Pamlico County
State Of The County
Health (SOTCH) Report
2012
State of the County Health Report
• In between Community Health
Assessments, the SOTCH helps us:
– Promote a broader understanding of the
health of the community
– Measure local progress in improving the
health of the community through collaboration
measures with community partners
Community Health Assessment
(CHA)
• The Pamlico County Health Department
provides leadership to conduct, produce
and distribute a comprehensive CHA
• Determines the major health concerns in
the county
• Gives statistical data on how the county
ranks compared to North Carolina’s rates
Community Assessment
• Completed the Community Health Assessment
in 2011
• Next assessment to be completed in 2014
• An important component of the Pamlico County
Health Department’s Strategic planning process
• A benchmark for community collaboration
measured through the NC Public Health
Department Accreditation process
Community Health Assessment
Priorities
• These priorities were selected as a result
of the most recent community health
assessment.
– Obesity
– Substance Abuse
– Tobacco Use
Demographics
• Pamlico County’s 2011 population estimate was
13,214 with a growth of .5% since April 2010.
51.1% are males and 48.9% are females. Minorities
accounted for 22% of the total population.
• The population is spread out with 19% ≤ 19, 6%
from 20 to 24, 23% from 25 to 44, 29% from 45 to
64, and 23% who were 65 years of age or older.
NC Office of State Budget & Management
County & Municipal Estimates
(October 2012)
5%
5%
14%
Alliance
Arapahoe
17%
10%
Bayboro
Grantsboro
Mesic
Minnesott Beach
8%
Oriental
24%
4%
13%
Stonewall
Vandemere
Employment Security Commission of NC
Pamlico County Vital Statistics
• Reports from the NC State Center for
Health Statistics indicate that from 2009 to
2010:
– Marriages increased by 3 or 3.6% (82
marriages)
– Divorces/annulments decreased by 11 or
17% (52 divorces/annulments)
Pamlico County Pregnancies
• Reports from the NC State Center for
Health Statistics indicate that from 2009 to
2010:
– Induced abortion decreased by 2 or 9%
– Live births decreased by 7 or 6%
– Fetal deaths (stillbirths) increased by 4
2010 Pregnancy Outcomes
• 21 induced abortions
– 76% white moms
– 24% african-american moms
• 104 live births
– 58% boys
– 42% girls
• 124 pregnancies
• 4 fetal deaths
Resident Live Birth Rates Per
1,000 Population, 2006-2010
Total
White
Black
Hispanic
Pamlico
County
8.7
8.7
7.3
30.1
NC
13.8
11.4
15.1
30.4
NC State Center for Health Statistics
No. of Induced Abortions
Number of Reported Abortions in
Pamlico County, 2000-2010
28
30
26
23
25
20
15
18
17
14
17
21
15
10
5
0
2002 2003 2004 2005 2006 2007 2008 2009 2010
Pamlico County Resident Live Births, 2002-2010
No. of Live Births
140
120
123
100
111
110
118
112
111
2008
2009
100
104
100
80
60
40
20
0
2002
2003
2004
2005
2006
2007
2010
Pamlico County
Teenage Pregnancy Outcomes, 2010
• Current reports from the NC State Center
for Health Statistics indicate that from
2009 to 2010:
– Teenage induced abortions decreased by
33% or 3 abortions
– Teenage live births increased 57% or 8 births
– Teenage pregnancies increased by 22% or 5
pregnancies
No. of Induced Abortions
Teenage Induced Abortions in Pamlico County (Aged
15-19), 2002-2010
10
9
8
6
6
4
5
3
3
5
3
2
2
2
0
2002
2003
2004
2005
2006
2007
2008
2009
2010
No. of Induced Abortions
Teenage Live Births in Pamlico County (Aged 15-19),
2002-2010
30
25
27
20
20
21
18
20
22
19
14
13
15
10
5
0
2002
2003
2004
2005
2006
2007
2008
2009
2010
Teenage Pregnancies in Pamlico County (Aged 15-19),
2002-2010
No. of Live Births
35
29
30
25
23
24
28
26
23
21
23
18
20
15
10
5
0
2002
2003 2004
2005
2006 2007
2008
2009 2010
Pamlico County Death Rates, 2010
• In 2010, Pamlico County had a death rate
of 11.3 which is higher than the NC rate
of 8.2.
