Martin-Tyrrell-Washington
District Health Department
Martin County Community Health Assessment
2010
Martin County Health Department
210 West Liberty Street
Williamston, NC 27892
252.793.1619
www.mtwdistricthealth.org
Tables of Contents
Purpose……………………………………………………………………………………….
Team Composition…………………………………………………………………………...
Process Overview……………………………………………………………………………
Outcomes……………………………………………………………………………………
4
4
4
5
Acknowledgement of Community Health Assessment Team ………………………………
6
County Overview……………………………………………………………………………
8
Demographic
Population Estimates………………………………………………………………… 12
Age Distribution…………………………………………………………………….. 12
Race and Ethnicity………………………………………………………………….. 13
Education…………………………………………………………………………………….
13
Economic Characteristics
Poverty……………………………………………………………………………….
Employment………………………………………………………………………….
Agriculture…………………………………………………………………………...
Transportation………………………………………………………………………..
16
16
17
17
Community Health Status
County Health Ranking – MATCH…………………………………………………..
Peer Counties…………………………………………………………………………
19
19
Leading Causes of Death
Health Disease……………………………………………………………………….
Cancer………………………………………………………………………………..
Cerebrovascular Disease (Stroke)……………………………………………………
Chronic Respiratory Diseases……………………………………………………….
Diabetes……………………………………………………………………………..
Alzheimer’s Disease…………………………………………………………………
Unintentional Injuries……………………………………………………………….
Motor Vehicle Injuries………………………………………………………………
Nephritis…………………………………………………………………………….
Pneumonia and Influenza……………………………………………………………
HIV………………………………………………………………………………….
20
21
22
23
23
24
25
25
26
27
28
Martin County Community Health Assessment 2010
Page 2
Septicemia…………………………………………………………………………… 29
Maternal and Child Health
Infant Mortality………………………………………………………………………
Teen Pregnancy………………………………………………………………………
Childhood Asthma…...................................................................................................
Childhood Obesity…………………………………………………………………...
Childhood Abuse and Neglect……………………………………………………….
Child Deaths………………………………………………………………………….
30
30
31
31
32
33
Communicable Disease
HIV…………………………………………………………………………………..
AIDS…………………………………………………………………………………
Chlamydia……………………………………………………………………………
Gonorrhea……………………………………………………………………………
Syphilis………………………………………………………………………………
Tuberculosis (TB)……………………………………………………………………
34
34
35
35
36
36
Environmental Health
Water Quality………………………………………………………………………..
Air Quality…………………………………………………………………………..
37
37
Access to Care……………………………………………………………………………….
38
Emerging Issues……………………………………………………………………………..
39
Mental Health………………………………………………………………………………..
40
Health Resources…………………………………………………………………………….
42
Review of Primary Care…………………………………………………………………….
44
Community Health Action Plans...………………………………………………………….
50
Acknowledgements………………………………………………………………………….
51
Appendix…………………………………………………………………………………….
52
Martin County Community Health Assessment 2010
Page 3
Martin County 2010 Community Health Assessment
Purpose
Every four years local health departments within North Carolina are required to conduct a
community health assessment. The purpose of the assessment is to examine the health status of
the community in order to determine the health priorities for the next four years. The community
health assessment process and findings should represent the concerns of the public and be
conducted in such as a way as to involve the various stakeholders including members of the
community.
Team Composition
Martin-Tyrrell-Washington District Health Department (MTW) and the Martin County Health
Assessment Team have jointly conducted the community health assessment for the past several
years. For this assessment, a committee was formed in early 2010 with representatives from the
MTW District Health Department, Martin County School System, Martin County Senior Center,
Martin General Hospital, Martin Community College, Comprehensive Interventions Inc.,
Community Homecare and Hospice, Martin County Chamber of Commerce, Martin County
Faith Community, and members of the community. Leadership for the committee was provided
by the MTW District Health Department. Members of the committee were recruited from MTW
District Health. Several meetings were held for the primary purpose of determining how best to
solicit input from the community regarding health concerns. The assessment team decided that
this year Community Health Opinion Surveys would be the best avenue for collecting health
information for Martin County. Once questions were developed for collecting information, the
surveys were then distributed throughout Martin County. Paper copies of the surveys were
available, along with electronic surveys available through Survey Monkey.
Process Overview
One requirement for the community health assessment process is the collection of primary data
from members of the community. A community health survey was developed to ascertain
community members’ perception of health concerns and suggestions for improving the health
within the communities of Martin County. A review of secondary data was conducted by
reviewing county level health data primarily compiled by the NC State Center for Health
Statistics. Other resources were also utilized such as Cecil G. Sheps Center for Health Services
Research at the University of North Carolina – Chapel Hill.
It is well recognized that other factors within a community affect the health of a community.
Demographic, educational, economic, and environmental data for the County were reviewed as
well to determine the potential for impact on health status within the county.
Martin County Community Health Assessment 2010
Page 4
Additionally, where possible, Martin County data was compared to data from Eastern North
Carolina, North Carolina, and Martin County peer counties: Anson, Greene and Lenoir Counties.
A review of several years of data was also conducted to determine trends in health status for
Martin County.
The data that was then compiled and a formal presentation were made to the Martin County
Community Health Team at the November 2010 meeting. Each member was given the
opportunity to vote for the top health priorities. The health categories/priorities were based on
the 2010 Health Objectives. Members who could not be present at the meeting were given an
opportunity to vote by mailing in their priorities. This meeting was announced through e-mails
and through the MTW call-down system.
A review of the data was conducted at the November Board of Health meeting. The Board voted
to endorse the priorities identified by the Martin County Community Health Assessment Team.
Outcomes
The priority health objectives for 2010 – 2014 are as follows:









Obesity
Chronic Diseases (Heart, Diabetes, Asthma)
Communicable Diseases
Teen Pregnancy
Crime/Gang Prevention
Dental Health
Mental Health
Health Disparities
Access to Health Care
Martin County Community Health Assessment 2010
Page 5
Community Health Assessment Acknowledgements
Martin County Health Assessment Team included representatives from all areas of Martin
County. Members also included individuals that work to provide the health, wellness, and
support resources to citizens in the Martin-Tyrrell-Washington District Health Department. The
Community Health Assessment Team met on the second Thursday of each month starting in
August 2010 to create a plan for conducting the health assessment and solving any problems
encountered. The following individuals have contributed to the preparation of this document.
Lisa Edmonds
Martin County Department of Aging
Reverend Joseph R. Horton
Church of the Advent Episcopal Church
Desiree Rodgers
Comprehensive Intervention Inc.
Sylvia Coley, RN
Martin General Hospital
Megan Hauser
Public Health Education Specialist
Martin-Tyrrell-Washington District Health Department
Kathleen DeVoreJones
Health Director/Community Member
Martin-Tyrrell-Washington District Health Department
Natalie Wiggins
Community Outreach Service Coordinator/Community Member
Martin-Tyrrell-Washington District Health Department
Trey Knox
Community Home Care & Hospice
Sherrie Bazemore
Martin Community College
David Whitley
Martin County Chamber of Commerce
Marsha Anderson
Martin County Department of Aging
Martin County Community Health Assessment 2010
Page 6
Shelia Godard
Martin County United Way
Sharon Kenyon
Martin County Schools
Susan Davenport
Martin County Department of Social Services
Tonya Wynn
Martin County Cooperative Extension
Donna Gooding
Martin County Parks and Recreation
Reverend Ernest Brooks, Jr.
Mt. Shiloh Baptist Church
Vickey Manning
Social Worker/Community Member
Martin-Tyrrell-Washington District Health Department
Billie Patrick
Health Education Supervisor/Public Health Preparedness Coordinator
Martin-Tyrrell-Washington District Health Department
Lynette Romero
Health Educator I/Community Member
Martin-Tyrrell-Washington District Health Department
Erica Payton
Public Health Educator II
Martin-Tyrrell-Washington District Health Department
Martin County Community Health Assessment 2010
Page 7
County Overview
English colonists were exploring for new homeland and found a spot of land on the Roanoke
River. This tract of land is now Williamston, North Carolina. Williamston is where the Martin
County Government Seat is located. There is evidence to prove the existence of a village here as
early as 1730. The first settlers were suspected to have moved from Bertie County to the south
side of the Moratock River (present day Roanoke River). After their journey, they chose a site
near the ruins of what had been a Tuscarora Indian village for their new home. However, the
Tuscarora had left this site behind long before the white man ever came to the New World.
The locality was previously known to the Indians as "Squhawky", but it was renamed "Tar
Landing" by the new settlers. “Tar Landing” eventually became the prime shipping point for
forest products such as tar, pitch, and turpentine, and meat produced in the area. Williamston
flourished, and as a result was designated the county seat when it was chartered in March 1774.
Martin County was formed in 1774 from the counties of Halifax and Tyrrell. It was named in
honor of Josiah Martin, the last Royal Governor of North Carolina. It is probable that this
county's name would have been changed like those of Dobbs and Tryon but for the popularity of
Alexander Martin, who was governor, 1782-1785 and l789-1792 the name remained the same.
In establishing the county there was no provision made for the courthouse, prison and stocks.
However, a law was passed making a provision for levying special taxes for the county seat.
There is nothing to indicate the location. During the Revolutionary War in 1779, Williamston
became the first incorporated town in the newly established county. The charter was granted at a
session of the General Assembly that was held in Halifax during October and November 1779.
In addition to Williamston, Jamesville (1785) and Hamilton (1804) made up the original "river"
towns in Martin County. All three were important shipping and trading centers along the
Roanoke River.
Two versions exist of how “Williamston” got its name. First, based largely on hearsay and
legend, is that the name was chosen in honor of a poor Irish weaver named "Dick" Williams,
who was supposed to have settled in the area around the middle of the 18th Century. It is said he
arrived with 75 cents in his pocket, but by hard work and strict economy, he managed to create a
substantial fortune and became one of the most influential men in the colony. The alternate
version is that the town was named in honor of Colonel William Williams. He was a scion of a
wealthy and distinguished family which owned large plantations in the northwestern part of the
county prior to the Revolution.
The name "Williams" is prominently connected with the early history of the county. Colonel
Williams' father, also named William Williams, migrated to the United States from Wales in the
early 1700s and settled on the south bank of the Roanoke River in the upper end of the county,
which at that time was in Edgecombe and was later a part of Halifax before it became Martin.
William Williams II was a delegate to the Hillsborough and Halifax conventions in 1776. He
was then elected colonel of Martin County's militia when it was organized, and he continued in
that capacity until he was elected the county's first state senator in 1777. He resigned his military
commission shortly afterwards. Colonel Williams was succeeded as commanding officer of the
county's militia by his nephew, Lt. Col. Whitmel Hill.
Martin County Community Health Assessment 2010
Page 8
Williamston's importance as a town and its growth and development immediately before and
after its incorporation was largely based on two factors. First was its location on the banks of a
navigable river; and second, its designation as the county seat. The Roanoke River enabled ships
of considerable size to navigate as far upstream as Williamston before there were any roads other
than the few that followed winding Indian trails. Being the seat of county government
necessarily brought most of the residents of the county to Williamston. The purposes of their
visits varied ranging from recording legal documents, attendance at court sessions, and for
military missions, elections, or related functions. Having a public landing, it was automatically
an important shipping point for river freight traffic, both incoming and outgoing. The Railroad
was established in Martin County during the Industrial Revolution resulting in increased
commerce by rail and water.
The 20th century brought new and exciting changes for Martin County. The bridging of the
Roanoke River at the eastern edge of the city limits occurred in 1922. This new development
spawned a whole new transportation system for Martin County. As a result, Williamston became
the hub of a system of major highways and roads upon which business and commercial life grew.
Many beneficial establishments came about that serve not only Martin County but all of Eastern
North Carolina. They include Martin Community College, Martin County General Hospital,
Martin County Health Department, and the Bob Martin Agricultural Center.
Geographic Information of Martin County
According to the State Library of North Carolina, Martin County is located in the
northeastern part of the state in the Coastal Plain Region. The northern boundary of the
county is the Roanoke River. Martin County is bordered by Bertie and Halifax to the
north, Washington to the east, Beaufort and Pitt to the south, and Edgecombe to the west.
Martin County is characterized as a primarily rural area with a population density of 55
persons per square mile and a total area of 462.44 square miles with 462.11 square miles
of land and .99 square miles of water areas.
Map 1-A. Displays Martin County’s exact location in Eastern North Carolina.
Martin County Community Health Assessment 2010
Page 9
Map 1-B: This is a topographical map that shows all the towns and major highways and roads
located in Martin County.
Source: http://www.northcarolinacountymaps.com/
Martin County Community Health Assessment 2010
Page 10
Martin County Government
The members on the Martin County Board of Commissioners is are follows:





Tommy W. Bowen
C. Mort Hurst
Ronnie Smith (Chairman)
Elmo “Butch” Lilley (Vice Chairman
Derek Price
o Marion Thompson, Clerk to the Board


J. Melvin Bowen, County Attorney
W. Russell Overman, County Manager
County Fax: 252.789.4309
County Email: martin@martincountyncgov.com
The Commissioners meet the second Wednesday of every month at 7:00 p.m.
The Governing Board of MTW District Health Department
The Board of Health of Martin-Tyrrell-Washington District Health is established and maintained
as the governing body in accordance with the laws of the State of North Carolina of General
Statues 130A-34 through 130A-42.
The Board of Health serves as the global policy-making, rule-making, and adjudicatory body for
the district health department. The Board of Health has 15 members. The commissioners of each
county in the district appoint one of their members to the Board of Health. These appointed
commissioner members then appoint the other members of the Board including at least one
physician licensed to practice in the State of North Carolina, one licensed dentist, one licensed
optometrist, one licensed veterinarian, one registered nurse, one licensed pharmacist, and one
professional engineer. If there is not a member of the district available for appointment as
designated above, additional representatives of the general public shall be appointed.
When a member of the general public is appointed due to the unavailability of one of the
licensed or professional level members, he/she shall serve only until a licensed or professional
member can be appointed.
The composition of the Board of Health shall reasonably reflect the population makeup of the
entire district and provide equitable district-wide representation. All members shall be residents
of the district.
Martin County Community Health Assessment 2010
Page 11
Board of Health Members
Chairman: Thomas Spruill, Tyrrell County Commissioner
Martin County
Derek Price, Commissioner
Denise Edmondson, Registered Nurse
Robert M. Stalls, Public Member
Dr. Ben Shelton, Veterinarian
Ben Jones, Public Member
Tyrrell County
Hannah Rogers, Public Member
Washington County
Jean Alexander, Commissioner
Dr. Carter Bennett, Dentist
Logan Womble, Pharmacist
Dr. Robert Venable, Physician
Judy Wright, Public Member, Vice Chairman
Eddie McNair, Public Member
Demographics
Population Estimates
According to 2009 population estimates, Martin County’s population is approximately 23, 993.
From 2000 – 2009, Martin County’s population decreased by -8.6%. The County is divided into
eight townships: Williamston, Hamilton, Robersonville, Hassell, Everetts, Jamesville, Oak City,
and Parmele. Williamston is the largest municipality, with at 2008 population estimate of 5,675.
Williamston also serves as the county seat for Martin County.1
Age Distribution
Martin County’s distribution of population by age is depicted in the graph on the next page.2
1
Thrive in North Carolina. North Carolina Department of Commerce. Martin County (NC) March 2010.
https://edis.commerce.state.nc.us/docs/countyProfile/NC/37117.pdf
2
Thrive in North Carolina. North Carolina Department of Commerce. Martin County (NC) March 2010.
https://edis.commerce.state.nc.us/docs/countyProfile/NC/37117.pdf
Martin County Community Health Assessment 2010
Page 12
2009 Estimated Population by Age Distribution – Martin County
Race and Ethnicity
In Martin County 54.9% of residents are White, 43.2% are Black, and 1.9% are of Hispanic or
Latino origin.3
Education
According to the 2000 U.S. Census Bureau 12.0% of Martin County’s population had less than a
9th grade education, 17.3% had no diploma, 34.6% were high school graduates, 17.7% had some
college but no degree, 6.8% had an Associate’s degree, 8.3% had a Bachelors’ degree and 3.3%
had a Graduate or professional degree.4
Martin County has 11 public schools: E.J Hayes Elementary, East End Elementary, Edna
Andrews Elementary, Jamesville Elementary, Jamesville Middle, Riverside High, Rodgers
Elementary, South Creek High, South Creek Middle, Williamston Middle, and Williamston
Primary.
3
Thrive in North Carolina. North Carolina Department of Commerce. Martin County (NC) March 2010.
https://edis.commerce.state.nc.us/docs/countyProfile/NC/37117.pdf
4
Thrive in North Carolina. North Carolina Department of Commerce. Martin County (NC) March 2010.
https://edis.commerce.state.nc.us/docs/countyProfile/NC/37117.pdf
Martin County Community Health Assessment 2010
Page 13
Martin County Drop Out Rates 2003 – 20095
Martin County Grades 7 - 13 Drop Outs, rate
per 1,000
5
4
3
Martin
County
2
NC
1
0
03-04
04-05 05-06
06-07 07-08
08-09
Years
NC Department of Public Instruction
School Crime and Violence, 2008 – 2009
In the 2008 – 2009 school years, Martin County had a rate of 6.15 acts of committed
crimes/violence compared to the state rate of 7.59 acts of committed crimes/violence.6
School Crime and Violence Acts
# of
Acts
Martin
County
AR AW AP BT BS D K PA PS PF PW R RW RO SA SO IM Total
# of
Acts
1
2
9
1
10
1
24
Key:
PW – Possession of a weapon
AP – Assault on school personnel
AW – Assault involving use of a weapon
RO – Robbery w/o a dangerous weapon
R – Rape
BT – Bomb Threat
PS – Possession of controlled substance
AR – Assault resulting in serious injury
SO – Sexual offense
RW – Robbery w/ a dangerous weapon
D – Death by other than natural causes
BS – Burning of school building
PA – Possession of alcoholic beverage
SA – Sexual Assault
PF – Possession of firearm
IM – Taking indecent liberties w/ a minor
K – Kidnapping
5
North Carolina Department of Instruction. Dropout rates, grades 7 -13.
http://www.ncpublicschools.org/docs/research/dropout/reports/2008-09/713countsrates.pdf
6
North Carolina Department of Instruction. School Crime and Violence.
http://www.ncpublicschools.org/docs/research/discipline/reports/consolidated/2008-09/crimeviolence-c6.pdf
Martin County Community Health Assessment 2010
Page 14
Performance of each student group on the End-of-Grade Tests, Martin County7
Martin
County
Schools
State
All
Male
Female
White
Black
Hispanic
American
Indian
MultiRacial
E.D.
N.E.D.
L.E.P.
Migrant
Students
N/A
Asian/
Pacific
Islander
87.5%
65.7%
53.4%
78.8%
43.8%
N/A
Students
with
Disabilities
31.5%
63.4%
60.3%
66.5%
78.6%
49.3%
60.7%
66.3%
64.2%
68.5%
78.7%
47.0%
51.5%
52.6%
77.3%
67.8%
52.1%
82.0%
33.9%
41.8%
34.4%
Martin County SAT scores, 20088
Martin
County
Schools
State
# Tested
% Tested
Math Score
CR Score1
M+CR2
MtCR+W3
447
Writing
Score
434
131
46.5
489
936
1370
55442
63.0
511
496
482
1007
1489
M+CR2
MtCR+W3
940
1367
1006
1486
M+CR2
MtCR+W3
954
1390
1008
1485
Martin County SAT scores, 20099
Martin
County
Schools
State
# Tested
% Tested
Math Score
CR Score1
117
46.1
493
447
Writing
Score
427
57147
63.0
511
495
480
Martin County SAT scores, 201010
Martin
County
Schools
State
# Tested
% Tested
Math Score
CR Score1
119
45.9
497
457
Writing
Score
436
57841
63.0
511
497
477
7
North Carolina Schools and Report Cards. Martin County Schools, Performance of students in each grade on the
ABC’s of end of grade tests.
http://www.ncschoolreportcard.org/src/distDetails.jsp?Page=2&pLEACode=580&pYear=2009-2010&pDataType=1
8
North Carolina Department of Instruction. Martin County 2008 SAT scores.
http://www.ncpublicschools.org/docs/accountability/reporting/sat/2010/satreport2010.pdf
9
North Carolina Department of Instruction. Martin County 2009 SAT scores.
http://www.ncpublicschools.org/docs/accountability/reporting/sat/2010/satreport2010.pdf
10
North Carolina Department of Instruction. Martin County 2010 SAT scores.
http://www.ncpublicschools.org/docs/accountability/reporting/sat/2010/satreport2010.pdf
Martin County Community Health Assessment 2010
Page 15
Economic Characteristics
Poverty
Martin County’s 2008 median household income was $35,072 compared to the state’s median
household income of $46,574. In 2008, 23.4% of residents in Martin County lived below the
poverty level, compared to the state rate of 14.6%. The chart below includes poverty rates for
individuals and children in Martin County in 2010. 11
Martin County Residents living in Poverty, 2010 12
Individuals in Poverty
5,164 (number)
20.2% (percent)
Children in Poverty
1,804 (number)
27.7% (percent)
Poverty Census Data for Martin County 13
Number in
Poverty
Number of
Children
in Poverty
Number of
65 and over
in Poverty
457
Number at
130%
poverty
level
1,929
Number of
under 18yrs
at 130%
poverty
449
Number of
5 – 17 yrs at
130%
poverty
328
Caucasian
1,323
294
African American
3,749
1,460
550
4,827
1,789
1,344
Employment
As of August 2010, Martin County’s unemployment rate is 10.1% compared to the state rate of
9.8%. Martin County’s 2009 top ten employers are as followed: 14










