please visit nyc.gov and search for Community Health Profiles Atlas.

Contact information: For reports on the other 58 Community Districts, please visit nyc.gov and search for Community Health Profiles or email [email protected]. Copyright©2018 The New York City Department of Health and Mental Hygiene. The NYC Community Health Profiles feature information about 59 neighborhoods in NYC.

Suggested citation: Hinterland K, Naidoo M, King L, Lewin V, Myerson G, Noumbissi B, Woodward M, Gould LH, Gwynn RC, Barbot O, Bassett MT. Community Health Profiles 2018, Manhattan Community District 5: Midtown; 2018; 5(59):1-20.