12/05/2007
LIIrr New Hanover County HealtFtt Department
Revenue and Expenditure Summaries for October 2007
Cumulative: 33.33% Month 4 of 12
R¢Yenues
Currant Yaar Prior Yaar
-
Type of Budga[ad Ravanua Balance % Bu agatad Ravanua Ba lan-a ]20.00".
Rayanua Amount Earned Remaining Amount Earned Ramalning
Federal s States 1.923.709.00 873,587.89 $ 1.050,121 45.41 % 1.022.27a.00 1.008.875.24 $ 913,398 AC Fees 642,661.00 222,068.79 $ 420,592 34.55% 611.161.00 193.615.20 $ 417,546 Medicaid 1,569,058.00 334.923.12 $ 1.234,135 21.35% 1.706.494.00 292,178.96 $ 1.414,315 Medicaid Max 309,128.00 0.00 $ 309,128 0.00% 150,500.00 0.00 $ 150.500 EH Faas 310.000.00 87.084.00 $ 222,916 28.09% 310,000.00 63,875-00 $ 246,125 Health Faas 345.200.00 125,122.57 $ 220.077 36.25% 250,200.00 99,632.45 $ 150.568 35,125.00 5,472-51 $ 29.652 15.58 % 35.125.5.539.07 $ 29.5B6 3,796,377.00 1,132.735.61 $ 2.663,641 29.84 % 82 866.502.38 $ 1.908.458 8,931.258 $ 2,780,994 $ 6,150,264 3114 % $ 7.760.714 $ 2,530.216 $ 5.230,496 .Expenditures Prior Yaar
Curran[ Yaar
Amount Ramalning
jc)p.-tI.q. ypes of Bud9atad Expanded Balance % Budgatad Expanded IB lams X
13,753.049-00 3,287.754.53 10,465.294 23.91% 12,163.729.00 2,998.749.66 $ 9,164.979 24.652.326,166.70 656,772.46 1.669,414 28.23% 2.232,216.00 561,333.05 $ 1,650,883 26.04apital Outlay 40,900.00 0-00 $ 40,900 0.00% 88,585.00 30,939.96 $ 57,645 34.93otals $ 16,120.136 $ 3,944.527 $ 12.175.609 24.47 % $ 14,484,530 $ 3,611.023 $ 10.873.507 24.93%
Summary
Budgatad Actual %
FY 07-08 FY 07-00
Ex
Imries ri"s urea:
Sala 8 Fringe $ 13,753,049 $ 3.287,755
Operating $ 2.326.187 $ 656,772
Capital Outlay $ 40.900 $ -
Total Expandltures $ 16,120.136 $ 3,944,527 24.47%
IR $ 8,931,258 $ 2,780.994 31.14%
Net County $ 7.18B.878 $ 1.163,533 16.1994
R¢Y¢nue and Exp¢nditur¢ Summary
For the Month of October 2007
8
NHCHO BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS F 07-08 and F 06-07
i7ata BOH Grant Re uastad Pandin Racaivad Uanlad
1117/2007
Living We11 -Additional fu ntls added to
original grant to complete winter adition of
newsletter - Ca a Fear Memorial Foundation $650 5650
Asthma Program - North Carolina Dept. oT
Health and Human Sari- C)Maion of Public
Health Asthma Pro ram $18.000 $18.000
10/312007 Healthy Carolinians - Request r funds from
the North Carolina Division of Public Haa1tM1,
Office of Healthy Carolinians, for support of
the local task force. $12,048 $12.0-48
ACHIEVE Grant - Canters for Uiseasa
Control/YMC.4 - Workplace Wallnass
Services $40.000 $40.000
9/5/2007 No Activi for Se tam bar 2007
8/1/2007 No Activi for Au ust 2007
711112007 WI Mimi-grant - Raquast to ratify application -
for mini-grant funds for minor ran-bons to-
- the WIC registration workstations to improve
$18 000
customer sarvica. $18.000
6/612007 Landfall Foundatlon -Raquast for fun s to
purchase 16 wheelchairs for the NHCH~
School Health Nursin Pro ram_ $2.70 0 $2,700
5/2/2007 Living Wall: a Icl notification rom P.
Fear Memorial Foundation of continuation
funding for the publication of the Living Wall
news a ar insert. - $o $12.000
4/412007 Ministering Circle (Colposcopy funding) -
Raquast for $12.000 start-up funds from
Ministering Circle for purchase of Colposcopy
equipment. Also plan to raquast additional
funds from other grant sources such as Cape
Fear Memorial Foundation for expansion of
program to include a second Colposcopy unit
and additional training, supplias and contract
a-i-aa
$12 000 S-12.000
Capa F- Mamorlal Foundation -
Colposcopy Program - Womans R-antati-
Health. $25,000 for start up cost for physician
and interpreter contracted services,
aquipmant, supplias, and training. $25 000 $25,000
317/2007 Clos ng Tha ap - t f-, 225,000
($75,000 par year for 3 years) from North
Carolina Offlca of Minority Health .Cl aHealth
Oisparitias for a Health Educator to focus on
pravantion of HIV and other sexually
transmittatl disease in the Latino and Afro-
Amerioan o ulations. $225.000 $225,000
2/7/2007 CA -MR A_ Funding fro- hapa ill
School of Medicine to assist with research
slated to the prevalence of community
assoclatad matnicillin rasistant staphylococus
auraus $12 600 :::I $12 600
As or 11izo/zoo? g
NHCHO BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS F 07-08 and F -r 00-07
Oats BOH Grant Rs usst-l Pendin Received R-1-1
11312007 mart tart - ew Hanover ounty
Partnsrahip for Chlidrsn - Child Care
Nursin Pr ram 5178,500 $170.000 $8,500
12/6/2006 - UuKa EndowmanL Funds, NHRM - ental
Unit -Personal Health ices. 525,000 for
indigeJnl dental care and $15,000 for sedation
a ui manY 540 000 520 000 $20,000
1111/2006 No Activi Tor Novam bar 2006
10/4/2006
March oT Ulmaa - Maternity Care
Coordination expenditures for Baby Lova
P ram Bab Boutique and Learning Cantor F$26.0,000 000 $3,000
9/6/2006 No AcLlv1 for Sa tambar 2006
8/2/2006 No Actlvl Tor Au ust 2006
71512006 arv cs oor na on am y
Counseling Program (Cape Fear Memorial
Foundation) - Funding for Licensed Clinical
Social Worker for 3 ears $75,000 1$186.000
aL mart ova ore - ommun ty rant
(NC Uept of Publlc Health Physical Activity -
54 0T9
and Nutrlf/on Branch 516 495 $12,416
Totals 5863,993 558 000 5372 714 S44tS 279
6.71 % 43.14% 51 .54%
Pendin Grants 1 8%
Funded Total Re uesY B 45
PaKiall Funded 4 31%
Denied Total Re uest 2 15%
Numbers of GranYS A lied For 13 100%
1 O
As o(1 x/20/2007
NEW HANOVER COUNTY BOARD OF COMMISSIONERS _
R¢qu¢st for Board Actioa
Agenda- Consent Meeting Date: BOH:
Agenda: ® December 5, 2007
CC Consent Agenda:
December 17, 2007
Department: Health Department Presenter: Kim Roane, Support Services
Mana er
Contact: Kim Roane, Support Services Manager 798-6522
Subject: Budget Amendment - Family Planning Program Expenses - Personal Health
Services - $26,873
Brief Summary: The New Hanover County Health Department has received notification
from the North Carolina Department o£ Health and Human Services, Division of Public
Health, that an additional $26,873 has been awarded to be used for any Family Planning
(Title XQ approved expense. These futads have been awarded as one-time bonus funds,
based on performance as demonstrated by increased caseload o£ family planning patients.
Recommended Motion and Requested Actions: To accept and approve the $26,873
additional State funds to be used to support the New Hanover County Health Department
Family Planning program expenditures, and to approve the associated budget amendment
for FY08-
Funing Source: N.C. State Department of Health and Human Services, Division o£
Pubdlic Health, Women's and Children's Health Section (Federal Title X funds. No
matching Count fUxids are re wired.
Will above action result in:
QNew Position Number of Position(s)
~Position(s~ Modification or change
No Chan a in Position s
Explanation: Funds are to be used for Family Planning program Title X approved
ex enses-
Attachments: Division of Public Health Fund Distribution
1 1
Family Planning Bonus Funds 2007- 2008, November 9, 2007
*41w, County/Provider Total Funds Coun /Provider Total Funds
Alamanca $12,323 Johnston $833
Alexander $833 Jones $ $833
Alle han $Lee
Anson $011303i Lenoir $833
Ashe $833 Lincoln $2,123
Ave $833 Macon $1,523
Beaufort $833 Madison $2,003
Bartia $1.433 Martin $833
Sladen $1,643 Mc~owell $833
Brunswick $5,993 Mecklenbur $34,523
Buncombe $12,653 Mitchell $833
Burke $3,203 Mont ome $833
Cabarrus $5,603 Moore $8,843
Caldwell $2,573 Nash $833
Camden $833 Name Hanover $26,873
Carteret $8,543 Northam ton $833
Caswell $1763 Onslow $833
Catawba $40,583 Oran a $3,473
Chatham $833 Pamlico $1,103
Cherokee $833 Pas uotank $833
Chowan $833 Pander $833
Cla $2,783 Per ulmans $1,343
Cleveland $833 Person $ $g33
Columbus $833 Pitt
Craven $2,723 Polk $833
Cumberland $46,555 Randol h $833
Currituck $2,453 Richmond $833
bare $2.783 Robeson $833
Davidson $833 Rockin ham $833
E3avie $833 Rowan $4,493
I7u lin $2,363 Rutherford $833
Durham $833 Sam son $3,383
Ed acomba $833 Scotland $833
Fors th $7,943 Stanl
Franklin $833 Stokes $833
Gaston $3,383 Sur
Gates $833 Swain $833
Graham $2,213 Trans Ivania $4,733
Granville $833 T rrell $833
Greene $833 Union $16,673
Guilford $833 Vance $1,103
Halifax $1.163 Wake $42,20:3
Harnett $1.103 Warren $833
Ha ood $5,543 NVashin ton $983
Henderson $1,673 Watau a $833
Hartford $833 Wa na $2,813
Hoke $7,283 Wilkes $833
H de $833 Wilson $833
' Iredell $8,303 'Yadkin $2,783
Jackson $5,513 Yanca $1,403
TOTAL $4'18,752
1 2
r
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: 12/05/07
CC: 12/17/07
Department: Health Presenter: Janet McCumbee, Personal
Health Services Manager
Contact:Janet McCumbee 798-6559
Subject: Grant Application - Continued Funding of Family Counseling Services -
Personal Health Services - $53,000
Brief Summary: Cape Fear Memorial Foundation (CFMF) previously awarded funding
for one (1) year (of a possible 3 years) for Family Counseling Services within our Child
Service Coordination Program. We have written a letter of intent to re-apply for
continued support from CFMF for a second year (grant due January 2008). A Licensed
Clinical Social Worker (LCSW) was hired in April 2007, to administer the program and
provide in-home family counseling services to families and children in the CSC program
with behavioral and mental health issues. The advantages of in-home counseling are:
eliminates the need for transportation to an office, works around families schedules for
work and school, and therapist can see the behaviors in the families' environment. The
therapist is generating revenue from billing third party sources for counseling, but still
needs grant funds to fully support the program for next year.
Recommended Motion and Requested Actions: To approve the application to CFMF for
grant funds of $53,000 to support continuation of Family Counseling Services from April
2008 to March 2009, and to submit to the New Hanover County Commissioners for their
consideration.
Funding Source: Cape Fear Memorial Foundation, and Medicaid earnings generated by
existing position. This program will continue only as long as funding and earned
revenues support the continuation of the program. No matching County funds are
required.
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: One LCSW already hired 4/07
Attachments: 1) Letter of Intent to Apply; 2)Family Counseling Services' report (for first 6
r months of program) 3) Budget
13
New Hanover County
Health Department
- 2029 Soutla 17`n Street _
s. Wilmington, NC 28401-4946
Phone 910/798-6500 FAX 910/341-4146
Mr. Garris, president
Cape Fear Memorial Foundation
2508 Independence 131vd_ Suite 200
Wilmington, N. C_ 28412
Dear Mr_ Garris:
Thank you for continuing to support New Hanover County Health Department programs. With
your support we enjoyed success with the Navigator Program and look forward to having great success
with our new Family Counseling Services - Licensed Clinical Social Worker Program (Grant # 875)_
Susan Henley, LCSW joined our team 4-17-07 and has provided counseling to families enrolled in the
Child Service Coordination Program.
Susan is a Licensed Clinical Social Worker with fourteen years of clinical and management
experience in community mental health in the Cape Fear area. She has experience providing a variety of
mental health services to our most vulnerable and diFficult-to-serve population. She also has the
knowledge necessary to avoid the common Medicaid/insurance pitfalls that interfere with billing and
revenue collections. We are confident that she has the skill set needed to build a clinically and fiscally
sound program.
We are so excited to be able to offer Family counseling services to our continuum of care- As we
know, it is vitally important to reach at-risk children as early as possible to help them build the social and
emotional skills necessary to enter school ready to learn. This grant affords us the opportunity to treat
and prevent mental health/behavioral concerns through proven clinical interventions. Further, barriers to
therapy, such as transportation, childcare and noncompliance have been minimized, as services are
offered in the home-
Prorated revenue billing goal for the first six months startup was projected at $17,188. Actual revenue
billed was $20,200, exceeding the goal by $3,034_ The program is projected to be a viable program,
although at this point it is not yet self supportive. Therefore we are requesting to submit a continuation
grant application for $53,000 to cover the cost ofthe program minus Medicaid earnings for the period of
April 2008 to March 2009_
Attached is a summary of family counseling services provided to our families
Thank you for your consideration for the continued funding of this service to provide family counseling
and behavior management for children in their preschool years.
Sincerely,
Janet McCurrmbee, RN 13SN
Personal Health Services Manager
David E. Rice
Health Director
jmc
"Healthy People, 13ea1thy Environment, 11¢althy Community"
1 4
Family Counseling Services' Statistics
4- 1 7-2007 through 1 1 -9-2007
55 Referrals For Children
3 Referrals for Parent ( arentin skills onl
Children current] receivin direct counselin 45
Siblin s of children recaivm counselin indirect] impacted b Tamil counseling services 60
Total number of children with otential impact direct] or indirect] 105
Who W¢ Serve
• 27% (12) Family has or has had Department of Social Service involvement in family
(Protective Service 8,1- At Risk Service)
• 49-,-.(223 Parents were raised in homes with Department of Social Service
involvement as children (Protective Service 8c/or At Risk Service)
• 16-,-.(7)o Children adopted or being raised by someone other than biological parents
• 1 g% (8) Parents were raised outside the home by someone other than biological
parents
• 62-,-.(28) Parents who have or have had Mental Health, Developmental Disability
and/or Substance Abuse Service needs
• 8% (4) Hispanic Family (interpreter required)
Primary Issues
45 children
• 60% (28) Behavior management
• 18-Z. (8) Parenting Skills
• 6% (3) Trauma/Adjustment
• 16% (6) Assessment only
Closures
10 children
60-,-.(6)o Treatment goals were met
• 49-,-.(4)0 Parent chose to close or unavailable after multiple contact
attempts
Barriers to Traditional In OT15ce Cou ns¢linQ Identified
• 53% (25) Lack of transportation
• 53-,-.(25) Lack of child care For siblings
• 43---.(203 Non-compliance with traditional In Office Counseling
• 36% (17) School or work prohibitive for traditional In Office Cunse l ing
Family Satisfaction Surveys were completed in the month of November 2007, with 31% (14) of families
served responding to the survey.
• 100% reported that they agreed or strongly agreed that they were -riNYcl with the services they
received
• 100% reported that they agreed or strongly agreed that services were available at times that were
convenient to th ens
• 93% (13) reported that they agreed or strongly agreed that they are better equipped to handle
!heir child's challenging behaviors.
• 100 o reported that they agreed or strongly agreed that consistent use of behavior management
fem.. techniques /xas positive effects on their child's development behavior.
• 100% reported that they agreed or strongly agreed that they have noticed a positive change in
their child's development/behavior.
"Healthy P¢opl¢, Healthy Environment, Healthy Comxnuuity"
1 5
Family Counseling Services
Intervention Information Samples
Juan, age three and his Mother Maria were very isolated in part to the language barrier and lack
of transportation but also due to Juan's out of control behavior. Their day consisted of watching
cartoons and soap operas in their 500 sq_ foot apartment while Juan's Father worked long hours
outside the home- Juan's behavior included intense rage£ul tantrums, hitting, kicking and biting
his Mother, running from her in public and harming other children thus Maria refused to leave
the home without her husband, Juan's Father. Through family counseling services with the aid
of an Interpreter Maria increased her parenting skills, learned behavior modification techniques
and sigrniflcantly increased her conEidernce as a parent With education and coaching Maria also
learned to use the city bus. Today, Juan responds to his Mother's limit setting and is able to play
with other children without harming them- He has successfully transitioned to an in home
daycare with has allowed his Mother to be gainfully employed.
Jan, sixteen year old mother of a six month old son is having a difficult time meeting the
demands of motherhood and school- Jan has a long history o£ mental health needs related to
mood and conduct- She received therapy and medication management through Southeastern
Center for many years however she faced a lapse in service when services were divested to
private providers- Today, Jan is seen regularly in her home to address developmental and _
parenting issues- She remains in school and her relationships with family members have
stabilized. She was also referred to a local Psychiatrist and has resumed taking her medications.
Wendy is a married Mother of three daughters - a four year old and two year old twins. She was
very overwhelmed by her daughters' behavior including frequent severe tantrums, aggression
toward her and each other and disruptive public behavior- "1`his stress coupled with Werndy's
ongoing struggle with depression was also taking its toll on her marriage. With the support of
counseling provided weekly in the home Werndy's conf£dernce in her parenting skills grew as she
learned to set limits, implement consequences and establish an effective behavior management
system that works for her family- She was also referred for outpatient therapy to address her
individual mental health needs.
-names have been changed.
November 2007
"Healthy Peopl¢, Healthy Environment, Healthy Community" 16
Family Counseling Services
6 I April 2008 - March 2009
LCSW Salary 8. Fringe $71,000.00
Admin Spt S lary 8 Fringe $ 12,000.00 _
Total Salary and Fringe $ 83,000.00
Cellular $ 450.00 $37.50 per month
Supplies $ 850.00
Mileage Reimbursement $ 3,500.00 $135 per pay period, -28 miles per day
Tr ining $ 1.200.00
Total Expenses $ 89,000.00
CFMF Grant $ 53,000.00
Medicaid Revenue $ 38,000.00 $3000 per month ($2850 is the average over the past three months)
Total Revenue $ 89,000.00
I L'7
Y
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH: 12/5/07
CC: 12/17/07
Department: Health Presenter: Janet McCumbee, Personal
Health Services Manager
Contact: Janet McCumbee 798-6559
Subject: Grant Application - HIV/STD Prevention Outreach - Health Programs
Administration - $175,000
Brief Summary: The North Carolina HIV/STD Prevention and Care Branch has granted
the New Hanover County Health Department funds to conduct HIV/STD prevention
initiatives in the area of non-traditional counseling, testing, and referral sites. This grant
was originally submitted to the Office of Minority Health under the name of "Closing the
Gap" and was approved by the Board of Health and County Commissioners earlier this
year. The grant funds will be used to hire a Health Educator to focus on HIV/STD
prevention, education, and testing, to include outreach to new sites in our community
focusing on minorities and at risk populations. HIV and STDs are still very prevalent
despite traditional efforts to provide free testing at the health department. The funds are
guaranteed through May, 2010 at this time, with possible extension.
