1. Vermilion County IPLAN 2012 - 2017
Community Needs Assessment

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3. IPLAN
The Illinois Project for Local Assessment of Needs (IPLAN) is a Community health assessment and planning process that is conducted every five years by local health jurisdictions in Illinois. The essential elements of IPLAN are:
An organizational capacity assessment;
A community health needs assessment; and
A community health plan, focusing on a minimum of three priority health problems.

4. IPLAN Team Shirley Hicks, BS, CPHA Jenny Trimmell, BSN, PHN
VCHD Public Health Administrator
Jenny Trimmell, BSN, PHN
VCHD Director of Community Health Services
Melissa Rome, MBA, CERC, CHES
VCHD Emergency Planning and Response Coordinator
Dr. Krista Jones
UIC School of Nursing Instructor
IPLAN Consultant

5. Health Problem
Health problem: a situation or condition of people which is considered undesirable, is likely to exist in the future, and is measured as death, disease, or disability.
Source: Assessment Protocol for Excellence in Public Health

6. Vermilion County Demographic Changes 2000 vs 2010
Population
83919
81625
Median Age 38
39.8
65 and older
16.0%
16.3%
White (%)
85.8 %
82.5%
Black (%)
10.6%
13.0%
Hispanic
3.0%
4.2%
Housing Units
36349
36318
Owner Occupied
71.0%
69.9%
Renter Occupied
28.3%
30.1%
Vacant Units
8.1%
10.1%
Population age 25+
66.0%
67.5%
Population age 25-44
27.2%
23.7%
2.7% overall decrease in population since 2000
Decrease in white population/ increases in black & hispanic populations from 2000 to 2010
Increase in renter occupied/ decrease in owner occupied housing.
Vacant housing units increased by 2%
24.9% of population (age 18-24) had less than a H.S. diploma
Median Household Income: $37,167 (2009 data)
Persons below poverty level 21.7% (2009 data)

7. Poverty
Some data shows that numbers are higher, but these are the data sets we are going by.
Overall Poverty Rate: US Census Bureau
Child Poverty Rate: County Health Rankings 2011

8. Poverty
Vermilion County child abuse and neglect rate rose from 14.8 (per 1,000) in 2003 to a rate of 20.1 (per 1,000) in 2010, however have seen a decrease in the last 2 years. The Illinois rate was 7.5 and 8.3 respectively.
Vermilion County children receiving medical assistance (KidCare and Medicaid) rose 29.0% from 9,990 children (2005) to 12,892 children (2011).
There were 5,483 children under the age of 5 (2010 census data) in Vermilion County; 36.7% of these children live in households below poverty rates.
16.4% of children ages 5-17 live below poverty (2010 data).
Source: Kids Count 2012
US Census
Between 2000 and 2010 (children 5-17 who are in poverty in schools)
District #118 – to = % increase
Catlin – 2.83 to = % increase
Armstrong HS – to = 25.63% decrease
Hoopeston to = 134% increase
Source: U.S. Census via News Gazette

9. Child Poverty Rates
Source: Voices for Illinois Children 2012 Report

10. County Rankings 2011 Out of 102 Counties
Rank Health Outcomes Rank Health Factors (Mortality/ Morbidity) (Health Behaviors, Clinical Care, Social & Economic Factors, Physical Environment)
98 Vermilion
Vermilion
Out of 102 Counties

11. County Rankings 2011 Rank: 98 / 102 V C Illinois 75% 80% 49% 64% 11.5%
Social & Economic Factors
Rank: 98 / 102
V C
Illinois
HS Graduation Rate
75%
80%
Some College
49%
64%
Unemployment
11.5%
10.1%
Children in Poverty
(per 100,000 population)
23%
17%
Inadequate Social Support
25%
21%
Single Parent Households
42%
31%
Violent Crime Rate
700
550

