Agenda - 11-13-2007-e - Laserfiche WebLink

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Selected Core Health Services Orange County Health Department November 13, 2007 The Orange County Health Department (OCHD) is charged with providing services as listed in North Carolina General Statute 130A and in North Carolina Administrative Code 10A. In addition, there are a number of local rules and ordinances that impact service delivery to residents. There are two overarching responsibilities for OCHD. First is to prevent disease and the spread of disease. These are primary functions that cannot be delegated. Second is to act as a safety net for the provision of certain specific clinical services for community residents in the event that adequate services are not provided within the community. Health Statistics for Orange County • 36% of all 2-4 year olds seen in WIC and health department clinics are obese (NC is 28%); 39% of kids 2-18 are obese (NC is 36%) • Orange County continues to be in the lower quartile of the state for lead screening rates among children • 15% of Orange County residents are uninsured • According to the NC Immunization Registry, 37% of children are immunized age appropriately; the state rate is 44% • In 2005 42.6% of the uninsured NC population were minorities; 24% of the uninsured were African American • Orange County has the highest rate of breast cancer in women for the state Service Trends • Since July 1, the number of confirmed tuberculosis (TB) cases is double that of the entire previous year and the number of latent TB cases exceeds the entire year. • 107 Karin refugees have been referred for communicable disease screening since July 1. In previous years, the Department may have received 12-15 for the entire year. Best estimates give us an additional 100 before the end of the fiscal year. • Since July 1, 15 new cases of Hepatitis B referred to us for follow-up. • Rising rates of HIV cases, but fewer residents presenting for testing and counseling. • Dental service provision is limited by staff and facilities. Compared to the last five years, there was a 2% drop in overall number of visits; the percentage of low income clients (below 80% pay) rose by 7%. Emergency visits continue to rise. • Since 2002, patient visits for sexually transmitted infections have increased by 14% in each clinical location; in 2006-2007 more than 1200 persons presented for testing • Patient visits for immunizations have increased by 20% (Chapel Hill) and 10% (Hillsborough). • Maternal Health (prenatal) visits increased 47% in Hillsborough and 39% in Chapel Hiil. Approximately 70% of these patients have a substance abuse or mental health need. • Well Child visits increased 112% (Hillsborough) and 51 % (Chapel Hill). • Family Planning visits have remained steady with small variations from year to year. • Primary care in Hillsborough more than doubled in 18 months from 126 patients to 291. Chapel Hill primary care without any "marketing" had 51 patients at year's end.