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Vermilion County IPLAN 2012 - 2017

Vermilion County IPLAN 2012 - 2017. Community Needs Assessment. 2012-2017 IPLAN . PLEASE MAKE SURE YOU HAVE SIGNED IN ON THE SIGN-IN SHEET! THANK YOU . IPLAN 2012-2017.

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Vermilion County IPLAN 2012 - 2017

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  1. Vermilion CountyIPLAN 2012 - 2017 Community Needs Assessment

  2. 2012-2017 IPLAN PLEASE MAKE SURE YOU HAVE SIGNED IN ON THE SIGN-IN SHEET! THANK YOU

  3. IPLAN 2012-2017 The Illinois Project for Local Assessment of Needs (IPLAN) is a Community health assessment and planning process that is conducted every five years by local health jurisdictions in Illinois. The essential elements of IPLAN are: • An organizational capacity assessment; • A community health needs assessment; and • A community health plan, focusing on a minimum of three priority health problems.

  4. Shirley Hicks, BS, CPHA VCHD Public Health Administrator Jenny Trimmell, BSN, PHN VCHD Director of Community Health Services Melissa Rome, MBA, CERC, CHES VCHD Emergency Planning and Response Coordinator Dr. Krista Jones UIC School of Nursing Instructor IPLAN Consultant IPLAN Team

  5. Health Problem Health problem: a situation or condition of people which is considered undesirable, is likely to exist in the future, and is measured as death, disease, or disability. Source: Assessment Protocol for Excellence in Public Health

  6. Vermilion County Demographic Changes 2000 vs 2010 • 2.7% overall decrease in population since 2000 • Decrease in white population/ increases in black & hispanic populations from 2000 to 2010 • Increase in renter occupied/ decrease in owner occupied housing. • Vacant housing units increased by 2% • 24.9% of population (age 18-24) had less than a H.S. diploma • Median Household Income: $37,167 (2009 data) • Persons below poverty level 21.7% (2009 data)

  7. Poverty • Overall Poverty Rate: US Census Bureau 2006-2010 • Child Poverty Rate: County Health Rankings 2011

  8. Vermilion County child abuse and neglect rate rose from 14.8 (per 1,000) in 2003 to a rate of 20.1 (per 1,000) in 2010, however have seen a decrease in the last 2 years. The Illinois rate was 7.5 and 8.3 respectively. Vermilion County children receiving medical assistance (KidCare and Medicaid) rose 29.0% from 9,990 children (2005) to 12,892 children (2011). There were 5,483 children under the age of 5 (2010 census data) in Vermilion County; 36.7% of these children live in households below poverty rates. 16.4% of children ages 5-17 live below poverty (2010 data). Source: Kids Count 2012 US Census Between 2000 and 2010 (children 5-17 who are in poverty in schools) District #118 – 21.78 to 35.03 = 60.87% increase Catlin – 2.83 to 11.39 = 302.92% increase Armstrong HS – 14.46 to 10.75 = 25.63% decrease Hoopeston 13.48 to 31.55 = 134% increase Source: U.S. Census via News Gazette Poverty

  9. Child Poverty Rates Source: Voices for Illinois Children 2012 Report

  10. County Rankings 2011 Rank Health OutcomesRank Health Factors (Mortality/ Morbidity) (Health Behaviors, Clinical Care, Social & Economic Factors, Physical Environment) 98 Vermilion 96 Vermilion Out of 102 Counties

  11. County Rankings 2011

  12. County Rankings 2011

  13. County Rankings 2011

  14. Leading Causes of Death in Vermilion County • Leading Causes of death (2006 data) in Vermilion County are as follows: • Diseases of the Heart • Cancer • Chronic Lower Respiratory Disease • Cerebrovascular Diseases (Stroke) • Accidents • Diabetes Mellitus • Nephritis, etc. (Kidney Disease) (IPLAN Data System Report 2006, app. idph.state.il.us)

  15. Leading Causes of Death in Vermilion County (#1) • Diseases of the heart remains the leading cause of death in Vermilion County. • In 2008 24% of all deaths were due to diseases of the heart (226 deaths). The majority of those deaths were due to Coronary Heart Disease specifically. • There has been a gradual decline in deaths due to diseases of the heart since 2003 with an overall decrease of 7% • According to the BRFSS 2007-09, Vermilion County had a 2.8% decrease in smokers but a 2.9% increase in those who report being obese and a 12.3% decrease in those report they meet the recommended amount of physical activity

