Virginia Department of Health

advertisement
The Goal
Resident Population
Virginia, 1940-2010
9,000,000
8,000,000
7,000,000
6,000,000
Total
5,000,000
White
4,000,000
NonWhite
Black
3,000,000
Other
2,000,000
1,000,000
0
1940
1945
1950
1955
1960
1965
1970
1975
1980
Year
Note: Population figures for 1976-1978 do not add to the total because of rounding.
Source: U.S. Census Bureau
1985
1990
1995
2000
2005
2010
Average Age at Death
Virginia, 1940-2010
80
75
Female
70
65
White
Age 60
Total
55
Male
50
45
Black
40
1940
1945
1950
1955
1960
1965
1970
1975
1980
Year
Note: Age at death was not available for year s 1947-1948.
Source: VDH, Division of Health Statistics, April, 2011
1985
1990
1995
2000
2005
2010
Infant Mortality
– The last Sixty
Years
How do we get there?
Chronic Disease in Virginia
Estimated 3.5 million adults in Virginia have at least one
or more chronic health conditions: arthritis, asthma,
cancer, coronary heart disease, heart attack, stroke,
high blood pressure, high cholesterol or diabetes
1.6 million have more than one type of chronic disease
Virginia Department of Health
Chronic Disease Initiatives
Cancer Control
Diabetes Prevention and Control
Heart Disease Prevention and Control
Tobacco Use Control
Chronic Disease Self Management
Healthy Communities
An example- Heart Attacks
Community
environment,
genetics
Lifestyle, diet,
activity
Blood pressure,
cholesterol and
other risk factor
mitigation
Angioplasty
Percutaneous
intervention postMI,
Improved medical
management
Coronary Bypass
procedure
By The Numbers
Virginia Heart Attacks^
45%
Drop in overall
heart attack
mortality rates†
between 20002009
1,872 49%
Fewer Virginians
died from heart
attacks in 2009
than 2000
Drop in heart
attack
mortality
rates† among
females
between
2000-2009
% disparity between
white and black female
heart attack rates ‡
22% 1%
2000
^ Myocardial infarctions (MI)
† Age-adjusted mortality rates / 100,000 population. Population data from U.S. Census Bureau
‡ Unadjusted hospitalization rates / 100,000 population. Population data from U.S. Census Bureau
Data Source: Mortality rate data – VDH Division of Health Statistics. Hospitalization rate data - Virginia Health Information via the VDH Data Warehouse
Prepared by: Health Informatics & Integrated Surveillance Systems – Division of Disease Prevention - Office of Epidemiology
2009
Heart Attack^ Rates† Among Virginia Residents
by Race, 2000 - 2009
400
White
Black
Other
350
Rate per 100,000
300
250
200
150
100
50
0
2000
2001
2002
2003
2004
2005
Year of Diagnosis
^ Acute myocardial infarctions, based on ICD-9 code 410.
† Unadjusted rates of reported Virginia hospitalization data / 100,000 population. Population data from U.S. Census Bureau
Data Source: Hospital inpatient data provided to VDH Data Warehouse via Virginia Health Information.
Prepared by: Health Informatics & Integrated Surveillance Systems staff – Division of Disease Prevention - Office of Epidemiology
2006
2007
2008
2009
An example- Heart Attacks
Community
environment,
genetics
Lifestyle, diet,
activity
Blood pressure,
cholesterol and
other risk factor
mitigation
Angioplasty
Percutaneous
intervention postMI,
Improved medical
management
Coronary Bypass
procedure
Demographics and Access to Health Care
Western Tidewater Health District, 2008
20.00%
15.00%
10.00%
5.00%
0.00%
Isle of Wight Couny
Franklin City
Southampton
County
Individuals Living Below Poverty Level
Source: http://www.communityhealth.hhs.gov
Suffolk City
Percent Uninsured
Western Tidewater Health District
Deaths from Heart Disease age-adjusted
rate/100,000
Chronic Disease
500
HEART DISEASE____
450
400
Heart disease death is measured as the
age-adjusted rate of deaths per
100,000 people. People at risk are
those with high cholesterol and/or high
blood pressure, those over the age 65,
those who use tobacco and those who
are overweight or obese.
350
Rate
300
250
200
150
In 2008, 319 people died from Diseases
of the Heart in Western Tidewater
Health District.
100
50
0
Isle of Wight Couny
2004
268.4
2005
184.5
2006
211.1
2007
213.9
2008
232.2
Suffolk City
215.4
215.3
247.3
231.7
211.7
Southampton County
250.2
293
213.3
250.3
228.3
Franklin City
448.5
312.8
263.4
279.2
270.9
Virginia
185.7
186.7
182.2
181.5
176.2
Although there was an average 30%
decrease in the death rate for the
localities from 2004 to 2008, their rates
were still higher than the State.
Virginia’s death rate in 2008 was 176.2
Western Tidewater Health District
Deaths from Cerebrovascular Disease ageadjusted rate/100,000
Chronic Disease
140
CEREBROVASCULAR DISEASE_
120
Since 2004, Western Tidewater deaths
due to stroke increased significantly
while the Suffolk City and State rate
declined.
Rate
100
80
Cerebrovascular disease deaths,
including stroke, are increasing in Isle
of Wight, Southampton County and
Franklin! Suffolk has shown a moderate
decrease.
60
40
Uncontrolled hypertension is a major
cause of stroke.
20
0
Isle of Wight Couny
2004
39.7
2005
51.6
2006
54.6
2007