12. County Rankings 2011 Clinical Care Rank: 35 / 102 V C Illinois 12% 17%
Uninsured Adults (under age 65)
12%
17%
Primary Care Providers
1,298:1
778:1
Preventable Hosp. Stays
101 83
Diabetic Screening
(Medicare enrollees that receive HbA1c screening)
80%
Mammography Screening
(Medicare enrollees)
64%
63%

13. County Rankings 2011 Physical Environment Rank: 38 / 102 V C Illinois
Air Pollution-particulate matter days (annual # days) 3
Air pollution-ozone days
(annual # days) 4
Access to Healthy foods
(health food outlets: grocery stores & produces stands/farmers markets)
38%
53%
Access to recreational facilities
(per 100,000 population) 9 10

14. Leading Causes of Death in Vermilion County
Leading Causes of death (2006 data) in Vermilion County are as follows:
Diseases of the Heart
Cancer
Chronic Lower Respiratory Disease
Cerebrovascular Diseases (Stroke)
Accidents
Diabetes Mellitus
Nephritis, etc. (Kidney Disease)
(IPLAN Data System Report 2006, app. idph.state.il.us)

15. Leading Causes of Death in Vermilion County (#1)
Diseases of the heart remains the leading cause of death in Vermilion County.
In % of all deaths were due to diseases of the heart (226 deaths). The majority of those deaths were due to Coronary Heart Disease specifically.
There has been a gradual decline in deaths due to diseases of the heart since 2003 with an overall decrease of 7%
According to the BRFSS , Vermilion County had a 2.8% decrease in smokers but a 2.9% increase in those who report being obese and a 12.3% decrease in those report they meet the recommended amount of physical activity

16. RISK FACTORS THAT MAY CONTRIBUTE TO HEART DISEASE
BRFSS Comparison Data
Vermilion County
% changed
Smoker
30.60%
27.7%
2.8% ↓
Told have high blood pressure
30.4%
33.8%
3.4% ↑
Take meds for blood pressure
87.8%
77.3%
10.5% ↓
Told cholesterol high
35.8%
43.2%
7.4% ↑
Normal weight/ underweight
35.75%
32.5%
3.2% ↓
Overweight
37.2%
37.5%
.3% ↑
Obese
27.1%
30.0%
2.9% ↑
Meets recommended physical activity
46.8%
43.1%
12.3% ↓
Insufficient activity
37.3%
41.8%
4.5% ↑
Inactive
15.9%
15.2%
.7% ↓
0-2 servings fruit/veggies/day
58.6%
64.5%
5.9% ↑
3-4 servings fruit/veggies/day
26.9%
28.8%
1.9% ↑
5+ servings fruit/veggies/day
14.5%
7.2%
7.3% ↓

17. Leading Causes of Death in Vermilion County (#2)
Cancer (all types) is the 2nd leading cause of death in Vermilion County
V.C. rate for all cancers is compared to the state rate of (HP 2020 target is 160.6/100,000)
There were 224 deaths in 2006 due to all cancers; 70 of those deaths were due to Lung Cancer specifically
In gender specific data for highest number of deaths from cancer were prostate cancer for men and breast cancer for women

18. OBESITY
Obesity and physical inactivity has been linked to a range of chronic diseases including diabetes and hypertension.
20 years ago 12.1% of Illinois residents were obese; currently ( ) 27.7% are obese (F as in Fat Report, RWJF)
20 years ago 5.2% of Illinois residents had diabetes; currently ( ) 8.4% have diabetes
20 years ago 21.9% of Illinois residents had hypertension; currently ( ) 27.5% have hypertension
30.0% of Vermilion County adult residents report fitting the criteria for obesity ( BRFSS)

19. OBESITY & CHILDREN
Almost 1/3 of U.S. children and adolescents between the ages of 2 and 19 are overweight or obese
Children who are obese are more than twice as likely to die before the age of 55 as children whose BMI is in the normal range.
Children who are obese after the age of 6 are 50% more likely to be obese adults.
Those who did not graduate high school have the highest rates of obesity. (32.8% obesity rate)
Vermilion County has a 75% graduation rate
(F as in Fat 2011 Report; RWJF)

