How Healthy Are We? COBB COUNTY 2014 ANNUAL REPORT CARD Introduction Established in 1920, Cobb and Douglas Public Health (CDPH) is a health district (District 3-1) serving two metropolitan counties in Georgia and a population of nearly 900,000. The core functions of public health are to inform, prevent and protect in order to assure the well-being of our community and our residents. With more than 30 distinct programs, we remain committed to our mission, which is: Cobb & Douglas Public Health, with our partners, promotes and protects the health and safety of the residents of Cobb and Douglas counties. We work to achieve healthy people in healthy communities by: Preventing epidemics and spread of disease Protecting against environmental hazards Preventing injuries Promoting and encouraging healthy behaviors Responding to disasters and assisting in community recovery Assuring the quality and accessibility of health care By excelling at our core responsibilities, we will achieve healthier lives and a healthier community. By 2020, Cobb & Douglas Public Health will be an acknowledged leader among health departments in the United States. In order to continuously improve our effectiveness and the health of our people and communities, we will work internally and with our community partners to: In order to continuously improve our effectiveness and the health of our people and communities, we will work internally and with our community partners to: • Demonstrate significant improvement on key health and safety indicators • Achieve operational excellence by exceeding local public health system performance expectations • Champion workforce enhancement To achieve these ambitious goals, we will engage, respect and value our staff and partners, thereby creating healthier lives and a healthier community. Cobb and Douglas Public Health (CDPH) staff designed the How Healthy Are We? Annual Report Card, Cobb County 2014 as a brief update to several more thorough Cobb County Highlights Community Health Assessments completed from 2010-2012. Please visit www.cobb2020. com for more information. This health report card outlines the leading causes of death and infectious diseases. It presents trend and comparison data for Cobb County residents, including leading causes of death, children’s health issues, infectious and chronic diseases, and access to quality healthcare. The contents of this report represent information we use to assess our community’s current and future health needs. We hope it provides you with valuable information regarding the health of the community in which we live, work and play. Below are highlights from the report: POPULATION LEADING CAUSES The population of Cobb County continues to These are the specific leading causes of illness, hospitalization and death in moderately grow (4.5% from 2009-2013) and has the county: a large percentage of youth. Heart and vascular disease is the leading cause of death in Cobb County, Sixty-two percent of the population is followed by other mental and behavioral disorders and lung cancers. under the age of 45. Infant Mortality is decreasing in Cobb County reflecting a national trend and ACCESS TO CARE due to the work of many. Georgia has moved from 44th highest in the nation Residents must have access to healthcare to 34th reflecting important improvements. There is a disparity in infant (facilities and providers) in order to be healthy. mortality, however. Among the black population infant mortality is triple that of the white population. It is estimated that 18.6% of residents in Cobb County lack health insurance. This is higher than Obesity due to poor nutritional habits and lack of physical activity are a major the U.S. rates. factor in the leading causes of illness and death in Cobb County. In 2012, 58% of Cobb County adults reported being either overweight or obese. It is Cobb County has approximately 181 physicians a significant public health concern for our community. per 100,000 residents. This is lower than the Georgia rate, creating an access to health care Georgia, like the rest of the Southeast, has some of the highest rates of issue in the county. Sexually Transmitted Diseases (STDs) in the country. According to the CDC, in 2012 Georgia was ranked 8th in the U.S. for Chlamydia, 5th in the U.S. for Gonorrhea, and 1st in the U.S. for Primary and Secondary Syphilis. This is also an issue that needs critical attention and solutions. This document contains the most current verifiable information available from federal, state and local sources. The data is prior to 2014 due to collection and verification processes. This document contains the most current verifiable information available and verification