Recommended Motion and Requested Actions: To approve acceptance of HIV/STD
Prevention Grant funds from the NC HIV/STD Branch (previously approved as "Closing
the Gap") and to approve any related budget amendements for the following: 2/1/08-
5/31/08 ($25,000); 6/1/08-5/31/09 ($75,000); 6/1/09-5/31/10 ($75,000).
Funding, Source: NC HIV/STD Prevention and Care Branch
Will above action result in:
NNew Position Number of Position(s)
[]Position(s) Modification or change
[]No Change in Position(s)
Explanation: 1 Health Educator to be hired to provide services of grant; the position will
last only as long as there are ant funds to su ort it; no coup match is required.
Attachments: Letter from state awarding funds; Budget Summary
18
11/29/2007 15:31 FAX 9797640202 NORTHSIOE_REALTV 10002/002
ORO
North L'arOllna Dapartmeat f Health and Human SeN-11Ce6
Division or Pvbuc Health - Epidemiology Ssctloa
HIV/STD Yreventi0a and Cara Branch
1902 Mail Sarvice Canter • R.alaigh, Nvrth Carolina 27699-1902
Tel 919-733-3421 - Fax 919-733-0195
Ivlaclaa.l IF. Easley Gwemor 1!Y!z Devlin, DDS, N18H
Deaapary B~a>bn, Sanwy S>~ Iisalrh Dirmcoor
Novcsnbcr 26, 2007
David E_ Rio., Realtl-, Director
New Ixmr&O er County Health Dapar4 t
2029 SO"M 17"' Street
Wilrniagtoa, NC 2 840 1-4946
Congratulations! It is with great Pleasure that tha HTV/STD Pravaritioa sad Cara :Es-h asmoutaoas tha approval
o£ needs £or your agency tO conduct HIV/STD pr.vaativu imitiativas. Th^e eosnpctitive application process has
baen completed and your act will rocaiva am aaauml great award -Y_ the amount OF 875,000. Tha laftlal
serviaa aad }aadiag period is Fabrnary 1, 2008 to May 31, 2008_ 'The funds will ba distributed based on the
Following schedule=
Program Area:
Initial Contrast period: SZS_oo0_00 (February 1. 2208 - May 31, 200
Second Contract Period: 875_000_00 (Jana 1, 200)i<FMay 31, 2009)
Thad Contract Period: 575_000.00 (June Y, 10)x- May 31, 2010)
The allooatloa o£ Rands is contiaQent upon the £ollowimg:
Blcotronio submission of rlac revised budget and program descrYi^ption including goals :sad obj actives to rmatoh
tlae £uading allocation and/or as reglaested by the Branch ( "a nO Jatsr thou Decambar 17..2007,);
_ Compliance with any other items not submitted with your application; and
• Final axeeutiom of the oosrtraet.
Again, thank yoga fur your interest in saw-ins the citizens of North Carolina and oongratulatieras cm your &wun*
award-
3iacezely,
8velyn Foust. MPH, 4=PM
North Carolina HIV/ST17 Pre.rention 8c Cara Branch Haad
cc: Marti Eisanberg Nico1ay6an
Qayle Johnston
John Paabl.s
W 1wy~w,r,.hry~.~++,VYeNN,Nh O„nYw~
LoeaYtOn_ 2?S N_ MoDVwstl S`ersst ~ Raleigh, N. G 77603
1 9
New Hanover County Health E)epartment
~r..~ "Closing The Gap"
HIV/STE) Prevention Initiative
Year ,l Year 2 Yaar 3 Total 3 Years
Contract PeriOC 211/08 - 5/31/08 6/1/08 - 5/31/09 6/1/09 - 5/31/10 2/1/08 - 5/31/10
Full Time Health Educator
Sala $ 12,800 $ 38,850 $ 40,800 $ 92,450
Frin e $ 5,400 T. 16,950 $ 18,000 $ 40,350
Total Sala ^ Frin e $ 18,200 $ 55,800 $ 58,800 $ 132,800
O gratin
Inter rater Services $ 4,250 $ 16,900 $ 14,300 $ 35,450
Milea a Reimbursement $ 200 $ 550 $ 550 $ 1,300
supplies and Incentives $ 950 $ 1,750 $ 1,350 $ 4,050
Computer $ 1,400 $ $ $ 1,400
Total O aratin $ 6,800 $ 19,200 $ 16,200 $ 42,200
Total Ex apses $ 25 000 S 7S,000 S 7S,000 S '175 000
:20
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14ANOVER
'v
NE
COUNTY
MENT
REALT14 ASSESS
Mrb
ilk Y
1lER CQUNT~
NEW HANG
2007
Compiled by:
New Hanover County Health Department
Health Promotion Street
2029 South 17th
Wilmington, NC 28401
910.798.6500
www.nhchd.org
New Hanover County Community ASSement
Acknowledgements
We would like to thank Coastal Carolina Health Alliance, New Hanover _
Regional Medical Center, Cape Fear Healthy Carolinians and the following
community agencies and others for their participation in the 2007 Community ~i
Health Assessment.
Town of Carolina Beach Smart Start
Wilmington Housing Authority
Wilmington Family YMCA
Medac physician offices through the local Physician Practice Managers Group
New Hanover County Senior Center Voces Latinas
EVOLVE's Health 8 Mental Health Community Action Team local
NAACP
Northside Resource Center
New Hanover Community Center
Health Fair participants cf the Community Health Assessment included Kohl's Back to School Safety
Event, Ncrthsida Baptist Church, Jervay Community Center, and the Healthy Carolinians' Fall Fit Fast
"Never doubt that a small group of thoughtful citizens can change the world;
indeed, it's the only thing that ever has_"--- Margaret Mead
New Hanover County Board Of Health
Edward Weaver, Jr, OD, Chair Optometrist
Sandra L_ Miles, DDS,Vice-Chair, Dentist
Virginia W_ Adams, Ph D,Nurse
Donald P_ 131ake, Public Member
Marvin E_ Freeman, Sr, Public Member
James R_ Hiclc erx, RPh, Pharmacist
Nancy H_ Pritchett County Commissioner
Janelle A. Rhyne, MD, Medical Consultant
Robert M_ Shakar, Jr, MD, Physician
C_ Benjamin Spradley, Public Member
John S. Tunstall, PE Engineer
G_ Robert Weed-n, DVM, MPH Veterinarian
V
New Hanover County Community Assessment 2
Table of Contents
1. Introduction
II. New Hanover County Profile
M. Health Data
IV. Community Health Survey
V. Focus Group Results
VI. Conclusion
New Hanover County Community Assessment 3
Intl oAuction
The community assessment is an analysis of the health status of the community in context with the
community's economic, social and environmental climate- This report will be an important resource for
the community to improve the health and well being of the people in New Hanover County- The purpose
of the community assessment is to identify factors that affect the health of a population and determine the
availability oFresourcas within the community to adequately address these factors- Through collaborative
efforts forged among community leaders, public health agencies, businesses and hospitals, the community
can begin to answer key questions such as (a) "What are our problems?" (b) What factors contribute to
these problems?", and (c) "What resources are available in the community to address these problems?"_
In a community based assessment, as is promoted in the North Carolina Community Health Assessment,
community members take the lead role in forming partnerships, gathering health related data, determining
priority health issues, identifying resources, and planning community health programs_ In this
framework, the assessment process starts with the people who live in the community- The community
has the primary responsibility For determining the Focus ofthe assessment activities at every level,
including collection and interpretation of data, evaluation of health resources, identification of health
problems, and development of strategies for addressing these problems. In this view, the community
assessment is done by the community rather than simply an assessment conducted on a community_
Assessment Process
As part ofthe community health assessment, a health opinion survey was distributed to various segments
efthe population_ The survey was printed in English and Spanish and distributed to a range oFpaople in
the community, targeting different income levels, the Latino community, the elderly, and the general
population. In addition to the surveys, Focus groups were held to identify the community's perception of
the health needs and concerns in New Hanover County_
Data Collection Methodology
Primary and Secondary data were collected and analyzed as part of the Community Assessment process-
Five focus groups were held in New Hanover County to gain a better understanding oFthe needs in the
community- The group emphasis was to provide an accurate representation of the population through the
diverse audience- The groups consisted ofthe following= approximately 33% males, 6751. females,
48%Caucaisan, 49% African American, 2% Native American, and 2% Hispanic-
The issues of concern for residents in New Hanover County ranged from obesity, jobs to the public to
concerns with transportation.
Secondary (pre-existing data) was collected and compiled using an array of data sources- The major
sources of data used in the Community Assessment are-
• Coastal Carolina Health Alliance
• State Center for Health Statistics
• US Census Bureau
• New Hanover County School System
• New Hanover County Sheriffs Department
• Center for Disease Control Behavioral Risk Factor Surveillance Survey
• Healthy People 2010
~.rl
New Hanover County Cornmurtity Assessment 4
^'-E`."'..-. ^~°"E~ New Hanover County Profile
yYa__P~
Located in southeastern North Carolina and Established in 1729, New Hanover
was formed from Craven County, one of three original counties in North
?°:'In. Carolina- New Hanover County is the second smallest and one of the most
densely populated counties in the State. The County's land area totals
approximately 220 square miles; of this total, over 21 square miles consist of water and wetlands- The
current population of New Hanover County is approximately 179,553; a 12 percent increase over the
2000 U_ S_ Census of 160,327- New Hanover County was named in honor of English King George 1 who
also ruled the Kingdom of Hanover, Germany- The English royal family was therefore, called the House
o£ Hanover- The New Hanover county seat is the 250- year old port city of Wilmington located along the
Cape Fear River- New Hanover, a coastal county in southeastern North Carolina, is home to four
incorporated municipalities: Wilmington, Carolina Beach, Kure Beach, and Wrightsville Beach. The
County's beaches provide miles of unspoiled natural beauty and are the area's most popular tourist
attractions The surrounding terrain is low lying, with an average elevation o£ less than 40 feet- The
highest elevation is approximately 75 feet above sea level-
The city's riverbanks boast a major container seaport, a charming historical district, Battleship North
Carolina, Gothic churches and riverfront shops- To the south lie majestic plantations, the North Carolina
Aquarium, Fort Fisher and miles of unspoiled beaches- Although Wilmington is the largest city in
southeastern North Carolina, it retains a small town atmosphere- Visitors are treated hospitably and
immediately sense the strong community pride- Wilmington is the cultural, medical, educational and
economic center for the southeastern region of the state- The city is rich in historical significance,
including an architectural heritage reflected in the recently revitalized 200-block National Register
Historic District. Wilmington played a vital role during the Civil Was as a center for Confederate
blockade running; it was the final spot in the South to fall to the Union_ In the 20' century, the city's
economy shifted from river commerce to the railroad- Wilmington proper is the epitome of what the
emerging New south is all about_ Its inviting business climate has attracted giants like G_E_, DuPont,
Corning, PPI7 and Verizon, in addition to smaller, high-tech firms and corporations- Wilmington is
known for historic preservation, its close proximity to area beaches, annual events such as the North
Carolina Azalea Festival and Riverfest and a home to a major film studio_ All of this adds to the pleasant
lifestyle that growing numbers are enjoying in New Hanover County_
Source- Information and demographics from Greater Wilmington Chamber of-Commerce
New Hanover County Community Assessment 5
~ New Hanover County Government
County government
County government, in partnership with its citizens, is dedicated to promoting
growth in an orderly fashion, while preserving the outstanding quality of life that
has made the County a desirable place in which to live and work- New Hanover
County is governed by five commissioners who are elected by a countywide vote and serve four-year
staggered terms. A County Manager is appointed to serve as Chief Executive Officer- Partisan elections
For the Board of County Commissioners are held in November in even-numbered years. The Board takes
office the first Monday in December following the November elections. At that time, the Board elects a
Chairman and Vice Chairman from among its members. "fhe major duties oftbe Board include= assessing
the needs of the County and establishing programs and services to meet these needs, adopting an annual
balanced budget, establishing the annual property tax rate, appointing members of County boards and
commissions (and some employees), regulating land use and zoning outside the jurisdiction of
municipalities, enacting local ordinances, and adopting policies concerning the operations of the County.
The Board also has the authority to call bond referendums, enter into contracts, and establish new
programs. The County Manager is responsible to the Board of County Commissioners for management of
all County employees except the Sheriff and Register o£ Deeds, who are elected officials; the Board
appoints the County Attorney and the Clerk to the Board as well- The major duties of the County
Manager include supervising and coordinating the activities ofthe County departments, executing all
orders and policies set forth by the Board, attending all Board meetings, making recommendations on
appropriate matters of business, recommending an annual budget, advising the Board of the financial
condition ofthe County, representing the County in business with other agencies, and performing other
duties assigned by the Board- New Hanover County serves its citizens through approximately 30
departments with 1,573 employees.
Transportation Infrastructure
New Hanover County is unique in its ability to provide a complex transportation infrastructure to
facilitate industrial growth- With a regional airport, a North Carolina State Port, well development
highway system and rail system, Wilmington is an industrial transportation hub o£ southeastern North
C arolina_
North Carolina State Port sn WPlmington
Wilmington is home to one ofthe two state ports in North Carolina. Located on the east bank ofthe Cape
Fear River, the port in Wilmington offers facilities to handle containerized, bulk and brenkbulk cargos.
The entire Wilmington Terminal is designated as a Foreign Trade Z:-_ The Port's new 42-foot channel
allows current container vessel customers an additional 15 percent vessel capacity. The port has direct
interstate access to Interstates 95 and 40 and daily train service from (2-SX
and Norfolk Southern railways. Three million tons of cargo passed through
the ports in FY 04-05_ Brcakbulk (loose cargo, such as cartons, stowed
directly in the ship's hold as opposed to containerized or bulk cargo)
tonnage increased 21 percent. Nearly 73,000 container moves at
Wilmington marked a 37 percent increase- The 42-foot navigation channel,
opened in 2004, and the increase in international trade fueled the growth in
container activity at the Port_ The Wilmington State Port is currently in a
$130 million expansion project that includes four new container cranes and
supporting berth improvcments_
New Hanover County Community Assessment 6
Freight XYilw{{ys
Two of the nation's premiere rail companies serve this area- They are CSX and Norfolk Southern
Railways. New Hanover County has north to south and east to west rail lines- The availability of high-
` quality rail services is a major economic feature.
Wilmington Internationtzl Airport
New Hanover County Airport Authority, governing board to Wilmington International Airport, continues
improvements in services and facilities. Terminal expansion and renovation projects were recently
completed last year- Future plans include International Terminal renovation, more non-stop flights to the
top 10 destinations, runway resurfacing, and new instrument land system. New Hanover County's airport
accommodates private and commercial flight with runway length o£ 8,000 feet. Commercial jet service is
provided directly to and from Wilmington International Airport_
New Hanover County Roads
In New Hanover County, 94 percent of the population lives within 10 miles o£ a 4-lane highway- The
inter-regional network of roads and highways in the region has ready access to North-South Interstate 95,
East-West Interstate 40 and the developing East-West Interstate 73/74_ The region's strategic location
relative to domestic and international markets provides an important competitive advantage to industrial
sector of the economy_
Industry
Biotech
In recent years, New Hanover County has put itself on the Biotech map, becoming home to both large and
small firms in the industry. Among them is PPD, Inc-, a leading provider of discovery and development
services, and products for pharmaceutical and biotechnology Firms operating worldwide_ LEK
Pharmaceuticals, Inc., (now part of Novartis)o, produces and markets a portfolio of products that include
over-the-counter medicines, cosmetics, animal care products, and medical devices- Another is aaiJ-A-"'
Inc., a science-based, specialty pharmaceutical company with more than 23 years o£ drug development
cxperience_
General Electrrc
General Electric has a facility in New Hanover County for Nuclear Energy and Aircraft
Engine production and is one of the largest employers in the County_
Film Industry
In late FY 02-03, the Network television series "One Tree Hill" made a decision to film
in New Hanover County after a joint effort by the State, City of Wilmington and New
Hanover County to attract the series to the area- This has lead to a return of a. larger
segment ofthe film industry to the County where Dawson's Creek was filmed for six
seasons_
4y Source: httpr//ti~ww.nhegov.com/AgnAndDpt/BLDG/Documents/XPriorAdopt¢d/EconomicConsiderations-pd_f'
New Hanover County Community Assessment 7
New Hanover County Profile
Source L I-5. Census Bureau: State and County QuicltF'acts_
New Hanover County Community Assessment 8
The 2006 US Census Bureau's American Community Survey (ACS) provides an overview of the makeup
of New Hanover County_
POPULATION New Hanover County= In 2006, New Hanover County had a total population of 183,000
- 94,000 (52 percent) females and 88,000 (48 percent) males- The median age was 38 years. Twenty-one
percent ofthe population was under 18 years and 13 percent was 65 years and older. For people reporting
one race alone, 80 percent was White; 16 percent was Black or African American; 1 percent was
American Indian and Alaska Native; 1 percent was Asian; less than 0.5 percent was Native Hawaiian and
Other Pacific Islander, and 2 percent was Some other race. One percent reported Two or more races.
Three percent ofthc people in New Hanover County were Hispanic- Seventy-eight percent -17th. people
in New Hanover County was White non-Hispanic- People o£Hispanic origin may be of any race-
LANGUAGE: 94.6% of residents of New Hanover County speak English at home, 2.8% speak Spanish,
1 _8% speaks other Ind--European, .6% speaks Asian or Pacific Island and _2% speaks another language at
home_
HOUSEHOLDS AND FAMILIES: In 2006 there were 82,000 households in New Hanover County_ The
average household size was 2.2 people- Families made up 55 percent ofthe households in New Hanover
County- This figure includes both married-couple families (41 percent) and other families (14 percent).
Nonfamily households made up 45 percent of all households in New Hanover County_ Most of the
nonfamily households were people living alone, but some were composed of people living in households
in which no one was related to the householder_
Affordable, quality housing occurs when legal building code standards are met and housing costs do not
create a burden- The percent of households paying more than 30% of their income on housing costs is
measured to assess housing cost burden. According to the United Way 2005 Community Assessment,
this county 60. 1 % exceeds the state (47.8%) and national average -F<51%) by of households spending
30% or more of income on housing costs.
Because the cost of living is one of the highest in the state, many people are now living on the street.
Another study by Southeastern Community Mental Health found 600 people without permanent shelter in
New Hanover County. It now costs some $80 to house a homeless person for a single night, according to
the Sheriff's Office- Situational homeless include a very high percentage o17domestic violence victims,
including families with children, who with the proper help could reintegrate back into the community_
About 40% fall into this category- About another 40% fall into chronic homeless, this is defined as living
on the streets for more than 3 months- Many of them have periodic or ongoing mental health/drug abuse
issues and utilize the dentition facilities for lodging- The street people comprise the other 20% of the
homeless. Most ofthese can live independently, have lived on the streets for many years and know have
to get food, money, and shelter when they need it.
