1 Community Plan District 10 Kathryn Bertke Toya Ozark Antoinette Vanderburg

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3 Lake County  Lake County is located Peninsula, in the northwestern side of Michigan, 80 miles north of Grand Rapids.  Lake county consists of 200,000 acres of public-owned land and is intersected by US-10 and M-37.

4 Weaknesses  Lower rate of high school graduates and higher education  81.9% high school graduates for Lake County compared to 88.4% in state of Michigan  9.4% Bachelor’s degree or higher compared to 25.3% in Michigan.

5 Weakness Continued  22.5% below poverty compared to 15.7% in Michigan.  35% smoke during pregnancy compared to 19.3% in Michigan  High rate of smoking 27% in Lake County compared to 20.3% in Michigan  High rate of lung cancer incidence: 93.6/100,000 in Lake County compared to 71.2/100,00 in Michigan.

6 Strengths  Low rate of sexually transmitted disease compared to the state of Michigan.  Low incidence of asthma compared to the rest of the state. 10.3% in Lake county compared to 15.2% in Michigan.  High level of immunization rate in children compared to state of Michigan.

7 Community Diagnosis  Risk for increased lung cancer and respiratory diseases in community  Among members of Lake County  Related to tobacco use in community and during pregnancy  As demonstrated by pregnancy smoking rate of 35% and a smoking rate in the general population of 27.0%.

8 Smart Goals  S-A decrease in tobacco and an increase in smoking cessation.  M-Percentage rate will be identified during the Healthy People 2020 initiative.  A-There will be a decrease in rate of tobacco use, however the best outcome will be seen years later.  R-The goal is to decrease tobacco use among pregnant women. Education to start early in education prior to legal age of tobacco use.  T-Decreased rate of smoking among pregnant women will drop by 10% within ten years.

9 Target Population  School age children prior to normal introduction of tobacco use. Start program in seventh grade.

10 Stakeholders  American Cancer Society  Local Schools  Local physicians  Community Health Department  Respiratory therapists from local hospitals  Registered Nurses from local hospitals  Parents

11 Interventions  Mandatory education classes at beginning of school year, which includes parents  Increase physical education during and after school  Healthy living support group throughout the year

12 Evaluation  Has the interventions been appropriate to address the problem  Are the interventions sufficient  Any other interventions needed  Increase frequency of intervention  Evaluate the rate of smoking during pregnancy yearly for the next ten years.  Adjust goals and interventions yearly as needed

13 References  District Health Department #10. (2013). DHD #10 Community Statistics. In  Harkness, G.A., & DeMarco, R.F. (2012). Community and Public health nursing practice: Evidence for Practice. Philadelphia, PA: Wolters Kluwer/Lippincott, Williams & Wilkins.

14 References  Guide to Community Prevention Services (2014). Reducing tobacco use & second-hand smoke exposure. Retrieved from: ml  Healthy People. Gov (2013). Leading health indicators. Retrieved from: x x 

15 References  Lake County (n.d.). Welcome to Lake County, Michigan. Retrieved from: county-michigan.jpg