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Page 1: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key
Page 2: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Progress Tracker

Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key disease prevention and health promotion objectives. The health objectives and targets allow communities to assess their health status and build an agenda for community health improvement.

Photo - https://www.healthypeople.gov/

Page 3: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

• Population (2016): 79,537 White 51,397 (64.62%) Black/Af Amer 22,035 (27.70%) Am Ind/AK Native 279 (0.35%) Asian 2,522 (3.17%) Native HI/PI 69 (0.09%) Some Other Race 1,166 (1.47%) 2+ Races 2,069 (2.60%)

• % Growth (2010 – 2016): 5.25% • Unemployment (Apr 2015): 4.7%

Page 4: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Healthy People 2020 : Progress Tracker: Lynchburg

Indicator Target Current Measure Met/Not Met

Access to Health Services

Adults with Health Insurance 100 80.3 percent Not Met

Children with Health Insurance 100 94.3 percent Not Met

Adolescent Health

High School Graduation 82.4 81 percent Not Met

Teen Pregnancy Rate 36.2 16 pregnancies/1,000 females aged

15-17 Met

Cancer

Age-Adjusted Death Rate due to Breast Cancer 20.7 19.4 deaths/100,000 females Met

Age-Adjusted Death Rate due to Cancer 161.4 190.6 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Colorectal Cancer 14.5 18.5 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Lung Cancer 45.5 53.9 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Prostate Cancer 21.8 31.6 deaths/100,000 males Not Met

Colorectal Cancer Incidence Rate 39.9 46.7 cases/100,000 population Not Met

Page 5: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Healthy People: 2020 : Progress Tracker: Lynchburg

Indicator Target Current Measure Met/Not Met

Environmental Health

Workers Commuting by Public Transportation 5.5 4.2 percent Not Met

Workers who Walk to Work 3.1 5.1 percent Met

Heart Disease and Stroke

Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

34.8 58.4 deaths/100,000 population Not Met

Injury and Violence Prevention

Age-Adjusted Death Rate due to Unintentional Injuries 36.4 41.8 deaths/100,000 population Not Met

Maternal, Infant and Child Health

Babies with Low Birth Weight 7.8 7.2 percent Met

Babies with Very Low Birth Weight 1.4 1.5 percent Not Met

Infant Mortality Rate 6 4.4 deaths/1,000 live births Met

Mothers who Received Early Prenatal Care 77.9 89.1 percent Met

Page 6: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Healthy People: 2020 : Progress Tracker: Lynchburg

Indicator Target Current Measure Met/Not Met

Mental Health and Mental Disorders

Age-Adjusted Death Rate due to Suicide 10.2 3.7 deaths/100,000 population Met

Nutrition and Weight Status

Adults who are Obese 30.5 29.8 percent Met

Substance Abuse

Adults who Drink Excessively 25.4 17.1 percent Met

Tobacco Use

Adults who Smoke 12 20 percent Not Met

Page 7: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Access to Health Services: Adults with Health Insurance

Why is this important? Medical costs in the United States are extremely high, so people without health insurance may not be able to afford medical treatment or prescription drugs. They are also less likely to get routine checkups and screenings, so if they do become ill they will not seek treatment until the condition is more advanced and therefore more difficult and costly to treat. Many small businesses are unable to offer health insurance to employees due to rising health insurance premiums.

percent

Time Series

Data Source: Small Area Health Insurance Estimates

Gender

Target: 100%; Current 80.3%

Lynchburg

Page 8: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Access to Health Services: Children with Health Insurance

Why is this important? Health insurance for children is particularly important. To stay healthy, children require regular checkups, dental and vision care, and medical attention for illness and injury. Children with health insurance are more likely to have better health throughout their childhood and adolescence. They are more likely to receive required immunizations, fall ill less frequently, obtain necessary treatment when they do get sick, and perform better at school. Having health insurance lowers barriers to accessing care, which is likely to prevent the development of more serious illnesses. This is not only of benefit to the child but also helps lower overall family health costs.

Target: 100%; Current 94.3%

Data Source: Small Area Health Insurance Estimates

percent

Lynchburg

Page 9: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Adolescent Health: High School Graduation

Data Source: Virginia Department of Education

Target: 82.4%; Current: 81%

Why is this important? Individuals who do not finish high school are more likely than people who finish high school to lack the basic skills required to function in an increasingly complicated job market and society. Adults with limited education levels are more likely to be unemployed, on government assistance, or involved in crime.

Time Series

percent

Gender

Race/Ethnicity

percent

Lynchburg

Page 10: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Age-Adjusted Death Rate due to Cancer

Target: 161.4 deaths/100,000 population; Current: 190.6 deaths/100,000 population

Data Source: National Cancer Institute

Why is this important? Cancer is a leading cause of death in the United States. The National Cancer Institute (NCI) defines cancer as a term used to describe diseases in which abnormal cells divide without control and are able to invade other tissues. There are over 100 different types of cancer. According to the NCI, lung, colon and rectal, breast, pancreatic, and prostate cancer lead to the greatest number of annual deaths. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series Gender

Race/Ethnicity deaths/100,000 population

deaths/100,000 population

deaths/100,000 population

Lynchburg

Page 11: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Age-Adjusted Death Rate due to Colorectal Cancer

Why is this important? Colorectal cancer—cancer of the colon or rectum—is a leading cause of cancer-related deaths in the United States. The Centers for Disease Control and Prevention estimates that if all adults aged 50 or older had regular screening tests for colon cancer, as many as 60% of the deaths from colorectal cancer could be prevented. While 90% of colorectal cancer cases occur in adults aged 50 or older, it is essential for individuals with risk factors (those with a family history of colorectal cancer, inflammatory bowel disease, or heavy alcohol use) to seek regular screening earlier. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

Target: 14.5 deaths/100,000 population; Current: 18.5 deaths/100,000 population

Time Series Gender

Race/Ethnicity deaths/100,000 population

deaths/100,000 population

deaths/100,000 population

Lynchburg

Page 12: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Age-Adjusted Death Rate due to Lung Cancer

Target: 45.5 deaths/100,000 population; Current: 53.9 deaths/100,000 population

Why is this important? According to the American Lung Association, more people die from lung cancer annually than any other type of cancer, exceeding the total deaths caused by breast cancer, colorectal cancer, and prostate cancer combined. The greatest risk factor for lung cancer is duration and quantity of smoking. While the mortality rate due to lung cancer among men has reached a plateau, the mortality rate due to lung cancer among women continues to increase. African Americans have the highest risk of developing lung cancer. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

deaths/100,000 population

deaths/100,000 population

deaths/100,000 population

Time Series Gender

Race/Ethnicity

Lynchburg

Page 13: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Age-Adjusted Death Rate due to Prostate Cancer

Target: 21.8 deaths/100,000 males; Current: 31.6 deaths/100,000 males

Why is this important? The prostate is a gland found only in males, and is located below the bladder and in front of the rectum. Prostate cancer is a leading cause of cancer death among men in the United States. According to the American Cancer Society, about 1 in 7 men will be diagnosed with prostate cancer. And about 1 in 36 will die from prostate cancer. The two greatest risk factors for prostate cancer are age and race, with men over the age of 65 and men of African descent possessing the highest incidence rates of prostate cancer in the U.S. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

deaths/100,000 males

Time Series

Lynchburg

Page 14: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Colorectal Cancer Incidence Rate Target: 39.9 cases/100,000 population; Current: 46.7 cases/100,000 population