Providing basic life necessities, such as food, clothing and safe shelter to people in need is a basic tenant
of the community's commitment to caring- The total eligible food stamp participation based on 130%
federal poverty level in New Hanover County was 27,758_ This issue includes the services provided to
members of the community facing serious economic and social barriers
GEOGRAPHIC MOBILITY: In 2006, 76 percent of the people at least one year old living in New
Hanover County were living in the same residence one year earlier; 12 percent had moved during the past
year from another residence in the same county, 5 percent from another county in the same state, 7
percent from another state, and less than 0.5 percent from abroad-
EDUCATION: In 2006, 88 percent of people 25 years and over had at least graduated from high school
and 35 percent had a bachelor's degree or higher. Twelve percent were dropouts; they were not enrolled in
school and had not graduated from high school_ The total school enrollment in New Hanover County was
47,000 in 2006_ Nursery school and kindergarten enrollment was 5,000 and elementary or high school
enrollment was 25,000 children- College or graduate school enrollment was 16,000.
New Hanover County Community Assessment 9
DISABILITY: In New Hanover County, among people at least five years old in 2006, 17 percent
reported a disability- The likelihood of having a disability varied by age - from 4 percent of people 5 to 15
years old, to 14 percent of people 16 to 64 years old, and to 41 percent of those 65 and older.
INDUSTRIFS: In 2006, for the employed population 16 years and older, the leading industries in New
Hanover County were Educational services, and health care, and social assistance, 24 percent, and Arts,
entertainment, and recreation, and accommodation, and food services, 13 percent.
OCCUPATIONS AND TYPE OF EMPLOYER- Among the most common occupations were:
Management, professional, and related occupations, 36 percent; Sales and office occupations, 26 percent;
Service occupations, 19 percent; Construction, extraction, maintenance and repair occupations, 9 percent;
and Production, transportation, and material moving occupations, 9 percent- Seventy-eight percent of the
people employed were Private wage and salary workers; 14 percent was Federal, state, or local
government workers; and 8 percent was Self-employed in own not incorporated business workers-
TRAVEL TO WORK: Eighty-one percent of New Hanover County workers drove to work alone in
2006, 1 1 percent carpooled, 1 percent took public transportation, and 4 percent used other means. The
remaining 4 percent worked at home. Among those who commuted to work, it took them on average 20-4
minutes to get to work-
INCOME: The median income of households in New Hanover County was $43,031 - Seventy-nine
percent cf the households received earnings and 19 percent received retirement income other than Social
Security- Twenty-six percent of the households received Social Security- The average income from Social
Security was $14,509- These income sources are not mutually exclusive; that is, some households -
received income from more than one source-
POVERTY AND PARTICIPATION IN GOVERNMENT PROGRAMS• In 2006, 14 percent of
people were in poverty- Eighteen percent of related children under 18 were below the poverty level,
compared with 1 O percent of people 65 years old and over. Eight percent of all families and 30 percent of
families with a female householder and no husband present had incomes below the poverty level-
HOUSING CHARACTERISTICS: In 2006, New Hanover County had a total of 96,000 housing units,
IS percent of which were vacant- Of the total housing units, 69 percent was in single-unit structures, 27
percent was in multi-unit structures, and 5 percent was mobile homes- Forty-four percent of the housing
units were built since 1990-
OCCUPIED HOUSING UNIT CHARACTERISTICS: In 2006, New Hanover County had 82,000
occupied housing units - 51,000 (62 percent) owner occupied and 31,000 (38 percent) renter occupied.
Fifteen percent of the households did not have telephone service and 8 percent of the households did not
have access to a car, truck, or van for private use. Multi Vehicle households were not rare- Thirty-nine
percent had two vehicles and another 1 8 percent had three or rrrore-
HOUSING COSTS: The median monthly housing costs for mortgaged owners was $1,280, nontrrortgnge
owners $376, and renters $769- Thirty-seven percent of owners with mortgages, 16 percent of owners
without mortgages, and 54 percent o£renters in New Hanover County spent 30 percent or more o£
household income on housing-
Source: US Census Bureau American Community Survey, 2006
New Hanover County Corntm ity Assessment 10
. ~ ' L Violence 8z Crime in New Hanover County
According to the North Carolina Department of Justice, the crime index rate
includes the total number of violent crimes (murder, rape, robbery and aggravated
assault and 1 r-pcrty crimes (burglary, larceny and motor vehicle then-) Violent
-crimes are defined in the Uniform Crime Reporting (L1CR) Program as those
offenses which involve force or threat of force.
Crime index rate Violent Crime Rate Pro ¢ Crime Rate
North Carolina
2005 4,622-9 478.6 4,144-3
2006 4,649-8 483-0 4,166.8
New Hanover County
_9
2005 45,445-1 633-2 5,811-9
2006 6,157.7 636-8 5,520.9
Family Viol¢nc¢
In 2005, United Way researched the violence in New Hanover County- Family Violence is a
form of domestic violence that exists when a relatiorlship includes physical, sexual, emotional, or
economic abuse. Victims of family violence are most often, women, elderly, and children- This
is a very difficult area to track because the majority of evidence is sel£reported_ There were
reports of 7 domestic violence homicides in New Hanover County. These can be compared to
the 72 reported domestic violence homicide victims reported to the state, which reflects violence
inflicted on adults. Another frequent group of adult abuse victims are members of the elderly
population. New Hanover County had 22.7% substantiate elderly abuse and neglect cases.
While children are present in a home where violence against women is present, children are
300% more likely to experience family violence. In 2004, New Hanover County reported 34
cases of substantiated child abuses. In 2003 New Hanover had 572 children in DSS placemerlts-
Children subjected to a child protective services assessment included 11.8 % abuse, 84.51X.
neglect, 2- 1 % abuse and neglect, and 1 -60No dependericy-
Action for Children Report New Hanover County North Carolina
May 2006
Early Care Children in 22.4% 173
Regulated Child Care Ages
0-12
Maltreatment Reports 77.0 53.6
Investi ated er l 000
Children in Foster Care ( per 13.8 4.7
1,000
Juveniles with Complaints 359 12,119
A roved For court
# of juveniles sentenced 278 8,418
Source: NC Department of Justice, www-nedoi-com- Action for Children Report www.nechild. orQ- Department of
Socta! Services, 2006 United Way Community Assessment
New Hanover County Cotamunity Assessment 1 1
University of North Carolina Wilmington created a presentation regarding violence trends and
crime among adults and youtii_
Ten Vaar Murder Trends in New Hanover _ _ _ _ _ -yy
County _ ~~1~
1-9
14 • _
B-3 G.3
12
-.99 aA 72 57
10
6 B • •
X
71 55
g • 6.9 G 4 5.0
4 '02 G • •
2 "03 3 (3 2 57
O
'9! '96 'BB '00 '01 '02 '03 '04 'OS 'OB • ~
Year •
4-6 E5. a 56
39 62 5-7
_ Y`C j •
New Hanover County continues to be significantly above the state and the United States rate for
robbery and violent crime trends.
Tan Year Robbery Trends in New Hanover County -
30D
'97 2474 17G 186
O 250
2153-0 C,
g 200
X 150 • • y
232.4 157 145
S 100 •
219.7 165 149
d S0
'02 2441 150 146
O
'97 '98 '99 '00 '01 '02 '03 '04 '05 • '06 • , IB7-1 139 137
Year
2012 149 141
New Hanover CwanH NC _ US •
253.S4 155 149
Ten Year Violent Crime Trends in New Hanover
County
-'97 7471 • Gll
1000
778C) 597 5619
Boo
_P72.7 551 523
$ Boo • • 5875 501 507
400 • • , •
200 • -1 7-106
O
'97 '98 '9B '00 '01 '02 '03 '04 '0S 'OB • (3112 455 476
Year .04 071 -C) 461 463
•
633.2 479 469
New Hanover County NC US •
New Hanover County Community Assessment 12
In 2006, New Hanover County ranked 4th in the state for rates for robbery and was ranked 54th
in the state for murder rates.
Ranking of NC Counties by 2006 Robbery Rates
Gou ntY Rob b•rY Rata
1. Madcl...... 420.2
z. oumam 417.9
3. GuilTOtd 2745
4. New Hanover 253.9
5. F-lh 229.1
B- Cumbarla no 224.4
7. Van Oa 217.6
6. Pltt 210.6
9. Robeson 203.4
10. E9 gacomba 200.3
11. Nas. 191.1
12. Gaston 153.1
13. Pa aqu olanK 146.4
14. L¢a 1.2-
1 5- Ha1Nax 140.4
-50-.-k 47-3
"au n`w. NC 6taY Huras~ at I~N~Nl9atbn
Ranking of NC Counties by 2006 Murder Rates
~gt,,,ty M.raar Re[•
1. warren 3a.z
z. Rlafen za.a
3. Robeson 23.6
4. Anaon 22.9
5. Camden 22-'-+
B. Pasquota nK 20-6
7. Vence 16.0
8. Etlgemmba 15.3
g Le r1oF 13.9
10. GraFtam 13.1
11. HeMOtcl 12.6
12. Mow. 11.3
13. Nodna npaon 10.9
14. Mad[lenbur9 10.7
15. Nash lOJ
30. erunswidc 6.a
54. New Hanover 3-9
6puR`a _ NC Stat. Buimu of 1 M stl{yf m
Source: 2006 Violence Trends in New Hanover County Presentation
New Hanover County Community Assessment 13
Emnlovment
Labor Force and Employment
Percent Working Age Population 66.2%
Unemployment Rate 2006 3.7%
Female Labor Force Participation Rate 60.0%
Percent Working in Manufacturing 6.1%
Average Wage for Manufacturing $58.778
Percent Professionals 34.5%
Percent Working in Production 11.1%
Percent Working in sates 27.0%
Total Announced Layoffs 2006 84
Agriculture and Natural Resources
Total Agricultural Receipts S7,501,000
Total Farms 2002 77
Percent Family Owned Farms 93.596
Average Farm Size 2002
Tobacco Dependency Ranking Medium
Source: NC Rural Economic Development Center
hlto -//tivrvev I nr /datab lr/ frle p~ ntv=New%20Hanover
The unemployment rate in New Hanover County the end of October 2007 was 3.7% compared to the
state's 4-6%
2007 Labor Forcg Estimates
NHC NG
Unadjusted Labor Number Number Unemployment U-1jus1aa Labor Number Number `Unemployment
Figures Foroe Employed Unemployed Rata Figures Foroe Employed Unemployed - Rata
Month Month
Janua 1104,135 99,998 4,137 4.0096 January 4,476,952 4,251,275 225,677 5.009
ry February 104.673 ~ 100,642 4.031 3.90%: February 4.489.,244 4,270.21.1 219,033 4.90%
March 105,514: 101,822 3,692 3-50',6 ; March 4,497,645 4,294,479 203,166 4.509A
April.... ,.106.854 103.320 3.£x34:... .:3.3096 April 4.006:.1090 4.303.189 202.901 .,.i ' 4,00%#.
May 107,635 103,823 3,812 3-50-A May 4,527,098 4,312,936 214,162 4.70916
JOne: 109.590 105.298 4.292 3.9096: Junin 4.571.,662 4.336.722: 234.940 5.^t096
July 110,076 105,763 4,313 3.90%. July 4,581,689 4,343,108 238,581 520%'.
August' " 109,006 - 105,025 3.961 3.7096 ! Au$uat 4,540,490. 4.327,094 215,396 14.7096
September 108,240 104,398 3,842 3.50% September 4,540,947 4,335,900 205,047 4.509A
Octol-r 107.479 103.546 3.931 3.7096 ~ ).tot-r 4.543.048 4.333.665209.383 4.50%:
Source: http://eslmi23. esc_state.nc.us/ncp/indlr+,fo/top Ten_aspx
New Hanover County Community Assessment 14
The 2005 United Way Community Assessment found the average weekly wages £or Brunswick, New
Hanover and Pender counties all fall below the state average -f$696 and far below the national average
of $825. Projections by the North Carolina Employment Security Commission forecast New Hanover
County's economy to grow approximately 7.31 to 9.61 percent during the seven-year period between
*4.-. 2006 through 2012- With the growing global economy, future emphasis is on knowledge based industries,
information services, and technologies. With I_1NC-Wilmington College and Cape Fear Community
College located in Wilmington, New Hanover County has become a favorable location for knowledge
based, information and technology farms. New Hanover County's other economic strengths lie in tourism
and retail sales. This has helped New Hanover County continue to have a strong economy even during
down turns experienced in other areas outside of New Hanover County.
Source: United Wcry Community Assessment, New Hanover County Website www.nhe¢ov_com
New Ha-over County Top Employers
Company Mama Industry EmploYment Ranges
GENERAL ELECTRIC CORP Manufacturing 500-999
Crt Y'..OF W/LM/NGTC 44 Public Administration 1,000 or above
CORNING INCORPORATED Manufacturing 1,000 or above
COUNTY OF NEW HANOVBR Public Administration 1.000 or aI.-
GENERAL ELECTRIC CO INC Manufacturing 1.000 or above
GENERAL ELECTRIC CO [NGi.. Manufacturing 1,000 tar above'.
NEW HANOVER COUNTY SCHOOLS Services 1,000 or above
NEW' HANOVI2R REGIONAL MEcICAL..CENTER Services 1,000 or abovs
UNIV OF NC AT WILM. Services 1,000 or above
UNIVERSITY'OF NOFtrH CAROLINA Servioas 1,000 or above'.
North Carolina Population Statistics (1999)
Total Population 7,650,699
Fame /a Work/-g Popu/anon = White Females
Whit. 2,397,662 l Other Females
Other Femal. 731,481 ~7I~~3,; MM White Males
Working Popu/anon Other Males
A4.1.
White 2,261 ,443
Other M.I. 602,552
Total Working Populatio- 5,993,138
New Ha-OVBr County Population Stattsttcs(7999)
Total Population 148,822
Fame/a Working Popu/anon _ White Females
232 EZ3 Other Females
Whit. 51,
Other Female 12,604 + White Males
-
Illy Other Males
Ma/e Working Popu/anon
Whit. 46,321
Other M.I. 9,435
Total Working Populatlon 119,592
Source: NC Profile http://eslmi23.esc.state.nc_us/ncp/genlnfo/labForce_aspx
New Hanover Covmty Community Assessment 15
Education -
According to the 2006 New Hanover County School Annual Report,
student enrollment has increased from 20,649 students in 1995 to 24,076 __woo
students in 2005_ From 1995 to 2000, enrollment increased 2.3 percent,
compared to 1 1 percent from 2001 to 2006. This accelerated growth of
students is a continual challenge to the system's capacity to keep up with
P the need for adequate space and learning materials- Economic growth,
while excellent for New Hanover County, also comes with a budgeting
responsibility to help fund the additional resulting costs of increased student population-
New Hanover County School System is ranked the 12`i' largest school system in North Carolina and is
comprised of 3500+ faculty and staff members and 24,000+ students- Over 65% of these students are
white, 26.3% black, 3% Hispanic, .4% American Indian, 1-2-1. Asian and 3.6% Multiracial.
The average school size in New Hanover County compares favorably to the state For elementary students,
the exceedingly larger numbers are seen in the secondary schools- New Hanover County Public Schools
is the main source of elementary and secondary education in the County with 3 Title One Pre-K Centers,
22 elementary schools, 8 Middle Schools, and 5 High Schools- The County is also home to many private
schools both secular (6) and parochial (11)_ The average school size in New Hanover County compares
favorably to the state for elementary students, the exceedingly larger numbers are seen in the secondary
schools. The per student expenditures K-12 is $7,838_ The average class size: K-Grade 2-21; Grades 3-
9-26; Grades 10-12-29. Number of students receiving disability services: 2,989 and 180 preschool
students are receiving disability services-
Elementary (K-5) Middle( 6-8) High (9-12)
North Carolina 484 771 1,684
NHC S 494 674 1, 026
The mission in the New Hanover County Schools is to provide a high quality education that. prepares all
students to be productive and contributing citizens ofC a global society-
New Hanover County has over 60% students entering graduate. Only 12.7% of the population have less
than a high school education and about 86% of people age 25 and older have graduated from high school
and 31% possess a bachelor's degree or higher. In 2003, the dropout rate was 4.7% compared to the
state's 4.8%_ The numbers of drop outs in New Hanover County have increased since 2004 from 356 to
414_
Number of Pub~~o N~Oti SoOOe1 Orop-Outs Npw NOOewr CeuOly fer 2OOa i 2006
3BO SOON New N~eer~r Sooe New N~~sv~r
Sourc¢: www.nhcs.k72_nc. us
New Hanover County Community Assessment 16
New Hanover County School Health
The Center for Science in the Public Interest (CSPI) Schools published The School Foods Report Card
which provides the county's nutritional policies. Provided below is the listing of nutritional policies in
New Hanover County schools.
• Soft drinks may not be sold in elementary schools and may not be sold in middle and high
schools during breakfast and lunch periods.
• Sugared carbonated soft drinks, including mid-calorie carbonated soft drinks, may not be sold in
middle schools (diet sodas are allowed).
• Not more than 50% of the offerings for sale to students in high school may be sugared carbonated
soft drinks (diet sodas are not counted in the 50%).
• Bottled water products must be available in every school that has beverage vending. Effective
by the 2006-2007 school year, snacks will meet the following standards for vending:
o No snack vending will be available to students in elementary schools.
o In middle and high schools, 75% of snacks may not have more than 200 calories per
portion or package.
• The nutrition standards set will promote gradual changes to increase fruits and vegetables,
increase whole grain products, and decrease foods high in total fat, trans fat, saturated fat, and
sugar.
• Public schools cannot use cooking oils in their school food programs that contain trans fat or sell
processed foods that contain trans fat that were formed during the commercial processing of the
foods.
Source: www.cspinet.org/schoolreportcard.pdf.
New Hanover County School Health
There are four main concerns that school health nurses are observing; obesity/nutrition, asthma,
severe allergies and diabetes. We have a total of 1307 students with Asthma in the schools, We
have a total of 73 Diabetics (Type 1 and 2 combined). 348 students have Severe Allergies that
might require an epipen. 869 children are diagnosed as ADD/ADHD. Last year we had 47,091
injuries that required some type of first aid. We also screened a total of 7053 students for vision
and referred 494 of them for care and 390 of those secured care.
Source: New Hanover County School Health Report 2006-2007
New Hanover County Community Assessment 17
Childhood Obesity:
According to the Obesity Prevention Initiative in New Hanover County, 30.8% of children between 2-18
years are overweight or at-risk for overweight (85th percentile or higher for Body Mass Index - 13MI> _
Childhood obesity continues to rise in the United States and nationally, research has also shown that it is
on the rise in eastern North Carolina as it is in the state and the nation.
Nationally, more than one third o£children are at risk for overweight and 17.1 percent are overweight_
Some researchers now conclude we may be raising the first generation of children in history to have a
shorter life expectancy than their parents due to obesity-related co-morbidities.
Adults in eastern North Carolina have 13 percent higher rates of general mortality than adults in the rest
of NC_ In 1999-2000, 36.5 percent of adults in ENC were overweight and 24.6 percent were obese- Less
than one quarter of adults cats the daily recommended amounts of fruits and vegetables and only 40
percent meet the current recommendation for physical activity Regional studies in ENC reveal 40 to 50
percent of children are at risk for or overweight. Although there has not been a statewide system to
monitor child weight status in NC, a growing number of regional studies reveal strikingly similar
findings Many ENC youth are significantly heavier than their counterparts in other parts of the state and
nation, with some studies reporting that 30 percent of ENC children and adolescents are overweigbt
compared to 17 percent nationally-
The NC Academy of Family Physicians which impacts Duplin, Hertford, Hoke, Sampson, New Hanover,
Nash 8c Craven is partnering with NC Cooperative Extension to build a referral system for overweight
patients ages 12-18 to receive services. They have developed a resource kit for physicians to provide an
initial assessment, distribute materials and refer patients to an Cooperative Extension agent for follow up
counseling and support.