  16. RISK FACTORS THAT MAY CONTRIBUTE TO HEART DISEASE

  17. Leading Causes of Death in Vermilion County (#2) • Cancer (all types) is the 2nd leading cause of death in Vermilion County • V.C. rate for all cancers is 522.1 compared to the state rate of 490.4 (HP 2020 target is 160.6/100,000) • There were 224 deaths in 2006 due to all cancers; 70 of those deaths were due to Lung Cancer specifically • In gender specific data for highest number of deaths from cancer were prostate cancer for men and breast cancer for women

  18. OBESITY • Obesity and physical inactivity has been linked to a range of chronic diseases including diabetes and hypertension. • 20 years ago 12.1% of Illinois residents were obese; currently (2008-2010) 27.7% are obese (F as in Fat Report, www.healthamericans.org; RWJF) • 20 years ago 5.2% of Illinois residents had diabetes; currently (2008-2010) 8.4% have diabetes • 20 years ago 21.9% of Illinois residents had hypertension; currently (2008-2010) 27.5% have hypertension • 30.0% of Vermilion County adult residents report fitting the criteria for obesity(2007-09 BRFSS)

  19. OBESITY & CHILDREN • Almost 1/3 of U.S. children and adolescents between the ages of 2 and 19 are overweight or obese • Children who are obese are more than twice as likely to die before the age of 55 as children whose BMI is in the normal range. • Children who are obese after the age of 6 are 50% more likely to be obese adults. • Those who did not graduate high school have the highest rates of obesity. (32.8% obesity rate) • Vermilion County has a 75% graduation rate (F as in Fat 2011 Report; www.healthyamericans.org, RWJF)

  20. Childhood Obesity in Illinois (F as in Fat 2011 Report; www.healthyamericans.org, RWJF) • Illinois ranked 4th highest in the U.S. for obesity in children ages 10-17 yrs old Illinois tied with Louisiana for 4th, Mississippi, Georgia and Kentucky were 1-3 respectively • Obesity is correlated with income • Households that make less than $15,000 have a 33.8% obesity rate • Households making between $15,000 & $25,000; obesity rate is 31.8% • Households making between $25,000 & $35,000; obesity rate is 29.7% • Households making between $35,000 & $50,000; obesity rate is 29.5% • Median Income for V.C. residents $37,167 (2009 data) • In Vermilion County 16.4% of children ages 5-17 live below poverty(2010census data) • There were 5483 children under the age of 5 (2010 census data) in Vermilion County; 36.7% of these children live in households below poverty rates

  21. Teen PregnancyVermilion County • The 13.5% teen birth rate in 2007 was the lowest % of teen births since we began keeping records in 1970; this was still above State rate of 10.1%. • VC students who have had sexual intercourse sometime in their life reached the highest percent since data was first collected in 2002 (ISBE 2010 data). The 2010 number (55.7%) represents an increase of 4.5% from 2002 and an even greater increase of 6.5% from 2008.

  22. TEEN BIRTHSHealth Concerns • Approximately 400,000 teens aged 5-19 yrs give birth every year in the U.S. • The U.S. teen birth rate remains the highest in the developed world • Teen mothers are more likely to experience negative social outcomes, including school dropout. • Infants of teen mothers are more likely to be low birth weight & have lower academic achievement • Daughters of teen mothers are more likely to become teen mothers themselves. (CDC: MMWR Jan 20, 2012 / 61(02);25-29)

  23. TEEN BIRTHSAdditional Statistics Data from the Pregnancy Risk Assessment Monitoring System (PRAMS) collected in 19 states (Illinois participates in PRAMS), during 2004-2008, for teens aged 15-19, who became pregnant unintentionally & gave birth to a live infant indicated: • 50.1% reported doing nothing to prevent pregnancy • Of these teens, 31.4% thought they could not get pregnant at the time • 23.6% did not use contraception because their partner did not want to use it • 22.1% did not mind getting pregnant (CDC: MMWR Jan 20, 2012 / 61(02);25-29)

  24. Reported Chlamydia Cases in Vermilion County 2007-2011 Source IDPH STD SECTION

  25. STD DATA: Chlamydia

  26. STD TRENDS:Chlamydia • Chlamydia case reports have been steadily increasing over the past 20 years in the U.S. In 2010, 1.3 million Chlamydia cases were reported in the U.S. While some of the increase is due to expanded screening efforts, a majority of infections go undiagnosed. (per: CDC 2010 STD Surveillance) • In Illinois: (Per 2009 IDPH STD Section Data; Ill HIV/AIDS/STD Monthly Surveillance Update) • Majority of Chlamydia cases are seen in the age ranges of 15-19 (36.3%) & 20-24 (36.0%). Ages 25-29 (18.5%) • More females than male • By race: Highest in African Americans, White, Unknown • By Ethnicity: Highest in Non-hispanic (73.9%); Hispanic (10.3%)

  27. STD TRENDS:Chlamydia con’t • In 2010, Vermilion County was #10 in top 10 highest counties for Chlamydia. (Jackson, Peoria, Alexander, St. Clair, Pope, Macon, Pulaski, Champaign, Sangamon were 1-9 respectively)

  28. Reported Gonorrhea in Vermilion CountyBy Provider Type 2007-2011

  29. STD DATA: Gonorrhea

  30. STD TRENDS:Gonorrhea • Gonorrhea rates are at historically low levels in the U.S. Cases increased slightly from 2009 to 2010 (300,000 cases in 2010 in U.S.) In the last 10 years (2000-2010) the Gonorrhea rate decreased from 128.7/100,000 to 100.8/100,000. per CDC 2010 STD Surveillance • CDC surveillance systems indicate that Gonorrhea may become resistant to the only available treatment option. • In the U.S., African Americans are most affected by Gonorrhea. (Black rate 512.2; Hispanic rate 63.2; White rate 26.0 (per 100,000) • Gonorrhea in Illinois(per IDPH STD section report 1/30/2012) (*Note: Illinois reporting is “cases” vs CDC “rates” above) • 61.0% of all positive cases were in ages 10-29; with highest prevalence in age group 15-19 yr old, 10.6% • is highest in prevalence in Black population, 8.9%; followed by Other 2.3%, then White 2.2%. • is prevalent in Non-Hispanic population 6.9%; Hispanic 2.3% • More males, 7.8% have Gonorrhea than females, 4.3% • Vermilion County ranked 15th in top counties with STD’s in 2010.

  31. STD TRENDS:Syphilis • The overall Syphilis rate decreased for the first time in a decade in the U.S. and is down 1.6% since 2009 per CDC 2010 STD Surveillance • Early Syphilis Data for Illinois (Per IDPH STD Section 2009; Ill HIV/AIDS/STD Monthly Surveillance Update) : • Highest in 20-49 yr old population: 20-24 yr olds (17.9%); 25-29 (17.2%); 30-34 (13.2%) 35-39 (12.2%); 40-44 (12.1%) 45-49 (12.0%) • By gender: More males than females • By Race: African Americans (55.9%); Unknown (20.1%); White (19.0%) • By Ethnicity: More Non-Hispanic (84.1%) than Hispanic (13.4%) • In Vermilion County: 0 cases of Early Syphilis in 2008; 6 cases in 2009; 2 cases in 2010 (as of Oct 2010)

  32. STD Trends:HIV/AIDS Per: Ill. HIV/AIDS/STD Monthly Surveillance Update (October 2011) for Vermilion County • 6 cases of HIV diagnosed • 40 cumulative cases of HIV diagnosed since 2005*; total of 52 people living with HIV in VC • 1 case of AIDS diagnosed 25 cumulative cases of AIDS diagnosed since 2005*; total of 60 people living with AIDS in VC *2005—named reporting began in Illinois

  33. STD Trends:HIV/AIDS • In Illinois HIV/AIDS*: • Highest in Black population (51.5%); White (26.0%; Hispanic 15.5%) • Age at diagnosis; highest in 20-39 yr ages • Mode of exposure MSM (46.0%); Other (17.7%); Heterosexual (13.2%); Undetermined (12.9%); IDU (7.1%) *Per: Ill. HIV/AIDS/STD Monthly Surveillance Update October 2011 (Not full year data)

  34. VIOLENCE • Total Crime Index for Vermilion County increased 0.7% from 2007 to 2008; but increased 14.0% from 2004 to 2008 • Robbery, Burglary, Theft, Motor Vehicle Theft and Arson all increased from 2004 to 2008 • Murder, Criminal Sexual Assault and Aggravated Assault/Battery all decreased from 2004 to 2008 • In 2008 there were 389 drug arrests (-13.4% decrease from 2007--449 arrests) • Per Illinois State Police Crime Report 2007/2008

  35. VIOLENCE and V.C.YOUTH(I Sing the Body Electric 2010 data) • Nearly 41.0% of Vermilion County teens have been the target of bullying on school property during the past 12 months • 34.7% of students said someone had spread a rumor about them online, in a chat room, through a social networking site in emails or through text messaging • 47.7% of VC students report being sent a threatening or aggressive e-mail, instant message or text message • 7.0% of VC youth stayed home from school because they felt unsafe at school or on the way to or home from school • 11.1% of VC youth report being threatened or injured by someone with a weapon at school in the past year