20. Childhood Obesity in Illinois
(F as in Fat 2011 Report; RWJF)
Illinois ranked 4th highest in the U.S. for obesity in children ages yrs old Illinois tied with Louisiana for 4th, Mississippi, Georgia and Kentucky were 1-3 respectively
Obesity is correlated with income
Households that make less than $15,000 have a 33.8% obesity rate
Households making between $15,000 & $25,000; obesity rate is 31.8%
Households making between $25,000 & $35,000; obesity rate is 29.7%
Households making between $35,000 & $50,000; obesity rate is 29.5%
Median Income for V.C. residents $37,167 (2009 data)
In Vermilion County 16.4% of children ages 5-17 live below poverty (2010census data)
There were 5483 children under the age of 5 (2010 census data) in Vermilion County; 36.7% of these children live in households below poverty rates

21. Teen Pregnancy Vermilion County
Teen Births
Live Births
Mother
< 20
% of births to teens VC
% of births to teens Illinois
Infant
mortality
cases
rate
2004
1079
177
16.4%
9.9% 6 **
2005
1112
180
16.2%
9.7% 11
2006
1176
166
14.1%
10.0% 7
2007
1117
151
13.5%
10.1% 8
2008
1094
164
15.0% 9
2009
1100
172
15.6%
9.6%
Not avail
The 13.5% teen birth rate in 2007 was the lowest % of teen births since we began keeping records in 1970; this was still above State rate of 10.1%.
VC students who have had sexual intercourse sometime in their life reached the highest percent since data was first collected in 2002 (ISBE 2010 data). The 2010 number (55.7%) represents an increase of 4.5% from and an even greater increase of 6.5% from 2008.

22. TEEN BIRTHS Health Concerns
Approximately 400,000 teens aged 5-19 yrs give birth every year in the U.S.
The U.S. teen birth rate remains the highest in the developed world
Teen mothers are more likely to experience negative social outcomes, including school dropout.
Infants of teen mothers are more likely to be low birth weight & have lower academic achievement
Daughters of teen mothers are more likely to become teen mothers themselves.
(CDC: MMWR Jan 20, 2012 / 61(02);25-29)

23. TEEN BIRTHS Additional Statistics
Data from the Pregnancy Risk Assessment Monitoring System (PRAMS) collected in 19 states (Illinois participates in PRAMS), during , for teens aged 15-19, who became pregnant unintentionally & gave birth to a live infant indicated:
50.1% reported doing nothing to prevent pregnancy
Of these teens, 31.4% thought they could not get pregnant at the time
23.6% did not use contraception because their partner did not want to use it
22.1% did not mind getting pregnant
(CDC: MMWR Jan 20, 2012 / 61(02);25-29)

24. Reported Chlamydia Cases in Vermilion County 2007-2011 Source IDPH STD SECTION
Provider Type
2007/cases
total
VCHD
separate
2008/cases
2009/cases
2010/cases
2011/cases
Health Dept
STD & FP
207
STD
136 FP 71
224
140 84
191 86
105 99 91 8 13
Private
Physician
174
167
137
225
294
Hospital 65 52 70
175
Aunt
Martha’s 1 25
Adult
Corrections 17 19 12
JDC 4 14 15
Top 6 Providers listed; other Provider categories not included on this chart***
TOTALS
491
496
413
438
587

25. STD DATA: Chlamydia

26. STD TRENDS: Chlamydia
Chlamydia case reports have been steadily increasing over the past 20 years in the U.S. In 2010, 1.3 million Chlamydia cases were reported in the U.S. While some of the increase is due to expanded screening efforts, a majority of infections go undiagnosed. (per: CDC 2010 STD Surveillance)
In Illinois: (Per 2009 IDPH STD Section Data; Ill HIV/AIDS/STD Monthly Surveillance Update)
Majority of Chlamydia cases are seen in the age ranges of (36.3%) & (36.0%) Ages (18.5%)
More females than male
By race: Highest in African Americans, White, Unknown
By Ethnicity: Highest in Non-hispanic (73.9%); Hispanic (10.3%)

