Orange County NC Website
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N.C. Department of Environment, Health, and Natural Resources <br />Division of General Services <br />CONTRACT ADDENDUM <br />Adult Health <br />Office, Section, or Branch <br />Orange County Health Department <br />Contractor <br />A. <br />BACKGROUND, NEEDS AND <br />TARGET POPULATION <br />I. Orange <br />County Population Data <br />Age % <br />Population <br />Race /Sex <br />% Population <br />0 - 19 <br />26% <br />white male <br />38.8% <br />20 -64 <br />65.14% <br />non -white male <br />8.6% <br />65+ <br />8.86% <br />white female <br />42.5% <br />non -white female <br />10.0% <br />Leading Adult Health Problem in Orange Count <br />Cardiovascular disease (heart disease, cerebrovascular <br />disease, atherosclerosis) is the leading cause of death. <br />Page 1 of 4 <br />Fy 91--92 <br />2 <br />92- 550,@' -68 <br />Contract Number <br />Adult Health <br />Activity <br />1984 - 88 Race - Sex - Specific Age- Adjusted rates for Orange County <br />white male white female non -white male non -white female total <br />218.8 117 268.6 188 172.8 <br />The year 2000 outcome objective for the state is to reduce the North <br />Carolina age- adjusted rate for cardiovascular disease from 235.5 to less <br />than 155.9 per 100,000. <br />Orange County rates for males and non- whites require work to reach the <br />projected rates. There is also a greater rate of disease in non - whites <br />compared to whites of both sexes. <br />Community Opinion Survey <br />A community opinion survey completed by 115 Orange County residents (51% of <br />residents were non - white, 69% of residents were female) identified these <br />services which they felt the health department should provide: blood <br />pressure checks 86 %, blood sugar checks 73 %, cholesterol tests 70 %, health <br />education classes 53 %, nutrition counseling 53 %. Reasons identified for <br />not taking care of health problems: costs 51 %, individual does not <br />recognize the problem 43 %, lack of transportation 41 %, individual chooses <br />not to seek help 34 %, individual doesn't know about services 33 %. Sixty <br />percent reported utilizing health department services. <br />2. Selected Problem <br />The Adult Health Program will focus its preventive efforts to reducing risks <br />r fqr cardiovascular disease, primarily among black residents within the <br />courity, <br />11FHNR 3300 (Revised 2/90) <br />General Services Division (Review 1/95) <br />Reviewed by <br />Initials Date <br />