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BOH agenda 052318
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BOH agenda 052318
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6/25/2018 2:52:42 PM
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5/23/2018
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Regular Meeting
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Agenda
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BOH minutes 052318
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2018 Public Health Dashboards <br />Orange County Health Department <br />Hillsborough, NC <br />About the Orange County Public Health Dashboards <br />Orange County’s Public Health Dashboards were first developed in 2014 and provide an executive level view of how the <br />county is performing on indicators in major public health content areas as compared to the state, nation, peers, and <br />available targets or goals. The Orange County Health Department uses these data for community presentations, to identify <br />areas of interest for further investigation, to identify opportunities for collaboration with partners, and in prioritizing <br />funding and program planning through the Healthy Carolinians Community Health Assessment process. Local Community <br />Based Organizations may also use these data for grant proposals, strategic planning, and evaluation of programs or policies. <br /> <br />Icons provide quick reference to indicators of note, and how Orange County compares to these benchmarks. It is important <br />to note that these icons serve as a starting point for conversations, but there are many stories to tell behind each indicator. <br />For example, an indicator with a green circle may not alert the reader to health disparities for a specific demographic group <br />within an indicator data set. The absence of disparity measures is a general limitation of this indicator set that the <br />department continues to build out as it improves with each dashboard iteration. <br /> <br />The data included in these dashboards are the most up to date data available for Orange County. In some cases, there may <br />be more recent data available for peers, the state, or the US; however, benchmark values are selected from the same year <br />as the Orange County data where possible, for consistency of comparison. A dwindling number of local level indicators <br />(previously supplied by the Behavioral Risk Factors Surveillance Survey (BRFSS), highlights the need for intentional survey <br />development and implementation as a part of the Community Health Assessment Survey in 2019. <br /> <br />The over‐arching content areas selected for our dashboards are based on current county priority areas and on the topic <br />area categories included in the Healthy People 2020 and Healthy North Carolina 2020 Objectives. In order to present a <br />meaningful set of data that develops an executive level picture for what is happening in our county’s health, we only <br />include indicators that meet several criteria. These criteria help contextualize county measures by relating them to <br />comparable benchmarks. Meaning, a number by itself does not give you any frame of reference unless you have other <br />measures to compare it with. In some cases, an indicator may meet several but not all of these criteria. In general, an <br />indicator must meet a majority of these criteria to be included in the dashboard. We aim to select measures that are <br />meaningful to public health and which meet the following requirements: <br />1) annual measures <br />2) updated on a regular basis <br />3) available at the county level <br />4) have existing objectives, targets, or benchmarks (such as the HP2020 or HNC2020 Objectives) <br />5) are commonly used measures across geographies (other counties, the state, the US) <br /> <br /> Review of Major Findings from 2017 Public Health Dashboards <br />In 2017, 9 dashboards were completed, some of which have now been consolidated by priority content areas for this year’s <br />dashboards. Drug and opioid overdose mortality rates in Orange County were increasing. More than a quarter (26%) of <br />Orange County opioid deaths from 2009‐2013 came from the town of Hillsborough, which makes up only 5% of Orange <br />County's population. In Orange County, more than 1 in 3 high school students had tried e‐vapor products (37%), which was <br />a new question added to the YRBS in Chapel Hill Carrboro City Schools. Nearly 1 in 5 students was a current user of e‐vapor <br />products (18%). Orange County performed well on most chronic disease indicators. However, prevalence of chronic <br />diseases has increased in the last decade. The death rate due to diabetes increased from 11.4 deaths per 100,000 people in <br />2013 to nearly 15 deaths per 100,000 people in 2015 (which has risen again in 2016). Breast cancer mortality had been <br />declining; however, breast cancer incidence was steadily rising from around 160 new cases per 100,000 in 2014, to 180 new <br />cases per 100,000 in 2015. Orange County had the highest Gini Coefficient of Income Inequality of those counties in NC with <br />a population larger than 60,000 people (0.53). In Orange County, the percentage of low income children who are uninsured <br />(12%) was higher than in our peer counties, the state, and the nation. Incidence of most STIs had increased, with significant <br />increases in gonorrhea and HIV infection rates in Orange County compared to our peers. African American infants were <br />more than three times as likely to die as non‐Hispanic white babies in Orange County (disparity ratio of 3.2).
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