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Demographic and Health Profile Val Verde County 2001. Texas Department of State Health Services Office of Border Health. Val Verde County. Val Verde County 2001. In population, Val Verde County ranked 7 th (out of 32 counties) in the Border region and 64 th (out of 254 counties) in Texas

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Demographic and Health Profile Val Verde County 2001


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    1. Demographic and Health Profile Val Verde County 2001 Texas Department of State Health Services Office of Border Health

    2. Val Verde County

    3. Val Verde County 2001 • In population, Val Verde County ranked 7th (out of 32 counties) in the Border region and 64th (out of 254 counties) in Texas • There were 45,494 inhabitants in Val Verde County, compared to 2,176,117 in the Border region, and 21,325,018 in Texas • 2.1% of the Border region population lived in Val Verde County • The area in square miles was 3,170.4 • The number of people per one square mile was 14.3 Source: TDH, Selected Fact Sheets - 2001

    4. Age and Ethnicity2001 Source: TDH, Selected Fact Sheets - 2001

    5. Population by Age2001 Source: TDH, Selected Fact Sheets - 2001

    6. Population by Ethnicity2001 Source: TDH, Selected Fact Sheets - 2001

    7. Socio-Economics 2001 Source: TDH, Selected Fact Sheets - 2001

    8. Natality In 2001, the natality data of Val Verde County revealed the following: • There were 859 babies born in Val Verde County in 2001 • The percentage of adolescent mothers (<18) was 6.4% which was slightly lower than in the Border region (6.8%) but higher than in Texas (5.4%) • The percentage of babies that were born with low birth weight (9.0%) was higher than in the Border region (6.9%) and Texas (7.6%) • The percentage of pregnant women that received late or no prenatal care (14.9%) was lower than in the Border region (28.2%) and in Texas (19.7%) • The fertility rate (88.8) was lower than in the Border region (104.1) but higher than in Texas (75.4) * * Fertility rates are per 1,000 women ages 15-44 Source: TDH, Selected Fact Sheets - 2001

    9. Natality 2001 Source: TDH, Selected Fact Sheets - 2001

    10. Mortality In 2001, the mortality data for Val Verde County revealed the following: • Cardiovascular Disease accounted for 36.8% of all deaths in Val Verde County • The rate of people that died of Cardiovascular Disease (318.2) was higher than in the Border (272.8) but lower than in Texas (344.2) • Cancer accounted for 21.0% of all deaths in Val Verde County • The rate of people that died of Cancer (169.1) was higher than in the Border (159.3) but lower than in Texas (192.7) Note: Rates are per 100,000 population and adjusted for age Source: TDH, Selected Fact Sheets - 2001

    11. Mortality(continued) • Chronic Lower Respiratory Disease accounted for 4.4% of all deaths in Val Verde County • The number of deaths from Chronic Lower Respiratory Disease were too small to calculate a meaningful rate for comparison with the Border and Texas • Diabetes accounted for 7.6% of all deaths in Val Verde County • The rate of people that died of Diabetes (61.5) was higher than in the Border (43.6) and in Texas (46.7) Note: Rates are per 100,000 population and adjusted for age Source: TDH, Selected Fact Sheets - 2001

    12. Causes of Death2001 ? Note: Rates are per 100,000 population and adjusted for age Source: TDH, Selected Fact Sheets - 2001

    13. Morbidity2001 * Rates are per 100,000 population Source: TDH, Selected Fact Sheets - 2001

    14. Morbidity2001 Source: TDH, BRFSS 2001

    15. Healthy Border / Frontera Saludable Healthy Border 2010 aims to improve health in the United States-Mexico border region, an area defined as 100 kilometers (62 miles) north and south of the United States-Mexico border and close to 2000 miles in length. The Healthy Border 2010 program was established by the U.S.-Mexico Border Health Commission as its binational agenda of health promotion and disease prevention. The Healthy Border 2010 agenda establishes 10-year objectives for binational health promotion and disease prevention in the border region. The program also serves as a basis for the development of bilateral, border-wide and community health improvement plans.

    16. Healthy Border / Frontera Saludable Objectives • Reduce by 25 percent the proportion of persons lacking access to a primary care provider in underserved areas. • 2. Reduce the breast cancer death rate for women by 20 percent. • 3. Reduce the cervical cancer death rate for women by 30 percent. • 4a. Reduce the diabetes death rate by 10 percent. • 4b. Reduce diabetes hospital admissions by 25 percent. • Reduce to zero the population residing in counties exceeding EPA air quality standards.

