orange

2015 Population Health Profile
of Orange County, Florida
Published April 1, 2015 by Alyssa Laswell
The Florida Department of Health works to protect,
promote & improve the health of all people in Florida
through integrated state, county, & community efforts.

Florida Department of Health in Orange County ||2
2015 Orange County Community Health Assessment
CONTENTS
Introduction................................................................................................................................... 3
Demographic and Socioeconomic Characteristics .....................................................................4
Population Overview.................................................................................................................4
Social and Economic Profile......................................................................................................6
Households and Families ........................................................................................................6
Schools & Education ...............................................................................................................6
Employment ........................................................................................................................... 7
Income and Poverty................................................................................................................8
Uninsured And Health Care Costs...........................................................................................9
Homelessness .........................................................................................................................9
Mortality: Leading Causes of Death............................................................................................ 11
Leading Causes of Death............................................................................................................12
Infant Mortality .........................................................................................................................18
Motor Vehicle Crashes and pedestrian fatalities.......................................................................19
Morbidity (Disease incidence and Prevalence).........................................................................20
Maternal and Child Health ......................................................................................................20
Birth Rate, Teen Births ......................................................................................................... 20
Preterm and Low Birth Weight ............................................................................................ 20
Chronic Diseases.......................................................................................................................21
Cardiovascular Disease ..........................................................................................................21
Cancer ....................................................................................................................................21
Diabetes.................................................................................................................................21
Asthma...................................................................................................................................22
Overweight and Obesity........................................................................................................22
Health Behaviors (BRFSS Results).......................................................................................... 23
Infectious Diseases..................................................................................................................24
HIV/AIDS................................................................................................................................ 24
Sexually Transmitted Diseases ............................................................................................. 24
Tuberculosis.......................................................................................................................... 24
Health Inequities ......................................................................................................................... 25
Minority Profile: Black Population.......................................................................................... 25
Minority Profile: Hispanic Population..................................................................................... 25
County Health Rankings 2015 .....................................................................................................26

INTRODUCTION
This Community Health Assessment uses data from a wide variety of sources. Every effort was made to
include the most up to date data available. Throughout this assessment, comparisons will be made to the
entire state of Florida (67 counties in total), as well as to select groups of counties. Orange, Seminole, and
Osceola counties are neighboring counties and comparison can be useful for regional geographic data. The
Orlando Metropolitan Statistical Area encompasses these three counties and is often used for comparison
purposes. In addition, comparisons may be drawn between counties with a similar socio-demographic makeup,
namely: Miami-Dade, Broward, Palm Beach, and Hillsborough counties. These are the four counties in Florida
with a larger population than Orange County, and they all encompass at least one major city, which can be
useful for comparison to the Orlando area. These “peer” counties include cities such as Miami, Fort
Lauderdale, West Palm Beach, and Tampa.
It is often helpful to use county data to rank the 67 counties in regard to specific health factors or outcomes.
For these purposes, this assessment will use quartiles when appropriate. The use of quartiles involves ranking
the 67 counties, in order from best to worst. The top quartile (25%) is the best 16 counties for each measure. In
some cases, this may be the highest rate (for example: adults who consume 5 servings of vegetables daily), and
other measures may use the lowest rate to represent the best case (for example: rates of uninsured persons).
The 1st
and 2nd
quartiles represent the counties with the best status for each indicator, and the 3rd
and 4th
quartiles represent areas which Orange County should target for improvement.

DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS
Orange County consists of 903 square miles of land and
99 square miles of water, located in Central Florida.1
It is
bordered on the north by Seminole County, the east by
Brevard County, south by Osceola County, and to the west
by Lake County. Orange County is home to 1,221,712
residents, with 255,483 living in Orlando, the largest city in
the county.2
Orlando is the largest inland city in Florida.
Orange County is densely populated, with an average of
1,332 people per square mile.3
This is higher than the state
average, estimated to be 359 people per square mile in
2013, and the U.S. average of 87 residents per square mile.4
It is estimated that only 2% of the Orange County
population lives in a rural setting.5
Orange County is
located in what is known as the Orlando-Kissimmee-
Sanford Metropolitan Statistical Area (also referred to as
the Orlando MSA). The Orlando MSA includes Orange,
Osceola, and Seminole Counties (Orange’s neighbors to
the south and north, respectively).
Orange County is home to such travel destinations as the Walt Disney World Resort, Universal Orlando
Resort, and SeaWorld Orlando Resort. An estimated annual 52.9 million domestic visitors and 4.1 million
international tourists make the Orlando area one of the top tourist destinations in the United States.6
Orlando
has a large international airport, and is also known for its shopping and convention centers. The University of
Central Florida, located within the county, boasts the 2nd
highest enrollment in the nation. The recent
expansion of the Medical City includes the new UCF College of Medicine, which opened in 2009, and Nemours
Children Hospital, which opened in 2012.
POPULATION OVERVIEW
Orange County is the state's 5th most populous county, home to 6.2% of Florida's overall population.7
Orange
County is the 16th fastest-growing county in Florida, experiencing population growth at a rate of 27.8%
between the 2000 and 2010 census counts. This is above the state average of 17.6%.8
Orange County's
population skews younger than Florida's overall population, with a median age of 33.7 years compared to the
state average of 40.8 years9
However, Orange County, like the rest of the state, has an aging population. The
life expectancy for women the United States is 80.9 years and men is 76.3.10
In Orange County, women’s life
expectancy is 81.5 years, and men’s is 76.7 years. This places Orange County in the top 25% of all counties in the
nation. The life expectancy has increased at a rate better than 75% of all counties in the years 1985-2010.
Location of Orange County, Florida
(guy)
guy, s. (n.d.). wikipedia. Retrieved
from wiki.com

Additionally, Orange County is more racially diverse than the rest of Florida, with only 63.6% of its population
identifying as white, in contrast to 75% of the state of Florida11
. Orange County has proportionally higher ethnic
populations of Hispanics, Black/African Americans and Asians12
. The county, like the rest of the state, is
expected to grow increasingly diverse in the years to come.
There are an estimated 64,450 residents of Orange County that are not proficient in English. This accounts for
approximately 6% of the population13
. This is a significantly lower rate than the 6.4% of Florida’s overall
population that does not demonstrate English proficiency. English proficiency may have an impact on health
literacy and health education efforts. Approximately 19% of Orange County’s populace was born outside of the
United States. This is similar to the state rate, but much higher than the national average of 12.9%.

