Westport, Connecticut Community Assessment Project HN 600 Marji Kaplowitz November 21, 2011 Purpose The purpose of this community assessment is to gather information about the social, political, economic, environmental and personal factors that influence a nutritional problem and the population at risk. I have provided baseline information for developing action plans to address Westport’s nutritional or health needs. The people directly affected include the residents of Westport as well as all people who work in the schools, health agencies, government agencies, and community program volunteers. Connecticut Connecticut is a state in the New England region of the northeastern United States. It is bordered by Rhode Island to the east, Massachusetts to the north, and the state of New York to the west and the south. It is named for the Connecticut River, the major U.S. river that approximately bisects the state. Its capital city is Hartford. i Connecticut is the nation’s 29th most populous state, with 3.5 million residents, and is ranked 48th in size by area, making it the 4th most densely populated state. Called the Constitution State and the Nutmeg State, Connecticut was influential in the development of the federal government of the United States. The Connecticut River, Thames River, and ports along the Long Island Sound have given the state a strong maritime tradition, which continues today. Connecticut’s other traditional industry is financial services; for example, insurance companies in Hartford and hedge funds in Fairfield County. As of the 2010 Census, Connecticut features the highest per capita income, Human Development Index, and median household income in the United States. Although Connecticut is a wealthy state by most measures, the income gap between its urban and suburban areas is striking, with several of Connecticut’s cities ranking among the nation’s poorest and most dangerous.ii Despite Connecticut’s relatively small size, it features wide regional variations in its landscape; for example, in the northwestern Litchfield Hills, there are rolling mountains and horse farms, whereas in the southeastern New London County, it features beaches and maritime activities. Connecticut’s rural areas and small towns in the northeast and northwest corners of the state contrast sharply with its industrial cities, located along 2 the coastal highways from the New York border to New London, then northward up the Connecticut River to Hartford. Connecticut consists of temperate broadleaf and mixed forests. Northeastern coastal forests of oaks, hickories, and maple cover much of the state. In the northwest, these give way to New England-Acadian forests of the Taconic Mountains.iii Westport, Connecticut Westport is a coastal town located on Long Island Sound in Fairfield County, Connecticut, 47 miles northeast of New York City. Westport ranks tenth among the wealthiest towns in the United States with populations between 20,000 and 65,000. The town government consists of a three-member Board of Selectmen, a Representative Town Meeting, a Board of Finance, a Board of Education and a Planning and Zoning Commission. It has a total area of 33.3 square miles. 20.0 square miles of it is land and 13.3 square miles is water.iv Westport was officially incorporated as a town in 1835. For several decades after that, Westport was a prosperous agricultural community, which distinguished itself as the nation’s leading onion-growing center. Today, with its vibrant downtown area and healthy commercial environment, Westport generates the feeling of a New England town with the conveniences of modern life, and this continues to attract people who are leaders in al facets of society. Westport is often considered one of the most loyallyDemocratic, liberal towns in Fairfield County.v Through the years, Westport has become on of the most affluent suburbs in America, culturally rich, filled with a blend of old Yankee farmers, academics, and professionals from all fields, reflecting its international flavor. Yet, it still retains the old New England small-town charm on many of its streets. It is this dichotomy between affluent suburb and an old New England town that applies to Westport.vi Residents enjoy Westport’s quality of life because of their commitment to conserve natural resources, preserve traditions and support community events. It meets the recreational needs of its citizens by providing 3 a wide range of leisure activities, and the town government offers quality services that are effective and efficient. Its society’s strength is based upon an educated populace devoting proper resources to this endeavor. Hall-Brooke Behavioral Health Services In 1998, Hall-Brooke became a wholly-owned subsidiary of St. Vincent’s Health Services of Bridgeport, CT and in 2000, a new inpatient psychiatric facility in Westport was built. Its health services offers outpatient services for adolescents and adults with mental health and substance abuse disorders; community residential services, a supportive housing program for individuals with behavioral health needs who would otherwise be homeless and inpatient services for children, adolescents and adults with mental health and substance abuse disorders.vii It strives to give every patient and outstanding experience, no matter the level of care required. Hall-Brooke Behavioral Health Services are accredited by the Joint Commission, licensed by the Connecticut Department of Public Health and approved by Medicare, Medicaid, most major insurance companies, HMO’s and preferred providers. Sherwood Island State Park Connecticut’s first state park is still one of its finest. On the shore of Long Island Sound in Westport, Connecticut, is a peninsula that covers 234 acres of beach, wetlands and woodlands. People come to Sherwood Island State Park to hike, bike, ski, swim, fish, study nature, watch birds, fly kites, fly model airplanes, play volleyball, picnic, or just relax under the trees.viii Summer nature walks, bird watching and learning activities for adults and children are planned here during the summer months. 