• Current reports from the NC State Center
for Health Statistics indicate that from
2009 to 2010:
– Deaths in Pamlico County increased by 6%
or 8
No. of Deaths
Resident Deaths in Pamlico County, 2002-2011
180
160
140
120
100
80
60
40
20
0
169
157
137
158
146
147
140
148
141
122
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Leading Causes of Death in 2010
• Current reports from the NC State Center for Health Statistics
indicate that Pamlico County had higher death rate for:
–
–
–
–
–
–
–
–
–
–
–
–
–
Cerebrovascular disease
Cancer
Heart disease
Cancer – Trachea, Bronchus & Lung
HIV Disease
Septicemia
Pneumonia & Influenza
Chronic Lower Respiratory Diseases
Chronic Liver Disease and Cirrhosis
Nephritis, Nephrotic Syndrome, and Nephrosis
Motor Vehicle Injuries & all other unintentional injuries
Suicide
Homicide
Leading Causes of Death in 2010
• Current reports from the NC State Center
for Health Statistics indicate that Pamlico
County had lower death rate for:
– Cancer –Colon, Rectum, Anus
– Cancer – Prostate
– Diabetes mellitus
Pamlico County
Leading Causes of Death, 2011
Rank
Cause
Number
TOTAL DEATHS—All Causes
141
1
Cancer
30
2
Diseases of the heart
29
3
Cerebrovascular disease
15
4
Chronic lower respiratory diseases
10
5
Alzheimer’s disease
8
6
Diabetes mellitus
6
7
Parkinson’s disease
5
7
Hypertension
5
9
Other Unintentional injuries
4
10
Motor vehicle injuries
3
Leading Causes Of Death in Pamlico County, 2011
4%
4%
3%3%
27%
5%
7%
9%
13%
25%
Cancer
Disease of the heart
Cerebrovascular disease
Chronic lower respiratory diseases
Alzheimer's disease
Diabetes mellitus
Parkinson's disease
Hypertension
Other Unintentional injuries
M otor vehicle injuries
Infant Deaths
• For the year 2010, Pamlico County had a
rate of 19.2 infant deaths per 1,000 live
births, which is higher than the NC rate of
7.0.
• In 2011, there were 2 infant and child
deaths in Pamlico County.
NC State Center for Health Statistics
Infant Deaths in Pamlico County, 2002-2011
2.5
2
2
2
2
No. of Deaths
2
1.5
1
1
1
1
0.5
0
0
0
0
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Child Deaths
• From 2008 to 2011, child death numbers
in Pamlico County has remained at 2.
– Cause:
• Birth defects
• All other
– Age:
• 1-4 year old
• 14-17 year old
Child Deaths in Pamlico County, 2002-2011
7
6
No. of Deaths
6
5
4
3
2
1
2
2
2
1
2
2
2
1
0
0
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Obesity
• According to the 2011Behavioral Risk
Factor Surveillance Survey, 36.0% of
respondents in Eastern NC reported that
they are overweight; 32.4% of
respondents in Eastern NC reported that
they are obese.
Eastern NC Overweight/Obesity Rates,
by Percentage
50
40
30
20
10
0
2005 2006 2007 2008 2009 2010 2011
Overweight 36.8
38.3
36.1
36
34
37.1
36
28.7
29.3
31
32
35.6
33.1
32.4
Obese
(BRFSS, 2011)
Tobacco Use
• According to the 2011Behavioral Risk
Factor Surveillance Survey, 23.9% of
respondents in Eastern NC reported that
smoke. 20.8% reported that they smoked
in 2010.
Substance Use
• According to the 2011Behavioral Risk
Factor Surveillance Survey, 94% of
respondents in Eastern NC reported that
do not participate in heavy drinking. In
2010, 97% of respondents reported that
they do not heavily drink.
Hospital Discharges - Asthma
• In 2010,Pamlico County had a discharge rate of
98.7 per 100,000 which is lower than the NC
rate of 109.8.
• There were 13 hospital discharges with a
primary diagnosis of asthma.
• In 2010, Pamlico County had a rate of 52.2 per
100,000 which is lower than the NC rate of
166.0 for children ages 0-14.
• There was 1 hospital discharge with a primary
diagnosis of asthma.
