Presentation by Lillian Peake, MD, MPH at the 2009 Virginia Health Equity Conference, outlining steps for completing health impact assessments using Mobilizing for Action through Planning and Partnerships (MAPP) 2008 data from Charlottesville, VA
These slides gives a precise outline on the Process of community diagnosis It engages the reader with basic memorable steps to execute the survey. it is suitable for students and field workers
These slides gives a precise outline on the Process of community diagnosis It engages the reader with basic memorable steps to execute the survey. it is suitable for students and field workers
“I want to do a health project but I don’t know where to start!” This is a common challenge. Doing a community needs assessment is a crucial piece to planning successful projects but can often seem like a daunting task. Join us for a great conversation and fun exercise in doing a community assessment in maternal and child health or disease prevention and treatment, and go back to your district with a better understanding of community assessment and planning tools.
The Presentation explains basic models of disease causation, to understand the etiology or causes of disease & altered production and helps to understand the applicability of causal criteria applied to epidemiological studies.
Community diagnosis is vital in health planning, evaluation and needs assessment, several types of indicators are valid to be used for community diagnosis including Socio-economic, demographics, health system, and living arrangements.
As per John M. Last (1988) Epidemiology is the study of the distribution and determinants of health related states or events in specified populations, and the application of this study to the control of health problems.
Training presentation on how to perform a community health assessment. Topics include basics on how to: plan an assessment, collect and analyze quantitative and qualitative data, produce and report findings.
Measurements of morbidity and mortality
At the end of the session, the students shall be able to
List the basic measurements in epidemiology
Select an appropriate tools of measurement
Measure morbidity & mortality
Perform standardization of rates
“I want to do a health project but I don’t know where to start!” This is a common challenge. Doing a community needs assessment is a crucial piece to planning successful projects but can often seem like a daunting task. Join us for a great conversation and fun exercise in doing a community assessment in maternal and child health or disease prevention and treatment, and go back to your district with a better understanding of community assessment and planning tools.
The Presentation explains basic models of disease causation, to understand the etiology or causes of disease & altered production and helps to understand the applicability of causal criteria applied to epidemiological studies.
Community diagnosis is vital in health planning, evaluation and needs assessment, several types of indicators are valid to be used for community diagnosis including Socio-economic, demographics, health system, and living arrangements.
As per John M. Last (1988) Epidemiology is the study of the distribution and determinants of health related states or events in specified populations, and the application of this study to the control of health problems.
Training presentation on how to perform a community health assessment. Topics include basics on how to: plan an assessment, collect and analyze quantitative and qualitative data, produce and report findings.
Measurements of morbidity and mortality
At the end of the session, the students shall be able to
List the basic measurements in epidemiology
Select an appropriate tools of measurement
Measure morbidity & mortality
Perform standardization of rates
EOA2016: Taking Stock: 2016 Health Profile & Well-Being ReportsPIHCSnohomish
During the 2nd breakout session at Edge of Amazing 2016, Jody Early, PhD (UW Bothell School of Nursing & Health Services) and Elizabeth Parker, PhD (Snohomish Health District) discussed results from the PIHC Health & Well-Being Monitor & the Health Districts latest profile of health in Snohomish County.
Exploring Public Health in Georgia and Metro AtlantaARCResearch
Looks at a variety of public health data, along with socioeconomic and demographic data, to provide a context for health.Health involves so much more than just the care we receive. Socioeconomics and demographics drive health outcomes in powerful ways. Research is focused on the recently released 2013 County Health Rankings.
The goal of this webinar was to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay.
Examining The Health of Williams CountyAvaWilson88
Know here some facts and stats about the health of people living in Williams County. In the 2019 report, you will find that in many ways the health of our community is very good and ranks higher than both the nation and state averages. In other areas, you will find we still have challenges that need to be addressed for the betterment of our community. For detailed information, visit: https://bit.ly/30HUhni
The five FFI counties in NE Iowa worked with the Public Health departments and a Luther College intern to collect data and statistics from public sources on the health status of our counties.
Anne C. Beale, MD, MPH, the president of the Aetna Foundation speaks about disparities in child health care, the causes behind those disparities, and policies that can reduce them.