4 Sherwood Island is said to be Connecticut’s oldest state parks, having been purchased in 1914. Many years passed before it was made accessible to the public. Since then, there have been many additional acquisitions and recreational improvements. Demographics Just fewer than 27,000 people call Westport home. There are about 10,000 households and 7200 families residing in the town. The population density is roughly 1300 people per square mile. The racial makeup of the town is 95% White, 1.13% African American, 0.05% Native American, 2.43% Asian and 0.50% from other races. Of the 10,000 households, 39% have children under the age of 18 living with them, 62% are married couples living together, 7% have a woman whose husband does not live with her, and 25% are non-families. 22% of all households are made up of individuals and 9% have someone living alone who is 65 years of age or older. The average household size is 2.66 and the average family size is 3.10. Westport compared to Connecticut state average: • Median household income significantly above state average. • Median house value significantly above state average. • Unemployed percentage below state average. • Black race population percentage significantly below state average. • Hispanic race population percentage significantly below state average. • Foreign-born population percentage below state average. • Renting percentage significantly below state average. • Number of rooms per house significantly above state average. • Percentage of population with a bachelor's degree or higher significantly above state average. In the town the age range of the population has 29% under the age of 18, 3% from 1824, 27% from 25 to 44, 28% from 45-64 and 15% who are 65 years of age or older. The median age is 41 years. For every 100 females there are 91 males. For every 100 females age 18 and over, there are 86 males. According to a 2007 estimate, the median income for a household in the town was $147,391, and the median income for a family was $176,740. The per capita income for the town was $73,664. 2.6% of the population and 1.5% of families were below the poverty line. Out of the total people living in poverty, 2.7% are under the age of 18 and 5 2.1% are 65 or older. Westport was named the fifth top-earning city in the U.S., with a median family income of $193,540 and median home price of $1,200,000 in July 2008.ix 2010 Westport CT US 6 Pop Estimates 26,391 3,574,097 308,745,538 Persons < 5 years old 5.5 5.7% 6.5% Persons < 18 years old 29.8 22.9% 24.0% Persons ≥ 65 years old 16.0 14.2% 13.0% Females 51.8 51.3% 50.8% White 92.6 77.6% 72.4% African American 1.2 10.1% 12.6% American, Indian 0.1 0.3% 0.9% Asian Americans 4.0 3.8% 4.8% Pacific Islands 2.0 0.0% 0.2% Persons of 2 or more 1.6 2.6% 2.9% 3.5 13.4% 16.3% White non Hispanic 89.9 71.2% 63.7% Language other than 13.2 19.7% 19.6% Alaskan Native races Persons of Hispanic or Latino English Income The median household income for Westport compared to Connecticut state average is significantly higher. With a household income of $151,233, residents of Westport make double what the average household in Connecticut earns and about three times as much as in the United States. The median 7 income in Connecticut is $36,468 while Westport’s median income is almost three times as much as that at $92,854. The percentage of the population of Westport in poverty is significantly less than the state and national averages as well. The persons below the poverty level in the United States is 14.3%, but in Connecticut, only 8.7% of the population is below poverty level and Westport is even less at 2.8% of the population.x 2010 Westport CT US Household Income $159,672 $66,906 $52,954 Income per Capita $76,231 $36,468 $27,067 Persons below poverty 2.43% 9.3% 12.10% level, percent Education Westport has 18 preschools, 5 elementary schools, 2 middle schools and 1 high school. There are 2 private schools in Westport as well. Staples High School was ranked by Newsweek magazine in 2005 as 452nd on a list of the best 1,000 high schools in the country (grades 9-12) with 1,800 students. In the 2008-2009 school year, Staples was ranked the #1 school in Connecticut by Connecticut Magazine.xi 8 Westport has a very high percentage (97.2%) of high school graduates for those over the age of 25 compared to the state, which has 88.2% and the nation, which has 84.2% of high school graduates. The spread is even greater when it comes to bachelor’s degrees or higher. 74.2% of the Westport population have bachelor’s degrees or higher whereas the state only has an average of 35.1% and the national average is even lower at 27.5%.xii Connecticut is the home of Yale University, established in 1701, and is one of the most academically renowned and selective universities in the United States. Yale is one of the largest employers in the state, and its research activity has recently spun off dozens of growing biotechnology companies. In addition, Connecticut hosts many other academic institutions, including Trinity College, Wesleyan University, University of Connecticut and Connecticut College. Employment There are many employment opportunities in the Town of Westport. Bridgewater Associates, a global investment manager, is the largest employer in Westport. The company has about 800 employees. Terex, a Fortune 500 company, is another prominent company in town. It makes equipment for industries, including construction, infrastructure, quarrying, recycling, surface mining, shipping, transportation, refining, utility and maintenance, and it offers financial services to assist in the acquisition of Terex equipment. They have 17,600 employees companywide with 91 in Connecticut and $6.4 billion in 2005 revenues.xiii Save the Children is the most significant nonprofit institution based in Westport. It is an American charity, governed entirely separately from the British charity of the same name, with about 200 employees working in its headquarters. 