Source: New Hanover County School 2006-2007 Annual R¢port
May 2006 Childhood C>Z-hy by Y. Crawford: How Do Children in Eastern North Carolina Measure r rp7
New Hanover County Community Assessment 18
Insurance 8s Health Access
According to the United States Bureau of the Census, in 2004, 45.8 million
U.S. Residents lacked health insurance for the entire year. Approximately 1-3
million of those uninsured Americans lived in North Carolina- Substantial
policy interest has focused on the uninsured both nationally and, given annual
increases North Carolina has experienced; it is an especially important issue in
this state. The percent of North Carolina residents that lack health insurance for
a full year has risen from 15.3 percent in 2000 to 17.5 percent in 2004.
Health insurance coverage for the total population for NC in 2005, 53046 employers provided
health insurance coverage to their employees, 59Ko individuals have private insurance, 13%
receive Medicaid, 12% receive Medicare coverage, 214. individuals receive other public health
insurance and 16% were uninsured- Being un-insured is a major barrier to accessing and
receiving health services for the citizens of these counties and relates directly with education,
poverty and low-income wages. According to the Shops 2004 Update, New Hanover County
has 27,753 people lacking health insurance, accounting for over 1804. of the population. This
ranks New Hanover county 31 in the state-
New Hanover County ranks better than the state in terms of the ratio per physician per
population, 33.10 % compared to 20.80% in North Carolina- In 2003, there were 841 persons per
primary care physicians, 70 persons per nurse, 1386 persons per dentists and the hospital use rate
in 2003 was 109 compared to the states rate of 1 12.
In the 2005 North Carolina Health Risks Among North Carolina adults, approximately 24%
stated they do not have a personal doctor and 12% attributed not seeing a doctor due to costs. In
the Community Survey, health insurance ranked the number one response of what most people
lacked funds for.
V
Report Health Risks among North Carolina Adults
Source: 2004 Shops Update. 2,005
New Hanover County Community Assessment 19
Pregnancies and Live Births
New Hanover County had a total of 10,709 births from 2001-2005 with a total birth rate o£
12.5 compared to North Carolina's birth rate of 14.1 per 1,000 population-
North Carolina Resident Live Birth Rates er 1,000 Po ulatioll, 2001-2005
R¢sid¢nc¢ Total Births Total Whit. Births Whit. Rat. Minority Births Minority
Rate Rate
North Carolina 596,524 14.1 433,265 13.7 163,259 15.3
New Hanover 10,709 12.5 8,242 11.8 2,467 15.7
The white birth rate is lower than North Carolina's birth rate (l 1 _8 versus 13.7 per 1000)_ However, the
minority birth rate is slightly higher than the state's average minority bitch rate (15.7 versus 153 per
1000).
NC RESIDENT PREGNANCY RATES PER 1,000 POPULATION FOR GIRLS 15-17, BY
RACE, 2001-2005
WHITE WHITE MINORITY MINORITY TOTAL TOTAL
PREGNANCIES RATE PREGNANCIES RATE PREGNANCIES RATE
RESIDENCE 16,328 29.2 13,699 53.6 30.260 37.2 __moo
NORTH
'j CAROLINA
1 HANOVER 226 20.6 215 55.7 444 29.9
Pregnancy Rats
60
$ 4o
0
m 30
m 20
7M
¢ l0
O-
WHITE RATE MINORITY RATE TOTAL RATE
r- NEW HANO\/ER _ NORTH CAROLINAI
New Hanover County Community Assessment 20
New Hanover County is below the white and total pregnancy rates for girls 15-17 but exceeds the state
rate in the minority teen pregnancy rate 55.7 compared to the state's 53.6 per 100,000.
Birth & Pregnancy Rate for Teen Females
70
- _
144W 60
46.6 € ' s ~x
50
4
-
40
31.6 as; Yt..a'
30
tY
20
'10
Birth Rate Pregnancy Rate
¦ New Hanover ¦ North Carolina
According to the Action for Children May 2006 report, there was over 4.1% of mothers who received
late or no prenatal care compared to North Carolina's 2.9%, which can be shown in the percent of low
weight births in New Hanover County. New Hanover County had a total of 985 low birth weight babies.
The low birth weight percentage in New Hanover County is greater than the North Carolina percentages
in both the white and minority populations; white New Hanover County 7.6 compared to 7.4 North
Carolina and Minority Low Birth weight of 14.7 in New Hanover County rbspectively to 13.4 North
Carolina percent.
NC RESIDENT BIRTHS 2001-2005: NUMBER AND PERCENT LOW BIRTH WEIGHT
BIRTHS BY RACE
TOTAL LOW WHITE LOW MINORITY LOW
BIRTHWEIGHT BIRTHWEIGHT BIRTHWEIGHT
NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT
i
RESIDENCE 53,975 9.0 32,097 7.4 21,878 13.4
NORTH
CAROLINA
NEW HANOVER 985 19.2 623 7.6 362 14.7
i
Low Birth Weight Percentage
16
14 -
12 - * T= ;
10 _ .9 , r~ r
777 ,
m r 7 6 7;ji wit,
6
2 0 a-
Total White Mnority
¦ New Hanover ¦ North Carolina
New Hanover County Community Assessment 21
From 1994-2005, there has been an increase in the rates of low weight births, although New Hanover
County continues to rank below the state's rates. -
Low WeiCjltt Births By Race
QQ 20.0
25 1 5.0
$ ~ Total
1 O.O ~ white
rip Minority
0
O.O 94-98 5 94-98 9e-0O 97-0 1 01-05
NHC NHC NHC NC NC NC NC
Total a-2 8.5 8.8 9.2 8-8 8-8 8.9 9.0
White 6.5 7.0 7.4 7.6 6.9 7.1 7.2 7.4
o Minority 12.8 -12.7 12.9 14.7 13.2 13.2 13.1 13.4
From 2001-2005 there were 1722 (Over 16%> of births were from mothers who smoked prenatally r
compared to the state percentage of
Mothers Who Smoke
20.0
0
0
0 15.0
o r,
a 10.0
>z
5.0
0.0
94-98 96-00 97-01 01-05 94-98 96-00 97-01 01-05
NHC NHC NHC NHC NO NO NO NO
New Hanover CoLtnty Community Assessment 22
NC RESIDENT INFANT (-1 YEAR) DEATH RATES PER 1,000 LIVE BIRTHS,
„ 2001-2005
New Hanover County is below the state infant death rate in white, minority and total infant death rates.
There were a total of SO infant deaths in New Hanover County. New Hanover is signiFcantly below the
state rate in total infant death rates and in the white and minority infant death rates.
RESIDENCE TOTAL TOTAL WHITE WHITE MINORITY MINORITY
INFANT INFANT INFANT INFANT INFANT INFANT DEATH
DEATHS DEATH DEATHS DEATH DEATHS RATE
North 5,056 85 2,648 r6.1 2.404 147
Carolina
i
New Hanover 50 4.7 25 3 o 23 9.3
Infant E),gath Rata
16
1,4
12
g 10
8
m 6
Td 4
2
O
TOTAL INFANT DEATH WHITE INFANT DEATH MINORfIY INFANT SEAT-~
Fk^.TE RATE RATE
New Hano%oor M North Carolina
New Hanover County Community Assessment 23
NC RESIDENT FETAL DEATH RATES PER 1,000 LIVE DELIVERIES,
2001-2005
Fetal death is defined as a death that occurs at 20 or more weeks of gestation. The total fetal death rate in
New Hanover County is lower than the state's average fetal death rate (6.2 versus 7.1 per 1000
deliveries)- All groups, whites and minority fetal death rates in New Hanover County rank below the
state as well.
TOTAL TOTAL WHITE WHITE MINORITY MINORITY
FETAL FETAL FETAL FETAL FETAL FETAL DEATH
DEATHS DEATH DEATHS DEATH - DEATHS RATE
RATE RATE
`ESIDENCE 4,245 7.1 2,300 53 1,936 11-7
NORTH
I CAROLINA
HA OVER 67 62 1 41 4.9 26 10_4
Fetal 17eattl Rate
92 1 4
Z 12
G 10
6 s_
4
m 2
:e 0
TOTAL FETAL DEATH WFIITE FETAL DEATH MINORITY FETAL
RATE RATE DEATH RATE
NEW HANOVER M NORTH CAROLINA O
Intervention Strategies
Child Fatality Task Force/S1DS counseling
Safe Kids
Fresh Start Smoking Cessation Progra
Newborn Postpartum and Maternity Care services
New Hanover County Cc xrnr ztutity Assessment 24
- _ New Hanover County Health Behaviors
F ~
How does New Hanover Countv Measure Un on Health Behaviors?
H¢alth o_f'r¢sfd¢uts in New Hanover County based on 374 CDC Behavioral Risk Factor
Surv¢fllartc¢ System Survey Qu¢stfonnttir¢s from 2002 to 2004-
General health status score of residents in New Hanover County is from 1 (poor) to 5 (excellent) is 3 _5 _
This is about average-
79.7% of residents exercised in the past month- This is about average-
24.3% of residents had sunburn in the past 12 months. This is about average-
52.7% of residents smoked 100+ cigarettes in their life- This is more than average-
54.3% of residents drank alcohol in the past 30 days- This is about average-
75.2% of residents visited a dentist within the past year. This is more than average.
Average weight o£rnales is 195 pounds. This is more than average-
Average weight of females is 157 pounds- This is about
average- 4Uunty based on 433 CDC B¢havioral Risk Factor
Surv¢illanc¢ System Survey Questionnaires from 2005_
36.5 % of residents ranked overweight
23.5% of residents ranked obese-
38.3% of residents are in the recommended weight range- This is more than average-
1 _7% of residents are classified as being underweight- This is about average-
81 _6% of residents reported they have participated in exercise in the past 30 days. This is more than
average.
14.6% of residents reported have not participated in any physical activities in the past 30 days.
North Caroffnts Tobacco Use Pr¢v¢n lion A. Control Branch Update- New Hanover County
March 2007 Status and Need
17.30Z. adults currently smoke cigarettes-
50.9% of New Hanover adults made a serious quit attempt in 2005-
15 .5% adults are exposed to secondhand smoke at work-
Estimated smoking attributable to Medicaid costs in New Hanover County in 2002 was $15,612,153_
New Hanover County Community Assessment 25
New Hanover County Youth H¢alth Behaviors
Youth risk behavior surveys were conducted by the CDC and IJNCW cva.luators over a two week period
in April o1`2005 and 2007. CJNCW evaluators surveyed schools not already surveyed by the CDC
In 2005, 5 classrooms in 3 high schools and 5 classrooms in 5 middle schools. In 2007 there were 5
classrooms in 4 high schools and 5 classrooms in 5 middle schools survcycd_ Surveys examined health
risk behaviors including violence, tobacco and alcohol use, sexual behavior, drug use, physical and
psychological health
Middle School Survey Participants _
aerrog'aphics
100%
80%
60"/0
40%
O% -_`~~l
fb61e Farsle 9h 7th a W' Bait Ff¢laic .YW Fli ~ ats
fl !.[2003 51.x/0 4a5% 25.7% 41.9°.6 32.4% 5$9°i6 257°.6 5096 56% 4.93%
O hC200.S 51.2% 488°h 306% 333% -368%
47.2 57.3°.6 226% 7.3°.6 5796 7.1%
O µC2005 % 5Pa.% 41.0% 31.3% 27.2% BO~.6 24.93% SO% S8% 3.996
a N4-1--20017 51.8% 493.296 298°i6 3545S 34.3% -..6236
227% 38°.6 He% 43%
High School Surv¢y Participants
Oarrogap111cs
10/0
80%
BD%
40% '
2D"/o
O%
N91e Fariele 9th lOtl'f 11th 12th Wine Back KspOriic fu~U Oha'
i?aial
nG 200.3 49.5°/ 50.5% 31.5% 26.3% 226% 19.3% 63.8% 29.4% 23% 1.9% 27%
M P- C-;? 5 50.4% 496° 31.5 % 26.0% 22.4% 19.8% 60.6% 30.8% 12% 1.9% oy
O nF1C 2005 44.7% 56.3% 53.5% 125.7% 9.4% 662% 24.0916 1.9% 4.6% 4.3°i6
O fV~C 2007 51.0% 49.0% t7.5% 28.0% 29.8% 24.2% 67.8% l92% 27% 6.09' 4.3%
New Hanover County Community Assessment 26
The NC Tobacco Use Prevention and Control Branch found that 62.1% of high school and 33.5% middle
school students in this region have tried tobacco. Also 71.3% high school students in this region are
exposed to secondhand in rooms or cars at least one day or more per week. There has been a decrease in
the amount of 8`'' graders who have smoked in the last 30 days, but an increase in 7`h grades who have
smoked.
ThmeWho Fim Smoked in the Last 30 Days
10(0/0 .
~ to Y ~ c I IfEill' I
0
20% wu
0 /0 - MMj C41Er
Tatal Nile Female MI 7th 8Ih vue 8a* Fbperic PaM
® W,2003 128% T13.70/611.600/6 6.7% 126°/6 18.01/6 124% 129% 16.5%
NC2005 11.9% &0°k 120% 16.8% 10.3% 13.7% 14.3% 133% 15.5%
0 N-C2005 7.6% 4.8°/6 5.7°/1 131% 7.50k 651/1 6.51/6 11.1% 130°A
a N-C2007 7.4% 7.61/6 7.1% 36% 6.1% 1Q51/1 M/6 56% 9.61/6 135% 12SA
Alcohol remains the substance of choice for youth. Over 44% of 80' and 61% of 12th graders have had a
drink of alcohol. Over 44% of those 12th graders have consumed 5 drinks or more within a couple of
hours.
Those Who Have Ever Had a Drink of Alcohol
100% n
80% 4.
ti
40°h - -
20°k `
0%
mum Other
Total Male Female 6th 7th 8th White Black Hispanic MuBi
Racial
® NC 2003 33.9% 36.8% 30.7% 22.5% 33.2% 43.6% 31.7% 37.3% 39.6%
INC 2005 34.9% 37.0% 32.9% 22.1% 32.9% 47.7% 33.2% 36.9% 38.5% 36.6% 38.4%
ONHC2005 35.4% 33.8% 36.5% 25.29/6 31.4% 54.5% 33.1% 39.1% 16.1% 50.0% 45.5%
ONHC 2007 36.0% 37.4% 34.2% 27.3% 33.5% 44.0% 33.8% 31.7% 23.8% 52.6% 66.7%
New Hanover County Community Assessment 27
Over 61 O/o of 12 Ih graders and over 320/o of 9m graders have consumed at lcast one drink c f
alcohol in the past 30 days.
Those Who Consumed At Least One Drink of Alcohol During the Past 30 Days
F0%20%
Total Male Female 9th 10th 77M 12th White Black Hispanic Multi Other
Ratlal
all NC 2003 39.4% 41.5% 373% 33.4% 343% 42.0% 53.3% 43.6% 303% 33.0% 42.5% 37.5%
M NC 2005 42.3% 44.4% 40.1% 342% 42.8% 442% 57.7% 46.4% 35.4% 34.9% 452% 39.0%
O NHC 2005 43.0% 43.7% 42.2% 392% 36.6% 46.9562.9% 50.2% 30.3% 42.9% 23.5% 312%
D NHC 2007 46.9% 46.5% 472% 323% 375% 51.8% 67.7% 502% 43.7% O.0% 40.9% 562%
` -allr
New Hanover County Community Assessment 28
Over 16% of 8 h graders have had sexual intercourse with more than one person and 76% have
used a condom the last time they had sexual intercourse.
Those Woo Had Sexual Intercourse Wth More Ttw0m Person
100% ,
80% % C
> "fit a
6 /o~~
40'/0
F I
y+p I ;
.
V /oEll
/rogyp
Tail lode Parole 61h 71h 81h Wile Elwk ~ Chef
F~dal
o N-C2005 1Q89A 19.3% a81/0 60% a 17.9% &8% 172% ~1% 19.4% 1679A
a K207 9.3% SO% 49% 7.3% a5% 1631A 4.8% 2MY6 99% 132% 125%
Those Who Used or Whose Partner Used a Condom the Last Time
They Had Sexual Intercourse
100%
80%
60%.:
40%
20%
0%
Total Male Female 6th 7th 8th WhBe Blade ftpani Multi Other
c Racial
0 NHC2005 75.0% 71.9% 60.5% 56.3% 64.0% 78.6% 53.8% 72.9% 66.7% 87.5% 100.0%
ONHC2007 71.8% 73.5% 53.3% 44.4% 68.8% 75.5% 72.9% 75.0% 33.3% 50.0% 42.8%
New Hanover County Community Assessment 29
Over 580/6 of 12th graders have ever had sex, 640/6 have used a condom the last time they had sex,
but over 45O/o have had sex with more than one person in the past three months.
Those Who Have Ever Had Sexual Intercourse
100%
80%
a:
60%
40%_
20%
O% _
Total 1~1e Female 9th 701h 11th 12th White Black Hispanic Racial Otlter
In NC 2003 52.5% 53.7% 51.4% 39.9% 45.4% 612% 73.5% 44.1 % 52.8% 50.2% 54.3% 52.6%
t6 NC 2005 50.8% 54.3% 47.6% 36.3% 53.8% 55.6% 63.0% 422% 69.0% 51-1% 54.8% 53.1%
O NHC 2005 500% 572% 46.8% 47.7% 63.4% 59.4% 55.9% 43.6% 69.0% 57.1% 35.3% 56.3%
O NHC 2007 52.7% 53.6% 52.5% 44.6% 46.6% 58.2% 58.0% 482% 80.0% 20.0% 40.9% 43.6%
Those Who Used a Condom The Last Time They Had Sexual Intercourse
100%
80%
60%
40%
20%
O%
Total lVlala Fam ale 9th loth 1111h 12th White Black Hia Panic Raat4 08ter
Racial
tI NC 2003 62.1% 68.8% 56.0% 74.3% 65.2% 62.6% 57.1% 56.8% 67.9%
ANC 2005 62.8% 70.7% 54.7% 62.9% 69.7% 62.0% 56.8% 62.2% 70.1% 76.1% 53.0% 65.3%
O NHC 2005 62.1% 58.3% 64.5% 64.5% 53.61 63.0% 57.9% 65.0% 51.7% 75.0% 83.3% 71.4%
O NHC 2007 67.6% 75.0% 612% 74.9% 74.0% 652% 64.0% 68.1% 70.9% 50.0% 66.7% 50.0%
Thosa Who Have Had Sexual Intercoursa With One or More People During the Past 3 Months
100%
80%
60%
40%
20% -
O%
Total iNala Fam ale 9th IOUs 11th 12th White Blatlc HiaPanio RaeMW14al 01N.,
9.97075+ 003 379% 367% 392% 239% 34.0% 46.1% 57.1% 31539% 324% 333% 38.6%
005 371% 39.1% 353% 22.8% 38.3% 42.4% 514% 32049.9% 296% 37.4% 341%
246% 28.3% 31 .2% 24.6% 439% 46.5% 31 .9% 49.4% 265% 235% 72.4%
0.5% 36.9% 44.7% 27.7% 36.9% 46.4% 45.6% 392% 60.9% 0.0% 22.7% 25.0%
New Hanover County Community Assessment 30
Other drug use has become prevalent in New Hanover County's youth. Over 21% of 8ei and 56% of 12`'
graders have used marijuana.