SOCIAL AND ECONOMIC PROFILE
HOUSEHOLDS AND FAMILIES
An average household in Orange County is made up of 2.7 people, which is slightly higher than the state
average of 2.5 people.14
There are 94,275 households in Orange County who reported severed housing
problems in 2010. This is 23% of the population, which is significantly higher than the state average of 22%.15
SCHOOLS & EDUCATION
Orange County has 205 public education institutions; 130 of these are elementary schools.16
The county
population has a significantly higher rate of educational attainment than the rest of the state17
; 86.9% of
Orange County’s adults over the age of 25 years are high school graduates, and 30.0% have obtained a
bachelor’s degree or higher. This compares to the 85.5% of the state’s adults older than 25 years that are high
school graduates, and 26.0% with a bachelor’s degree or higher.18
However, within Orange County, educational attainment rates vary wildly, from a low of 0% of the population
without a high school diploma in a census tract in Winter Park, to a high of 40.5% of the population without a
high school diploma in a census tract in Ocoee.
The map below illustrates areas of great need within in Orange County. This map highlights, by census tracts,
areas with a high percentage of the population living below the poverty line, and population with low
educational attainment.

On this map, a “vulnerable population” is defined as a population in which more than 30% of the population is
below the poverty level and more than 25% of the residents over the age of 25 years do not have a high school
diploma. Vulnerable populations (by census tract), where both of these conditions coexist, are illustrated by a
dark brown color on the map. Additionally, pockets of wealthy individuals are mapped here, colored in green.
The green areas show census tracts in which the highest 1/5 of earners makes more than twice the average
income in the county. This helps to visualize income inequalities, which often mirror health inequities in
populations.
EMPLOYMENT
Orange County has historically benefitted from lower rates of unemployment than the rest of the state.
Despite seeing a high level of unemployment in 2010 (11.1%, which mirrored the rest of the state), Orange
County has seen a decrease in the years since, with an estimated 5.4% of the population unemployed in
October 2014. This is below the national average of 5.5% and the state average of 5.8%.19
In the years 2014
through 2022, it is expected that the state of Florida will see a 14.1% increase in the amount of jobs. This is
equivalent to 116,411 new jobs created by 2022. 20
The largest employers21
and industries22
of the 1,117,900 nonagricultural workers in the Orlando MSA are:
Company Employees
Walt Disney World Resort 74,000
University of Central Florida 11,078
Darden Restaurants 6,419
SeaWorld Orlando 6,032
Lockheed Martin 5,774
Siemens Energy 4,448
Aon Hewitt 1,769
L-3 Coleman Aerospace 955
Electronic Arts 800

INCOME AND POVERTY
Orange County’s median household income of $46,675 is the 21st
highest in the state. This is $654 higher than
the Florida average, but significantly lower than the national median household income of $52,250. 23,24
Orange County is home to 212,956 people, or 18.2% of its residents, who live below the federal poverty level,
according to a 2013 estimate from the US Census Bureau.25
This is a higher rate than the Florida state average
(17.1%) and significantly higher than the rest of the United States (15.8%).26
Please see the map below for a
distribution of poverty-stricken individuals within the county.
An estimated 170,711 individuals in Orange County receive Medicaid (18.9% of the population). This rate is
lower than the state average of 20.3% and the national average of 20.2%.
Additionally, Orange County has more children under the age of 18 years in poverty than the rest of the
state and significantly more children in poverty when compared to the rest of the United States (27.1% in
Orange County, 25.6% in Florida, and 22.6% nationwide). 27,28
In Orange County, 50% of children are eligible for
free lunches. This is slightly higher than the state average of 49%.29
Eighteen percent of Orange County
residents report food insecurity, and 6% (70,016 residents) report that they have limited access to healthy
foods.30
There are multiple food deserts in Orange County. A food desert is defined as a low-income (LI) census
tract where a significant proportion of the population lives more than 1 mile from a supermarket in urban areas
or 10 miles in rural areas (referred to as low access or LA). These areas are highlighted in green on the map that
follows.

UNINSURED AND HEALTH CARE COSTS
In 2011, it was estimated that 219,629 adults, or 29%, of Orange County adults (under age 65) were uninsured.
This was similar to the state average of 29%.31
In addition, there were 36,738 uninsured children in Orange
County, which is equivalent to 13% of all children. Again, this rate was not unlike the state average of 12%.
Orange County residents spend significantly more money on health care related costs than the rest of the
state. It is estimated that Orange County spends $11,552 per person on healthcare each year, while the average
Floridian spends about $365 less.32
The percentage of the population who reported that they could not visit a
doctor due to the cost was 18%; the state average was 17%.33
HOMELESSNESS
Based on a 2013 report on homelessness by the Department of Children and Families' Council on
Homelessness, Florida has the third largest homeless population in the country; 8.7% of the nation's homeless
live in Florida. Florida also has the third highest rate of unsheltered homeless persons (64.1%). 34
Homeless estimates are based on a count conducted nationwide in one day and one night in January.
Although Florida’s homeless population has been steadily declining since 2007, Orange County's homeless
population shows an overall upward trend. The 2013 count was the highest in the past 7 years (data unavailable
prior to 2007). Florida state has seen a 25% decrease in the number of homeless individuals in years 2007-2013;
Orange County has seen a 100% increase in the same time period. In 2013, Orange County had the 4th highest
count of homeless individuals, accounting for 6.5% of the state's homeless population.
Based on the 2013 report, Orange, Osceola, and Seminole Counties together have the highest number of
chronically homeless people among smaller city, county, and regional areas in the US-- an estimated 1,577 are
chronically homeless.35
This places the Orlando MSA as 7th in the nation, behind the major cities of Los
Angeles, New York City, San Diego, CA, San Jose/Santa Clara, CA, San Francisco, and Washington, DC. In the
January 2013 count, there were 479 homeless unaccompanied children and youth under the age of 25 in
Orange, Osceola, and Seminole counties. This is the 10th highest count in the nation.

The Florida Department of Education reports that Orange County has the highest amount of homeless
students of the 67 counties in Florida. The 2012-13 school year is the first year that Orange County has
surpassed the number of homeless students in Miami-Dade County, even though Orange County has half the
number of school aged children who reside in Miami-Dade. Out of the top 12 counties in Florida with the
highest number of homeless students, half of the counties are in Central Florida, including all 3 counties that
make up the Orlando Metropolitan Statistical Area (MSA). All five of the counties with the largest population
are also included in the top 12 (Orange County’s peer metropolitan counties). Central Florida has more
homeless children than the four largest counties (Miami-Dade, Broward, Palm Beach, and Hillsborough)
combined.