9 Males Males Females Females The most common industries in Westport are Finance and Insurance (23%) followed by Professional, Scientific and Technical services (21%). The most common occupations include top executives (11%) followed by sales representatives, services, wholesale and manufacturing (9%). The unemployment rate in Westport is 6.20%, with job growth of 0.79% vs. the national rate of 9.10% and job growth at an all time low of -.12%. Future job growth in Westport over the next ten years is predicted to be 35.38% vs. the national prediction of 31.25%.xiv The average time to work is about 10-20 minutes. The majority of employees travel to work by car. Mode of transportation to work 10 Homelessness and Poverty Levels Residents in Westport below the poverty level are 3.1% vs. the whole state average of 9.4%. The majority of residents are female with no husband present (54.3%). Children below the poverty level in Westport are 3.0% vs. the state average of 11.9%. The poverty rate among high school students not in families in Westport is 8.2% vs. the state at 12.7%.xv Homes with Hope is a not-for-profit agency located in Westport, Connecticut that provides facilities and supportive services in a structured environment that enable homeless people in Westport and the surrounding communities to achieve an independent and self-sufficient life. Homes with Hope accomplishes this through permanent supportive housing, casework and supportive services, emergency shelter, food and meals and the life skills training critical in preventing homelessness from reoccurring.xvi Their continuum of services includes providing permanent supportive housing located in Westport and Norwalk, a neighboring town; emergency shelters where men are separate from women and generally operates at over 100% capacity; and food which serves 30,000 meals annually. Volunteers from numerous organizations in Westport take turns preparing lunches and dinners. Food supplied by a variety of 11 food collection and donation drives in Westport and surrounding Fairfield County. Although numbers of the homeless are very low in Westport, it still exists and the generous community continues to support this strong agency. 65 people a night are housed in the emergency shelters and supportive housing services and the volunteers serve meals to up to 40 people each night in the community kitchen.xvii Housing The median house value is significantly above the state average while the renting percentage is significantly below the state average. Homes in Connecticut vary widely with a median price of approximately $226,000. Connecticut has the most multi-million dollar homes in the Northeast and the second most in the nation after California, with 3.3% of homes in Connecticut priced over $1million.xviii The homeownership rate in both Connecticut and the nation are very similar at approximately 68% while the rate in Westport is 89%. The housing units in multi-units in multi-unit structures are very low in Westport (7.5%) compared to both the state and the nation (35% and 26% respectively), which indicates that residents in Westport typically own their own home. In addition, the median value of owner-occupied housing units in Westport is $1,000,001 compared to the state at $295,800 and the United States at $185,400.xix Estimated median house or condo value in 2009 Westport $951,054 Connecticut $291,200 Mean prices in 2009 in Westport All housing units $932,302 Detached houses $958,923 Townhouses or other attached units In 2-unit structures In 3-to-4-unit structures In 5-or-more-unit structures Mobile homes $682,261 $517,593 $400,338 $295,022 $1,719,241 12 Median gross rent in 2009: $1,568 Religion and Language In Connecticut, approximately 82% of residents age 5 and older speak English at home and about 8.5% speak Spanish followed by Italian at 1.6%, French at 1.3% and Polish at 1.2%.xx Connecticut has large Italian-American, Irish-American and EnglishAmerican populations, as well as German-American and Portuguese-American populations, second highest percentage of any state. Connecticut is also known for its relatively large Hungarian-American and Polish-American populations. The languages spoken at home other than English in both the state and the nation is close to 20% and the language spoken in Westport other than English is even smaller at 13%.xxi The percentage of the Westport population affiliated with a religious congregation is 70% compared to the United States at 50%. Of those affiliated, the majority are Catholic at 70% followed by Episcopalians at 4.4%, United Methodist at 2.5% and Muslim at 2.4%.xxii The state of Connecticut is one of the most religiously diverse states in the country. Most are Protestant (40%) followed by Roman Catholic (32%). Jewish congregations (3.2%) are concentrated in the towns near Long Island Sound. According to the Association of Religion Data Archives, the largest Christian denominations were the Catholic Church, the United Church of Christ and the Episcopal Church.xxiii Religious Affiliations Vital Statistics Live Births The general fertility rate in the United States fell slightly to 66.7 live births per 1,000 women aged 15- 13 44 years in 2009. Birth rates for nearly every age and racial/ethnic group declined. The rate for teenagers aged 15-19 years decreased to 39.1 per 1,000 females in this age group. Although the birth rate for women aged 25-29 years fell in 2009, the group still experienced the highest birth rate of all groups. Birth rates for women aged 35-39 years also declined slightly representing the second year of decline after increasing rates for three decades. Birth rates for women aged 40-44 years increased slightly over the previous year.xxiv The number of births in Connecticut in 2010 was 40,399. Of those, 221 were from Westport. The fertility rate in Connecticut was 58.4 per 1,000 women aged 15-44 years. In the