27. STD TRENDS: Chlamydia con’t
In 2010, Vermilion County was #10 in top 10 highest counties for Chlamydia. (Jackson, Peoria, Alexander, St. Clair, Pope, Macon, Pulaski, Champaign, Sangamon were 1-9 respectively)

28. Reported Gonorrhea in Vermilion County By Provider Type 2007-2011
2007/cases
total
VCHD
separate
2008/cases
2009/cases
2010/cases
2011/cases
Health Dept
STD & FP
122
STD
107 FP 15 91 71 20 67 48 19 18 17 1 3
Private
Physician 61 40 43 29 51
Hospital
100 69 37 22 83
Aunt
Martha’s 4
Adult
Corrections 13 8 2
JDC 6 5
Top 6 Providers listed; other Provider categories not included on this chart***
TOTALS
300
218
158 82
162

29. STD DATA: Gonorrhea

30. STD TRENDS: Gonorrhea
Gonorrhea rates are at historically low levels in the U.S. Cases increased slightly from 2009 to 2010 (300,000 cases in 2010 in U.S.) In the last 10 years ( ) the Gonorrhea rate decreased from 128.7/100,000 to 100.8/100,000. per CDC 2010 STD Surveillance
CDC surveillance systems indicate that Gonorrhea may become resistant to the only available treatment option.
In the U.S., African Americans are most affected by Gonorrhea. (Black rate 512.2; Hispanic rate 63.2; White rate 26.0 (per 100,000)
Gonorrhea in Illinois (per IDPH STD section report 1/30/2012) (*Note: Illinois reporting is “cases” vs CDC “rates” above)
61.0% of all positive cases were in ages 10-29; with highest prevalence in age group yr old, 10.6%
is highest in prevalence in Black population, 8.9%; followed by Other 2.3%, then White 2.2%.
is prevalent in Non-Hispanic population 6.9%; Hispanic 2.3%
More males, 7.8% have Gonorrhea than females, 4.3%
Vermilion County ranked 15th in top counties with STD’s in 2010.

31. STD TRENDS: Syphilis
The overall Syphilis rate decreased for the first time in a decade in the U.S. and is down 1.6% since 2009 per CDC 2010 STD Surveillance
Early Syphilis Data for Illinois (Per IDPH STD Section 2009; Ill HIV/AIDS/STD Monthly Surveillance Update) :
Highest in yr old population: yr olds (17.9%); (17.2%); (13.2%) (12.2%); (12.1%) (12.0%)
By gender: More males than females
By Race: African Americans (55.9%); Unknown (20.1%); White (19.0%)
By Ethnicity: More Non-Hispanic (84.1%) than Hispanic (13.4%)
In Vermilion County: 0 cases of Early Syphilis in 2008; 6 cases in 2009; 2 cases in 2010 (as of Oct 2010)

32. STD Trends: HIV/AIDS
Per: Ill. HIV/AIDS/STD Monthly Surveillance Update (October 2011) for Vermilion County
6 cases of HIV diagnosed
40 cumulative cases of HIV diagnosed since 2005*; total of 52 people living with HIV in VC
1 case of AIDS diagnosed 25 cumulative cases of AIDS diagnosed since 2005*; total of 60 people living with AIDS in VC
*2005—named reporting began in Illinois

33. STD Trends: HIV/AIDS In Illinois HIV/AIDS*:
Highest in Black population (51.5%); White (26.0%; Hispanic 15.5%)
Age at diagnosis; highest in yr ages
Mode of exposure MSM (46.0%); Other (17.7%); Heterosexual (13.2%); Undetermined (12.9%); IDU (7.1%)
*Per: Ill. HIV/AIDS/STD Monthly Surveillance Update October 2011
(Not full year data)