Those Who Have Ever Used Marijuana
100% ;
1 r s J
3 _ y
td 3 f F ••Xf '3 1.
60%- - af j x
n , M»
77-
20%
0% Hispani Multi Other
Total Male Female 6th 7th 8th White Black c Racial
® NC 2003 13.2% 15.2% 11.0% 6.8% 11.7% 20.2% 11.9% 15.9% 11.7%
¦NC2005 12.7% 14.7% 10.8% 4.4% 10.5% 21.9% 10.1% 17.80k 15.6% 14.5% 14.2%
ONHC 2005 13.9% 16.7% 11.4% 4.4% 12.5% 29.5% 111% 17.9% 12.9% 22.2% 13.6%
ONHC 2007 13.3% 10.8% 15.3% 4.8% 11.2% 21.7% 11.3% 18.5% 4.8% 18.4% 8.3%
Those Who Have Used Marijuana At Least Once During Their Lb
100°k M =
80% w yy-- - 4
~ f
.Fg .Y .,5. t t
3 ~
40% r
20%
0% Y . MUIS
Total Male Female 9th 10th 11th 12th White Blacc Hispanic Racial Olher
42.7% 46.9% 38.4% 32.1% 39.0% 53.8% 52.0°k 41.0% 46.9% 29.6% 40.9% 51.6%
¦ NC 2003
1NC2005 40.1% 451% 351% 31.4% 42.7°k 43.7°~ 45.4% 39.4°~ 42.6% 31.2% 45.8% 47.4%
44.8% 48.3% 286% 35.3% 37.5%
0NHC2005 44.4% 491% 40.8°k 36.9% 53.1°k 51.6°~ 54.3% 478% 549% 0.0% 45.5% 37.5%
D NHC 2007 47.2% 47.3% 46.7% 38.5% 31.5% 53.6% 55.6°k
31
New Hanover County Community Assessment
Viol¢nt Behavior
Over 53 % of 8`h graders have been in a physical fight, while in 12th grade, there was 20% of
those who responded have been in a physical fight during the past 12 months.
Those Who Have Been in a Physical Fight
100%
80%
60%
40%
20%
h'
0%
Total a Male Female 6th 7th 8th White Black Hispani Multi Other
c Racial
A NC 2005 58.1% 72.8% 44.1% 53.5% 56.1°h 63.6% 53.2% 69.86 60.2% 63.4% n66-7%
ONHC 2005 56.7% 64.4% 49.7% 52.2% 56.5% 63.1% 47.5% 76.5% 41.9% 72.2% ONHC2007 5.1% 707% 42.4% 53.62.2% 537% % 47.6% 71.1% Those Who Had Been in a Physical Fight During the Past 12 Months
100%
80%
60%
40%
20%
O%
Total Male Female 9th 10th 11th 12th White Black I Hispanic Mull Other
MNC 2003 30.9% 38.6% 23.2% 33.8%_ 29.5% 31.7% 27.1% - 29_.7% 33.0% 31.8% 36..6%
¦NC 2005 29.9% 38.9% 20.4% 342% 32.1% 28.3% 21.2% 272% 34.8% 33.3% 28.9% 29.3%
O NHC 2005 34.0% 38.3% 30.1% 37.5% 41.5% 25.3% 25.7% 29.8% 42.0% 28.6% 47.1% 37.5%
ONHC 2007 29.3% 37.8% 19.4% 35.4% 29.8% 31.5% 20.0% 24.0% 42.3% 20.0% 40.9% 37.5%
New Hanover County Community Assessment 32
Age-Adjusted Death Rates by Race and Sex for Selected Causes, 2001-2005
The table and graph below illustrate an overview of the diseases that affect the population of New
Hanover County. The age-adjusted death rates are used to eliminate the age differences. Older
populations have higher death rates, because death rates increase with age. This age adjusting is done
to provide a more meaningful comparison of the risk of mortality over time and among groups.
Age-Adjusted Death Rates By Race and Sex for Selected Causes, 2001-2005
NHC NC NHC NC NHC NC NHC NC NHC NC
The Highlighted Areas shows New Hanover County
total age-adjusted death rate by race and sex exceeds
the State Rate.
White Minorities Males Females Total
Leading Causes of Death
Diseases of Heart 216.1 218.5 264.5 258.4 279.7 285.5 182.0 183.0 223.1 226.8
--Acute Myocardial Infarction 36.1 53.8 50.8 59.0 47.5 71.6 31.2 42.4 38.3 54.8
----Other Ischemic Heart Disease 118,4 98.1 122.3 106.0 151.0 134.8 93.8 74.1 118.6 89.7
Cerebrovascular Disease 55.5 59.8 90.3 85.2 64,0, 65.8 56.7 63.0 60.8 64.7
Cancer 188.3 191.2 238.3 223.6 235.7 252.6 171.3 162.0 195.9 197.7
---anion, Rectum, and Anus 13.7 17.4 30.5 23.6 18.7 22.3 14.9 16.0 16.2 18.6
9.4 10.3 15.9 13.5 10.8 12.8 9.6 8.3 10.3 10.9
*Across
-Trachea, Bronchus, and Lung 63.1 60.4 52.4 57.0 80.5 85.6 48.3 41.7 61.7 "A
---Female Breast 27.0 24.0 $6.6 32.0 0.7 0.4 31A 26.7 31.8 26,0
--Prostate 19.3 23.7 49.8 62.7 22.6 29.9 0.0 0.0 22.6 29.9
Diabetes Mellitus 16.8 21.8 $6.5 S&8 28.7 30.4 20.0 25.3 23.9 27.6
Pneumonia and Influenza 19.7 23.5 20.1 22.0 20.7 28.0 19.1 20.5 19.7 23.3
Chronic Lower Respiratory Diseases 43.8 50.3 12.7 30.0 43.2 61.0 37.1 38.6 39.4 46.9
Chronic Liver Disease and Cirrhosis 7.5 8.8 11.2 8.7 11.9 12.6 4.8 5.6 8.1 8.8
Septicemia 8.4 12.7 20.4 22.1 10.0 15.7 10.3 13.6 10.1 14.6
Nephritis, Nephrotic Syndrome, and Nephrosis 13.6 14.3 39.9 33:7 17.7 21.0 0.18 17.4 17.9
Unintentional Motor Vehicle Injuries 10.0 19.3 14.8 19.5 15.4 27.4 7.2 11.8 11.1 19.3
All Other Unintentional Injuries 25.7 27.3 26.4 35.1 34.7, 17.7 18.3 25.7 26.0
Suicide 13.0 13.4 5.1 5.5 18.9 19.3 08 4.8 11.7 11.6
2.4 4.5 20.1 14,$ 8.7 11.0 2.3 3.3 5.5 7.2
Hide
Alzheimer's disease 10.0 28.5 14.3 20.7 11.7 21.6 10.1 29.6 10.7 27.1
Acquired Immune Deficiency Syndrome 1.6 1.4 19.5 17.4 5.4 7.4 4.0 31 33 4.6 5.2
New Hanover County Community Assessment
All Causes 796.7 855.2 1090.3 1047,0 993.8 1082.3 730.1 754.9 842.1 895.5
Age-Adjusted Oeat11 Rates for Total ff:>aat"m
All Causes in New Hanover County, 2001-2005
aoo
890
680
870
860
850
8d„
840
830
H2O
810
New Hanover County Rata North Carolina Rate
There were 7,232 deaths of all causes in New Hanover County, with an age-adjusted death rate
Of 842.1 compared lower than North Carolina's rate of 895.5_ the leading causes of death in New Hanover County were disease of the heart, cancer, other ischemic heart disease, trachea,
bronchus and lung cancer, and cerbrovascular disease.
Age-Adjusted Maatl->t Rates for Selected Causes
300
Rate per 100,000 200
100
O
NHC 99- NHC 01- NC 99- NC 01-,.
01 05 01 OS
Heart [Disease 235.3 246.8 250.2 226.8
C.arbrovasculnr Disease 74.3 84.3 73.6 64.7
O Cancer 199.2 208.9 201 197.7
O Diabetes 28.1 36.7 26.9 29.9
New Hanover County Community Assessment 34
New Hanover County Health Assessment Comparisons
These charts illustrate the comparison of the data in the 2004 Community Health
Assessment, which was from 1999-2001 and the data in the 2007 Community Health
Assessment which is 2001-2005.
CHA Comparison 2004 & 2007
300
250 235.3 246.8
200 199.
~ ~ ? NHC
150
? NHC 0
100'4 84 4,3
74.30
50
0
Heart Disease Cerbrovascular Cancer Diabetes
Disease
? NHC 04 235.3 74.3 199.2 28.1
? NHC 07 246.8 84.3 208.9 36.7
New Hanover County Community Assessment 35
These comparisons are among the various groups in New Hanover County: minority
females, white females, minority males and white males_
Minority Females
CHA Comparison 2004 Q 2007
300
0
e
0
° 200
O NFIC 04
Q
R 1OO D NHC 07
m
92 m1w I m
0 Diabetes Total Heart Cerebrova Total Cancer
Mellitus Oisaase scular Cancer Lung,
O NHC 04 82.3 249.9 107.3 152.7 36
O NHC 07 65.7 221 80.7 216.5 43.2
White Females
CHA Comparison 2004,& 2007
250
200
0
150 O NHC 04
a, 100 O NHC 07
m
d 50
O
Heart Cerebrovas Cancer
Diabetes Diseasa cular Cancer Lung,
O NHC 04 16.4 187.6 66.5 161.1 47.1
o NHC 07 18.7 192.7 67.9 158.7 42.2
New Hanover County Community Assessment 36
Minority Males
CHA Comparison 2004 S. 2007
500
400
0
300 O NHC 04
a 200 4 NHC 07
100
O
Diabetes Total Cerebrov Total Cancer
O NHC 04 49 392.3 130.1 342.8 89
O NHC 07 49.8 335.5 104.7 283.1 68.1
Wtiit¢ Males
4--HA Comparison 2004 a 2007
300
e 250
e
c 200 O NHC 04
`m 1 50 o NHC 07
a
m 100
is
¢ 50
0
Diabetas Heart Cerebrovas Carer Cancer
Disease cular Lung,
F O NHC 04 26.9 259.6 64 245.3 81.1
E3 NHC 07 19.3 270.6 80.2 228.8 81.8
New Hanover County Commttriity Assessment 37
2001-2005 Race-Sex-Specific Age-Adjusted Death Rates for New Hanover County _
• 'St-t. Rate' Stats3'..note
Diseases of Heart - 276_5:: = 323.7.
----Acute Myocardial Infarction 71 2I~ 73,
----Other /schemic Heart Ois ease f33 ~ sl '739 9
Cerebrovascular 64 ~i, i ~ i u
cancer = 244 345 4v
--Colon, Rectum, and Anus 28 4$ "
---Panoreaa
----Trachea, Bronchus, and Lung
----Female Breast 6J
Prostate ¢ 23.7 ' 62 7
Diabetes Mellitus
Pneumonia and Influenza 27".'6 '25:6
Chronic Lower Respiratory Diseases plil i' iil illliii~ B2 7 r= X5"1'#'
Chronic Liver Disease and Cirrhosis
3
Nephritis, Nephrotic Syndrome, and
Nephrosis
Unintentional Motor Vehicle Injuries 26.7 `34.1.
All Other Unintentional Injuries 35.8<
State Rata',;
Diseases of Heart ".274 4~'. '..'I!2S
----Acute Myocardial Infarction _ 40;'• 49.7
----Other /schemic Heart Olsease 7.X lp', ; 825.
Cerebrovascular 58.6`! 7t7L$;
----Colon, Rectum, and Anus,:.
----Trachea, Bronchus, a-d Lursg ~iii~~i 4'.':T.r F" " 3?:J'.3=`----Fema/e Breast ~ ~ ,.:.=~°3'-7'`~', r ,.32 9
----Prostate
Diabetes Mellitus 19;"-„ SZ 3f,
Pneumonia and Influenza
Chronic Lower Respiratory Diseases
Chronic Liver Disease and Cirrhosis 5.6
Septicemia 12.1 ` - 19.43
Nephritis, Nephrotic Syndrome, and ~
NephrosJS SZ_2' _ ~;,€.-v-'-' 3Z.9'*`
Unintentional Motor Vehicle Injuries 10.8: .~yl
All Other Unintentional Injuries 19.0'-"".'' =3?5F
Sourc¢: NC State Health Statistics
New Hanover County Community Assessment 38
- Mortality Rats
There are some differences in the mortality rates between the races and the genders of New Hanover
County residents.
Minority Males
The leading causes of death:
1 . Heart Disease
2. Cancer
3. Other Ischemic Heart Disease
4. Cerebrovascular Disease
5. Trachea, Bronchus, and Lung Cancer
White Males
The leading causes of death=
1 . Heart diseases
2. Cancer
3. Other ischemic heart disease
4. Trachea, Bronchus, and Lung Cancer
5. Cerebrovascular Disease
Minority Females
The leading causes of death:
1 . Heart disease
2. Cancer
3. Other Ischemic Heart Disease
4. Cerabroyascular Disease
`rry' S. Diabetes
White Females
The leading causes of death:
1 . Heart disease
2. Cancer
3. Other Ischemic Heart Disease
4. Cerebroyascular Disease
5. Chronic Lower Respiratory Disease
^11 groups consistently ranked the top three causes of death: heart disease, cancer and other ischemic
heart disease. Minorities and white females had cerebroyascular disease as their fourth leading causes o£
death, while white males' Fourth leading cause of death was trachea, bronchus and lung cancer. Trachea,
bronchus and lung cancer ranked as the minority males fifth leading causes of death. White females' fifth
leading cause oFdeath was chronic lower respiratory disease and minority Females were diabetes
New Hanover County Community Assessment 39
Leading Causes of Death listed for New Hanov¢r -
Fromc 2001-2005 Rac¢- Sex Specific Age-Adjusted Rates
Diseases of Heart 246.8 226.8 a$'"l. ,~r , r k « mar<€a* rxp;." 4 i°s r34 ~>•;esx r:n r.
'k.: emu.. l.,rte ,€~,acarcif,al In r P r: ,,fan fl{{ffs .t.f k' # x. a.. k _ lflf P I ihiEl4+}i, r«»t >xi r :E'!
ki :..a. rs i€«:u'. r ryGE r n; :k a ~I~I~a Ze € f3 as rl4 , Fa 4[I~ ii.
~~~-eP~rpVascul Pn :f ~1~'~~€ I rtty, € g~4~~' ~ ~ Ir I P k II)l n h ~,i~ ~ I~
~ n
#„4 . „;;zbRrpz+ u r 4+a ' Sa"k'T ~ r Y ~~e ab r I.
a ^ '#C1r •~a~ ~f .,rind'~+ a` rv.°. lufl~~G ~f~€c..s~. 5,k ' •w' N r',.3x . , _ .ki 2' .aa".,~€.w.~ . ..~vP . _ r..a
----Pancreas 10.0 10.9
rachea, Bronchus and Lung S7.7 59.9 € IItl4W .>a;,y.: 4w ~u a r r~ n ~ -4Z.
k TM ~ ~Sn Elf ~ n ~¢5 ~s~a~',, ~ ,~;,„k., r, ~ # ,u ~r;yt~ :~4 ~~s ~ .y» ye
3^ 9h ~ rlJl 4 a ~,v
~a q t rs b f a s i~^kr f t I4 s.
umonli wr nfl`~
h0 €"TV, i, F ° § v .s' € x I i3 € r'€nlu>gns ~{i k ^4, 8 _ `,.re E fh 4 :q :"s ,'~u t h
CPlrt nnP ~K2Wer Pte rat °C~X k 2n F 4 @a> µ $ a
IOR a
5°SpN~.>4 i. € ' xPk« ~a ^'u. t Friip
1.
i
.e`2~,'ix,'$d~ 4 °Ffi, r dhf7 g ' fks- ~~t'. pa ichi' r W e ' z zb 1 ,s °A yi:,€', s.., `=r '
Sept er"ri~ ~ r I~,{ NIN ~ ` I 4
Ph}t~s, Nehrotic ~ndre~rlr~eg an~ e"p~ra ~ ` ` ~ ,f ,
r €
All Other Unintentional Injuries 21.6 26.0 -17% J
e
UIC 10-0 11.6 -14%
a
fir= ;
~ktt 4w"" W;h~ , flxz, X34
na"s37fyA
,t?";..GY!'Y1P p.. >N1, r€ «fi,.^`„
h ...t .,€.F. €
45
a w rr~..',4acra~»I Iti .4 3.,°., ,.YS 'yt'nsa€< i;;. fY t's:3. be€„:. .a; aJs hen
Alzheimer's disease
„ r3 ,,t i{{ ~ J,~ a a„ j~yb ~ '?7 ~a~„3~ 1w,:n€,y, 5{+~r ;3 3 €y.,~ e d .yx 12%
~ ~ ire 23-8 27.1 -
c~
';m,.
,d a .P.9d-°s.» 1i .'FS_ Ar3'.,..... ~ ° Ir; i-, I € f.
Source: NC State H¢altis Statistics
New Hanover County Community Assessment 40
Comparison of 2004 and 2007 Leading Caus¢s of Death for New Hanover County
Source: 2004 NHC Community Assessment
New Hanover Couizty Community Assessment 41
Numbers of Leading Causes of Deaths in New Hanover County
Minority White Minority _
NEW HANOVER White male male Female Female OVERALL
Leading Causes u Rate # Rate IV Rata u Rate p Ram
Diseases of Heart 772 270_6 156 335.5 775 1.75 189 221 1,892 223.1
----Acute Myocardial Infarction 138 45.1 26 63_2 125 28_3 40 47.6 329 38_3
----Other Ischemic Heart Disease 433 151_8 69 145_1 412 92.6 89 103.1 1,003 118_6
Carebrovascular Disease 163 60.2 47 104_7 229 51.8 71 80.7 510 60_8
Cancer 731 228_8 136 283_1 694 162_3 176 216.5 1,737 195.9
----Colon, Rectum, and Anus 49 15.7 17 40.3 53 12_4 23 27_3 142 16_2
----Pancreas 35 10_2 8 14.3 37 8.5 12 15.6 92 !O_3
----Trachea, Bronchus, and Lung 272 81.8 35 68_1 211 49_3 34 43.2 552 6!_7
-male 13reast 1 0.5 1 2_2 113 26_8 45 55_2 160 3!_8
----Prostate 53 19.3 2! 49.8 0. 0 0 0 74 22_6
Diabetes Mellitus 75 23_8 31 65_6 50 !!_3 54 65_7 210 23_9
Pneumonia and Influenza 49 19.3 !3 29 87 19_9 14 15.6 !63
Chronic Lower Respiratory Diseases 141 47.1 6 13_7 181 41 _6 11 13_3 339 39.4
Chronic Liver Uiseasa and Cirrhosls 40 10.9 11 17.3 18 4.5 5 6.1 74 8.1
Septicemia 22 8 11 25_5 38 8.8 !5 18_4 86 10_!