Why is this important? Colorectal cancer—cancer of the colon or rectum—is a leading cause of cancer-related deaths in the United States. The Centers for Disease Control and Prevention estimates that if all adults aged 50 or older had regular screening tests for colon cancer, as many as 60% of the deaths from colorectal cancer could be prevented. While 90% of colorectal cancer cases occur in adults aged 50 or older, it is essential for individuals with risk factors (those with a family history of colorectal cancer, inflammatory bowel disease, or heavy alcohol use) to seek regular screening earlier.

cases/100,000 population

cases/100,000 population cases/100,000 population

Race/Ethnicity

Gender Time Series

Lynchburg

Page 15: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Environmental Health: Workers Commuting by Public Transportation

Target: 5.5%; Current: 4.2%

Why is this important? Public transportation offers mobility to U.S. residents, particularly people without cars. Transit can help bridge the spatial divide between people and jobs, services, and training opportunities. Public transportation is also beneficial because it reduces fuel consumption, minimizes air pollution, and relieves traffic congestion.

Data Source: American Community Survey

Time Series Age

Gender Race/Ethnicity

percent percent

percent

percent Lynchburg

Page 16: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Heart Disease and Stroke: Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Cerebrovascular disease refers to conditions caused by problems with the blood vessels supplying the brain with blood, including stroke. A stroke occurs when blood vessels carrying oxygen to the brain become blocked or burst, thereby cutting off the brain's supply of oxygen and other nutrients. Lack of oxygen causes brain cells to die, which can lead to brain damage and death or disability. Cerebrovascular disease is a leading cause of death in the United States. Although cerebrovascular disease is more common in older adults, it can occur at any age. The most important modifiable risk factor for stroke and cerebrovascular disease is high blood pressure. Other risk factors include high cholesterol, heart disease, diabetes mellitus, physical inactivity, obesity, excessive alcohol use, and tobacco use. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series

deaths/100,000 population

Target: 34.8 deaths/100,000 population; Current: 58.4 deaths/100,000 population

Lynchburg

Page 17: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Injury and Violence Prevention: Age-Adjusted Death Rate due to Unintentional Injuries

Target: 36.4 deaths/100,000 population; Current: 41.8 deaths/100,000 population

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Unintentional injuries are a leading cause of death for Americans of all ages, regardless of gender, race, or economic status. Major categories of unintentional injuries include motor vehicle collisions, poisonings, and falls. According to the Centers for Disease Control and Prevention, approximately 40 deaths per 100,000 population occur each year due to unintentional injuries. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

deaths/100,000 population

Time Series

Lynchburg

Page 18: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Maternal, Infant and Child Health: Babies with Very Low Birth Weight (<3 lbs. 5 ozs.)

Why is this important? Babies born with very low birth weight (less than 3 pounds, 5 ounces) are significantly more likely than babies of normal weight to have severe health problems and nearly all require specialized medical care in the neonatal intensive care unit. Babies born with very low birth weight are at the highest risk of dying in their first year and while there have been many medical advances enabling very low birth weight and premature infants to survive, there is still risk of infant death or long-term complications and disability. Very low birth weight is typically caused by premature birth and fetal growth restriction, both of which are influenced by a mother's health and genetics. The most important things an expectant mother can do to prevent very low birth weight are to seek prenatal care, take prenatal vitamins, stop smoking, and stop drinking alcohol and using drugs.

Target: 1.4%; Current: 1.5%

Maternal Race/Ethnicity Time Series

Data Source: Virginia Department of Health, Division of Health Statistics

percent percent

Lynchburg

Page 19: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Tobacco Use: Adults who Smoke Target: 12%; Current: 20%

Data Source: County Health Rankings

Why is this important? Tobacco is the agent most responsible for avoidable illness and death in America today. Tobacco use brings premature death to almost half a million Americans each year, and it contributes to profound disability and pain in many others. Approximately one-third of all tobacco users in this country will die prematurely because of their dependence on tobacco. Areas with a high smoking prevalence will also have greater exposure to secondhand smoke for non-smokers, which can cause or exacerbate a wide range of adverse health effects, including cancer, respiratory infections, and asthma.

- - - - -Indicates a change in methodology. A new modeling technique was used to produce estimates for 2014 data. Therefore, 2014 data is not directly comparable to previous years of data.

Time Series

percent

Lynchburg

Page 20: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

• Population (2016): 32,150 White 24,675 (76.75%) Black/Af Amer 6,021 (18.73%) Am Ind/AK Native 263 (0.82%) Asian 181 (0.56%) Native HI/PI 10 (0.03%) Some Other Race 258 (0.80%) 2+ Races 742 (2.31%)

• % Growth (2010 – 2016): -0.63% • Unemployment (Apr 2015): 4.9% • Cities: Amherst

Page 21: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Healthy People 2020 : Progress Tracker: Amherst County

Indicator Target Current Measure Met/Not Met

Access to Health Services

Adults with Health Insurance 100 80.7 percent Not Met

Children with Health Insurance 100 93.4 percent Not Met

Adolescent Health

High School Graduation 82.4 89.2 percent Met

Teen Pregnancy Rate 36.2 10 pregnancies/1,000 females aged 15-

17 Met

Cancer

Age-Adjusted Death Rate due to Breast Cancer 20.7 25.7 deaths/100,000 females Not Met

Age-Adjusted Death Rate due to Cancer 161.4 190.7 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Colorectal Cancer

14.5 20.2 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Lung Cancer 45.5 53.5 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Prostate Cancer 21.8 23.3 deaths/100,000 males Not Met

Colorectal Cancer Incidence Rate 39.9 42.7 deaths/100,000 population Not Met

Page 22: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Healthy People 2020 : Progress Tracker: Amherst County

Indicator Target Current Measure Met/Not Met

Environmental Health

Workers Commuting by Public Transportation 5.5 1 percent Not Met

Workers who Walk to Work 3.1 2.8 percent Not Met

Heart Disease and Stroke

Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

34.8 53.9 deaths/100,000 population Not Met

Injury and Violence Prevention

Age-Adjusted Death Rate due to Unintentional Injuries 36.4 31.8 deaths/100,000 population Met

Maternal, Infant and Child Health

Babies with Low Birth Weight 7.8 5.3 percent Met

Babies with Very Low Birth Weight 1.4 1.3 percent Met

Infant Mortality Rate 6 3.2 deaths/1,000 lives births Met

Mothers who Received Early Prenatal Care 77.9 88.7 percent Met

Page 23: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Healthy People 2020 : Progress Tracker: Amherst County

Indicator Target Current Measure Met/Not Met

Mental Health and Mental Disorders

Age-Adjusted Death Rate due to Suicide 10.2 7.2 deaths/100,000 population Met

Nutrition and Weight Status

Adults who are Obese 30.5 30.3 percent Met

Substance Abuse

Adults who Drink Excessively 25.4 8.9 percent Met

Tobacco Use

Adults who Smoke 12 17.5 percent Not Met

Page 24: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Access to Health Services: Adults with Health Insurance Target: 100%; Current 80.7%

Why is this important? Medical costs in the United States are extremely high, so people without health insurance may not be able to afford medical treatment or prescription drugs. They are also less likely to get routine checkups and screenings, so if they do become ill they will not seek treatment until the condition is more advanced and therefore more difficult and costly to treat. Many small businesses are unable to offer health insurance to employees due to rising health insurance premiums.