MORTALITY: LEADING CAUSES OF DEATH
The leading causes of death are ranked as follows for Orange County, Florida, and the United States36
:
All rates discussed in this section are the age-adjusted death rate per 100,000 residents in the population. This
makes it possible to compare counties with different demographic compositions. Often, the 3-year-rolling rate
is used instead of single years, as this elucidates overall trends without being affected by a single-year extreme
rate. Years of Potential Life Lost (YPLL) are for every 100,000 residents under the age of 75. The summary view
at the beginning of each section highlights important information, including the cause-specific mortality rate,
the overall trend for the past 15 years, a comparison of Orange County to the rest of the state and county, and
any differences (“disparities”) that exist between genders, races, ethnicities, or age groups. The group with a
Rank Orange County37
Florida38
United States39
1 Cancer Cancer Heart Disease
2 Heart Disease Heart Disease Cancer
3 Unintentional Injuries
Chronic Lower Respiratory
Disease (CLRD)
Disease (CLRD)
4 Stroke Stroke Unintentional Injuries
5
Disease (CLRD)
Unintentional Injuries Stroke
6 Diabetes Mellitus Diabetes Mellitus Alzheimer’s Disease
7 Alzheimer’s Disease Alzheimer's Disease Diabetes
8 Pneumonia/Influenza Kidney Disease Pneumonia/Influenza
9 Suicide Suicide Kidney Disease
10 Septicemia
Chronic Liver Disease and
Cirrhosis
Suicide

higher rate of morbidity or mortality is highlighted in red. The explanation under the county snapshot provides
deeper detail and explanations or trends.
LEADING CAUSES OF DEATH
1. CANCER40
Cancer deaths in Orange County occur at a rate of 158.5 per 100,000 residents in the population. This is very
close to the average rate in the state of Florida (158.7 per 100,000 residents), and puts Orange County in the
second quartile of counties. This rate meets the national target for Healthy People 202041
. In the last 20 years,
the rate of cancer deaths has gone steadily downward. Cancer is responsible for the greatest Years of Potential
Life Lost (YPLL) for residents under age 75. Each year, it is estimated that 1,357.9 years of life are lost due to
cancers per 100,000 people in Orange County. Years of Potential Life Lost (YPLL) is a measure used to help
quantify the social and economic loss due to specific causes of death. It uses an estimate of how long the
person would have lived on average, if that individual had not died prematurely (in this case from cancer).
Men have a higher mortality rate due to cancers than women, although this gap between genders has been
growing increasingly narrow (from a difference of 93.3 per 100,000 in 1995 to 50.1 per 100,000 in 2013). In
Orange County, white people have a higher death rate due to cancer than blacks. This was true for the first
time in the year 1999; prior to 1999, blacks held the higher rate of cancer deaths. When comparing Hispanics
Cancer
Mortality
158.5
per 100,000
Trend
decreasing
Florida
Comparison
2nd quartile
historically higher,
recently similar
Healthy People
2020 Target:
met:
161.4
per 100,000
Disparities
Male vs. Female
White vs. Black
Non-Hispanic
vs. Hispanic
Over age 65
vs. under age 65

and non-Hispanics, Hispanics have a much lower death rate, by 56.2 deaths per 100,000 residents. Cancer
disproportionately affects older Floridians, as the top risk factor for cancer is advancing age. In Florida, 18% of
the population is over the age of 65, but 70% of cancer deaths occur in this age group.
Lung cancer is responsible for a quarter of cancer deaths. Colorectal cancer accounts for 10% of total cancer
deaths, and breast cancer follows with 7% of cancer deaths. 42
Other cancer deaths result from (in order):
prostate cancer, non-Hodgkin’s lymphoma, bladder cancer, head and neck cancer, ovarian cancer, melanoma,
and cervical cancer.
2. HEART DISEASE43
Deaths due to heart disease occur at an annual rate of 148.1 per 100,000 in Orange County. Again, Orange
County ranks in the second quartile of counties. Orange County has historically had higher rates than the state,
but since 2009, the mortality rates due to heart disease have been similar. The state rate is 153.4 per 100,000.
This does not meet the Healthy People 2020 target of 103.4 deaths per 100,000 residents. This rate has declined
greatly since 1994, although it has begun to level off in the years since 2007. Men have a higher rate of death
due to heart disease than women; for every woman that dies of heart disease, 1.7 men die from the same
cause. This gap between men and women has been gradually getting worse for the past 20 years. Racial
differences also exist; black people historically have a higher death rate than whites, although this difference is
much more pronounced in Florida than in Orange County. These rates between blacks and whites have been
similar in Orange County since 2004. The state of Florida shows a much larger difference between the mortality
rate for blacks and whites. Mortality rates for black people in Orange County have actually been lower than
that of whites in the years 2011, 2012, and 2013.
Heart Disease
Mortality
148.1
per 100,000
Trend
decreasing
Florida
Comparison
2nd quartile
historically slightly
higher, recently
similar
Healthy People
2020 Target
not met:
103.4
per 100,000
Disparities
Male vs. Female
Non-Hispanic
vs. Hispanic
Over age 75
vs. under age 75

Ethnic differences exist as well. Orange County non- Hispanic individuals suffer a higher mortality rate than
Hispanics. This difference is larger in Orange County than it is in the rest of the state.
3. UNINTENTIONAL INJURIES44
Statewide, rates of death from unintentional injuries increased from 1994-2005, and have been decreasing in
the years since. In Orange County, however, this rate has been relatively stable for the past 15 years, with the
2013 rate of 34.3 per 100,000 residents slightly lower than the state rate of 38.8 per 100,000. Orange County is
in the first quartile of counties for unintentional injuries death rate. Orange County has had a much lower rate
than the rest of the state every year since 2000. Orange Country’s mortality rate due to unintentional injuries is
lower than the Healthy People 2020 target.
Men have a higher rate of death due to unintentional injury than women, both statewide and in Orange
County. Non-Hispanics have a higher mortality rate than Hispanics, and whites have a higher mortality rate than
blacks. The elderly are at a much higher risk of mortality due to unintentional injury. Orange County residents
over the age of 75 years have a mortality rate more than three times higher than any other age group (10-year
increments), and this rate is increasing.
4. STROKE45
Orange County’s mortality rate due to stroke falls in the third quartile of counties in Florida. At 36.7 deaths per
100,000 residents, this is higher than the state rate of 31.3 per 100,000, and does not meet the Healthy People
2020 target rate. The rate in Orange County has shown a slight increase in each of the past 4 years, while the
state has been remaining constant. Black people have a higher mortality rate than white people. The difference
between races is larger in the state than in Orange County. Non-Hispanics have a greater mortality rate than
Hispanics, but this gap has been narrowing in recent years.
5. CHRONIC LOWER RESPIRATORY DISEASE (CLRD)46
Unintentional
Injuries Mortality
34.3
per 100,000
Trend
steady
Florida
Comparison
1st quartile
state decreasing
since 2007
Healthy People
2020 Target
met:
53.7
per 100,000
Disparities
Male vs. Female
Non-Hispanic
vs. Hispanic
White vs. Black
Over age 75
vs. under age 75
Stroke
Mortality
36.7
per 100,000
Trend
steady
Florida
Comparison
3nd quartile
Orange slightly
higher
Healthy People
2020 Target:
not met:
34.8
per 100,000
Disparities
Black vs. White
Non-Hispanics vs.
Hispanics
Over age 75 vs.
under age 75

