Community Health Status Assessment: Albemarle County and
advertisement
Virginia’s Planning District 10 (Thomas Jefferson Health District) Community Health Assessment 2012 MAPP Model Source: Centers for Disease Control and Prevention; National Association of County and City Health Officials MAPP 2 Health 2011-12 1. Locality CHA Councils • Review, discuss and determine need for additional quantitative and qualitative data • Prioritize health issues Charlottesville-Albemarle • Local government • Schools •Colleges Fluvanna Greene Louisa • Community agencies •Healthcare organizations •Non-profits 2. TJHD MAPP 2 Health Leadership Council • Decide health questions for TJHD phone survey • Complete Community Health Improvement Plan for TJHD • 1-2 reps per CHA locality council • District-wide agencies serving TJHD Source: Thomas Jefferson Health District Nelson M2H Organizational Partners 2012 Creciendo Juntos/United Martha Jefferson Greene County Sheriff Smart Beginnings Way Hospital (MJH) Downtown Family Health Greene County Transit Stanardsville United Albemarle County Schools MJH - Medical Group Care and Early Education Methodist Church ASG & CMHWC Emmanuel Christian Center JABA NCAE of ACE State VICAP Counselor Family & Consumer Nelson County Blue Ridge Medical Center Thomas Jefferson Health Sciences VA Cooperative JABA-Nelson Center Department of Social (BRMC) District Extension Service Services BRMC/Rural Health Outreach Fluvanna County Nelson County Health JAUNT United Way Program (RHOP) Administrator Department Fluvanna County Health Charlottesville City Schools Jefferson Area CHIP Nelson County Schools University of Virginia (UVA) Department. Fluvanna County Public Library Literary Board of UVA Curry School of Charlottesville Free Clinic OK Collaborative Schools Adult Education Nelson County Education Charlottesville Department of Louisa County Board of Piedmont Housing UVA Department of Public Fluvanna County Schools Social Services Supervisors Alliance Health Sciences Children, Youth and Family Fluvanna Department of Piedmont Virginia Louisa County CSA UVA Emergency Department Services Social Services Community College Louisa County City of Charlottesville Greene Care Clinic Department of Human Region Ten UVA School of Nursing Services Louisa County Commission on Children and Greene County Regional Literacy Virginia Cooperative Department. of Social Families Administrator Council Extension Services Greene County Board of Virginia Department of Community Action on Obesity Louisa County Fire & EMS Ride Share Supervisors Health Greene County Department Louisa Health and Community Dental Center SARA of Social Services Wellness Community Mental Health and Greene County Health MACAA Skyline CAP, Inc. Wellness Coalition Department Albemarle County Source: TJHD Community Health Assessment Data Section One: Who are we and what do we bring to the table? Demographics Socioeconomics Health Resource Availability Demographics Population Growth TJHD by Locality, 1990-2010 100,000 Number of Persons Living in Locality 98,970 90,000 80,000 70,000 68,172 60,000 50,000 40,475 43,475 40,000 33,153 30,000 25,691 18,403 20,000 20,235 15,020 12,429 12,778 10,297 10,000 0 Albemarle (18%) Charlottesville Fluvanna (28%) Greene (21%) (8%) Louisa (29%) Locality (% Change 2000-2010) 1990 Source: Weldon Cooper Center 2000 2010 Nelson (4%) Percent Change in Population TJHD by Locality, TJHD, and Virginia 1990-2010 1990 2000 2010 % Change 1990-2000 %Change 2000-2010 Albemarle 68,172 84,186 98,970 23% 18% Charlottesville 40,475 40,099 43,475 -1% 8% Fluvanna 12,429 20,047 25,691 61% 28% Greene 10,297 15,244 18,403 48% 21% Louisa 20,235 25,627 33,153 26% 29% Nelson 12,778 14,445 15,020 13% 4% TJHD 164,476 199,648 234,712 21% 18% Virginia 6,189,317 7,079,030 8,001,024 14% 13% Source: Weldon Cooper Center and the Thomas Jefferson District Planning Commission Age and Sex Distribution TJHD, 2010 90 years and over 85 to 89 years 80 to 84 years 75 to 79 years 70 to 74 years 65 to 69 years 60 to 64 years 55 to 59 years 50 to 54 years 45 to 49 years 40 to 44 years 35 to 39 years 30 to 34 years 25 to 29 years 20 to 24 years 15 to 19 years 10 to 14 years 5 to 9 years Under 5 years 12,000 9,000 6,000 3,000 Male Source: U.S. Census Bureau 0 3,000 6,000 Female 9,000 12,000 Age Distribution TJHD, 2000,2010 100,000 Number of Persons Living in Locality 90,530 90,000 84,726 80,000 70,000 63,392 60,000 50,000 48,498 45,632 44,802 40,000 32,292 30,000 24,488 20,000 10,000 0 Under 18 years 18 to 44 years 2000 Source: U.S. Census Bureau 45 to 64 years 2010 65 years and over Racial Composition TJHD, 2010 Other Asian 2% 4% Two or more races 2% Black 13% White 79% White Black Asian Other Two or more races • Other includes: American Indian, Alaska Native, Native Hawaiian, Pacific Islander, and some other race Source: U.S. Census Bureau Percent of Population by Race TJHD by Locality, 1980-2010 Percent of Population Albemarle County City of Charlottesville Fluvanna County Greene County Louisa County Nelson County Source: U.S. Census Bureau 1980 1990 2000 2010 Black 11% 10% 10% 10% White 87% 86% 85% 81% Black 18% 21% 22% 19% White 81% 76% 70% 69% Black 29% 23% 18% 15% White 70% 77% 79% 81% Black 8% 6% 6% 6% White 92% 93% 91% 88% Black 33% 26% 22% 18% White 67% 74% 77% 78% Black 24% 19% 15% 13% White 76% 80% 83% 83% Percent Change in Hispanic Population Percent of Total Persons Living in Locality that is Hispanic TJHD by Locality and Virginia, 2000,2010 9% 92% increase 8% 631,825 7% 6% 167% increase 102% increase 289% increase 5% 4% 51% increase 223% increase 319% increase 3% 1,102 2% 1% 0% Albemarle Charlottesville Fluvanna 2000 Source: U.S. Census Bureau Greene Louisa 2010 Nelson Virginia Limited English Proficient Student Enrollment Percent of Total Students Enrolled in Public School TJHD and Virginia, 2002-2012 12% 11% 10% 9% 8% 7.2% 7% 6% 5% 4% 4.6% 4.2% 3% 2.9% 2% 1% 0% 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 TJHD Source: Virginia Department of Education Virginia Limited English Proficient Student Enrollment TJHD by Locality, 2002-2012 12% Percent of Total Students Enrolled in Public School 11% 10% 9.1% 9% 8% 7% 6.2% 6% 5.0% 5% 4% 3.4% 3% 2% 1% 0% 0.7% 0.3% 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 Albemarle Charlottesville Fluvanna Greene Louisa Nelson *Note: For locality graphs such as this one, only the localities that start or end as the lowest and highest points are labeled Source: Virginia Department of Education SSI and Disabled OASDI Beneficiaries TJHD by Locality and Virginia, 2011 Total Number of Beneficiaries Total Population Percent of the Population Albemarle 2,428 98,970 2.45% Charlottesville 1,806 43,475 4.15% Fluvanna 899 25,691 3.50% Greene 725 18,403 3.94% Louisa 1,850 33,153 5.58% Nelson 891 15,020 5.93% Virginia 355,299 8,001,024 4.44% Residents who received SSI (Supplemental Security Income) benefits, excluding those who also received OASDI (Old-Age, Survivors, and Disability Insurance) benefits to avoid duplication, PLUS persons classified as “Disabled” who received OASDI benefits. Source: U.S. Social Security Administration; U.S. Census Bureau Percent of Supplemental Security Income (SSI) Recipients, TJHD by Locality, 2010 Charlottesville 2.0% Greene County 1.3% Louisa County 1.9% Albemarle County 0.9% Nelson County 2.4% Fluvanna County 1.0% *Measured as December 2010 recipients of SSI benefits divided by the total population Source: Weldon Cooper Center: County Health Rankings; U.S. Social Security Administration Percent of Students Receiving Special Education TJHD by Locality, 2006-2010 Percent of Total Children Aged 19 and Under Living in Locality 11% 10.14% 10% 9.54% 9% 8% 8.13% 6.99% 7% 6% 5% 4% 3% 2% 1% 0% 2006 Albemarle 2007 Charlottesville 2008 Fluvanna 2009 Greene Source: Virginia Department of Education; U.S. Census Bureau, Small Area Health Insurance Estimates 2010 Louisa Nelson On-time* Graduation Rate: All Students TJHD by Locality and Virginia, 2008-2011 100% Percent of Students in Cohort** 90% 92.9% 90.0% 87.9% 93.3% 83.9% 80% 91.5% 88.0% 82.6% 82.1% 85.3% 80.1% 86.6% 82.1% 74.6% 70% 60% 50% 40% 30% 20% 10% 0% Albemarle Charlottesville Fluvanna 2008 2009 Greene 2010 Louisa Nelson 2011 *The percentage of students in a cohort who earn a diploma within 4 years of entering high school **Cohort: Students who entered the ninth grade for the first time together and were scheduled to graduate 4 years later Source: Virginia Department of Education Virginia On-time* Graduation Rate: Economically Disadvantaged Students TJHD by Locality and Virginia, 2008-2011 Percent of Students in Cohort** 100% 89.1% 90% 86.1% 90.4% 89.0% 86.2% 80.5% 78.2% 80% 84.2% 78.2% 72.5% 71.3% 79.9% 70.6% 70% 61.4% 60% 50% 40% 30% 20% 10% 0% Albemarle Charlottesville Fluvanna 2008 2009 Greene 2010 Louisa Nelson 2011 *The percentage of students in a cohort who earn a diploma within 4 years of entering high school **Cohort: Students who entered the ninth grade for the first time together and were scheduled to graduate 4 years later Source: Virginia Department of Education Virginia Educational Attainment Charlottesville Metro Area, and Virginia, 2011 Percent of Total Persons Aged 25 and Over Living in Locality 100% 90% 88.1% 87.8% 80% 70% 60% 50% 44.7% 40% 35.1% 30% 20% 21.5% 14.6% 10% 0% High School 2011 Bachelor's Degree 2011 Charlottesville Metro Area Source: American Community Survey Advanced Degree 2011 Virginia Socioeconomics Median Household Income Virginia and U.S., 2000-2011 $75,000 $70,000 $61,877 Annual Income in Dollars $65,000 $60,000 $55,000 $50,000 $46,789 $50,502 $45,000 $40,000 $41,990 $35,000 $30,000 $25,000 $20,000 $15,000 $10,000 $5,000 $0 2000 2001 2002 2003 2004 2005 Virginia Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2006 2007 2008 U.S. 2009 2010 2011 Median Household Income TJHD by Locality, 2000-2011 $75,000 $70,000 $63,972 Annual Income in Dollars $65,000 $60,000 $55,000 $53,263 $50,000 $45,000 $40,000 $41,826 $35,000 $30,000 $32,903 $25,000 $20,000 $15,000 $10,000 $5,000 $0 2000 2001 Albemarle 2002 2003 2004 Charlottesville 2005 2006 Fluvanna Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2007 2008 Greene 2009 Louisa 2010 2011 Nelson Percent of Persons in Poverty TJHD by Locality, 2010 Charlottesville 20.2% Greene County 9.7% Louisa County 9.9% Albemarle County 9.1% Nelson County 13.1% Fluvanna County 7.3% Source: Weldon Cooper Center: County Health Rankings; US Census Bureau, Small Area Income and Poverty Estimates 2010 Percent of Persons in Poverty Virginia and U.S., 2000-2011 30% Percent of Total Persons Living in Locality 28% 26% 24% 22% 20% 18% 15.9% 16% 14% 12% 11.3% 11.6% 10% 8% 8.9% 6% 4% 2% 0% 2000 2001 2002 2003 2004 2005 Virginia Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2006 2007 2008 U.S. 2009 2010 2011 Percent of Persons in Poverty TJHD by Locality, 2000-2011 30% Percent of Total Persons Living in Locality 28% 26% 23.0% 24% 22% 20% 18% 16.8% 16% 14% 12% 10% 8% 6% 6.5% 7.6% 4% 2% 0% 2000 2001 Albemarle 2002 2003 2004 Charlottesville 2005 2006 Fluvanna Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2007 2008 Greene 2009 Louisa 2010 2011 Nelson Percent of Children in Poverty Virginia and U.S., 2000-2011 Percent of Total Children Aged 18 and Under Living in Locality 30% 28% 26% 24% 22.5% 22% 20% 18% 16.2% 16% 15.6% 14% 12% 10% 12.2% 8% 6% 4% 2% 0% 2000 2001 2002 2003 2004 2005 Virginia Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2006 2007 2008 U.S. 2009 2010 2011 Percent of Children in Poverty TJHD by Locality, 2000-2011 Percent of Total Children Aged 18 and Under Living in Locality 30% 28% 26% 24% 22% 22.2% 20.1% 20% 18% 16% 14% 12% 10% Fluvanna, 9.0% Fluvanna, 10.2% 8% 6% 4% 2% 0% 2000 2001 Albemarle 2002 2003 2004 Charlottesville 2005 2006 Fluvanna Source: U.S. Census Bureau, Small Area Income and Poverty Estimates 2007 2008 Greene 2009 Louisa 2010 2011 Nelson Percent of Students Eligible for Free/Reduced Lunch TJHD and Virginia, 2005-2012 Percent of Total Students Enrolled in Public Schools in Locality 60% 55% 50% 45% 39.7% 40% 35% 36.0% 32.9% 30% 30.2% 25% 20% 15% 10% 5% 0% 2005-06 2006-07 2007-08 TJHD Source: Virginia Department of Education, School Nutrition Program 2008-09 2009-10 Virginia 2010-11 2011-12 Percent of Students Eligible for Free/Reduced Lunch Percent of Total Students Enrolled in Public Schools in Locality TJHD by Locality, 2005-2012 60% 55% 54.4% 50.7% 50% 45% 40% 35% 30% 25% Albemarle, 21.1% Albemarle, 26.5% 20% 15% 10% 5% 0% 2005-06 Albemarle 2006-07 2007-08 Charlottesville 2008-09 Fluvanna Source: Virginia Department of Education, School Nutrition Program 2009-10 Greene 2010-11 2011-12 Louisa Nelson Number of Households Receiving Supplemental Nutrition Assistance 3,500 3,250 Number of Households Enrolled 3,000 2,750 2,500 2,250 TJHD by Locality, 2001-2011 Percent Increase Albemarle: 313% Charlottesville: 120% Fluvanna: 387% Greene: 269% Louisa: 247% Nelson: 168% 3,198 3,052 2,000 1,750 1,500 1,386 1,250 1,000 775 750 789 500 250 0 162 2001 2002 Albemarle 2003 2004 2005 Charlottesville 2006 Fluvanna Source: Virginia Department of Social Services, SNAP Participation Report. 