Data Source: Small Area Health Insurance Estimates

Time Series Gender

percent percent

Amherst

Page 25: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Access to Health Services: Children with Health Insurance

Why is this important? Health insurance for children is particularly important. To stay healthy, children require regular checkups, dental and vision care, and medical attention for illness and injury. Children with health insurance are more likely to have better health throughout their childhood and adolescence. They are more likely to receive required immunizations, fall ill less frequently, obtain necessary treatment when they do get sick, and perform better at school. Having health insurance lowers barriers to accessing care, which is likely to prevent the development of more serious illnesses. This is not only of benefit to the child but also helps lower overall family health costs.

Target: 100%; Current 93.4%

Data Source: Small Area Health Insurance Estimates

percent

Amherst

Page 26: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Age-Adjusted Death Rate due to Breast Cancer

Target: 20.7 deaths/100,000 females; Current: 25.7 deaths/100,000 females

Why is this important? Breast cancer is a leading cause of cancer death among women in the United States. According to the American Cancer Society, about 1 in 8 women will develop breast cancer and about 1 in 36 women will die from breast cancer. Breast cancer is associated with increased age, hereditary factors, obesity, and alcohol use. Since 1990, breast cancer death rates have declined progressively due to advancements in treatment and detection. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

deaths/100,000 females

Time Series

Amherst

Page 27: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Age-Adjusted Death Rate due to Cancer

Target: 161.4 deaths/100,000 population; Current: 190.7 deaths/100,000 population

Data Source: National Cancer Institute

Why is this important? Cancer is a leading cause of death in the United States. The National Cancer Institute (NCI) defines cancer as a term used to describe diseases in which abnormal cells divide without control and are able to invade other tissues. There are over 100 different types of cancer. According to the NCI, lung, colon and rectal, breast, pancreatic, and prostate cancer lead to the greatest number of annual deaths. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series Gender

Race/Ethnicity deaths/100,000 population

deaths/100,000 population

deaths/100,000 population

Amherst

Page 28: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Age-Adjusted Death Rate due to Colorectal Cancer

Why is this important? Colorectal cancer—cancer of the colon or rectum—is a leading cause of cancer-related deaths in the United States. The Centers for Disease Control and Prevention estimates that if all adults aged 50 or older had regular screening tests for colon cancer, as many as 60% of the deaths from colorectal cancer could be prevented. While 90% of colorectal cancer cases occur in adults aged 50 or older, it is essential for individuals with risk factors (those with a family history of colorectal cancer, inflammatory bowel disease, or heavy alcohol use) to seek regular screening earlier. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

Target: 14.5 deaths/100,000 population; Current: 20.2 deaths/100,000 population

Time Series

deaths/100,000 population

Amherst

Page 29: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Age-Adjusted Death Rate due to Lung Cancer

Target: 45.5 deaths/100,000 population; Current: 53.5 deaths/100,000 population

Why is this important? According to the American Lung Association, more people die from lung cancer annually than any other type of cancer, exceeding the total deaths caused by breast cancer, colorectal cancer, and prostate cancer combined. The greatest risk factor for lung cancer is duration and quantity of smoking. While the mortality rate due to lung cancer among men has reached a plateau, the mortality rate due to lung cancer among women continues to increase. African Americans have the highest risk of developing lung cancer. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

deaths/100,000 population

deaths/100,000 population

deaths/100,000 population

Time Series Gender

Race/Ethnicity

Amherst

Page 30: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Age-Adjusted Death Rate due to Prostate Cancer

Target: 21.8 deaths/100,000 males; Current: 23.3 deaths/100,000 males

Why is this important? The prostate is a gland found only in males, and is located below the bladder and in front of the rectum. Prostate cancer is a leading cause of cancer death among men in the United States. According to the American Cancer Society, about 1 in 7 men will be diagnosed with prostate cancer. And about 1 in 36 will die from prostate cancer. The two greatest risk factors for prostate cancer are age and race, with men over the age of 65 and men of African descent possessing the highest incidence rates of prostate cancer in the U.S. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

deaths/100,000 males

Time Series

Amherst

Page 31: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Cancer: Colorectal Cancer Incidence Rate Target: 39.9 cases/100,000 population; Current: 42.7 cases/100,000 population

Why is this important? Colorectal cancer—cancer of the colon or rectum—is a leading cause of cancer-related deaths in the United States. The Centers for Disease Control and Prevention estimates that if all adults aged 50 or older had regular screening tests for colon cancer, as many as 60% of the deaths from colorectal cancer could be prevented. While 90% of colorectal cancer cases occur in adults aged 50 or older, it is essential for individuals with risk factors (those with a family history of colorectal cancer, inflammatory bowel disease, or heavy alcohol use) to seek regular screening earlier.

cases/100,000 population

cases/100,000 population cases/100,000 population

Race/Ethnicity

Gender Time Series

Amherst

Page 32: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Environmental Health: Workers Commuting by Public Transportation

Target: 5.5%; Current: 1% Why is this important? Public transportation offers mobility to U.S. residents, particularly people without cars. Transit can help bridge the spatial divide between people and jobs, services, and training opportunities. Public transportation is also beneficial because it reduces fuel consumption, minimizes air pollution, and relieves traffic congestion.

Data Source: American Community Survey

Time Series Age

Gender Race/Ethnicity

percent percent

percent

percent

Amherst

Page 33: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Environmental Health: Workers who Walk to Work Target: 3.1%; Current: 2.8%

Data Source: American Community Survey

Time Series Age

Gender Race/Ethnicity

percent percent

percent

percent

Why is this important? Walking to work is a great way to incorporate exercise into a daily routine. In addition to the health benefits, walking helps people get in touch with their communities, reduces commute costs and helps protect the environment by reducing air pollution from car trips. Furthermore, studies have shown that walking to work improves employees overall attitude and morale and reduces stress in the workplace.

Amherst

Page 34: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Heart Disease and Stroke: Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Cerebrovascular disease refers to conditions caused by problems with the blood vessels supplying the brain with blood, including stroke. A stroke occurs when blood vessels carrying oxygen to the brain become blocked or burst, thereby cutting off the brain's supply of oxygen and other nutrients. Lack of oxygen causes brain cells to die, which can lead to brain damage and death or disability. Cerebrovascular disease is a leading cause of death in the United States. Although cerebrovascular disease is more common in older adults, it can occur at any age. The most important modifiable risk factor for stroke and cerebrovascular disease is high blood pressure. Other risk factors include high cholesterol, heart disease, diabetes mellitus, physical inactivity, obesity, excessive alcohol use, and tobacco use. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series

deaths/100,000 population

Target: 34.8 deaths/100,000 population; Current: 53.9 deaths/100,000 population

Amherst

Page 35: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Tobacco Use: Adults who Smoke Target: 12%; Current: 17.5%

Data Source: County Health Rankings

Why is this important? Tobacco is the agent most responsible for avoidable illness and death in America today. Tobacco use brings premature death to almost half a million Americans each year, and it contributes to profound disability and pain in many others. Approximately one-third of all tobacco users in this country will die prematurely because of their dependence on tobacco. Areas with a high smoking prevalence will also have greater exposure to secondhand smoke for non-smokers, which can cause or exacerbate a wide range of adverse health effects, including cancer, respiratory infections, and asthma.