In the last 20 years, Orange has had a higher death rate than the rest of the state for chronic lower respiratory
disease (CLRD).This rate has been decreasing slightly each year. In recent years however (since 2010), Orange
County has had a similar or lower rate than the rest of the state, and in 2013, Orange ranked in the first quartile
of counties (35.8 per 100,000). This rate is better than the national rate of 42.1 deaths per 100,000 residents.
CLRD mortality affects men at a higher rate than women; however, the male death rate has been decreasing
at a greater rate than that of the female rate. White people suffered deaths due to CLRD at a higher rate than
blacks, and rates for non-Hispanic people are higher than Hispanics.
6. DIABETES MELLITUS47
While Orange showed a large overall decrease in the years 2000-2006, the rate has been increasing in the
years since 2007. In this same time period, the state mortality rate from diabetes has been declining, then
holding fairly constant since 2009. Although this rate is not ideal, it does meet the Healthy People 2020 target.
CLRD Mortality
35.8
per 100,000
Trend
slightly
decreasing
Florida
Comparison
1st quartile
historically slightly
higher, recently
similar
US
Comparison
42.1
per 100,000
Disparities
Male vs. Female
White vs. Black
Over age 75 vs.
under age 75
Non-Hispanic
vs. Hispanic
Diabetes
Mortality
24.3
per 100,000
Trend
increasing
Florida
Comparison
3rd quartile
Orange increasing
while Florida
decreasing
Healthy People
2020 target:
met:
66.6
per 100,000
Disparities
Male vs. Female
Blacks vs. Whites
Over age 65 vs.
under age 65

Men have a higher mortality rate due to diabetes; this is true in Orange County and in the state of Florida.
Blacks have a higher rate of death than whites, and rates are similar between Hispanics and non-Hispanics.
7. ALZHEIMER’S DISEASE48
The mortality rate for Alzheimer’s disease in Orange County is 18.3 deaths per 100,000 people. This rate has
shown a slight decrease in the past 15 years. Orange County’s rate is consistently higher than that of the state
although this difference is getting smaller every year. This rate is below the national average of 23.5 deaths per
100,000 US residents. Within the county, females suffer a higher mortality rate than males. Whites have a
higher mortality rate than blacks, although the rate for whites has leveled off while blacks show an overall
increasing trend since the year 2000.
Alzheimer's
Mortality
18.3
per 100,000
Trend
steady
Florida
Comparison
3rd quartile
Orange higher
than state rate,
gap decreasing
US
Comparison
23.5
per 100,000
Disparities
Female vs. Male
Whites vs. Blacks
Over age 75 vs.
under age 75

8. PNEUMONIA/INFLUENZA
The mortality rate due to Pneumonia and Influenza is 12.7 per 100,000. This is better than the national
average of 15.9 deaths per 100,000, but it places Orange County in the 3rd
quartiles of counties within Florida.
While deaths from pneumonia and influenza have decreased dramatically since the 1990’s, this rate has been
steady or slightly increasing in the years since 2007. This trend holds true for Orange County and the state of
Florida.
9. SUICIDE49
Orange County ranks 14th
of 67 counties for suicide mortality rate. Orange County’s rate of 10.1 per 100,000
means Orange is in the first quartile of Florida’s counties. The state average of 13.8 is consistently higher than
that of Orange County. Nationally, this meets the Healthy People 2020 target.
Men have a much higher rate of deaths due to suicide; more than double that of females. This rate has been
as high as five times the rate of females, but has been lower in recent years. Whites have a higher mortality
rate than blacks; this rate is approximately twice the rate of blacks. The actual counts of suicide mortalities are
relatively low: 122 deaths in 2013. This compares to 1,702 deaths from cancer in 2013.
10. SEPTICEMIA
Orange County ranks in the worst quartile for deaths due to septicemia. This rate is higher than the national
average of 10.7 deaths per 100,000 population. Black people are disproportionately affected, and the elderly
have a greater risk of death from septicemia. The cause-specific mortality rate for septicemia was low in the
early 1990’s, but increased sharply after 1998 and peaked in 2003 at 16.1 deaths per 100,000. In the years since,
this rate has slowly decreased, although it has not reached the levels seen 20 years ago
Mortality Rate
12.7
per 100,000
Trend
slight
increase
since
2007
Florida
Comparison
3rd quartile
Orange
consistently
slightly lower
US
Comparison
15.9
per 100,000
Disparities
Whites vs. Blacks
Non-Hispanic vs.
Hispanic
Suicide
Mortality
10.1
per 100,000
Trend
steady
Florida
Comparison
1st quartile
Orange's rate
consistently lower
than Florida
US
Comparison
target:
10.2
per 100,000
Disparities
Male vs. Female
Whites vs. Blacks
Septicemia
Mortality
11.1
per 100,000
Trend
slight
decrease
since
2003
Florida
Comparison
4th quartile
Orange decreasing
while state slightly
increasing
US
Comparison
10.7
per 100,000
Disparities
Blacks vs. Whites
Over age 75
vs. under age 75

INFANT MORTALITY
In 2013, there were 15,829 births
to Orange County mothers. Of
these births, 119 infants died
within their first 365 days of life.
This is equivalent to a death rate
of 7.52 deaths per 1,000 births50
.
This rate is significantly higher
than expected, and is higher than
the state rate of 6.1 deaths per
1,000 live births. Orange County is
one of 9 counties with
significantly higher infant
mortality rates than expected.
Hillsborough is the only other peer
county with significantly higher
rates than expected. Broward,
Miami-Dade, and Palm Beach are 3
of 4 Florida counties with
significantly lower rates than expected. In this calculation, the expected rate was adjusted to control for
maternal race, marital status, and educational characteristics in each county.51
There are also significant disparities in infant mortality rates between races. In 2013, black infants were twice
as likely to die before their first birthday as white babies. Black babies are also more likely than white babies to
be stillborn. The graph above displays infant mortality rates per 1,000 births in Orange County and statewide,
from 1992 through 2013. The three-year rolling rate is used to smooth out the line by averaging any extreme
year, which makes it easier to identify overall trends. Fortunately, since 2006, the overall infant mortality rate
in Orange County has decreased by 1.0 death per 1,000 live births. The map below highlights census tracts with
a high density of infant deaths between 2006 and 2010. Many of these tracts correlate with vulnerable
populations. (Note: this map shows counts, not rates per residents.) Tracts with 10 or more deaths are labeled
with the actual number of infant deaths.