41.7
2008
64.1
Suffolk City
62.7
44.3
63.3
51.7
53
Southampton County
56.9
92.1
78.6
60
99.4
Franklin City
23.6
78.1
111.7
120.9
58.4
Virginia
49.3
48.4
46
42.9
42
“The real tragedy is that overweight
and obesity , and their related
chronic diseases, are largely
preventable.”
~ Robert Beaglehole
CHONIC DISEASE
Diabetes Hospital Discharge Rate
State 15.3
WTHD 18.6
CHONIC DISEASE – Diabetes Mellitus
2005 Diabetes Hospital Discharges
per 100,000 population
Age-Adjusted Estimates of the
Percentage of
Adults with Diagnosed Diabetes
12
450
400
10
percent
350
8
300
250
6
200
4
150
2
0
100
Franklin City
2004
9
2005
7.5
2006
10.2
2007
8.4
Isle of Wight
7.8
8.6
9
10
Southampton
County
9.2
9.3
9.3
10.2
Suffolk City
8.4
8.2
8.9
9.7
Virginia
7.1
7.2
7.6
7.8
50
0
Deaths Caused by
Diabetes
Western Tidewater Health District
Diabetes Mellitus Deaths, age-adjusted
rate/100,000
120
In 2006, diabetes mortality rates for
contributing cause of death were
significantly higher in the Portsmouth
(51.0/100,000) and Western
Tidewater(43.4/100,000)health districts
than any other district in the State.*
100
Rate
80
60
40
20
0
Suffolk City
2004
33.6
39.2
2005
27.2
55.1
2006
38.2
42.5
2007
46.2
28.5
2008
26
40.2
Southampton County
28.4
33.9
39.3
24
12.9
Franklin City
82.6
46.9
113.3
33
0
Virginia
20.8
20.5
20.5
19.6
20
Isle of Wight Couny
*Diabetes in Virginia: A Comprehensive Data
Report,2009, pg. 19
Age-Adjusted Estimates of the Percentage of
Adults* Who are Obese
35
Percentage of
Obese Adults
The future looks ominous.
Currently, one of every three children
is overweight or obese, and more
children than ever in our history have
diabetes. Some predict that this
pattern will result in a decrease in life
expectancy for the first time in our
country.
30
25
20
*http://apps.nccd.cdc.gov/
15
10
5
0
2004
Franklin City
2005
Isle of Wight
2006
2007
Southampton County
2008
Suffolk City
“It’s bizarre that the produce manager
is more important to my children’s
health than the pediatrician.”
_ Meryl Streep
Nursing Home Pre-Admission Screening
As the population ages, the numbers of individuals
needing nursing home pre-admission screening will
increase.
Majority of screening services used by individuals are
those age 65 and older.
2009 estimated, 960,060 Virginians are age 65 and older
(VDH, Division of Health Statistics)
Community-based Nursing Home Preadmission Screening
Local health department staff serve as members of the
community-based screening teams.
In 2010 10,036 pre-admission nursing home screenings
were performed by LHDs in Virginia (VDH, WV Data).
Western Tidewater Health District performed 365
screenings
Nursing Home Pre-Admission Screening
Over the past 2 years LHDS have experienced a 41%
increase in the number of families with disabled
children seeking waiver services through this process.
Western Tidewater conducts an average of 22 preadmission nursing home screens per year on disabled
children seeking long term care services.
Personal Care Program
Established in Virginia in 1984 to offer in-home care in
lieu of nursing home placement to Medicaid –eligible
individuals (if the in-home care was less expensive than
the cost of nursing home placement).
Western Tidewater is one of two districts statewide that
still offers this service.
Personal Care Program
Western Tidewater Health District covers a largely rural
area.
The private sector has been unable to meet the total
demand for personal care services. WTHD helps to close
this gap.
Personal Care Services
In FY 09, 245 individuals were provided personal care
services compared to 200 individuals in FY 10.
Western Tidewater Health District was the direct provider
of personal care services to 94% of these individuals.
Public health nurses generate over 3, 000 home visits to
these clients every year.
Chronic Disease Initiatives
Local health departments conduct various screening tests
such as pap smears, and clinical breast exams. We also
check for hypertension and diabetes.
The Breast and Cervical Cancer Screening Program
supports screening mammography to detect breast
cancer in the pre-symptomatic stage. Services are
offered at the Western Tidewater Free Clinic
Chronic Disease Initiatives
WTHD has a diabetes/chronic disease program to assist
patients with evaluation, screening, education, and
referral for area residents living with chronic diseases.
This community-based program provide patients with
comprehensive care and case management.
Chronic Disease Initiatives
Second program in WTHD to assist those with chronic
diseases is Medication Assistance Program (MAP)
established with Franklin/Southampton Charities.
Assists medically indigent individuals obtain prescription
and non-prescription items recommended by their
physician that will benefit their health status and is not
covered by their insurance coverage.
Download
Related flashcards

Heart diseases

42 cards

Heart diseases

42 cards

Antiarrhythmic agents

51 cards

Hypolipidemic agents

27 cards

Create Flashcards