From: Subject: County health priorities identified | Serving Henderson, Transylvania and Polk Counties | North Carolina | BlueRidgeNow.com Date: Wed, 23 Jul 2008 10:20:41 -0400 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0049_01C8ECAD.C278C090" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198 This is a multi-part message in MIME format. ------=_NextPart_000_0049_01C8ECAD.C278C090 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.blueridgenow.com/apps/pbcs.dll/article?AID=/20080220/NEWS/802200369&template=printart County health = priorities identified | Serving Henderson, Transylvania and Polk = Counties | North Carolina | BlueRidgeNow.com

BlueRidgeNow.com

Feb 20, 2008
County health priorities=20 identified
Linda Charping
public health
When the = health=20 department and the Partnership for Health formed a community health = assessment=20 (CHA) team last year to look at the top health concerns, they knew = without a lot=20 of study that some of the problems identified in the 2003 CHA would = surface=20 again. Unfortunately, priorities identified in 2003, such as access to = dental=20 care, access to mental health services, obesity, tobacco use, and the = need for=20 school nurses continued to be a problem. Despite some progress in each = of these=20 areas, there is more to be done.
  • Dental Care -- Finding dental care is especially difficult for low = income=20 families and adults. Few private dental providers accept Medicaid; = however, the=20 access issue has improved recently with the opening of several = Medicaid-friendly=20 offices. Currently Blue Ridge Community Health Services -- Stokes Dental = Clinic=20 sees over 5,000 Medicaid adults and children each year and provides use = of their=20 clinic for an extraction clinic run by volunteer dentists through the = Free=20 Clinics, however, many people are unable to afford treatment and get the = care=20 they need.
  • Mental Health Services -- Henderson County has not been immune to = the=20 current state mental health crisis. Mental health services are = coordinated by=20 Western Highlands Network. There are 24 agencies/providers for mental = health=20 services in the county along with a detox unit at Pardee Hospital. = Access to=20 mental health services for low income individuals is especially = challenging.
  • Obesity -- Both adult and childhood obesity were identified in 2007 = as=20 problem areas.Since 1990, the percentage of obese adults in North = Carolina has=20 steadily increased every year. North Carolina has the 17th highest rate = of adult=20 obesity in the nation. In addition, 25 percent of North Carolina adults = report=20 that they do not engage in any physical activity. The national average = is 22=20 percent. North Carolina has the fifth highest rate of overweight youths = (ages 10=20 to 17) in the nation. Since 1995, the percent of children in Henderson = County at=20 risk for overweight has risen in each age group.
  • Tobacco Use -- In Henderson County, 14.1 percent of women smoked = during=20 pregnancy which is higher than the state and national average. The = Partnership=20 for Health addresses youth tobacco issues through their Tobacco Free for = Life=20 program and a youth tobacco prevention grant from the Health and = Wellness Trust=20 Fund Commission. Data for WNC regarding tobacco use shows that more = middle and=20 high school students in the western region report cigarette use than = those in=20 the central or eastern part of the state.
  • Need for School Nurses -- The lack of school nurses was identified = as a top=20 priority at the United Agenda for Children forum last fall. In 2003, the = nurse=20 to student ratio was 1:3000. Some progress has been made in this area. = Currently=20 the ratio is 1:1886. However, Henderson County is still below the NC = state ratio=20 of 1:1340 and would need 10 additional nurses to meet the national=20 recommendation of one nurse to 750 students. Henderson County has the = 12th worst=20 ratio in the state.The 2007 Community Health Assessment, completed last=20 December, identified one new concern: the need for services for our = aging=20 population. By 2010, more than 25 percent of the county's population = will be 65=20 and older. Henderson County has a disproportionate number of older = residents=20 when compared to the state and the nation. As this population grows, it = will put=20 a strain on community agencies that serve the elderly. The elderly have = an=20 increased risk for cardiovascular disease, arthritis and dementia = illnesses like=20 Alzheimer's disease. Currently 27 percent of those over 65 live below = poverty.=20 Even for those who are financially secure, many older people are = vulnerable=20 because of their health, social isolation, or other conditions. In 2003, = the=20 Council on Aging had 525 clients receiving services. By 2006, that = number had=20 jumped 60 percent to 841 clients.Over the next few months, the health = department=20 and the Partnership for Health will develop plans to address these = priorities. A=20 complete report of the Community Health Assessment is available on the = health=20 department Web site at www.hendersoncountync.org/health or by calling=20 694-6063.Charping is the health education director at the Henderson = County=20 Department of Public Health and can be reached at=20 charping@hendersoncountync.org.=20
    Copyright =A9 2008 BlueRidgeNow.com
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Date,sed=3DMath&&Math.random?Math.floor( Math.random()*10000000000000):tm.getTime(),sess=3D's'+Math.floor( tm.getTime()/10800000)%10+sed,yr=3Dtm.getYear(),t,ta=3D'',q=3D'',qs=3D'';= yr=3D yr<1900?yr+1900:yr;t=3Dtm.getDate()+'/'+tm.getMonth()+'/'+yr+' ' +tm.getHours()+':'+tm.getMinutes()+':'+tm.getSeconds()+' '+tm.getDay() +' '+tm.getTimezoneOffset();if(!s_q){var = tfs=3Ds_gtfs(),tl=3Dtfs.location, r=3Dtfs.document.referrer,s=3D'',c=3D'',v=3D'',p=3D'',bw=3D'',bh=3D'',j=3D= '1.0',g=3D s_wd.location,k=3Ds_c_w('s_cc','true',0)?'Y':'N',hp=3D'',ct=3D'',iepl=3Ds= _gg( 'iePlugins'),pn=3D0,ps;if(s_apv>=3D4)s=3Dscreen.width+'x'+screen.height;i= f( s_isns||s_isopera){if(s_apv>=3D3){j=3D'1.1';v=3Ds_n.javaEnabled()?'Y':'N'= if(s_apv>=3D4){j=3D'1.2';c=3Dscreen.pixelDepth;bw=3Ds_wd.innerWidth;bh=3D= s_wd.innerHeight;if(s_apv>=3D4.06)j=3D'1.3'}}s_pl=3Ds_n.plugins}else if( s_isie){if(s_apv>=3D4){v=3Ds_n.javaEnabled()?'Y':'N';j=3D'1.2';c=3D 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