This document summarizes health issues and potential interventions in Grays Harbor County, Washington. It finds that the county has higher rates of premature death, lung cancer, smoking, binge drinking, and obesity than the state averages. Potential interventions discussed include increasing enforcement of laws against alcohol sales to minors to reduce underage drinking and implementing smoking cessation programs to help more smokers quit in order to reduce lung cancer rates. The document also examines how improving access to healthcare facilities and education around health risks could help address some of the county's leading health problems.

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

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

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

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

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