United States, it seems that the majority of the births were from mothers between ages 20-34.xxv The birth rate in Connecticut was 11.5 with women aged 15-44 years compared to the United States at 14.0. In Connecticut, the birth rate for teenagers aged 15-19 years in 2006 was 23.5. This is a significant decrease compared to the results in 1991 where the birth rate was 40.1 for the same age group. The mean age of the mother in Connecticut in 2006 was 27.2 vs. the United States at 25.0. xxvi Infant Mortality The number of infant deaths in 2007 was 29,327 in the United States. Infant mortality in Connecticut was 267 or 0.9% of the total population. These numbers translate to a rate of 6.8 in the United States and 6.2 in Connecticut. In both the United States and Connecticut the infant mortality rate for Non-Hispanic Blacks was 13.4 and 13.9 respectively.xxvii Death Rate In the United States in 2009, the life expectancy is 78.1 with a death rate of 8.2 deaths per 1,000 people. The leading causes of death in the United States as of 2007 are heart disease (616,067), cancer (562,875), stroke (cerebrovascular diseases, 135,952) and chronic lower respiratory diseases (127,924). The average life expectancy for Connecticut is 80.2 with a death rate of 6.9 deaths per 1,000 people.xxviii The leading causes of death are consistent with the national averages with heart disease (7,289), cancer (6,827), stroke (1,463) and chronic lower respiratory disease (1,353).xxix Causes of death United States Connecticut Westport Heart disease 616,067 7,868 43 Cancer 562,875 7,175 32 Stroke 135,952 1,635 14 14 Chronic Lower Respiratory Diseases 127,924 1,432 Accidents 123,706 1,261 7 Influenza 52,717 868 10 764 8 767 8 Alzheimer’s disease Diabetes mellitus 74,632 71,382 2 Program Participation Women, Infants and Children (WIC) Through the Department of Public Health, Connecticut provides services, through 24 local agencies, to the Special Supplemental Nutrition Program for Women, Infants and Children. 23% of women in Connecticut are enrolled in this program. Among all women in the state, WIC enrollees were significantly more likely than nonWIC enrollees to be of minority race and ethnicity, be unmarried, be less than 24 years old, use tobacco during pregnancy, have no more than 12 years of education, and gain no more than 15 pounds during pregnancy. Enrollment in WIC, associated with a 31% reduced risk of low birth weight in 2000, reduced the number of low birth weight events by 273, and probably reduced additional hospitalization costs by as much as $8.9 million.xxx The WIC program promotes breastfeeding as the normal and optimal method to feed infants for at least the first year of life with a special emphasis on the health benefits derived from exclusive breastfeeding for the first six months. The Healthy People 2010 objective for breastfeeding is 75% of children having ever been breastfed, 50% breastfed at least six months, and 25% breastfed at least one year.xxxi As a discretionary program, WIC is required to operate within strict budgetary constraints. In Connecticut, the WIC program serves approximately 60,000 participants 15 per month. They are currently looking at ways to provide quality nutrition services without the existing resources. WIC nutrition benefits include: nutrition counseling and education, WIC supplemental foods, and referrals to health and other social services. Currently in Connecticut, most WIC nutrition staff are Certified Lactation Counselors and are available to provide individual support for pregnant and breastfeeding mothers. In July 2009, the Connecticut WIC Program implemented the Revised WIC Food Package.xxxii The closest local WIC agency to Westport is in Bridgeport. It is about 15 minutes away by car or public transportation. Connecticut eligibility includes: pregnant women; postpartum women up to six months, regardless of how pregnancy ends; infants and children up to their fifth birthday; income at or below 185% of the Federal Poverty Level. Permanent status is not required. School Lunch Program The objective of the Connecticut School Lunch program is to provide nutritionally balanced, low-cost or free lunches to children each school day. The Connecticut Department of Education’s Bureau of Health and Nutrition Services administer this program. In order to qualify for this benefit program, you must be a resident of the state of Connecticut and a parent or primary caregiver for a child who attends school. Those who qualify must also have an annual household income before taxes that must not exceed $26,955 if two people live in the household. For larger households, add $6,919 for each additional person in the home.xxxiii The Westport Public Schools’ offers a choice of healthy meals each school day. Children may buy lunch for $2.80 at the High School, $2.60 at the Middle Schools and $2.35 at the Elementary Schools. Children who qualify under the U.S. Department of Agriculture guidelines may get meals free or at a reduced price of $.40 for lunch. All meals served must meet nutrition standards established by the U.S. Department of Agriculture. All children in households receiving benefits from the Special Nutrition Assistance Program (SNAP) and Temporary Family Assistance (TFA) can get free meals regardless of your income.xxxiv Each school within the Westport School District is responsible for tracking the number and percentage of students who qualify and use the program. While Westport has a greater median income than other towns within the state, there are still families that are struggling. The percentage of students within each school that use and qualify for free and reduced lunch rates are as follows: Staples High School-1.71%, Coleytown Middle School-1.75%, Bedford Middle School-3.88%, Coleytown Elementary School- 16 .65%, Greens Farms School-3.81%, Kings Highway-3.12, Long Lots School-2.32, and Saugatuck Elementary School-1.57%.xxxv Supplemental Nutrition Assistance Program (SNAP) Formerly known as