  36. VIOLENCE and V.C. YOUTH(I Sing the Body Electric 2010 data) con’t • At least once, females in 9th grade (27.6% and males in 11th grade (27.5%) report the highest percentage of those saying that someone had stolen or deliberately damaged their property while at school • One in 5 female (19.1%) and one in 5 male (20.5%) students report being hit, slapped or physically hurt by a boyfriend or girlfriend. This is an increase in two year’s time of 32.6% of females and 19.2% of males being abused by their partners • In their lifetime, 17.1% of 2010 VC high school females and 8.7% of high school males report being “physically forced to have sex when they did not want to”

  37. Health Risk Concerns of Youth in Vermilion County I Sing the Body Electric Data 2010: 3,164 out of 4,106 (77.1%) students in grades 9-12 in our local schools participated in survey & ranked their top concerns as: • #1 Drinking & Driving, Alcohol Use (unchanged from 2008 survey) • #2 Sexual Behaviors (AIDS, STDs, teen pregnancy) (unchanged from 2008 survey) • #3 Drug Use (has been in top 3 or 4 since 2002) • #4 Body Image (weight) Eating Disorders, Use of Steroids (has been in top 3 or 4 since 2002) • #5 Carrying Weapons, Threats, Bullying, Physical Fighting (ranked #8 in 2002; moved to #5 in 2010)

  38. 2007-2012 IPLAN Data • Reduce the incidence of premature deaths (<age 65) due to diseases of the heart in Vermilion County. • Met this overall priority. Deaths from heart disease decreased from 259 in 2006 to 226 in 2008. (2009-2011 data not yet available) • There was a reduction in the percentage of VC adults who smoke • There was an increase in the percentage of adults who report being at risk for health problems related to being overweight • Percent of adults reporting cholesterol increased but unknown whether number increase due to more people being tested or more people having higher cholesterol** • Percent of adults with high blood pressure increased but unknown whether due to increased testing or more people having higher blood pressures.** • Unknown whether adults under 65 had their blood sugar checked** **VCHD had planned to enhance testing opportunities to adults under 65 but program was terminated.

  39. 2007-2012 IPLAN Data • Reduce the percentage of birth to teens in Vermilion County • Partially met: Teen births decreased in 2006 (14.1%) and in 2007 (13.5%). 13.5% lowest percentage since recording keeping began in 1970. But teen births then climbed back to 15.6% in 2009. • Did not meet goal to reduce the percentage of youths reporting sexual intercourse before age 17. (ISBE 2010 data shows 55.7% of youth reporting having had sexual intercourse; a 4.5% increase from 2002 and 6.5% increase from 2008)

  40. 2007-2012 IPLAN Data • Reduce violent and abusive behaviors in Vermilion County Met? • From 2007 to 2008 • Total Crime Index Offense increased by 0.7% • Increase in Burglary, Theft, and Arson • Decrease in Murder, Criminal Sexual Assault, Robbery • From 2004 to 2008 • Total Crime Index Offense increased by 14.0% • Increase in Robbery, Burglary, Theft, Motor Vehicle Theft and Arson • Decrease in Murder, Criminal Sexual Assault, Aggravated Assault/Battery • We (community) did expand and enhance community awareness on this issue: Youth Violence Prevention Coalition (2008) (BB/BS); Illinois Family Violence Prevention Coalition—Vermilion County; Illinois Health Cares Project (15 community partners)--Violence Video-2008; Violence Prevention:6 Best practices for healthcare providers)

  41. 2011-12 Community Survey Data • Who filled out the survey? • Over 1,000 surveys have been completed so far. We will conclude taking surveys at the end of March. • Nursing students from U of I, Lakeview, and DACC passed out surveys to the residents of Vermilion County. • Age Range for the surveys are 15-90 years of age. • Gender for the surveys was 71% female, 28% male. • Some of the locations were McDonalds, Town Center, St. James Food Pantry, DACC, Parish Nurse Churches, Vermilion House, Doctor’s Offices, YFRC, Fair Oaks, YMCA, etc.

  42. 2011-12 Community Survey Data • Who filled out the survey? • About 7% of the surveys were the Northern areas including Hoopeston, Rankin, Rossville, Alvin, Armstrong, and Bismarck. • About 8 % of the surveys were from the Western areas including Catlin, Oakwood, Sidell, Fithian, and Fairmount. • About 66% of the surveys were from the County Seat, Danville. • About 15% of the surveys were from the Southern areas including Ridgefarm, Indianola, Westville, Tilton, and Georgetown. • About 2% of the surveys were from areas outside Vermilion County including Milford, Urbana, champaign, Ogden, Rantoul, and Frankfurt, IN, Covington, IN, Kingman, IN, and Stateline, IN.

  43. Demographics of Survey Data

  44. Quality of Life Statements

  45. Healthy Community

  46. Personal Health

  47. Quality of Environment

  48. The Importance on Community Issues

  49. “Your” Top 3 Health Concerns

  50. Top 3 Community Health Problems

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