Martin County Board of Education
Domtar Paper Company
Ann’s House of Nuts Inc
Wal-Mart Associates Inc
Martin General Hospital
County of Martin
Martin Mills
Industrial Manufacturing Co.
Weyerhaeuser Co (A Corp)
Martin Community College
11
US Census Bureau. Martin County Quickfacts from US Census Bureau.
http://quickfacts.census.gov/qfd/states/37/37117.html
12
NC Child Welfare, Work First, Food and Nutrition Services. Poverty Census Data. http://sasweb.unc.edu/cgibin/broker?_service=default&_program=wrkfirst.cntypovnet.sas&county=Martin&label=County&format=html
13
NC Child Welfare, Work First, Food and Nutrition Services. Poverty Census Data. http://sasweb.unc.edu/cgibin/broker?_service=default&_program=wrkfirst.cntypovnet.sas&county=Martin&label=County&format=html
14
Employment Security Commission of North Carolina. North Carolina Civilian Labor Force Estimates.
Martin County Community Health Assessment 2010
Page 16
Agriculture
According to 2007 Census of Agriculture, Martin County has 320 farms. Average farm size in
Martin County is 330 acres. Total land in farms is 105,490 acres. The average age of the Martin
County farmer is 57.5. Among North Carolina counties, Martin County is ranked as a top 10
producer in peanuts – 1st and cotton - 3rd.15
Transportation
Roads - Martin County is within 20 to 30 minutes off Interstate 95, our major North/South
corridor. Other Interstates serving the region include I-85 and I-40. U.S. Highways 17 and 13
intersect US Highway 64 at the county seat in Williamston, allowing easy access to all points
north, south, east and west. US 64 has been four-laned through Martin County and a major
improvement project is underway for US 17. With the completion of the US 64 project, access to
Interstate 95 in Rocky Mount is a mere 30 minutes from Williamston. North Carolina Highways
125, 903, 171, and 11 also serve the county.16
Rail - Martin County is served daily by Seaboard System Railroad, an operating unit of CSX
Transportation. Seaboard operates trains daily along a line that bisects the county and services
Parmele, Robersonville, Everetts, Williamston, and Jamesville. Seaboard also operates public
tracks around Williamston for loading and unloading of rail cars. Norfolk Southern Railroad
services a major industrial complex at the eastern border of the county. Van-on-Flat-Car (VOFC,
TOFC, or “piggyback”) services are available on the Seaboard system in Rocky Mount, N.C.17
Bus - Martin County also offers bus transportation and parcel service through Trailways Bus
Line.18
Air - Martin County travelers utilize the services offered at nearby Pitt-Greenville Airport (20
miles away). US Air Express serves the region from Pitt-Greenville Airport daily, providing
connecting flights to the major airline hubs at Charlotte, Raleigh-Durham, Baltimore, and
Washington-Dulles airports. Connecting flight schedules make one-day business trips possible to
almost all metro areas east of the Mississippi River.
Raleigh-Durham International, Charlotte International, and Norfolk International airports each
have international flights to Europe and the Far East available daily. Raleigh-Durham is the East
Coast hub for American Airlines, while Charlotte is the hub for US Air.
The Martin County Municipal Airport has a paved 5,000 foot lighted runway available for
15
Martin County Chamber of Commerce. Economic Development.
http://www.martincountync.com/martin-economics.html
16
Martin County Chamber of Commerce. Economic Development.
http://www.martincountync.com/martin-economics.html
17
Martin County Chamber of Commerce. Economic Development.
http://www.martincountync.com/martin-economics.html
18
Martin County Chamber of Commerce. Economic Development.
http://www.martincountync.com/martin-economics.html
Martin County Community Health Assessment 2010
Page 17
private and chartered planes. Fuel is also available. The recent upgrade of the runway allows for
almost all corporate jets to be able to utilize the county airport.
Air cargo service is offered by several air freight carriers including Federal Express, Airborne
Express, Emery, and UPS - as well as US Air.19
Trucking - There are over (50) national and regional carriers serving the Martin County area,
including all of the nation’s largest carriers. Several local independent trucking firms are
available to provide service as well. Containerized freight service is available, as is special
commodity transport. More than thirty (30) carriers provide less than truckload (LTL) service on
a daily basis.20
19
Martin County Chamber of Commerce. Economic Development. http://www.martincountync.com/martineconomics.html
20
Martin County Chamber of Commerce. Economic Development. http://www.martincountync.com/martineconomics.html
Martin County Community Health Assessment 2010
Page 18
Community Health Status
County Health Rankings – MATCH (Mobilizing Action Towards Community Health)
The Robert Wood Johnson Foundation and the University of Wisconsin Population Health
Institute have collaborated to develop the County Health Rankings. The County Health Rankings
is a component of the Mobilizing Action Towards Community Health (MATCH) project. The
County Health Rankings website provides access to the 50 state reports, ranking each county
within the 50 states according to its health outcomes and the multiple health factors that
determine a county’s health. Health Outcomes are the primary level used to rank the overall
health of counties. The county ranked number 1 is considered the healthiest county in the state.
Health outcomes in the County Health Rankings represent how healthy a county is.
Health outcomes are measured by two factors: how long people live (mortality) and how healthy
people feel (morbidity). In 2010, Martin County received a Health Outcomes rank of 95 out of
100.
Health factors in the County Health Rankings represent what influences the health of the county.
The County Health Rankings measures for types of health factors (health behaviors, clinical care,
social and economic and physical environment factors) to determine an overall health factor
ranking. In 2010, Martin County received a Health Factors rank of 87 out of 100.21
Peer Counties
The North Carolina CATCH (Comprehensive Assessment for Tracking Community Health) is a
program that contains demographic and community data for all 100 counties in North Carolina.
The NC CATCH program also designates peer counties for each county. These counties can be
used to compare statistical data such as demographics and county data. The peer counties for
Martin County are Anson, Lenoir and Greene. Anson County has a Health Outcomes rank of
87 and Health Factors rank of 92. Greene County has a Health Outcome rank of 69 and a
Health Factors rank of 73. Lenoir County has a Health Outcomes rank of 88 and a Health
Factors rank of 84.
21
County Health Rankings, Mobilizing Action Toward Community Health. Snapshot 2010: Martin County.
http://www.countyhealthrankings.org/north-carolina/martin
Martin County Community Health Assessment 2010
Page 19
Leading Causes of Death
Listed below are the 10 leading causes of death in Martin County from 2005 – 2009.22
Top Ten Leading Causes of Death
1. Heart Disease
2. Cancer
3. Stroke
4. Chronic Lower Respiratory Diseases
5. Diabetes
6. Alzheimer’s Disease
7. Unintentional Injuries
8. Unintentional Motor Vehicle Injuries
9. Nephritis
10. Pneumonia and Influenza
Martin County deaths
415
326
112
69
55
45
43
31
29
29
Listed below are the 10 leading causes of death for whites and minorities in Martin County from
2005 – 2009.23
Whites
1. Heart Disease
2. Cancer
3. Chronic Lower Respiratory Disease
4. Stroke
5. Alzheimer’s Disease
6. Unintentional Injuries
7. Diabetes
8. Motor Vehicle Injuries
9. Pneumonia/Influenza
10. Nephritis
Minorities
Heart Disease
Cancer
Stroke
Diabetes
Unintentional Injuries
AIDS
Nephritis
Septicemia
Alzheimer’s Disease
Chronic Lower Respiratory Disease
Heart Disease
Heart disease includes conditions affecting the heart, such as coronary disease, heart attack,
congestive heart failure, and congenital heart disease. heart disease is the leading cause of death
for Martin County. Heart disease is also the leading cause of death for men and women in the
United States. Key steps to prevention include quitting smoking, lowering cholesterol,
controlling high blood pressure, maintaining a healthy weight and exercising. Heart disease
deaths in Martin County remain fairly consistent throughout the time periods illustrated in the
graph below.24 From 2005 – 2009 heart disease was the leading cause of death for all residents,
22
North Carolina Division of Public Health, State Center for Health Statistics. 2005 – 2009 NC Resident Race Specific
and Sex Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
23
North Carolina Division of Public Health, State Center for Health Statistics. 2005 – 2009 NC Resident Race Specific
and Sex Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
24
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
Martin County Community Health Assessment 2010
Page 20
women, whites and minorities in Martin County, and the 2nd leading cause of death for men.
From 2004 – 2008 Heart Disease was the leading cause of death for whites, minorities and
females and the 2nd leading cause of death for males. From 2003 – 2007 heart disease was the
leading cause of death for Whites, Minorities, males and females in Martin County.
Heart Disease Death Rates – Martin County
Hypertension (high blood pressure) and hyperlipidemia (high cholesterol) are risk factors for
heart disease and stroke. According to the 2009 Behavioral Risk Factor Surveillance Survey,