Infant mortality is an informative and sensitive indicator of the health of the population, since the health of
an infant is dependent on the health of the entire population—not just the mother; but also the father,
families, and society. There are many risk factors that are associated with infant mortality, including: maternal
race, marital status, maternal education, maternal age, smoking status, nutrition, genetics, access to health
care, birth spacing, infections, chronic medical diseases, psychiatric conditions, environmental exposures,
stress, obesity, diabetes, and more. Modifiable risk factors are targets for improvement opportunities.
In addition, the rate of maternal deaths has been increasing over the past decade. The number of women
who die in childbirth is small (under 4 per year), so trends can be challenging to discern.52
MOTOR VEHICLE CRASHES AND PEDESTRIAN FATALITIES
Orange County has a lower fatality rate due to motor vehicular crashes than the rest of the state (9.8 deaths
per 100,000 residents, compared to a state rate of 12.1 per 100,000).53
This rate has been slowly declining since
2010. However, while the roads are getting safer for motorists, this does not hold true for pedestrians. Of all
metro areas in the United States with a population over 1 million people, the Orlando-Kissimmee metropolitan
area ranks first in the Pedestrian Danger Index, a measure of the relative likelihood that a person on foot will
be struck and killed by a motor vehicle.54
As the most dangerous place for pedestrians in the US, this means
that pedestrians in the Orlando-Kissimmee area suffer more fatalities, despite fewer people walking than other
areas in the nation. This 2014 ranking is based on five years of data, between 2008 and 2012. The state of
Florida is especially deadly for pedestrians; the four highest areas nationwide for pedestrian deaths are all in
Florida: Orlando-Kissimmee, Tampa-St. Petersburg-Clearwater, Jacksonville, and Miami-Fort Lauderdale-
Pompano Beach, respectively.
CRIME
Although the crime rate in
Orange County has been
slowly decreasing over time,
Orange is still among the
worst counties in Florida in
terms of crime. Orange has
been in the top four
counties with the highest
rate of crimes since 2009.55
The 2013 rate of 4,949.2
crimes per 100,000
population represents a 1.3%
decrease from 2012. (Crimes
included in this rate are:
murder, sexual offenses,
robbery, aggravated assault,
burglary, larceny, and motor
vehicle theft as reported to
law enforcement, not
arrests.) Violent crimes occur in Orange County at a rate of 690.1 crimes per 100,000 population. The graph to
the right illustrates the trend in crime rates for Orange County and its five peer counties, as well as the state
average, between 2009 and 2013.
Domestic violence offense rates for Orange County are in the 3rd
quartile of counties in Florida. There was an
average of 8,330 domestic violence offenses in Orange County between 2011 and 2013, a rate of 707.4 per
100,000, higher than the state average of 572.0 offenses per 100,000 individuals.
Additionally, Florida ranks third in the nation for human trafficking. This is primarily due to “tourism, influx of
foreign immigrants, sporting events, conventions, and transient population. Human trafficking is the 2nd most
lucrative criminal enterprise in the world.”56

MORBIDITY (DISEASE INCIDENCE AND PREVALENCE)
MATERNAL AND CHILD HEALTH
BIRTH RATE, TEEN BIRTHS
Orange County has one of the highest birth rates in the state, with 13.2 live births per 1,000 residents. This is
the 6th
highest birth rate in the state, and highest among the peer counties. The teen birth rate in Orange
County is 6.3 births per 1,000 female teenagers, the same as the state rate. In 2013, there were 1,000 babies
born in Orange County to mothers under the age of 20 years.57
PRETERM AND LOW BIRTH WEIGHT
A pre-term birth is a birth before than 37 weeks gestation. The morbidity rate for preterm births in Orange
County is one of the worst in the state. In 2013, Orange ranked 3rd
worst in the rate of pre-term births, with
2,578 babies born in Orange County under 37 weeks of gestation. This represents a rate of 16.3 pre-term births
per 100,000 live births.58
The state average is 14.0 pre-term births per 100,000 births. There is a major disparity
in pre-term babies when comparing white and black populations, which is not unique to Orange County. The
rate for white babies in Orange County is 14.7 preterm births per 100,000 births compared to a rate in black
babies of 20.5 preterm per 100,000 births.
Between 2005 and 2011, in the state of Florida, 8.7% of babies were born at a low birthweight. During the
same time period in Orange County, 10,269 babies out of 112,892 were born at a low birthweight. This equals
9.1% of babies, a significantly higher proportion than the state average. Orange County and the state of Florida
fall short of the US national average of 8.1%.59
The map below displays the concentrations of babies born at a
low birth weight, by census tract. This percentage ranges throughout the county from a low of 0% to a high of
21.1% of all babies born at a low birth weight in a census tract in downtown Orlando (census tract 105, at the
northwest intersection of I-4 and SR 408. This tract is also one of the lowest-income sections in the county).

CHRONIC DISEASES
CARDIOVASCULAR DISEASE
From 2010-2012, there were 4,104 Orange County hospitalizations due to Coronary Heart Disease, and an
additional 1,433 hospitalizations attributed to congestive heart failure. Both of these rates are higher than the
state age-adjusted rate, although the death rate for coronary heart disease is lower than the state’s. Strokes
attributed for 3,121 hospitalizations in the same time period, a rate that is again higher than the state average.
CANCER
Florida ranks second in the nation for newly diagnosed cancer cases. Annually, there are 100,000 new cancer
cases diagnosed in Florida, with 60% of these in people over the age of 65. Cancer occurrence differs by age,
sex, race, geography, and the stage of disease at the time of diagnosis. Cancer deaths are responsible for the
greatest Years of Potential Life Lost, and constitute an enormous financial burden as well; approximately $4
billion is spent annually for in-patient hospital care for cancers. 60
LUNG CANCER
Orange County is in the best quartile for rates of: death due to lung cancer, incidence of lung cancer, and
adults who are current smokers. Lung cancer incidence in Orange County was higher than the state rate during
the 1990s, but has been similar to or lower than the state average since 2000. Adults who report being current
smokers decreased between 2002 and 2010, from 21.4% to 13.3%, but increased to 16.0% in 2013. This is still
slightly lower than the state average of 16.8%.61
COLORECTAL CANCER
Orange County ranks low for the incidence and mortality due to colorectal cancer, when compared to the
rest of the state (4th
and 3rd
quartile, respectively). This may be a result of certain preventative behaviors, like:
adults over the age of 50 years who have received a colonoscopy or sigmoidoscopy in the past five years, and
adults over 50 years of age who have received a stool blood test in the past year. When asked about these
behaviors in 2013, less than half reported receiving a colonoscopy or sigmoidoscopy, and less than 9% reported
a stool blood test. These percentages are in the 4th
quartile statewide.
BREAST AND PROSTATE CANCER
Breast cancer was diagnosed in 664 Orange County residents between 2009 and 2011, and resulted in 122
deaths in 2011-2013. These rates are similar to or slightly higher than the state rates. Prostate cancer in Orange
County affects a larger proportion of men than in the rest of the state. In Orange County, 614 diagnoses and 76
deaths place Orange in the 4th
quartile for incidence and the 3rd
quartile for mortality.
DIABETES
Diabetes contributed to 34,509 hospitalizations in Orange County between 2010 and 2012. This is a rate of
3,258.9 hospitalizations per 100,000 residents, and places Orange County in the worst quartile in the state.
However, in a 2013 survey, only 10.3% of adults reported that they had ever been told they had diabetes, a rate
in the 2nd
quartile of the state, and lower than the state average of 11.2%. This may imply that Orange County
adults have a high rate of undiagnosed diabetes.

