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Adult Health <br />Office, Section, or Branch <br />Orange County <br />Contractor <br />N.C. Department of Environment, Health, and Natural Resources <br />Division of General Services <br />CONTRACT ADDENDUM <br />Health Department <br />A. BACKGROUND, NEEDS AND TARGET POPULATION <br />1. Adult Health Problems in Orange County <br />Page 1 of 4 <br />FY 91 -92 <br />3 <br />92-5500-068 <br />Contract Number <br />Health. Promotion <br />Activity <br />a. Cardiovascular disease (heart disease, cerebrovascular disease and <br />atherosclerosis) is the leading cause of death in Orange County. <br />1984- 1988 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 objective for the state is to reduce the North Carolina <br />age - adjusted rate from 235.5 to less than 155.9 per 100,000. Orange <br />County rates for all males and for non -white females are above this <br />rate. <br />b. Cancer is the second leading cause of death in Orange County. <br />1984 -1988 Race - Sex - Specific Age- Adjusted Rates for Orange County <br />white male white female <br />156.1 91.3 <br />The year 2000 objective for <br />age - adjusted mortality rate <br />Again, rates for all males <br />rate. <br />2. Selected Problem <br />non -white male non -white female total <br />207.4 119.5 126.5 <br />the state is to reduce the North Carolina <br />from 130.9 to less than 97.6 per 100,000. <br />ind for non -white females are above this <br />The Health Promotion Program of the Orange County Health Department is <br />a worksite wellness program. It focuses on the reduction of disability <br />and premature death from cardiovascular disease through activities and <br />interventions aimed at reduction of risk factors implicated in <br />cardiovascular disease. An increased focus on all male and black <br />females is indicated by Orange County mortality data. The agency will <br />begin collecting data on cancer and current prevention activities <br />within the county to assess need for inclusion of cancer prevention► <br />activities in future contract addenda. <br />I ►FHNR 33X (R,,I.,,J 2/90) <br />( %encral Services Division (Review 1/95) <br />Reviewed by <br />Initials Date <br />