Columbus Public Health 2015 Annual Report Columbus Public Health’s Mission is Protecting Health and Improving Lives. Our key mission is that the Columbus community is Columbus is the opportunity city – and an active and healthy city protected from disease and other public health threats, and provides opportunity for all residents. As one of the first accredited that everyone is empowered to live healthier, health departments in Ohio, Columbus Public Health safer lives. Columbus Public Health strives is working to protect the health and improve the to be the leader for identifying public lives of everyone who lives, works and plays health priorities and mobilizing resources in our great city. Together, we are working to and community partnerships to address eliminate health disparities so everyone has the them. I am proud to share our 2015 report. opportunity for a healthier and safer life. - Teresa C. Long, MD, MPH, Health Commissioner - Andrew J. Ginther, Mayor Why Our Work is Important: Over 65% of 20 year gap in life Nearly 150 babies die Over 65% adults are 20 expectancy based 12% 12% have 150 each year before 22% 22% OVERWEIGHT overweight YEARS on where you live DIABETES diabetes BABIES their first birthday SMOKE smoke Improving the Health of Mothers, Babies & Families We are helping all babies live to celebrate their first birthdays by improving all areas that impact health. Our goal is to reduce infant mortality by 40% and cut the racial disparity in half. Here are some of the ways we worked to achieve our goal in 2015: 70+ public presentations on the ABCs of 616 families received pregnancy and 172,680 WIC Safe Sleep infant health services at home clinic visits for healthy 66 community meetings for 400+ 265 Franklin County families with a fetal foods and nutrition education residents of Near East, Near South and or infant loss were offered support 863 pack ‘n plays Linden neighborhoods 40 pregnant women were helped to quit distributed for infants without 4 South Side residents trained as smoking a safe sleep surface Connector Corps community health 2,284 women and their partners workers received reproductive health services First Ladies Summit held for women 63% of WIC participants who gave birth 664 infant/child faith leaders in Columbus began breastfeeding car seats distributed 2,547 new mothers and their newborns were visited by a nurse 476 travelers Preparing for and from West Africa monitored for 21 days each Responding to Emergencies during the largest Ebola outbreak in history We ensure our community is protected from disease and other public health threats by analyzing health indicators, investigating infectious diseases and 1,500 people per hour served during a full scale mass implementing public health interventions. Our 2015 successes include: antibiotics dispensing exercise Preventing the Spread of Infectious Diseases We work with local emergency responders, healthcare providers and community organizations to stop the spread of deadly diseases and protect health. In 2015: 103 infectious disease outbreaks 8,773 clients received clinical sexual 5,019 students investigated health services in 132 schools vaccinated 3,898 individual infectious disease 1,510 HIV and 4,075 syphilis tests were reports investigated provided at community sites 6,646 food PrEP (Pre-Exposure Prophylaxis) 2,457 people living with HIV got support service facilities education to reduce the risk of HIV needed to better manage their illness licensed and inspected 963 domesticated animals quarantined 152 pregnant women with hepatitis B or tested for rabies were helped to prevent their babies from 8,252 standing 145 square miles sprayed to eliminate being exposed disease-carrying mosquitoes 29,672 immunizations given to protect bodies of water residents from preventable diseases treated to prevent mosquitoes 750 pools, spas and spray parks licensed to keep water safe 70 active and 124 suspect TB cases provided treatment and follow-up Reducing Chronic Diseases We are combating obesity and related chronic diseases through active living features such as protected bike lanes, CoGo stations, walking maps, community gardens and farmers markets. Thanks to our work in 2015: 1,507 walkers 545 cyclists 15 schools participated in Columbus Walk biked in the Mayor’s Twilight participated in Safe Routes to With a Doc Walking Clubs Ride Finale Schools 57,790 individuals had healthier food $26,280 in support was provided to 160 384 walkers joined in Columbus Art and physical activity options through 26 community gardens Walks and Landmark Talks partner organizations 2,200 children improved their food and 900+ residents engaged in a Local Food 53,327 students impacted by Columbus activity options while in childcare Action Plan to improve food options City Schools Travel Plan, improving safety 674 residents involved in April’s Minority 15 schools took part in activities to help and transportation for area schools Health Month activities more kids walk or bike to school Lowering Disparities to Achieve Health Equity Good health is more than just health care. Jobs, education, access to care, housing, safety and where you live all play a role. As a result, health disparities – or differences – occur among different groups of people in our community. We are working to achieve health equity so that all people have the same options for good health. Here’s how: New Central Health Advisory Committee 16,745 people added serving the Greater Linden, Milo received alcohol and drug Grogan and North Central communities. prevention services (Added to existing groups for North Side, South Side, Near East and Westside.) 