- - - - -Indicates a change in methodology. A new modeling technique was used to produce estimates for 2014 data. Therefore, 2014 data is not directly comparable to previous years of data.

Time Series

percent

Amherst

Page 36: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

• Population (2016): 15,511 White 11,988 (77.29%) Black/Af Amer 3,059 (19.72%) Am Ind/AK Native 41 (0.26%) Asian 62 (0.40%) Native HI/PI 4 (0.03%) Some Other Race 58 (0.37%) 2+ Races 299 (1.93%)

• % Growth (2010 – 2016): 3.59% • Unemployment (Apr 2015): 5.0% • County Seat: Appomattox

Page 37: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Healthy People 2020 : Progress Tracker: Appomattox County

Indicator Target Current Measure Met/Not Met

Access to Health Services

Adults with Health Insurance 100 80 percent Not Met

Children with Health Insurance 100 92.2 percent Not Met

Adolescent Health

High School Graduation 82.4 94.0 percent Met

Teen Pregnancy Rate 36.2 10.6 pregnancies/1,000 females aged

15-17 Met

Cancer

Age-Adjusted Death Rate due to Cancer 161.4 192.8 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Colorectal Cancer 14.5 17.8 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Lung Cancer 45.5 55.9 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Prostate Cancer 21.8 50.4 deaths/100,000 males Not Met

Colorectal Cancer Incidence Rate 39.9 39 deaths/100,000 population Met

Page 38: Progress Tracker - Centra Health · Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key

Healthy People 2020 : Progress Tracker: Appomattox County

Indicator Target Current Measure Met/Not Met

Environmental Health

Workers Commuting by Public Transportation 5.5 0.0 percent Not Met

Workers who Walk to Work 3.1 0.2 percent Not Met

Heart Disease and Stroke

Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

34.8 42.1 deaths/100,000 population Not Met

Injury and Violence Prevention

Age-Adjusted Death Rate due to Unintentional Injuries 36.4 50.3 deaths/100,000 population Not Met

Maternal, Infant and Child Health

Babies with Low Birth Weight 7.8 8 percent Not Met

Babies with Very Low Birth Weight 1.4 1.6 percent Not Met

Infant Mortality Rate 6 11 deaths/1,000 live births Not Met

Mothers who Received Early Prenatal Care 77.9 90.6 percent Met

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Healthy People 2020 : Progress Tracker: Appomattox County

Indicator Target Current Measure Met/Not Met

Mental Health and Mental Disorders

Age-Adjusted Death Rate due to Suicide 10.2 9.1 deaths/100,000 population Met

Nutrition and Weight Status

Adults who are Obese 30.5 30.2 percent Met

Tobacco Use

Adults who Smoke 12.0 24.9 percent Not Met

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Access to Health Services: Adults with Health Insurance

Why is this important? Medical costs in the United States are extremely high, so people without health insurance may not be able to afford medical treatment or prescription drugs. They are also less likely to get routine checkups and screenings, so if they do become ill they will not seek treatment until the condition is more advanced and therefore more difficult and costly to treat. Many small businesses are unable to offer health insurance to employees due to rising health insurance premiums.

percent

Time Series

Data Source: Small Area Health Insurance Estimates

Gender

Target: 100%; Current 80%

Appomattox

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Access to Health Services: Children with Health Insurance

Why is this important? Health insurance for children is particularly important. To stay healthy, children require regular checkups, dental and vision care, and medical attention for illness and injury. Children with health insurance are more likely to have better health throughout their childhood and adolescence. They are more likely to receive required immunizations, fall ill less frequently, obtain necessary treatment when they do get sick, and perform better at school. Having health insurance lowers barriers to accessing care, which is likely to prevent the development of more serious illnesses. This is not only of benefit to the child but also helps lower overall family health costs.

Target: 100%; Current 92.2%

Data Source: Small Area Health Insurance Estimates

percent

Appomattox

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Cancer: Age-Adjusted Death Rate due to Cancer

Target: 161.4 deaths/100,000 population; Current: 192.8 deaths/100,000 population

Data Source: National Cancer Institute

Why is this important? Cancer is a leading cause of death in the United States. The National Cancer Institute (NCI) defines cancer as a term used to describe diseases in which abnormal cells divide without control and are able to invade other tissues. There are over 100 different types of cancer. According to the NCI, lung, colon and rectal, breast, pancreatic, and prostate cancer lead to the greatest number of annual deaths. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series Gender

Race/Ethnicity deaths/100,000 population

deaths/100,000 population

deaths/100,000 population

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Cancer: Age-Adjusted Death Rate due to Colorectal Cancer

Why is this important? Colorectal cancer—cancer of the colon or rectum—is a leading cause of cancer-related deaths in the United States. The Centers for Disease Control and Prevention estimates that if all adults aged 50 or older had regular screening tests for colon cancer, as many as 60% of the deaths from colorectal cancer could be prevented. While 90% of colorectal cancer cases occur in adults aged 50 or older, it is essential for individuals with risk factors (those with a family history of colorectal cancer, inflammatory bowel disease, or heavy alcohol use) to seek regular screening earlier. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

Target: 14.5 deaths/100,000 population; Current: 17.8 deaths/100,000 population

Time Series

deaths/100,000 population

Appomattox

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Cancer: Age-Adjusted Death Rate due to Lung Cancer

Target: 45.5 deaths/100,000 population; Current: 55.9 deaths/100,000 population

Why is this important? According to the American Lung Association, more people die from lung cancer annually than any other type of cancer, exceeding the total deaths caused by breast cancer, colorectal cancer, and prostate cancer combined. The greatest risk factor for lung cancer is duration and quantity of smoking. While the mortality rate due to lung cancer among men has reached a plateau, the mortality rate due to lung cancer among women continues to increase. African Americans have the highest risk of developing lung cancer. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

deaths/100,000 population deaths/100,000 population

Time Series Gender

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Cancer: Age-Adjusted Death Rate due to Prostate Cancer

Target: 21.8 deaths/100,000 males; Current: 50.4 deaths/100,000 males

Why is this important? The prostate is a gland found only in males, and is located below the bladder and in front of the rectum. Prostate cancer is a leading cause of cancer death among men in the United States. According to the American Cancer Society, about 1 in 7 men will be diagnosed with prostate cancer. And about 1 in 36 will die from prostate cancer. The two greatest risk factors for prostate cancer are age and race, with men over the age of 65 and men of African descent possessing the highest incidence rates of prostate cancer in the U.S. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Charts Not Available

Appomattox

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Environmental Health: Workers Commuting by Public Transportation

Target: 5.5%; Current: 0%

Why is this important? Public transportation offers mobility to U.S. residents, particularly people without cars. Transit can help bridge the spatial divide between people and jobs, services, and training opportunities. Public transportation is also beneficial because it reduces fuel consumption, minimizes air pollution, and relieves traffic congestion.

