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Connecticut Department of Public Health
A Healthier Connecticut
by 2020
Tolland County Public Forum September 10, 2013
Connecticut Department of Public Health
Many Things Affect Our Health
Source: Drawing adapted from healthynashville.org
Connecticut Department of Public Health
Connecticut Department of Public Health
Who Lives in Connecticut and in Our Community
Connecticut Department of Public Health
Who Lives in Connecticut and Tolland County
Source: US Census Bureau, American Community Survey, 5-Year Estimates, 2007-2011, DP-03 File.
• CT’s population is getting older and more diverse. • Tolland County residents are younger,
on average, than CT residents overall • People of color:
• 27% of Connecticut population • 11% of Tolland County population
• Speak language other than English at home:
• 1 in 5 Connecticut residents • 1 in 10 residents of Tolland County
• Living in poverty: • 1 in 10 of CT’s residents • 1 out of 15 in Tolland County • 1 out of 6 in Willington and Mansfield
Connecticut Department of Public Health
Leading Causes of Death
Connecticut Department of Public Health
Leading Causes of Death, Connecticut 2010 (Number of Deaths)
Source: Connecticut Department of Public Health, Mortality Tables, 2010, Tables 9 and 10.
Connecticut Department of Public Health
Leading Causes of Premature Death* Connecticut, 2010
* Premature death means before age 75 Source: Connecticut Department of Public Health, YPLL Tables, Age-Adjusted YPLL Rate <75, 2010 and Robert Wood Johnson County Health Rankings.
Connecticut Department of Public Health
Maternal, Infant, and Child Health
Connecticut Department of Public Health
Non-adequate Prenatal Care, Connecticut, 2010
Source: Connecticut Department of Public Health, Vital Statistics (Registration Reports), 2010 ,Table 12.
Connecticut Department of Public Health
Infant Deaths, 2001-2010
Source: Connecticut Department of Public Health, Registration Reports, 2001-2010.
02468
1012141618
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
AllWHITE NON-HSPBLACK NON-HSPHISPANIC
Connecticut Department of Public Health
Our Environment: Health and Where We Live
Connecticut Department of Public Health
Major Environmental Quality Concerns
Indoor Environment Outdoor Environment 1) Mold and mildew 1) Ozone
2) Vapors, fumes and odors 2) Particulate matter
3) Insects, vermin, and other pests 3) Toxic chemicals, spills
4) Carbon monoxide 4) Pesticides
5) Secondhand tobacco smoke 5) Safe drinking water
6) Lead 6) Age of housing
7) Asbestos 7) Available and affordable healthy foods
8) Radon 8) Walkable streets
Data Source: Environmental and Occupational Health Assessment Phone Log Database, Connecticut Department of Public Health, 2012
Connecticut Department of Public Health
Lead Poisoned Children in Older (Pre-1960) Housing
Connecticut Department of Public Health
Connecticut’s “Food Deserts”
Source: U.S. Department of Agriculture, Economic Research Service, Food Deseert Locator, 2009. Map provided by personal communication.
Connecticut Department of Public Health
Chronic Diseases and Their Risk Factors
Connecticut Department of Public Health
Risk Factors for Chronic Diseases Modifiable Risk Factors
Chronic Diseases
Cancer
Diabetes
Heart Disease
Stroke
Chronic Respiratory
Diseases
Chronic Kidney Disease
Obesity/overweight Physical inactivity Tobacco use Unhealthy diet Excessive alcohol use Indoor/outdoor air quality (incl. secondhand smoke)
High cholesterol
High blood sugar (pre-diabetes)
Occupational risk (Chemical, dust, exposure; repetitive joint use)
Excessive sun exposure
Microbial agents (Unprotected sex, contaminated needles)
Ionizing radiation
Allergens
Source: Connecticut Department of Public Health, Public Health Systems Improvement. Compiled from various sources.
Connecticut Department of Public Health Source: Connecticut Behavioral Risk Factor Surveillance System, 2012; Connecticut School Health Survey, Youth Tobacco Component, 2011.
