New Hanover County Health Department
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1 New Hanover County Health Department Second Quarter Report October 1, 2014 December 31, 2014 Over 135 years of Public Health Service State of the County Health Report 2014 The 2014 New Hanover County State of the County Health Report has been released and distributed throughout the community. The State of the County's Health (SOTCH) Report will: track priority issues identified in the Community Health Assessment; identify emerging issues; and highlight new initiatives. Some of the 2014 community initiatives that are designed to combat obesity include the New Hanover County School System s School Health Advisory Council and the implementation of the Smart Snack Rule, Wilmington Health s Student Fitness Challenge Program, Feast Down East s Farm to School Programs and Safe Kid Cape Fear s International Walk to School Day. Community initiatives that are designed to prevent substance abuse include Coastal Horizons evidenced based family and student programs, and the Cape Fear Coalition for a Drug Free Tomorrow s Talk it Up Lock It up campaign. The community initiatives that are designed to combat injury prevention related to prescription medication overdose includes the New Hanover Regional Medical Center s two medicine take back events that were conducted in Each year, County Health Rankings makes statistical data available for every county in North Carolina. In those rankings health outcomes represent the actual health of the county population while health factors represent factors that influence the health of a county. With 100 being the most unhealthy, New Hanover County ranked #10 in health outcomes and #8 in health factors. More than a dozen community partners provided county level data to help make the 2014 State of the County Health Report possible. To view the full 2014 State of the County Health report, please visit the New Hanover County Health Department s website page: South 17 th Street Wilmington, NC (910) health.nhcgov.com Board of Health Robert E. Lewis Chair Melody S. Evans, DVM Vice-Chair Michael E. Goins, OD Optometrist Beth Dawson County Commissioner Brian Ensign Engineer Member Kim Thrasher Horne, PharmD, BCBS, FCCP, CPP Pharmacist Member Zachery S. Mitcham Public Member Mark W. Morgan, MD Physician Member Linda (Candy) Robbins Public Member Robert J. Schiffel, DDS Dentist Member Stephanie D. Smith, PhD, RN Nurse Member 1 P a g e Health Director David E. Rice, MPH, MA
2 Our mission is to promote a safe and healthy community Our vision is healthy people living in a safe environment to sustain a strong community focused on prevention and wellness Health Programs Administration Environmental Health Services Services Total Establishment/Facility Inspections Re-Inspections (to inspect more than once) 16 5 Permits Issued Public Festival Permits/Temporary Food Establishments Compliance, Complaint and Consultative visits Swimming Pool Inspections (Public pools/ spa ) Water Samples Collected (Bacteriological and Other) Customer Service Requests for Vector Control Spraying-Man Hours Acres Larvacided Mosquito Light Trap Totals Services Health Promotion Outreach Events People Educated HIV Tests Completed Condoms Distributed Helmets Distributed 0 0 Car Seats Distributed 2 4 Car Seats Checked Trained health educators give community presentations and provide programs on various subjects (sexual health, nutrition, stress, injuries, tobacco etc.) for free. Health promotion outreach events are conducted at various locations such as churches, schools, worksites, community centers and county buildings by request. 2 P a g e