Accountability For the Care We ProvideCentralPAHEF
On March 3, 2016 at Highmark Blue Shield there were healthcare executives gathered for the Healthcare Executive Forum of Central PA's quarterly event. This American College of Healthcare Executive's event was worth 1.5 face to face credits. We focused on the issues and preparation for changing healthcare landscapes. Three speakers shared their experience, which was bountiful. These speakers are Moderator: Terry Madonna, Director of the Center for Politics and Public Affairs, Franklin and Marshall College; Speakers: Gerald Walsh, VP, Provider Contracting and Relations, Highmark; Thomas Northrop, NorHealth Management Group, CEO; Michael Consuelos, SVP, Clinical Integration at The Hospital & Healthsystem Association of Pennsylvania. Visit our website for full biographies and more at www.centralpa.ache.org.
Health Equity Considerations for Virginia's African American Children: The Importance of Social Determinants of Health
Prepared by Cheza Garvin, PhD, MPH, MSW, Assistant Professor and Academic Director, Consortium for Infant and Child Health (CINCH). Presented by Keisha Cutler, MPH, Assistant Director, CINCH, Department of Pediatrics, Division of Community Health & Research, Eastern Virginia Medical School
Presentation by Steven H. Woolf, MD, MPH at the 2009 Virginia Health Equity Conference.
Dr. Woolf shared research on the dramatic influences of social conditions on health inequities nationally and in the Commonwealth of Virginia. He also discussed the importance of packaging the evidence in compelling formats for policymakers and the public.
Presentation by Paula Braveman, MD, MPH at the 2009 Virginia Health Equity Conference.
Dr. Braveman described the Robert Wood Johnson Foundation (RWJF) Commission to Build a Healthier America and explained the RWJF’s rationale for creating the Commission and for the Commission’s work to focus on the social determinants of health, and its relevance to health equity. She also discussed the Commission’s recommendations.
Presentation by Howard Frumkin, MD, MPH, DrPH at the 2009 Virginia Health Equity Conference.
Focusing on how inequities in the built environment – places where we work, live and play; transportation; food; and parks and green spaces - impact health, Dr. Frumkin described the dimensions of healthy communities and community design principles and the opportunities for effective interventions. He described the work of the Centers for Disease Control and Prevention in promoting health equity through healthy places. He also gave examples of communities that are advancing health equity through healthy places.
Presentation by Camara Jones, MD, MPH, PhD at the 2009 Virginia Health Equity Conference.
Dr. Jones presents the “Cliff Analogy” for understanding four levels of health intervention: medical care, secondary prevention, primary prevention, and addressing the social determinants of health. She described how health disparities arise on three levels (differences in quality of care, differences in access to care, and differences in underlying exposures and opportunities) and expand the “Cliff Analogy” to illustrate the relationship between addressing the social determinants of health and addressing the social determinants of equity, which is a fifth level of health intervention.
She identifies racism as one of the social determinants of equity and a fundamental cause of “racial”/ethnic health disparities in the United States, with racism defined as a system of structuring opportunity and assigning value based on the social interpretation of how one looks, which is what we call “race.” She described how racism impacts health on three levels (institutionalized, personally-mediated, and internalized) and animate understanding of these levels of racism with her “Gardener’s Tale” allegory.
Finally, using data from the “Reactions to Race” module on the 2004 Behavioral Risk Factor Surveillance System, she examined the relationship between responses to “How do other people usually classify you in this country?” and self-rated general health status to provide evidence of the impacts of racism on health. Dr. Jones challenges us to broaden the scope of our public health interventions by asking the question “How is racism operating here?” and then working to create a system in which ALL people are highly valued and ALL people are able to develop to their full potential.
Presentation by Chuck Koutnik at the 2009 Virginia Health Equity Conference as part of the panel, "Show Me the Money - Strategies for Identifying Potential Funders and Writing Successful Grant Proposals."
Presentation by Valerie Liggins, LSW at the 2009 Virginia Health Equity Conference as part of the panel, "Show Me the Money - Strategies for Identifying Potential Funders and Writing Successful Grant Proposals."
Presentation by Amy Paulson at the 2009 Virginia Health Equity Conference. Explores and explains the community-based participatory approach with focus on application of theory in “real communities with real people”. The use of coalitions in community-based participatory approaches will be discussed. Explains the challenges and benefits of coalition building was they relate to moving from theory to practice, as well as the impact of individual and community factors on coalition building.