Pamlico County Sexually
Transmitted Infections
• Reports from the NC Department of Health
& Human Services, Epidemiology Branch
indicate that from 2010 to 2011:
– Chlamydia has increased by almost 3% or 1
case
– Gonorrhea has increased by 31% or 4 cases
– HIV disease has decreased by 1 at 0
Pamlico County Chlamydia Cases, 2002-2011
No. of Reported Cases
40
37
35
35
36
35
35
28
30
25
20
20
19
16
15
10
6
5
0
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
No. of Reported Cases
Pamlico County Gonorrhea Cases, 2002-2011
18
16
14
12
10
8
6
4
2
0
17
13
10
9
7
5
5
5
2
3
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Un-Insured and/or Under-insured
• HOPE patients earn less than two times
the federal poverty level, but earn too
much to qualify for Medicaid. They are too
young for Medicare and can not afford
insurance to take care of their chronic
conditions
• In 2011, HOPE Clinic helped 800 people.
Pamlico County Employment
5100
5076
No. Employed
5050
4995
5000
4961
4950
4900
4831
4850
4800
4750
4700
Sept. 2009
Sept. 2010
Sept. 2011
Sept. 2012
Employment Security Commission of NC
Unemployment Rates, 2009-2012
12
10
9.5
10.4 10
10.4
10.4 10.3
9.7
10
8.9
8.8
8.3
7.6
8
6
4
2
0
Sept. 2009
Sept. 2010
US
Sept. 2011
NC
Sept. 2012
Pamlico
Employment Security Commission of NC
Per Capita Personal Income, 2006-2010
$50,000
$40,000
US
$30,000
NC
$20,000
Pamlico
$10,000
$0
2006
2007
2008
2009
2010
US
$37,725
$39,506 $40,947
$38,846 $39,937
NC
$33,373
$34,761 $35,741
$34,147 $35,007
Pamlico $30,517
$33,518 $35,674
$34,542 $35,325
*
Employment Security Commission of NC
Commuting Patterns - 2006
23%
31%
46%
Commuting Into Pamlico
Commuting Out Of Pamlico
Live/Work in Pamlico
Employment Security Commission of NC
Top Employers in Pamlico County
(9/2012)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Pamlico County Board of Education
State of NC Dept of Correction
County of Pamlico
Pamlico Community College
Food Lion, LLC
All Safe Industrial Services, Inc.
Home Life Inc.
Arapahoe Charter School
YMCA
Principle Long Term Care, Inc.
Employment Security Commission of NC
Obesity
• Pamlico County Health Department
conducted an assessment of
fruit/vegetable outlets in Pamlico County.
• Working closely with Region 10
Community Transformation Program to
increase the number of new/revised
comprehensive plans that include health
consideration & increase the number of
joint-use agreements that increase access
to physical activity opportunities.
Obesity
• County employees continue to participate
in the County Walking Program on
Tuesday’s and Thursday’s at the Pamlico
County High School track.
Obesity
• Girls On The Run (GOTR) programs are being
held and taught at Fred Anderson Elementary
School & Arapahoe Charter School.
– In December, all 22 girls from this fall GOTR session
plus 7 girls from previous seasons completed the 5K
Fun Run.
– The Girls On The Run Dream Team consists of over
100 girls who have participated in GOTR since 2009.
– Of the 109 Dream Team girls, 53 made Honor Roll,
Principal’s List or Director List during the 2nd Quarter.
Substance Abuse
• A recent medicine drop held in Pamlico
County yielded 10 pounds of prescription
medication.
• A permanent, locked, prescription drop-off
location has been established in the lobby
of the Pamlico County Sheriff’s
Department.
Pamlico County Substance Abuse Task
Substance Abuse
• Coastal Coalition for Substance Abuse
Prevention is offering Youth Empowered
Solution conference in December 2012.
The training will teach 40 youths how to
speak in public, partner with adults, build
community support, and work with policy
makers by making their lives healthier and
safer by preventing underage drinking.
Tobacco Use
• Conducted an assessment of tobacco
policies in local municipalities in Pamlico
County.
• Working closely with Region 10
Community Transformation Project to
increase the number of smoke-free public
places in Pamlico County.
Emerging Issues
• Gonorrhea
• Syphillis
• Mothers Smoking During Pregnancy
– 25% of pregnant mothers in Pamlico County
last year
– 36% of African-American pregnant mothers in
Pamlico County
New Initiatives
• PCHD is working with the Department of
Social Services to better improve service
delivery for public health clients.
For more information:
• Contact:
Tamara Jones
Public Health Educator II
Pamlico County Health Department
Post Office Box 306
Bayboro, NC 28515
: 252-745-5111
: 252-745-7684
: tamara.jones@pamlicocounty.org