Nephritis, Nephrotic Syndrome, and
Naphroais 42 14_7 17 38_9 55 12_6 34 40_9 148 17_4
Unintentional Motor Vehicle Injuries 47 13.4 18 23.5 27 7.2 6 7 98 11_1
All Other Unintentional Injuries 116 34_8 24 37_8 69 17_7 125 17_9 224 25_7
Suicide 73 20.4 7 9.5 24 6.2 1 1-2 105 11 _7
Homicide 13 3_6 26 35_4 5 1 _3 6 6_8 50 5.5
Alzheimer's disease 27 10.4 7 20.3 43 9.7 1! 12_3 88 10.7
Acquired Immune Ueficiency Syndrome 9 2_6 14 21_3 2 0_6 15 18.5 40 4.6
All Causes 2,822 945.4 640 1297 2,960 683.7 810 961_4 7,232 842_1
New Hanover County Community Assessment 42
HEART DISEASE
~..r Age-Adjusted for Heart Misease
2001-2005
250
0
°o NHC
0 225 =NO
a
a~
200
NHC NO
r. Heart disease is any disorder that affects the heart's ability to Function normally- There were 1,892 deaths
due to diseases of the heart in New Hanover County and New Hanover County ranks lower than the state,
233.1 compared to 226.8 per 100,000_ The age-adjusted death rates for males are significantly higher
than for Females; respectively 279.7 compared to 182.0 They are specifically higher for minorities-
Minority males had a greater death rate than white males (335.5 versus 270.6_ per 100,000). Minority
Females' rate was 221 was higher than the white females of 1 75 per 100,000_
Although New Hanover County is below the state average, heart disease is a serious health topic that
concerns many residents. According to the New Hanover County Health Survey, over 55% of
respondents listed heart disease as the cause oFmost deaths in the community.
Ischemic heart disease, which can ultimately lead to a heart attack, is the term given to heart problems
caused by narrowed heart arteries. When arteries are narrowed by cholesterol deposits, less blood and
oxygen reach the heart muscle-
Ischemic heart disease accounted for 1,003 deaths in New Hanover County- New Hanover County is
above the state average (1 18-6 versus 99.7 per 1005000)_ White males had the highest death rate of all
groups in New Hanover County (15 1 _8 following is minority males with 145.1 per 100,000.) Minority
females were affected the most following the males with a rate of 103.1 compared to white females o£
92.6 per 100,000_)
Intervention Strategies
Eat Smart Move More
Winner's Circle Healthy Dining Program
New Hanover County Cortvrnx nity Assessment 43
CEREBROVASCULAR DISEASE -
Age-Adjusted ~eatFl Rate for StroKe
2001-200S
70
65
`L3
777~rrrccc 60 N H C
NC
55
50
NHC NC
Cerebr-ascular disease, stroke is a type of cardiovascular disease. It affects the arteries leading to and
within the brain. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is
either blocked by a clot or bursts. When that happens, part oFthe brain cannot get the blood (and oxygen)
it needs, so it starts t0 dic_
New Hanover County's age-adjusted rate is slightly below the average death rate for North Carolina 4(60.8
versus 64.7 per 100,000)_ Cerebrovascular disease age-adjusted death rates are marginally fiigfier £or
minority males than white males (104.7.comparcd to 60.2 per 100,000)_ Minority females rank right
behind minority males with a death rate -f80-7 per 100,000, with white Females' being least affected of
the groups with an age-adjusted rate of 51.8 per 100,000_
Znt¢rv¢ntion Strategies
Eat Smart Move More
Winner's Circle Healthy Dining Program
__Woo
New Hanover Cotmty Community Assessment 44
Cancer Rates
Age-Adjusted death Rates for Cancer
2001-2005
~ 200 197-7
0 190
°o If+
180
NHC
a 170 i? NC
as
is
or_- 160
150
NHC NO
Cancer is the second leading cause of death in North Carolina and in the United States. In 2005, 16,673
persons in North Carolina died from cancer, 344 in New Hanover County" It is estimated that nearly four
in ten North Carolinians will develop cancer during their lives"
New Hanover County had 1,737 deaths contributing to cancer. Although cancer death rates for New
Hanover County are lower than the state average rate (195"9" versus 197"7 per 100,000)" Cancer,
specifically trachea, bronchus and lung cancer are serious health issues for New Hanover County" Males
have a higher rate of cancer than females ( 235"7 compared to 171-3)o and minority males have the highest
death rate of all groups ( 283"1 per 100,000) Minority females' death rates are 1.3 greater than white
females (216"5 versus 162"5 per 100,000)" Over 21% of New Hanover County survey participants
responded to cancer being the second health issue in this county"
2007 Projected New Hanover North
Cancer Cases County Carolina
Lung/ Bronchus 125 5,550
Col on /Rectum 100 4,425
Female Breast 135 6,155
Prostate 145 6,420
All Cancers 905 40,S60
New Hanover County Community Assessment 45
Prostate Cancer
The prostate is a gland found only in men_ It is walnut-sized and is located in front of the rectum
underneath the urinary bladder. Most prostate cancers grow slowly. During the period of 2001-2005,
there were a total of 74 cases of prostate cancer in New Hanover County. The age-adjusted death rates in
New Hanover County were 22.6 compared to 29.9.5 per 100,000` Minority males were over 2 times
greater than the rates in white males (49.8 versus 19.3 per 100,000).
LunQBronclhus Cancer
Most lung cancers start in the lining o£the bronchi. Lung cancer is a life-threatening disease because it
often spreads before it is found. During the period of 2001-2005, there were with 552 cases of trachea,
bronchus and lung cancer in New Hanover County. The trachea, bronchus and lung cancer age-adjusted
rates were higher than the state average for New Hanover County (61 .7 versus 59.9 per 100,000). White
males had the highest death rate with 81 .8 ranking below the state's rate of 83.6. Minority males were the
second group most afYected by trachea, bronchus and lung with a death rate of 68.1 which rates below the
state rate e1794.1. While both groups of females rated above the state rate; the death rates For white
Females in New Hanover was 49.3 compared to the state's rate -f43-6 and the death rate of 43.2 death
rate for minority females respectively higher than the state rate of 33.3 per 100,000..
Invention Strategies
Project ASSIST advocates for tobacco free policies
Tobacco education
Colon/Rectum Cancer
Colorectal cancer is a term used to refer to cancer that develops in the colon or the rectum. There were
142 deaths contributing to colon, rectum and anal cancer in New Hanover County. The age-adjusted death
rate for colon, rectal and anal cancer was 20.20 per 100,000, which was higher than the state's rate of 19.6
per 100,000 population. White males have the highest age-adjusted death rates in this county. The death
rate for white males is greater than the minority males (28.4 versus 25.2 per 1 00,000). White females also
have a higher death rate than minority females (16.7 versus 1.1 per 100,000).
Female Breast Cancer
Breast cancer happens when cells in the breast begin to grow out of control and then invade
nearby tissues or spread throughout the body. There were 160 Breast cancer deaths in New
Hanover County. The minority females ranked significantly Higher than the states average rate
for female breast cancer (55.2 compared to 32.3) While white females are slightly above the
state rate of 26.8 compared to the state rate of 23.7 per 100,000.
Intervention Strategies
Breast and Cervical Cancer Control Program
Educational sessions on self-breast examinations -_woo
New Hanover County Community Assessment 46
Asthma
2005 Hospital Discharges with a Primary
Diagnosis of Asthma
150 -
G 1 30 110 - - ¦NHC
L r 87-` :~s ¦ NC
90
h .ff K
70
50 #
NHC NC
Asthma is a disease that affects your lungs. It is the most common long-term disease of children, but
adults have asthma as well. New Hanover County's rate of 87 per 100,000 is below the state rate of 128.5
for hospital discharges with a primary diagnosis of asthma.
Asthma Hospital Discharges
160.0
140.0-
120.0
~u I
g 100.0
.0 -
80
60.0
40.0
20.0
0.0 1997 20002001 2005 1997 2000 2001 2005
NHC NHC NHC NHC NC NC NC NC
¦ Rate 97.5 88.0 93.4 87.0 148.1 125.9 1970 .128.5
Intervention Strategies
Community agencies are striving towards keeping these rates low. Efforts in reducing these rates include
county awareness on adopting smoke free policies to reduce exposure to secondhand smoke as well as
education on better asthma management.
V
New Hanover County Community Assessment 47
Diabetes
Age-Adjusted r)eath Rates for Viabetes
2001-2005 30
25
0
NHC
20
Q NO
as
~<v/ 1 5
LL
10
NHG NO
Diabetes, a disorder of metabolism, is a disease in which blood glucose levels are above normal_ The
pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the
cells of our bodies- The body of a diabetic either does not make enough insulin or cannot use its own
insulin effciently_
There were 210 deaths in New Hanover County resulting from diabetes- The diabetes mellitus mortality
rate in New Hanover County was lower than the rate for North Carolina (23.9 versus 27.6 per 100,000)_
Minorities have the highest death rate in New Hanover County for diabetes mellitus 4C66.5 per 100,000)0-
N4 inority females have the highest death rate of 65.7 and then the minority males -f'65 -6 per 100,000-
While white males rank next with a death rate of 23.8 and white females of 1 1-3 per 100,000_
Intervention Strategies
Eat Smart Move More
Diabetes Education Support Group
Wellness Programs
New Hanover C oix arty Community Assessment 48
Pneumonia/Influenza
Age-Adjusted Death Rates for Pneumonia
2001-2005
-
30
77,
li
r k w it I~L
0 25 - - -
1 yw, 4i KD
L 20 - ~ - ¦NHC
C ¦ NC
~F.
N~ 15 _
Yi F
u..
10
NHC NC
Pneumonia, an inflammation of the lungs, is a common illness that affects millions of people each year in
the United States. The infection is caused by many different organisms including bacteria, viruses, and
fungi. New Hanover County had 163 deaths from pneumonia from 2001-2005.
New Hanover County had a death rate lower than North Carolina's death rate (19.7 versus 23.3) for
pneumonia/influenza. The highest death rates for pneumonia/influenza were from minority males with a
death rate of 29, which was slightly lower than the state rate for minority males of 29.5. Next the white
females rated 19.9 compared to the white female state rate of 21 per 100,000. White males followed the
white females with a death rate of 19.3 rated below the state rate of 27.6. Minority females had the lowest
death rate of 15.6 compared to the state's rate of 17.9 per 100,000.
Intervention Strategies
Increased availability and access to flu clinic
New Hanover County Community Assessment 49
CHRONIC LOWER RESPIRATORY DISEASE (CLRDI
Age-Adjusted Death Rates for CLRU
2001-2005
50
0 40
0
0
0 30
NHC
a 20 NC
as
10
O
NHC NO
Chronic Lower Respiratory Disease, CL12D, used to be called Chronic Obstructive Pulmonary Disease,
COPD before 1999_ It refers to a group oLf discases that cause airflow blockage and breathing-related
problems- It includes emphysema, chronic bronchitis, and in some cases asthma-
New Hanover County had 339 deaths attributed to chronic lower respiratory disease. New Hanover
County's age adjusted death rates was 19- 1, which is significantly lower than the state's average of 46.9
per 100,000. The white group had the highest death rates; white males' death rates of 47.1 below the state
rate of 62.7 and 41-6 for white females compared to 43 of the state white female rate- Next, the minority
males had n death rate of 17-3 versus the state's 13.3- Minority females had the lowest rate of the groups
which was 13.3 compared to 18.5 per 100,000_
Intervention Strategics
Project ASSIST provides education and policy changing towards a smoke free community
New Hanover County Connrntniity Assessment 50
LIVER DISEASE a4c CIRRHOSIS
Age-Adjusted Death Rates for
Chronic Liver Disease & Cirrhosis
2001-2005
$
10
0 8
0
0
0 6 NHC
a^` 4 NC
W
R3
cr_- 2
O
NHC NC
Many chronic liver diseases are associated with malnutrition- One o£the most common o£these is
cirrhosis_ Cirrhosis refers to the replacement of damaged liver cells by fibrous scar tissue that disrupts the
liver's important functions. Cirrhosis occurs as a result o£excessi- alcohol intake (most common),
~r common viral hepatitis, obstruction o£ the bile ducts, and exposure to certain drugs or toxic substances.
There were 74 cases reported of deaths attributed to Chronic liver disease and cirrhosis. New Hanover
County's death rate for chronic liver disease and cirrhosis was 8.6 which were slightly below the state's
death rate of 8.8 per 100,000_ Minority males had the highest death rate, 17.3 per 100,000, which was
higher than the state's minority male death rate of 13.3 per 100,000_ White males had the next highest
death rate for chronic liver disease and cirrhosis in New Hanover County with n death rate of 10.9
compared to the state's 12.4 per 100,000_ The minority females had above the state rates, 6.1 versus 5.1
for North Carolina. White females had the lowest rate with 4.5 compared to the state rate o£ 5.6 per
1 00,000 _
1~4eW Hanover County Community Assessn'tent 51
MOTOR VEHICLE ACCIDENTS
Age-Adjusted E34--at" Rates for Motor Vehicle
Accidents 2001-2005 --.Of
40
0
0 30
o ~ NHC
20 NC
as
Of 1 0
O
H 4r-- "C
Motor vehicle injuries are the leading cause of death and the greatest public health problem facing
children today. The risk of injury is so great that most persons sustain a significant injury at some time
during their lives.
There were 98 unintentional mother -chicle injuries reported in New Hanover County from 2001-2005-
-r-he motor vehicle mortality rate was lower in New Hanover County than in North Carolina (1 1.1 versus
19.3 per 100,000)_ Motor vehicle mortality rate was the highest among the minority male group even
though the overall rate is lower than the states rate; 23.5 compared to 30.1 _ White males ranked next with
a death rate -f'13-4 below the state's rate of 26.7_ Females had very similar rates; White Females had a
death rate of 7.2 compared to the state's rate of 12.1 per 100,000 and minority females with a death rate
of 7 rating under the minority female state rate of 10.8 per 100,000. also significantly higher than the state
rate of 1 1.8 per 100,000.
Intervention Strategies
Safe Kids
New Hanover County Community Assessment 52
OTHER UNINTENTIONAL INJURY/ACCIDENTS
Age Adjusted Death Rates for Unintentional Injuries
2001-2005
30
rr
0 25 7
0 25 ,
H
20-
~¦NHC
- -
(D
CU 15
10
NHC NC
Unintentional injuries may include unknown causes as well as others such as exposure to inanimate
mechanical forces, unspecified/accidental threats to breathing, exposure to electric current, etc..
There were 224 unintentional injuries reported in New Hanover County from 2001-2005. New Hanover
County ranked slightly below the state rate in other unintentional injury/accidents; 25.7 compared to 26.
Minority males death rate was 37.8 compared to state's rate of 30.5 and. White males death rates were
below the state rate of 34.8 compared to the state's rate of 35.8. Minority females rated above the state
rate; 17.9 compared to the states 13.6. White females had the lowest death rate of 17.7 which was lower
than the state rate for females of 19.6 per 100,000.
New Hanover County Community Assessment 53
Suicide 8z Homicide
Age-Adjusted Death Rates for Suicide and Homicide
200'1 -2005 __40,
20
S
0 15
o'
o
O ~ Suicide
Homicide
5
O
NHC NC
~ Suicide 11 _7 11 _6
Homicide 5.5 7.2
Suicide
There were 105 suicide deaths in New Hanover County_ The suicide death rate for New Hanover County
11.7 ranked above the state's average -f'1 1-6-
-1-he highest death rate in New Hanover County was white females with a death rate of 14.1 compared to
the white Female state rate of 9.7. Next, were the white males with a rate o£ 12.0 compared to the state
rate of 21-9- The minority males' rate was 2.0 versus 5.7 minority male state rate and minority females
were O compared to the state rate o£ 1 _8_
Interverition Strategies
Teen Suicide Education Programs
Homicide
In New Hanover County, there were 50 reported homicide cases during the period of 2001-2005_ The
New Hanover County rate of 5.5 is below the state's rate of 7.2_ The group in New Hanover County with
the highest death rate was the white females with a death rate of 15.2, which is still below the state rate of
27.2_ Next the white males had a rate of 8.7, above the state average o£6.8_ The minority females had a
rate of 4.1 , which was lower than North Carolina's rate of 6.2 and minority males had the lowest death
rate in the county of O, compared to the state rate for minority males of 2.5 per 100,000-
Now Hanover County Corrtxnunity Assessment 54
Septicemia 8z Nephritis
Age-Adjusted death Rates for Septicemia St Nephritis
20
o
° 15
o
0
10
Septicemi
m
a
5 Nephritis
co
1= -1
0 NHC NC
Septicemia 10 14.5
M Nephritis 17.4 17.9
Septicemia
Septicemia is the presence o£ bacteria in the blood and is often associated with severe disease- Septicemia
is a serious, rapidly progressing, life-threatening infection that can arise from infections throughout the
body, including infections in the lungs, abdomen, and urinary tract- It may precede or coincide with
infections of the bone, central nervous system, or outer tissues.
New Hanover County had a death rate o£ 10 which was below the state rate of 14_5_ Minority males'
r, death rate was 25.5 slightly below the states rate of 26.3 per 100,000_ Minority females had the next
highest death rate of 18-4 which was below the state rate of 19.8_ The White female group had a death
rate o£ 8.8 below the state's rate o£ 12.1 _ The White male group ranked lowest, with a death rate o£ 8.O
compared to the state's rate for white males of 13
Nephritis
Nephrotic syndrome is a constellation of signs and symptoms including protein in the urine (exceeding
3.5 grams per day), low blood protein levels, high cholesterol levels, and swelling.
New Hanover County's age-adjusted death rate of 17.4 was lower than the state rate of 17.9 per 100,000.
Minority females had the highest death rates in this county with a death rate of 40.9 versus the state's
average of 31 .3_ The group white females rated slightly above the state rate for white females; 12.6 New
Hanover County rate compared to 12.2 North Carolina rate- Minority males had a death rate of 28.9
compared to state rate of 38 and white males ranked below the state rate of 14.7 to the states 17.5_
New Hanover County Coiizrnunity Assessrnertt 55
Sexually Transmitted Diseases (STDI
Sexually Transmitted Diseases are on the rise in New Hanover County- Chlamydia and Gonorrhea
continues to be the most prevalent sexually transmitted diseases in New Hanover County_ Below is an
illustration ofthe trends in sexually transmitted diseases from 2001-2006-
Sexually Transmitted Diseases in New Hanover County
800
Vl
d
600
L7
° 400
d
200
z
AIDS HIV Chlamydia Gonorrhea Hep B (total) Syphilis
ra 2001/02 34 45 499 288 23 32
2002/03 46 79 664 31'7 13
o2003/04 22 31._ 551 296 - 34 4
E3 2004/05 - 23 58 627 322 38 - 41
w2005/06 38 75 582 303 33 44
Oato,rrom New Hanover County Health Department Annual Reports 2007-2006
New Hanover County Community Assessment 56
Gonorrhea
RESIDENCE TOTAL RATE Per i--- Minority Rate Per
Gonorrhea Cases 100,000 Gonorrhea Cases 100,000
North 77,371 183.5 63,939 1 600.1
Carolina
New Hanover 1,394 163.3 F1,087 693.7
t
New Hanover County Gonorrhea
800
700
0 600
zri uI, }
C; 500
¦ New Hanover
400
d 4 ¦ North Carolina
a 300
m 163.3 183 5
12200 w_
100
0
Total Gonorrhea Minority Gonorrhea
Rate Type
Gonorrhea is caused by Neisseria gonorrhoeae, a bacterium that can grow and multiply easily in the
warm, moist areas of the reproductive tract, including the cervix (opening to the womb), uterus (womb),
and fallopian tubes (egg canals) in women, and in the urethra (urine canal) in women and men. The rate
of minority gonorrhea (693.7) in New Hanover County exceeds the state rate (600. 1), although
New Hanover County ranks below the state with the total gonorrhea cases (163.3 compared to
NC state rate of 183.5)
New Hanover County Community Assessment 57
Svnhilis
NC Syphilis Cases and Rates per 100,000 2001-2005
RESIDENCE TOTAL Syphilis RATE Per Minority Syphilis Rate Per
E Cases 100000 Cases 100,000
r North f 1,340 3.2 987 9.3
Carolina
New Hanover 24 ~2.8 16 10.2
New Hanover County Syphillis
12
g 10
$ 8
6 ~ Naw Hano~.er
a North Carolina
22
O
Total Syphillis Minority Syphillis
Rate Typa
Syphilis is a sexually transmitted disease (STD) caused by the bacterium Treponema pallidum. It has
often been called "the great imitator" because so many of the signs and symptoms are indistinguishable
from those of other diseases- New Hanover County ranks higher in total syphilis than the state ( 3.2
compared to 2.8 per 100,000) But in the category of minority syphilis New Hanover County remains
below the state average ( 10.2 compared to 9.3)
New Hanover County Commuxiity Assessment 58
HIV & AIDS
? Age-Adjusted Death Rates for HIV & AIDS
2001-2005
30
}
20.9
i
A
20
¦ HIV
x ¦
p ' AIDS
10
ryjyN
LL ~ 9 s
4.61
r
0
NHC NC
HIV stands for human immunodeficiency virus. This is the virus that causes AIDS. The HIV Mortality
rate in New Hanover County was below the rate for North Carolina (4.6 versus 5.2 per 100,000). The rate
for minority males had the highest age-adjusted death rates in New Hanover County, 21.3 per 100,000
population. Minority females had the next highest death rates for HIV in New Hanover County with a
death rate of 15 per 100,000. White males had a death rate of 2.6 per 100,000 and white females were the
least affected in New Hanover County with a death rate of 0.6 per 100,000.