    17. Healthy Border / Frontera Saludable Objectives • Reduce to zero the proportion of households not connected to either compliant public sewage systems or septic tanks. • 7. Reduce by 25 percent the number of persons hospitalized for acute pesticide poisoning. • 8. Reduce the incidence of diagnosed HIV infection cases among adolescents and adults by 50 percent. • 9a. Reduce the incidence of hepatitis A by 50 percent. • 9b. Reduce the incidence of hepatitis B by 50 percent. • 10. Reduce the incidence of tuberculosis by 50 percent.

    18. Healthy Border / Frontera Saludable Objectives 11. Achieve and maintain an immunization coverage rate of 90 percent for children 19-35 months. 12. Reduce the motor vehicle crash death rate by 25 percent. 13. Reduce the childhood (under 5 years of age) death rate due to unintentional injuries by 30 percent. 14. Reduce the infant mortality rate by 15 percent. 15. Reduce the infant mortality rate due to birth defects by 30 percent.

    19. Healthy Border / Frontera Saludable Objectives • Increase the proportion of women receiving prenatal care in the first trimester to 85 percent. • Reduce the pregnancy rate among 15 to 17 year old women by 33 percent. • Reduce the suicide death rate by 15 percent. • Reduce the proportion of adults who are obese by 15 percent. • Increase to at least 75 percent the proportion of the population served by community water systems with optimally fluoridated water.

    20. Healthy Border / Frontera Saludable Objectives • Increase to at least 75 percent the proportion of children and adults who use the oral health care system each year. • 22. Reduce the asthma hospitalization rate by 40 percent. • 23. Reduce the rate of alcohol-related motor vehicle crash deaths by 50 percent. • 24. Increase to 89 percent the proportions of adolescents not using alcohol or any illicit drug during the past 30 days. • 25. Reduce by 33 percent the proportion of adults and adolescents currently using tobacco.

    21. Access to Care • Reduce by 25 percent the proportion of persons lacking access to a primary care provider in underserved areas. Access to quality health care is essential to improving the health of Texas-Mexico border residents. Access to care is required for individuals to obtain preventive health services such as immunizations, regular Pap tests, or early prenatal care. Effective primary care can also educate people about modifiable risk factors such as smoking. Residents with chronic diseases require health care access for effective management of conditions such as diabetes and hypertension.

    22. Access to Care In 2001, “Access to Care” data for Val Verde County revealed the following: • 23% did not have health care coverage which was the same percentage as in Texas * • 17% of the population was unable to see a doctor due to cost which was higher than in Texas at 15% * • There was a significant difference among men and women as 24% of the women and 9% of the men could not see a doctor due to cost * • 24.9% of the population is eligible for Medicaid compared to 12.6% of the Texas population ** Source: * TDH, BRFSS - 2001 and ** TDH, Selected Fact Sheets - 2001

    23. Access to Care 2001 Source: TDH, Selected Fact Sheets - 2001

    24. Access to Care 2001 Source: TDH, Selected Fact Sheets - 2001

    25. Cancer • Reduce the breast cancer death rate for women by 20 percent. • Reduce the cervical cancer death rate for women by 30 percent.

    26. Cancer • Smoking cessation • Eating more fruits and vegetables • More physical activity • Weight control Several types of cancer can be prevented by changes in behaviors or dietary habits. As many as 50 percent of all cancers could be prevented by:

    27. Cancer Equally vital in the fight against cancer is screening for early detection and treatment. In the Texas-Mexico border region, both breast cancer and cervical cancer are often diagnosed at later stages of development. Detection can be improved through mammograms and breast self-examinations for breast cancer, and through Pap smears for cervical cancer. Enhancing the access of border residents to routine health care services is a key element in reducing cancer mortality.

    28. Cancer Prevention and early detection of cancer require various types of resources. First is the need to provide culturally and linguistically appropriate information on prevention, early detection, and treatment to the public and to health care professionals. Second, the public must have access to preventive and diagnostic services as well as treatment.