2007 2008 Greene 2009 Louisa 2010 2011 Nelson Percent of Supplemental Nutrition Assistance Program (SNAP) Participants TJHD by Locality, 2010 Charlottesville 12.6% Greene County 10.4% Louisa County 11.8% Albemarle County 5.8% Nelson County 13.7% Fluvanna County 6.0% *Measured as average monthly persons on SNAP divided by the total population Source: Weldon Cooper Center: County Health Rankings; Virginia Department of Social Services Number of Homeless Persons TJHD, 2004-2011 300 277 Number of Homeless Persons 250 235 200 150 129 100 50 18 35 0 2004 2005 2006 2007 Sheltered Source: Thomas Jefferson Area Coalition for the Homeless (TJACH) 2008 Unsheltered 2009 2010 2011 Unemployment Rate TJHD, Virginia, & U.S., 2000-2011 Percent of Total Persons Aged 16 and Over Living in Locality 11% 10% 8.9% 9% 8% 7% 6.2% 6% 5.5% 5% 4.0% 4% 3% 2.3% 2% 2.1% 1% 0% 2000 2001 2002 TJHD Source: Virginia Workforce Connection 2003 2004 2005 Virginia 2006 2007 2008 2009 United States 2010 2011 Unemployment Rate TJHD by Locality, 2000-2011 Percent of Total Persons Aged 16 and Over Living in Locality 11% 10% 9% 8% 7.0% 7% 6% 5% 4.9% 4% 3% 2% 1% 0% 2000 2001 2002 Albemarle Source: Virginia Workforce Connection 2003 2004 Charlottesville 2005 2006 Fluvanna 2007 2008 Greene 2009 Louisa 2010 2011 Nelson Health Resource Availability Sources of Health Insurance Virginia and U.S., 2010 Other Public, 1% Other Public, 4% Individual, 5% Uninsured, 14% Individual, 5% Uninsured, 16% Employer, 49% Medicaid, 9% Employer, 55% Medicare, 12% Medicaid, 16% Medicare, 13% Virginia Percentages may not sum to 100% due to rounding effects Source: Kaiser Family Foundation United States Health Insurance Coverage by Age Virginia, 2010-2011 Percent of Total Persons in Age Group Living in Locality 100% 94.9% 90% 80% 70% 70.3% 67.7% 61.8% 60% 50% 40% 35.4% 30% 18.0% 20% 10% 18.8% 5.9% 0.8% 0% < 18 yrs 18-64 Private Government Source: U.S. Census Bureau, Annual Social and Economic Supplement 65+ yrs Not Covered Estimated Uninsured Persons, 18-64 Percent of Total Persons Aged 18 to 64 Living in Locality TJHD and Virginia, 2005-2010 35% 30% 25% 21.5% 20% 17.8% 16.7% 15% 10% 5% 0% 2005 2006 2007 TJHD Source: U.S. Census Bureau, Small Area Health Insurance Estimates 2008 2009 Virginia 2010 Estimated Uninsured Persons, 18-64 Percent of Total Persons Aged 18 to 64 Living in Locality TJHD by Locality, 2005-2010 35% 30% 27.2% 25% 21.5% 20% 21.4% 19.7% 21.0% 17.5% 18.1% 15% 15.3% 10% 5% 0% 2005 Albemarle 2006 Charlottesville 2007 2008 Fluvanna Source: U.S. Census Bureau, Small Area Health Insurance Estimates 2009 Greene Louisa 2010 Nelson Estimated Uninsured Persons <19 Years TJHD and Virginia, 2006-2010 Percent of Persons Aged Less than 19 Years Living in Locality 18% 16% 14% 12.8% 12% 10% 10.4% 7.9% 8% 7.0% 6% 4% 2% 0% 2006 2007 2008 TJHD Source: U.S. Census Bureau, Small Area Health Insurance Estimates 2009 Virginia 2010 Estimated Uninsured Persons <19 Years TJHD by Locality, 2006-2010 Percent of Persons Aged Less Than 19 Years Living in Locality 18% 16% 15.2% 14% 12% 10.2% 10% 8% 9.4% 7.5% 6% 4% 2% 0% 2006 Albemarle 2007 Charlottesville 2008 Fluvanna Source: U.S. Census Bureau, Small Area Health Insurance Estimates 2009 Greene 2010 Louisa Nelson Medicaid Enrollment and Spending by Recipient Group Percent of Total Enrollment/Spending Virginia and U.S., FY 2009 100% 90% 80% 15% 18% 45% 11% 10% 42% 70% 60% 16% 26% 50% 23% 20% 40% 30% 10% 55% 14% 49% 20% 25% 10% 21% 0% Enrollment 0.95M Spending $5.55B Virginia Virginia Children Source: Kaiser Family Foundation Enrollment 62.59M Spending $346B United States United States Adults Elderly Disabled Number of Primary Care Providers TJHD by Locality, 2011 Internal Family Pediatrics OB/GYN Geriatrics Medicine Medicine Albemarle/Charlottesville 65 39 67 27 8 Fluvanna 3 1 4 - 1 Greene - - 4 - - Louisa 1 1 8 - - Nelson - - 9 - - TJHD 69 41 92 27 9 Source: UVA Physician Directory; Martha Jefferson Hospital Physician Directory Number of Charlottesville Free Clinic Medical Patients TJHD by Locality, FY2012 3 26 0.20% 1.73% 95 6.30% 91 58 6.04% 3.85% 610 40.48% 103 6.83% 521 34.57% Albemarle Charlottesville Source: Charlottesville Free Clinic Fluvanna Greene Louisa Nelson Other Unknown Number of Dental Service Providers TJHD by Locality, 2012 Dentists in General Practice, Oral Surgery and Pediatric Specialists Albemarle/Charlottesville 189 Fluvanna 11 Greene 8 Louisa 9 Nelson 10 Source: Community Dental Center; DentaQuest; yellow pages Number of Charlottesville Free Clinic Dental Patients, TJHD by Locality, FY2012 57 3 54 4 0.16% 2.88% 0.21% 3.04% 98 5.23% 110 5.87% 989 52.80% 558 29.79% Albemarle Charlottesville Source: Charlottesville Free Clinic Fluvanna Greene Louisa Nelson Other Unknown Average Number of Community Dental Center Patients Served Per Month, FY2010-2012 Average Number of Patients Served Per Month 600 550 564 522 500 495 450 400 350 300 250 200 150 100 50 0 FY2010 Source: Community Dental Center FY2011 FY2012 Medicaid/FAMIS Enrollees <19 Years Receiving Dental Services TJHD by Locality, FY 2007-FY 2010 58.4% Percent of Total Pediatric Medicaid/FAMIS Enrollees Living in Locality 60% 54.8% 52.3% 50.3% 50% 46.4% 44.6% 44.2% 40.4% 40% 30% 20% 10% 0% 2006-2007 Albemarle 2007-2008 Charlottesville Source: Virginia Smiles for Children Fluvanna 2008-2009 Greene Louisa 2009-2010 Nelson TJHD Number of Licensed Mental Health Providers TJHD by Locality, 2011 Practices Clinicians Psychiatrists Licensed Therapists Total Practices Practices Serving Youth Practices Accepting Medicaid Albemarle/ Charlottesville 24 115 66 7 35 Fluvanna 0 3 3 2 2 Greene 0 1 1 1 1 Louisa 2 16 4 2 2 Nelson 0 3 2 2 2 TJHD 26 135 73 11 39 Source: Mental Health America Number of Region Ten Community Services Board Direct Service Staff TJHD by Locality, 2012 Number of Mental Health Direct Service Staff Albemarle/Charlottesville 161 Fluvanna 11 Greene 15 Louisa 14 Nelson 18 TJHD 219 All mental health direct service staff at Region Ten – anyone who provides mental health services, whether licensed or not Source: Region Ten Number of Public Health Staff by Specialty TJHD by Locality, 2012 Number of Full-Time Equivalent Positions Local Health Department Public Health Nurses Environmental Health Specialists Nutritionists Clinicians Public Health Specialists Albemarle/ Charlottesville 10.65 9.00 3.70 0.70 4.40 Fluvanna 2.40 1.47 0.19 0.11 0.80 Greene 2.45 1.52 0.29 0.11 0.80 Louisa 4.85 2.59 0.63 0.37 2.00 Nelson 2.15 1.42 0.19 0.11 0.80 TJHD 22.50 16.00 5.00 1.40 8.80 Source: Thomas Jefferson Health District Section Two: What are the strengths and risks in our community that contribute to health? Community Resources Community Safety Environmental Quality Health Behaviors Community Resources CAT Bus Route Alignments Monday-Saturday Service, Charlottesville, 2012 Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017 CAT Top Trip Origin and Destination Locations CAT Survey Responses, Charlottesville, 2012 Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017 JAUNT Passengers TJHD by Locality, FY2008-FY2012 Number of Passengers (by place of origin) 140,000 126,191 120,000 110,209 115,176 100,000 93,180 80,000 60,000 40,000 33,945 25,516 20,000 Nelson, 18,508 16,018 Fluvanna, 18,047 13,452 0 FY08 FY09 Albemarle Charlottesville *Passengers are counted by trip and may be duplicated Source: Jaunt Ridership Report FY10 Fluvanna FY11 Louisa FY12 Nelson JAUNT Passengers by Type TJHD, FY2008–FY2012 350,000 Number of Passengers 300,000 93,279 79,322 84,377 93,819 96,408 96,110 98,122 75,353 82,703 84,080 81,128 86,606 FY08 FY09 FY10 FY11 FY12 250,000 67,178 200,000 150,000 92,196 100,738 100,000 50,000 0 Medical Children and Youth Rural Routes Source: Jaunt Ridership Report Elderly and Disabled (nonmedical) Elderly Nutrition Services Other Greene Transit Authority Greene County, January – August 2011 350 313 Number of Medical Trips 300 250 200 208 150 100 50 0 January February Source: Greene County Transit, Inc. March April May June July August Recreational Facilities TJHD by Locality and Virginia, 2009 Facilities per 100,000 Persons Living in Locality 25 21.3 20 National Benchmark 15 12.6 11 10 9.1 7.8 6.5 5.4 5 0 Albemarle Charlottesville Source: County Health Rankings Fluvanna Greene Louisa Nelson Virginia Food Stores by Type TJHD, 2009 11 57 2 207 134 9 Grocery stores 141 Supercenters & club stores Convenience stores Specialized food stores Fast-food restaurants Full-service restaurants Farmers' markets Source: U.S. Department of Agriculture Food Stores by Type TJHD by Locality, 2009 Number of Food Stores Available in Locality 26 24 23 22 20 18 16 16 14 12 11 11 10 10 9 9 8 7 9 7 6 4 4 4 4 3 3 4 3 2 2 1 0 0 0 Grocery stores 2 1 0 0 1 0 Supercenters Convenience Specialized & club stores stores food stores Greene Source: U.S. Department of Agriculture Fluvanna 0 Fast-food restaurants Louisa Full-service restaurants Farmers' markets Nelson Food Stores by Type TJHD by Locality, 2009 Number of Food Stores Available in Locality 120 110 110 100 90 80 70 63 60 61 53 49 50 40 30 20 27 25 18 10 1 0 Grocery stores 0 Supercenters Convenience & club stores stores Albemarle Source: U.S. Department of Agriculture 3 4 3 Specialized food stores 0 Fast-food restaurants Full-service restaurants Charlottesville Farmers' markets Licensed Child Care Facilities TJHD by Locality, 2012 Number of children < 5 yrs old residing in locality 7,832 Licensed Childcare Centers & Preschool Programs Number of Slots Available (Includes 1 mo to 5 yrs 3,919 old and 6-12 yrs old after school) Number of Facilities 1 mo to 1 yr old Number of those Facilities that Accept Ages 1 to 2 yrs old 2 to 4 yrs old 4 to 5 yrs old Licensed Family Day Homes Number of Slots Available (Includes 1 mo to 5 yrs old and 6-12 yrs old after school) Number of Facilities 1 mo to 1 yr old Number of those Facilities that Accept Ages 1 to 2 