1. Health Status of McLennan County Residents Our Vision To strive for public health excellence and innovation while advocating for community health and wellness Our Mission To work in partnership with the community to effectively promote, prevent and protect the health and well being of all McLennan County residents

2. Community Health Challenges –Cardio-Vascular Disease/Stroke –Cancer –Diabetes –Obesity –Smoking –Influenza/Pneumonia –Immunization Rates –Sexually Transmitted Diseases (HIV Testing) –Emergency Preparedness –General Health Status  Insurance

3. Following studies in 2001 and 2006, the 2009 health assessment included telephone interviews of 1,211 McLennan County residents providing information for: –General health status –Healthcare access (eg. health insurance) –Health awareness of several health conditions –Behaviors that affect health –Emergency preparedness Community Health Assessment

4. The assessment was contracted with the University of North Texas Survey Research Center and funded by the Public Health Preparedness grant, Hillcrest Baptist Medical Center and Providence Healthcare Network. Questions were modeled after the CDC Behavioral Risk Factor Surveillance System and other questionnaire sources with interviews conducted during August and September 2009. The report presents overall county findings with a 95% confidence rating. Comparison data across years or for Texas or the United States are indicated on certain graphs. Community Health Assessment

5. Community Health Assessment Key Findings

6. Someone in Household Has Heart Problems 2009(n=1,033)2006(n=1,092)2001(n=1,351) Yes 21.820.217.0 No 78.279.883.0

7. Someone in Household Has Diabetes 2009(n=1,036)2006(n=1,094)2001(n=1,354)USTexasYes22.420.013.98.39.7 No77.680.086.191.790.3

8. Smoked at Least 100 Cigarettes in Lifetime 2009(n=1,036)2006(n=1,094)2001(n=1,350) Yes46.644.142.9 No53.455.957.1

9. Concern about H1N1 Flu

10. Had Flu Shot in Past 12 Months? 2009(n=1,034)2006(n=1,096)2001(n=1,347)Yes56.147.633.6 No43.952.466.4

11. Had Pneumonia Vaccine in Past 12 Months? 2009(n=427)USYes66.161.0 No33.939.0

12. Immunizations for Children under Five 2009(n=95)2006(n=163)2001(n=234)Yes97.092.597.2 No3.07.52.8

13. Ever Been Tested for HIV? 2009(n=1,005)2006(n=1,082)2001(n=1,308)Yes27.930.335.7 No72.169.764.3

14. Preparedness of McLennan County to Face Public Health Emergency 2009(n=766)2006(n=885) Very prepared 33.914.3 Somewhat prepared 46.353.2 Not very prepared 12.522.7 Not at all prepared 7.39.8

15. Source of Information in Public Health Emergency Source Percentage responding Local television 38.8 Internet web sites 16.2 Doctor/hospital/clinic 11.7 National television 10.0 Community/neighborhood sources 6.1 Radio 5.6 Government agency 4.0 Newspaper 3.5 Employer 1.4 Family/friends 1.2 School/church 0.4 Fire Department 0.2 Pamphlets 0.2 Multiple media sources 0.2 Other 0.4

16. Source of Information in Public Health Emergency by Year Source2009(n=1,005)2006(n=1,020) Local television 43.344.1 Doctor/hospital/clinic 12.59.1 Internet web sites 11.210.6 National television 10.510.5 Community/neighborhood sources 5.95.6 Radio 5.56.4 Newspaper 4.13.0 Government agency 3.63.5 Family/friends 1.20.8 Employer 0.80.5 Other 0.71.4 Multiple media sources 0.40.7 Local emergency services (police/fire/911) 0.21.9 Local government -0.8 Health Department -0.7 Local and national television -0.4

17. General Health Status 2009(n=1,033)2006(n=1,095)2001(n=1,352)USTexasExcellent15.415.918.820.218.9 Very good 23.928.429.934.928.9 Good33.833.630.530.133.1 Fair19.114.414.710.614.1 Poor7.97.66.13.85.0

18. Illnesses or Health Problems Reported by Year 2009(n=911)2006(n=1,094)2001(n=1,355) Allergies 58.866.263.1 Arthritis 47.443.336.8 Overweight 47.153.846.9 Anxiety 26.623.522.9 Dental Problems 22.924.224.7 Depression 22.221.722.3 Asthma 18.921.820.2 Cancer 6.96.05.2 Stroke 5.33.92.6 Kidney/Renal Failure 3.2-- Staphylococcal Infection 2.1-- Alcoholism 2.03.22.6 Drug Abuse 0.81.11.0 STD Sexually Transmitted Disease 0.71.61.3 TB Tuberculosis 0.60.60.7 Other 23.322.316.2

19. How Long Since Your Last Routine Checkup? 2009(n=1,019)2006(n=1,096)2001(n=1,355) 0 to 12 months 79.473.874.5 1 to 2 years 9.515.213.2 2 to 5 years 3.85.37.4 5 or more years 5.54.43.3 Never1.71.31.3

20. Ratings of Health Care Received in Past 12 Months 2009(n=991)2006(n=1,054)2001(n=1,339) 1 Worst health care possible 1.60.72.6 22.62.42.2 39.510.114.5 427.031.933.5 5 Best health care possible 59.355.047.1 Mean4.404.384.20

21. Have Health Insurance 2009(n=1,036)2006(n=1,092)2001(n=1,347)USTexasYes86.685.584.484.574.4 No13.414.515.615.525.6

22. Usage of Hospital Emergency Department 2009(n=963)2006(n=1,094)2001(n=1,349) Yes 10.921.621.0 No 89.178.479.0

23. Waco-McLennan County Public Health District Prevention Programs Program Services 2009 Environmental Health Food handler/food manager classes 6,657 Food establishment inspection/permitting 3,007 Swimming pool/spa inspection/permitting 230 Childcare facility inspection/permitting 119 General sanitation investigation 150 OSSF inspection/permitting 306 Epidemiology/Preparedness 24/7 disease surveillance/reporting 289 All hazards preparedness/response 990

24. Waco-McLennan County Public Health District Prevention Programs Program Services 2009 Public Health Nursing Immunizations (Child & Adult) 27,521 TB Control and Prevention 2,687 Community Based Health Ed/Promotion 10,901 Diabetes Ed/Promotion (included in above) Power of Prevention Coalition Heart/Stroke Health City Assessment HIV/STD Clinical evaluation, counseling, treatment 2,097 HIV testing, counseling, referral 7,640 (medical case mgmt – 6 county area) (medical case mgmt – 6 county area)

25. Waco-McLennan County Public Health District Prevention Programs Program Services 2009 Women, Infants and Children (WIC) 107,176 Early nutrition guidance (mothers/children to age 5) Nutritious foods offered through vouchers Breastfeeding education Specialized dietary and formula services Total Services 2009 169,770

26. Conclusion With appropriate interventions of good nutrition, exercise, smoking cessation, annual wellness checks and facilitated access to care, McLennan County residents will realize immediate benefits from improved health outcomes. The Waco-McLennan County Public Health District continues to provide vital preventive services that are proactive, cost effective and address many of our community’s health challenges.

27. Questions/Comments? www.mclennanpublichealth.org The Waco-McLennan County Public Health District (254) 750-5450 225 West Waco Drive Waco, Texas 76707