968 clients First Greater Columbus LGBTQ Health provided addiction counseling Equity Conference held or were in specialized groups 36 cultural competency trainings for more than 1,100 residents 3,161 vouchers Kept status as a Leader in LGBT totaling $47,415 distributed Healthcare Equality by the Human to WIC clients at our annual Rights Campaign Farmers Markets Monitoring the Community’s Health Status We aim to be a leader in monitoring and identifying public health priorities and mobilizing resources and community partnerships to address them. To help inform and guide our efforts in 2015, we: Produced monthly and quarterly infant Weekly Flu Update mortality reports. City of Columbus & Franklin County, Ohio February 14 - 20, 2016 Provided weekly surveillance on Current Week Flu Intensity COLUMBUS AND FRANKLIN COUNTY, OHIO Minimal Low Moderate High DRUG USE DATA BRIEF influenza, heat and cold related illnesses Flu Intensity Per Week This Flu Season (October 2015 - May 2016) INTRODUCTION IN OHIO October November December January February March April May Central Ohio is experiencing a drug epidemic Drug Overdose Deaths: More than 2,500 Ohio and other infectious diseases. and drug overdoses are on the rise. This data residents died from unintentional drug overdoses brief provides a snapshot of the problem in 2014 — a 20% increase over 2013 and the highest through local, state and national indicators of number of overdose deaths on record. Lab-Confirmed Positive Influenza Diagnoses unintentional drug overdose, as well as infectious • Multiple drug use was the single-largest 11.5% Positive (up 74% from last week) diseases that can occur in people who inject contributor to unintentional drug overdoses drugs. Columbus Public Health, in partnership in 2014. Of the overdose deaths in which the with other community partners, is working number of drugs was specified, more than half Published 9 key health status reports to to combat drug overdoses through a new (59%) involved more than one drug.4 comprehensive harm reduction program that • Opiods: 1,988 (80%) of drug overdoses involved Confirmed Influenza-Associated Hospitalizations includes clean needles, treatment, testing for HIV opioids (prescription, fentanyl and heroin), and hepatitis C, and access to a naloxone. compared to 1,539 (73%) in 2013.4 (up over 100% from last week) 18 Hospitalizations Syringe Use & Diseases: People who inject drugs guide community efforts. UNINTENTIONAL DRUG OVERDOSE DEATHS without a clean syringe are at risk for diseases like 2013 2014 Hepatitis C and Human Immunodeficiency Virus (HIV). Visits To Primary Care Providers* Reporting United States 35,663 38,718 • Hepatitis C: In 2014, Hepatitis C rates were Influenza-Like Illness (*Providers in athenaHealth Network) Ohio 2,109 2,532 highest in individuals aged 20-29 years at 345.5 cases per 100,000. Franklin County 198 196 Distributed nitrate health advisories to 3.3 per 1,000 visits (down 16% from last week) • HIV: Roughly 1,000 Ohioans are diagnosed with HIV each year. IN THE U.S. Overdose Treatment: Naloxone was administered by Ohio EMS personnel 15,493 times in 2014, a 26% Emergency Department (ED) Visits with Nationally, drug poisoning (overdose) is the increase compared to 2013 when naloxone was Complaint Defined as Influenza-Like Illness number one cause of injury-related death in the 5 inform residents and distributed bottled 1 administered 12,256 times. 19.8% of All ED Visits (up 2.3% from last week) United States. Heroin: From 2000 through 2013, the rate of drug poisoning deaths involving heroin increased IN FRANKLIN COUNTY for all regions of the country, with the greatest Drug Overdose Deaths: In Franklin County in 2014, water to needy pregnant women and Protect your health & prevent getting & spreading the flu by: increase seen in the Midwest.2 there was a 227% increase in residents who died from unintentional drug overdoses since 2003. Getting a flu Washing Covering Staying home Drug Overdose Deaths: 38,718 people died from shot every year. your hands. your cough. when sick. unintentional drug overdose in the U.S. in 2014, Heroin: In 2013, heroin-related deaths surpassed an increase from the 28,754 deaths in 2009. prescription opiates among unintentional overdose deaths and continued to rise in 2014. infants in areas with high nitrates in the Opiate Use (Non-medical): The 2013 National Survey on Drug Use and Health showed that All data is preliminary and may change as updated reports are received.