ASTHMA
In 2013, 7.7% of adults reported that they currently have asthma, which is slightly lower than the state rate of
8.3% and in the second quartile of counties. However, Orange County is in the worst quartile in terms of asthma
hospitalizations, with 10,906 hospitalizations between 2010 and 2012. This discrepancy between diagnoses and
hospitalizations may mean that asthma is going undiagnosed, or that asthma is being poorly managed in
diagnosed individuals.
OVERWEIGHT AND OBESITY
Since 1980, the worldwide rate of
obesity has nearly doubled. Excess body
fat impairs health and can have many
long term consequences, including
placing the individual at increased risk
for: cardiovascular disease (including
heart disease and stroke), diabetes,
musculoskeletal disorders (especially
osteoarthritis), and some cancers
(endometrial, breast, colon). Children who are obese also face breathing difficulties, an increased risk of
fractures, hypertension, and early indicators of cardiovascular disease, insulin resistance, and physiological
effects.62
Excess body weight is measured by the body mass index (BMI), which is an individual’s weight (in
kilograms) divided by the square of their height (in meters). A BMI of 25 or greater is considered overweight,
and a BMI greater than 30 is classified as obese.
It is estimated that 29.7% of the US population is obese in 201463
. In Florida, this proportion is slightly lower, at
26.4%. Only 36% of Floridians are at a healthy weight. If the current trends continue, 60% of the state will be
obese by 2030. In the next 20 years, obesity is expected to contribute to millions of cases of preventable
chronic diseases, resulting in an estimated $34
billion of healthcare costs in the state of
Florida64
.
Promisingly, 2013 was the first year since
2002 (when data collection began), that a
higher percentage of adults reported a
healthy weight, when compared to the
previous survey (36.3% in 2013, up from 34.6%
in 2010). This trend is also true for the Florida
state average.
Based on 2013 data, it is estimated that
36.2% of adults in Orange County are
overweight, and an additional 25.0% are
obese65
. Overall, this means that 61.2% of all
adults in Orange County are above a healthy
weight. This places Orange County in the 1st
quartile when compared to the rest of the
counties in Florida. Of the overall Orange
County population, an estimated 68.8% of
men and 53.8% of women are overweight or
obese.
While there are no significant differences in
overweight and obesity rates when looking at
ethnic groups as a whole, differences emerge
when these populations are further broken
down by gender. Black females have a
Orange County
Obesity Rate:
25%
(14th best in
state)
Florida
Obesity Rate:
26.4%
(13th best in
U.S)
United States
Obesity Rate:
29.7%

significantly higher rate of obesity and overweight than white (non-Hispanic) females.66
While there are no
statistically significant differences between males of different ethnicities, there are significant differences
between white, non-Hispanic males and white, non-Hispanic females.
In Orange County, adults who are between the ages of 45 and 64 years of age have the highest rate of
overweight/obesity (55.6%), followed by adults older than 65 years (66.3%), and adults 18-44 years (55.6%).
Twenty-four percent of Florida adults are physically inactive. In Orange County, between 22 and 26% of adults
report physical inactivity67
. Only 79% of Orange County residents report access to exercise opportunities. While
this is slightly higher than the state average of 78%, it is lower than all other comparable counties (Broward-
94%, Miami-Dade- 94%, Hillsborough- 87%, and Palm Beach- 87%).68
Adults in Orange County consume more vegetables than the state and country average. Adults report a
slightly lower level of physical activity in Orange County when compared to United States, and the rate is
similar to the rest of the state.69
HEALTH BEHAVIORS (BRFSS RESULTS)
The Behavioral Risk Factor Surveillance Survey (BRFSS) was conducted statewide in 2002, 2007, 2010, and
most recently, in 2013. Orange County residents reported several characteristics that were significantly
different than the overall state results. Strengths of Orange County (in which Orange performed significantly
better than the state average) are:
 Low percentage of adults who have ever been told they had chronic obstructive pulmonary disease,
emphysema, or chronic bronchitis
 Low percentage of adults who have ever been told they had any other type of cancer except skin
cancer
 Low percentage of adults who have ever been told they had high blood cholesterol
 Low percentage of adults who have ever been told they had coronary heart disease, heart attack, or
stroke
 High percentage of adults who have never smoked
Areas in which Orange County scored significantly worse than the state average are:
 Low percentage of adults who received a flu shot in the past year
 Low percentage of adults who had a medical checkup in the past year
 Low percentage of adults who have a personal doctor

INFECTIOUS DISEASES
Orange County is plagued by higher than average rates of communicable and infectious diseases. When
compared to the rest of the state, Orange ranks in the worse quartile for Human Immunodeficiency Virus (HIV)
cases reported, Acquired Immunodeficiency Syndrome (AIDS) cases reported, HIV/AIDS adjusted death rate,
tuberculosis (TB) cases reported, chlamydia cases reported, gonorrhea cases reported, and infectious syphilis
cases reported70
. Orange County is in the 3rd
quartile for rates of vaccine preventable diseases. Although the
statistics are dire, trends in recent years have shown most of these rates are improving, with the exception of
new cases of chlamydia and infectious syphilis.
HIV/AIDS
In 2011 (most recent year national data is available), Florida ranked second in new Human Immunodeficiency
Virus (HIV) infection cases, and 3rd
in HIV infection rates per 100,000, with a total of 5,408 cases, representing
28.4 HIV cases per 100,000 residents. Florida ranks 3rd
in the estimated number of Acquired Immune Deficiency
Syndrome (AIDS) diagnosed in 2011 and 4th
in the rate. There were 3,440 new cases of AIDS, or 18.1 cases per
100,000 residents in 2011.
In Orange County, there were 470 new cases of HIV diagnosed in 2013, which is the third highest county in the
state. Orange also ranked highly in terms of AIDS diagnoses, with 310 new cases in 2013. 71
There are an
estimated 9,977 people living with HIV/AIDS in the Orlando Eligible Metropolitan Area in 2013. An estimated
39.2% of these cases are black, with 35.7% white, and 23.1% Hispanic. Almost 75% of people living with HIV/AIDS
are male.
SEXUALLY TRANSMITTED DISEASES
Orange is in the worst quartile for Sexually Transmitted Diseases (STDs). A 3 year rate of 707.4 cases per
100,000 residents is much higher than the state rate of 522.3 per 100,000 for the same time period. Orange
ranks in the worst quartile for rates of each of the following STDs: chlamydia, gonorrhea, and infectious
syphilis.
Orange County has 571.1 cases of chlamydia for every 100,000 people. This rate is higher than the rest of the
state (419.1 per 100,000). This is also higher than all neighboring and peer counties.72
This rate has been getting
steadily worse since 1998.
Gonorrhea cases in Orange County affect 159.6 residents per 100,000. This rate is higher than the state
average of 109.1 cases per 100,000 residents. There are only 5 counties with worse rates than Orange, and
Orange is the worst of the metropolitan counties. Unlike chlamydia cases, gonorrhea cases have been
generally decreasing. However, in 2013, the rate increased from the previous year, the first year-to-year
increase since 2005.
Orange also has higher than average cases of infectious syphilis, ranking 5th
in the state with a rate of 11.9 per
100,000 residents. The state average is 7.3 per 100,000. The rate of infectious syphilis has increased five-fold
since 1995.
TUBERCULOSIS
Orange County has the 3rd
highest rate of tuberculosis cases in Florida, trailing behind Miami Dade and
Broward. Orange is second in the state for tuberculosis deaths.73

