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Chronic Disease Prevalence Amon Adults,PHS Service Area: 2009.2010 <br /> Total Service Service Service Area: <br /> Service Area: Area: household Income <br /> Chronic Disease Area White Minority <$50,000 <br /> (% Adult population) NC (range) (range) (range) (range) <br /> Cardiovascular 9.0 4.6 - 11.7 4.8 - 11.9 3.4 - 11.2 5.5- 14.2 <br /> Diseases <br /> H ercholesteroiemia 2 40.0 132.3 - 39.9 34.6 -41.0 25.0-41.8 32.4 -46.3 <br /> Diabetes 9.8 5.2 - 11.4 3.5 - 10.7 10.5 - 14.0 8.9- 14.7 <br /> Hypertension ---- <br /> ertension 31.5 25.4 - 28.9 22.5 -29.5 17.2- 31.7 25.4 - 34.2 <br /> COPD2 5.6 3.4-6.9 4.3 -6.6 0.9- 8.1 3.8- 10.1 <br /> .Asthma 7.5 6.7 - 11.6 7.4- 12.1 2.7 - 16.0 9.9- 21.7 <br /> Sources: 1) State Center for Health Statistics. (2010).Behavioral Risk Factor Surveillance <br /> Survey(BFRSS), 2010, Raleigh, NC: NCDHHS;2)State Center for Health Statistics. (2009). <br /> Behavioral Risk Factor Surveillance Survey(BFRSS), 2009,Raleigh, NC: NCDHHS. <br /> PHS Service Area Mortalit : 2008-2012 <br /> Age-Adjusted Morality Rates per Service Service Service Area: <br /> 100,000 pop. Area Area: African <br /> (2005-2012) Total White American <br /> Rate Rate <br /> Selected Leading Causes of Death <br /> All Causes 780.4 <br /> Heart Disease 165.9 163.8 201.3 <br /> Cerebrovascular Disease(Stroke) 45.3 43.5 58.4 <br /> Cancer 174.0 171.0 214.5 <br /> Diabetes 21.2 18.4 42.5 <br /> Kidney Disease 16.7 14.2 34.0 <br /> Chronic Lower Respiratog Respirator Disease 46.6 50.4 31.5 <br /> MV/AIDS 13 N/A* 6.7 <br /> Suicide 13.1 16.0 6.2 <br /> Homicide 4.7 3.0 13.5 <br /> Alzheimer's Disease 26.5 27.2 24.1 <br /> *Note mortality rates for other races not calculable due to small numbers. <br /> Source: State Center for Health Statistics(November 2013)2014 County Health Data Book, <br /> Raleigh,NC: NCDHHS. <br /> In addition to overall behavioral risk, chronic disease, and mortality statistics, our health <br /> center model must address the preventive health needs of the community, which include the need <br /> for timely access to quality prenatal care, family planning,oral health and wellness services <br /> (screening/immunization), as well as the needs of the community for acute illness care. <br /> 3. Describe any operational and/or financial changes being considered in the Program(s) <br /> to be funded for FY 2014-15. <br /> There are no major operational/financial changes anticipated for the Carrboro <br /> Community Health Center operations/programming this year, although as previously stated, <br /> Revised November 21,2013 Page of 15 Pages <br />