34. VIOLENCE
Vermilion County Data
Year/2008
% change
from
2007 to 2008
% change from
2004 to 2008
Total Crime Index Offense
4167
0.7%
(4136)
14.0%
(3646)
Murder 2
-66.7%
(6)
-75.0%
(8)
Criminal Sexual Assault 54
-39.3%
(89)
-32.5%
(80)
Robbery 97
-32.2%
(143)
32.9%
(73)
Aggravated Assault/
Battery
349
-7.7%
(378)
-15.2%
(412)
Burglary
1040
6.4%
(977)
24.6%
(835)
Theft
2460
5.6%
(2330)
16.7%
(2121)
Motor Vehicle Theft
133
-27.7%
(184)
30.4%
(102)
Arson 32
10.3%
(29)
113.0%
(15)
Total Crime Index for Vermilion County increased % from 2007 to 2008; but increased 14.0% from 2004 to 2008
Robbery, Burglary, Theft, Motor Vehicle Theft and Arson all increased from 2004 to 2008
Murder, Criminal Sexual Assault and Aggravated Assault/Battery all decreased from 2004 to 2008
In 2008 there were 389 drug arrests (-13.4% decrease from arrests)
Per Illinois State Police Crime Report 2007/2008

35. VIOLENCE and V.C.YOUTH (I Sing the Body Electric 2010 data)
Nearly 41.0% of Vermilion County teens have been the target of bullying on school property during the past 12 months
34.7% of students said someone had spread a rumor about them online, in a chat room, through a social networking site in s or through text messaging
47.7% of VC students report being sent a threatening or aggressive , instant message or text message
7.0% of VC youth stayed home from school because they felt unsafe at school or on the way to or home from school
11.1% of VC youth report being threatened or injured by someone with a weapon at school in the past year

36. VIOLENCE and V.C. YOUTH (I Sing the Body Electric 2010 data) con’t
At least once, females in 9th grade (27.6% and males in 11th grade (27.5%) report the highest percentage of those saying that someone had stolen or deliberately damaged their property while at school
One in 5 female (19.1%) and one in 5 male (20.5%) students report being hit, slapped or physically hurt by a boyfriend or girlfriend. This is an increase in two year’s time of 32.6% of females and 19.2% of males being abused by their partners
In their lifetime, 17.1% of 2010 VC high school females and 8.7% of high school males report being “physically forced to have sex when they did not want to”

37. Health Risk Concerns of Youth in Vermilion County
I Sing the Body Electric Data 2010: 3,164 out of 4,106 (77.1%) students in grades 9-12 in our local schools participated in survey & ranked their top concerns as:
#1 Drinking & Driving, Alcohol Use (unchanged from 2008 survey)
#2 Sexual Behaviors (AIDS, STDs, teen pregnancy) (unchanged from 2008 survey)
#3 Drug Use (has been in top 3 or 4 since 2002)
#4 Body Image (weight) Eating Disorders, Use of Steroids (has been in top 3 or 4 since 2002)
#5 Carrying Weapons, Threats, Bullying, Physical Fighting (ranked #8 in 2002; moved to #5 in 2010)

38. IPLAN Data
Reduce the incidence of premature deaths (<age 65) due to diseases of the heart in Vermilion County.
Met this overall priority. Deaths from heart disease decreased from 259 in 2006 to 226 in ( data not yet available)
There was a reduction in the percentage of VC adults who smoke
There was an increase in the percentage of adults who report being at risk for health problems related to being overweight
Percent of adults reporting cholesterol increased but unknown whether number increase due to more people being tested or more people having higher cholesterol**
Percent of adults with high blood pressure increased but unknown whether due to increased testing or more people having higher blood pressures.**
Unknown whether adults under 65 had their blood sugar checked**
**VCHD had planned to enhance testing opportunities to adults under 65 but program was terminated.

