Cimarron County A Look Back To Move Forward Cimarron County The state of Oklahoma has been in a downward health trend since the 1990’s, until recently. Through the efforts of the state and county health departments, state and local governments and the individual communities the health of Oklahomans is looking up. However, we could do more to improve the health of the citizens of Oklahoma. This report focuses on the health factors for the citizens of Cimarron County. We will take a look back to discover what has been affecting the health of the citizens in order to move forward and make healthy, effective and safe changes for all. Inside this issue: County Demographics 2 Teen Pregnancy 5 Top 10 Leading Causes of Death 2 Poverty 5 Nutrition & Obesity 2 OK By One—State Immunization Data 6 Top 10 Leading Causes of Death Table 3 County Health Department Usage 7 Injury & Violence 4 Health Care Costs Summary 7 Tobacco use 4 Turning Point 8 Physical Activity, Wellness & Diabetes 4 State of the County’s Health Report OKLAHOMA STATE HEALTH OF DEPARTMENT Demographics * U.S. Census Bureau • Population estimates o 5% decrease from 1990 to 2000 Cimarron County Population Growth with Projections (3,301 to 3,148) Percent of State o 8% decrease from 2000 to 2004 County Population Population th o Ranked 76 for growth in state 0. 12 2000 Census ,000 % 4 • Hispanic/Latino ethnicity = 15% 00 0. 5 10 • Race 3, % o Whites = 86% 0. o Native Americans =1% 3,000 08 % o Blacks =1% 2,500 0.06% o Other/Multiple = 13% 0 00 • Age 2, 0. o Under 5 = 7% 04 1,500 o Over 64 = 19% % Median age = 39.3 years 0. o 1,000 02 00 % • Housing units 5 o Occupied = 1,257 (79%) 0. 0 00 2 3 3 4 5 Vacant = 326 (21%) 91 02 % o 990 000 001 • Disability (ages 21 to 64) = 16.5% 1 19 199 199 1994 1995 1996 1997 1998 1999 2 2 20 200 200 200 2010 2015 2020 2025 2030 national = 19.2% state = 21.5% Year • Individuals below poverty = 17.6% Cimarron Percent of Population national = 12.4% state = 14.7% * Vital Statistics, Health Care Information Systems, OSDH & Top 10 Leading Causes of Death Centers for Disease Control The top 10 leading causes of death is still the leading cause Cimarron County. table on the next page displays a of death among all age Heart disease Alzheimer’s disease and the broad picture of the causes of death groups. According to complications associated in Cimarron County. Since many the Centers for Disease accounts for almost with it have increased from health-related issues are unique to Control, almost $4 million a year in the 13th ranked cause of specific ages, this table provides $400,000 is spent on death (1983-1993) to the 8th causes of death by age group at a each heart disease- medical costs in ranked cause of death in glance. The causes of death that are related death. With an persons 65 and older ac- present across almost every age average of 10.4 deaths Cimarron County. counting for a 800% in- group have been highlighted. From a year, heart disease crease in deaths. 1983 to 1993 heart disease killed accounts for almost $4 159 people in Cimarron County and million a year in medical costs in * Behavioral Risk Factor Surveillance Sys- tem, Health Care Information System, OSDH Nutrition and Obesity & Health Affairs Journal, R. Strum, 2002 With the United States coming in as the costs are reflecting this downward spi- they do not take into account the per- most obese country in the world, health ral of health. For persons under the age centage of obese or overweight persons care costs related to obesity and poor of 65, on average, health care costs are who are over the age of 65. nutrition are on the rise. $395 more for obese individuals and are even greater for persons over the Of the 292 million people in the UnitedNo Data Available At This Time age of 65. States, 129 million are overweight or obese according to their body mass in- In 2001-2005, 3% (103) of people in dex (BMI). The number of obese (BMI Cimarron County were consideredSensible Foods — Sensible Portions > 29) and overweight (BMI 25-29) Ok- obese which accounted for an addi- 5 to 9 Fruits & Vegetables lahomans has been increasing at the tional in medical costs for the county. a Day same rate as the nation, and health care These costs are underestimated because Page 2 STATE OF THE COUNTY’S HEALTH REPORT CIMARRON COUNTY Top 10 Causes of Death by Age Group Cimarron County 1993-2003 Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages CONGENITAL UNINTENT. UNINTENT. HEART HEART SUICIDE CANCER CANCER CANCER ANOMALIES INJURY INJURY DISEASE DISEASE 1 2 252 3411104 114 PERINATAL UNINTENT. UNINTENT. HEART HEART SUICIDE CANCER CANCER PERIOD INJURY