1. Mel Downey-Piper, MPH, CHES February 20, 2013 2012 State of Durham County’s Health report

2. Purpose Reports progress on health priorities identified in the community health assessment Access to healthcare HIV / STIs Obesity and chronic illness Poverty Education Substance abuse and mental health Celebrates successes Notes emerging issues

4. Durham meets 10 NC targets Healthy NC 2020 Objectives Women who smoke during pregnancy Traffic crashes that are alcohol related Suicide rate Children aged 1-5 years enrolled in Medicaid who receive dental care Adults who had permanent teeth removed due to tooth decay or gum disease Unintentional poisoning mortality rate Adults reporting good, very good or excellent health Adults who are neither overweight nor obese

5. Other successes and progress Healthy Mile Trail Community Transformation Grant Project Smoking Rule Affordable Care Act

6. Access to Healthcare Ranked “mid-high” for uninsured adults (22.2%) Ranked “high” for uninsured children (10.1%) PROGRESS & NEXT STEPS Coordinated Access to Care and Housing for Homeless (CATCH) – respite care and housing for homeless discharged from area hospitals ACA education and advocacy Focus on transportation as an access issue

7. HIV and other STIs HIV rate has remained stable at 27.3 per 1,000 (NC=16.4) Syphilis declined NEXT STEPS CDC Hep C Testing NTS 3-year grant

8. Obesity and chronic illness 59% of adults and 30% of high school students are overweight or obese 15% of adults are current smokers 45% of middle school students and 26% of Durham high school students eat breakfast every day 51% of middle school students and 20% of high school students get eight or more hours of sleep on school nights PROGRESS & NEXT STEPS Bull City Open Streets Policy change Healthy Mile Trail

9. Poverty 19% of Durham County residents below the poverty line (NC =17%) 29% of single mothers are in poverty 53% of residents spend more than 30% of their income on rental housing PROGRESS Faith Summit, Circles Durham Health Connections – social prescriptions CATCH (medical respite care and permanent supportive housing)

10. Education Graduation rates continue to rise Certain groups are much less likely to graduate

11. Substance abuse and mental health Reported feeling sad or helpless: 22% of middle and 24% of high school students Ever used marijuana: 9% of middle school and 45.7% of high school students PROGRESS AND NEXT STEPS Alliance Behavioral Healthcare Learned more about resources related to bullying and suicide Recovery Celebration

12. Emerging issues Durham Diabetes Coalition Aims to reduce morbidity and mortality from type 2 diabetes and identify people unknowingly living with the disease by Implementing neighborhood-based interventions. Offering home-based clinical care to people who have difficulty accessing traditional care. Using multiple forms of media to spread type 2 diabetes health messages and engage the community. Social Determinants of Health Durham Health Summit and work groups