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 2014. 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: http://health.nhcgov.com/about-us/reports/. 2029 South 17 th Street Wilmington, NC 28401 (910) 798-6500 health.nhcgov.com www.facebook.com/nhchealth www.twitter.com/nhchealth 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
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 797 824 Re-Inspections (to inspect more than once) 16 5 Permits Issued 125 96 Public Festival Permits/Temporary Food Establishments 136 87 Compliance, Complaint and Consultative visits 411 440 Swimming Pool Inspections (Public pools/ spa ) 39 48 Water Samples Collected (Bacteriological and Other) 107 120 Customer Service Requests for Vector Control 40 10 Spraying-Man Hours 2.5 6.25 Acres Larvacided 0 1.53 Mosquito Light Trap Totals 6661 11881 Services Health Promotion Outreach Events 19 49 People Educated 2760 3071 HIV Tests Completed 102 153 Condoms Distributed 755 1764 Helmets Distributed 0 0 Car Seats Distributed 2 4 Car Seats Checked 20 21 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
Personal Health Services Clinic Services Services Child Health Visits 64 43 STD visits 726 723 Family Planning Visits 724 615 BCCCP Clients 41 33 Limited Physicals (Adults & Children) 116 0 TB Skin Test Read 540 471 Travel Clinic Visits 111 131 Clients Receiving Immunizations; Ages 0-18 years 2312 986 Clients Receiving Immunizations; Ages 19+ 2547 3504 Refugee Health Clients (Unduplicated) 9 19 STD- Sexually Transmitted Disease BCCCP- Breast and Cervical Cancer Control Program TB- Tuberculosis Gonorrhea Cultures In House Procedures 531 642 Hematology 1164 1178 Pregnancy Testing 408 294 Syphilis Screening 671 786 Urinalysis 124 26 Water Bacteriology 69 77 Referral Procedures Chlamydia / Gonorrhea HIV Lead Pap Smears Lab Services 691 530 708 768 380 349 213 222 Samples may include blood, urine, or other bodily fluid. Water Bacteriology tests are samples from wells. Reportable Diseases Campylobacter 5 4 Chlamydia 232 176 Cryptosporidiosis 1 3 Dengue Fever 0 0 E. Coli shiga toxin producing 0 1 Ebola Monitoring 0 1 Foodborne, other 0 1 Gonorrhea 57 56 Hepatitis B, Acute 1 0 Hepatitis B, Carrier 6 4 Hepatitis C, Acute 1 3 Influenza-like Illness Outbreak 0 117 Legionellosis 1 2 Lyme Disease 0 0 Nongonococcal Urethritis (NGU) 90 49 Norovirus Outbreak/Noro-like Illness 16 0 Pertussis (Whooping Cough) 3 2 Rocky Mount Spotted Fever 1 0 Salmonella 25 30 Shigella 0 0 Streptococcal-Group A Invasive 0 1 Syphilis 0 7 Vibrio 1 0 3 P a g e
Personal Health Services Community Health 2nd Qtr. 2nd Qtr. Personal Health Services 345 200 271 160 237 256 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 1200 1000 800 600 400 200 0 2nd Qtr. 2nd Qtr. 1012 1060 831 688 Births Deaths 9 8 7 6 5 4 3 2 1 0 2nd Qtr. 2nd Qtr. 8 7 6 5 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 2462 2679 Value of WIC Food Instruments Redeemed $692,512 $721,651 General Nutrition Visits 46 86 New Clients in Breastfeeding Peer Counseling 34 89 4 P a g e
Services Personal Health Services n-home Counseling/Home Visits 67 75ber of Children < 1 year referr Maternal Health Pregnancy Care Management Enrolled 535 438 Diabetic Teaching 13 13 Postpartum/Newborn Home Visits 0 74 Health & Behavior Interventions 31 20 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 471 393 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. 3000 2500 2000 1500 1000 500 0 2nd Qtr. 2nd Qtr. 2843 2701 1465 1256 496 437 Number of Clients Therapy Sessions School Collaborations 5 P a g e
Personal Health Services Care Coordination for Children (CC4C) Services CC4C Contacts 1594 1311 CC4C -Clients Receiving Services 535 384 In-Home Counseling/Home Visits 40 40 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 3 142 FY 2014-2015 6 Months Ended December 31, 2014 47.21% 42.31% 50.00% 44.74% 43.23% 50.00% FY 14-15 FY 13-14 Index Revenues 42.84% 43.91% 50.00% 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% Revenues and Expenditures FY 2014-2015 - 6 Months Ended December Index FY 14-15 FY 13-14 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