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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.