1. APEXPH Summary Assessment Protocol for Excellence in Public Health Community Health Planner Panayiota Agamemnonos Carroll County Health Department

2. Carroll County Demographic Profile 2006 Population – 10,521 5,157 (50%) males* 5,074 (50%) female* 10,066 (96.3%) white (2005) 201 (1.9%) black (2005) 408 (3.9%) Hispanic or Latino origin (2005) National Center for Health Statistics, U.S. Census Bureau, *2002 Vital Statistics

3. 2002 Race Distribution by Sex MaleFemale White 4,840 (50%)4,892 (50%) Black 123 (63%)72 (37%) Other 194 (64%)110 (36%) 2002 Kentucky Vital Statistics

4. Population Distribution by Age in 2002 CarrollKentucky Under 1 year 144 (1.4%) 54,312 (1.3%) 1 – 4 years 577 (5.6%) 216,039 (5.3%) 5 – 14 years 1,458 (14.3%) 558,077(13.6%) 15 – 24 years 1,353 (13.2%) 584,864(14.3%) 25 – 34 years 1,430 (14.0%) 554,891(13.6%) 35 – 44 years 1,598 (15.6%) 631,173(15.4%) 45 – 54 years 1,409 (13.8%) 582,643(14.2%) 55 – 64 years 1,409 (10.0%) 402,450 (9.8%) 65 – 74 years 684 (6.7%) 273,875 (6.7%) 75 – 84 years 429 (4.2%) 176,282 (4.3%) 85 + 124 (1.2%) 58,402 (1.5%) Total 10,2314,093,008 2002 Kentucky Vital Statistics

5. 2010 Population Projections 2000 Census

6. Socioeconomic Profile In 2004, the percentage of people below the poverty level in Carroll Co. was 14.3% compared to 16.3% statewide. Per capita income in 2004 was $25,966 compared to the state average of $27,265. Median family income in 2004 was $40,525– Kentucky was $37,046. In 2005, unemployment rates were 5.8% compared to 6.1% statewide. National Center for Health Statistics, U.S. Census Bureau

7. 2002 Socioeconomic Profile, cont. 2002 County Health Profile

8. Birth Indicators CarrollKentucky Birth rate 15.9 per 1000 pop.13.4 per 1000 pop. Infant death rate 6.1 per 1000 births6.8 per 1000 births Mothers under 15 0.0 per 1000 births0.8 per 1000 births Mothers 15 – 17 35.7 per 1000 births 24.8 per 1000 births Birthweights < 2500 grams 7.4 per 100 births8.8 per 100 births No care in first trimester 16.5%13.0% Maternal Smoking 43% *26%* 2003 Kentucky Vital Statistics, *2006 KIDS COUNT

9. Child Well-being Indicators Average daily attendance for students in Carroll Co. - 94%. KY’s average was 94%. (2005) 86% completed high school with the state average 83% in 2005. 8.3% completed 4 or more years of college – Kentucky’s average is 17.1% in 2000. School drop-out rate in Carroll Co. was 3.2% with Kentucky’s being 2.6% (2000-2001). 2006 KIDS Count Data Book

10. Carroll County High School 2004-2005 KCCT TestProficient/DistinguishedAcademic Index DistrictStateDistrictState Reading 10th27%39%72.177.5 PL/VS 10th44%54%72.179.1 Mathematics 11th35%34%6766.3 Science 11th35%37%69.769.4 Social Studies 11th31%41%71.778.1 Arts & Humanities 11th33%39%67.470.7 Writing 12th42%33%76.368.4 KY Department of Education

11. Carroll County High School 2004-2005 National Norm Referenced Test (CTBS/5)DistrictStateNation 9th Grade Reading47%ile56%ile50%ile 9th Grade Language Arts41%ile51%ile50%ile 9th Grade Mathematics51%ile52%ile50%ile KY Department of Education

12. Carroll County Middle School 2004-2005 KCCT TestProficient/DistinguishedAcademic Index DistrictStateDistrictState Reading 7th65%62%9187 Science 7th31%41%65.174 Writing 7th34%21%7257.3 Mathematics 8th31%36%64.471 Social Studies 8th32%39%67.273.5 Arts & Humanities 8th50%53%76.176.5 PL/VS 8th39%43%7174.3 KY Department of Education