19.8 19.3
18.0 16.9
15.9
13.1
17.0
15.6
22.0
17.0 16.9
15.3
14.0
10
15
20
2520
00
2002
2004
2006
2008
2010
2012
Perc
ent
Adults, 18+ yrs
Students, Gr. 9-12
Current Smoking among Adults and Youths 2000-2012
Connecticut Department of Public Health Source: Connecticut Behavioral Risk Factor Surveillance System, 2012; Connecticut School Health Survey, Youth Risk Behavior Component, 2011.
34.8
17.0
24.2 19.5
0
10
20
30
40
50
Male Female Male Female
YOUTH ADULTS
Perc
ent
Met Physical Activity Guidelines, 2011
Connecticut Department of Public Health Source: Connecticut Behavioral Risk Factor Surveillance System, 2011; Connecticut School Health Survey, Youth Risk Component, 2011.
24.5 25.4 23.6 23.0
32.8 32.6 33.0 35.5
12.5
16.5
8.4 9.8
24.0
15.2
0
10
20
30
40
Perc
ent
Obese Adults and Youths, 2011 Adult Youth
Connecticut Department of Public Health
Asthma in Connecticut
About 1 in 10 children &
1 in 12 adults are dealing with
asthma.
Connecticut Department of Public Health
Mental Health, Alcohol, and Substance Abuse
Connecticut Department of Public Health
Emergency Department Visits for Mental Health Conditions
Fiscal Years 2008-2011
Source: Connecticut Department of Public Health, Office of Health Care Access, from Connecticut Hospital Association Chime, Inc. Emergency Department Database, FFY 2007-2011. Mental health as primary diagnosis.
500
750
1,000
1,250
1,500
1,750
2,000
2,250
2,500
FY 2008 FY 2009 FY 2010 FY 2011
ED
Vis
its p
er 1
00,0
00
<18 yrs18-44 yrs45-64 yrs65+ yrs
Connecticut Department of Public Health Source: Connecticut Behavioral Risk Factor Surveillance System, 2011; Connecticut School Health Survey, Youth Behavior Component, 2011.
Binge Drinking In Connecticut in 2011, more than 1 in 5 adults and nearly 1 in 4 students were binge drinkers.
Connecticut Department of Public Health
Nonmedical Use of Prescription Pain Relievers Connecticut, 2010-2011
Source: US DHHS Substance Abuse and Mental Health Administration, National Survey on Drug Use and Health, 2010-2011.
4.7
10.7
3.3
0
2
4
6
8
10
12
12 to 17 years 18 to 25 years 26+ years
Per
cent
Connecticut Department of Public Health
Injury and Violence
Connecticut Department of Public Health
Accidental Injury Deaths, 2000-2010
Source: Connecticut Department of Public Health, Vital Statistics, 2000-2010, Table 9.
Falls are now the leading cause of
accidental injury death
Connecticut Department of Public Health
Suicide and Homicide Deaths, 2000-2010
Source: Connecticut Department of Public Health, Mortality Tables, Age-Adjusted Mortality Rate, 2000-2010.
Connecticut Department of Public Health
Infectious Diseases
Connecticut Department of Public Health
New Cases of Chlamydia and Gonorrhea 2005-2011
Source: Connecticut Department of Public Health AIDS and Chronic Diseases Section, Epidemiologic Profile of HIV/AIDS in Connecticut.
0
200
400
600
800
1000
1200
1400
Chlamydia Gonorrhea
New
Cas
es p
er 1
00,0
00 P
opul
atio
n
Non-Hispanic White
Non-Hispanic Black
Hispanic
Asian/Pacific Islander
American Indian/Alaskan Native
Connecticut Department of Public Health
Persons Living with HIV Infection, 2011
Source: Connecticut Department of Public Health AIDS and Chronic Diseases Section, Epidemiologic Profile of HIV/AIDS in Connecticut.
Connecticut Department of Public Health
Childhood Vaccination Coverage, 2001-2011 (Children 19 to 36 months of age)
Source: Connecticut Department of Public Health, Infectious Disease Section, Immunizations Program.