Data Source: American Community Survey

Time Series

percent

Appomattox

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Environmental Health: Workers who Walk to Work Target: 3.1%; Current: 0.2%

Data Source: American Community Survey

Time Series Age

Gender Race/Ethnicity percent

percent

percent percent

Why is this important? Walking to work is a great way to incorporate exercise into a daily routine. In addition to the health benefits, walking helps people get in touch with their communities, reduces commute costs and helps protect the environment by reducing air pollution from car trips. Furthermore, studies have shown that walking to work improves employees overall attitude and morale and reduces stress in the workplace.

Appomattox

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Heart Disease and Stroke: Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Cerebrovascular disease refers to conditions caused by problems with the blood vessels supplying the brain with blood, including stroke. A stroke occurs when blood vessels carrying oxygen to the brain become blocked or burst, thereby cutting off the brain's supply of oxygen and other nutrients. Lack of oxygen causes brain cells to die, which can lead to brain damage and death or disability. Cerebrovascular disease is a leading cause of death in the United States. Although cerebrovascular disease is more common in older adults, it can occur at any age. The most important modifiable risk factor for stroke and cerebrovascular disease is high blood pressure. Other risk factors include high cholesterol, heart disease, diabetes mellitus, physical inactivity, obesity, excessive alcohol use, and tobacco use. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series

deaths/100,000 population

Target: 34.8 deaths/100,000 population; Current: 42.1 deaths/100,000 population

Appomattox

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Injury and Violence Prevention: Age-Adjusted Death Rate due to Unintentional Injuries

Target: 36.4 deaths/100,000 population; Current: 50.3 deaths/100,000 population

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Unintentional injuries are a leading cause of death for Americans of all ages, regardless of gender, race, or economic status. Major categories of unintentional injuries include motor vehicle collisions, poisonings, and falls. According to the Centers for Disease Control and Prevention, approximately 40 deaths per 100,000 population occur each year due to unintentional injuries. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

deaths/100,000 population

Time Series

Appomattox

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Maternal, Infant and Child Health: Babies with Low Birth Weight (<5 lbs. 8 ozs.)

Why is this important? Babies born with low birth weight (less than 5 pounds, 8 ounces) are more likely than babies of normal weight to have health problems and require specialized medical care in the neonatal intensive care unit. Low birth weight is typically caused by premature birth and fetal growth restriction, both of which are influenced by a mother's health and genetics. The most important things an expectant mother can do to prevent low birth weight are to seek prenatal care, take prenatal vitamins, stop smoking, and stop drinking alcohol and using drugs.

Target: 7.8%; Current: 8%

Maternal Race/Ethnicity Time Series

Data Source: Virginia Department of Health, Division of Health Statistics

percent percent

Appomattox

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Maternal, Infant and Child Health: Babies with Very Low Birth Weight (<3 lbs. 5 ozs.)

Target: 1.4%; Current: 1.6%

Time Series

Data Source: Virginia Department of Health, Division of Health Statistics

percent percent

Why is this important? Babies born with very low birth weight (less than 3 pounds, 5 ounces) are significantly more likely than babies of normal weight to have severe health problems and nearly all require specialized medical care in the neonatal intensive care unit. Babies born with very low birth weight are at the highest risk of dying in their first year and while there have been many medical advances enabling very low birth weight and premature infants to survive, there is still risk of infant death or long-term complications and disability. Very low birth weight is typically caused by premature birth and fetal growth restriction, both of which are influenced by a mother's health and genetics. The most important things an expectant mother can do to prevent very low birth weight are to seek prenatal care, take prenatal vitamins, stop smoking, and stop drinking alcohol and using drugs.

Appomattox

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Maternal, Infant and Child Health: Infant Mortality Rate Target: 6 deaths/1,000 births; Current: 11 deaths/1,000 births

Time Series

Data Source: Virginia Department of Health, Division of Health Statistics

deaths/1,000 births deaths/1,000 births

Appomattox

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Tobacco Use: Adults who Smoke Target: 12%; Current: 19.5%

Data Source: County Health Rankings

Why is this important? Tobacco is the agent most responsible for avoidable illness and death in America today. Tobacco use brings premature death to almost half a million Americans each year, and it contributes to profound disability and pain in many others. Approximately one-third of all tobacco users in this country will die prematurely because of their dependence on tobacco. Areas with a high smoking prevalence will also have greater exposure to secondhand smoke for non-smokers, which can cause or exacerbate a wide range of adverse health effects, including cancer, respiratory infections, and asthma.

- - - - -Indicates a change in methodology. A new modeling technique was used to produce estimates for 2014 data. Therefore, 2014 data is not directly comparable to previous years of data.

Time Series

percent

Appomattox

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• Population (2016): 55,525 White 45,080 (81.19%) Black/Af Amer 8,007 (14.42%) Am Ind/AK Native 159 (0.29%) Asian 526 (0.95%) Native HI/PI 18 (0.03%) Some Other Race 566 (1.02%) 2+ Races 1,169 (2.11%)

• % Growth (2010 – 2016): 1.25% • Unemployment (Apr 2015): 4.7% • County Seat: Rustburg • Cities Include: Altavista, Brookneal

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Healthy People 2020 : Progress Tracker: Campbell County

Indicator Target Current Measure Met/Not Met

Access to Health Services

Adults with Health Insurance 100 81.8 percent Not Met

Children with Health Insurance 100 94.2 percent Not Met

Adolescent Health

High School Graduation 82.4 90.1 percent Met

Teen Pregnancy Rate 36.2 7.3 pregnancies/1,000 females aged

15-17 Met

Cancer

Age-Adjusted Death Rate due to Breast Cancer 20.7 22.7 deaths/100,000 females Not Met

Age-Adjusted Death Rate due to Cancer 161.4 173.9 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Colorectal Cancer 14.5 12.1 deaths/100,000 population Met

Age-Adjusted Death Rate due to Lung Cancer 45.5 53.8 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Prostate Cancer 21.8 23.1 deaths/100,000 males Not Met

Colorectal Cancer Incidence Rate 39.9 41.6 deaths/100,000 population Not Met

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Healthy People 2020 : Progress Tracker: Campbell County

Indicator Target Current Measure Met/Not Met

Environmental Health

Workers Commuting by Public Transportation 5.5 0.1 percent Not Met

Workers who Walk to Work 3.1 0.6 percent Not Met

Heart Disease and Stroke

Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

34.8 46.2 deaths/100,000 population Not Met

Injury and Violence Prevention

Age-Adjusted Death Rate due to Unintentional Injuries 36.4 44.1 deaths/100,000 population Not Met

Maternal, Infant and Child Health

Babies with Low Birth Weight 7.8 6.9 percent Met

Babies with Very Low Birth Weight 1.4 2.3 percent Not Met

Infant Mortality Rate 6 4.2 deaths/1,000 live births Met

Mothers who Received Early Prenatal Care 77.9 90.9 percent Met

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Healthy People 2020 : Progress Tracker: Campbell County

Indicator Target Current Measure Met/Not Met

Mental Health and Mental Disorders

Age-Adjusted Death Rate due to Suicide 10.2 20.4 deaths/100,000 population Not Met

Nutrition and Weight Status

Adults who are Obese 30.5 32.6 percent Not Met

Substance Abuse

Adults who Drink Excessively 25.4 11.4 percent Met

Tobacco Use

Adults who Smoke 12 21.6 percent Not Met

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Access to Health Services: Adults with Health Insurance

