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ix Transportation 3,000 individuals in Orange County with no vehicle live outside of the walkable/ridable coverage area to medical clinics. Mental Health and Substance Abuse Mental health refers to a wide range of conditions that affect one’s mood, thinking and behavior. Broad classes of mental illness include mood disorders (depression, bipolar disorder), eating, personality, anxiety and psychotic disorders (schizophrenia), and addictive behaviors/substance abuse disorders. Orange County has a suicide rate of 10.4 per 100,000 people. Females (23%) are more likely to attempt suicide when compared to males (16%). 54% of female and 46% of male suicide victims had a mental health problem. 6% of Orange County motor vehicle crashes are alcohol related. 8% of Orange County adults and 9% of high schoolers drove after drinking in the past 30 days. Overall tobacco use in increasing, driven in large part by use of e-cigarettes and hookah. Almost 4 out of 10 high school students, in Orange County, have tried an e-cigarette and about 2 out of 10 of high school students currently use them. Physical Activity and Nutrition According to national surveys, adults show negative trends in both physical activity and nutrition. Student fruit and vegetable consumption is improving compared to previous years; however, Orange County still performs worse than the US. 45% of high schoolers do not eat one or more servings of fruits and vegetables a day. National recommendations far exceed one serving each of fruits and vegetables per day, meaning many more students likely still do not meet national recommendations. 75.4% of adults do not eat 5+ fruits or veggies per day. 43.2% of adults did not meet aerobic nor strengthening guidelines. 14% of low income preschool children are obese. 78% of high schoolers do not get 60 minutes of exercise per day. Chronic Disease While chronic diseases are the leading causes of death in Orange County, lack of physical activity and not eating healthy contributes heavily to the incidence of chronic disease. While the number of deaths due to disease of the heart has increased in the past 3 years, the age-adjusted mortality rate has been declining; implying heart disease mortality is generally improving or stable. However, prevalence of chronic diseases, such as Cardiovascular Disease and Diabetes has increased in the last decade. More than half of all deaths in Orange County (52%) are caused by cancer, diseases of the heart, or chronic respiratory diseases. Nearly 50 million dollars was spent on cardiovascular and circulatory disease inpatient visits in Orange County in 2013, accounting for 16% of all condition costs.