the Food Stamp Program, SNAP is a nutrition program that helps low-income individuals and families buy food. It also provides education about nutrition to help recipients choose foods that enhance their health and well-being. To receive SNAP benefits in Connecticut, household income and other resources have to be under certain limits and are reviewed. For some households, there is also an asset limit. For a household of one the maximum SNAP benefit is $200 monthly. For a household of four, the maximum SNAP benefit is $668 monthly.xxxvi As of May1, 2009, the Connecticut Department of Social Services provided federal SNAP benefits to 131,296 households. Those households were comprised of 240,599 individuals, including 93,133 children. The average monthly benefit was $195. There are about 150 individuals in Westport who participate in the SNAP program. xxxvii End Hunger Connecticut is a useful website for Connecticut residents to use to obtain information about eligibility requirements and additional information about the program. Food stamps can be used to buy food, beverages, and food-producing seeds and plants. The Meals on Wheels program for the elderly and disabled allows you to use food stamps to get prepared meals. Elderly, disabled or homeless individuals living in a place that serves meals can also use food stamps to pay for such meals. Home Delivered Meals-Meals on Wheels A new report released earlier this month by the U.S. Census Bureau reinforces the urgent need to address 17 senior hunger in the U.S. The number of seniors facing the threat of hunger and poverty is increasing and increasing significantly. The number of Americans in poverty increased slightly from 15.2% to 16% or 50 million people. However for seniors, the poverty rate nearly doubled from 9% to 16%. Evidence indicates that the number of seniors facing the threat of hunger has grown significantly as the economy has worsened and more seniors have experienced poverty. The real tragedy and concern about the growth in seniors in poverty is the fact that, once they fall into it, they are unlikely to move back out of it. Many federal nutrition programs are often targeted towards low-income children, women and families and are not designed to address the specific needs of seniors, particularly those who are homebound and cannot cook for themselves.xxxviii There are a variety of programs designed to help older adults and individuals with disabilities to obtain groceries and nutritious meals in Connecticut. Home delivered meals or Meals on Wheels is just one program that is offered. They prepare and deliver hot meals to older adults and individuals with disabilities who are unable to shop and/or prepare food for themselves or travel to a site where a meal is being served. The Elderly Nutrition Program is another program that serves nutritionally balanced congregate meals to individuals 60 years and older. Congregate meal sites are served once a day for five or more days per week at approximately 200 meal sites in Connecticut. These meal sites are located in senior centers, elderly housing facilities, schools, churches and other community settings. The Elderly Nutrition Program is supported by the Nutrition Program for the Elderly which is administered by the U.S Department of Health and Human Service’s Administration on Aging, and receives commodity foods and financial support from the U.S Department of Agriculture’s Food and Nutrition Service. The Elderly Nutrition Program is also supported by the state and local funding and client contributions.xxxix Community resources serving Westport include food pantries, congregate meals and home delivered meals. There are 15 providers throughout the area. The United Way provides this information as a public service to those in need. Meals to homebound residents are provided 5 days a week. One or two meals can be ordered for each delivery. There is a sliding fee for those who qualify. Health Statistics Obesity Obesity rates in the United States are soaring. About 60 million adults, or 30% of the adult population are now obese. Similarly, overweight rates have doubled among children and tripled among adolescents-increasing the number of years they are exposed to the health risks of obesity.xl 18 In Connecticut, 60.5% of adults are overweight or obese as of 2010. Among high school students, 10% were obese in 2009. This has to do with unhealthy dietary behaviors as well as physical inactivity. The solutions need to be better health education, more physical education and physical activity programs, and healthier school environments.xli In Westport in 2010, out of 100%, the numbers are as follows: neither overweight nor obese (BMI < 24.9) was 45.6%; overweight (BMI 25-29.9) was 37.8%; and obese (BMI> 30) was 16.6%.xlii Heart Disease In Connecticut in 2008, 85% of all heart disease deaths were among residents 65 years old and older. 48% of all heart disease deaths in Connecticut were among residents 85 years old and older. Black non-Hispanic Connecticut residents have a higher cardiovascular disease age-adjusted mortality rate than White non-Hispanic and Hispanic Connecticut residents. Coronary heart disease and heart failure males are significantly higher than those of females. In Connecticut, heart disease is the leading cause of death. However, heart disease mortality rates have decreased over time. Target populations include Black individuals and individuals of low socioeconomic position.xliii In Westport specifically, there were 43 deaths from cardiovascular disease (24 white males and 19 white females) and 30 deaths from heart disease (18 white males and 12 white females). 