1. 2007 Pitt County Community Health Assessment Review of Secondary Data September 13, 2007

2. 2001-2005 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

3. 2006 Pitt County Ten Leading Causes of Death: Total Deaths and Years of Life Lost TotalAverage YearsTotal Years RankCauseDeathsof Life Lost 1Heart disease……………………...…………………….2467.21,783 2Cancer…………………………………………………….…………………….2319.12,100 3Stroke…………………………………………..……...………………756.3474 4Chronic lower respiratory diseases……………………………………..425.1214 5Diabetes……………….……………………………………3910.1394 5Other Unintentional Injuries………………………...……………………………………….3938.4998 7Alzheimer's disease……………………………..…………………….320.618 8Motor vehicle injuries………………………………...……..2638.4998 9Conditions originating in the perinatal period2175.81,592 10Septicemia208.0159 Total Deaths - All Causes………………..………….1,08111.912,842 Prepared by NC DHHS State Center for Health Statistics 09/06/2007 Source: NC State Center for Health Statistics

4. Pitt County Leading Causes of Death 2001-05 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

5. Pitt County Leading Causes of Death 2001-05 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

6. Pitt County Leading Causes of Death 2001-05 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

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

8. 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

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

10. 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

11. Hypertension Prevalence, 2005 Source: NC BRFSS, 2006

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

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

14. 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

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

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

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

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

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

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

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

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

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

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

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

26. Projected New Cancer Cases and Deaths for Selected Sites- 2007 NC Cases NC Deaths Pitt Cases Pitt Deaths Total40,86016,405565225 Lung5,5504,6807560 Breast6,1551,2559020 Prostate6,4208358510 Colon/ Rectum 4,4251,6456025 Source: NC Center for Health Statistics

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

28. 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

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

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

31. Diabetes Prevalence, 2006 Source: NC BRFSS, 2006

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

33. 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

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

35. 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

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

37. 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

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

39. 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

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

41. 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

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

43. 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

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

45. 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

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

47. 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 Pitt14299.248170.1 NC11,158128.52,884164.6 NC 2010 Target = 118 per 100,000 Source: State Center for Health Statistics,

48. Weight Physical Activity Smoking

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

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

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

52. Communicable Disease

53. HIV Pitt Co and NC by Year Rates per 100,000 population Pitt Five Year Average ~ 24.2 NC Five Year Average ~ 21.56 Source: NC 2006 HIV/STD Surveillance Report, NC Division of Public Health

54. AIDS Pitt Co and NC by Year Rates per 100,000 population Pitt Five Year Average ~ 15.96 NC Five Year Average ~ 12.16 Source: NC 2006 HIV/STD Surveillance Report, NC Division of Public Health

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

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

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

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

59. ACCESS

60. Health Care Access All AdultsAdults Age 18-64 Source: NC BRFSS, 2006; US BRFSS, 2006

61. 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

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

63. Environmental Health

64. 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

66. 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 2003127 Median PSI level in 200335 90th Percentile PSI level in 200357 Pollutant Standards Index 0 - 50Good 50 - 100Moderate 100 - 200Unhealthful 200 - 300Very Unhealthful 300 - 500Hazardous Source: www.scorecard.org