    29. Cancer In 2001, “Breast & Cervical Cancer” data for Val Verde County revealed the following: • 43% of women ages 18 and above had never had a mammogram, compared to 19% of the women the same age in Texas * • 47% of women 40 and older did not have a clinical breast exam and a mammogram in the past 2 years which was significantly higher than the 20% in Texas * • The number of deaths from female breast cancer were too small to calculate a meaningful rate for comparison with the Border and Texas ** • In Texas there were 18,846 mammograms performed through the Texas Breast and Cervical Cancer Control Program of which 3 (0.02%) were performed in Val Verde County** Note: Rates are per 100,000 population and adjusted for age Source: * TDH, BRFSS - 2001 and ** TDH, Selected Fact Sheets - 2001

    30. Diabetes 4a. Reduce the diabetes death rate by 10 percent. 4b. Reduce diabetes hospital admissions by 25 percent. The growing prevalence of diabetes is a result of a number of trends, including improper nutrition, obesity, and the aging of population groups with a predisposition to develop diabetes. Despite the growing number of diabetes cases identified annually, it is believed that a large proportion of persons with diabetes remains undiagnosed.

    31. Diabetes Improving nutrition and increasing physical activity (thereby reducing the prevalence of overweight and obesity) has been shown to reduce the number of persons who develop Type 2 diabetes.

    32. Diabetes In 2001, “Diabetes” data for Val VerdeCounty revealed the following: • 26% were told that they had high blood pressure, which was slightly higher than the 24% in Texas * • 27% were told that they had high cholesterol which was slightly lower than the 30% in Texas * • 13% were told that they had diabetes, which was higher than the 6% in Texas * • The diabetes mortality rate for Val Verde County (61.4) was higher than in Texas (31.9) * Note: Rates are per 100,000 population and adjusted for age Source: * TDH, BRFSS - 2001 and ** TDH, Selected Fact Sheets - 2001

    33. Environmental Health • Reduce to zero the population residing in counties exceeding EPA air quality standards. • Reduce to zero the proportion of households not connected to either compliant public sewage systems or septic tanks. • Reduce by 25 percent the number of persons hospitalized for acute pesticide poisoning.

    34. Environmental Health Human exposures to hazardous agents in the air, water, soil and food, and physical hazards in the environment are major contributions to illness, disability and death worldwide. Pollutants and contaminants that arise on one side of the border can easily affect the air, water, and soil of the other side, as well as affect the health of persons living along the opposite border. In 2001, no air quality data was available for Val VerdeCounty.

    35. HIV / AIDS • Reduce the incidence of diagnosed HIV infection cases among adolescents and adults by 50 percent. HIV/AIDS is no longer restricted to specific population groups: HIV infection and AIDS have been reported in almost every age and socio-economic group, and in all large cities in the Texas-Mexico border. As with all other communicable diseases, HIV/AIDS transmission is not restrained by political boundaries.

    36. HIV / AIDS HIV prevention requires a broad range of medical and counseling services, accompanied by information, education and other activities. Many strategies have been developed to reduce the spread of HIV infection, including the promotion of safer sex practices and the reduction of needle sharing. In addition, HIV counseling, education and information should be appropriate for local cultures and languages. An important issue, however, is access to care, as knowledge of HIV status is a key part of halting the transmission of HIV. On of the major barriers to care is the lack of HIV trained providers on both sides of the border.

    37. HIV / AIDS In 2001, “HIV/AIDS” data for Val Verde County revealed the following: • The HIV rate for Val Verde County (0.0) was lower than in the Border (10.8) and in Texas (14.3) * • The AIDS rate for Val Verde County (2.2) was lower than the rate in the Border (11.1) and in Texas (14.0) * Note: Rates are per 100,000 population Source: TDH, Selected Fact Sheets - 2001

    38. Immunizations and Infectious Diseases 9a. Reduce the incidence of Hepatitis A by 50 percent. 9b. Reduce the incidence of Hepatitis B by 50 percent. • Reduce the incidence of Tuberculosis by 50 percent. • Achieve and maintain an immunization coverage rate of 90 percent for children 19-35 months.

    39. Immunizations and Infectious Diseases Increased vaccination coverage has produced dramatic declines in the incidence of some infectious diseases. For example, measles and mumps cases have decreased significantly in the past decade. The strategy is to detect, control and prevent infectious diseases, and then to maximize the vaccination coverage rate in the “at-risk” population.