HEALTH INEQUITIES
MINORITY PROFILE: BLACK POPULATION74
Orange County has a higher percentage of Black residents than the rest of the state (21.7% in Orange County
vs. 16.5% statewide). Black individuals in Orange County are more likely to be below the poverty level, more
likely to be unemployed, and less likely to have a high school diploma. Black residents report a lower rate of
excellent overall health, and are less likely to have health care insurance coverage.
Blacks have a higher mortality rate than whites due to stroke, colorectal cancer, and breast cancer. White
individuals have a higher mortality rate due to coronary heart disease, lung cancer, and cancer overall. Black
women over the age of 40 years old are less likely to have received a mammogram and less likely to be
diagnosed with breast cancer, but suffer higher mortality rates due to breast cancer than white women. Black
adults over the age of 50 years are less likely to have had a sigmoidoscopy or colonoscopy, but had a higher
mortality rate due to colorectal cancer than their white counterparts. Black residents of Orange County are
hospitalized for congestive heart failure at a higher rate than white, yet have similar mortality rates. Black
adults are also more likely to have had a heart attack, but die from coronary heart disease at a lower rate than
white adults.
The teen pregnancy rate is higher in black teenagers than white, and babies are born to black unwed mothers
at a higher rate than white mothers. Expectant black mothers have a lower rate than whites of 1st
trimester
prenatal care, with more than twice the rate of black mothers receiving no prenatal care at all. Black mothers
are less likely to initiate breastfeeding, and more likely to have babies with less than 18 months between
pregnancies. Black mothers are 1.5 times more likely to deliver a preterm baby, 2 times more likely to deliver a
low birth weight baby, and 2.6 times more likely to deliver a baby with a very low birth weight. Black mothers
suffer more than double the rate of fetal deaths and infant deaths than white mothers.
Black residents of Orange County die from 3 times as many homicides as their white counterparts, and are
hospitalized for non-fatal firearms-related injuries more than 6 times as often. Blacks have a lower rate of
suicides, traumatic brain injury deaths, and hospitalizations for motor vehicle related injuries and non-fatal
unintentional falls.
MINORITY PROFILE: HISPANIC POPULATION75
Hispanic people make up 27.7% of the populace in Orange County, which is higher than the state average of
23.2%. Compared to non-Hispanic residents in Orange County, Hispanic residents are more than twice as likely
to be living in poverty. Hispanics also have a higher rate of unemployment and are more than 3x less likely to
have a high school diploma than their non-Hispanic neighbors. They are more likely to be hospitalized or visit
the ER due to asthma, and are less likely to have a personal doctor or health insurance. They report more often
than non-Hispanics that the cost is prohibitive for them to see a doctor, and they are less likely to state that
they are in “good to excellent” overall health.
Despite lower socioeconomic status, the health of Hispanics is frequently better than non-Hispanics. Hispanic
individuals in Orange County die less frequently than their non-Hispanic counterparts due to: coronary heart
disease, stroke, congestive heart failure, AIDS, and cancer (including lung cancer, colorectal cancer, breast
cancer, prostate cancer, and cervical cancer). They are slightly more likely to die of diabetes, even though there
is a lower percentage of Hispanics with diagnosed diabetes. Hispanics have similar rates as non-Hispanics for
hospitalizations due to congestive heart failure, but are less likely to die from it. They are also much less likely
to have had a heart attack or stroke. Hispanics are less likely than non-Hispanics to have had preventative
screenings for colorectal cancer or breast cancer, and are less likely to report having had their cholesterol
checked in the previous five years. Hispanics have a higher rate of overweight, but similar rates of obesity.
Hispanics are less likely to engage in regular moderate activity, but also less likely to be current smokers.
Hispanics have more favorable birth outcomes than non-Hispanics, with fewer fetal and infant deaths, and
lower rates of low birth weight infants. Hispanics and non-Hispanics have similar rates of preterm babies.
Hispanic populations have a higher rate of teenage births, and a higher birth rate for mothers between the
ages of 20 and 54 years. Hispanics have a higher rate of obesity, and expectant Hispanic mothers have a slightly
higher rate of overweight and obesity at the time pregnancy occurred. Hispanics initiate breastfeeding more
often than non-Hispanic mothers, but are slightly less likely to receive prenatal care.

COUNTY HEALTH RANKINGS 2015
In the 2015 release of County Health Rankings, Orange County ranked 13th
of 67 counties in terms of health
outcomes and 18th
in health factors. 76
Health outcome rankings are a combination of measures for length of
life and quality of life. Orange County ranked 9th
for length of life, but 24th
for quality of life. This is due to poor
rates of low birthweight infants, and average rates for individuals reporting poor or fair health, and the
average count of poor physical and mental health days. Orange County’s Years of Potential Life Lost has been
decreasing since 1997, signifying that fewer preventable deaths are occurring.
The Health Factors ranking (next page) includes measures for health behaviors, clinical care, social and
economic factors, and physical environment. While Orange ranks highly for health behaviors, average scores
for clinical care and physical environment places Orange in the second quartile overall for health factors. Please
see the table below for complete details.
Orange
County
Top US
Performers Florida Rank (of 67)
Health Outcomes 13
Length of Life 9
Premature death 6,251 5,200 6,893
Quality of Life 24
Poor or fair health 15% 10% 16%
Poor physical health days 3.3 2.5 3.7
Poor mental health days 3.2 2.3 3.8
Low birthweight 9% 5.9% 8.7%