NC Resident AIDS Cases and Rates Per 100,000
2001-2005
RESIDENCE 7 TOTAL NUMBER I TOTAL RATE
North Carolina [5,151 12.2
New Hanover 1 178 20.9
AIDS stands for acquired immunodeficiency syndrome. AIDS is the final stage of HIV infection. New
Hanover County's rate was significantly higher than the state rate (20.9 compared to 12.2).
Intervention Strategies for STDs, HIV & AIDS
Grant funding STD/HIV health educator
Innovative STD/HIV outreach and sex education
Increased awareness of access and availability of testing
New Hanover County Community Assessment 59
New Hanover County Survey
The New Hanover County Community Health Survey was administered to a sample of the ~-.0001
community during the summer and fall of 2007. There were 423 paper surveys completed out of
the goal of 500 surveys. The return rate was 84.609,1- The survey asked respondents about
what they perceived as the most pressing health issues in New Hanover County_
Over 791Z. of survey respondents were female and 21 °/r° were males. The three leading age
groups responding to the survey were 23% from ages 25-34, 22% from 45-54 and 171Z. from
ages 35-44-
Saw of Respondents Age of Respondents
21 % 7% 4i% 10%
17%-\
79°i6 22~ ~ %
Female Male
M Under 25 - 25-34 ~ 354 D 4554 M 55-64 M 6574 m 75+
Over 63% of ttie respondents were Caucasian, 2504o African American, 7% Hispanic, 3% Native
American and 2% other.
Race of Respondents Live/Work in New Hanover County
3% 2% 5%
7% y~
Ih,
¦ 53% 73%
25%
25% 57%
FM Caucasian 0 African American o Hispanic 0 NMi- American m Other - Both - Live O Work O Neither
New Hanover County Community Assessment 60
Residence of Survey Respondents
Residence of Respondents
6% 4%2%2%1%
24%
7%
8%
0,14%
10%
ic 1
11% 11%
¦ Monkey Junction ¦ Downtown ? Other
• Porter's Neck ¦ Castle Hayne ¦ Wrightsville Beach
¦ Pine Valley E3 Mid-town/ Winter Park ¦ Northside
¦ Forest Hills/ Glen Meade 0 Sunset Park ¦ Dry Pond/ The Bottom
New Hanover County Community Assessment 61
Survey Results
The leading causes of death perceived by the community survey participants ranked Heart
Disease/Stroke (58%) as the number one death, cancer (21%) and Motor Vehicle Deaths (10%)
ranked as the third leading cause of death from the survey participants.
Leading Causes of Death
21906
53%
10%
5 % 2%
® Hear[ Ois eas a/StroKe Asthma o Diabetes O HIV/AIDS/STOS
m Homicide a Motor Vehicle deaths Cancer ® Other
The main health concerns found in this community survey were drug/alcohol abuse (31%),
obesity (20%), and gangs/violence (10-,'.) of survey respondents.
Main Health Issues
10 % 2% 2% 4% 9%
8%
9°r6
II' Ij=attktnw ~u,.,
39/.
3%
20% 30%
Teen Pregnancy Mental Health D Vehicle Crashes O Orug/Alcohol Abuses
Obesity Child Abuse E>antal Health in -bacco Use
GangsNiolence Asthma c3 Other
New Hanover County Community Assessment 62
According to the survey, 370No participants responded that health insurance and 29% ranlced
medicine as what people mostly lacked the funds For. Transportation was the third leading
response with IS,,' of survey respondents.
Lack of Funding
1s%
37-A
29
18%
Food 1111 Medicine 0 Transportation O Health Insurance
~..r Eighteen percent (18%) of the responses ranked cholesterol/blood pressure/diabetes
screening/classes as the number one type o£ service they would like to see more of Breast
Cancer was the next highest rate c f respondents with 1404o and the third was 12% for more Family
planning classes.
Screening/C lasses
2-16
1 8%
26%
14%
15% 12%
13%
® Breast Cancer Prostate Cancer
O Vaccinations E3 HIV/Syphilis
Family Planning Cholesterol/Blood Pressure/diabetes
~y Other
A
New Hanover County Community Assessment 63
Twenty-two percent (22%) survey respondents would like to see more job opportunities, 21% _
would like to see safe places to walk and play and 20% would like to have wellness screenings to
improve the quality of health for New Hanover County.
Community Improvements
17% 2% 1 S%
20% 21 %
22%
m Healthier Food Choices _ Safe Places W Walk/Play o Job Opportunities
o Wellness Screams = Tobacco Free Buildings = Other
Fifty-seven (57%) of survey respondents felt lack of insurance kept people from seeking
treatment, 17% ranked fear, and 13% respondents rated transportation and no available
appointments available as barriers to receiving medical treatment in this coii~a Uz ity. „y?'
Barriers of Treatment
17°% O% 13%
13%
57%
® Transportation Lack of insurance o No appointments available Fear ~ Other
New Hanover County Community Assessment 64
Over 660No survey respondents felt that income/insurance status affected the quality care they
received, 1 5% responded age and 13% responded race as factors affecting quality of health care
in this community.
Factors in Health Care
2% 15%
5%
13%
65%
® Age Sex C3 Raca o Income or insurance status Other
Seventy-four percent (74%) of the responses are in support of tobacco free public places and
building- Twenty percent (20%) support tobacco £ree policies but not in all public buildings and
only 60No did not support tobacco policies in New Hanover County.
Support of Tobacco Free Places
20%
74%
YES, IN ALL YES, NOT ALL D NO
New Hanover County Community Assessment 65
Focus Group Results
Focus Groups
2007 Needs Assessment
Five focus groups were held in New Hanover County to gain a better understanding of the needs
in the community- The group emphasis was to provide a well-rounded representation of the
population through key leaders, service providers and the general community- The groups
consisted of the following= approximately 330No males, 67% Females, 48%Caucaisan, 4904OAfrican
American, 2% Native American, and 2% Hispanic.
Stren Qths in New Hanover County
Abundance of healthcare providers Diversity
Beach Go.o.~dy neighborhoods
Si- X -
P+CI'i
Climate fY¢q's+llt#"
University Z?4fi4' 3erf¥y'e+~ra i"tRY
Arts community a-1 YGl3~i~a8$~:4;R¢Wfi
Economy l~ zE~ o.Y"~`~'arr'.,coTS+,~a.'rarr,~~T tea ~i"t,~itar,~sn+t+('rott~~s+irat
Employment options .>r
Chall¢n ~¢s in New Hanover County
Transportation Mental health services
Lack o£ affordable housing A variety ofjob opportunities
Gang violence Geographically isolated
Dropout rate/lack of resources Racial issues --,001
Conservative attitudes High cost of living
Educational gap ti-
pedestrian, exercise friendly
Access to healthcare/lack of affordable healthcare ."aeriYESa` f°c*'$1':fiexs attd=u+a .,,4
Lack of communication among races and non English 'iY3l!'.{'F+txt*dd~t?Jt:¢
speaking population growth
Prevailing attitudes of local leaders rt,'ax` aaf+€rs`?c
Violence 8c health WIN
Infrastructure
Maior concerns related to health and welfare of N¢w Hanover County
Lack of mental health Traffic management
Public accessible transportation Racial disparities
Health Access Sewer
Obesity Lack o£~obs haying insurance
Violence` I
Breakdown of mental health system 7e1s+s'
Lack o£ medical community involvement"i",gi77Sitif ~Yirast~a'BEi1
Stigma regarding mental health _
Drug/Substance Abuse ~r.sools
Homelessness Lu~#c o .'Y# pN~.>sn_f" .a,
Cancer rates
Nuclear power plants d
New Hanover County Community Assessment 66
Maior environmental issue/concerns J" New Hanover County
Sewer systems, polluted water, mold and mildew Education on climate change and lifestyle
public pesticide usage Lack of pedestrian sidewalks and bicycle paths.
Proximity of nuclear plants Z73rty" 'O.W .h'14i
Coastal erosion 6'~n--'' ,
Over development, landlocked r+tr "'it
Air quality, smoKing in public places ?"pb »trst;y r¢t¢nttr.`ay{ptsnalsi+"daritl.ed'dig#?wir#ftl.)a+i"
Development of wetlands- destruction of land
psG,~ e~
Access to recycling and the education of recycling to
r:r.a x,
~+1Ftlri ..#"~l#7~55_. ._PY'Y'u/tsYa~P.,4
community
Ways to imnrove our level of collaboration
Encourage and obtain the buy-in From health Getting public attention and support (cohesive)
providers accept indigent patients to ensure access to Increase community support
care Sensitivity workshops raising awareness of cultural
Improve is for developers to become more needs
environmental conscious Church outreach
Discourage conflict of interest Central database of community resources
lnclude media and ensure dissemination to B¢Y11~ t#S'.ti'#tfYaP
population C¢ri#rct /a¢d Uxiffra`„ s7 io+'ITA~ ?rri
~ ' „~caf1N,^acat
Bring all parties to the table and be open to listen I{~iise hwcrr,+ess Vyf';¢sistttt.~; ;ca1=5
Include politicians 11'l~ofcr.,{"u+t4;,
Decrease fragmentation HKtld +~:v¢n#'..i`e3 iticl~v~t <rws~ c~d~-~-li~#!
Reduce individual bias and look at the community as
yy, a whole
~II~•
Hea lttt Services in New Hanover County
Clinics open to all- bilingual interpreters and free'?i'¢1,1
health services available F,.#,:. xy1 !MLttca$".`fi s¢rvis
Community resources through the community health 'd tFk4'1~L qj„ `3„f .C,,g}vTSIpYY~,FSoft,; 4Rt"4ii4ow
center, mental health services in schools
Social Services in New Hanover County
Churches helping and disaster preparedness Isufi{lµy as•,*#`
Increase the Spanish signs For Hispanic population 'qR trlrBCrple':nf~r# ;lkts®st`s4"lt
Underfunded limits the services provided ,'ecT,/1/='~~', •swrQk ,~Ia'4
.&'~tstrYrays€as... r~s+zit;iratar:e 'ss'.mltn#~,Et
New Hanover County Community Assessment 67
Barriers and/or chnllen Qes in health care or social services in New Hanover County
Funding Language
Lack of availability of affordable long term care for Resources
older/disabled patients Age
Access is poor 2!a?t7YSj;3t*.e~j'ti'+tt J
Availability ofinental health is poor Las
Prevention services and education programs and
services
Bureaucracy may limit those who may receive
services
Gap in those who don't qualify £or services
Hard for people to know where to go
Alternative care not covered by insurance
Transportation
Assistance needed to find emnlovm¢nt
More jobs and Increase in level of professional jobs
Transportation
Childcare subsidy1'ix»ap _
Illiterate/Education/ E.IucYlt Ty tttt lfrCSYU"
Vocational programs- -t-ship C?r.Cro„ e.iysAlJ#.rl,}T#sSiG3', 1M
Increase computer education classes Xa?is '
Graduates not prepared for real world jobs xT171P", ,
Barriers to emnlovment are there in New Hanover County for citizens with disabilities
More jobs
Transportation aY cr„ bufl¢Ar ~
Childcare subsidy u Yson una3'i Yarp~„SSi&}fi6 eduv
711iteraie/Education/Vocational programs pVm,g s¢'"`~ ' x[tswfil~~iT _ ~
Lack of empathy, employers need sensitivity ~n`cllC ac~a orl~~nlriElssg `ti+3[i+.'r~'~ "ak7?R
training Z.wlrJt',~!.~,~AP'tPi+9t}^J,!
Costs to make facility accommodations
Additional services or changes to the existing services do you feel are needed
Economic development More education For professional growth
Affordable health insurance Obesity mittgatton
Supportive employment family policies wJt'',,aR m .Y'
Job trainings i1iWR$t r . sBm r.R
Bilingual education ltfo-+f X p`an[1;~11`,
Adult dental care M
Preventive health programs
Chronic disease management- diabetes education
Job fairs
mar/
New Hanover County Community Assessment 68
ONE tbin~ to change to make New Hanover County a better community to live in
Collaboration
Smoke free environments
Bring back family life planning
Parental Education Programs
Long Range Programming
Job Pay Scale
Improve transportation and road systems
Improve school/decrease dropout rates
Eliminate poverty
Social harmony
Eliminate crime, drugs, substance abuse
Promote integration among social classes
Improve school systems
,c -ypi+Rr rrp
Bps€¢at#+ e?[r.~7c.11ric
.
~r.
New Hanover County Community Assessment 69
Conclusion ~
Community Health Priorities
Conducting this community nacds assessment has allowed the opportunity to explore these health
issues that need to be addressed by looking at the preexisting data as well as gaining insight from
the community perceptions of the health status in New Hanover County: The Community
Assessment provides the framework and foundation for the development --Cl implementation of a
strategic plan to reduce the morbidity and mortality in New Hanover County.
New Hanover County plans to target the modifiable risk factors associated with the leading
causes of death: overweight, poor diet, physical inactivity and tobacco use: Other areas
highlighted throughout this assessment which are significant issues for this community is
violence, crime, access to care, and mental health- New Hanover County Health Department,
Cape Fear Healthy Carolinians and other community partners plan on utilizing this assessment to
strategically plan the services and programs that will best impact the community's health
outcomes.
NHC Community Health Assessment 70
REFERENCES
Cancer Profiles: A fact sheet produced by the North Carolina Central Cancer Registry (CCR) August
200 hqp://www.schs.state.nc.us/SCHS/CCR/cp2007/NewHanovgL.pdf
Cecil G. Sheps Center for Health Services Research 2004 Annual Updatewww.shepscenter.unc.edu
Center for Science in the Public Interest (CSPI) Schools: www.cspinet.org/schoolreportcard.pdf.
Childhood Obesity: http://www.cdc.gov/HealthyYouth/overweight/pdf/NorthCarolina pdf
hqp://www.cdc.gov/mmwr/PDF/SS/SS5505.pd
Coastal Carolina Health Alliance: obtained secondary data
North Carolina Child Advocacy Institute: Retrieved on November 15, 2007 http://www.ncchild.org/
New Hanover County School www.nhcs.kl2.nc.us
New Hanover County (2007) http://www.nhcgov.com/
http: //www. nhcgov. com/AgnAndDpt/BUDG/Documents/XPriorAdopted/EconomicConsiderations.pdf
North Carolina Center for Statistics (NCHS); www.schs.state.nc.us
North Carolina Department of Justice: www.ncdoi.com
NC Rural Economic Development Center
htM: //www, ncruralcenter. orQ1databank1profile. asp?county=New%20Hanover
NC Profile: Source: http://eslmi23.esc.state.nc.uslncplindInfoltopTen.aspx
North Carolina State Bureau of Investigation. Www. nsbi.gov
National Safety Council: www.nsc.org
North Carolina Tobacco Prevention and Control Branch
Office of Healthy Carolinians. (2007). NC 2010 Health Objectives. Retrieved from
htip://www.healthycarolinians.org/healthobi20lO.htm
Star News online: http>Hwww.stamewsonline.com/ Article: Our streets are no place to live
U.S. Census Bureau' State and County Quick facts. Retrieved September 2007, from
hgp://guickfacts.census.gov/gfd/
United Way Community Assessment: Blueprint for Impact2005
Wilmington Chamber of Commerce hgp://www.wilmingtonchamber.ore/
NHC Community Health Assessment 71
November 2007
mob;. O
NE NOVER COUNTY HEAD-~N L~
Hours of Op¢ration for Main Offic¢- 1 lu Clines, Shcot~s with a Smile
Office Hours: Monday-Friday, 8:00 a_m- - 5 p_m. "G¢t ih¢ Flu Shot, Not th¢ Flu!" Tlus is a motto the New x rsj;` ~YS?e
Clinic ond
Hours: May - Friday, 8:00 a_- _ - 4:30 p_m. Hanover County fl-ltb Department has used in past Hu
Extended Clinic I-I- Tuesday evening until 7 p.m. campaigns, but. the message is still the same and just -
Se Habla Espanol importam. If you are interested in receiving a flu sh-, feel
_icio d¢ Interprets Ciratis free to give the New Hanover County Health Department
call at (910) 798-6646 to schedule an appointment. Walk-_,
New Hanover CO71ntJ' ms are always welcome between 8 am and 4:15 pm. We
accept Medicare Part B plans and Blue Cross Blue Shield _
Health Department of North caroling.
2029 Sc uth 17th Stroct Getting your annual flu sb- is a great way to protect yo
fm the dreaded influzviuethat afethe Wilmington, NC 2$401 United
States each yeaz. On average, 5% to 20% of the population
phone 910.798.6500 gets the flu, more than 200,000 aze hospitalized, and 36,000
fax 910.341.4146 die from the flu_
www.nhchd.org Flu season may b¢gin as ¢arly as October and last ss late as May_
Flu viruses spread mainly from person to person through infected people that are coughing - sneezing.
You can also come into contact with the viruses by touching infected surfaces (where respiratory droplets
OffSlte lOCatlOI11S. may be present) and then rubbing your nose or eyes- IF a person becomes infected with influenza, symptoms
Animal Control usually xpp- one [o three days later. Infected adults may spread the virus to others as soon as one day
before their own symptoms appear and up to five days after becoming sick.
S'6T~ZCeS Symptoms aze usually high fever, headache, sore throat, muscle aches, feeling tired, and sometimes
180 Division 7- 28401 nausea and diarrhea which are more common in children [hen adults. More serious complications, such as
Wilmington, NC 284 pneumonia, can also be flu related. Flu symptoms should not be confused with symptoms of the corrtrrton
910-798-7500 cold which are generally milder with a stuffy - mvany nose.
Environmental So what can you do to prevent this illness? Tbl single best way is [o get the flu shot. The flu shot
Health Services is a vaccine tbat is given in the muscle, usually the arm. Flu -bons are approved for use in people 6
months of age and older. October and November are good times to get vaccinated and if you have bad
230 Marketplace Drive previous flu vaccinations, you sb-ld have about 6 months of protection- Some people are more at risk for
Wilmington, NC 28403 complications related to influenza disease and should receive their vaccinations- Some of these conditions
910-798-6667 include chronic health conditions, such as diabetes, or respiratory problems, sucfi as astbtn The elderly
(located in County t\rtrtex at and the young arc also at risk. Some people complain of tenderness or soreness in the muscle after
MarKet Place Mall) ang the vaccination and sometimes, fever and muscle -b- Generally, people have no complaints.
NEW HANOVER COUNTY The flu sb- does not give a person the flu.
HEALTH DEPARTMENT Another way to protect yourself from becoming infected with the It. is to practice good head washing and
BOARD MEMBERS [o keep your hands from your eyes and nose- Also, allow others that are sick with the flu to stay home and
to cover their cough. If you smoke, STOP! Some research studies show a higher incidence of influenza
Edward Weaver, Jr, OD, Chairman, Optometrist infection among smokers and there is also a higher mortality rate from influenza infection in smokers
Sandra L. Miles, DDS, Vic¢ Chair, Dentist compared to non-smokers-
Virgivia W Aaa-- PbD, Nurse It takes about two weeks aRer receiving the flu shot to be protected. There is always a chance that someone
Donald P_ Blskq Public Member can be become infected with influenza virus before [bat time. That is why it is a good time to get vaccinatetl
Marvin E. Freeman, Public Member now, especially if you will be in situations wbare you may come in contact with the flu, such - airports
when traveling for the hobdays, holiday family gatherings or at a department store wban -bopping fox
James R_ niclcmov, RPh, Pbatnt_ist gifts.
Navvy n_ Pritchett, Couaty
Cor[u[tissioner So, why should you get a flu shot every year? Flu viruses change year to year and so the vaccine composition
Robert M_ Shaker Jr_, MD, Physician ust be changed every year to protect you from those particular viruses. Also, protection from the flu
C_ Benjamin Spradley, Public Member strains in the vaccine decreases over the year. Since the vaccine covers different strains of influenza
John S. "1\anstall, PE, Engineer virse s, the flu shot can still protect you or reduce the duration of the Ru if you come into contact with a flu
G_ Rob¢rY Weadov, DVM, MPH Veterinarian strain not covered by the vaccine. It is still a good investment and the flu vaccme works very well reducing
Javeae A_ Rhyne, MD, Medical Consultant the chances of getting the flu by 70%-90% in h-1tby adults.
The Year in Review from Your Health Depart - me , nt
Health Programs Administration International Travel Clinic severe dental problems that cannot be performed in a regular dental
Strategic National Stockpile Receiving Site Exercise The International Travel Clinic has been a huge success with the setting.
"First in North Carolina" public's demand for vaccinations and anti-malarial medications for
their travel needs at a reasonable cost. In addition, we have provided The mobile dental unit will be at Sunset Park Elementary School,
The exercise was com- our clients with travel information based on thew travel itinerary. start November 21, 2007. The unit serves children between the ages
pleted successfully, Our clients have been both pleased and grateful that we have taken of 3-18, who have Medicaid or NC Health Choice insurance and
meeting all exercise ob- such an interest in than travel needs and their general health while children with no dental insurance on a sliding fee scale.
jectives. Our staff did a traveling. Our travel clinic began on March 2, 2007 as the Foreign
r fantastic job working Travel Clinic. Since then, we have adopted and changed the name
with other local agen- of our travel clinic to the International Travel Clinic. This change
ties to receive the ship- emphasizes travel to specific countries and not simply travel to a
ment and have it ready foreign area. We have had 303 visits in almost four months and have
to go on schedule. Ob- also expanded our appointment times from morning only to include Communicable Disease Trend
servers from the state the entire day. We provide much more than vaccinations in our travel
Office of Public Health clinic. We provide a great deal of information, including: screening Reportable
Preparedness and Response noted that realism was added to the exer- our patients before receiving vaccinations or anti-malarial for ancise, excellent teamwork and coordination of community and county y Communicable Diseases
partners was evident, and reported that photos and documents from possible contradictions, providing. the proper documentation on the
International Certificate of Vaccination card, and how our clients can (With more than 1 case reported)
this exercise will be used to demonstrate the receiving site process better prepare for a trip and stay safe. Our nurses have also received July 1, 2006 -June 30, 2007
to other counties in North Carolina. We learned a great deal and now many compliments and cards thanking them for their time, informa-
we have a much higher comfort level with our ability to receive an Lion, and caring. The travel clinic has been a very positive experience AIDS 30
SNS shipment. This is a crucial component in our mass dispensing
for
efforts. It is one of the first local efforts in processing large amounts our staff and community.
of vaccines or medicines out to the public. School of Mental Health Campylobaeter .............................25
On March 30 we had the second half of our exercises, the mass
dispensing, at Veterans Park. We had 22 partner agencies and over New Hanover County Schools and the New Hanover County Health Cryptosporidiosis 4
300 staffers working together. ether. Our have
8 g primary goal was to process 833 Department joined together to provide mental health services .
people per hour. We processed 650 per hour with one of our two in the schools. This program was originally developed by the school Chlamydla .....................................412
dispensing areas barely seeing anyone. It was not because they were system and Southeastern Center for Mental Health /Developmental
not prepared. We just didn't have enough participants to keep them Disabilities / Substance Abuse Services (MHIDD/SAS) in 2001 but, Enrilichiosos, monocytic ..............2
busy. If we had more participants we could have done 1000 or more due to State Mental Health Reform, had to be divested from South-
with the staff we had available. What we did learn is that we can eastern Center at the end of the M06-07 fiscal year. The New Ha- Gonorrhea .....................................224
actually process 833 people per hour. According to local, state and nover County Health Department participated in discussions earlier
federal representatives and the evaluators, we did very well. We were this year to take over this program, with the strong support from the Hepatitis B, Acute .........................5
the first state sponsored mass dispensing drive through exercise. We Board of Health and the County Commissioners. In June 2007, the
pulled together and worked with our key partners and learned how transfer was successfully negotiated and the program became a part Hepatitis B, Chronic ....................24
to improve our process. Thanks to all the staff for making these ex- of the Health Department in July 2007. There are currently 13 mental
ercises such a success! health therapists covering 15 elementary and middle schools plus HIV Infection................................ 42
Personal Health Services students transitioning from Lake Forest Academy.
Miles of Smiles Meningitis, Pneumocoeca ............14
Colposcopy
ived notification from Coastal OB-GYN that we would no The "Miles of Smiles" mobile dental unit has traveled New Hanover
to able to send low risk patients with abnormal pap tests in and Brunswick Counties since arriving in June 2006. The unit has PertUSS1S ........................................13
need of Colposcopy to their agency April 2007. A patient waiting list served seven (7) public schools with two of these schools visited Rocky Mountain Spotted Fever..33
was established with thirty three patients awaiting Colposcopies. We twice. The New Hanover County schools include Johnson Elemen-
requested and received funding from Ministering Circle to purchase tary, Freeman Elementary, Gregory - Williston, and Sunset Park El-
supplies and equipment to perform our own Colposcopies May 2007. ementary. The Brunswick County schools served were Lincoln El- Salmonella .....................................$g
After receiving supplies and equipment our staff was trained on how ementary, Belville Elementary and Supply Elementary. In the time
to use the equipment, pathology preparation, the cleaning and steril- period of July 2006 - June 2007, we have seen 716 children with Shigella ..........................................13
ization process, and clinical duties. We secured a contracted physi- 1,452 dental visits and 6,957 dental procedures. In February 2007,
cian to provide colposcopies after hours to our patients weekly, we welcomed Dr. Zachary Hunter as our new contract dentist. Dr. Syphilis, Total ...............................53
The first clinic was held on June 12, 2007 with five patients receiving Hunter comes from Michigan where he worked with a large practice
colposcopies and again on June 1, 2007 with another five patients serving primarily Medicaid clients and has a special interest in chil-
served. Two of those patients were referred for further evaluation dren. Other highlights this year include a gift of $10,000 from Bruns-
after receiving the pathology results. Currently, patients are seen wick County and $5,000 from the Duke Endowment for charity den-
within one month of this agency receiving an abnormal Pap test result tal care. In addition, the Duke Endowment has committed $15,000
instead of waiting for up to four months with our previous provider. for equipment to provide future hospital sedation for children with
W
NEW HANOVER COUNTY HE~,
Animal Control Services
Your Pet, Our Priority
The fiscal year began
relatively quiet for Animal
Control Services (ACS).
The team maintained the
usual influx of unwanted
animals through the shelter
during the summer months,
with the assurance that the
spay/neuter facility was
available for neutering
the pets prior to placing
them in the adoption area.
This has been a valuable
asset in decreasing the animal overpopulation issue in our county,
especially since more than 600 surgeries are performed each year.
The overpopulation issue was highlighted in a major news story
featuring animal injection euthanasia that ran for February sweeps.
Our hope is to bring the problem before the group that can most
make a difference: the individual animal owners who should be
responsible for their pets.
Environmental Health Services
Vector Control Program
Mosquito control has
historically been a highly
visible public health service
V-P made available to citizens
and tourists alike throughout
municipal and unincorporated
areas of the county. Bounded
by the Cape Fear and Northeast
Cape Fear Rivers in addition
to the Atlantic Ocean, much of
New Hanover County offers an
ideal habitat for the more than forty species of mosquitoes found in
this region. Why control mosquitoes? Beyond the "nuisance factor",
mosquitoes are capable of transmitting diseases some of which can
be fatal or can leave victims with long term health effects. Acutely
aware of this potential, New Hanover County Health Department
(NHCHD) Environmental Health Services staff devotes a great deal
of effort to the surveillance and control of mosquitoes. Multiple
indicators simultaneously invoking enhanced control measures are
used to determine when the public faces the greatest risk of diseases
such as eastern equine encephalitis and West Nile virus. If active
disease is present, it infects the "host" through injected saliva when
a mosquito first bites. The itch and welt usually resulting solely from
the saliva is simply your body's reaction and defense to this small
amount of foreign substance. The appearance and recognition of
actual disease symptoms occurs several days or even weeks after an
infective mosquito bite.
New Hanover County Health Department
Phone: 910.798.6500
NER N~nOVEa CM;MtY NEFitt ( ~_9 j~
The New Hanover County Health
Department Budget
The New Hanover County Health Department Amended Expenditure Bud-
get (Adopted Budget plus any amendments that were processed during the
fiscal year) for FY 2006-2007 was $14201,646. Actual expenditures for
FY 2006-2007 were $13,020,988. The Health, Department's budget was
composed of 30 individual programs. Division 'Managers submitted a line
item budget for each program within their respective divisions. The HeIlth
Director and Business Manager reviewed all budget requests. Budget lr wr-
ings were conducted and a Budget Workbook including all programs with
line item narrative justifications was prepared and submitted to the Board
of Health for approval.
The Health Department's Business Manager was responsible for preparing
expenditure reports that ensured billing and receipt of the Health Depart-
ment's state grant funds. The Health Department complied with New Ha-
nover County Financial Policies and Procedures, which included an annual
audit.
Figm 1: Taal Actual E)VwWNutn
FY
Operating: 2MG-2007Cap" OudaY,
$1,800,68 $96,581
14% 1%
Salary &
Fringe:
$11,123,722
05%
Figure t Ud Emned Revem for F1r 2WErW
CMIY
A
16MO Fe0erai85rbte
$1,906,291
01W 40%
1201}1,723
neap mite kG Fees
321.V2 1733,732
0.2% Me tw
Me~f1fF Mewad 11,261,640
Sd07696 -l 01 FM 1447 f094
$2~1 4%
2%
I%W
.
o~
On Thursday, November 15, we will celebrate the 30th Annual Great American Smokeout (GASO). The American
Cancer Society sponsors this event nation-wide, to encourage adults to stop smoking and to keep youth from starting
to smoke. This year the GASO will focus on increasing youth awareness of the dangers of tobacco use and encourage the
adoption of smoke-free, healthy lifestyles for everyone.
A person can quit for one day, and then another day, and another - one day at a time. Results happen immediately. Within 20
minutes after quitting, your heart rate drops. Within 12 hours the carbon monoxide level in your blood drops to normal.
For those who are interested in quitting tobacco, the Quitline is available from 8:00am to 12:00am, seven days a week. You
can call as often as you like and speak with a quit coach who can help you with the process. Call 1-800-QUIT-NOW or
1-800-784-8669, or go online at QuitlineNC.org for more information.
Project Assist of New Hanover, Brunswick, and Pender County builds the capacity of existing organizations and commu-
nity groups to assist in the elimination of tobacco use by bringing effective prevention and cessation intervention to those
who participate. Project Assist is involved with Quitline and the development of the North Carolina Smoke Free Dining
Guide.
The North Carolina Quitline has proven to be effective; people that have stopped smoking with the assistance of Quitline
are twice as likely to remain Smoke-Free.
The Smoke-Free Dining Guide currently lists 254 restaurants; the restaurants are listed on the New Hanover County Web-
site, www.nhcgov.com under Health. Project Assist encourages people to support those establishments that have made the
healthy choice by becoming smoke free. If you are interested in being smoke-free this November 15th, visit one of the lo-
cal smoke-free restaurants. Not only are you supporting your cessation efforts, you are choosing a safe and healthy dining
environment.
North Carolinians deserve the right to breathe smoke-free air at schools, businesses, restaurants, parks, and public places.
The goal of Project Assist is to ensure that this right becomes law. Until it becomes law, Join North Carolinians4or Smoke
Free Air, it's your air...take it back.
The New Hanover County Health Department also partners with Coastal Horizons Center. The Center is launching the
Tobacco Reality Unfiltered (TRU) Campaign in Wilmington, in conjunction with the Great American Smokeout. TRU is
a movement for teens and by teens that helps to prevent tobacco use in North Carolina. Their goal is to recruit at least
5,000 youth from around the state, including local middle and high schools, to take a stand against tobacco use and sign the
tobacco-free TRU pledge. The pledge can be found on the website: realityunfiltered.com. Coastal Horizons' No Fumo
Latino Youth Leadership Program will help to organize, promote and participate in the campaign at their schools. The TRU
Movement and the No Fumo Latino Youth Leadership program are sponsored by the NC Health and Wellness Trust Fund.
For more information about the campaign please call Coastal Horizons at 910-202-0840.
For more information on the Quitline or Project Assist, please contact Christine Freaney, Tobacco Prevention Educator, at
910-798-6658.
1
Look for this logo on the NHCHD website for the most current list of area
New Hanover County Health Department smoke-free dining establishments. If your favorite smoke-free restaurant is
eqa
Phone: 910.798.6500 not on the list, please call Project ASSIST at 910-798-6548 and let us know!
have Operating Expenses to do exercises and the like. We have had this approved by the state
so wa will ba moving forward on these plans.
Cultural Civersity Training
Mr. Rice reported that it was mandated that our staff attend Cultural E)iversity Training and all
staff was not able to attend on October 8 so our Management Team has approved that our staff
may do this online through Cultural Competent Health Care Organizations- It is through the
Institute for Public Health so this will be available and will also be included in new staff
orientation.
Performance Aaoraisals
Mr- Rice reported that all Health Department staff had their performance appraisals completed by
the and of October and that wa are in complianca-
Holidav Cal.bration
Mr. Rice extended an invitation to all board members as well as fir. Pat Melvin to attend the
Holiday Celebration on Thursday, E)ecembar 13th from 1 1:30 until 2:00. Mr- Rice stated that wa
have outgrown our auditorium and it will ba held at the Scottish Rite Facility this year- Mr. Rice
expressed that Marilyn has taken this on each year and it has improved every year.
Other Comments
Other Business
Adlournment-
Being no further business, Cr. Weaver moved the meeting be adjourned at 8:55 a.m.
fir. Edward Weaver, Jr., Chair
New Hanover County Board of Health
David E- Rice, M.P-H., Health E)ireotor
New Hanover County Health ]Dapartmant
Approved:
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: BOH:
Agenda: ® December 5, 2007
CC Consent Agenda:
December 17, 2007
Department: Health Department Presenter: Kim Roane, Support Services
Mara er
Contact: Kim Roane, Su ort Services Manager 798-6522
Subject: Budget Amendment - Family Planning Program Expenses - Personal Health
Services - $26,873
Brief Summary: The New Hanover County Health Department has received notification
from the North Carolina Department of Health and Human Services, Division of Public
Health, that an additional $26,873 has been awarded to be used for any Family Planning
(Title X) approved expense. These funds have been awarded as one-time bonus funds,
based on performance as demonstrated by increased caseload of family planning patients.
Recommended Motiou and Requested Actions: To accept and approve the $26,873
additional State funds to be used to support the New Hanover County Health Department
Family Planning program expenditures, and to approve the associated budget amendment
for FY08.
EPE,ublic ding Sour=ae ent of Health and Human Services, Division of
Healths Health Section (Federal Title X funds). No
chin CoWill above action result in:
New Position Number of Positi on(s)
QPosition(s) Modification or change
®No Chan e in Position s
Explanation: Funds are to be used for Family Planning program Title X approved
expenses.
Attachments: Division of Public Health Fund Distribution
l6w
11
Family Planning Bonus Funds 2007- 2008, November 9, 2007
`rr Coun /Provider Total Funds Count /Provider Total Funds
Alamance $12,323 Johnston $833
Alexander $833 Jones $1,133
Alle han $833 Lee $833
Anson $6,383 Lenoir $833
Ashe $833 Lincoln $2,123
AVe $833 Macon $1,523
Beaufort $833 Madison $2,003
Bertie $1,433 Martin $833
Bladen $1,643 McE:>owell $833
Brunswick $5,993 Mecklenbur $34,523
Buncombe $12,653 Mltchell $833
Burke $3,203 Mont ome $833
Cabarrus $5,603 Moore $8,843
Caldwell $2,573 Nash $833
Camden $833 New Hanover $26,873
Carteret $8,543 Northam ton $833
Caswell $1,763 Onslow $833
Catawba $40,583 Oran a $3,473
03
Chatham $833 Pamlico $1,1
Cherokee $833 Pas uotank $833
Chowan $833 Pander $833
Clay $2,783 Per uimans $1,343
Cleveland $833 Person $4.1931
Columbus $833 Pitt $833
Craven $2,723 Polk $833
Cumberland $46,555 Randolph $833
Currituck $2,453 Richmond $833
Dare $2,783 Robeson $833
f~avidson $833 RocKin ham $833
Davie $833 Rowan $4,493
E)u lin $2,363 Rutherford $833
Durham $833 Sam son $3,383
Ed ocombe $833 Scotland $833
Forsyth $7,943 Stanl $863
Franklin $833 Stokes $833
Gaston $3,383 Sur $833
Gates $833 Swain $833
Graham $2,213 Trans Ivania $4,733
Granville $833 T rrall $833
Greene $833 Union $16,673
Guilford $833 Vance $1,103
Halifax $1,163 Wake $42,263
Harnett --$1,103 Warren $833
Ha ood $5,543 Washin ton $983
Henderson $1,673 Watau a $833
Hertford $833 Wa na $2,813
Hoke $7,283 Wilkes $833
Hyde $833 Wilson $833
Iredell $8,303 Yadkin $2,783
Jackson $5,513 Yance $1,403
TOTAL $4'16,752
1 2