Presentation by Frank Principi at the 2009 Virginia Health Equity Conference, as part of the panel, "Advocacy 101: Strategies to Build Local, State and National Support for Health Equity"
Presentation by Rick Shinn at the 2009 Virginia Health Equity Conference - Part of the panel discussion, "Advocacy 101: Strategies to Build Local, State and National Support for Health Equity"
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Mobilizing for Action through Planning and Partnerships (MAPP)
1. MAPP Mobilizing for Action Through Planning and Partnerships Lilian Peake, MD, MPH
2. PUBLIC HEALTH TODAY: PARTNERSHIPS TO ASSURE THE CONDITIONS FOR POPULATION HEALTH Communities Academia The Media Employers and Business Health Care Delivery System Governmental Public Health Infrastructure Adapted from “The Future of the Public’s Health, 2003
10. Cost of Living Relative to Charlottesville Hampton Roads, Richmond, Alexandria/Arlington, Roanoke, 2007 Source: cnn.money.com - ACCRA Average of past four quarters ending first quarter 2007 ACCRA calculates the index for each category by measuring the cost of a select group of goods and services, then calculates the ratio of an area’s price for an item to the average price of that item nationwide. The amount that individual item ratios contribute to the category index is based on proportion of expenditures on that item *Charlottesville = 100% 87% 78% 82% $ 17,812 Roanoke 102% 197% 102% $ 27,480 NoVa 95% 106% 87% $ 21,133 Richmond 89% 106% 87% $ 20,518 Hampt Rds Cost of Healthcare Cost of Housing Cost of Groceries Comparable Salary to $21,000 in Charlottesville
11. Percent of Children Below 100% Poverty Albemarle, Charlottesville, Virginia, U.S. 2000-2004
13. Average Medicaid Participation Rate Albemarle and Charlottesville, 2002-2006 (4198) (4307) (4491) (4527) (4585) (3878) (4476) (4865) (5155) (6069) *Parentheses indicate actual number served Sources: Charlottesville and Albemarle Departments of Social Services
15. United States – Emergency Room Visits by Type of Insurance - 2004 Source: CDC/NCHS, 2004 National Hospital Ambulatory Medical Care Survey
16. Five Leading Causes of Death TJHD and Virginia, 2005 Source: Center for Health Statistics, Virginia Department of Health 5. Unintentional Injuries 4. Chronic Respiratory Disease (COPD and Asthma) 3. Stroke 2. Cancer 1. Heart Disease
23. Overweight* and Obese** Prevalence Among Fifth Graders Albemarle and Charlottesville, 1998, 2003, 2007 Source: Thomas Jefferson Health District; Childhood Obesity Task Force
24. Infant Mortality (<1 Year) Albemarle, Charlottesville, and Virginia 5-Year Rolling Averages 1995-2005
25. Infant* Mortality Rate by Race: Five-Year Rolling Averages Albemarle and Charlottesville, 1995-2005 *< 1 year old
26. % of Infant Deaths by Number of Prenatal Visits Thomas Jefferson Health District, 2002-2006 Source: Division of Women’s and Infant’s Health, Virginia Department of Health
27. No 1 st Trimester Prenatal Care and Low Birth Weight City of Charlottesville, 1990-2006 The Meadows North Downtown Rose Hill 10 th & Page Locust Grove Greenbrier Barracks Rugby Barracks Road Lewis Mountain Venable Belmont Woolen Mills Martha Jefferson Ridge St. Fifeville Johnson Village Fry’s Spring Jefferson Park Ave. Starr Hill
28. Fry’s Spring Ridge St. Belmont Barracks/ Rugby Greenbrier 10 th & Page Venable Locust Grove Ridge St. Belmont 10 th & Page Greenbrier Barracks/ Rugby
Assessment is a significant phase of the MAPP process. The four MAPP Assessments form the core of the MAPP process. Only intense community attention to these activities can assure appropriate community ownership of the entire MAPP effort. Results of the assessments will drive the identification of strategic issues and activities of the local public health system and the community for years to come. Therefore, although they may appear to be time-consuming, it is important to take great care in implementing the assessments and ensuring that they are done effectively and with broad participation. The Essential Services most associated with the Core function of Assessment are: Monitor health status to identify and solve community health problems. - This service includes accurate diagnosis of the community’s health status; identification of threats to health; and determination of health service needs. Diagnose and investigate health problems and health hazards in the community. - This service includes epidemiological investigations of disease outbreaks and patterns of infectious and chronic diseases and injuries, environmental hazards, and other health threats. Inform educate and Empower People about Health Issues - This service includes providing health information, health education, and health promotion activities designed to reduce health risk and promote better health; implementing health communication plans and activities such as media advocacy and social marketing; making health information and educational resources accessible to the community; and fostering health education and health promotion program partnerships with schools, faith communities, worksites, personal care providers, and others to implement and reinforce health promotion programs and messages. The Four MAPP Assessments provide the foundation for achieving the three Essential Services most associated with the Core Function of Assessment. The four MAPP Assessments — the third phase of MAPP — and the issues they address are described below: The Community Themes and Strengths A ssessment provides a deep understanding of the issues residents feel are important by answering the questions, &quot;What is important to our community?