Orange
County
Top US
Performers Florida Rank (of 67)
Health Factors 18
Health Behaviors 10
Adult smoking 15% 14% 18%
Adult obesity 25% 25% 26%
Food environment index 6.8 8.4 7
Physical inactivity 23% 20% 23%
Access to exercise opportunities 98% 92% 93%
Excessive drinking 16% 10% 16%
Alcohol-impaired driving deaths 29% 14% 29%
Sexually transmitted infections 529 138 402
Teen births 35 20 36
Clinical Care 33
Uninsured 24% 11% 24%
Primary care physicians 1,280:1 1,045:1 1,423:1
Dentists 2,248:1 1,377:1 1,874:1
Mental health providers 591:1 386:1 744:1
Preventable hospital stays 65 41 59
Diabetic monitoring 84% 90% 85%
Mammography screening 62.3% 70.7% 67.7%
Social & Economic Factors 20
High school graduation 74% 75%
Some college 65.7% 71% 60.1%
Unemployment 6.8% 4% 7.2%
Children in poverty 26% 13% 25%
Income inequality 4.5 3.7 4.6
Children in single-parent
households 39% 20% 38%
Social associations 7.2 22 7.3
Violent crime 730 59 514
Injury deaths 53 50 69
Physical Environment 33
Air pollution - particulate matter 10.9 9.5 11.4
Drinking water violations 0% 0% 6%
Severe housing problems 25% 9% 22%
Driving alone to work 80% 71% 80%
Long commute - driving alone 38% 15% 38%

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retrieved March 18, 2015 from
http://www.floridacharts.com/charts/DataViewer/InfantDeathViewer/InfantDeathViewer.aspx?indNumber=0053
51. Significance is at the .05 level, taken from Florida Department of Health’s report “Infant mortality and low birth
weight actual rates compared to expected rates by county for Florida 2013”, retrieved March 26, 2015 from
http://www.floridahealth.gov/diseases-and-conditions/infant-mortality-and-adverse-birth-
outcomes/data/expectedvsactual2013.pdf
52 Office of Health Statistics and Assessment, Florida Department of Health. Orange County: Maternal Deaths,
retrieved March 31, 2015
http://www.floridacharts.com/charts/DataViewer/InfantDeathViewer/InfantDeathViewer.aspx?indNumber=0392
53. Division of Public Health Statistics and Performance Management, Florida Department of Health. Orange
County: Deaths from Motor Vehicle Crashes, retrieved March 25, 2015 from
http://www.floridacharts.com/charts/InjuryAndViolence/
54. Smart Growth America. “Dangerous by Design 2014- Regional Data”. Retrieved March 25, 2015 from
http://www.smartgrowthamerica.org/research/dangerous-by-design/dbd2014/regional-data.
55. Florida Department of Law Enforcement. “UCR Offense Data”. Retrieved March 25, 2015 from
http://www.fdle.state.fl.us/Content/getdoc/8c4ed844-de81-4551-a10e-7eb31e76def0/UCR-Offense-Data.aspx
56. Orange County Head Start Division, Administration for Children and Families, U.S. Department of Health and
Human Services. 2014 Community Assessment (Update). Retrieved December 18, 2014 from
http://www.orangecountyfl.net/Portals/0/resource%20library/families%20-%20health%20-
%20social%20svcs/Community%20Assessment.pdf
57. Office of Health Statistics and Assessment, Florida Department of Health. Orange County: Total Resident Live
Births, retrieved March 27, 2015 from
http://www.floridacharts.com/charts/DataViewer/BirthViewer/BirthViewer.aspx?cid=0025
58. Office of Health Statistics and Assessment, Florida Department of Health. Orange County: Preterm Births,
retrieved March 18, 2015 from
http://www.floridacharts.com/charts/DataViewer/BirthViewer/BirthViewer.aspx?cid=0473
http://www.countyhealthrankings.org/rankings/data/fl : National Center for Health Statistics, 2005-2011 data
60. http://www.floridahealth.gov/diseases-and-conditions/cancer/_documents/florida-cancer-plan.pdf
61. Florida Department of Health Orange County, Florida: Chronic Disease Profile. Retrieved March 27, 2015 from
62. World Health Organization. Obesity and overweight. (2014, August). Retrieved December 10, 2014, from
http://www.who.int/mediacentre/factsheets/fs311/en/
63. America’s Health Rankings, United Health Foundation. Obesity in the United States. Retrieved December 17,
2014 from http://www.americashealthrankings.org/ALL/Obesity
64. Florida Department of Health. Healthiest Weight. (2014, April 25). Retrieved December 10, 2014, from
http://www.healthiestweightflorida.com/
65. Division of Public Health Statistics and Performance Management, Florida Department of Health. Orange
County-State Profile. (2014). Retrieved December 10, 2014, from
http://www.floridacharts.com/charts/SpecReport.aspx?RepID=7200&tn=25 : 2012 data
66. Chronic Disease Section, Bureau of Epidemiology, Division of Disease Control and Health Protection, Florida
Department of Health. 2010 Orange County, Florida Communities Putting Prevention to Work (CPPW) Behavioral Risk
Factor Surveillance System (BRFSS) Data Report. Retrieved December 17, 2014 from

http://www.floridahealth.gov/statistics-and-data/survey-data/cppw/orange-cppw/_documents/2010-orange-
report.pdf
http://www.countyhealthrankings.org/rankings/data/fl : National Center for Chronic Disease Prevention and Health
Promotion, 2010 data
http://www.countyhealthrankings.org/rankings/data/fl : OneSource Global Business Browser, Delorme map data, ESRI,
and US Census Tigerline Files, 2010 and 2012 data
69
Community Commons Community Health Needs Assessment Report produced March 31, 2105. Accessible via
http://assessment.communitycommons.org/CHNA/OpenReport.aspx?id=165775
70. Florida CHARTS. Orange County-State Profile. (2014). Retrieved December 10, 2014, from
http://www.floridacharts.com/charts/SpecReport.aspx?RepID=7200&tn=25 : 2012 data
71. Florida Department of Health, Division of Disease Control and Health Protection. “Florida HIV/AIDS Annual
Report 2013”. Retrieved March 27, 2015 from http://www.floridahealth.gov/diseases-and-
conditions/aids/surveillance/epi-profiles/HIVAIDS-annual-morbidity-2013.pdf
72. Florida Department of Health. Florida CHARTS. “Chlamydia Cases”. Retrieved March 27, 2015 from
http://www.floridacharts.com/Charts/OtherIndicators/NonVitalIndNoGrpDataViewer.aspx?cid=0145
73. Florida Department of Health. Florida CHARTS. Tuberculosis Cases and Deaths. Retrieved March 27, 2015 from
http://www.floridacharts.com/Charts/OtherIndicators/NonVitalIndNoGrpDataViewer.aspx?cid=0148
74. All data is from 2007-2012 and is taken from Florida Department of Health. Florida CHARTS. “Orange County,
Florida Minority Health Profile-Black”. Retrieved March 27, 2015 from
http://www.floridacharts.com/Charts/MinorityReport.aspx?ProfileYear=2012&county=48&tn=424
75. All data is from 2007-2012 and is taken from Florida Department of Health. Florida CHARTS. “Orange County,
Florida Minority Health Profile-Hispanic”. Retrieved March 31, 2015 from
http://www.floridacharts.com/charts/MinorityReportHisp.aspx?ProfileYear=2012&county=48&tn=425
76. County Health Rankings & Roadmap. Florida Rankings Data. (2015). Retrieved March 31, 2015, from
http://www.countyhealthrankings.org/rankings/data/fl.

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