INJURY DISEASE DISEASE 2 11233474 93 HOMICIDE/ INFLUENZA/ UNINTENT. UNINTENT. SUICIDE STROKE LEGAL PNEUMONIA INJURY INJURY 3 122 3 18 22 NON- KIDNEY CANCER STROKE SUICIDE CANCEROUS STROKE DISEASE TUMOR 4 1 1 2118 21 BRONCHITIS/ BRONCHITIS/ BRONCHITIS/ DIABETES OTHER EMPHYSEMA/ STROKE EMPHYSEMA/ EMPHYSEMA/ MELLITUS ASTHMA ASTHMA ASTHMA 5 21111718 HOMICIDE/ DIABETES INFLUENZA/ INFLUENZA/ STROKE LEGAL MELLITUS PNEUMONIA PNEUMONIA 6 1 111618 DIABETES DIABETES KIDNEY OTHER LIVER DISEASE MELLITUS MELLITUS DISEASE 7 3 111018 NUTRITIONAL ALZHEIMER'S DIABETES SUICIDE DEFICIENCY DISEASE MELLITUS 8 11913 UNINTENT. OTHER OTHER SUICIDE INJURY 9 537 10 AORTIC ALZHEIMER'S ANEURYSM DISEASE Page 3 Page 10 4 9 Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health Produced by: Community Development Service, Community Health Services, Oklahoma State Department of Health * Vital Statistics, Health Care Information Systems, OSDH & Injury and Violence National Safety Council Across the nation and the state of that translates to almost $2 million and suicide) in Cimarron County are Oklahoma, unintentional and violence- a year. ranked in the top 10 in fiveof the eight age related injuries are on the rise. Unin- groups (see Top 10 list on page 3). Violence-related injuries (homicide tentional injuries account for the 4th leading cause of death in the United Injury and Violence-Related Deaths in States and the 5th leading cause of Cimarron County, 1999 - 2003 death in Oklahoma from 1999-2002. 2.5 For persons ages 1 to 44 in Oklahoma, unintentional injuries are the leading 2 cause of death. 1.5 This trend does not change much in Cimarron County. Unintentional inju- 1 ries are the leading cause of death from ages 5 to 24. Number of Deaths 0.5 It is estimated that for every motor ve- 0 hicle-related death $1.1 million in eco- 1999 2000 2001 2002 2003 nomic costs are incurred. For Cimar- Year of Death ron County which has an average of FALLS FIRES/BURNS MVC SUICIDE 1.6 motor vehicle-related deaths a year, *No homicides/legal intervention or poisoning deaths occurred during this time period * Vital Statistics, Health Care Information Systems, OSDH & Tobacco Use Centers for Disease Control According to the 2005 State of the the community as a whole. With health are #VALUE! $ million a year for Cim- State’s Health Report, tobacco use care costs on the rise, targeting areas arron County. among Oklahomans has remained such as tobacco use is an effective way fairly stable from 1990 to 2002. to control those costs. “Medical costs Oklahoma has been consistently No DataIn 2002, Availablethe CDC estimated At that This a per- Time higher in its tobacco use than the accumulated by those son that used tobacco accrued over nation and is 30% higher than the persons are #VALUE! $ $3,300 in health care costs per year. nation on the amount of tobacco According to the Behavioral Risk Fac-million a year for consumed per capita (103 packs vs. tor Surveillance System, it is estimatedCimarron County” 79 packs). that n/a% ( ) of people in Cimarron Tobacco use is no longer just the County use tobacco of some sort. Medi- problem of the individual but also cal costs accumulated by those persons * Behavioral Risk Factor Surveil- lance System, Health Care Infor- Physical Activity, Wellness and Diabetes mation System, OSDH & Ameri- The increasing inactivity of the U.S. County had no leisure activity in the health care costs of in one year for population is contributing to an increase past month at the time they were sur- Cimarron County. in numerous poor health-related out- veyed. comes. Physical inactivity robs the body The BRFSS also indicated that n/a% ( ) of precious energy needed to function No Dataof Cimarron Available County citizens At have This been Time properly, in turn health declines and rates diagnosed by a health professional as of various chronic diseases escalate. having diabetes. In 2002, the per capita According to the 2002-2004 Behavioral annual healthcare costs for peopleIncrease with activity gradually. Risk Factor Surveillance System diabetes was $13,243 comparedModerate to exercise for 30 (BRFSS), it is estimated that n/a% $2,560 for people without diabetes.minutes 5 days a week. (#VALUE!) of people in Cimarron Persons with diabetes accumulated Page 4 STATE OF THE COUNTY’S HEALTH REPORT * Sawhill V., Policy Brief #8, The Brookings Institute; Vi- tal Statistics, Health Care Information Systems, OSDH & Teen Pregnancy National Vital Statistics, Centers for Disease Control While births to teen mothers (age 15 to was 60.0 (per 1,000 15-19 year old 31% and 7%, respectively. 19) are on the decline in both the U.S.