Why is this important? Medical costs in the United States are extremely high, so people without health insurance may not be able to afford medical treatment or prescription drugs. They are also less likely to get routine checkups and screenings, so if they do become ill they will not seek treatment until the condition is more advanced and therefore more difficult and costly to treat. Many small businesses are unable to offer health insurance to employees due to rising health insurance premiums.

percent

Time Series

Data Source: Small Area Health Insurance Estimates

Gender

Target: 100%; Current 81.8%

Campbell

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Access to Health Services: Children with Health Insurance

Why is this important? Health insurance for children is particularly important. To stay healthy, children require regular checkups, dental and vision care, and medical attention for illness and injury. Children with health insurance are more likely to have better health throughout their childhood and adolescence. They are more likely to receive required immunizations, fall ill less frequently, obtain necessary treatment when they do get sick, and perform better at school. Having health insurance lowers barriers to accessing care, which is likely to prevent the development of more serious illnesses. This is not only of benefit to the child but also helps lower overall family health costs.

Target: 100%; Current 94.2%

Data Source: Small Area Health Insurance Estimates

percent

Campbell

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Cancer: Age-Adjusted Death Rate due to Breast Cancer

Target: 20.7 deaths/100,000 females; Current: 22.7 deaths/100,000 females

Why is this important? Breast cancer is a leading cause of cancer death among women in the United States. According to the American Cancer Society, about 1 in 8 women will develop breast cancer and about 1 in 36 women will die from breast cancer. Breast cancer is associated with increased age, hereditary factors, obesity, and alcohol use. Since 1990, breast cancer death rates have declined progressively due to advancements in treatment and detection. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

deaths/100,000 females

Time Series

Campbell

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Cancer: Age-Adjusted Death Rate due to Cancer

Target: 161.4 deaths/100,000 population; Current: 173.9 deaths/100,000 population

Data Source: National Cancer Institute

Why is this important? Cancer is a leading cause of death in the United States. The National Cancer Institute (NCI) defines cancer as a term used to describe diseases in which abnormal cells divide without control and are able to invade other tissues. There are over 100 different types of cancer. According to the NCI, lung, colon and rectal, breast, pancreatic, and prostate cancer lead to the greatest number of annual deaths. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series Gender

Race/Ethnicity deaths/100,000 population

deaths/100,000 population

deaths/100,000 population

Campbell

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Cancer: Age-Adjusted Death Rate due to Lung Cancer

Target: 45.5 deaths/100,000 population; Current: 53.8 deaths/100,000 population

Why is this important? According to the American Lung Association, more people die from lung cancer annually than any other type of cancer, exceeding the total deaths caused by breast cancer, colorectal cancer, and prostate cancer combined. The greatest risk factor for lung cancer is duration and quantity of smoking. While the mortality rate due to lung cancer among men has reached a plateau, the mortality rate due to lung cancer among women continues to increase. African Americans have the highest risk of developing lung cancer. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

deaths/100,000 population deaths/100,000 population

Time Series Gender

Race/Ethnicity

deaths/100,000 population Campbell

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Cancer: Age-Adjusted Death Rate due to Prostate Cancer

Target: 21.8 deaths/100,000 males; Current: 23.1 deaths/100,000 males

Why is this important? The prostate is a gland found only in males, and is located below the bladder and in front of the rectum. Prostate cancer is a leading cause of cancer death among men in the United States. According to the American Cancer Society, about 1 in 7 men will be diagnosed with prostate cancer. And about 1 in 36 will die from prostate cancer. The two greatest risk factors for prostate cancer are age and race, with men over the age of 65 and men of African descent possessing the highest incidence rates of prostate cancer in the U.S. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

deaths/100,000 males

Time Series

Campbell

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Cancer: Colorectal Cancer Incidence Rate Target: 39.9 cases/100,000 population; Current: 41.6 cases/100,000 population

Why is this important? Colorectal cancer—cancer of the colon or rectum—is a leading cause of cancer-related deaths in the United States. The Centers for Disease Control and Prevention estimates that if all adults aged 50 or older had regular screening tests for colon cancer, as many as 60% of the deaths from colorectal cancer could be prevented. While 90% of colorectal cancer cases occur in adults aged 50 or older, it is essential for individuals with risk factors (those with a family history of colorectal cancer, inflammatory bowel disease, or heavy alcohol use) to seek regular screening earlier.

cases/100,000 population

cases/100,000 population cases/100,000 population Race/Ethnicity

Gender Time Series

Campbell

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Environmental Health: Workers Commuting by Public Transportation

Target: 5.5%; Current: 0.1% Why is this important? Public transportation offers mobility to U.S. residents, particularly people without cars. Transit can help bridge the spatial divide between people and jobs, services, and training opportunities. Public transportation is also beneficial because it reduces fuel consumption, minimizes air pollution, and relieves traffic congestion.

Data Source: American Community Survey

Time Series

percent

Age

Race/Ethnicity Gender

percent

percent

percent

Campbell

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Environmental Health: Workers who Walk to Work Target: 3.1%; Current: 0.6%

Data Source: American Community Survey

Time Series Age

Gender

Race/Ethnicity

percent percent

percent

percent

Why is this important? Walking to work is a great way to incorporate exercise into a daily routine. In addition to the health benefits, walking helps people get in touch with their communities, reduces commute costs and helps protect the environment by reducing air pollution from car trips. Furthermore, studies have shown that walking to work improves employees overall attitude and morale and reduces stress in the workplace.

Campbell

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Heart Disease and Stroke: Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Cerebrovascular disease refers to conditions caused by problems with the blood vessels supplying the brain with blood, including stroke. A stroke occurs when blood vessels carrying oxygen to the brain become blocked or burst, thereby cutting off the brain's supply of oxygen and other nutrients. Lack of oxygen causes brain cells to die, which can lead to brain damage and death or disability. Cerebrovascular disease is a leading cause of death in the United States. Although cerebrovascular disease is more common in older adults, it can occur at any age. The most important modifiable risk factor for stroke and cerebrovascular disease is high blood pressure. Other risk factors include high cholesterol, heart disease, diabetes mellitus, physical inactivity, obesity, excessive alcohol use, and tobacco use. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series

deaths/100,000 population

Target: 34.8 deaths/100,000 population; Current: 46.2 deaths/100,000 population

Campbell

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Injury and Violence Prevention:

Age-Adjusted Death Rate due to Unintentional Injuries

Target: 36.4 deaths/100,000 population; Current: 44.1 deaths/100,000 population

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Unintentional injuries are a leading cause of death for Americans of all ages, regardless of gender, race, or economic status. Major categories of unintentional injuries include motor vehicle collisions, poisonings, and falls. According to the Centers for Disease Control and Prevention, approximately 40 deaths per 100,000 population occur each year due to unintentional injuries.

deaths/100,000 population

Time Series

Campbell

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Maternal, Infant and Child Health: Babies with Very Low Birth Weight (<3 lbs. 5 ozs.)

