1. Hispanic/Latinos in the Delta Region “ Revisiting the Delta project: Healthy People in a Healthy Environment” 8/27/03 Blanca L. Torres, Public Health Analyst

2. CDC and Office of Minority Health (OMH) CDC Mission To promote health and quality of life by preventing and controlling disease, injury, and disability. OMH Mission To promote health and quality of life by reducing the disproportionate burden of preventable disease, death and injury among specific racial and ethnic populations.

3. Important Health- Related Issues for Latinos FAMILY Language - LEP Culture – History - Services - CLAS Work related injuries Health care – insurance TRUST

4. U.S. Department of Commerce U.S. Census Bureau Census 2000 indicated that the Hispanic/Latino population (all races) was larger than any other non-Hispanic, non-white population The growth of this community has also been felt in the Delta Region

5. U.S. Population Projections 2050 Source: U.S. Census Bureau

6. Hispanics by Origin 2000 Source: U.S. Census Bureau, Current Population Survey, March 2000. Puerto Rico not included.

8. Avg. Total Pop. Size in Delta, 2000 TotalBlackHispanic Origin 40,71512,519779 Avg. % Pop. Change in Delta, 1990 - 2000 TotalBlackHispanic Origin 6.651.2230.8 Data Sources: Geolytytics CensusCD 1980,1990, & 2000 US Census

12. Map of Central and South America

19. General Characteristics Relatively new to the area (1990) – Migrants Predominantly Mexican American and Puerto Rican Largest % change 1980 – 2000 is scattered Largest areas of concentration are in Louisiana (New Orleans) and west of Greenville Arkansas Many are of unknown origin

20. Important Health-Related Issues for Latinos FAMILY Language - LEP Culture – History - Services - CLAS

21. Important Issues for Latinos Work related injuries Health care – insurance TRUST

22. Improving Access to Services for Persons With Limited English Proficiency E.O. 13166

23. Limited English Proficiency Meaningful Access to: –Services –Documents –Websites –Hotlines –Clearinghouses Covers agencies’ programs providing direct services and agencies’ intermediaries (grantees) providing services

24. Federal Programs & Limited English Proficiency (LEP) Agencies and recipients of federal funds must ensure meaningful access for LEP persons Implementation of Title VI Civil Rights Act 1964 Presidential Executive Order – Aug 11, 2000 DOJ and HHS Office of Civil Rights Policy Guidance in Federal Register

25. Assuring Cultural Competence in Health Care: National Standards for Culturally and Linguistically Appropriate Services in Health Care ( CLAS ) 14 Standards, organized by themes: –Culturally Competent Care, Language –Access Services, and Organizational Supports for Cultural Competence

26. Thank you! Muchas Gracias! Contact Information: CDC/OMH 404 639-7220 http://wwwdev.cdc.gov/omh/default.htm