1. Healthy Flagler Flagler County Health Department Patrick Johnson, RN-C, MPA Administrator

2. Population Characteristics Population 1 96,290 residents in 2010 93% increase from 2000 Race/Ethnicity 2 White83% Black/Afr-Am11% Asian2% Hispanic/Latino9% Age 2 under 1819% 18-4434% 45-64 23% 65 and over25% 1 Shimberg Center for Housing Studies 2 Claritas Demographics

3. Healthy Flagler Did you know that animal bites are reported to the Health Department? How many do you think were reported in 2011? A.202 B.274 Public Health QUIZ!

4. Healthy Flagler Did you know that 400,000 teens age 15-19 give birth in the US every year? How many teens do you think gave birth in 2010 in Flagler? A.69 B.27 Public Health QUIZ!

5. Healthy Flagler FCHD regulates Public pools. Flagler’s 146 Public pools are inspected twice a year. How many pools were temporarily closed in 2010 due to failed inspections? A.15 pools B.26 pools Public Health QUIZ!

6. Healthy Flagler What is the Life Expectancy in Flagler County? A.Female: 83.1, Male: 76.7 B.Female: 86.3, Male: 80.5 Public Health QUIZ!

7. Healthy Flagler Public Health QUIZ How many birth certificates and death certificates were issued in 2011? A. Birth 2,019 Death 7,287 B. Birth 1,139 Death 5,989 How many shots did FCHD give to children and adults in 2010? A. 9,386 B. 10,375

8. Healthy Flagler The Big Picture: Public Health Prevent epidemics and the spread of disease Protect against environmental hazards Prevent injuries Promote and encourage healthy behaviors Respond to disasters and assist communities in recovery Assure the quality and accessibility of health services

9. Healthy Flagler Public Health in Flagler County Founded in the 1940’s. Contract between the state and the county. State employees working in a county building. Emphasis on control of infectious diseases, Vital Statistics, Environmental Health Historically CHD’s used to “fill gaps”: Home Health Care, Primary care for the poor, flu shots to public Role changes. “PH is what the Legislature says it is.”

10. Healthy Flagler Population Health Infectious diseases 1918/2011 Connect surveillance data to Public Health Data – Disease>vaccines – Dental caries>flouridated water Greatest good for the greatest amount Gateways: Schools, Marriage,

11. Healthy Flagler FCHD today Medicaid PC (2,700), pediatric Dental (4,000), WIC (2,100) Maternity (350), Family Planning (2,000), STD (500) Immunizations (12,000+ shots) Epidemiology, reportable diseases Vital Statistics Tobacco prevention

12. Healthy Flagler Other Services Birth and Death Certificates – 2,019 Birth Certs issued ( births - 787) – 7,287 Death Certs issued ( deaths – 1,055) Sharps containers – 398 issued – (Should be higher) Florida Breast and Cervical Cancer Screening Program: 80 in 2010

13. Healthy Flagler A Clinical Day at FCHD Primary Care – 40 visits Immunizations – 20 visits Dental – 18 visits WIC (Women Infants Children)50 visits Epi/Nurse visits – 8 We see an average of 136 people a day for clinical services

14. Healthy Flagler Future of Public Health What is killing us? How do we communicate? Individual liberties Political realities

15. Healthy Flagler

17. Flagler CHD Revenue Sources 2011-12

18. Healthy Flagler Who We Serve In 2011 we touched the lives of over 19,038 Flagler County residents.