Target: 1.4%; Current: 2.3%

Time Series

Data Source: Virginia Department of Health, Division of Health Statistics

percent percent

Why is this important? Babies born with very low birth weight (less than 3 pounds, 5 ounces) are significantly more likely than babies of normal weight to have severe health problems and nearly all require specialized medical care in the neonatal intensive care unit. Babies born with very low birth weight are at the highest risk of dying in their first year and while there have been many medical advances enabling very low birth weight and premature infants to survive, there is still risk of infant death or long-term complications and disability. Very low birth weight is typically caused by premature birth and fetal growth restriction, both of which are influenced by a mother's health and genetics. The most important things an expectant mother can do to prevent very low birth weight are to seek prenatal care, take prenatal vitamins, stop smoking, and stop drinking alcohol and using drugs.

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Mental Health and Mental Disorders: Age-Adjusted Death Rate due to Suicide

Target: 10.2 deaths/100,000 population; Current: 20.4 deaths/100,000 population

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Suicide is a leading cause of death in the United States, presenting a major, preventable public health problem. More than 33,000 people kill themselves each year according to the Centers for Disease Control and Prevention, but suicide deaths only account for part of the problem. An estimated 25 attempted suicides occur per every suicide death, and those who survive suicide may have serious injuries, in addition to having depression and other mental problems. Other repercussions of suicide include the combined medical and lost work costs on the community, totaling to over $30 billion for all suicides in a year, and the emotional toll on family and friends. Men are about four times more likely than women to die of suicide, but three times more women than men report attempting suicide. Suicide occurs at a disproportionately higher rate among adults 75 years and older. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

deaths/100,000 population

Time Series

Campbell

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Nutrition and Weight Status: Adults who are Obese

Why is this important? The percentage of obese adults is an indicator of the overall health and lifestyle of a community. Obesity increases the risk of many diseases and health conditions including heart disease, Type 2 diabetes, cancer, hypertension, stroke, liver and gallbladder disease, respiratory problems, and osteoarthritis. Losing weight and maintaining a healthy weight help to prevent and control these diseases. Being obese also carries significant economic costs due to increased healthcare spending and lost earnings.

percent

Time Series

Data Source: Centers for Disease Control and Prevention

Gender

Target: 30.5%; Current 32.6%

- - - - - Indicates a change in methodology. Due to changes in methodology, 2011 data should be considered a baseline year for data analysis and is not comparable to data from prior years.

Campbell

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Tobacco Use: Adults who Smoke Target: 12%; Current: 19.2%

Data Source: County Health Rankings

Why is this important? Tobacco is the agent most responsible for avoidable illness and death in America today. Tobacco use brings premature death to almost half a million Americans each year, and it contributes to profound disability and pain in many others. Approximately one-third of all tobacco users in this country will die prematurely because of their dependence on tobacco. Areas with a high smoking prevalence will also have greater exposure to secondhand smoke for non-smokers, which can cause or exacerbate a wide range of adverse health effects, including cancer, respiratory infections, and asthma.

- - - - -Indicates a change in methodology. A new modeling technique was used to produce estimates for 2014 data. Therefore, 2014 data is not directly comparable to previous years of data.

Time Series

percent

Campbell

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• Population (2016): 14,930 White 12,411 (83.13%)

Black/Af Amer 1,777 (11.90%) Am Ind/AK Native 56 (0.38%) Asian 108 (0.72%) Native HI/PI 4 (0.03%) Some Other Race 210 (1.41%) 2+ Races 364 (2.44%)

• % Growth (2010 – 2016): -0.60% • Unemployment (Apr 2015): 5.0% • County Seat: Lovingston • Cities Include: Lovingston, Schuyler

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Healthy People: 2020 : Progress Tracker: Nelson County

Indicator Target Current Measure Met/Not Met

Access to Health Services

Adults with Health Insurance 100 79.6 percent Not Met

Children with Health Insurance 100 91.7 percent Not Met

Adolescent Health

High School Graduation 82.4 83.9 percent Met

Teen Pregnancy Rate 36.2 0.0 pregnancies/1,000 females aged

15-17 Met

Cancer

Age-Adjusted Death Rate due to Cancer 161.4 195.3 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Colorectal Cancer 14.5 19.9 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Lung Cancer 45.5 59.1 deaths/100,000 population Not Met

Age-Adjusted Death Rate due to Prostate Cancer 21.8 39.3 deaths/100,000 males Not Met

Colorectal Cancer Incidence Rate 39.9 45.7 deaths/100,000 population Not Met

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Healthy People: 2020 : Progress Tracker: Nelson County

Indicator Target Current Measure Met/Not Met

Environmental Health

Workers Commuting by Public Transportation 5.5 0.7 percent Not Met

Workers who Walk to Work 3.1 1.4 percent Not Met

Heart Disease and Stroke

Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

34.8 39.5 deaths/100,000 population Not Met

Injury and Violence Prevention

Age-Adjusted Death Rate due to Unintentional Injuries 36.4 72.6 deaths/100,000 population Not Met

Maternal, Infant and Child Health

Babies with Low Birth Weight 7.8 5.9 percent Met

Babies with Very Low Birth Weight 1.4 0.7 percent Met

Infant Mortality Rate 6 0.0 deaths/1,000 live births Met

Mothers who Received Early Prenatal Care 77.9 79.2 percent Met

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Healthy People: 2020 : Progress Tracker: Nelson County

Indicator Target Current Measure Met/Not Met

Mental Health and Mental Disorders

Age-Adjusted Death Rate due to Suicide 10.2 39.8 deaths/100,000 population Not Met

Nutrition and Weight Status

Adults who are Obese 30.5 27.7 percent Met

Substance Abuse

Adults who Drink Excessively 25.4 12.4 percent Met

Tobacco Use

Adults who Smoke 12 17.8 percent Not Met

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Access to Health Services: Adults with Health Insurance

Why is this important? Medical costs in the United States are extremely high, so people without health insurance may not be able to afford medical treatment or prescription drugs. They are also less likely to get routine checkups and screenings, so if they do become ill they will not seek treatment until the condition is more advanced and therefore more difficult and costly to treat. Many small businesses are unable to offer health insurance to employees due to rising health insurance premiums.

Time Series

Data Source: Small Area Health Insurance Estimates

Gender

Target: 100%; Current 79.6%

Nelson

percent percent

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Access to Health Services: Children with Health Insurance

Why is this important? Health insurance for children is particularly important. To stay healthy, children require regular checkups, dental and vision care, and medical attention for illness and injury. Children with health insurance are more likely to have better health throughout their childhood and adolescence. They are more likely to receive required immunizations, fall ill less frequently, obtain necessary treatment when they do get sick, and perform better at school. Having health insurance lowers barriers to accessing care, which is likely to prevent the development of more serious illnesses. This is not only of benefit to the child but also helps lower overall family health costs.

