2007 Pitt County Community Health Assessment Review of Secondary Data September 13, 2007

Age-Adjusted Death Rates for Leading Causes of Death Standard = Year 2000 US Population, Rates per 100,000 Population Source: NC State Center for Health Statistics

2006 Pitt County Ten Leading Causes of Death: Total Deaths and Years of Life Lost TotalAverage YearsTotal Years RankCauseDeathsof Life Lost 1Heart disease……………………...…………………… ,783 2Cancer…………………………………………………….…………………… ,100 3Stroke…………………………………………..……...……………… Chronic lower respiratory diseases…………………………………… Diabetes……………….…………………………………… Other Unintentional Injuries………………………...……………………………………… Alzheimer's disease……………………………..…………………… Motor vehicle injuries………………………………...…… Conditions originating in the perinatal period ,592 10Septicemia Total Deaths - All Causes………………..………….1, ,842 Prepared by NC DHHS State Center for Health Statistics 09/06/2007 Source: NC State Center for Health Statistics

Pitt County Leading Causes of Death Age <75 Compared to All Ages AGE < 75 1.Malignant Neoplasms 2.Diseases of the Heart 3.Cerebrovascular Diseases Unintentional MV Injuries 4.All Other Unintentional Injuries 5.Diabetes 6.Chronic Lower Respiratory Disease 7.Certain Conditions Originating in the Perinatal Period 8.Suicide 9.Nephritis, Nephrotic Syndrome, and Nephrosis 10.HIV Disease ALL AGES 1.Diseases of the Heart 2. Malignant Neoplasms 3.Cerebrovascular Disease 4.Chronic Lower Respiratory Diseases 5.Diabetes Mellitus 6.All Other Unintentional Injuries 7.Nephritis Nephrotic Syndrom and Nephroisis 8.Unintentional MV Injuries 9.Septicemia 10.Alzheimers Disease Source: Center for Health Services, Research and Development, ECU

Pitt County Leading Causes of Death for NWM Age <75 Compared to WM Age <75 NWM AGE < 75 1.Malignant Neoplasms 2.Diseases of the Heart 3.HIV Disease 4.Cerebrovascular Diseases 5.Certain Conditions Originating in the Perinatal Period 6.All Other Unintentional Injuries 7.Diabetes Unintentional MV Injuries 8.Homicide 9.Nephritis, Nephrotic Syndrome, and Nephrosis 10.Chronic Lower Respiratory Disease WM AGE <75 1. Malignant Neoplasms 2.Diseases of the Heart 3.Unintentional MV Injuries 4.Suicide 5.All Other Unintentional Injuries 6.Chronic Lower Respiratory Disease 7.Diabetes 8.Cerebrovascular Disease 9.Chronic Liver Disease and Cirrhosis Nephritis, Nephrotic Syndrome, and Nephrosis 10. Septicemia Source: Center for Health Services, Research and Development, ECU

Pitt County Leading Causes of Death for NWF Age <75 Compared to WF Age <75 NWF AGE < 75 1.Malignant Neoplasms 2.Diseases of the Heart 3.Cerebrovascular Diseases 4.Certain Conditions Originating in the Perinatal Period 5.Diabetes 6.Nephritis, Nephrotic Syndrome, and Nephrosis 7.Septicemia 8.HIV Disease 9.Essential Hypertension 10.Unintentional MV Injuries WF AGE <75 1. Malignant Neoplasms 2.Diseases of the Heart 3.Chronic Lower Respiratory Diseases 4.Unintentional MV Injuries 5.Cerbrovascular Disease 6.All Other Unintentional Injuries 7.Suicide 8.Diabetes 9.Congenital Anomalies 10.Chronic Liver Disease and Cirrhosis Source: Center for Health Services, Research and Development, ECU

Heart Disease Mortality Pitt County and NC - All Ages Rates per 100,000 population Source: NC State Center for Health Statistics

Heart Disease Race and Sex Specific Age Adjusted Death Rates – Pitt Co. Rates per 100,000 Population Highest among males Source: NC State Center for Health Statistics

Cerebrovascular Disease Mortality Pitt County and NC - All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Cerebrovascular Disease Mortality Race and Sex Specific Age Adjusted Death Rates – Pitt Co. Rates per 100,000 Population Source: NC Center for Health Statistics Highest among African Americans

Hypertension Prevalence, 2005 Source: NC BRFSS, 2006

Cholesterol Prevalence, 2005 Source: NC BRFSS, 2005, US BRFSS 2005

Cancer Mortality Pitt County and NC - All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Cancer Mortality Race and Sex Specific Age Adjusted Death Rates – Pitt Co. Rates per 100,000 Population Source: NC Center for Health Statistics Highest among males

Colon Cancer Mortality Pitt County and NC – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Colon Cancer Mortality Pitt County – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics Highest among African Americans

Colonoscopy Screening Age > 50 Source: NC BRFSS, 2006; US BRFSS,2006 NC 2010 Goal = 49.8%

Lung Cancer Mortality Pitt County and NC – All Ages Rates per 100,000 Population Source: NC State Center for Health Statistics

Lung Cancer Mortality Pitt County– All Ages Rates per 100,000 Population Source: NC Center for Health Statistics Highest among men

Prostate Cancer Mortality Pitt County and NC - All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Prostate Cancer Mortality Pitt County– All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Prostate Screening Source: NC BRFSS, 2006, US BRFSS 2006

Breast Cancer Mortality Pitt County and NC – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Breast Cancer Mortality Pitt County – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Mammograms for women age 50+ within past 2 years Source: NC BRFSS, 2006 NC 2010 Goal = 85.2%