43 Diabetes A total of 25.8 million children and adults in the United States or 8.3% of the population have diabetes. The mission of the Connecticut Diabetes Prevention (DPCP) and Control Program is to create a comprehensive system of care for the prevention and treatment of diabetes. The goal is to reduce the incidence or delay the onset of diabetes and its complications and enhance the quality of life for people affected by diabetes. With the funding and support of the CDC, the CT DPCP has worked with partners to increase diabetes awareness to the residents of Connecticut and to provide diabetes information to health care professionals. An estimated 6.9% of the Connecticut adult population or approximately 186,000 adults age 18 years and older have been diagnosed with diabetes. An additional 93,000 Connecticut adults are estimated to have undiagnosed diabetes.xliv The information for Westport is not available on the number of residents that have been diagnosed with diabetes. Cancer 19 Breast cancer is diagnosed in women more often than any other cancer. There were 2706 new cases of malignant breast cancer diagnosed in women in Connecticut in 2004. Connecticut had the 3rd highest rate of new breast cancers in the United States in 20002004. Breast cancer is the second leading cause of cancer-related death in Connecticut women. 552 Connecticut women died from breast cancer in 2004. Connecticut had the 26th highest rate of death from breast cancer in the United States in 2000-2004. The chance of getting breast cancer increases with age. More than 3 out of every 4 breast cancers diagnosed in 2004 were women 50 years or older. Breast cancer rates vary among women from different racial and ethnic groups: White, non-Hispanic women are the most likely to be diagnosed with breast cancer.xlv Colorectal cancer is the 4th most common cancer diagnosed in Connecticut men and the 3rd most common cancer diagnosed in Connecticut women. In 2005, there were 983 new cases of malignant colorectal cancer diagnosed in Connecticut men and 965 in Connecticut women. In 2001-2005 Connecticut had the 13th highest rate of new colorectal cancers in men in the United States and the 11 th highest rate in women. Colorectal cancer is the 3rd leading cause of cancer-related death in both Connecticut men and women. 278 Connecticut men and 354 Connecticut women died from colorectal cancer in 2005. Colorectal cancer rates in Connecticut vary among men and women from different racial and ethnic groups. “Other” non-Hispanic men are the least likely to be diagnosed with colorectal cancer. Black, non-Hispanic women are the most likely to be diagnosed with colorectal cancer.45 Ovarian cancer is the 8th most common cancer diagnosed in women in Connecticut. There were 279 new cases of malignant ovarian cancer in women in Connecticut in 2004. Connecticut had the 15th highest rate of new ovarian cancers in the United States 20 in 2000-2004. Ovarian cancer is the 5th leading cause of cancer-related death in Connecticut women, and accounts for more deaths than any other cancer of the female reproductive system. 169 Connecticut women died from ovarian cancer in 2004. White, non-Hispanic women are the most likely to be diagnosed with ovarian cancer.45 The most up to date information that I obtained about cancer in Westport was very insignificant. A total of 2 males and 1 female died of colorectal cancer and 2 females died of breast cancer and another 2 women died of ovarian cancer in 2010. Health Resources Westport’s health resources are consistent with the town’s needs. There are approximately 350 doctors in the town of various specialties and approximately 50 dentists. Most Westport residents can stay within the town to find a doctor to meet their needs. There are 132 internists, 8 neurologists, 46 psychiatrists, 35 pediatricians, 2 radiologists, 12 ophthalmologists, 14 dermatologists, 33 gynecologists/obstetrics, 8 geriatric medicine doctors, 5 rheumatologists and 9 plastic surgeons to name a few.xlvi There are no hospitals within the town of Westport, but there is a walk-in clinic. Westport Family Health has a primary and walk-in/urgent care team of 3 experienced board-certified physicians. It is a Norwalk Hospital physician practice open seven days a week. The staff speaks English, Spanish and Portuguese. There are 6 local hospitals in Bridgeport, Norwalk, Stamford, New Haven and Greenwich. All 6 hospitals are within a 25-mile radius. Bridgeport Hospital has 425 beds, more than 2,600 employees and 580 active attending physicians. Norwalk Hospital is a 328-bed, not-for-profit, acute care community teaching hospital that serves a population of 250,000 in Fairfield County, Connecticut. It has over 500 physicians and 2,000 health professionals and support personnel. Stamford Hospital is a 305-bed provider of comprehensive healthcare services in lower Fairfield County and the region. Yale-New Haven Hospital is a nonprofit, 966 bed tertiary medical center. Over 3,600 university and community physicians and advanced practitioners, including more than 600 resident physicians provide comprehensive, multidisciplinary, family-focused care in more than 100 medical specialty areas. Finally, Greenwich Hospital is a 206-bed regional hospital.xlvii There is one county health department that services both Westport and Weston which is a governmental agency that provides local public health services to the residents of the 21 towns. It provides a range of services to help keep the communities healthy. The staff includes highly trained professionals in environmental and community health.xlviii There are 15 medical home health care services in Fairfield County and 22 non-medical (home care companions) in the county of which Westport is part. Connecticut, with approximately 3,493,006 residents, has a higher than national average of residents over the age of 65. Currently, 13.5% of Connecticut residents fall into this category (the national average is 12.6%). The most recent census figures tell us that there are just under a half-million seniors living in Connecticut. There are 23 assisted living/retirement centers throughout Fairfield County with anywhere from 50-100 beds.45 Community Resources Pre-Schools There are many different kinds of preschools available to Westport youngsters. The 20 schools that are around town vary from temples, churches, and the local YMCA and Day Schools.45 There is certainly no shortage of education for the young residents around town! Places of Worship There are 19 churches, 1 Jehovah’s Witnesses, and 4 synagogues in Westport. The temples include chabad, reform, conservative, and orthodox45. The churches range from Baptist, to Episcopal to Greek Orthodox, to Roman Catholic and Lutheran. Transportation There are 2 local taxi companies around town that provide transportation throughout the county and beyond. Westport Transit Service includes afterschool shuttles to and from the train, school and downtown and provides transportation for seniors and the disabled. The Coastal Link travels through the towns of Norwalk, Westport, Fairfield, 22 Bridgeport, and Milford 7 days a week. Westport has 2 train stations with Metro-North service to and from New York City and New Haven. Statewide bus service is supplied by Connecticut Transit with smaller municipal authorities providing local service. The Westchester County Airport is located in Harrison, New York (about 35 miles from Westport) and serves much of southwestern Connecticut. Finally, Kids on the Go is a private business which provides transportation for children to and from school or activities.45 Parks Residents and visitors will find a variety of 20 beautiful parks throughout the town of Westport. Whether you are looking for active recreation, an energetic walk with the family dog, a casual picnic along the banks of the Saugatuck River or watching the sun set across Long Island Sound, you are sure to find a park that suits your mood!45 Beaches Westport has many miles of coastline on Long Island Sound and provides 3 town beaches. All of Westport’s waterfront properties are open with lifeguards on duty Memorial Day weekend through Labor Day weekend. Vehicle parking emblems are required from May 1 through September 30 or a daily fee is available. Compo Beach, the largest of the 3, is a 29 acre park with an extensive sand beach along the shore of Long Island Sound and borders the Saugatuck River. It is handicapped accessible with a boardwalk, pavilion, concession stand, two sand volleyball courts, large wooden playscape, bathroom facilities and lockers.45 Swimming Pools Westport has three public swimming pools. The Longshore Pool consists of two swimming pool and a wading pool. The Training Pool is 20 yds. In length, is a uniform depth of 3’7” and used for lap swim and swim lessons. The Lap Pool is 25 yds. In length with depth from 3-ft. to 9-ft. and is used for open swim. The Wading Pool has a depth of 1-ft. to 2-1/2 ft. and is restricted during open swim to children under six years of age. The Staples High School Community Pool is 23 available to all Westport residents, ages 6 and up and their guests. It is open for recreational and lap swimming during certain hours. A Westport resident and their guests may pay a daily fee of $7 or a variety of memberships for Westport residents are offered.45 Marinas and Boating The Town of Westport is access to the waters of making boating a popular There are two marinas Town of Westport as well launch boats. A boat exist for all in-water and assignments.45 fortunate to have Long Island Sound activity for many. maintained by the as three places to waiting list does drystall Athletic Fields The Parks and Recreation Department maintains a full inventory of athletic fields to support a vigorous community athletic program. Four artificial turf fields and more than 20 grass fields play host to thousands of youth and adult practices and contests each season. Town fields are open for play from April 1 through Dec 1. All field usage is by permit only. When not reserved for organized activities, fields are available to residents.45 Background Information There is a debate erupting in the town regarding changes to the town zoning regulations. Pending a bidding process and local approvals, there is an opportunity for the future development of a senior housing complex and nursing facility on town-owned property. Although the zoning amendment was approved by the Planning & Zoning Commission, many residents signed a petition calling for a repeal of the changes. The preliminary plan calls for a 66 apartment (one and two beds) senior housing facility on the 23-acre property, with 60% of the units designated as “affordable” under the state Affordable Housing Act, as well as an 84-bed nursing home, which would be built in a separate phase after construction of the apartments is completed. Many of the town residents believe this property will hurt seniors the most, as taxes and expenses in the town will rise out of sight. They believe that there is no report on the costs to Westport 24 or an independent study that explains what Westport is going to get from this. There is no guarantee that Westport residents will get preferential treatment. Any measure giving preferences for residents could be negated by the state Affordable Housing Act, which requires applicants to submit to an income/asset test to see if they qualify. When most seniors in Westport sell their homes, they will probably no longer meet the test and qualify for affordable housing. The other side of the debate states that about 850 people in the town qualify for the affordable portion of the project. There are more than 4.200 residents aged 65 or over in town. Seniors are 16% Westport’s population and growing plus the 628 residents aged 85 and older.xlix Summary Westport, Connecticut is an incredible place to live and raise a family. Resident’s enjoy its quality of life because of the commitment to conserve their natural resources, preserve their traditions and support community events. Westport meets the recreational needs of their citizens by providing a wide range of leisure activities, and the town government offers quality services that are effective and efficient. Westport recognizes that their society’s strength is based upon an educated