Connecticut Department of Public Health
Number of Pertussis Cases by Year and Age Group 2003–2012
26 14 13 5 18 9 8 18 17 29
3 5 3
6 14
6 16
28
10
40
020406080
100120140160180200
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Num
ber o
f Cas
es
>19 years
10–19 years
5–9 years
1–4 years
<1 year
Source: Connecticut Department of Public Health, Infectious Disease Section.
Connecticut Department of Public Health
Outbreaks of Foodborne Infections, 2004-2012 (Total = 156 outbreaks)
0
2
4
6
8
10
12
14
16
18
20
22
24
2004 2005 2006 2007 2008 2009 2010 2011 2012
Num
ber o
f Out
brea
ks
CT only
Multi-state investigations
Source: Connecticut Department of Public Health, Infectious Disease Section.
Connecticut Department of Public Health
Access to Health Care
Connecticut Department of Public Health
Uninsured Adults (18-64 yrs) by Race/Ethnicity, 2011
8.6%
17.4%
29.7%
13.4%
24.7%
0%
5%
10%
15%
20%
25%
30%
35%
Non-HispanicWhite
Non-HispanicBlack
Hispanic Asian American Indian
Per
cent
Source: US Census Bureau, American Community Survey, 1-Year Estimates, 2011, B27001 Files
Connecticut Department of Public Health
Children and Adults without Health Insurance Connecticut and Tolland County, 2011
Source: US Census Bureau, American Community Survey, 1-Year Estimates, 2011, B27001 File.
2.9
12.6
4.2
7.2
0
2
4
6
8
10
12
14
16
18
20
<18 years 18 to 64
Connecticut
Tolland County
Connecticut Department of Public Health
Medically Underserved Areas or Populations (MUA/P) and Health Professional Shortage Areas (HPSA)
Connecticut, April, 2012 County
Number of MUA/P
Designations
Number of HPSA Designations
Dental
Primary Care
Mental Health
Fairfield 6 8 9 7
Hartford 7 10 9 4
Litchfield 1 2 2 2
Middlesex 1 3 1 1
New Haven 8 7 8 6
New London 3 4 3 3
Tolland 1 2 2 1
Windham 2 3 3 2
Tribal Nation * 1 2 1
Connecticut 29 40 39 27
*Tribal nations have their own special designation. Source: CT Department of Public Health, Office of Health Care Access, Statewide Health Care Facilities and Services Plan, October 2012, Chapter 9, Table 9.2.
Connecticut Department of Public Health
Conclusions Chronic diseases and injuries are leading causes of premature
death.
Opportunities exist to address the behaviors like obesity and smoking that contribute to many diseases.
Racial/ethnic minority groups suffer from many conditions at higher rates.
Lower-income CT residents are more likely to have risk factors for chronic disease compared with higher-income residents
Specific age groups such as youth/young adults and older adults are more at-risk for certain conditions.
Connecticut Department of Public Health
Discussion
What health issue in your community is the most important to you, and why? How can your community become a
healthier place to live?
Connecticut Department of Public Health
For More Information…
Connecticut Department of Public Health www.ct.gov/dph
860-509-8000
Connecticut Department of Public Health
Low Birthweight, Connecticut and Tolland County, 2006-2010
Connecticut Department of Public Health
Teen Births (15 -19 Yrs), Connecticut and Tolland County, 2006-2010
Connecticut Department of Public Health
Trends in Death Rates for Major Chronic Diseases
Source: Connecticut Department of Public Health, Age-adjusted Death Rates, 2001-2010.
Connecticut Department of Public Health
New Cases of Cancer, 2010
Source: Connecticut Department of Public Health, Connecticut Tumor Registry, 2010.
Connecticut Department of Public Health
Human Papillomavirus (HPV) Immunizations, 2011 (Adolescents 13-17 years of age)
Source: Connecticut Department of Public Health, Infectious Disease Section. Immunizations Program.