processes. Population, by Race and Ethnicity, Cobb County, 2009 and 2013 RACE 2009 2013 The total population of Cobb County has grown since 2009. WHITE 462,821 469,626 Cobb County’s population increased by 4.5% between 2009 and 2013. The racial and ethnic makeup of Cobb BLACK/AFRICAN AMERICAN 173,317 191,823 County has remained the same since 2008. ASIAN/PACIFIC ISLANDER 30,956 35,255 AMERICAN INDIAN/ALASKA NATIVE 3,256 3,575 ETHNICITY 2009 2013 NATIVE HAWAIIAN OR PACIFIC ISLANDER 538 471 HISPANIC 82,116 90,668 MULTIRACIAL 13,888 16,440 NON-HISPANIC 602,660 626,522 TOTAL 684,776 717,190 TOTAL 684,776 717,190 The largest age group in Cobb County is between 25 and 44 years old, with a population of 210,105 persons. Approximately 62% of Cobb County’s population is under the age of 45 years. 10% 24% Population by Age Cobb County, 2012 0-17 YEARS OF AGE 26% 18-24 YEARS OF AGE 9% 25-44 YEARS OF AGE 45-64 YEARS OF AGE 65+ YEARS OF AGE 29% *Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS) Douglas County’s population has increased by 3.4% between 2008 and 2012. Within the same time period there was an 11% increase in black/African Americans and an 18% Leading Causes of Death, Cobb County, 2008-2012: Diseases of the Heart: The Number One Leading Cause of Death in Cobb County, 2008 - 2012 Heart and Vascular Disease continues to be the number one leading cause of death in adults in Cobb County, the state of Georgia and the United States. All other mental and behavioral disor- ders (including Dementia, Schizophrenia and Bipolar disorder) was the second leading cause of death in Cobb County between 2008 and 2012, followed by lung and related cancers, cerebro- vascular disease and Chronic Obstructive Pulmonary Disease (COPD). GA GA GA GA GA Ischemic Heart and All Other Mental Malignant Neoplasms Cerebrovascular All COPD Vascular Disease and Behavioral Disorders of the Trachea, Disease Except Asthma (1,556) (1,184) Bronchus and Lung (876) (820) (1,089) The dashboard arrow indicates where Cobb County ranks compared to the State of Georgia. *Source: Georgia Department of Public Health: Online Analytical Statistical Information System (OASIS) Children’s Health Issues: Infant Mortality Rates, 2007-2011 CHILDREN’S HEALTH ISSUES Infant Mortality Cobb County Infant Mortality Rate Continues to Decline, 2008-2012 2008 2009 2010 2011 2012 UNITED STATES** 6.6 6.4 6.2 6.1 No data WHITE 5.6 5.3 5.2 5.1 No data BLACK 12.7 12.6 11.6 11.5 No data GEORGIA*** 8.0 7.5 6.3 6.8 6.8 WHITE 7.3 6.5 5.7 5.8 5.3 BLACK 13.8 13.1 10.0 11.4 10.5 COBB COUNTY*** 6.7 6.9 5.6 5.4 4.9 WHITE 6.9 6.6 5.2 5.3 3.6 BLACK 12.7 14.2 9.4 10.3 9.2 Infant mortality rates for both blacks and whites are lower for Cobb County than for the state of Georgia. The infant mortality rate in Cobb County is 28% lower than the state as a whole. The rate of infant mortality among blacks in Cobb is nearly triple that of whites and efforts should be directed towards lowering the rate among this population in the county, as well as the state and nation. Rate = Infant (<1 year) deaths per 1,000 live births *Source: National Center for Health Statistics, 2011 Data: http://www.cdc.gov/nchs/data/nvsr/nvsr63/nvsr63_03.pdf **Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS) CHILDREN’S HEALTH ISSUES Percent of Children 2 Years of Age Fully Immunized, 2010-2013 Cobb and Douglas counties have a lower percentage of fully immunized children 2 years of age than Georgia. YEAR COBB AND DOUGLAS GEORGIA 2013 79% 85% 2012 83% 85% 2011 86% 82% 2010 78% 76% The results of the 2013 Georgia Immunization Study indicate that the District 3-1 immunization coverage estimates for the 4:3:1:3:3:1:4* vaccination series is 85%. As of 2013, Cobb and Douglas counties have a 6% lower vaccination rate among 2 year olds compared to the state of Georgia. The importance of immunizations does not stop at 2 years old. Cobb & Douglas Public Health continues to stress the importance of childhood and adult vaccinations. Please visit http://www.cdc.gov/vaccines/acip/ for further information. *4:3:1:3:3:1:4 Immunizations coverage considered fully immunized (a child has received 4 DTaP, 3 Polio, 1 MMR, 3 Hib, 3 Hepatitis B, 1 Varicella, and 4 PCV vaccine doses), were based on the childhood immunization and catch-up schedules recommended by the Advisory Committee on Immunization Practices. Source: Georgia Department of Public Health, Georgia. Childhood Obesity We are Facing a Youth Obesity Epidemic in Cobb County Currently in America, one in three children is overweight or obese. These numbers have tripled over the last 30 years, and if this trend continues, one third of all children born in the year 2000 or later will suffer from a chronic obesity-related health problem.