North Carolina and Eastern NC which includes Martin County, have similar percent populations
reporting they have high blood pressure, 31.5% and 34.7%, respectively compared to 28.7% of
US adults. The percent population reporting they have high cholesterol in North Carolina and
Eastern NC is 39.6% and 39.6% respectively.
Cancer
Cancer, also called malignancy, is characterized by an abnormal growth of cells. There are more
than 100 types of cancer, including breast cancer, skin cancer, lung cancer, colon cancer, prostate
cancer, and lymphoma. Cancer symptoms vary widely based on the type of cancer. Cancer
treatment includes chemotherapy, radiation, and surgery.25 From 2005 – 2009, cancer was the
leading cause of death for males and the 2nd leading cause of death for whites, minorities, and
females. In Martin County from 2004 – 2008, cancer was the leading cause of death for males
and the 2nd leading cause of death for whites, minorities and females. From 2003 – 2007, cancer
was the 2nd leading cause of death for whites, minorities, males and females.
In 2007, the percent of cancer deaths in Martin County was 20.6% compared to North Carolina’s
23.0%. See charts listed below.
25
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
Martin County Community Health Assessment 2010
Page 21
Cancer Death Rates – Martin County
2007 Cancer Deaths by Site – Martin County
Cerebrovascular Disease (Stroke)
Stroke is brain damage caused by blocked blood vessels or bleeding in the brain. The signs of a
stroke may include weakness, numbness, blurred vision, confusion, and slurred speech. From
2005 – 2009, stroke was the 3rd leading cause of death for males, females and minorities and the
4th leading cause of death for whites. From 2004 – 2008, stroke was the 3rd leading cause of
death for males, females and minorities and the 4th leading cause of death for whites. From 2003
– 2007, stroke was the third leading cause of death for males, females and minorities and the 4th
leading cause of death for whites.26
Stroke Disease Deaths Rates – Martin County
26
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
Martin County Community Health Assessment 2010
Page 22
Chronic Respiratory Diseases
Chronic Respiratory Diseases are chronic diseases of the airways and other structures of the
lungs. Some of the most common are asthma, chronic obstructive pulmonary disease (COPD),
respiratory allergies, occupational lung diseases and pulmonary hypertension. From 2005 –
2009, chronic lower respiratory disease was the 3rd leading cause of deaths for whites, the 10th
leading cause of deaths for minorities and the 4th leading cause of death for both males and
females. From 2004 – 2008, chronic respiratory disease was the 3rd leading cause of death for
whites, 9th leading cause of death for minorities, 4th leading cause of death for males and the 6th
leading cause of death for females. From 2003 – 2007, chronic respiratory disease was the 3rd
leading cause of death for whites, 8th leading cause of death for minorities, 4th leading cause of
death for males and 5th leading cause of death for females.27
Chronic Respiratory Disease Deaths Rates – Martin County
Diabetes
Diabetes affects the body’s ability to use blood sugar for energy. The main types include Type 1
Diabetes, Type 2 Diabetes, and gestational diabetes. From 2005 – 2009, diabetes was the 7th
leading cause of death for whites, 4th leading cause of death for minorities, 6th leading cause of
death for males and 5th leading cause of death for females. From 2004 – 2008, diabetes was the
6th leading cause of death for whites, 4th leading cause of death for minorities, 7th leading cause
of death for males and 5th leading cause of deaths for females. From 2003 – 2007, diabetes was
the 5th leading cause of deaths for Whites, 4th leading cause of death for minorities, 7th leading
cause of death for males and 4th leading cause of death for females.28
27
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
28
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
Martin County Community Health Assessment 2010
Page 23
Diabetes Death Rates – Martin County
Alzheimer’s Disease
Alzheimer’s Disease is the most common form of dementia. It is the 6th leading cause of death
in Martin County.29 From 2005 – 2009, Alzheimer’s disease was the 5th leading cause of death
for whites, 9th leading cause of death for minorities and males and the 6th leading cause of death
for women. From 2004 – 2008, Alzheimer’s disease was the 5th leading cause of death for
whites, 5th leading cause of death for minorities, 9th leading cause of death for males and the 5th
leading cause of death for females. From 2003 – 2007, Alzheimer’s disease was the 6th leading
cause of death for whites, minorities and females, and the 10th leading cause of death for males.
Alzheimer’s Disease Death Rates – Martin County
29
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
Martin County Community Health Assessment 2010
Page 24
Unintentional Injuries
Unintentional Injuries is the 7th leading cause of death in Martin County.30 Death rates related to
unintentional injuries were the highest from 2004 – 2008. From 2005 – 2009, unintentional
injuries was the 5th leading cause of death for whites, minorities and males and the 9th leading
cause of deaths for females. From 2004 – 2008, unintentional injuries was the 7th leading cause
of deaths for whites, 5th leading cause of death for males and 9th leading cause of death for
females. From 2003 – 2007, unintentional injuries was the 9th leading cause of death for whites
and minorities, 6th leading cause of death for males and the 10th leading cause of death for
females. 31
Unintentional Injuries Death Rates – Martin County
Motor Vehicle Injuries
Motor Vehicle Injuries is the 8th leading cause of death in Martin County. 32 Males in Martin
County have the highest number of deaths related to motor vehicle injuries compared to females
in Martin County. From 2005 – 2009, motor vehicle injuries was the 8th leading cause of death
for whites, 7th leading cause of death for males and 10th leading cause of death for females.
From 2004 – 2008, motor vehicle injuries was the 8th leading cause of death for whites and
minorities, 6th leading cause of death for males and 10th leading cause of death for females.
From 2003 – 2007, motor vehicle injuries was the 7th leading cause of death for whites and
males, 10th leading cause of deaths for minorities and 9th leading cause of death for females.
30
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
31
From 2003 – 2007 there was 24 deaths for males due to Unintentional injuries and 24 deaths due to Motor
Vehicle injuries. Also from 2004 – 2008 there was 25 deaths for Whites due to Unintentional Injuries and 25 deaths
due to Motor Vehicle Injuries.
32
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
Martin County Community Health Assessment 2010
Page 25
Motor Vehicles Injuries Death Rates – Martin County
Nephritis (Kidney Disease)
Nephritis is a disease of the kidneys. Nephritis is the 9th leading cause of death for Martin
County. From 2005 – 2009, nephritis was the 10th leading cause of death for whites, 7th leading
cause of deaths for minorities, 9th leading cause of death for males and 8th leading cause of death
females. From 2004 – 2008, nephritis was the 9th leading cause of death for whites, 7th leading
cause of death for minorities, 8th leading cause of death for males and 7th leading cause of death
for females. From 2003 – 2007, nephritis was the 10th leading cause of death for whites, 7th
leading cause of death for minorities, 8th leading cause of death for males and 7th leading cause
of death for females. 33
Kidney Disease Death Rates – Martin County
33
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
Martin County Community Health Assessment 2010
Page 26
Pneumonia and Influenza
Pneumonia and influenza is the 10th highest cause of death in Martin County. The 2005 – 2009
time periods had the lowest number of deaths compared to the 2003 – 2007 and 2004 – 2008
time periods. From 2005 – 2009, pneumonia and influenza was the 9th leading cause of death for
whites, 8th leading cause of death for males and 7th leading cause of death for females. From
2004 – 2008, pneumonia and influenza was the 10th leading cause of death for whites and males
and 8th leading cause of death for females. From 2003 – 2007, pneumonia and influenza was the
8th leading cause of death for whites, males and females.34
Pneumonia and Influenza Death Rates – Martin County
A new strain of influenza, 2009 H1N1, emerged in the United State and globally in late April
2009. Health Departments across the country were tasked with providing education and
facilitating access to vaccinations for healthcare providers and the public. At the same time,
seasonal influenza vaccinations were underway for the 2009-10 flu seasons.
CDC estimated that the 2009 H1N1 pandemic resulted in more than 12,000 flu-related deaths in
the US. In contract to seasonal flu, nearly 90% of the deaths occurred among people younger
than 65 years of age.
Update on 2009 H1N1 Influenza and 2009-10 Seasonal Influenza Activity in Martin County
2009-10 Vaccine Administration by Health Department
 Administered 1188 H1N1 vaccines and 909 FluMist® Vaccines
 Administered 662 seasonal vaccines and 1382 FluMist® Vaccines
 Health Department administered approximately 50% as many flu vaccines in 2009-10 as
compared to a normal season.
34
During the years of 2004 – 2008, there was 21 deaths due to Nephritis, Pneumonia and influenza in the White
population.
Martin County Community Health Assessment 2010
Page 27
Community H1N1/Flu Vaccination Clinics

10 Businesses

3 After school programs

5 Community centers
 Numerous childcare centers
Distribution of H1N1 Vaccine
 Facilitated the distribution of thousands of vaccines to local healthcare providers
2009 Seasonal FluMist® Vaccination Program
 200 vaccines administered to children/teachers in 9 schools and 6 childcares
Community Education
 Hosted a community forum to provide accurate and timely information from key leaders
and to provide citizens and opportunity to ask questions about the flu.
 Developed and distributed thousands of copies of educational literature, individual hand
sanitizers and disposable tissues.
 Developed a local flu information website and hot-line.
 Developed and funded a flu vaccination billboard.
Partnership with African American Community
 Partnered with members of the African American faith and community at-large to plan an
outreach campaign to encourage participation in flu vaccination clinics.
 Developed radio and print advertisements to dispel myths and misinformation about flu
vaccine and to encourage flu vaccinations.
 Partnered with area churches and community centers to host vaccination clinics.
Campaign materials were developed to create awareness and promote vaccinations. MTW
placed ads in the local newspapers and distributed flyers throughout neighborhoods. Efforts to
encourage people to get vaccinated continued throughout the winter and spring of 2010.
HIV
HIV is the 5th leading cause of death for minorities in Martin County.35 From 2003 to 2009,
whites in Martin County experienced no deaths related to HIV; however HIV was the 5th leading
cause of death for minorities from 2005 – 2009 and 2003 – 2007 and the 6th leading cause of
death for minorities from 2004 – 2008.36
35
During the years of 2004 – 2008, there was 14 deaths each due to Alzheimers and HIV in the minority
population.
36
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
Martin County Community Health Assessment 2010
Page 28
HIV Deaths
20
15
Martin Total
Martin White
10
Martin
Minority
Martin Male
5
0
Martin
Female
2003-2007 2004-2008 2005-2009
Deaths
NC State Center for Health Statistics
Septicemia
Sepsis, or septicemia, is a condition in which the body is fighting a severe infection that has
spread via the bloodstream. This condition can develop either as a result of the body’s own
defense system or from toxic substances made by the infecting agent (such as a bacteria, virus, or
fungus).From 2005 – 2009, septicemia was the 8th leading cause of death for minorities and
males. The highest numbers of septicemia deaths were from 2005 – 2009.37
Septicemia Death Rates – Martin County
37
North Carolina Division of Public Health, State Center for Health Statistics. NC Resident Race Specific and Sex
Specific Age-Adjusted Death Rate. http://www.schs.state.nc.us/SCHS/data/databook/
Martin County Community Health Assessment 2010
Page 29
Maternal and Child Health
2009 Infant Mortality
In 2009 the infant mortality rate for Martin County was 16.8 per 1,000 live births compared to
the state rate of 7.9 per live births. The infant mortality rate for whites in Martin County is 15.3
compared to the state rate of 5.4. The infant mortality for minorities in Martin County is 18.1
compared to the state rate of 14.1.38
Infant Mortality
The 2008 percent of low birth weight in Martin County was 15.4%. The 2008 percent of births
with very late or no prenatal care in Martin County was 2.8%.39
2009 Teen Pregnancy (ages 15 – 19)
The 2009 teen pregnancy rate for Martin County was 61.0 per 1,000 live births compared to the
state rate of 56.0 per 1,000 live births. Martin County’s white teen pregnancy rate is 31.4 and
Martin County’s minority pregnancy rate is 74.3.40
38
North Carolina Division of Public Health, State Center for Health Statistics. Infant Mortality Statistics.
http://www.schs.state.nc.us/SCHS/data/vitalstats.cfm
39
North Carolina Division of Public Health, State Center for Health Statistics. Infant Mortality Statistics.
http://www.schs.state.nc.us/SCHS/data/vitalstats.cfm
40
North Carolina Division of Public Health, State Center for Health Statistics. Infant Mortality Statistics.
http://www.schs.state.nc.us/SCHS/data/vitalstats.cfm
Martin County Community Health Assessment 2010
Page 30
Adolescent Pregnancy Rate
Martin County and NC, rates per 1,000
100
80
60
Martin
40
NC
20
0
2005
2006
2007
2008
2009
NC Center for Health Statistics
Childhood Asthma
Martin County has extremely higher rates of hospital discharges with a primary diagnosis of
asthma for both children and adults compared to the state rates. In 2007 Martin County’s rate of
hospital discharges with a primary diagnosis of asthma for all ages was 376.5 per 100,000
compared to the state rate of 116.2 per 100,000. The 2007 rate for children ages 0 – 14 was
300.0 per 100,000 compared to the state rate of 166.2 per 100,000.41
Childhood Obesity
In Martin County 4.8% of children ages 2- 14 are underweight, 60.1% are at a healthy weight,
14.3% are overweight and 20.9% are obese. These percentages are similar to North Carolina’s.
In North Carolina, 3.5% of children are underweight, 62.3% are at a healthy weight, 16.2% are
overweight and 18% are obese. Martin County has a lower percentage of overweight children
compared to the state but a higher percentage of childhood obesity.42
41
North Carolina Division of Public Health, State Center for Health Statistics. Asthma Hospital Discharges per
100,000 Population. http://www.schs.state.nc.us/SCHS/data/databook
42
Prevalence of Overweight and Obesity in Children 2 through 18 years of age, NC-NPASS, NC Nutrition and
Physical Activity Surveillance System, Division of Public Health, DHHS.
http://www.eatsmartmovemorenc.com/data/index.html
Martin County Community Health Assessment 2010
Page 31
Martin County and North Carolina
Percent of Overweight and Obese Children
25
20
Martin %
Overweight
Martin %
Obese
NC %
Overweight
NC %
Obese
15
10
5
0
2007
2008
2009
NC Nutrition and Physical Activity Sureillance
System, Division of Public Health
Child Abuse and neglect
The following chart illustrates the number of reports of child abuse and neglect in Martin County
from 2006 to 2010.43
Martin County
Total cases
06-07
Full yr.
197
07-08
Full yr.
190
08-09
Full yr.
155
09-10
Full yr.
43
Type of Reported cases of child abuse and neglect
Type
Abuse & Neglect
Abuse
Neglect
Dependency
Services Needed
Services Provided no
longer needed
Services
recommended
Unsubstantiated
Services not
recommended
06-07
1
5
11
1
5
1
07-08
0
3
9
0
14
3
08-09
0
0
2
1
1
8
09-10
0
0
0
4
5
0
70
75
52
3
61
42
13
73
14
77
19
12
43
North Carolina Child Welfare, Work First and Food and Nutrition Services. Martin County: Experience report for
all children.
http://sasweb.unc.edu/cgibin/broker?_service=default&_program=cwweb.net.sas&county=Martin&label=County
&format=html
Martin County Community Health Assessment 2010
Page 32
Race/Ethnicity/Gender/Age of child abuse and neglect cases, 2006 – 2010
Race
White
African American
American
Indian/Alaskan
Other
06-07
72
122
0
07-08
75
114
0
08-09
73
80
0
09-10 (Partial year)
15
21
0
3
1
2
7
Ethnicity
Hispanic
Non-Hispanic
Mixed
06-07
5
192
0
07-08
10
180
0
08-09
7
148
0
09-10 (Partial year)
5
38
0
Gender
Female
Male
06-07
90
107
07-08
94
96
08-09
82
73
09-10 (Partial year)
17
26
Age
0-5
6-12
13-17
Unknown/missing
06-07
98
61
32
2
07-08
106
60
23
1
08-09
84
45
26
0
09-10 (Partial year)
26
14
2
1
Infant and Child Deaths in Martin County
Child deaths
All Other
Homicide
Poisoning
Drowning
3
0
0
0
0
0
0
0
0
0
08
5
3
2
0
0
0
0
0
0
0
0
0
0
0
0
Suicide
3
Other
Injuries
2
Falls
11
Fire and
Flame
Illnesses
6
Bicycle
SIDS
25
Motor
Vehicle
Total
04-08
Birth
Defects
Period/
Year
Perinatal
Conditions
5 Martin County children age less than 18 died in 2008.44
44
2008 Infant and Child death in North Carolina, Division of Public Health, State Center for Health Statistics.
http://www.schs.state.nc.u/SCHS/deaths/child/CFbyCO2008.pdf
Martin County Community Health Assessment 2010
Page 33
Communicable Diseases
HIV
As of December 31, 2009 Martin County has 73 cases of HIV. Martin County is ranked 55 out
of 100 counties for HIV rates.45
HIV Disease Cases, rates per 100,000
30
20
Martin
10
0
2005
NC
2006
2007
2008
2009
NC 2009 HIV/STD Surveillance Report, NC
Division of Public Health
AIDS
As of December 31, 2009, Martin County had 39 cases of AIDS. Martin County is ranked 28 out
of 100 counties for AIDS rates.46
AIDS Disease Cases, rates per 100,000
30
20
Martin
10
0
2005
NC
2006
2007
2008
2009
NC 2009 HIV/STD Surveillance Report, NC
Division of Public Health
45
NC Division of Public Health, Epidemiology and Special Studies Unit, HIV/STD Prevention and Care Branch. 2009
HIV/Surveillance Report. http://www.epi.state.nc.us/epi/hiv/pdf/std09rpt.pdf
46
NC Division of Public Health, Epidemiology and Special Studies Unit, HIV/STD Prevention and Care Branch. 2009
HIV/Surveillance Report. http://www.epi.state.nc.us/epi/hiv/pdf/std09rpt.pdf
Martin County Community Health Assessment 2010
Page 34
Chlamydia
In 2009 Martin County had 162 cases or a rate of 692.4 per 100,000 compared to the state rate of
474.2 per 100,000.47
Chlamydia Cases, rates per 100,000
500
400
300
Martin
200
NC
100
0
2005
2006
2007
2008
2009
NC 2009 HIV/STD Surveillance Report, NC
Division of Public Health
Gonorrhea
In 2009 Martin County had 63 cases or a rate of 269.3 per 100,000 compared to the state rate of
160.6 per 100,000.48
Gonorrhea Cases, rates per 100,000
400
300
Martin
200
NC
100
0
2005
2006
2007
2008
2009
NC 2009 HIV/STD Surveillance Report, NC
Division of Public Health
47
NC Division of Public Health, Epidemiology and Special Studies Unit, HIV/STD Prevention and Care Branch. 2009
HIV/Surveillance Report. http://www.epi.state.nc.us/epi/hiv/pdf/std09rpt.pdf
48
NC Division of Public Health, Epidemiology and Special Studies Unit, HIV/STD Prevention and Care Branch. 2009
HIV/Surveillance Report. http://www.epi.state.nc.us/epi/hiv/pdf/std09rpt.pdf
Martin County Community Health Assessment 2010
Page 35
Syphilis
Syphilis rates throughout North Carolina have fallen significantly. Martin County’s syphilis rates
peaked in 2006 and have maintained similar rates from 2007 to 2009.49
Primary and Secondary Syphilis Cases, rates
per 100,000
10
8
6
Martin
4
NC
2
0
2005
2006
2007
2008
2009
NC 2009 HIV/STD Surveillance Report, NC
Division of Public Health
Tuberculosis (TB)
In 2009 Martin County had a rate of 4.0 per 100,000 compared to the state rate of 2.7 per
100,00050
TB Cases, rates per 100,000
10
8
6
Martin
4
NC
2
0
2005
2006
2007
2008
2009
NC 2009 HIV/STD Surveillance Report, NC
Division of Public Health
49
NC Division of Public Health, Epidemiology and Special Studies Unit, HIV/STD Prevention and Care Branch. 2009
HIV/Surveillance Report. http://www.epi.state.nc.us/epi/hiv/pdf/std09rpt.pdf
50
NC Division of Public Health, Epidemiology and Special Studies Unit, HIV/STD Prevention and Care Branch. 2009
HIV/Surveillance Report. http://www.epi.state.nc.us/epi/hiv/pdf/std09rpt.pdf
Martin County Community Health Assessment 2010
Page 36
Environmental Health
Water Quality
Martin County has 25 community water systems and is a part of the Lower Roanoke Watershed.
The primary water source type is groundwater. Public water systems in North Carolina are
monitored and regulated by the Public Water Supply System within the Division of
Environmental Health, NC Department of Environment and Natural Resources. The
Environmental Protection Agency (EPA) provides water quality standards and requires that
water systems are periodically monitored for bacteria and other compounds. If any of these tests
exceed the EPA action level, the water system must correct the problem, return to compliance
with EPA water quality standards or provide alternative water supply to its customers.51
There was no data found to indicate that any particular water system in Martin County has an
ongoing water quality issue. Residents can review the results of water quality monitoring for
their water system by visiting https://www.pwss.enr.state.nc.us/NCDWW/.
Air Quality
The North Carolina Division of Air Quality within the North Carolina Department of
Environment and Natural Resources monitors outdoor air quality throughout North Carolina.
According to Martin County’s 2008 Air Quality report, Martin County has an average of 226
days of good air quality, 69 days of moderate air quality, and 3 days of unhealthy air quality for
sensitive groups and 1 day of unhealthy air quality52. Below is the NC Division of Air Quality
Color Code Guide. This guide is used to alert the public of air quality issues related to the ozone
levels.
Air Quality Index Levels of Health
Concern
Green/Good
Numerical
Value
0-50
Yellow/Moderate
51-100
Orange/Unhealthy for Sensitive groups
101-150
Red/Unhealthy
151-200
Purple/Very Unhealthy
201-300
Maroon/Hazardous
>300
51
52
Meaning
Air quality is considered satisfactory, and air pollution
poses little to no risk.
Air quality is acceptable; however, for some pollutants
there may be a moderate health concern for a very small
number of people who are unusually sensitive to air
pollution.
Members of sensitive groups who may experience
health effects. The general public is not likely to be
affected.
Everyone may begin to experience health effects;
members of the sensitive groups may experience more
serious health effect
Health alert: everyone may experience more serious
health effects
Health warnings of emergency conditions. The entire
population is more likely to be affected
U.S. Environmental Protection Agency. My Environment. http://www.epa.gov/
U.S. Environmental Protection Agency. My Environment. http://www.epa.gov/
Martin County Community Health Assessment 2010
Page 37
Access to Care
In 2007 6.9% of children in Martin County were enrolled in NC Health Choice; however 13.1%
of children had no form of health insurance in 2007. In 2008, it was estimated that 6,991
residents in Martin County were eligible for Medicaid or about one-third of the population.53
NC Health Professions Data System 2008 Health Professionals per 10,000
2008 Health Professionals54
Physicians
Martin
NC
Martin
NC
8.8
21.2
Primary
Care
Physicians
5.4
9.2
Dentists
Pharmacists
Registered
Nurses
Nurse
Practitioners
2.1
4.4
5.9
9.3
66.2
96.9
0.4
3.6
Certified
Nurse
Midwives
4.4
1.2
Physician
Assistants
1.3
3.7
Dental
Hygienists
Licensed
Practical
Nurses
Chiropractors
Occupational
Therapist
Occupational
Therapy
Assistants
Optometrist
Podiatrist
Psychologist
3.4
5.5
16.3
19.2
0.8
1.4
0.8
2.6
1.7
1.2
0.8
1.1
0.8
0.3
0.0
2.0
Martin
NC
Psychological
Associates
0.8
1.0
Physical Therapist
1.7
5.2
Physical Therapist
Assistants
8.8
2.4
Respiratory
Therapist
10.5
4.2
53
Action for Children North Carolina, Profile for Martin County. http://datacenter.kidscount.org
Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, North Carolina
Health Professions Data System, Annual Profiles – State and County Total.
http://www.shepscenter.unc.edu/hp/pro08.htm
54
Martin County Community Health Assessment 2010
Page 38
Emerging Issues
Martin County Gang Violence Assessment
In February 2010, the Martin County Gang Prevention Steering Committee contracted for a
Gang Violence Assessment of Martin County. The assessment was a process of gathering and
judging evidence in order to decide if high risk delinquency and/or gang activity was responsible
for a certain level of crime, violence, intimidation, and influence in Martin County.
The Gang Violence Assessment consisted of three phases:



Interviewing members of the Gang Prevention Steering Committee and other appropriate
community leaders
Measuring community perceptions of gang activity
Studying criminal activity that might have a possible gang influence.
Surveys were distributed to staff, parents and the student body at Roanoke and Williamston
Middle Schools and Roanoke and Williamston High school. The Chamber of Commerce also
included the survey with their newsletter. Officials from the Department of Social Services and
Public Health had their clients participate in the survey. Additionally, law enforcement and the
Chief Court Counselor were interviewed to discuss their views and concerns for Martin County.
Local data along with statistics from the Department of Corrections was collected to create a
baseline of information for high risk delinquency and/or criminal gang activity.
Key Findings
Although the surveys indicated “No Problem” at 53.1%, 42.8% believed that gang activity is an
“Emerging Problem.” The assessment also showed that crimes associated with gang activity and
high levels of poverty and unemployment create conditions that encourage criminal gang
activity.
Gang activity has also been identified through graffiti, documented hand signs, photos, hand
written letters and detailed references to gang tattoos, markings, clothing and signs. Two gang
names, along with 7 clique designations have also been identified.
Based on the assessment, Martin County is subject to being a leading indicator for growing gang
activity on the borders’ edge of the 41 eastern counties of North Carolina. Social and economic
issues including poverty, low income, high unemployment and high food stamp participation
increases the risk of gang activity. To review the entire document, contact Martin County’s
Juvenile Prevention Council.55
55
Martin County Gang Violence Assessment Report – Martin County Juvenile Prevention Council
Martin County Community Health Assessment 2010
Page 39
Mental Health
Albemarle Gap Analysis – Mental Health
East Carolina Behavioral Health (ECBH) contracted with the Behavioral Healthcare Resource
Program of the Jordan Institute for Children in the University of North Carolina at Chapel Hill
School of Social Work (UNCC-BHRP) to conduct a Gaps Analysis of the 10 county Albemarle
Mental Health service area. The entire Albemarle Gap Analysis can be found at:
http://www.ecbhlme.org/UserFiles/Files/Needs%20Assessments/AlbemarleGapAnalysisFinal10
4062010.pdf.56
The purpose of the Gap Analysis was to identify the mental health, developmental disabilities
and substance abuse needs in the 10 County Albemarle Mental Health service areas. Gaps
Analysis identified many areas which need to improve in order to be effective in serving the
needs of adults and children in the service area. The Gap Analysis also presented ECBH with
the opportunity to creatively design an effective model for the rural areas of Eastern North
Carolina.57
Three focus groups were conducted in Martin County to assess the mental health, developmental
disabilities, and substance abuse needs of the county. The focus group sessions were conducted
through the law enforcement, faith community and health care. Six questions were asked
throughout the session:
1. What do you see as the major MH/DD/SA related problems in your county?
The CFAC member pinpointed access to services as the primary problem and the wait
time between the call and the appointment. Additional problems included lack of mobile
crisis services, substance abuse, illegal prescription abuse, limited number of inpatient
treatment beds, no residential substance abuse treatment for juveniles, no treatment for
juvenile sex offenders, screening of clients for programs, lack of full array of services in
the county, amount of time that involuntary commitment transports take away from law
enforcement, lack of support from local hospitals, and revolving door consumers. The
group also identified the need for counseling and psychiatric services for adults (e.g.,
depression, bipolar disorders) and children and adolescents (e.g., depression, anger
management, ADHD, ADD), and referral sources for counseling and treatment for
alcohol and substance abuse for both adults and juveniles. 58
2. Where do people go for MH/DD/SA care in your county?
The CFAC focus group member indicated that clients were going to their primary
physicians for medications. The focus group also included the local social services,
56
East Carolina Behavioral Health. Albemarle Gap Analysis.
http://www.ecbhlme.org/UserFiles/Files/Needs%20Assessments/AlbemarleGapAnalysisFinal104062010.pdf
57
East Carolina Behavioral Health. Albemarle Gap Analysis.
http://www.ecbhlme.org/UserFiles/Files/Needs%20Assessments/AlbemarleGapAnalysisFinal104062010.pdf
58
East Carolina Behavioral Health. Albemarle Gap Analysis.
http://www.ecbhlme.org/UserFiles/Files/Needs%20Assessments/AlbemarleGapAnalysisFinal104062010.pdf
Martin County Community Health Assessment 2010
Page 40
access line, mobile crisis, private providers, Pitt County Memorial Hospital and
Tarboro.59
3. What are some of the challenges for your county?
The CFAC representative from Martin County believed that there was a gap in attitude
regarding substance abuse and that people were afraid to admit they were addicted since
the sheriff was on record for stating that incarceration would result for those with drug
problems. Comments from the focus group included a lack of resources and challenges
related to budget constraints, geography, unemployment, high number of low income
residents (e.g., homes with no plumbing), high rate of chronic health problems (e.g.,
stroke, diabetes, cancer, HIV), and increasing elder population. They also noted that it
was the only county that lacked a physician on the Board of Health, that the Red Cross
had been absorbed into Pitt County, and that the county had no jail. Law enforcement
highlighted transportation, waiting lists for services, poor parental support, lack of
inpatient beds, and no contract with a willing hospital as challenges.60
4. What are some of the changes in MH/DD/SA care that need to happen in your county?
The CFAC representative thought that more outreach and education were needed so that
individuals would seek services. Participants in the focus group stated that Martin County
needs an array of county-based services or access to services in nearby counties
5. What are the strengths of services available in your county?
Strengths included the number of Greenville clinicians that provide care; the medical
care, including the emergency medical services; hospice; the Substance Abuse Treatment
Program; the Family Resource Center; United Way; Teen Court; the restitution program
for offenders; Martin Community College; the volunteer fire service; the arrangement
between law enforcement and the hospital; and the B&B shelter home for youth. 61
6. What resources does your system bring to support MH/DD/SA care in your county?
Resources included a good information and referral system; assessment services; case
managers; primary care; the emergency medical services; home health; and assistance for
individuals in need (e.g., support services for elderly, shelter for homeless, medications
for indigent). 62
59
East Carolina Behavioral Health. Albemarle Gap Analysis.
http://www.ecbhlme.org/UserFiles/Files/Needs%20Assessments/AlbemarleGapAnalysisFinal104062010.pdf
60
East Carolina Behavioral Health. Albemarle Gap Analysis.
http://www.ecbhlme.org/UserFiles/Files/Needs%20Assessments/AlbemarleGapAnalysisFinal104062010.pdf
61
East Carolina Behavioral Health. Albemarle Gap Analysis.
http://www.ecbhlme.org/UserFiles/Files/Needs%20Assessments/AlbemarleGapAnalysisFinal104062010.pdf
62
East Carolina Behavioral Health. Albemarle Gap Analysis.
http://www.ecbhlme.org/UserFiles/Files/Needs%20Assessments/AlbemarleGapAnalysisFinal104062010.pdf
Martin County Community Health Assessment 2010
Page 41
Health Resources
Martin County has several health resources such as Martin General Hospital, Martin Tyrrell
Washington District Health Department, Roanoke Women’s Center, Brody School of Medicine
at East Carolina University and additional resources such as nursing homes, hospice care and
assisted living programs.
Martin General Hospital
Martin General Hospital is located in Williamston, North Carolina. The hospital currently has 49
licensed beds and 47 active physicians, 15 courtesy physicians and 286 employees.63
Services














Bone Densitometry
Cardiac (Telemetry, Echo, TEE)
Cardiopulmonary/Respiratory Care Clinic
Emergency Department, 24-hour
Industrial Medicine Program
Intensive Care Unit
Imaging (Digital, CT Scanner, Mammography, MRI, Nuclear Medicine, Sonography, Stereotactic
Biopsy, Telemedicine, Teleradiology, Ultrasound)
Labor & Delivery, Nursery
Laboratory
Rehabilitation (OT, PT)
Sleep Center
Sports Medicine Program
Surgery (Inpatient/Outpatient)
Women's Center
Martin-Tyrrell-Washington District Health Department
MTW District Health Department serves the residents of Martin, Tyrrell and Washington
County. The mission of Public Health in the district is to strive to promote healthier lifestyles,
reduce risk, disabilities, and years-of-life lost by providing personal and environmental health
services.64
Services





63
64
Health Education
Public Health Preparedness and Response
Dental Health
Maternal Health
General Communicable Disease Control
Martin General Hospital. www.martingeneral.com
MTW District Health Department. www.mtwdistricthealth.org
Martin County Community Health Assessment 2010
Page 42







Sexually Transmitted Diseases (STD’s)
Primary Care
Women’s Health including family planning and breast and cervical cancer screening
Diabetes Self Management and Education Program
Interpreter Assistance
Community Health Programs
Roanoke Home Care and Hospice
ECU Brody School of Medicine – PCMCH
East Carolina University’s Brody School of Medicine is located approximately 40 minutes away
in Greenville, NC and provides health care for people in Eastern North Carolina. The Brody
School of Medicine provides health services to the uninsured and underinsured. Examples of
clinical services provided by Brody School of Medicine include Family Medicine & Routine
Care, Women’s Health and Children’s Health.65
65
East Carolina University, Brody School of Medicine. www.ecu.edu/med
Martin County Community Health Assessment 2010
Page 43
Review of Primary Data
During the spring, summer and fall of 2010, Martin-Tyrrell-Washington Health Department
conducted a Community Health Assessment Survey to determine the health status of residents
and to identify resources needed to address health and social problems in Martin County. The
survey was available in both English and Spanish. The survey was distributed to churches,
schools, community groups, workplaces, the health department, barber/beauty parlors, volunteer
firemen and key leaders in Martin County. The survey was available to be completed by hand or
on the web.
A summary of the findings can be found below. The top five issues listed as a serious problem
are provided for each section. A summary of the demographics and additional information is
also provided. The entire results of the assessment can be found in the appendix. A total of 542
Community Health Assessment Surveys were completed.
Key Findings
Community Health
Question: In this section, please answer questions about your community, community issues, and
your concerns.
Top Five Serious Problems:





Job Opportunities
Unsafe/Unprotected Sex
Cigarette Smoking among people under 18
Youth Gang Activity
Alcohol/Drug Use
Health and Human Services
Question: In your opinion, do people in your community have problems finding or using these
services?
Top Five Serious Problems:





Private Health Care Insurance Coverage
Availability of street & prescription drugs in schools
Drug and Alcohol Treatment Centers
Utility Assistance
Mental Health Care/Counseling
Disease and Disability
Question: In your opinion, does your community have a problem with any of these diseases or
disabilities?
Martin County Community Health Assessment 2010
Page 44
Top Five Serious Problems:





Adult Obesity
High Blood Pressure
Diabetes
Childhood Obesity
Heart Disease
Additional information
Martin County Community Health Assessment 2010
Page 45
Martin County Community Health Assessment 2010
Page 46
Demographics
Martin County Community Health Assessment 2010
Page 47
Martin County Community Health Assessment 2010
Page 48
Martin County Community Health Assessment 2010
Page 49
Community Health Action Plans
The priorities for 2010 – 2014 were selected based upon the review of primary and secondary
data. Based upon the findings, Martin County’s health priorities are as follows:









Obesity
Chronic Diseases (Heart, Diabetes, Asthma)
Communicable Diseases
Teen Pregnancy
Crime/Gang Prevention
Dental Health
Mental Health
Health Disparities
Access to Health Care
MTW District Health Department and the Martin County Community Health Assessment Team
will develop a community health action plan to address each health priority. The action team
and health department will continue to partner with the schools, community organizations, and
key leaders to assist in developing these plans. Actions plans will be due to the Office of Healthy
Carolinians by June 2011.
Martin County’s Community Health Assessment will be available to the public on the health
department website at www.mtwdistricthealth.org. Additionally, presentations will be given
throughout the county to discuss the assessment and a final report will be submitted to the local
media.
Martin County Community Health Assessment 2010
Page 50
Acknowledgements
Martin County
Martin County Emergency Management
Martin County Salvation Army
Martin County Ministerial Association
Martin County United Way
Martin County Department of Social Services
Martin General Hospital
Martin County Transit
Martin County Friends of Family
Martin County Smart Start
Williamston Fire & Rescue Department
Martin County Schools
Martin County Community College
Martin County Chamber of Commerce
Roanoke Home Care & Hospice
Martin County Senior Citizens Center
M-T-W District Health Department
Martin County Cooperative Extension
The Enterprise Newspaper
Martin County Civic Groups
Martin County Library
Martin County Community Health Assessment 2010
Page 51
Appendix
Martin County Community Health Assessment 2010
Page 52
Date _____/_____/____
Form Number _________________
Site: _______________
Zip Code: _____________________
Martin-Tyrrell-Washington District Health Community Assessment Survey
Instructions:
This survey is part of a community assessment currently in progress in Martin County to determine how
healthy our community is. We want to use this information to develop community-based strategies to
address physical, mental, economic, and environmental concerns. The following questionnaire has been
developed to assess the opinion of Martin County residents of local health assets, needs, and concerns.
Please indicate your answers by filling out one box for each question indicated completely.
In you have questions concerning this survey or for additional copies, please contact Erica Payton at
252.793.1630 or e-mail her at erica.payton@mtwdistricthealth.org. Please do not put information on the
survey form that would identify you. It is intended to be totally
CONFIDENTIAL.
In this section please answer about your community, community issues, and your concerns.
a. Air Pollution
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
e. Childcare/Day Care (safe/available/affordable)
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
b. Alcohol/Drug Use
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
f. Child Abuse
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
c. Animal Control
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
g. Clean Water/Water Pollution
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
d. Lead Poisoning
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
h. Crime
 a.
 b.
 c.
 d.
Martin County Community Health Assessment 2010
Serious problem
Moderate problem
Not a problem
Don’t know or not sure
Page 53
i. Domestic Violence (male or female abuse)
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
p. Available Housing
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
j. Schooling for Children from Pre-K through High School
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
q. Poverty in Families/Children
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
k. Education and Vocational Training for Adults
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
r. Homelessness
 a. Serious problem
 a. Serious problem
 c. Not a problem
 d. Don’t know or not sure
l. Job Opportunities
s. Organized Recreation
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
m. Safe Roads and Bridges
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
n. Affordable Housing
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
o. Safe Housing
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
Martin County Community Health Assessment 2010
 a. Serious problem
 a. Serious problem
 c. Not a problem
 d. Don’t know or not sure
t. Recreational Facilities
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
u. After School Programs
 a. Serious problem
 a. Serious problem
 c. Not a problem
 d. Don’t know or not sure
v. Elder Abuse
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
Page 54
w. Elder Day Care (safe/available/affordable
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
dd. Health Care Affordable
 a. Serious problem
 b. Moderate problem
 b. Moderate problem
 d. Don’t know or not sure
x. Exercise (regular habit)
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
ee. Injuries (car crashes
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
y. Job-Related Accidents
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
ff. Public Transportation
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
z. Youth Gang Activity
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
gg. Foster Care and Adoption
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
aa. Youth Access to/Use of Weapons
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
hh. Parenting Skills
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
bb. Weapons in School
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
ii. Sexual Assault/Rape
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
cc. Health Care Available
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
jj. Suicide
 a. Serious problem
 b. Moderate problem
 c. Not a problem
 d. Don’t know or not sure
Martin County Community Health Assessment 2010
Page 55
kk. Cigarette Smoking Among People under
18 years of age.
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
rr. Disaster Readiness (biological, chemical,
etc.)
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
ll. Drinking and Driving
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
ss. Assess to Library Services
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
mm. Driving or Riding in a Car without
Seatbelts
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
II. Health and Human Services
In your opinion, do people in your community
have problems finding or using these services?
nn. Unsafe Sex/Unprotected Sex
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
oo. Eating Habits/Nutrition
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
pp. Food Safety
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
qq. Solid Waste Disposal
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
Martin County Community Health Assessment 2010
a. Hospital Services
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
b. Dental Care
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
c. Mental Health Care/Counseling
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
d. Emergency Medical Care
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
Page 56
e. Pharmacy/Drug Stores
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
l. Food Assistance (Money or Food)
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
f. Drug and Alcohol Treatment Centers
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
m. Housing Assistance (public housing or aid)
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
g. Respite Care (Relief for Caregivers)
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
n. Utility Assistance (help with electricity or
fuel bills
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
h. Availability of street & prescription
drugs in schools
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
i. Transportation to Health Care
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
o. 911 Emergency Services
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
p. Long-term Care Facilities
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
III. Disease and Disabilities
j. Private Health Insurance Coverage
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
k. Enrolling in Medicaid/Medicare
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
Martin County Community Health Assessment 2010
In your opinion does your community have a
problem with any of these diseases or disabilities?
a. Breast Cancer
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
Page 57
b. Lung Cancer
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
i. Pneumonia/Flu
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
c. Prostate Cancer
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
j. Stroke
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
d. Others Cancers
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
k. Mental Health Problems
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
e. Diabetes
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
l. Dental Health Problems
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
f. Heart Disease
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
m. Learning & Developmental Disabilities
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
g. High Blood Pressure
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
n. Bulimia/Anorexia
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
h. HIV/AIDS
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
p. Childhood Asthma
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
Martin County Community Health Assessment 2010
Page 58
q. Childhood Obesity
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
r. Adult Obesity
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
s. Depression
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
t. Diseases People get from Animals
(Rabies, West Nile Virus, etc.)
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
u. Dementia/Alzheimer’s Disease
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
v. Arthritis
 a. Serious problem
 b. Moderate problem
 c, Not a problem
 d, Don’t know or not sure
IV. Individual and Family Information
We would like to know a little bit about you. These
questions are of a personal nature, but are important
and will be kept strictly CONFIDENTIAL.
Martin County Community Health Assessment 2010
1. Community in which you live:
 a. Williamston
 b. Robersonville
 c. Jamesville
 d. Hamilton
 e. Oak City
 f. Farm Life
 g. Parmele
 h. Gold Point
 i. Bear Grass
 j. Hassell
 k. Dardens
 l. Everetts
2. How long have lived in Martin County?
 Less than 1 year
 1 to 5 years
 6 to 10 years
 more than 10 years
3. Zip Code (5 digits only): _____________
4. Age: _____________________________
5. Do you Smoke?
 Yes
 No
6. Gender
 Female
 Male
7. Racial/ethnic identification:
(check all that apply)
 a. Asian or Pacific Islander
 b. Black or African American
 c. Hispanic/Latino
 e. Native American
 f. White or Caucasian
 g. Other: ___________________
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8. Education:
 a. 12th grade or less, no diploma or
equivalent
 b. High School Graduate/GED
 c. Some College (no degree)
 d. Vocational/Technical
 e. College Graduate
 f. Retired
9. Employment Status (check all that
apply)
 a. Full-time student
 b. Part-time student
 c. Unemployed
 d. Employed part-time
 e. Employed full-time
 f. Retired
10. Are you a member of a Faith
Organization?
 a. Yes Specify: _____________
 b. No
11. Your yearly household income:
 a. Less than $5,000
 b. $ 5,000 - $14,999
 c. $15,000 - $24,999
 d. $25,000 - $49,999
 e. $50,000 - $74,999
 f. $75,000 - $99,999
 g. $100,000 or higher
12. Number of people in household: ____
13. Do you have health insurance?
 a. Yes
 b. No (Go to question 18)
 c. Don’t know or not sure
14. If you have health insurance, what
kind(s)?
 a. Private
 b. Managed Care (HMO, PPO, etc.)
 c. Medicare
 d. Medicaid
Martin County Community Health Assessment 2010
 e. Government (VA, Health Choice)
 f. Other
 g. Don’t know or not sure
15. If you have health insurance, does it
cover mental health services?
 a. Yes
 b. No
 c. Don’t know or not sure
16. If you have health insurance, does it
cover substance abuse treatment services?
 a. Yes
 b. No
 c. Don’t know or not sure
17. If you have health insurance, does it
cover prescription drugs?
 a. Yes
 b. No
 c. Don’t know or not sure
18. Do you have dental insurance?
 a. Yes
 b. No
 c. Don’t know or not sure
19. Where do you go for routine health care?
(please choose one)
 a. Doctor’s office
 b. Hospital Emergency Room
 c. Human Health Services
 d. Local Health Department
 e. Chiropractor
 f. Urgent Care
 g. Community Clinics
 h. I don’t seek health care
 j. Other: ____________________
20. Where do you get most of your health
related information? (please choose one)
 a. Friends and family
 b. Healthcare Professional
 c. Newspaper/Magazine/TV
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 d. Health Help Line (telephone)
 e. Human Services
 f. Church
 g. School
 h. Internet (world-wide web)
 i. Other: _________
21. Is everyone in your family covered by
health insurance?
 a. Yes
 b. No
 c. Don’t know or not sure
22. If everyone is not covered, who is not
covered? (check all that apply)
 a. Entire family not covered
 b. At least one adult
 c. All adults
 d. Children less than age 6
 e. Children 6 years of age or older
 f. Other
 g. Don’t know or not sure
23. Does your family sometimes go without a
prescription because you cannot afford to pay
for it?
 a. Yes
 b. No
 c. Don’t know or not sure
24. Are you currently caring for someone in
your household?
 a. With disabilities
 b. With physical disabilities
 c. With mental illness
 d. Illness
 e. Family member over the age of 60
 f. No
25. Check the boxes for the vaccination(s)
that you have received within one year.
 a. TDaP (tetanus & pertussis)
 b. Hepatitis B
Martin County Community Health Assessment 2010
 c. Shingles
 d. Pneumonia
 f. Flu (Seasonal)
 g. Flu (H1N1)
26. Check the boxes for the vaccination(s)
that you children in the household have
received.
 a. Hepatitis A
 b. Hepatitis B
 c. MMR (mumps, measles, rubella)
 d. DTaP (diphtheria, tetanus, pertussis)
 e. Polio
 f. Hib
 g. Previnar (pneumonia)
 h. Flu (Seasonal)
 i. Flu (H1N1)
27. How would you rate the Emergency
Medical Services (EMS) in Martin County?
 a. Excellent
 b. Good
 c. Mediocre (okay)
 d. Poor
 e. No commit
28. Are you a pet owner?
 a. Yes
 b. No
 c. Don’t know or not sure
29. Please list three positive strengths that
you notice throughout Martin County.
1. __________________________________
2. __________________________________
3. __________________________________
Thank you for taking the time to complete
this survey!
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