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The Orange County Health Department (OCHD) and Special thanks to: Healthy Carolinians of Orange County (HCOC) would like to acknowledge and say thank you to the many indi- Ashley Heger, Orange County Food Council victuals, groups and community members who assisted Beverly Scurry, Orange County Health Department in the preparation and development of the 2019 Com- munity Health Assessment (CHA) process. Caitlin Fenhagen, Criminal Justice Resource Whether you answered a survey, volunteered to admin- Department ister door-to-door surveys, were a participant in a focus Cecilia Payne,North Carolina Central University group, attended a community input session, helped spread the word of the assessment in your community Corey Root, Orange County Partnership to or workplace, or responded to a CHA request, this as- End Homelessness sessment could not have been successful if it were not Dana Crews, Orange County Health Department for this collaborative effort. The goal of this document is to publish a report that is Donna King, Orange County Health Department easy to navigate and enables the reader to quickly lo- Elinor Landess, Campus& Community Coalition cate information on a topic of interest. In the electronic version, internal and external links are identified to ease Gayane Chambless, Orange Partnership for Alcohol movement through and beyond the document. Internal and Drug Free Youth links are underlined in green font and external links are Jen Costello, Piedmont Health Services underlined in font. Thank you to the volunteers who conducted the door- Juliet Sheridan, Orange County Health Department to-door surveys, community partners for hosting focus Kristin Prelipp, Orange County Health Department groups and community input sessions, and multilingual interpreters who provided translation and interpreta- LaToya Strange, Orange County Health Department tion services during the data collection process. With Latonya Brown, Orange County Department on Aging the help of these individuals, the voices of community members were heard throughout this process. Liska Lackey, Orange County Board of Health The 2019 CHA process and report was coordinated and Krishnaveni Balakrishnan, Orange County Health compiled by Ashley Rawlinson, MPH, Program Manager Department and Healthy Carolinians Coordinator with the Orange County Health Department. A number of committee Margaret Nemitz, UNC Gillings School of Public Health members, partners and public health professionals re- viewed and/or provided information to the CHA. Megan Clawar, Refugee Community Partnership Melissa Blackburn, Orange County Community Relations Quintana Stewart, Orange County Health Department Rita Krosner, Orange County Health Department Sherry Hay, UNC Family Medicine Susan Clifford, Orange County Health Department Victoria Hudson, Orange County Health Department 2019 COMMUNITY HEALTH ASSESSMENT VI