&quot; &quot;How is quality of life perceived in our community?&quot; and &quot;What assets do we have that can be used to improve community health?&quot; The Local Public Health System Assessment focuses on all of the organizations and entities that contribute to the public's health. The Local Public Health System Assessment answers the questions, &quot;What are the components, activities, competencies and capacities of our local public health system?&quot; and &quot;How are the Essential Services being provided to our community?&quot; The Community Health Status Assessment identifies priority community health and quality of life issues. Questions answered here include, &quot;How healthy are our residents?&quot; and &quot;What does the health status of our community look like?&quot; The Forces of Change Assessment focuses on identifying forces such as legislation, technology and other impending changes that affect the context in which the community and its public health system operate. This answers the questions, &quot;What is occurring or might occur that affects the health of our community or the local public health system?&quot; and &quot;What specific threats or opportunities are generated by these occurrences?&quot; Why are the four MAPP Assessments important? While each of the assessments alone will yield important information for improving community health, the value of the four MAPP Assessments is multiplied by considering the findings of each individual assessment together. Disregarding any of the four assessments will leave participants with an incomplete understanding of the factors that affect the local public health system and, ultimately, the health of the community. Collectively, the four MAPP Assessments have several purposes, including: Providing insight on the gaps between current circumstances and a community's vision (as determined in the Visioning phase); Providing information to use in identifying the strategic issues that must be addressed to achieve the vision; Serving as the source of information from which the strategic issues, strategies, and goals are built. After the four MAPP assessments are completed and the results are compiled, the local public health system partners can move on to the next phase of MAPP- Identifying Strategic Issues and Formulating Goals and Strategies. It is during this phase that the services related to the Core Function of Policy Development can be accomplished. Each of the four MAPP assessments will be described in the following slides of this module.
Changing demographics Fastest growing segment of C/A are those 45 years old and up
Our community is seeing an increasingly diverse population due to the influx of immigrants and refugees
While over 80 percent of City and 90 percent of County residents are above the poverty level, children and the elderly are the most affected groups by poverty.
An estimated 17,000 individuals have no health insurance in the City and County. Nearly 60 percent of County and 35 percent of City households without insurance are above 200 percent of poverty. Methodology: Uninsured estimates were derived by applying income-specific uninsured rate estimates to population estimates at the city, county, and zip code level. Uninsured rate estimates were calculated using multiple national and state surveys to derive an estimated uninsured rate for people above and below 200 percent of poverty. Population estimates for each income group were derived by applying 200-percent-of-poverty rates from the 2000 Census to total population estimates for 2005. The uninsured rates estimates were then applied to the population estimates to derive an estimated number of uninsured individuals above and below 200 percent of poverty in 2005. This method is obviously subject to error and CHRC does not guarantee the accuracy of the estimates. Estimates should be used for program and policy planning only, and should not be used to compare uninsured rates across geographic areas.
Overall death rates are declining in both the City and County, but they are higher among African-Americans than their white counterparts, especially for heart disease stroke, and cancer.
Local childhood obesity data indicate that childhood overweight and obesity increased between 2003 and 2007, likely reflecting changes in physical activity and nutrition.
The infant mortality rate in the City is increasing with racial disparities in both the City and County: i.e., more African-American babies are dying within the first year of life as compared to whites and more are born at a low birthweight (i.e., < 2500 grams).