Summer 2010: Uconj. 501 University of Washington Rural Health County Project Grays Harbor County

1. Grays Harbor County: Health Assessment and Interventions Uconj. 501 – Interdisciplinary Rural Health Issues Rural Health County Project: Summer 2010

8. Trauma Centers and OB care Only two hospitals that provides acute care, one of which provides OB care. Majority of the areas are more than a 30 minute drive to a hospital for both acute and OB care. Northern area need more time to reach these facilities in comparison to areas in the south. Grays Harbor Community Hospital (Level V G) Mark Reed Hospital (Level III G)

11. Health Indicators: Better than or the same as state 32 32 Substance Abuse : % teen alcohol use 42 56 Immunization: % children 19-35 months with complete vaccination 62 44 66 52 Physical activity: % adults age 18 or older % teen physical activity Washington Grays Harbor Health Indicator

12. Health Indicators: Worse than State Washington Grays Harbor Health Indicator 79 74 Access to Health Care: % adults age 18 or older who report having a personal doctor or health care provider 10 12 Mental Health: % adult poor mental health 16 23 Substance Abuse: % adults binge drinking 16 14 24 18 Tobacco Use: % adults cigarette smoking % teen cigarette smoking 61 25 64 29 Overweight and Obesity: % adults overweight % teens overweight

13. A bigger problem… Worse than state Health Indicators lead to: Premature Deaths Lung Cancer 16 23 Substance Abuse: % adults binge drinking 34 5,979 5,245 7,694-9,148 8,421 Washington Grays Harbor Health Indicator Rank (of 39) Washington Target Value Error Margin Grays Harbor AA rate per 100,000 AA population Year Site Data type 65.6 97.8 2005-2007 Lung/bronchus incidence Washington Grays Harbor