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1U.S. Census Bureau (2015). State and County Quick Facts. Retrieved from http://quickfacts.census.gov/qfd/states/37/37135.html 2 North Carolina Department of Commerce. (2015). AccessNC County Profile. North Carolina Economic Data and Site Information. Retrieved from http://accessnc.commerce.state.nc.us/docs/countyProfile/NC/37135.pdf. 3 http://www.census.gov/quickfacts/table/PST045215/3710620,3711800,3731620 4 U.S. Census Bureau (2015). State and County Quick Facts. Retrieved from http://quickfacts.census.gov/qfd/states/37/37135.html. 5 http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=CF 6 US Census Bureau (2010). Detailed Hispanic or Latino Origin, and Asian Population. Retrieved from http://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml#none. 7 Orange County Health Department (2005-2015). Refugee Screening Logs. 8 American Community Survey (2010-2014). 5-Year Estimates. Retrieved from http://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml#none. 9 Orange County NC Genealogy (2010). Orange County, NCGenWeb. Retrieved from http://ncgenweb.us/nc/orange/. 10 Felitti et al. (1998). Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults. American Journal of Preventive Medicine. Retrieved from http://www.ajpmonline.org/article/S0749-3797(98)00017-8/abstract. 11 Child Trends report “Adverse Childhood Experiences: National and State-Level Prevalence” Retrieved from http://www.childtrends.org/wp- content/uploads/2014/07/Brief-adverse-childhood-experiences_FINAL.pdf. 12 Austin and Herrick (2014). The Effect of Adverse Childhood Experiences on Adult Health: 2012 North Carolina Behavioral Risk Factor Surveillance System. Retrieved from http://www.schs.state.nc.us/schs/pdf/SCHS_Study_167_FIN_20140505.pdf. 13 U.S. Department of Health and Human Services. (2016). Healthy People 2020: Access to Health Services. Retrieved from http://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services 14 North Carolina State Center for Health Statistics (2012). CHAMP Racial and Ethnic Disparities in Child Health. Retrieved from http://www.schs.state.nc.us/schs/pdf/CHAMP_FS_RAED_20120615.pdf 15 NC Resident Population. Health Data by Race and Ethnicity 2010-2014. Retrieved from http://www.schs.state.nc.us/schs/pdf/NCPopHealthDatabyRaceEthNov2015.pdf 16 Orange County (2015). Community Health Assessment Focus Group Results, Latino Immigrants and Refugees from Burma. 17 U.S. Census Bureau (2014). American Fact Finder. Selected Economic Characteristics 2010 – 2014 American Community Survey 5 – Year Estimates. Retrieved from http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_14_5YR_DP03&prodType=table 18 U.S. Department of Health and Human Services (2016). The Affordable Care Act. Retrieved from: http://www.hhs.gov/healthcare/about-the-law/read-the- law/index.html# 19 American Academy of Periodontology (2015). Gum Disease and Heart Disease. Accessed from: https://www.perio.org/consumer/heart_disease 20 U.S. Census Bureau (2014). American Fact Finder. Selected Economic Characteristics 2010-2014 American Community Survey 5-Year Estimates. Retrieved from http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_14_5YR_DP03&prodType=table 21 U.S. Department of Health and Human Services. (2000). Healthy People 2010. 2nd ed. With Understanding and Improving Health and Objectives for Improving Health. Washington, DC: U.S. Government Printing Office. 22 Orange County Literacy Council (2016). Retrieved from http://orangeliteracy.org/why-literacy/ 23 Centers for Disease Control and Prevention (2013). Emergency Department Visits by Patients with Mental Health Disorders – North Carolina, 2008 – 2010. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6223a4.htm 24 NC Department of Health and Human Services (2015). Injury and Violence Prevention Branch. Suicide Prevention. Retrieved from http://www.injuryfreenc.ncdhhs.gov/preventionResources/Suicide.htm 25 UNC School of Medicine (2015). Alcoholism and Alcohol Abuse. Retrieved from https://www.med.unc.edu/alcohol/education-prevention/alcoholism-and-alcohol- abuse/alcoholism. 26 North Carolina Alcohol Facts (2013). Crashes that Involved Alcohol, 2009-2013. Retrieved from (http://ncaf.hsrc.unc.edu/county_veh.cfm. 27 NC Department of Health and Human Services (2016). Unintentional Poisoning from Prescription Drugs (Overdose). Retrieved from http://www.injuryfreenc.ncdhhs.gov/preventionResources/UnintentionalPoisoning.htm. 28 North Carolina Institute of Medicine Task Force on Prevention. (2009). Prevention for the Health of North Carolina: Prevention Action Plan. Morrisville, NC: North Carolina Institute of Medicine. 29 Lasser, K., Boyd, W., Woolhandler, S., Himmelstein, D. U., McCormick, D., & Bor, D. H. (2000). Smoking and Mental illness: A population based prevalence study. Journal of the American Medical Association, 284, 2606–2610. 30 U.S. Department of Health and Human Services. National Institute on Alcohol Abuse and Alcoholism (2007). Alcohol and Tobacco. Alcohol Alert, 71. http://pubs.niaaa.nih.gov/publications/AA71/AA71.htm. 31 Centers for Disease Control and Prevention. Current Cigarette Smoking Among U.S. Adults Aged 18 Years and Older. Retrieved from http://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html.. 32 American Cancer Society. (2014). Cancer Facts & Figures 2014. Atlanta: American Cancer Society. 33 U.S. DHHS (2014). The Health Consequences of Smoking – 50 Years of Progress. A Report of the Surgeon General, Executive Summary. 34 Strasburger, V.C. & the Council on Communications and Media. (2010). Pediatrics: Children, Adolescences, Substance Abuse, and Media. Pediatrics. 126, 791-799. 35 U.S. DHHS (2014). The Health Consequences of Involuntary Exposure to Tobacco Smoke. A Report of the Surgeon General. 36 U.S. DHHS (2014). Smoking and Youth. Surgeon’s Report on Smoking and Health. 37 Preliminary data from Chapel Hill Carrboro School District YRBS (2015). 38 Singh T., et al. (2016). Vital signs: exposure to electronic cigarette advertising among middle school and high school students—United States, 2014. MMWR. 64(52):1403-8. 39 Federal Trade Commission. (2015). Federal Trade Commission Cigarette Report for 2012. Washington: Federal Trade Commission. 40 Thornburg, J. (2016). E-Cigarettes and Vapor Products: State of the Science. Presentation to Orange County Board of Health. Available at: http://www.orangecountync.gov/departments/health 41 American Industrial Hygiene Association. (2014). White Paper: Electronic Cigarettes in the Indoor Environment. Falls Church, VA. Available at: https://www.aiha.org/government-affairs/Documents/Electronc%20Cig%20Document_Final.pdf 42 CDC Office on Smoking and Health. (2015). Electronic Nicotine Delivery Systems: Key Facts. Available at: http://www.cdc.gov/tobacco/stateandcommunity/pdfs/ends-key-facts2015.pdf