Review of Available Childhood Asthma Data Allegheny County, 2018 1 - PowerPoint PPT Presentation

Review of Available Childhood Asthma Data Allegheny County, 2018 1

Percent of Children with Asthma among School children in Allegheny County 2008-2016 14 12 10 Percent (%) 8 6 4 2 0 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 Allegheny County State of PA 2 Source: Pennsylvania Department of Health, Bureau of Community Health Systems, Division of School Health

HATS Survey (2014, Ages 14-19) Has a doctor or nurse ever told you that you have asthma? • Reporting asthma diagnosis is more likely Ever had asthma Demographics % CI* among Race • Black teens Non-Hispanic White 20 17-23 Non-Hispanic Black 27 16-34 • Males Non-Hispanic Other 29 16-42 Hispanic 35 10-60 • Younger teens (14-15) Gender Female 20 16-24 • High School Grad/College education Male 24 20-28 Age • These differences are not significant, which 14-15 24 18-29 could mean no true difference exists, or the 16-17 22 17-27 18-19 21 16-26 sample size was too low to detect a Education difference Grade 12 or less 23 19-26 High School Grad/College 21 15-27 *95% Confidence Interval 3 Source: Healthy Adolescent Teen Survey (HATS), 2014

Hospitalization Rates and Healthy People (HP) 2020 Goals HP2020 Goal Target 2016 Rate 2016 White 2016 Black Reduce 18.2 per 10.7 per 10,000 6.8 per 10,000 26.6 per 10,000 Hospitalizations for 10,000 asthma among children < 5 years Reduce 8.7 per 5.5 per 10,000 3.8 per 10,000 17.2 per 10,000 hospitalizations for 10,000 asthma among children and adults aged 5-64 years Reduce 20.1 per 7.9 per 10,000 6.8 per 10,000 14.5 per 10,000 hospitalizations for 10,000 asthma among adults aged 65+ Sources: Healthy People 2020 Objectives, Respiratory Diseases: https://www.healthypeople.gov/2020/topics-objectives/topic/respiratory-diseases/objectives 4 Pennsylvania Health Care Cost Containment Council (PHC4), 2016

Allegheny County Age-Specific Asthma Hospitalization Rates for children 0-17 years, 2015-2016 5 Source: Pennsylvania Health Care Cost Containment Council (PHC4), 2015-2016

Allegheny County Age-Specific Asthma Hospitalization Rates by Gender (Ages 0-17) 2012-2016 6 Source: Pennsylvania Health Care Cost Containment Council (PHC4), 2012-2016

Allegheny County Age-Specific Asthma Hospitalization Rate by Race (Ages 0-17) 2012-2016 7 Source: Pennsylvania Health Care Cost Containment Council (PHC4), 2015-2016

Allegheny County Hospitalization Rates by Zip Code (ages 0-17): 2012-2016 Legend Allegheny County Rivers Zip Code Boundaries Rate per 10,000 3.427- 8.513 8.514 - 12.159 12.160 - 19.981 Rates for areas with less than 19.982 - 27.591 10 events were not calculated 27.592- 42.105 8 Source: Pennsylvania Health Care Cost Containment Council (PHC4), 2012-2016

Definition of ED Visit • We are using an EpiCenter standard definition and algorithm to extract the information • ED visit data is based on chief complaint categorized by symptom classification • It is NOT based on diagnosis and may include more than one category in addition to asthma (e.g. cough, respiratory, ILI, neurological, gastrointestinal, etc.) • ED visits are visits only, we do not know the actual number of persons who visited the ED 9

Allegheny County Childhood Asthma ED Visit Allegheny County Childhood Asthma ED Rates by Rates by Gender 2013-2017 Age Group 2013-2017 80 90 80 70 70 60 Rate per 10,000 Rate per 10,000 60 50 50 40 40 30 30 20 20 10 10 0 0 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 Male Female County 0-4 5-11 12-18 10 Source: EpiCenter, Health Monitoring Systems, 2013-2017

Percent of Allegheny County ED Visits by Age, 2017 11 Source: EpiCenter, Health Monitoring Systems, 2017

Percent of ED Visits by Gender, 2017 12 Source: EpiCenter, Health Monitoring Systems, 2017

Allegheny County ED Visit Rates by Zip Code, 2017 Legend Allegheny County Rivers Zip Code Boundaries Rate per 10,000 14.564 - 39.234 39.235 - 85.501 85.502 - 102.201 Rates for areas with less than 102.202 - 116.042 10 events were not calculated 116.043 - 288.329 13 Source: EpiCenter, Health Monitoring Systems, 2017

ACHD Air Quality Program Data 14

Air Quality Monitors in Allegheny County