Cecil County Health Status Update Presentation to Cecil County - PowerPoint PPT Presentation

Cecil County Health Status Update Presentation to Cecil County Community Health Advisory Committee 7.20.17 Daniel Coulter, MPH daniel.coulter@maryland.gov Healthy People. Healthy Community. Healthy Future.

County Health Rankings Healthy People. Healthy Community. Healthy Future.

Cecil County Health Rankings, 2011- 2017 (out of 24 MD Jurisdictions) Healthy People. Healthy Community. Healthy Future.

Health Outcomes- Length & Quality of Life Outcome Cecil 2016 Cecil 2017 Maryland 2017 Cecil Trend Length of Life Premature 8,000 7,800 6,400 Stable Death Quality of Life Poor or Fair 15% 13% 13% Improving Health Poor Physical 3.6 3.8 3.5 Stable Health Days Poor Mental 3.6 3.7 3.4 Stable Health Days Low 8% 8% 9% Stable Birthweight

Health Factors- Health Behaviors Factor Cecil 2016 Cecil 2017 Maryland 2017 Cecil Trend Health Behaviors Adult Smoking 16% 16% 15% Improving Adult Obesity 32% 34% 29% Worsening Food Environment 8.2 out of 10 8.4 out of 10 8.2 out of 10 Improving Index* Physical Inactivity 26% 28% 22% Stable Access to exercise 87% 87% 93% Stable opportunities Excessive drinking 17% 17% 12% Stable Alcohol- impaired 33% 28% 33% Improving driving deaths Sexually transmitted 229.1/100K 254.1/100K 462.6/100K Worsening infections Teen births 33/1,000 30/1,000 25/1,000 Improving * = Top 10% of Counties Nationally

Health Factors- Clinical Care Factor Cecil 2016 Cecil 2017 Maryland 2017 Cecil Trend Clinical Care Uninsured* 10% 7% 9% Improving Primary Care 2,320:1 2,280:1 1,130:1 Improving Physicians Dentists 2,560:1 2,440:1 1,350:1 Improving Mental Health 640:1 620:1 490:1 Improving Providers Preventable 50 54 46 Improving Hospital Stays Diabetes 84% 81% 85% Worsening Monitoring Mammography 58% 59% 64% Improving Screenings * = Top 10% of Counties Nationally

Health Factors- Social & Economic Factor Cecil 2016 Cecil 2017 Maryland 2017 Cecil Trend Social & Economic Factors High school 87% 88% 87% Improving Graduation Some College 56% 55% 69% Stable Unemployment 6.6% 6.0% 5.2% Improving Children in 15% 15% 14% Stable Poverty Income Inequality 4.3 4.2 4.5 Improving Index Children in single- 28% 30% 34% Worsening parent home Social Associations 7.1/10,000 7.0/10,000 8.9/10,000 Stable Violent Crime 588/100K 484/100K 465/100K Improving Injury Deaths 78/100K 79/100K 58/100K Worsening

Health Factors- Physical Environment Factor Cecil 2016 Cecil 2017 Maryland 2017 Cecil Trend Physical Environment Air Pollution- 12.1 10.7 9.5 Improving Particulate Matter (µg/m 3 ) Drinking water Yes Yes Yes Stable Violations Severe Housing 16% 16% 17% Stable Problems Driving alone to 82% 82% 74% Stable work Long Commute- 47% 46% 48% Improving Lone Driver

County Health Rankings Takeaways • Over the past 7 years Cecil County’s ranking has improved from the 4 th quartile to the 3 rd quartile in Health Outcomes and Health Factors. • County Health Rankings is one methodology used to measure health in our community. Healthy People. Healthy Community. Healthy Future.

Leading Causes of Death Cecil County, 2015 233 250 216 200 No. of Deaths 150 100 69 53 46 32 32 50 21 20 16 0 Cause of Death Source: Maryland Vital Statistics 2015 Report *DHMH Drug and Alcohol Intoxication Deaths in Maryland, 2015

Heart Disease Age-Adjusted Mortality Rates: Cecil & Maryland, 2011- 2015 220 208 210 Rate Per 100,000 Population 198.7 200 199.7 193.8 191.8 190 Maryland 181.6 180 Cecil 174.9 170 171.7 169.9 169.4 160 150 2009-11 2010-12 2011-13 2012-14 2013-15 Source: Maryland Vital Statistics

Cancer Age-Adjusted Mortality Rates: Cecil & Maryland, 2011- 2015 200 196.7 195 Rate Per 100,000 Population 189.4 188.4 186 190 186 185 180 175 Maryland 171.4 170 Cecil 165 166.8 163.8 160 162 159.3 155 150 2009-11 2010-12 2011-13 2012-14 2013-15 Source: Maryland Vital Statistics

COPD Age-Adjusted Mortality Rates: Cecil & Maryland, 2011- 2015 75 68.4 70.4 70 Rate Per 100,000 Population 64.5 65 64.2 60.7 60 55 Maryland 50 Cecil 45 40 32.9 33.7 35.3 35 31.1 30.8 30 2009-11 2010-12 2011-13 2012-14 2013-15 Source: Maryland Vital Statistics

Stroke Age-Adjusted Mortality Rates: Cecil & Maryland, 2011- 2015 55 Rate Per 100,000 Population 51.6 50 47 45 43.6 Maryland 39.9 Cecil 40 38.7 38.3 37.1 37.4 36.3 35 36.5 30 2009-11 2010-12 2011-13 2012-14 2013-15 Source: Maryland Vital Statistics

Accidents Age-Adjusted Mortality Rates: Cecil & Maryland, 2011- 2015 45 40.4 41 Rate Per 100,000 Population 40 37.5 37 35 36.9 33.5 Maryland Cecil 30 26.5 26.6 25 25.7 24.7 20 2009-11 2010-12 2011-13 2012-14 2013-15 Source: Maryland Vital Statistics