yrs old 2 to 4 yrs old 4 to 5 yrs old Source: Virginia Department of Social Services 1,592 1,310 2,029 727 279 434 381 393 54 19 6 23 6 4 2 2 7 1 1 3 2 12 1 7 4 7 5 2 174 44 0 76 12 16 12 1 3 - 4 2 2 - 0 - 7 7 - 1 1 - Community Safety Reported Crime Incidence Rate TJHD, 2000-2011 14000 Reported Group A Offenses* per 100,000 Persons Living in Locality 13000 12000 11000 10000 9000 8000 7000 6,016.59 6000 5000 4,336.80 4000 3000 2000 1000 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 TJHD *Reported Group A Offenses; arson, assault, bribery, burglary, counterfeiting/forgery, destruction/damage/vandalism of property; drug/narcotic; embezzlement; extortion/blackmail; fraud; gambling; homicide; kidnapping/abduction; larceny/theft; motor vehicle theft; pornography/obscene material; prostitution; robbery; sex, forcible and non-forcible; stolen property; weapon law violations Source: Department of State Police, Virginia Uniform Crime Reporting Program Reported Crime Incidence Rates TJHD by Locality, 2000-2011 Reported Group A Offenses* per 100,000 Persons Living in Locality 14000 13000 12000 11000 10,067.00 10000 8,470.68 9000 8000 7000 6000 5000 4000 3000 2000 2,270.19 1000 1,975.40 0 2000 2001 Albemarle 2002 2003 2004 Charlottesville 2005 2006 Fluvanna 2007 2008 Greene 2009 Louisa 2010 2011 Nelson *Reported Group A Offenses; arson, assault, bribery, burglary, counterfeiting/forgery, destruction/damage/vandalism of property; drug/narcotic; embezzlement; extortion/blackmail; fraud; gambling; homicide; kidnapping/abduction; larceny/theft; motor vehicle theft; pornography/obscene material; prostitution; robbery; sex, forcible and non-forcible; stolen property; weapon law violations Source: Department of State Police, Virginia Uniform Crime Reporting Program Domestic Violence Arrest Rates Albemarle and Charlottesville, 2001-2010 Domestic Violence Arrests per 1,000 Persons Living in Locality 8 7.40 7 6 5 4 3.68 3 2 2.40 1.76 1 0 2001 2002 2003 2004 2005 Albemarle Source: Commission for Children and Families, Stepping Stones 2006 2007 2008 Charlottesville 2009 2010 Domestic Violence Arrest Rate Louisa County, 2009-2011 Domestic Violence Arrests per 1,000 Persons Living in Locality 8 7 6 5.67 5 4.71 4 3 2 1 1.27 0 2009 Source: Louisa County Sheriff’s Office 2010 Louisa 2011 Violence Incidence Rates in Schools TJHD and Virginia, 2007-2011 Incidents per 1,000 Students Enrolled in Public Schools in Locality 26 24 22 20 18 16 14 15.47 12.73 12 10 8 6.67 6.53 6 5.20 5.03 4 2.74 6.08 4.82 5.14 3.46 2.57 2.64 2.47 2 0.36 0.35 0.96 1.58 1.45 Harassment Offensive Sexual Touching/ All Other Weapons, and Explosive Devices 1.00 0 Altercations Battery against Student w/o Weapon Bullying Drug Fighting w/o Violations Injury TJHD Source: Virginia Department of Education Gang Activity Virginia Threat Violence Incidence Rates in Schools TJHD by Locality, 2007-2011 Incidents per 1,000 Students Enrolled in Public Schools in Locality 26 24.95 24 22 20 18 15.06 16 14 12.97 12.15 12 10 7.34 8 6 3.78 4 2 0 Altercations Battery against Student w/o Weapon Bullying Source: Virginia Department of Education Drug Fighting w/o Violations Injury Albemarle Fluvanna Louisa Gang Activity Harassment Offensive Sexual Touching/ All Charlottesville Greene Nelson Other Weapons, and Explosive Devices Threat Founded Child Abuse and Neglect Rates TJHD and Virginia, 2000-2011 Founded Child Abuse and Neglect Reports per 1,000 Children Aged 0-17 Living in Locality 7 6 5 4 3.03 2.85 3 2.47 2 1.94 1 0 2000-04 2001-05 2002-06 TJHD 2003-07 2004-08 2005-09 2006-10 Virginia *Five-year rolling averages of Rate of Abuse and Neglect per 1,000 Children (Founded Investigations and Duplicated) Source: Virginia Department of Social Services 2007-11 Founded Child Abuse and Neglect Rates Founded Child Abuse and Neglect Reports per 1,000 Children Aged 0-17 Living in Locality TJHD by Locality, 2000-2011 7 6.39 6 5.15 5 4 3 2 1 0.95 0.89 0 2000-04 2001-05 Albemarle 2002-06 2003-07 Charlottesville 2004-08 Fluvanna 2005-09 2006-10 Greene 2007-11 Louisa *Five-year rolling averages of Rate of Abuse and Neglect per 1,000 Children (Founded Investigations and Duplicated) Source: Virginia Department of Social Services Adult Protective Service Reports per 1,000 Adults Aged 18 and Over Living in Locality Reported Adult Abuse and Neglect Rates, TJHD and Virginia, 2008-2011 12 11 10 9 8 7 6 5.25 4.96 5 4 3 2 2.88 2.41 1 0 2008 2009 TJHD Source: Virginia Department of Social Services 2010 Virginia 2011 Reported Adult Abuse and Neglect Rates, TJHD by Locality, 2008-2011 Adult Protective Service Reports per 1,000 Adults Aged 18 and Over Living in Locality 12 11 10 9 9.73 8 7.00 7 6 5.48 5 4.02 4 3 2 2.74 1 1.38 0 2008 Albemarle 2009 Charlottesville Source: Virginia Department of Social Services 2010 Fluvanna Greene 2011 Louisa Drug/Narcotic Arrest Rates TJHD and Virginia, 2000-2011 Drug/Narcotic Arrests per 100,000 Persons Living in Locality 1200 1100 1000 900 800 700 595.7 600 500 400 455.4 495.0 439.2 300 200 100 0 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD Source: Department of State Police, Virginia Uniform Crime Reporting Program Virginia Drug/Narcotic Arrest Rates TJHD by Locality, 2000-2011 Drug/Narcotic Arrests per 100,000 Persons Living in Locality 1200 1100 1000 900.2 871.5 900 800 700 600 500 400 300 248.0 200 100 160.9 0 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 Albemarle Charlottesville Fluvanna Source: Department of State Police, Virginia Uniform Crime Reporting Program Greene Louisa Nelson DUI Arrests per 100,000 Persons Living in Locality Driving Under the Influence (DUI) Arrest Rates, TJHD and Virginia, 2000-2011 900 850 800 750 700 650 600 550 500 450 400 350 300 250 200 150 100 50 0 368.0 Virginia, 352.0 TJHD, 348.4 251.9 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD Source: Department of State Police, Virginia Uniform Crime Reporting Program Virginia DUI Arrests per 100,000 Persons Living in Locality Driving Under the Influence (DUI) Arrest Rates, TJHD by Locality, 2000-2011 900 850 800 750 700 650 600 550 500 450 400 350 300 250 200 150 100 50 0 Greene, 814.3 483.1 298.0 188.2 Greene, 234.6 120.2 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 Albemarle Charlottesville Fluvanna Source: Department of State Police, Virginia Uniform Crime Reporting Program Greene Louisa Nelson Environmental Quality Air Quality Index Report Charlottesville CBSA, Fairfax CBSA, Richmond CBSA, and Virginia Beach CBSA, 2011 Air Quality Rating (Number of days at each rating) Good Total Number of Unhealthy Unhealthy Days for Moderate for Monitored Sensitive Anyone Groups Charlottesville CBSA 330 (91%) 34 (9%) 0 (0%) 0 (0%) 364 Fairfax CBSA 295 (82%) 54 (15%) 9 (2%) 2 (1%) 360 Richmond CBSA 283 (78%) 70 (19%) 11 (3%) 1 (0%) 365 Virginia Beach CBSA 276 (76%) 79 (21%) 10 (3%) 0 (0%) 365 *Cities are defined as Core Based Statistical Areas (CBSA) – Charlottesville CBSA includes Albemarle, Fluvanna, Greene, and Nelson Counties and the City of Charlottesville; Richmond CBSA includes the Amelia, Caroline, Charles City, Chesterfield, Cumberland, Dinwiddie, Goochland, Hanover, Henrico, King And Queen, King William, Louisa, New Kent, Powhatan, Prince George and Sussex Counties as well as the Cities of Colonial Heights, Hopewell, Petersburg and Richmond. Source: Environmental Protection Agency Good and Impaired Streams in Watersheds TJHD, 2008 Percent of Total Streams in Watershed 100% 90% 25 80% 39 44 40 59 28 70% 33 60% 50% 40% 55 30% 117 80 77 78 27 20% 23 10% 0% Maury Middle James - Middle James Buffalo Willis Impaired Streams Source: Environmental Protection Agency – Surf Your Watershed Pamunkey Rapidan - Upper Rappahannock Good Streams Rivanna South Fork Shenandoah Watersheds That Drain Into TJHD Rapidan – Upper Rappahannock South Fork Shenandoah Rivanna Pamunkey Maury Middle James - Buffalo Middle James - Willis Source: Environmental Protection Agency Impaired Steams TJHD, 2010 Source: Thomas Jefferson District Planning Commission Rivanna: Biological Health Scores TJHD, 2006-2009 3% 6% 13% Very Good 22% Good Fair Poor Very Poor 56% Samples are scored per an index that reflects the composition and diversity of the array of captured organisms. Site health is assessed based on all scores generated during the assessment window Source: StreamWatch Lead Exposure: At-Risk Zip Codes* TJHD by Locality, 2011 22931 22937 22943 (Covesville) (Esmont) (Greenwood) Albemarle 22901 Charlottesville 22903 Fluvanna 23022 Greene 22935 (Dyke) Louisa 23024 Nelson 22938 22964 22969 22971 (Faber) (Piney River) (Schuyler) (Shipman) 22947 (Keswick) 22959 24590 (North Garden) (Scottsville) 23084 24464 (Montebello) 24553 (Gladstone) *VDH identifies areas in Virginia at risk for lead exposure as those with more than 27% of homes built before 1950 and/or those with an increased prevalence of children with elevated blood lead levels (EBLL) Source: Virginia Department of Health, Lead Safe Virginia Elevated Blood Lead Level Tests in Children <72 Months of Age Number of Children <72 Months of Age Tested TJHD by Locality, 2004-2011 900 768 800 700 600 500 400 300 248 Greene, 204 200 100 0 Greene, 58 2004 Albemarle 2005 2006 Charlottesville Source: Virginia Department of Health, Lead Safe Virginia 2007 2008 Fluvanna 2009 Greene 2010 Louisa 2011 Nelson Elevated Blood Lead Level Test Results in Children <72 Months of Age TJHD by Locality, 2004-2011 Number of Tests Returning Positive 14 13 12 10 8 8 6 6 5 4 4 4 3 2 2 3 2 1 3 2 1 0 2004 2005 Albemarle 2006 Charlottesville Source: Virginia Department of Health, Lead Safe Virginia 2007 Fluvanna 2008 2009 Greene 2010 Louisa 2011 Nelson Health Behaviors Leading vs. Actual Causes of Death Leading Causes of Death Heart Disease Deaths Attributable to Individual Risk Factors Tobacco smoking 37.2% 467 High blood pressure Cancer 395 23.1% Overweight-obesity (high BMI) Stroke Chronic Lower Respiratory Diseases 5.1% Unintentional Injuries 4.7% Diabetes 3.1% Alzheimer's Disease 2.8% Influenza and Pneumonia 216 6.3% Physical inactivity 191 High blood glucose 190 High LDL cholesterol 113 High dietary salt 102 Low dietary omega-3 fatty acids 84 High dietary trans fatty acids 82 2.5% Alcohol use Kidney Disease Septicemia 0% 1.8% 64 Low intake of fruits and vegetables Low dietary polyunsaturated fatty acids (PUFA) 1.4% 10% 20% Percentage of Total Deaths 30% 58 15 0 100 200 300 400 500 Deaths (in thousands) Source: Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, et al. (2009) The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors. PLoS Med 6(4): Heron, M., Tejada-Vera, B. (2009). Deaths: Leading Causes for 2005. National Vital Statistics Reports. 