3 Personal Health Services Clinic Services Services Child Health Visits STD visits Family Planning Visits BCCCP Clients Limited Physicals (Adults & Children) TB Skin Test Read Travel Clinic Visits Clients Receiving Immunizations; Ages 0-18 years Clients Receiving Immunizations; Ages Refugee Health Clients (Unduplicated) 9 19 STD- Sexually Transmitted Disease BCCCP- Breast and Cervical Cancer Control Program TB- Tuberculosis Gonorrhea Cultures In House Procedures Hematology Pregnancy Testing Syphilis Screening Urinalysis Water Bacteriology Referral Procedures Chlamydia / Gonorrhea HIV Lead Pap Smears Lab Services Samples may include blood, urine, or other bodily fluid. Water Bacteriology tests are samples from wells. Reportable Diseases Campylobacter 5 4 Chlamydia Cryptosporidiosis 1 3 Dengue Fever 0 0 E. Coli shiga toxin producing 0 1 Ebola Monitoring 0 1 Foodborne, other 0 1 Gonorrhea Hepatitis B, Acute 1 0 Hepatitis B, Carrier 6 4 Hepatitis C, Acute 1 3 Influenza-like Illness Outbreak Legionellosis 1 2 Lyme Disease 0 0 Nongonococcal Urethritis (NGU) Norovirus Outbreak/Noro-like Illness 16 0 Pertussis (Whooping Cough) 3 2 Rocky Mount Spotted Fever 1 0 Salmonella Shigella 0 0 Streptococcal-Group A Invasive 0 1 Syphilis 0 7 Vibrio P a g e
4 Personal Health Services Community Health 2nd Qtr. 2nd Qtr. Personal Health Services Homeless Medical Clinic - Visits Mobile Dental Unit - # of children provided dental services - Unduplicated count TB Patients Required to be Directly Observed Taking TB Meds (Home Visits) Vital Statistics nd Qtr. 2nd Qtr Births Deaths nd Qtr. 2nd Qtr Deaths Under 1 Year Stillbirths Nutrition WIC- Supplemental Nutrition Program for Women, Infants, and Children providing nutritious food, nutrition education, and breastfeeding support for pregnant and postpartum women and infants and children up to age 5 years who qualify for the program. Services School Mental Health provides psychotherapy services (individual, family, and group therapy) to children/adolescents and their families in fifteen elementary and middle schools in New Hanover County. WIC Nutrition Visits Value of WIC Food Instruments Redeemed $692,512 $721,651 General Nutrition Visits New Clients in Breastfeeding Peer Counseling P a g e
5 Services Personal Health Services n-home Counseling/Home Visits 67 75ber of Children < 1 year referr Maternal Health Pregnancy Care Management Enrolled Diabetic Teaching Postpartum/Newborn Home Visits 0 74 Health & Behavior Interventions Pregnancy Care Management: Case management and home visiting for pregnant women. Postpartum/Newborn Home Visits: Home visits for new moms and babies discharged, recommended within 2 weeks, upon discharge from the hospital. Health and Behavior Interventions: Counseling services for high risk pregnant women. 34,368 38,326 Student / Staff Visits to School Nurse 16,280 2nd Qtr. 2nd Qtr. 19,356 Number Medicated/Special Procedures School Health 19,153 21,648 Parent/School Staff Colaborations Emergency Action Plans Developed/Updated Visits to school nurse include health concerns, vision screenings, first aid, medication administration, special procedures (glucose checks, urinary catheterizations, etc.). Collaborations include phone calls or letters/notes to patients, updates to staff on particular health issues, referrals for follow-up health care, and phone calls to physician offices concerning a student. Emergency Action Plans were created and put into place for students with health concerns, in the event the student has an emergency while at school. School Mental Health School Mental Health provides psychotherapy services (individual, family and group therapy) to children/ adolescents and their families in eighteen elementary and middle schools in New Hanover County nd Qtr. 2nd Qtr Number of Clients Therapy Sessions School Collaborations 5 P a g e
6 Personal Health Services Care Coordination for Children (CC4C) Services CC4C Contacts CC4C -Clients Receiving Services In-Home Counseling/Home Visits CC4C Contacts: number of contacts with families either by phone, home visits or contacts with someone in the community on their behalf CC4C Clients Receiving Services: total number of children served for the quarter, unduplicated In Home Counseling Service Contacts: number of face-to-face contacts for family therapy. Financial Report Net County $ Expenditures Revenues ed to CDSA/new & Expenditures referrals FY Months Ended December 31, % 42.31% 50.00% 44.74% 43.23% 50.00% FY FY Index Revenues 42.84% 43.91% 50.00% 0.00% 20.00% 40.00% 60.00% 80.00% % Revenues and Expenditures FY Months Ended December Index FY FY Revenues 50.00% 42.84% 43.91% Expenditures 50.00% 44.74% 43.23% Net County $ 50.00% 47.21% 42.31% 6 P a g e
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