populace and they devote proper resources to this endeavor Strengths There are many strengths to Westport. Westport’s image continues to be special because of the people who live there and work there. All of the town’s agencies collectively work together in the town’s best interests. People are often outspoken and they publicly differ, but when a decision is made they come together as a whole for the good of the community. It is also the people who take the time to make sure senior residents can afford to stay in town, ensuring that Westport retains a key segment its population. Through the years, Westport has become one of the most affluent suburbs in America, culturally rich, filled with a blend of old Yankee farmers, academics, and professionals from all fields, reflecting its international flavor. Yet, it still retains the old New England small-town charm on many of its streets. Weaknesses Unfortunately, there are some weaknesses to the town as well. One major weakness is the lack of supermarkets available in the town. There are only two major grocery stores on opposite sides of town. While there are plenty of specialty markets with prepared foods, they are much more expensive and none of the staples are available. Stop and Shop is the only large supermarket offering a wide range of products and services. Opportunities 25 Some opportunities in the town would be to develop another large grocery store in the area that is easily accessible and convenient. Being able to shop for food, do your banking, purchase stamps and develop photos is something that the town needs. Another educational opportunity would be to offer a more rigorous nutrition education in all the grades. Nutrition education and programs should be expanded and part of the student’s curriculum. Threats The threats for Westport are the incredibly high percentage of residents with lyme disease. It is an important public health concern for the town residents. Connecticut has the highest number of cases relative to the population of any state. In Westport, there is an overabundant deer population and an increased potential for contact with ticks. More residences have been established in wooded areas where deer tend to roam. More public information needs to be provided. Summary of Problems/Issues Lyme Disease The prevalence of Lyme Disease in Westport has become a huge issue. 47% of Lyme disease cases result from outdoors play, 18% from doing yard work and 12% from gardening.l There is a lack of infectious disease doctors in the Westport community to treat and deal with the side effects of Lyme Disease. My recommendation would be to develop a handbook for all town residents and prospective home buyers. Suggestions such as: modify backyard vegetation, purchase a deer fence, spray yards with natural alternatives to pesticides, etc. I would also include what to do regarding the serious illness of Lyme disease. Skin Cancer Skin cancer is the most common cancer diagnosed in the United States. A 2004 survey found that 43.1% of white adults in Connecticut had at least one sunburn in the past year. Sunburns are a significant risk factor for the development of skin cancer. The rate of new melanoma diagnoses was 31% higher in Connecticut than the national average from 2001-2005 and it was the 8th highest in the United States. An estimated 1.060 state residents were diagnosed with melanoma in 2008. Fairfield County, where the town of Westport is located, has the 2nd highest rate of melanoma diagnoses in the state after New London County, 79% higher than the U.S. average.li 26 The fact that Westport is home to many beaches, athletic fields, walking trails and parks makes it a prime spot for many skin cancer incidents. Staying out of the sun, covering up or wearing sunscreen are the best preventive measures; however, many people fail to take these precautionary steps. My recommendation would be to promote the prevention of this disease by offering free screenings at schools, health fairs, the health department and doctors’ offices. By increasing the public’s awareness of the importance of prevention will hopefully encourage Westport residents to instill lifelong habits. WIC Program Participation Although Westport is considered one of the wealthiest suburbs in America, there are still some mothers and children in need of this vital program. When doing some research on it for this project, I found it very difficult to obtain any information both online and when I tried to call the main agency in Hartford. The closest agency to Westport is in Bridgeport as part of Optimus Health Care. Nobody there was able to give me hard facts or statistics about the eligible participants. I believe that Westport residents have no idea that this program is available. My recommendation would be to utilize this program in Bridgeport in a much more productive way. Perhaps a WIC facility should be built in Norwalk, a more urban town neighboring Westport. Information on WIC should be made available in every gynecologist’s office around town in both English and Spanish along with the housing assistance offices and food banks. This way, mothers can become properly educated on nutrition for themselves and their children, breastfeeding and referral sources. Conclusion I certainly know a lot more about the state of Connecticut and the town of Westport than before I started this assessment. I always felt lucky living here because of the vibrancy of the town and the New England charm it exudes. I did not realize, however, the abundance of the health and human resources available. I truly feel that one can obtain any information necessary with the click of a button or a phone call. There are always improvements that can be done, however. The incidence of lyme disease and skin cancer, the inadequate number of grocery stores and the dichotomy of interests regarding aging seniors and younger families. 27 References i Connecticut. Wikipedia. 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