58(8) Self-Reported Adult Smokers TJHD and Virginia, 2000-2010 Percent of Adults Aged 20 and Over Living in Locality 25% 22.9% 20% 18.0% 17.9% 17.6% 15% Healthy People 2020 10% 5% 0% 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 TJHD Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey Virginia Tobacco Facts Virginia, 2012 Virginia United States Adult Smoking Rank (1st = low smoking rates) 31st N/A Cigarette Tax (per pack) $0.30 ($0.35 local tax for Cville) $1.46 Cigarette Tax Rank (1st = high taxes) 50th N/A FY 2012 Funding for State TC Programs (millions) $8.4 $456.7 Tobacco Prevention Spending % of CDC Target 8.1% 12.5% Tobacco Prevention Spending Rank (1st =high spending rates) 30th N/A Source: Campaign for Tobacco-Free Kids; City of Charlottesville City Treasurer Website Physical Inactivity Estimated percent of adults aged 20 and over reporting no leisure time physical activity TJHD by Locality and Virginia, 2009 35% 30% 30% 25% 26% 25% 24% 24% 22% 20% 19% 15% 10% 5% 0% Albemarle Charlottesville Fluvanna Greene Source: Behavioral Risk Factor Surveillance System; County Health Rankings Louisa Nelson Virginia *Numbers are self-reported Percent of Obese Adults by State U.S., 1990 and 2010 Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System Percentage of Adults Who Are Obese TJHD by Locality, 2009 Greene County 30.5% Louisa County 31.7% Charlottesville 26.9% Albemarle County 27.1% Nelson County 26.4% Fluvanna County 29.6% *Obese = Body Mass Index (BMI) ≥30, or ~ 30 lbs. overweight for 5’ 4” person **Body mass was derived from self-report of height and weight from adults 20 and Over. Source: Centers for Disease Control and Prevention: National Diabetes Surveillance System Percentage of Adults Who Are Obese Percent of Adults Aged 20 and Over Living in Locality TJHD and Virginia, 2000-2010 35% 30% 27.6% 25.9% 25% 21.6% 20% 21.0% 15% 10% 5% 0% 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 TJHD Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey 2006-2008 Virginia 2007-2009 2008-2010 Percentage of 5th Graders Who Are Overweight or Obese Albemarle and Charlottesville Public Schools, 1998-2011 Percent of Fifth Graders Enrolled in Public Schools in Locality 100% 90% 80% 70% 60% 50% 40% 30% 17.6% 17.6% 17.4% 1998 18.4% 19.3% 18.4% 18.3% 18.2% 15.9% 16.9% 17.4% 15.9% 18.3% 2003 2004 2007 2009 2010 2011 15.2% 20% 10% 0% Overweight Source: Community Action on Obesity Obese Percentage of 5th &10th Graders Who Are Overweight or Obese Percent of Fifth and Tenth Graders Enrolled in Public Schools in Locality 100% Nelson County Public Schools, 2009-2011 90% 80% 70% 60% 50% 40% 25.6% 32.8% 30% 26.1% 31.2% 29.9% 22.6% 20% 10% 25.0% 15.7% 20.3% 13.1% 14.9% 17.5% 10th 5th 10th 0% 5th 10th 5th 2008-2009 2009-2010 % Overweight Source: Blue Ridge Medical Center 2010-2011 % Obese Seat Belt Usage Percent of Drivers and Passengers Using Seat Belts Virginia, 1987-2011 100% 95% 90% 85% 80% 75% 70% 65% 60% 55% 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% National Average 81.8% 32.5% Virginia Source: Virginia Department of Motor Vehicles, Highway Safety Office Three Year Rolling Average Number of Hospitalizations from Motor/Other Vehicle Accidents With and Without Safety Device Usage, TJHD, 2007-2011 Number of Hospitalizations from MVAs 80 70 67.7 62.7 60 50 54.3 55.0 54.3 45.0 40 30 20 10 0 2007-09 2008-10 TJHD with SD 2009-11 TJHD without SD *Safety Devices include air bags, child safety seats, helmets, and safety belts; note that the presence of a safety device does not necessarily imply that it was used (properly or otherwise). Similarly, "none" does not necessarily mean that safety device was not used Source: Virginia Department of Health, Office of Emergency Medical Services Three Year Rolling Average Number of Hospitalizations from Motor/Other Vehicle Accidents With and Without Safety Device Usage, TJHD by Locality, 2007-2011 Three-Year Rolling Averages, Number of Hospitalizations from MVAs by Locality Albemarle Charlottesville Fluvanna Greene Louisa Nelson 2007-2009 2008-2010 2009-2011 With SD 14.7 12.7 8.3 Without SD 22.3 20.3 18.7 With SD 7.3 7.7 7.0 Without SD 12.3 9.7 8.7 With SD 5.0 6.0 6.0 Without SD 8.3 6.3 7.0 With SD 6.3 6.0 5.0 Without SD 4.7 4.0 3.0 With SD 11.0 12.0 9.0 Without SD 10.3 12.0 9.0 With SD 10.0 10.7 9.7 Without SD 9.7 10.3 8.0 Source: Virginia Department of Health, Division of Health Statistics Percentage of Adequately Immunized Kindergarteners TJHD, 2008-2011 Percent of Kindergarteners Enrolled in Reporting Schools* 100% 90% 95.9% 95.1% 95.7% 94.8% 93.4% 94.7% 84.8% 80% 70% 60% 50% 40% 40.9% 30% 20% 10% 0% 2008 2009 Public School 2010 2011 Private School *Includes schools that submit student immunization survey results in the Fall of each year – approximately 30 public schools and 6 private schools (only 2 private schools reported in 2008) Source: Virginia Department of Health, Division of Immunization Percentage of Adequately Immunized Sixth Graders TJHD, 2008-2011 Percent of Sixth Graders Enrolled in Reporting Schools* 100% 90% 97.5% 97.0% 94.9% 97.8% 88.4% 80% 81.8% 78.8% 70% 60% 50% 40% 30% 20% 21.4% 10% 0% 2008 2009 Public School 2010 2011 Private School *Includes schools that submit student immunization survey results in the Fall of each school year – approximately 10 public schools and approximately 8 private schools (only 2 private schools reported in 2008) Source: Virginia Department of Health, Division of Immunization Section Three: What is our health status? Maternal and Child Health Leading Causes of Death Cancer Unintentional Injury Infectious Diseases Ambulatory Care Sensitive Conditions Mental Health Maternal and Child Health Live Birth Rates Live Births* per 1,000 Total Persons Living in Locality TJHD and Virginia, 1998-2011 20 18 16 13.9 14 12 12.7 12.9 10 10.8 8 6 4 2 0 1998 1999 2000 2001 2002 2003 2004 TJHD *Live Births Counted by Place of Residence Source: Virginia Department of Health. Division of Health Statistics 2005 2006 2007 Virginia 2008 2009 2010 2011 Live Birth Rates Live Births* per 1,000 Total Persons Living in Locality TJHD by Locality, 1998-2011 20 18 16.6 16 14 13.7 12.2 12 10 8 8.3 6 4 2 0 1998 1999 2000 Albemarle 2001 2002 2003 Charlottesville 2004 2005 Fluvanna *Live Births Counted by Place of Residence Source: Virginia Department of Health. Division of Health Statistics 2006 2007 Greene 2008 2009 Louisa 2010 2011 Nelson Infant Mortality Rates* Infant Deaths per 1,000 Live Births by Place of Residence TJHD and Virginia,1999-2011 22 20 18 16 14 12 10 7.2 8 7.0 7.0 6.3 6 Healthy People 2020 4 2 0 1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 TJHD *Deaths among infants <1year of age Source: Virginia Department of Health, Division of Health Statistics 2004-2008 2005-2009 Virginia 2006-2010 2007-2011 Infant Mortality Rates* by Race TJHD, Virginia, and U.S., 1999-2011 Infant Deaths per 1,000 Live Births by Place of Residence 22 20 18 17.3 16 14.9 13.8 14 13.8 12 10 8 6 4 Virginia White, 5.6 Virginia White, 5.4 Healthy People 2020 TJHD White, 5.7 TJHD White, 4.5 2 0 1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-2011 TJHD Black Virginia Black U.S. Black *Deaths among infants <1year of age Source: Virginia Department of Health, Division of Health Statistics TJHD White Virginia White U.S. White Neonatal Death Rate* Infant Deaths per 1,000 Live Births by Place of Residence TJHD and Virginia, 1999-2011 22 20 18 16 14 12 10 8 6 5.0 4.7 4 Healthy People 2020 4.4 4.3 2 0 1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-2011 TJHD *Deaths among infants <28 days of age Source: Virginia Department of Health, Division of Health Statistics Virginia Percentage of Preterm* Births Percent of Total Live Births by Place of Residence TJHD, West Central Perinatal Region and Virginia, 2001-2010 13% Healthy People 2020 12% 11% 10.37% 10.26% 10% 9% 8% 9.77% 8.73% 8.27% 8.29% 7% 6% 5% 4% 3% 2% 1% 0% 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 TJHD West Central Perinatal Region *Percent of live births born less than 37 weeks gestation Source: Virginia Department of Health Virginia Percent of Total Live Births by Place of Residence Percentage of Preterm* Births TJHD by Locality, 2001-2010 13% 12% 11.21% 11% 10.27% 10% 9% 8.59% 8% 7.96% 7% 6.28% 6% 5% 5.95% 4% 3% 2% 1% 0% 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 Albemarle Charlottesville *Percent of live births born less than 37 weeks gestation Source: Virginia Department of Health Fluvanna Greene Louisa Nelson Percentage of Low-Weight* Births Percent of Total Live Births by Place of Residence TJHD, Virginia, and U.S.,1999-2011 14% 13% 12% 11% 10% 9% 8% 7% Virginia, 7.9% Healthy People 2020 7.9% 7.6% 7.1% 6% 5% 4% 3% 2% 1% 0% 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD Virginia *Low Birth Weight = Live Births Weighing <2500 grams Source: Virginia Department of Health, Division of Health Statistics United States Percentage of Low-Weight* Births TJHD by Locality,1999-2011 Percent of Total Live Births by Place of Residence 14% 13% 12% 11% Louisa, 9.4% 10% 9% 8% Nelson, 8.9% Louisa, 8.5% 7% 6% Fluvanna, 6.6% Fluvanna, 6.2% Nelson, 5.8% 5% 4% 3% 2% 1% 0% 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 Albemarle Charlottesville *Low Birth Weight = Live Births Weighing <2500 grams Source: Virginia Department of Health, Division of Health Statistics Fluvanna Greene Louisa Nelson Percentage of Low-Weight Births* by Race, TJHD and Virginia, 1999-2011 14% Percent of Total Live Births by Place of Residence 13% 12% 13.0% 12.5% 12.7% 12.2% 11% 10% 9% 8% 7% Healthy People 2020 6.5% 6.8% 6.1% 6.0% 6% 5% 4% 3% 2% 1% 0% 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD Black Virginia Black *Low Birth Weight = Live Births Weighing <2500 grams Source: Virginia Department of Health, Division of Health Statistics TJHD White Virginia White Percentage of Low-Weight Births* by Race, TJHD by Locality, 2005-2011 Three-year Rolling Averages, Low Birthweight births as a percentage of Live Births Albemarle Charlottesville Fluvanna Greene Louisa Nelson 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 White 6.3% 6.5% 6.4% 5.7% 5.0% Black 10.9% 9.7% 8.4% 10.3% 12.2% White 7.0% 6.9% 6.2% 5.4% 5.2% Black 13.7% 13.4% 15.0% 13.9% 14.3% White 7.5% 7.5% 7.0% 6.2% 6.5% Black 16.4% 18.4% 14.2% 13.4% 7.5% White 6.0% 8.6% 8.0% 8.0% 7.2% Black 25.6% 21.5% 17.0% 8.6% 8.6% White 9.0% 8.7% 8.6% 8.5% 8.3% Black 13.3% 12.0% 12.2% 15.0% 16.7% White 6.6% 6.4% 7.6% 6.2% 6.1% Black 9.8% 5.1% 6.9% 6.5% 5.1% *Low Birth Weight = Live Births Weighing <2500 grams Source: Virginia Department of Health, Division of Health Statistics Teen Pregnancy Rates: Ages 10-19 TJHD and Virginia, 2000-2011 Pregnancies per 1,000 Females Aged 10 to 19 65 60 55 50 45 40 35 29.6 30 25 21.3 23.2 20 15 15.6 10 5 0 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Teen Pregnancy Rates: Ages 10-19 TJHD by Locality, 2000-2011 Pregnancies per 1,000 Females Aged 10 to 19 65 60 55 50 45 40 34.9 35 32.1 30 25 23.6 19.1 20 15 16.0 10 8.7 5 0 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 Albemarle Charlottesville Fluvanna Source: Virginia Department of Health, Division of Health Statistics Greene Louisa Nelson Teen Pregnancy Rates: Ages 15-17 TJHD and Virginia, 2000-2011 70 Pregnancies per 1,000 Females Aged 15-17 65 60 55 50 45 40 35 31.3 Healthy People 2020 30 25 27.6 19.1 20 15 13.3 10 5 0 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Teen Pregnancy Rates: Ages 15-17 TJHD by Locality, 2000-2011 Pregnancies per 1,000 Females Aged 15-17 70 65 60 57.8 55 50 45 40 35 30 31.8 31.7 25 20.5 20 15 10 14.9 8.8 5 0 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 Albemarle Charlottesville Fluvanna Source: Virginia Department of Health, Division of Health Statistics Greene Louisa Nelson Pregnancies per 1,000 Females Aged 10 to 19 75 Teen Pregnancy Rates by Race, Ages 10-19, TJHD and Virginia, 2000-2011 70 65 60 55 50 48.7 45 40 35.1 41.2 35 30 25 23.6 26.2 20 15 16.7 19.5 13.8 10 5 0 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD Black Virginia Black Source: Virginia Department of Health, Division of Health Statistics TJHD White Virginia White Teen Pregnancy Rates by Race, Ages 10-19, TJHD by Locality, 2005-2011 Three-Year Rolling Averages, Rate of Teen Pregnancies per 1,000 females ages 10-19 Albemarle Charlottesville Fluvanna Greene Louisa Nelson 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 White 10.4 11.2 10.6 9.8 8.1 Black 29.8 29.3 23.9 20.0 13.9 White 43.5 37.3 29.9 28.1 24.5 Black 56.0 58.5 61.5 56.4 51.9 White 15.0 14.6 13.0 10.2 9.0 Black 19.4 20.4 21.2 25.3 22.6 White 26.7 26.1 20.3 17.7 17.9 Black 27.1 17.1 7.2 6.9 6.9 White 26.3 26.8 25.8 27.0 25.8 Black 33.9 32.2 25.9 26.1 20.3 White 28.4 25.5 25.2 21.7 19.4 Black 26.4 33.7 41.6 31.7 16.7 Source: Virginia Department of Health, Division of Health Statistics Induced Termination Rates Induced Terminations per 1,000 Women Aged 15-44 TJHD and Virginia, 2003-2011 32 30 28 26 24 22 20 18 16.2 15.1 16 14 12 10 12.1 11.7 8 6 4 2 0 2003-2005 2004-2006 2005-2007 2006-2008 TJHD Source: Virginia Department of Health, Division of Health Statistics 2007-2009 2008-2010 Virginia 2009-2011 Induced Termination Rates Induced Terminations per 1,000 Women Aged 15-44 TJHD by Locality, 2003-2011 32 30 28 26 26.9 26.0 24 22 20 18 16 14 12 10 8 6 4 6.1 6.6 6.1 4.4 2 0 2003-2005 2004-2006 Albemarle 2005-2007 Charlottesville 2006-2008 Fluvanna Source: Virginia Department of Health, Division of Health Statistics 2007-2009 Greene 2008-2010 2009-2011 Louisa Nelson Percentage of Mothers Entering Prenatal Care in the 1st Trimester TJHD and Virginia, 2000-2010 Percent of Total Live Births to Mothers by Place of Residence 100% 90% 80% 70% 84.7% 83.2% 79.3% 77.0% Healthy People 2020 60% 50% 40% 30% 20% 10% 0% 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 TJHD Virginia *Percentage of Total Live Births to mothers with Prenatal Care Beginning in the First 13 Weeks Source: Virginia Department of Health, Division of Health Statistics Percentage of Mothers Entering Prenatal Care in the 1st Trimester TJHD by Locality, 2000-2010 Percent of Total Live Births to Mothers by Place of Residence 100% 90% Louisa, 81.8% Louisa, 79.4% 80% 70% Charlottesville, 76.6% Charlottesville, 75.0% 60% 50% 40% 30% 20% 10% 0% 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 Albemarle Charlottesville Fluvanna Greene *Percentage of Total Live Births to mothers with Prenatal Care Beginning in the First 13 Weeks Source: Virginia Department of Health, Division of Health Statistics Louisa Nelson Percentage of Mothers Who had 10 or More Prenatal Care Visits TJHD and Virginia, 1999-2010 Percent of Total Live Births to Mothers by Place of Residence 100% 90% 82.7% 77.7% 80% 79.8% 70% 66.0% 60% 50% 40% 30% 20% 10% 0% 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Percentage of Mothers Who had 10 or More Prenatal Care Visits TJHD by Locality, 1999-2010 Percent of Total Live Births to Mothers by Place of Residence 100% 90% Charlottesville, 84.4% Louisa, 79.8% Louisa, 69.9% 80% 70% Charlottesville, 64.1% Nelson, 79.2% 60% Nelson, 64.0% 50% 40% 30% 20% 10% 0% 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 Albemarle Charlottesville Source: Virginia Department of Health, Division of Health Statistics Fluvanna Greene Louisa Nelson Percentage of Mothers With <12th Grade Education Percent of Total Live Births to Mothers by Place of Residence 50% TJHD by Locality and Virginia, 2002-2010 45% 40% 35% 30% 25% 20% 19% 14% 15% 10% 9% 9% 5% 0% 2002 Albemarle 2003 2004 Charlottesville 2005 2006 Fluvanna Source: Virginia Department of Health, Division of Health Statistics 2007 Greene 2008 Louisa 2009 Nelson 2010 Virginia Percent of Total Live Births to Mothers by Place of Residence Percentage of Mothers Who Report Smoking during Pregnancy TJHD and Virginia, 1999-2010 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 9.2% 7.5% 8.4% 6.2% Healthy People 2020 0% 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Percentage of Mothers Who Report Smoking during Pregnancy TJHD by Locality, 1999-2010 Percent of Total Live Births to Mothers by Place of Residence 50% 45% 40% 35% 30% 25% 20% 15.5% 15.3% 15% 10% 5% 5.6% 4.7% 0% 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 Albemarle Charlottesville Fluvanna Source: Virginia Department of Health, Division of Health Statistics Greene Louisa Nelson Reported Substance Exposed Infants* Number of Reported Substance Exposed Infants TJHD, FY1999-2011 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0 22 2 99-00 00-01 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 09-10 10-11 TJHD *Newborn infants that may have been exposed to controlled substances prior to birth (as indicated by a positive drug toxicology of the mother with presence of a controlled substance or by the child being born dependent on a controlled substance and demonstrating withdrawal symptoms) or have a diagnosis of fetal alcohol syndrome Source: Virginia Department of Social Services Leading Causes of Death Mortality Rates Age-Adjusted Deaths per 100,000 Persons Living in Locality TJHD and Virginia, 1999-2010 1,200 1,100 1,000 900 800 882.9 857.8 747.7 700 678.5 600 500 400 300 200 100 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Mortality Rates Age-Adjusted Deaths per 100,000 Persons Living in Locality TJHD by Locality, 1999-2010 1,200 1,100 1,000 1021.3 972.9 900 765.9 800 700 768.4 670.3 600 648.7 500 400 300 200 100 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 Albemarle Charlottesville Fluvanna Source: Virginia Department of Health, Division of Health Statistics Greene Louisa Nelson Age-Adjusted Deaths per 100,000 Persons Living in Locality Mortality Rates by Race TJHD and Virginia, 2002-2011 1,200 1,100 1,000 1,048.97 937.33 TJHD Black, 896.86 900 799.65 Virginia Black, 891.33 800 700 720.70 766.81 600 644.81 500 400 300 200 100 0 2002-04 2003-05 TJHD Black 2004-06 2005-07 Virginia Black Source: Virginia Department of Health, Division of Health Statistics 2006-08 2007-09 TJHD White 2008-10 2009-11 Virginia White Mortality Rates by Race TJHD by Locality, 1999-2010 Three-Year Rolling Averages, Mortality Rate per 100,000 Persons Living in Locality Albemarle Charlottesville Fluvanna Greene Louisa Nelson 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 White 710.8 728.8 713.5 715.9 720.0 Black 815.0 878.5 890.6 997.6 879.0 White 596.1 558.0 522.0 512.7 516.2 Black 963.3 974.2 969.5 995.7 909.6 White 675.4 709.0 703.2 692.1 685.5 Black 908.7 911.6 945.6 942.6 883.0 White 903.3 843.7 799.4 776.0 773.5 Black 891.3 987.9 1042.2 1051.5 748.2 White 769.7 765.6 760.0 763.6 746.0 Black 990.8 996.5 878.7 872.8 919.5 White 780.3 730.0 689.3 681.3 812.9 Black 907.8 923.8 1101.2 963.0 1277.0 Source: Virginia Department of Health, Division of Health Statistics Five Leading Causes of Death TJHD and Virginia, 2010 1. Cancer 2. Heart Disease 3. Stroke 4. Chronic Respiratory Disease (Chronic Obstructive Pulmonary Disease (COPD) and Asthma) 5. Unintentional Injuries Source: Virginia Department of Health, Division of Health Statistics Leading Causes of Death By Age Virginia, 2010 Youth/Teens <1 Year 1-14 Years 15-24 Years 6.1% 11.1% 7.3% 32.4% 24.2% 0.3% 48.6% 60.6% 0.6% 3.0% 6.1% 12.4% 5.7% 1.0% Source: Virginia Department of Health, Division of Health Statistics 80.6% Leading Causes of Death By Age Virginia, 2010 Adults 25-39 Years 40-59 Years 60-64 Years 4.2% 3.5% 12.2% 5.5% 7.4% 21.4% 5.4% 47.0% 52.5% 53.2% 21.3% 30.4% 31.9% 3.0% 1.1% Source: Virginia Department of Health, Division of Health Statistics Leading Causes of Death By Age Virginia, 2010 65 and over 65-74 Years 75-84 Years 85 and over Years 3.7% 2.9% 9.8% 4.6% 8.1% 11.1% 6.6% 9.6% 22.0% 39.5% 14.5% 50.7% 30.0% 36.1% Source: Virginia Department of Health, Division of Health Statistics 50.8% Age-Adjusted Heart Disease Deaths per 100,000 Persons Living in Locality Heart Disease Death Rates TJHD and Virginia, 1999-2010 325 300 275 250 243.3 225 200 222.6 171.6 175 150 148.8 125 100 75 50 25 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Heart Disease Death Rates TJHD by Locality, 1999-2010 Age-Adjusted Heart Disease Deaths per 100,000 Persons Living in Locality 325 300 275 Nelson, 259.5 250 225 Fluvanna, 223.4 Fluvanna, 180.2 200 175 Nelson, 176.2 198.6 150 125 133.9 100 75 50 25 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 Albemarle Charlottesville Fluvanna Source: Virginia Department of Health, Division of Health Statistics Greene Louisa Nelson Heart Disease Death Rates by Race TJHD and Virginia, 2000-2009 Age-Adjusted Heart Disease Deaths per 100,000 Persons Living in Locality 325 300 284.2 275 274.8 250 226.5 223.0 205.5 207.5 225 200 175 170.9 150 143.7 125 100 75 50 25 0 2000-02 2001-03 TJHD Black 2002-04 2003-05 Virginia Black Source: Virginia Department of Health, Division of Health Statistics 2004-06 2005-07 TJHD White 2006-08 2007-09 Virginia White Heart Disease Death Rates by Race TJHD by Locality, 1999-2010 Three-Year Rolling Averages, Heart Disease Mortality Rate per 100,000 Persons Living in Locality 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 White 148.9 151.3 142.2 142.4 140.7 Black 194.3 221.0 183.1 195.7 190.1 White 145.6 132.3 132.3 131.1 126.1 Black 232.4 249.2 245.1 245.3 255.0 White 149.2 165.3 166.9 161.7 158.8 Black 181.1 223.8 226.7 308.7 303.2 White 182.8 175.3 168.3 176.2 176.7 Black 243.3 193.5 144.6 136.2 146.3 White 207.7 168.0 155.0 158.1 165.5 Black 209.4 242.0 231.0 187.5 144.4 Albemarle Charlottesville Fluvanna Louisa Nelson Source: Virginia Department of Health, Division of Health Statistics Stroke-Related Death Rates TJHD and Virginia, 1999-2010 Age-Adjusted Stroke-Related Deaths per 100,000 Persons Living in Locality 120 110 100 90 80 78.2 70 60 67.2 50 44.2 40 41.9 30 20 10 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Stroke-Related Death Rates TJHD by Locality, 1999-2010 Age-Adjusted Stroke-Related Deaths per 100,000 Persons Living in Locality 120 110 100 91.7 90 Greene, 85.5 80 70 70.5 Greene, 60.8 60 60.8 50 45.0 41.7 40 35.9 30 20 10 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 Albemarle Charlottesville Fluvanna Source: Virginia Department of Health, Division of Health Statistics Greene Louisa Nelson Age-Adjusted Stroke-Related Deaths per 100,000 Persons Living in Locality Stroke-Related Death Rates by Race TJHD and Virginia, 2000-2009 120 110.9 110 100 90 87.3 80 69.5 70 60.9 60 60.1 52.5 50 39.9 40 39.0 30 20 10 0 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 TJHD Black TJHD White Source: Virginia Department of Health, Division of Health Statistics Virginia Black Virginia White Cancer-Related Death Rates TJHD and Virginia, 1999-2010 Age-Adjusted Cancer Deaths per 100,000 Persons Living in Locality 300 275 250 225 206.9 200 175 179.6 190.4 174.5 150 125 100 75 50 25 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Cancer-Related Death Rates TJHD by Locality, 1999-2010 Age-Adjusted Cancer Deaths per 100,000 Persons Living in Locality 300 275 250 225 243.4 222.8 Charlottesville, 217.5 199.1 200 175 150 179.3 165.3 Fluvanna, 191.1 Albemarle, 181.9 125 100 75 50 25 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 Albemarle Charlottesville Fluvanna Source: Virginia Department of Health, Division of Health Statistics Greene Louisa Nelson Cancer-Related Death Rates by Race TJHD and Virginia, 2000-2009 Age-Adjusted Cancer Deaths per 100,000 Persons Living in Locality 300 275 256.5 250 239.4 226.6 225 200 193.7 217.9 Virginia White, 173.5 175 180.0 TJHD White, 171.2 150 125 100 75 50 25 0 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 TJHD Black Virginia Black Source: Virginia Department of Health, Division of Health Statistics TJHD White Virginia White Cancer-Related Death Rates by Race TJHD by Locality, 1999-2010 Three-Year Rolling Averages, Cancer Mortality Rate per 100,000 Persons Living in Locality 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 White 168.5 180.7 183.0 191.5 183.8 Black 145.4 171.7 166.7 204.0 212.8 White 156.5 128.6 126.9 119.7 121.0 Black 254.1 255.1 269.2 251.9 234.6 White 164.2 163.3 170.2 177.7 182.1 Black 291.3 315.9 259.9 255.9 217.0 White 190.9 193.8 204.0 216.5 209.1 Black 171.6 192.5 234.1 211.1 243.5 2002-2005 2003-2006 2004-2007 2005-2008 2006-2009 White 198.3 205.8 196.3 201.7 178.6 Black 202.3 222.0 183.2 187.3 250.8 Albemarle Charlottesville Fluvanna Louisa Four-Year Rolling Average Nelson Source: Virginia Department of Health, Division of Health Statistics COPD-Related Death Rates TJHD and Virginia, 1999-2010 Age-Adjusted COPD Deaths per 100,000 Persons Living in Locality 65 60 55 50 45 42.5 38.6 40 40.5 35 34.9 30 25 20 15 10 5 0 1999-02 2000-03 2001-04 2002-05 TJHD Four-year rolling averages Source: Virginia Department of Health, Division of Health Statistics 2003-06 2004-07 2005-08 Virginia 2006-09 2007-10 Age-Adjusted COPD Deaths per 100,000 Persons Living in Locality COPD-Related Death Rates TJHD by Locality, 1999-2010 65 60 55.0 54.7 55 50 45 40 41.1 39.1 37.8 35 36.9 36.2 30 25 24.2 20 15 10 5 0 1999-02 2000-03 Albemarle 2001-04 2002-05 Charlottesville Four-year rolling averages Source: Virginia Department of Health, Division of Health Statistics 2003-06 Fluvanna 2004-07 2005-08 Greene 2006-09 Louisa 2007-10 Nelson COPD-Related Death Rates by Race TJHD and Virginia, 2000-2009 Age-Adjusted COPD Deaths per 100,000 Persons Living in Locality 65 60 55 50 46.3 45 40 42.6 44.7 38.1 39.0 35 30 26.3 31.5 25 20 21.2 15 10 5 0 2000-03 2001-04 TJHD Black 2002-05 2003-06 Virginia Black Source: Virginia Department of Health, Division of Health Statistics 2004-07 TJHD White 2005-08 2006-09 Virginia White Diabetes-Related Death Rates TJHD and Virginia, 1999-2010 Age-Adjusted Diabetes Deaths per 100,000 Persons Living in Locality 55 50 45 40 35 30 25 23.7 20.1 20 21.1 15 15.7 10 5 0 1999-03 2000-04 2001-05 2002-06 TJHD Five-year rolling averages Source: Virginia Department of Health, Division of Health Statistics 2003-07 2004-08 Virginia 2005-09 2006-10 Diabetes-Related Death Rates TJHD by Locality, 1999-2010 Age-Adjusted Diabetes Deaths per 100,000 Persons Living in Locality 55 50 45 40 37.6 35 30 26.5 24.8 25 20.3 20 19.3 15 10 11.8 12.5 10.5 5 0 1999-03 2000-04 Albemarle 2001-05 2002-06 Charlottesville Five-year rolling averages Source: Virginia Department of Health, Division of Health Statistics 2003-07 Fluvanna 2004-08 2005-09 Louisa 2006-10 Nelson Diabetes-Related Death Rates by Race TJHD and Virginia, 2000-2009 Age-Adjusted Diabetes Deaths per 100,000 Persons Living in Locality 55 50 47.8 45 40 41.5 38.3 37.9 35 30 25 Virginia White, 19.7 20 15 16.3 TJHD White, 19.5 12.5 10 5 0 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 TJHD Black Virginia Black Source: Virginia Department of Health, Division of Health Statistics TJHD White Virginia White Unintentional Injury Death Rates TJHD and Virginia, 1999-2010 Age-Adjusted Unintentional Injury Deaths per 100,000 Persons Living in Locality 75 70 65 60 55 50 45 38.4 40 35 30 TJHD, 33.8 Virginia, 34.0 34.5 25 20 15 10 5 0 1999-02 2000-03 2001-04 2002-05 TJHD Four-year rolling averages Source: Virginia Department of Health, Division of Health Statistics 2003-06 2004-07 2005-08 Virginia 2006-09 2007-10 Unintentional Injury Death Rates TJHD by Locality, 1999-2010 Age-Adjusted Unintentional Injury Deaths per 100,000 Persons Living in Locality 75 69.6 70 65 60 55 51.8 50 45 40 35 36.3 37.8 30 30.7 25 20 24.6 15 10 5 0 1999-02 2000-03 Albemarle 2001-04 2002-05 Charlottesville 2003-06 Fluvanna Four-year rolling averages Source: Virginia Department of Health, Division of Health Statistics 2004-07 2005-08 Greene 2006-09 Louisa 2007-10 Nelson Unintentional Injury Death Rates by Race TJHD and Virginia, 2000-2009 Age-Adjusted Unintentional Injury Deaths per 100,000 Persons Living in Locality 75 70 65 60 53.5 55 50 45 40 47.8 39.7 39.9 VA White, 35.9 38.6 35 30 25 33.4 TJHD White, 35.3 20 15 10 5 0 2000-03 TJHD Black 2001-04 2002-05 Virginia Black Four-year rolling averages Source: Virginia Department of Health, Division of Health Statistics 2003-06 2004-07 TJHD White 2005-08 2006-09 Virginia White Age-Adjusted Deaths per 100,000 Persons Living in Locality Suicide and Homicide Rates TJHD and Virginia, 1999-2009 20 18 16 14.49 14 Virginia Suicide, 11.54 12 10 TJHD Suicide, 11.41 11.05 8 6.12 6 4 4.98 4.60 2 2.80 0 1999-2001 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 TJHD Homicide Virginia Homicide Source: Virginia Department of Health, Virginia Online Injury Reporting System TJHD Suicide Virginia Suicide Youth Suicide Rates • Suicide is the third leading cause of death for 10-24 year-olds. • On average, two Virginia youths die each week from suicide. • The suicide rate is higher in males than the rate of females. • The White suicide rate is 2.4 times higher than the Black suicide rate. Deaths per 100,000 Persons Living in Locality TJHD and Virginia, 2004-2008 10 8 6.86 6 4.39 4 2 0 TJHD TJHD Source: Virginia Department of Health, Office of Family Health Services Virginia Virginia Cancer Lung Cancer Incidence Rates TJHD by Locality, TJHD and Virginia, 1999-2008 81.89 83.64 80 74.72 75 69.80 70 65 77.51 69.87 67.99 64.97 60.99 61.77 68.40 64.44 64.43 60 61.65 59.68 55 49.93 50 45 40 35 30 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 10 2004-2008 15 1999-2003 20 2004-2008 25 1999-2003 Age-Adjusted Rate of Lung & Bronchus Cancer Cases per 100,000 Persons Living in Locality 85 5 0 Albemarle Charlottesville Source: Virginia Cancer Registry Fluvanna Greene Louisa Nelson TJHD Virginia Lung Cancer Incidence Rates by Race 78.06 73.38 69.06 69.12 71.73 68.91 White TJHD Source: Virginia Cancer Registry 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 Black Black 2004-2008 64.39 63.31 2004-2008 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 0 1999-2003 Age-Adjusted Rate of Lung & Bronchus Cancer Cases per 100,000 Persons Living in Locality TJHD and Virginia, 1999-2008 White Virginia Lung Cancer Death Rates TJHD and Virginia, 1996-2007 Age-Adjusted Rate of Lung Cancer Deaths per 100,000 Persons Living in Locality 85 80 75 70 65 60.7 60 54.8 55 50 55.2 52.5 45 40 35 30 25 20 15 10 5 0 1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Breast Cancer Incidence Rates TJHD by Locality, TJHD and Virginia, 1999-2008 180 175.67 158.68 160 146.6 140.7 140 131.5 116.16 102.0 103.84 106.35 1999-2003 109.6 115.7 1999-2003 120 144.81 127.52 2004-2008 119.13 124.8 124.5 100 80 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 20 1999-2003 40 2004-2008 60 1999-2003 Age-Adjusted Rate of Female Breast Cancer Cases per 100,000 Females Living in Locality 200 0 Albemarle Charlottesville Source: Virginia Cancer Registry Fluvanna Greene Louisa Nelson TJHD Virginia Breast Cancer Incidence Rates by Race 160 147.74 150 140 130 129.15 133.84 127.06 125.95 126.59 124.83 118.13 120 110 100 90 80 70 60 2004-2008 1999-2003 2004-2008 10 1999-2003 20 2004-2008 30 1999-2003 40 2004-2008 50 1999-2003 Age-Adjusted Rate of Female Breast Cancer Cases per 100,000 Females Living in Locality TJHD and Virginia, 1999-2008 0 Black Source: Virginia Cancer Registry White TJHD Black White Virginia Breast Cancer Death Rates TJHD and Virginia, 1996-2007 Age-Adjusted Rate of Breast Cancer Deaths per 100,000 Persons Living in Locality 100 90 80 70 60 50 40 30 20 28.8 25.4 26.6 20.9 10 0 1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Prostate Cancer Incidence Rates 225 202.11 200 175 172.68 167.55 171.89 145.13 150 165.51 155.70 152.38 163.15 154.94 165.13 160.73 145.27 137.05 129.64 125 99.11 100 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 25 1999-2003 50 2004-2008 75 1999-2003 Age-Adjusted Rate of Prostate Cancer Cases per 100,000 Males Living in Locality TJHD by Locality, TJHD and Virginia, 1999-2008 0 Albemarle Charlottesville Source: Virginia Cancer Registry Fluvanna Greene Louisa Nelson TJHD Virginia 275 248.15 250 225 242.00 207.16 202.91 200 175 156.68 148.09 145.10 145.56 150 125 100 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 25 1999-2003 50 2004-2008 75 1999-2003 Age-Adjusted Rate of Prostate Cancer Cases per 100,000 Males Living in Locality Prostate Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008 0 Black Source: Virginia Cancer Registry White TJHD Black White Virginia Age-Adjusted Rate of Prostate Cancer Deaths per 100,000 Persons Living in Locality Prostate Cancer Death Rates 105 100 95 90 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 0 TJHD and Virginia, 1996-2007 36.8 TJHD, 27.3 34.2 Virginia, 26.6 1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Colorectal Cancer Incidence Rates 70 66.80 65 60 57.87 55.36 55 53.08 52.32 50 43.13 45 50.20 46.38 46.30 46.53 45.14 44.17 47.26 44.95 38.20 40 34.54 35 30 25 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 1999-2003 2004-2008 10 1999-2003 15 2004-2008 20 1999-2003 Age-Adjusted Rate of Colorectal Cancer Cases per 100,000 Persons Living in Locality TJHD by Locality, TJHD and Virginia, 1999-2008 5 0 Albemarle Charlottesville Source: Virginia Cancer Registry Fluvanna Greene Louisa Nelson TJHD Virginia 70 67.45 65 60.97 59.66 60 55.02 55 50.93 48.57 50 45 43.24 41.66 40 35 30 25 2004-2008 1999-2003 2004-2008 1999-2003 5 2004-2008 10 1999-2003 15 2004-2008 20 1999-2003 Age-Adjusted Rate of Colorectal Cancer Cases per 100,000 Persons Living in Locality Colorectal Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008 0 Black White TJHD Source: Virginia Cancer Registry Black White Virginia Colorectal Cancer Death Rates TJHD and Virginia, 1996-2007 Age-Adjusted Rate of Colorectal Cancer Deaths per 100,000 Persons Living in Locality 70 65 60 55 50 45 40 35 30 25 21.4 20 15 17.3 18.9 15.6 10 5 0 1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 TJHD Source: Virginia Department of Health, Division of Health Statistics Virginia Unintentional Injury Percent of Hospitalizations due to Unintentional Injury by Cause TJHD and Virginia, 1999-2009 Bites/ Stings, 1.9% Bites/ Stings, 1.9% Other/Unspecified, 18.2% Poisoning, 4.3% Falls, 52.5% Stuck by, against, 2.8% Motor Vehicles/ Other Transport Crashes, 20.2% Other/Unspecified, 19.4% Poisoning, 5.4% Falls, 53.2% Stuck by, against, 2.9% TJHD Source: Virginia Department of Health, Virginia Online Injury Reporting System Motor Vehicles/ Other Transport Crashes, 17.2% Virginia Percent of Hospitalizations due to Unintentional Injury by Cause Percent of Total Hospitalizations due to Unintentional Injury by Cause TJHD by Locality, 1999-2009 65% 60% 58.1% 55% 50% 45% 40% 35% 28.1% 30% 25% 20.7% 20% 15% 10% 4.7% 3.5% 5% 2.6% 0% Falls Motor Stuck by, against Vehicles/Other Transport Crashes Albemarle-Charlottesville Fluvanna Poisoning Greene Source: Virginia Department of Health, Virginia Online Injury Reporting System Bites/Stings Louisa Other/Unspecified Nelson Hospitalizations due to Unintentional Injury by Cause and Age Group, TJHD and Virginia, 1999-2009 0-19 Falls Motor Vehicle/ Other Transport Crashes Struck by, against Poisoning Bites, Stings Other/Unspecified 20-64 65 and over Number % Number % Number % TJHD 174 19% 1263 30% 3653 79% Virginia 8384 23% 48821 33% 127603 78% TJHD 393 43% 1333 32% 234 5% Virginia 11899 33% 39778 27% 7981 5% TJHD 76 8% 139 3% 56 1% Virginia 2793 8% 5546 4% 1892 1% TJHD 45 5% 230 6% 143 3% Virginia 2752 8% 11512 8% 4606 3% TJHD 24 3% 117 3% 47 1% Virginia 1314 4% 3960 3% 1158 1% TJHD 199 22% 1059 26% 506 11% Virginia 8566 24% 38530 26% 20352 12% Source: Virginia Department of Health, Virginia Online Injury Reporting System Reported Hospital Discharges for Injuries due to Falls per 100,000 Persons Aged 65 and Over Living in Locality Rates of Hospitalizations due to Falls among Persons Aged 65+, TJHD and Virginia, 1999-2009 225 193.04 200 175 160.99 168.08 150 151.86 125 100 75 50 25 0 1999-01 2000-02 2001-03 2002-04 2003-05 TJHD Source: Virginia Department of Health, Virginia Online Injury Reporting System 2004-06 2005-07 Virginia 2006-08 2007-09 Rates of Unintentional Injury Deaths by Cause, TJHD and Virginia,1999-2009 Age-Adjusted Unintentional Injury Deaths per 100,000 Persons Living in Locality 30 25 20 17.13 15 13.04 10 5.89 5.54 5 5.4 2.75 3.67 0.96 2.32 0 Falls Transport Crashes Suffocation 5.5 Poisoning TJHD Source: Virginia Department of Health, Virginia Online Injury Reporting System 1.06 Drowning Virginia 1.1 4.66 1.22 Fire/Flame Other/Unspecified Rates of Unintentional Injury Deaths by Cause, TJHD by Locality,1999-2009 Age-Adjusted Unintentional Injury Deaths per 100,000 Persons Living in Locality 30 29.72 25 20 15 9.45 10 6.78 4.76 5 3.98 3.71 1.13 0 Falls Transport Crashes Suffocation Albemarle-Charlottesville Poisoning Fluvanna Source: Virginia Department of Health, Virginia Online Injury Reporting System Drowning Greene Fire/Flame Louisa Other/Unspecified Nelson Rates of Motor Vehicle Accidents TJHD and Virginia, 2000-2011 Motor Vehicle Accidents per 100,000 Persons Living in Locality 3,500 3,250 3,000 2,750 2,500 2317.64 2,250 2,000 1,750 2010.26 1659.47 1,500 1471.82 1,250 1,000 750 500 250 0 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD *Crashes are by place of occurrence Source: Virginia Department of Motor Vehicles Virginia Rates of Motor Vehicle Accidents TJHD by Locality, 2000-2011 Motor Vehicle Accidents per 100,000 Persons Living in Locality 3,500 3,250 3000.91 3,000 2,750 2,500 2,250 2046.23 2025.78 2,000 1,750 1716.27 1,500 1,250 1,000 1228.58 1006.37 750 500 250 0 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 Albemarle Charlottesville *Crashes are by place of occurrence Source: Virginia Department of Motor Vehicles Fluvanna Greene Louisa Nelson Motor Vehicle Crash Fatality Rates TJHD and Virginia, 2000-2011 Motor Vehicle Crash Fatalities per 100,000 Persons Living in Locality 50 45 40 35 30 25 19.98 20 16.20 15 12.73 10.38 10 5 0 2000-04 2001-05 2002-06 TJHD Five Year Averages Source: Virginia Department of Motor Vehicles 2003-07 2004-08 2005-09 Virginia 2006-10 2007-11 Percent of Alcohol-Related Motor Vehicle Crashes, TJHD and Virginia, 2000-2011 Percent of Total Motor Vehicle Crashes in which Alcohol was Involved -- by Place of Occurrence 20% 18% 16% 14% 12% 10% 8.5% TJHD, 8.1% 8% Virginia, 7.9% 7.4% 6% 4% 2% 0% 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD Source: Virginia Department of Motor Vehicles Virginia Percent of Alcohol-Related Motor Vehicle Crashes, TJHD by Locality, 2000-2011 Percent of Total Motor Vehicle Crashes in which Alcohol was Involved -- by Place of Occurrence 20% 18% 16% 14% 13.3% 11.7% 12% 10% 10.3% 8.2% 8% 6% 6.6% 6.7% 4% 2% 0% 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 Albemarle Charlottesville Source: Virginia Department of Motor Vehicles Fluvanna Greene Louisa Nelson Percent of Alcohol-Related Motor Vehicle Crash Fatalities, TJHD and Virginia, 2000-2011 90% 80% 70% 60% 50% 44.5% 37.0% 40% 38.3% 30% 33.0% 20% 10% 0% v Percent of Total Motor Vehicle Crash Fatalities in which Alcohol was Involved -- by Place of Occurrence 100% 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD Source: Virginia Department of Motor Vehicles Virginia Infectious Diseases Rates of Reportable Communicable Diseases, TJHD and Virginia, 2000-2010 TJHD Communicable Disease Virginia Average Number of Cases Average Rate Per 100,000* Average Number of Cases Average Rate Per 100,000* Chlamydia 559 260.2 23,406 306.7 Gonorrhea 134 62.3 8,723 119.3 Pertussis 56 26.3 246 3.3 Salmonellosis 35 16.3 1,186 15.8 Giardiasis 33 15.5 489 6.5 Chicken Pox 25 11.7 1,079 14.3 Campylobacteriosis 21 9.8 687 9.2 Lyme Disease 20 9.1 514 6.7 *Population data based on U.S. Census Data for TJHD and State of Virginia (2000-2010) Source: Virginia Department of Health, Division of Surveillance and Investigation Chlamydia Incidence Rates Reported Cases of Chlamydia per 100,000 Persons Living in Locality TJHD and Virginia,1997-2010 425 400 397.7 375 350 325 300 280.7 275 250 225 219.6 200 175 189.3 150 125 100 75 50 25 0 1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Disease Prevention Virginia Chlamydia Incidence Rates Reported Cases of Chlamydia per 100,000 Persons Living in Locality TJHD by Locality,1997-2010 425 400 375 342.4 350 325 300 Albemarle-Charlottesville, 275 229.8 Louisa, 236.0 250 230.8 225 200 175 150 125 150.8 Greene, 162.2 100 75 50 25 0 1997-991998-001999-012000-022001-032002-042003-052004-062005-072006-082007-092008-10 Albemarle-Charlottesville Fluvanna Greene Louisa Nelson Source: Virginia Department of Health, Division of Disease Prevention Gonorrhea Incidence Rates Reported Cases of Gonorrhea per 100,000 Persons Living in Locality TJHD and Virginia,1997-2010 160 140 134.4 120 109.4 100 94.3 80 68.6 60 40 20 0 1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Disease Prevention Virginia Gonorrhea Incidence Rates Reported Cases of Gonorrhea per 100,000 Persons Living in Locality TJHD by Locality,1997-2010 160 140 119.1 120 100 89.5 80 60 40 34.2 20 25.8 0 1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 Albemarle-Charlottesville Fluvanna Source: Virginia Department of Health, Division of Disease Prevention Greene Louisa Nelson HIV and AIDS Incidence Rates Reported Cases of HIV/AIDS per 100,000 Persons Living in Locality TJHD and Virginia, 1997-2009 16 15.1 15 14 13.5 13.4 13 12 11 10 10.2 8.9 9 8 8.2 7 6.1 6 5.9 5 4 3 2 1 0 1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 TJHD HIV TJHD AIDS Source: Virginia Department of Health, Division of Disease Prevention Virginia HIV Virginia AIDS Syphilis (early) Incidence Rates Reported Cases of Syphilis per 100,000 Persons Living in Locality TJHD and Virginia,1999-2010 8 6.8 7 6 5 4.1 4 2.8 3 2 1 0.5 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Pertussis Incidence Rates Reported Cases of Pertussis per 100,000 Persons Living in Locality TJHD,and Virginia,1999-2010 50 45 40 35 30 25 20 16.4 20.4 15 10 5 3.5 2.2 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Reported Cases of Chicken Pox per 100,000 Persons Living in Locality Chicken Pox Incidence Rates TJHD and Virginia, 1999-2010 30 25 20 16.3 15 12.7 12.1 10 5 2.1 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Reported Cases of Hepatitis B per 100,000 Persons Living in Locality Hepatitis B Incidence Rates TJHD and Virginia, 1999-2010 4.0 3.5 3.0 2.5 2.0 2.4 2.3 1.5 Healthy People 2020 1.4 1.0 0.5 0.4 0.0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Salmonellosis Incidence Rates Reported Cases of Salmonellosis per 100,000 Persons Living in Locality TJHD and Virginia,1999-2010 22 20 18.5 18 16 17.4 14.9 14 14.0 12 10 Healthy People 2020 8 6 4 2 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Campylobacteriosis Incidence Rates Reported Cases of Campylobacteriosis per 100,000 Persons Living in Locality TJHD and Virginia,1999-2010 18 16 14.2 14 11.7 12 10 8.5 9.5 8 6 4 2 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Reported Cases of E. Coli O157:H7 per 100,000 Persons Living in Locality E. Coli O157:H7 Incidence Rates TJHD and Virginia,1999-2010 4.0 3.5 3.4 3.0 2.7 2.5 2.3 2.0 1.5 1.0 1.0 Healthy People 2020 0.5 0.0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Reported Cases of Giardiasis per 100,000 Persons Living in Locality Giardiasis Incidence Rates TJHD and Virginia,1999-2010 28 26 24 22 20 18 17.8 16 14 12.8 12 10 8 6.3 6 6.2 4 2 0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Reported Cases of Legionellosis per 100,000 Persons Living in Locality Legionellosis Incidence Rates TJHD and Virginia, 1999-2010 3.5 3.0 2.5 2.1 2.0 1.93 1.87 1.5 0.9 1.0 0.5 0.0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Disease Prevention Virginia Reported Cases of Lyme Disease per 100,000 Persons Living in Locality Lyme Disease Incidence Rates TJHD and Virginia, 1999-2010 30 25.3 25 20 15 13.2 10 5 Virginia, 2.0 0 TJHD, 1.7 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Reported Cases of Spotted Fever Rickettsiosis per 100,000 Persons Living in Locality Spotted Fever Rickettsiosis Incidence Rates, TJHD and Virginia, 1999-2010 5.0 4.4 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.5 1.0 0.5 0.5 0.0 0.3 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Surveillance and Investigation Virginia Reported Cases of Tuberculosis per 100,000 Persons Living in Locality Tuberculosis Incidence Rates TJHD and Virginia, 1999-2010 5.0 4.5 4.4 4.0 3.6 3.5 3.0 2.9 2.5 2.0 1.8 1.5 1.0 Healthy People 2020 0.5 0.0 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 TJHD Source: Virginia Department of Health, Division of Disease Prevention Virginia Ambulatory Care-Sensitive Conditions Percent of Adults Diagnosed with Diabetes (Self-Reported), TJHD and Virginia, 2000-2010 Percent of Total Adults Aged 20 and Over Living in Locality 10% 8.7% 9% 8% 7.8% 7% 6.1% 6% 5% 4% 3.9% 3% 2% 1% 0% 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 TJHD Virginia Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance System Hospital Discharge Rates for Diabetes TJHD and Virginia, 2000-2011 Age-Adjusted Hospital Discharges for Diabetes per 10,000 Persons Living in Locality 34 32 30 28 26 24 22 20 18 17.01 TJHD, 15.83 16 14 Virginia, 15.46 14.82 12 10 8 6 4 2 0 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD Source: VDH Data Warehouse; Virginia Hospital Information Systems Virginia Hospital Discharge Rates for Diabetes Age-Adjusted Hospital Discharges for Diabetes per 10,000 Persons Living in Locality TJHD by Locality, 2000-2010 34 32 30 28 26 24 22 20 18 16 14 12 10 8 6 4 2 0 26.13 24.60 Albemarle, 14.59 17.25 15.76 12.75 2000-02 Albemarle 2001-03 2002-04 Charlottesville 2003-05 2004-06 Fluvanna Source: VDH Data Warehouse; Virginia Hospital Information Systems 2005-07 Greene 2006-08 Louisa 2007-09 2008-10 Nelson Hospital Discharge Rates for Asthma Age-Adjusted Hospital Discharges for Asthma per 10,000 Persons Living in Locality TJHD and Virginia, 2000-2010 22 20 18 15.85 16 14 14.99 12.66 12 11.94 10 8 6 4 2 0 2000-02 2001-03 2002-04 2003-05 2004-06 TJHD Source: VDH Data Warehouse; Virginia Hospital Information Systems 2005-07 2006-08 Virginia 2007-09 2008-10 Hospital Discharge Rates for Asthma Age-Adjusted Hospital Discharges for Asthma per 10,000 Persons Living in Locality TJHD by Locality, 2000-2010 22 20 18.80 18 16.50 16.68 16 14 12 Albemarle, 13.62 12.00 10 9.39 8 6 4 2 0 2000-02 2001-03 Albemarle 2002-04 2003-05 Charlottesville 2004-06 Fluvanna Source: VDH Data Warehouse; Virginia Hospital Information Systems 2005-07 2006-08 Greene 2007-09 Louisa 2008-10 Nelson Age-Adjusted Hospital Discharges for Hypertension per 10,000 Persons Living in Locality Hospital Discharge Rates for Hypertension, TJHD and Virginia, 2000-2011 10 9 8 7 6 5 4 3 2 TJHD, 2.69 TJHD, 2.68 Virginia, 2.68 Virginia, 2.64 1 0 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 TJHD Source: VDH Data Warehouse; Virginia Hospital Information Systems Virginia Hospital Discharge Rates for COPD TJHD and Virginia, 2000-2010 Age-Adjusted Hospital