13. Carroll County Middle School 2004-2005 National Norm Referenced Test (CTBS/5)DistrictStateNation 6th Grade Reading56%ile58%ile50%ile 6th Grade Language Arts52%ile54%ile50%ile 6th Grade Mathematics48%ile57%ile50%ile KY Department of Education

14. Carroll County Primary/Elementary School 2004-2005 KCCT TestProficient/DistinguishedAcademic Index DistrictStateDistrictState Reading 4th66%68%85.987.1 Science 4th52%54%86.687.6 Writing 4th49%43%79.374.9 Mathematics 5th46%45%75.674.4 Social Studies 5th47%53%75.279.3 Arts & Humanities 5th28%32%57.962.8 PL/VS 5th64%63%85.684.9 KY Department of Education

15. Carroll County Primary/Elementary School 2004-2005 National Norm Referenced Test (CTBS/5)DistrictStateNation End of Primary (EOP) Reading54%ile65%ile50%ile EOP Language Arts51%ile62%ile50%ile EOP Mathematics57%ile67%ile50%ile KY Department of Education

16. Child Well-being Indicators In 2003, 19% of pop. <18 lived in poverty. Only 62% of obligated child support payments were collected in 2006. In 2005, there were 18 reports cases of physical abuse, 20 reports of sexual abuse and 80 reports of neglect and/or dependency. 2006 KIDS Count Data Book

17. 2005 Traffic Collisions 2005 saw a total of 441 collisions of those 6 involved fatalities, 118 non-fatal injuries, and 317 property damage. –7 people were killed and 162 people were injured. Of the 441 collisions, 27 involved drinking drivers and 6 involved drivers under influence of drugs 2005 Traffic Collision Facts

18. 2005 Driving under the Influence 2 of the 27 collisions with drinking drivers involved fatal collisions, 13 non- fatal injury, and 12 property damage. –2 people were killed and 18 people were injured. 5 of the 6 collisions under influence of drugs involved non-fatal injury with 6 people injured. 2005 Traffic Collision Facts

19. DUI Convictions Trend 2006 Crime in Kentucky

20. 2005 Crime In 2005, 174 DUI arrests with 165 adults and 9 juveniles. There was a total of 1,358 arrest in 2005 with 214 arrests for narcotic drug laws at the highest. Another 144 of the arrests were for drunkenness. 2006 Crime in Kentucky

21. Access to Primary Health Care Profile Primary care provider ratio is the population of a given area divided by the number of full- time primary care providers serving that area. The Federal Government estimates that 1 primary care provider can provide care to 1500 individuals. In 2007, Carroll County’s ratio is 1 to 2190, Kentucky’s ratio is 1917. KY Department of Public Health, Health Care Access Branch

22. Carroll County’s cancer of all sites incidence age-adjusted rate for 2000-2004 was 578.18 compared to KY’s age-adjusted rate as 513.73 2007 Kentucky Cancer Registry

23. Carroll County’s cancer of respiratory system incidence age-adjusted rate for 2000-2004 was 159.81 compared to KY’s age-adjusted rate as 108.12 2007 Kentucky Cancer Registry

24. Carroll County’s cancer of breast incidence age-adjusted rate for 2000-2004 was 55.86 compared to KY’s age-adjusted rate as 66.90 2007 Kentucky Cancer Registry

25. Carroll County’s cancer of all sites mortality age-adjusted rate for 2000-2004 was 246.94 compared to KY’s age-adjusted rate as 224.25 2007 Kentucky Cancer Registry

26. Carroll County’s cancer of all sites mortality age-adjusted rate for 2000-2004 was 88.78 compared to KY’s age-adjusted rate as 81.85 2007 Kentucky Cancer Registry

27. Carroll County’s cancer of all sites mortality age-adjusted rate for 2000-2004 was 22.65 compared to KY’s age-adjusted rate as 14.99 2007 Kentucky Cancer Registry

28. Leading Causes of Mortality 2002 Under 1 yearPerinatal conditions Age 1-14Unintentional injury 15-24Unintentional injury 25-34Unintentional injury 35-44Unintentional injury 45-54Heart Disease 55-64Malignant neoplasm 65 +Heart Disease 2002 Vital Statistics Report

29. Years of Potential Life Lost (YPLL) Years of Potential Life Lost is a measure of causes of mortality that are responsible for taking the highest number of years of life based on life expectancy. Years of potential life lost are calculated by multiplying the number of deaths per age group by years of life lost as determined by the difference in age at the time of death and life expectancy.

30. Deaths from All Causes /YPLL Age# of Deaths Mean Age at Death 75 – Mean Age at Death YPLL < 1 0000 1-14 years 0000 15-24 years 22055110 25-34 years 13045 35-44 years 114035385 45-54 years 95025225 55-64 years 166015240 65+ years 67705335 Total 106--1,340 2002 Kentucky Vital Statistics

31. Deaths from Unintentional Injuries /YPLL Age# of Deaths Mean Age at Death 75 – Mean Age at Death YPLL < 1 0000 1-14 years 0000 15-24 years 12055 25-34 years 13045 35-44 years 2403570 45-54 years 15025 55-64 years 0000 65+ years 17055 Total 6--200 2002 Kentucky Vital Statistics

32. Malignant Neoplasm Malignant neoplasm ranked in the top three for cause of death in all age categories with the exception of those under age 1. Cancer tops the list for YPLL in Carroll County with 290 years of life lost. Lung cancer is responsible for 105 of those years and breast cancer another 50. 2002 Kentucky Vital Statistics

33. Heart Disease Heart disease ranks 2 nd for YPLL with 235 years of potential life lost. Heart disease ranks 1 st as cause of mortality in those over the age of 65 and those between the ages of 45 and 54, 2 nd for those between the ages of 55 and 64, and 3 rd for those between the ages of 35 and 44. 2002 Kentucky Vital Statistics

34. Unintentional Injuries Unintentional injuries are responsible for 195 years of life lost. Motor vehicle accidents make 115 years of the total. Drug-induced death is to blame for the loss of 45 years. 2002 Kentucky Vital Statistics

35. Other contributors to YPLL Chronic liver disease/cirrhosis is responsible for 65 years. Chronic lower respiratory disease takes 20 years. Diabetes takes another 20 years Cerebrovascular disease takes 15 years. 2002 Kentucky Vital Statistics

36. Next Steps The next step in the APEXPH process is to gather input from community leaders regarding actions to be taken to address the preceding statistics.

37. Sources 1.National Center for Health Statistics; U.S. Census Bureau (2007) Fedstats. From http://www.fedstats.gov/qf/states/21000.htmlhttp://www.fedstats.gov/qf/states/21000.html 2.Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) Kentucky Vital Statistics. From http://chfs.ky.gov/dph/vital/2002vitalreports.htm http://chfs.ky.gov/dph/vital/2002vitalreports.htm 3.Cabinet for Health and Family Services; Kentucky Department for Public Health (2002) KY County Health Profile. From http://chfs.ky.gov/dph/epi/cohealthprofiles.htm http://chfs.ky.gov/dph/epi/cohealthprofiles.htm 4.Kentucky Youth Advocates (2006) KIDS COUNT. From http://www.kyyouth.org/Publications/KIDS_COUNT_2006/2006+ County+Data+Book+v3.pdf http://www.kyyouth.org/Publications/KIDS_COUNT_2006/2006+ County+Data+Book+v3.pdf 5.KY Department of Education; School Report Card 2000-2005 (2004- 2005) School Report Card. From http://apps.kde.state.ky.us/report_card/index.cfm?action=display _cards http://apps.kde.state.ky.us/report_card/index.cfm?action=display _cards 6.Kentucky State Police (2005) Traffic Collision Facts, From http://www.kentuckystatepolice.ky.gov/pdf/KY_Traffic_Collision_ Facts_2005.pdf http://www.kentuckystatepolice.ky.gov/pdf/KY_Traffic_Collision_ Facts_2005.pdf 7.Kentucky State Police (2006) Crime in Kentucky, From http://www.kentuckystatepolice.ky.gov/pdf/cik_2006.pdf http://www.kentuckystatepolice.ky.gov/pdf/cik_2006.pdf 8.Kentucky Cancer Registry (2003) From http://cancer- rates.info/ky/index.htmlhttp://cancer- rates.info/ky/index.html 9.Cabinet for Health and Family Services; Kentucky Department for Public Health (2003) Kentucky Vital Statistics. From http://chfs.ky.gov/dph/vital/2003vitalreports.htm http://chfs.ky.gov/dph/vital/2003vitalreports.htm