Projected New Cancer Cases and Deaths for Selected Sites NC Cases NC Deaths Pitt Cases Pitt Deaths Total40,86016, Lung5,5504, Breast6,1551, Prostate6, Colon/ Rectum 4,4251, Source: NC Center for Health Statistics

Diabetes Mortality Pitt County and NC – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Diabetes Race and Sex Specific Age Adjusted Death Rates, Pitt Co. Rates per 100,000 Population Source: NC Center for Health Statistics Highest among African Americans

Diabetes-All Causes Death Rate Pitt County and NC - All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Diabetes-All Causes Death Rate Pitt County - All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Diabetes Prevalence, 2006 Source: NC BRFSS, 2006

Chronic Lower Respiratory Disease Mortality Pitt County and NC – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Chronic Lower Respiratory Disease Race and Sex Specific Age Adjusted Death Rates Rates per 100,000 Population Source: NC Center for Health Statistics Highest among white males

Nephritis, Nephrotic Syndrome, Nephrosis Mortality, Pitt County and NC – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Nephritis, Nephrotic Syndrome, Nephrosis Race and Sex Specific Age Adjusted Death Rates, Pitt Co. Rates per 100,000 Population Source: NC Center for Health Statistics Highest among African Americans

Unintentional Motor Vehicle Injuries Mortality Pitt County and NC – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Unintentional Motor Vehicle Injuries Race and Sex Specific Age Adjusted Death Rates, Pitt Co. Rates per 100,000 Population Source: NC Center for Health Statistics

Unintentional Injuries (excluding Motor Vehicle) Mortality, Pitt County and NC – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Unintentional Injuries (excluding Motor Vehicle) Race and Sex Specific Age Adjusted Death Rates – Pitt Rates per 100,000 Population Source: NC Center for Health Statistics

Alzheimer’s Disease Mortality Pitt County and NC – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Alzheimer’s Disease Race and Sex Specific Age Adjusted Death Rate, Pitt Rates per 100,000 Population Source: NC Center for Health Statistics Highest among Whites

Flu and Pneumonia Mortality Pitt County and NC – All Ages Rates per 100,000 Population Source: NC Center for Health Statistics

Flu and Pneumonia Race and Sex Specific Age Adjusted Death Rates Rates per 100,000 Population Source: NC Center for Health Statistics Highest among males

Flu Shot – All ages 18+ Source: NC BRFSS, 2006

Pitt County Infant Mortality Total, White and Other Race by Year Rates per 1000 Live Births Source: NC DHHS, Vital Statistics Source: NC State Center for Health Statistics

Asthma Prevalence, 2006 Source: NC BRFSS, 2006; US BRFSS, 2006

2005 NORTH CAROLINA HOSPITAL DISCHARGES WITH A PRIMARY DIAGNOSIS OF ASTHMA NUMBERS AND RATES PER 100,000 BY COUNTY OF RESIDENCE: ALL AGES AND AGES 0-14 CountyTotal Number Total Rate Number Ages 0-14 Rate Ages 0-14 Pitt NC11, , NC 2010 Target = 118 per 100,000 Source: State Center for Health Statistics,

Weight Physical Activity Smoking

Percent of Adults at Recommended Weight, Overweight, and Obese, Pitt County, ENC, NC, and US, 2002 and Source: NC BRFSS, 2002 and 2006; US BRFSS, 2002 and 2006

Meets Physical Activity Recommendations, 2005 Source: NC BRFSS, 2005, US BRFSS 2005 NC 2010 Goal = 20%

Current Smokers, 2006 Source: NC BRFSS, 2006, US BRFSS 2006 NC 2010 Goal = 12.5%

Communicable Disease

HIV Pitt Co and NC by Year Rates per 100,000 population Pitt Five Year Average ~ 24.2 NC Five Year Average ~ Source: NC 2006 HIV/STD Surveillance Report, NC Division of Public Health

AIDS Pitt Co and NC by Year Rates per 100,000 population Pitt Five Year Average ~ NC Five Year Average ~ Source: NC 2006 HIV/STD Surveillance Report, NC Division of Public Health

Chlamydia Pitt Co and NC by Year Rates per 100,000 population Source: NC 2006 HIV/STD Surveillance Report, NC Division of Public Health

Gonorrhea Pitt Co and NC by Year Rates per 100,000 population Source: NC 2006 HIV/STD Surveillance Report, NC Division of Public Health

Syphilis Pitt Co and NC by Year Rates per 100,000 population Source: NC 2006 HIV/STD Surveillance Report, NC Division of Public Health

Tuberculosis Pitt Co and NC by Year Rates per 100,000 population Source: NC Division of Public Health

ACCESS

Health Care Access All AdultsAdults Age Source: NC BRFSS, 2006; US BRFSS, 2006

Dental Care Approximately 1/3 rd of Pitt County respondents reported it had been greater than 12 months since they had their teeth cleaned by a dental hygienist. Nearly 50% (46.5) reported they had one or more teeth removed because of tooth decay or gum disease. Source: NC BRFSS, 2006

School Nurses Nurse/Student Ratio – Pitt County –1:1450 NC 2010 Goal –1:750

Environmental Health

Envirofacts Information Pitt County AIR - 40 facilities produce and release air pollutants TOXICS –10 facilities have reported toxic releases WASTE –82 facilities reported hazardous waste activities WATER –17 community water systems –7 transient non-community water systems –32 facilities issued permits to discharge to waters of the US Source: US Environmental Protection Agency, Envirofacts

Your Zip Code:27834 Your Community:PITT County How Clean is Your Air? Pollutant Standards Index: Percentage of days with good air quality:81 Percentage of days with moderate air quality:18 Percentage of days with unhealthful air quality:0 Maximum PSI level in Median PSI level in th Percentile PSI level in Pollutant Standards Index Good Moderate Unhealthful Very Unhealthful Hazardous Source: