Field Experience Presentation Gurleen Roberts, MPH Candidate Spring - PowerPoint PPT Presentation

Field Experience Presentation Gurleen Roberts, MPH Candidate Spring 2014 Fort Valley State University April 12, 2014

North Central Health District (NCHD) Background

North Central Health District (NCHD) Background Mission Statement Mission Statement The goal of the NCHD is optimal health for all The goal of the NCHD is optimal health for all Georgians and also strives to prevent diseases, promote health and protect communities against health threats.

North Central Health District (NCHD) Background Services Provided Services Provided • For Children: • Family Planning – Children First • Immunizations Immunizations – Babies Cant Wait • Infectious Disease – Children’s Medical Services – STI/STD – Hearing Screening – TB – School based flu • Epidemiology • Environmental Health – Wells, Septic, Pools, Food Wells, Septic, Pools, Food • WIC • WIC Service Inspections, • Breast Test & More Subdivisions, Rabies, Lead, Tourist Accommodations, • Dental Dental and Tattoo Parlors and Tattoo Parlors

Job Responsibilities Job Responsibilities Intern Contract Intern Contract Supervisor Contract Supervisor Contract • 17 items listed • 10 items listed – Confidentiality agreement y g – Notifying interns of their y g availability – Regular attendance and availability schedule – Accommodating interests of the interns when time – Dressing and acting Dressing and acting permits and opportunities professionally arise – Phone call scripts – Providing clear instructions g – Providing good quality – Providing good quality work in a timely manner

Project Relevance Project Relevance 1. Accreditation 2. Databases 2. Databases 3. Workshops 4. Disease Surveillance 5. Miscellaneous

1 Accreditation 1. Accreditation Health Status Reports Health Status Reports • provide quantitative data on a broad array of health y indicators, including quality of life, behavioral risk factors and other risk factors, and other measures that reflect a broad definition of health.

Peach County Demographic Characteristics of Peach County Residents Overview General Characteristics Total Population 27,695 Median age (years) 33.3 % Under 18 years 23% Economic Indicators % 18-64 years 66% Peach Peach Georgia Georgia % ≥ 65 years 11% Unemployment Rate, 10.9 9.0 % Male 2012 48% Median Household %Female 52% $38,024 $46,252 Income, 2010 Race/Ethnicity % Population % American Indian/ Alaska Native 0.2% Employed 16 years and Employed 16 years and 38% 38% 44% % % Asian 0.8% over % Black/ African American 46% Children in poverty 36% 25% % Native Hawaiian/Other Pacific Islander 0.0% % of Households with %White 48% food Stamp/SNAP 19% 10% % Other Races 3.2% benefits in the past 12 months % Two or More Races 1.6% % Hispanic/Latino (of any race) 7% Household Characteristics Average Household Size 2.58 Average Family Size 3.07 Total Households 9,958 Family Households 69.6% Nonfamily Households 30.4% Family Households with Children (<18 years old) 2,888 Married Couple Households with Children 57% Female Householder with Children 25% Male Householder with Children 8%

Chronic Disease Chronic Disease Obesity Obesity In Peach County • – 30% obese Adults – 29% of Adults report no leisure time physical activity. – 9% low-income and do not live close to a grocery store. – 50% of the restaurants are fast-food establishments. – 4 recreational facilities – 9% live within 1/2 mile of a park.

Leading Causes of Death Leading Causes of Death Age Adjusted Mortality Rates per 100,000 population due to Leading Causes of Cancer by Gender, 2007-2011 Males Males Peach Peach Georgia Georgia Females Females Peach Peach Georgia Georgia Lung Lung Cancer 83.4 68.9 46.2 37.7 Cancer Prostate Colon 23.8 25.5 19.4 13.6 Cancer Cancer Breast Colon Cancer 20.3 19.6 14.9 23 Cancer Cancer Pancreatic Pancreatic 12.5 12.1 13 9 Cancer Cancer Stomach Stomach Cancer Cancer 11.9 4.8 8.8 2.7

Infectious Disease Infectious Disease Chlamydia Chlamydia Gonorrhea Gonorrhea *Syphilis rates increased in 2010-11 in the 20-24 age group

Infectious Disease Infectious Disease HIV HIV

2 Databases 2. Databases • HIV • Tuberculosis Tuberculosis • Syphilis – Submitted abstract for GPHA GPHA

3. Workshops p Participated Helped set up • Radiological • Radiological • HIV Training • HIV Training preparedness • Perinatal Workshop • Emergency shelter g y – Data statistics preparedness • Foodborne outbreak training training

Perinatal Workshop Data Perinatal Workshop Data Infant Deaths Infant Deaths Low Birth Weight Births Low Birth Weight Births Low Birthweight Births in North Central Health District Infant Deaths in North Central Health District from 2007‐2011 by Mother's Age from 2007‐2011 18 120 ant Deaths per ow Birthweight 16 100 99 14 ve Births 83 80 12 White Non‐Hispanic 73 10 hs Black Non Hispanic Black Non‐Hispanic Number of Infa 1,000 Liv 60 60 Percentage of Lo Birt Hispanic 8 43 Other 40 6 4 20 2 0 0 0 0 2006 2007 2008 2009 2010 2011 2012 age 10‐17 age 18‐24 age 25‐34 age 35‐44 Year Mother's age in years

Main Conference Room Main Conference Room

4 Disease Surveillance 4. Disease Surveillance Rocky Mountain Spotted Lyme Disease Lyme Disease Fever Fever Data entered into SENDSS

5 Miscellaneous 5. Miscellaneous • School flu project • Ride-along for STD notification • Georgia resource list

Methods Used Microsoft Office • Databases: OASIS, SENDSS, and , , • EPIinfo Taking initiative • Being punctual Being punctual • Asking questions • Details matter • Network, Network, Network ! •

Suggestions for Improvement Suggestions for Improvement • Provide students with a list of field sites • During field experience course: – Internship etiquette I t hi ti tt seminar – Interview workshop – Resume workshop

Conclusion Conclusion I learned that I learned that.. • Hands-on experience is essential • Networking is key • Creating a reputation brings long term benefits b i l b fi • I am passionate about epidemiology and public epidemiology and public health from an administrative perspective

Th k ! Thank you!