39. IPLAN Data
Reduce the percentage of birth to teens in Vermilion County
Partially met: Teen births decreased in 2006 (14.1%) and in 2007 (13.5%). 13.5% lowest percentage since recording keeping began in But teen births then climbed back to 15.6% in 2009.
Did not meet goal to reduce the percentage of youths reporting sexual intercourse before age 17. (ISBE 2010 data shows 55.7% of youth reporting having had sexual intercourse; a 4.5% increase from 2002 and 6.5% increase from 2008)

40. IPLAN Data
Reduce violent and abusive behaviors in Vermilion County
Met?
From 2007 to 2008
Total Crime Index Offense increased by 0.7%
Increase in Burglary, Theft, and Arson
Decrease in Murder, Criminal Sexual Assault, Robbery
From 2004 to 2008
Total Crime Index Offense increased by 14.0%
Increase in Robbery, Burglary, Theft, Motor Vehicle Theft and Arson
Decrease in Murder, Criminal Sexual Assault, Aggravated Assault/Battery
We (community) did expand and enhance community awareness on this issue: Youth Violence Prevention Coalition (2008) (BB/BS); Illinois Family Violence Prevention Coalition—Vermilion County; Illinois Health Cares Project (15 community partners)--Violence Video-2008; Violence Prevention:6 Best practices for healthcare providers)

41. 2011-12 Community Survey Data
Who filled out the survey?
Over 1,000 surveys have been completed so far. We will conclude taking surveys at the end of March.
Nursing students from U of I, Lakeview, and DACC passed out surveys to the residents of Vermilion County.
Age Range for the surveys are years of age.
Gender for the surveys was 71% female, 28% male.
Some of the locations were McDonalds, Town Center, St. James Food Pantry, DACC, Parish Nurse Churches, Vermilion House, Doctor’s Offices, YFRC, Fair Oaks, YMCA, etc.

42. 2011-12 Community Survey Data
Who filled out the survey?
About 7% of the surveys were the Northern areas including Hoopeston, Rankin, Rossville, Alvin, Armstrong, and Bismarck.
About 8 % of the surveys were from the Western areas including Catlin, Oakwood, Sidell, Fithian, and Fairmount.
About 66% of the surveys were from the County Seat, Danville.
About 15% of the surveys were from the Southern areas including Ridgefarm, Indianola, Westville, Tilton, and Georgetown.
About 2% of the surveys were from areas outside Vermilion County including Milford, Urbana, champaign, Ogden, Rantoul, and Frankfurt, IN, Covington, IN, Kingman, IN, and Stateline, IN.

43. Demographics of Survey Data

44. Quality of Life Statements

45. Healthy Community

46. Personal Health

47. Quality of Environment

48. The Importance on Community Issues

49. “Your” Top 3 Health Concerns

50. Top 3 Community Health Problems

51. Top 3 Risky Behaviors

52. Comments from Survey Data
Comments made in survey that were not part of the survey.
Section 1: Quality of Life Statements
Health care system: No health in Westville
Health care system. Needs to be level 1 trauma
Economic Opportunity – Not enough well paying jobs
Faith based – Do Not Participate
Section 2: Community and Environmental Issues
No lights at Home Gardens (Rt1 between Lete Ln and Lyons Road) TURN THE LIGHTS BACK ON!!!
Water impure
Crime Patrols/Block Watches – lacking
Crime Patrols/Block Watches – not working – break ins
Quality of Life – Too many killing (sic)
Mass Transportation – need to make the card assessable (sic)
Adequate street lighting - sidewalks
Other Comments
Need a Health Department
We need the Health Department for STD’s to open back up (2)
Need more programs at the Health Department
Inconsistencies:
Some questions on hand written surveys had to be skipped for analysis due to multiple answers for a one answer question.
A few people also put down more than 3 for their health problems/risky behaviors.

53. Additional Data and Powerpoint can be found on www.vchd.org
IPLAN
Thank you!
Questions????
Additional Data and Powerpoint can be found on

54. 2012-2017 IPLAN Shirley Hicks Jenny Trimmell Melissa Rome
ext 267
Jenny Trimmell
ext. 229
Melissa Rome
ext. 246
Dr. Krista Jones