Discharges for COPD per 10,000 Persons Living in Locality 30 25 22.49 20 21.52 18.18 17.69 15 10 5 0 2000-02 2001-03 2002-04 2003-05 2004-06 TJHD Source: VDH Data Warehouse; Virginia Hospital Information Systems 2005-07 2006-08 Virginia 2007-09 2008-10 Hospital Discharge Rates for COPD Age-Adjusted Hospital Discharges for COPD per 10,000 Persons Living in Locality TJHD by Locality, 2000-2010 30 27.30 26.10 25 24.44 23.30 23.19 20 20.90 17.72 15 14.96 10 5 0 2000-02 2001-03 Albemarle 2002-04 2003-05 Charlottesville 2004-06 Fluvanna Source: VDH Data Warehouse; Virginia Hospital Information Systems 2005-07 2006-08 Greene 2007-09 Louisa 2008-10 Nelson Mental Health Average Number of Poor Physical/Mental Health in the Last 30 Days (Self-reported) Number* of Physically Unhealthy/Poor Mental Health Days TJHD by Locality, TJHD and Virginia, 2004-2010 5 4.5 4.7 4 3.4 3.5 2.9 3 2.9 2.8 2.5 2.5 2 3.7 2.2 3.2 2.88 2.8 2.5 3.2 2.73 2.1 1.5 1 1.2 0.5 0 Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD Average Virginia Average Number of Physically Unhealthy Days reported in past 30 days Average Number of Poor Mental Health Days reported in past 30 days National Benchmark for Physically Unhealthy Days National Benchmark for Poor Mental Health Days *Numbers are self-reported Source: County Health Rankings Percent of Total Region Ten Patients Served 30% 25% Region Ten Community Services Board’s Most Frequent Diagnosed Disorders, 2011 25% 20% 15% 12% 11% 10% 9% 7% 5% 7% 3% 2% 0% Mood Disorders Attention Deficit & Alcohol-Related Schizophrenia & Disruptive Disorder Other Pyschotic Behavior Disorders Source: Region Ten Community Services Board Adjustment Disorder Anxiety Disorders Cocaine-Related Cannabis-Related Disorder Disorder Number of Emergency Services Delivered by Region 10 Community Services Board by Type of Service 1996-2009 Number of Region Ten Services Delivered 3000 2500 2306 2000 1500 1000 1453 1042 629 500 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Emergency Custody Order Evaluations Total Evaluations Wellness Recovery Center Referrals Source: Region Ten Community Services Board Temporary Detention Orders Issued Hospital Admissions Percent of Total Adults/Children Served through State Mental Health Agencies Percent of Persons Served though State Mental Health Agencies with Co-Occurring Mental Health and Substance Abuse Disorders, Virginia and U.S., 2010 35% 32.8% 30% 25% 20% 20.0% 15% 10% 7.6% 4.6% 5% 0% Adults with a co-occuring MH and AOD disorder Virginia MH = Mental Health; AOD = Alcohol and Other Drug Source: Substance Abuse and Mental Health Services Administration Children with a co-occurring MH and AOD disorder US Percent of Total Adults/Children Served through State Mental Health Agencies Percent of Persons Served though State Mental Health Agencies with Co-Occurring Severe Mental Health and Substance Abuse Disorder, Virginia and U.S., 2010 35% 31.8% 30% 25% 24.4% 20% 15% 8.7% 10% 7.9% 5% 0% Adults with a SMI and a substance abuse disorder Virginia Children with a SMI and a substance abuse disorder US Adults with a serious mental illness (SMI) are Persons 18 years and Over who, “at any time during a given year, had a diagnosable mental, behavioral, or emotional disorder without the benefit of treatment or other support services … that has resulted in functional impairment which substantially interferes with or limits one or more major life activities.…" Source: Substance Abuse and Mental Health Services Administration Hospital Discharge Rates for Psychoses Hospital Discharges per 100,000 Persons Living in Locality TJHD and Virginia, 2000-2011 800 700 677.19 600 563.09 586.01 500 400 418.60 300 200 100 0 2000 2001 2002 2003 2004 2005 TJHD Source: VDH Data Warehouse; Virginia Hospital Information Systems 2006 2007 2008 VA 2009 2010 2011 Hospital Discharges per 100,000 Persons Living in Locality Hospital Discharge Rates for Neurotic Disorders, Personality Disorders, and other Nonpsychotic Mental Disorders TJHD and Virginia, 2000-2011 300 257.45 250 206.30 199.55 200 140.88 150 100 50 0 2000 2001 2002 2003 2004 2005 TJHD Source: VDH Data Warehouse; Virginia Hospital Information Systems 2006 2007 2008 VA 2009 2010 2011 Section Four: What are community members’ perceptions of health in their communities? Thomas Jefferson Area Community Survey MAPP 2 Health Focus Groups Louisa County Qualitative Data Thomas Jefferson Area Community Survey Thomas Jefferson Area Community Survey (TJACS) TJHD, 2012 • Conducted by the UVA Center for Survey Research (CSR) in January 2012 • Survey of 1,098 individuals living in Charlottesville City and Albemarle, Nelson, Fluvanna, Greene, and Louisa Counties • Conducted through a Random Digit Dial (RDD) sample of landline and cell-phone numbers – Also included a random sample of directory-listed landline households Source: UVA Center for Survey Research Question 1: Thinking about [your county], which of the following services is most difficult to get care from? Counselors for Urgent Medical Doctors Dentists Mental Health or Care Substance Abuse Facilities Hospitals Albemarle 15.0% 22.1% 40.7% 12.8% 9.4% Charlottesville 14.9% 26.6% 33.5% 9.8% 15.3% Fluvanna 10.1% 12.0% 10.1% 43.8% 24.0% Greene 15.3% 8.0% 15.1% 40.0% 21.6% Louisa 18.5% 6.2% 7.9% 35.5% 31.9% Nelson 7.7% 9.8% 17.6% 27.3% 37.6% 11.3% 13.4% 20.7% 17.9% 14.9% TJHD 19.7% Insists No Problems Source: UVA Center for Survey Research Question 2: Thinking about [your county], what is the biggest difficulty people have in getting health services? Problems with cost, insurance or Medicaid Distance or Transportation Albemarle 77.8% 12.0% 6.7% 3.5% Charlottesville 77.1% 10.3% 10.5% 2.2% Fluvanna 43.5% 36.7% 19.8% 0.0% Greene 36.9% 38.7% 24.4% 0.0% Louisa 43.8% 36.9% 18.8% 0.4% Nelson 45.2% 41.8% 6.7% 6.3% TJHD 59.4% 20.4% 11.0% 2.2% Source: UVA Center for Survey Research Not enough doctors, Language or dentists or cultural counselors difficulties Question 3: Which of the following public health concerns is the most important for [your county] to give more attention to? Smoking Weight and Alcohol/ obesity drug use Infant Death Mental Health Albemarle 8.5% 36.1% 25.5% 4.0% 25.9% Charlottesville 10.0% 39.4% 25.8% 2.8% 22.1% Fluvanna 5.8% 32.4% 40.4% 7.6% 13.8% Greene 5.8% 38.8% 45.0% 2.3% 8.1% Louisa 7.1% 28.7% 48.7% 0.0% 15.5% Nelson 3.8% 43.1% 40.7% 0.0% 12.4% TJHD 7.8% 36.0% 32.7% 3.1% 20.3% Source: UVA Center for Survey Research MAPP 2 Health Focus Groups Focus Group Demographics TJHD, 2012 Attendees Number Percent 47 100.0% 15 31.9% 32 68.1% 4 8.5% 40 85.1% 3 6.4% 4 8.5% 43 91.5% 7 14.9% 3 6.4% 5 10.6% 8 17.0% 13 27.7% 10 21.3% Gender Male Female Race Black or African American White Other Ethnicity Hispanic or Latino Not Hispanic or Latino Age 18-27 28-37 38-47 48-57 58-67 >68 Focus Group Demographics TJHD, 2012 Number Percent Married 27 57.4% Widowed 3 6.4% Divorced 6 12.8% Never Married 8 17.0% No Answer 3 6.4% Employed 26 55.3% Homemaker 1 2.1% Student 2 4.3% Self-Employed 3 6.4% Retired 8 17.0% Unemployed 4 8.5% Disabled/ Unable to Work 1 2.1% No Answer 2 4.3% Marital Status Employment status Focus Group Demographics TJHD, 2012 Number Percent Less than eighth grade 1 2.1% High school diploma or GED 8 17.0% College degree (4 years or less of college) 23 48.9% Advanced degree 14 29.8% No Answer 1 2.1% < $15,000 11 23.4% $15,000–$29,000 5 10.6% $30,000–$44,000 10 21.3% $45,000–$59,000 5 10.6% $60,000–$74,000 4 8.5% $75,000–$89,000 1 2.1% >90,000 3 6.4% No answer 8 17.0% Education Completed Income Focus Group Health Care Characteristics TJHD, 2012 Number Percent 4 8.5% 11 23.4% 6 12.8% 13 27.7% 20 42.6% 4 8.5% 1 2.1% Medical Insurance None Medicare Medicaid Private Employment-based Other No Answer On average, how many times each month do you use health care services (doctor, dentist, hospital, etc)? 1- 4 33 70.2% 3 5-9 6.4% 0 10-14 0.0% 0 15 or more 0.0% 7 Other: 1-4/year 14.9% Never 3 6.4% No Answer 1 2.1% Focus Group Health Care Characteristics TJHD, 2012 Number Percent Do you have any of the following conditions? Check all that apply: Smoking 5 10.6% Diabetes 5 10.6% Heart Disease 2 4.3% Cancer 2 4.3% Asthma 6 12.8% High Blood Pressure 14 29.8% Other 5 10.6% TJHD Focus Group Results 2012 • Weight and Obesity – Education about health and nutrition is important in combating weight and obesity issues – The cost of nutritious foods, the convenience of unhealthy foods, and a lack of activity are important contributing factors to obesity – Fluvanna, Greene, and Nelson participants reported a lack of walking trails and places to take part in physical activity • This was not considered a problem by Charlottesville and Albemarle participants TJHD Focus Group Results 2012 • Transportation – Noted as an issue by Fluvanna, Greene and Nelson participants: Some citizens of these counties rely on public transportation to get healthcare from providers in Charlottesville/Albemarle – Current transportation system presents some barriers to community members, such as the cost and the schedule • Urgent Care – Urgent care centers in Greene and Fluvanna would be a helpful, may reduce reliance on the rescue squad TJHD Focus Group Results 2012 • Mental Health and Substance Abuse Issues – Drug abuse is heavily tied to mental health issues • Those who do not receive mental healthcare more likely to turn to drugs and alcohol in order to “selfmedicate” – Barriers to receiving mental healthcare are stigma, cost, and availability of providers – Fluvanna and Nelson participants believed that drug use was affected by a lack of recreational activities TJHD Focus Group Results 2012 • Resources – Participants reported frustration over the lack of a central location to access information about resources • Recommend disseminating information through the media (television, radio, newspaper) • Recommend having people that assist community members in navigating services Louisa County Qualitative Data Louisa County Citizen Survey: Health-related questions Issue Having emergency/urgent medical care facilities Having affordable medical care choices Having drug/alcohol abuse treatment programs Having affordable dental care choices Having mental health treatment programs Having recreational programs for youth Having supervised after school programs for youth Having support programs for caregivers of senior citizens Having domestic violence education/awareness programs Having parenting skills education programs Source: County of Louisa Percent of respondents that said it was important Percent of respondents that were: Neither satisfied Satisfied Unsatisfied nor unsatisfied Additional Comments 94.2% 16.2% 58.7% 25.1% 27% expressed desire to have a facility in Louisa County 92.4% 30.7% 33.8% 35.4% 16% travel outside of Louisa for medical care 68.4% 14.5% 29.3% 56.2% 81.6% 25.5% 34.7% 39.9% 69.1% 18.3% 30.1% 51.6% 91.3% 43.0% 22.9% 34.1% 76.9% 31.8% 23.6% 44.7% 75% 18.2% 25.5% 56.3% 49% lacked knowledge of available resources and/or didn’t need the service 72.8% 11.9% 28.6% 59.6% 29% expressed that there is a need for more programs 63.8% 17.6% 31.9% 50.5% 6% thought churches could become more involved 36% lack knowledge of available resources and/or didn’t need the service 25% commented on the high cost of dental care and poor service locally 20% expressed need for more programs because it would help the community as a whole 4% would like more programs geared for younger children 10% commented that activities for youth are important to their quality of life and for working parents