    40. Immunizations and Infectious Diseases For diseases that are not preventable or only partially preventable by vaccine, a different approach is required. Reducing tuberculosis rates requires active surveillance, including testing of “at-risk” populations, providing curative therapy to tuberculosis patients, ensuring that therapy is completed and investigating close contacts of tuberculosis patients. Lack of access to care can delay the detection of tuberculosis cases, and limit direct observation of therapy by health care providers.

    41. Immunizations and Infectious Diseases In 2001, “Immunizations and Infectious Diseases” data for Val Verde County revealed the following: • 46% of people 65 and older not get a flu shot during the past 12 months, compared to 59% in Texas * • 45% of people aged 65 and older had never had a pneumonia vaccine, compared to 44% for the same age group in Texas * • The Hepatitis A rate (0.0) was lower than in the Border (3.7) and in Texas (5.4) ** • The Hepatitis B rate (2.2) was higher than in the Border (1.5) but lower than in Texas (3.3)** • The Tuberculosis rate (19.8) was higher than in the Border (12.7) and in Texas (7.7) ** Note: Rates are per 100,000 population Source: * TDH, BRFSS - 2001 and ** TDH, Selected Fact Sheets - 2001

    42. Immunizations and Infectious Diseases

    43. Injury and Violence Prevention • Reduce the motor vehicle crash death rate by 25 percent. • Reduce the childhood (under 5 years of age) death rate due to unintentional injuries by 30 percent.

    44. Injury and Violence Prevention The risk of death due to a motor vehicle crash is greatest among adolescents and young adults (15 to 24 years of age) and the elderly population (75 or more years of age). Motor vehicle deaths can be prevented by increasing the use of automobile seat belts, reducing the consumption of alcohol by automobile drivers, enhancing the enforcement of traffic laws (particularly maximum speed limits), and improving the quality of roads, lighting and other safety enhancements.

    45. Injury and Violence Prevention Unintentional injuries are an important cause of death among young children, but particularly so for those 1 to 4 years of age. Important causes of injury deaths include motor vehicle crashes, drowning, poisonings, and fires. Important preventive measures would be restricting unsupervised access to swimming pools or other bodies of water, and improved safeguards against access to household toxic substances by young children.

    46. Injury and Violence Prevention • 9% of the people (age 18 and over) did not always use a seat belt when they drove or rode in a car * • The number of deaths resulting from motor vehicle crashes were too small to calculate a meaningful rate for comparison with the Border and Texas ** In 2001, “Unintentional Death” data for Val Verde County revealed the following: Note: Rates are per 100,000 population and adjusted for age Source: * TDH, BRFSS - 2001 and ** TDH, Selected Fact Sheets - 2001

    47. Maternal, Infant and Child Health • Reduce the infant mortality rate by 15 percent. • Reduce the infant mortality rate due to birth defects by 30 percent. • Increase the proportion of women receiving prenatal care in the first trimester to 85 percent. • Reduce the pregnancy rate among 15 to 17 year old women by 33 percent.

    48. Maternal, Infant and Child Health Screening of pregnant women and young children is essential to prevent or mitigate many serious health problems. Screenings, as part of prenatal care, can identify many important maternal health conditions or risk factors for poor infant outcome, including pregnancy-related hypertension and diabetes, cigarette smoking and others.

    49. Maternal, Infant and Child Health The use of alcohol, tobacco and illegal substances during pregnancies is associated with many developmental problems in infancy and childhood, partly as the result of very low birth weight and premature delivery. The use of alcohol during pregnancy can cause fetal alcohol syndrome, a leading cause of mental retardation. Most neural tube defects are preventable, but the intervention requires nutritional supplements prior to conception.

    50. Maternal, Infant and Child Health In 2001, “Maternal, Infant, and Child Health” data for Val Verde County revealed the following: • 66% of childbearing aged women (18-44) did not take supplements containing folic acid, compared to 46% of the women the same age in Texas * • The number of infant deaths were too small to calculate a meaningful rate for comparison with the Border and Texas ** • 85.1% of pregnant women in Val Verde County received prenatal care during the first trimester, which was higher than the 80.3% in Texas ** Note: Rates are per 100,000 population and adjusted for age Source: * TDH, BRFSS - 2001 and ** TDH, Selected Fact Sheets - 2001