Target: 100%; Current 91.7%

Data Source: Small Area Health Insurance Estimates

percent

Nelson

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Cancer: Age-Adjusted Death Rate due to Cancer

Target: 161.4 deaths/100,000 population; Current: 195.3 deaths/100,000 population

Data Source: National Cancer Institute

Why is this important? Cancer is a leading cause of death in the United States. The National Cancer Institute (NCI) defines cancer as a term used to describe diseases in which abnormal cells divide without control and are able to invade other tissues. There are over 100 different types of cancer. According to the NCI, lung, colon and rectal, breast, pancreatic, and prostate cancer lead to the greatest number of annual deaths. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series Gender

Race/Ethnicity deaths/100,000 population

deaths/100,000 population

deaths/100,000 population

Nelson

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Cancer: Age-Adjusted Death Rate due to Colorectal Cancer

Why is this important? Colorectal cancer—cancer of the colon or rectum—is a leading cause of cancer-related deaths in the United States. The Centers for Disease Control and Prevention estimates that if all adults aged 50 or older had regular screening tests for colon cancer, as many as 60% of the deaths from colorectal cancer could be prevented. While 90% of colorectal cancer cases occur in adults aged 50 or older, it is essential for individuals with risk factors (those with a family history of colorectal cancer, inflammatory bowel disease, or heavy alcohol use) to seek regular screening earlier. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Source: National Cancer Institute

Target: 14.5 deaths/100,000 population; Current: 19.9 deaths/100,000 population

Time Series

deaths/100,000 population

Nelson

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Cancer: Age-Adjusted Death Rate due to Lung Cancer

Target: 45.5 deaths/100,000 population; Current: 59.1 deaths/100,000 population

Why is this important? According to the American Lung Association, more people die from lung cancer annually than any other type of cancer, exceeding the total deaths caused by breast cancer, colorectal cancer, and prostate cancer combined. The greatest risk factor for lung cancer is duration and quantity of smoking. While the mortality rate due to lung cancer among men has reached a plateau, the mortality rate due to lung cancer among women continues to increase. African Americans have the highest risk of developing lung cancer.

Data Source: National Cancer Institute

deaths/100,000 population

deaths/100,000 population

Time Series Gender

Nelson

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Cancer: Age-Adjusted Death Rate due to Prostate Cancer

Target: 21.8 deaths/100,000 males; Current: 39.3 deaths/100,000 males

Why is this important? The prostate is a gland found only in males, and is located below the bladder and in front of the rectum. Prostate cancer is a leading cause of cancer death among men in the United States. According to the American Cancer Society, about 1 in 7 men will be diagnosed with prostate cancer. And about 1 in 36 will die from prostate cancer. The two greatest risk factors for prostate cancer are age and race, with men over the age of 65 and men of African descent possessing the highest incidence rates of prostate cancer in the U.S. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Data Charts Not Available

Nelson

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Cancer: Colorectal Cancer Incidence Rate Target: 39.9 cases/100,000 population; Current: 45.7 cases/100,000 population

Why is this important? Colorectal cancer—cancer of the colon or rectum—is a leading cause of cancer-related deaths in the United States. The Centers for Disease Control and Prevention estimates that if all adults aged 50 or older had regular screening tests for colon cancer, as many as 60% of the deaths from colorectal cancer could be prevented. While 90% of colorectal cancer cases occur in adults aged 50 or older, it is essential for individuals with risk factors (those with a family history of colorectal cancer, inflammatory bowel disease, or heavy alcohol use) to seek regular screening earlier.

cases/100,000 population

cases/100,000 population cases/100,000 population Race/Ethnicity

Gender Time Series

Nelson

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Environmental Health: Workers Commuting by Public Transportation

Target: 5.5%; Current: 0.7%

Why is this important? Public transportation offers mobility to U.S. residents, particularly people without cars. Transit can help bridge the spatial divide between people and jobs, services, and training opportunities. Public transportation is also beneficial because it reduces fuel consumption, minimizes air pollution, and relieves traffic congestion.

Data Source: American Community Survey

Time Series

percent

percent

percent Gender

Age

Nelson

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Environmental Health: Workers who Walk to Work Target: 3.1%; Current: 1.4%

Data Source: American Community Survey

Time Series Age

Gender Race/Ethnicity

percent percent

percent percent

Why is this important? Walking to work is a great way to incorporate exercise into a daily routine. In addition to the health benefits, walking helps people get in touch with their communities, reduces commute costs and helps protect the environment by reducing air pollution from car trips. Furthermore, studies have shown that walking to work improves employees overall attitude and morale and reduces stress in the workplace.

Nelson

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Heart Disease and Stroke: Age-Adjusted Death Rate due to Cerebrovascular Disease (Stroke)

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Cerebrovascular disease refers to conditions caused by problems with the blood vessels supplying the brain with blood, including stroke. A stroke occurs when blood vessels carrying oxygen to the brain become blocked or burst, thereby cutting off the brain's supply of oxygen and other nutrients. Lack of oxygen causes brain cells to die, which can lead to brain damage and death or disability. Cerebrovascular disease is a leading cause of death in the United States. Although cerebrovascular disease is more common in older adults, it can occur at any age. The most important modifiable risk factor for stroke and cerebrovascular disease is high blood pressure. Other risk factors include high cholesterol, heart disease, diabetes mellitus, physical inactivity, obesity, excessive alcohol use, and tobacco use. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

Time Series

deaths/100,000 population

Target: 34.8 deaths/100,000 population; Current: 39.5 deaths/100,000 population

Nelson

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Injury and Violence Prevention: Age-Adjusted Death Rate due to Unintentional Injuries

Target: 36.4 deaths/100,000 population; Current: 72.6 deaths/100,000 population

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Unintentional injuries are a leading cause of death for Americans of all ages, regardless of gender, race, or economic status. Major categories of unintentional injuries include motor vehicle collisions, poisonings, and falls. According to the Centers for Disease Control and Prevention, approximately 40 deaths per 100,000 population occur each year due to unintentional injuries. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

deaths/100,000 population

Time Series

Nelson

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Mental Health and Mental Disorders: Age-Adjusted Death Rate due to Suicide

Target: 10.2 deaths/100,000 population; Current: 39.8 deaths/100,000 population

Data Source: Virginia Department of Health, Division of Health Statistics

Why is this important? Suicide is a leading cause of death in the United States, presenting a major, preventable public health problem. More than 33,000 people kill themselves each year according to the Centers for Disease Control and Prevention, but suicide deaths only account for part of the problem. An estimated 25 attempted suicides occur per every suicide death, and those who survive suicide may have serious injuries, in addition to having depression and other mental problems. Other repercussions of suicide include the combined medical and lost work costs on the community, totaling to over $30 billion for all suicides in a year, and the emotional toll on family and friends. Men are about four times more likely than women to die of suicide, but three times more women than men report attempting suicide. Suicide occurs at a disproportionately higher rate among adults 75 years and older. (Age-Adjusted Death Rate is a death rate that controls for the effects of differences in population age distributions.)

deaths/100,000 population

Time Series

Nelson

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Tobacco Use: Adults who Smoke

Target: 12%; Current: 17.8%

Data Source: County Health Rankings

Why is this important? Tobacco is the agent most responsible for avoidable illness and death in America today. Tobacco use brings premature death to almost half a million Americans each year, and it contributes to profound disability and pain in many others. Approximately one-third of all tobacco users in this country will die prematurely because of their dependence on tobacco. Areas with a high smoking prevalence will also have greater exposure to secondhand smoke for non-smokers, which can cause or exacerbate a wide range of adverse health effects, including cancer, respiratory infections, and asthma.

- - - - -Indicates a change in methodology. A new modeling technique was used to produce estimates for 2014 data. Therefore, 2014 data is not directly comparable to previous years of data.

Time Series

percent

Nelson