WorldWideScience

Sample records for sarasota county health

  1. Can Architects Help Transform Public Education? What the Sarasota County Civic School Building Program (1955-1960) Teaches Us

    Science.gov (United States)

    Paley, Nicholas B.

    2013-01-01

    The Sarasota County School Building Program 1955-1960 is revisited through a detailed examination of how architects and educators collaborated to design an innovative group of public schools that provided opportunities for the transformation of learning space. This multi-dimensioned examination is grounded in an historical contextualization of the…

  2. Results of Survey for 1975-76 on Labor Market for Handicapped Persons in Manatee and Sarasota Counties.

    Science.gov (United States)

    Florida Learning Resources System/Suncoast Associate Center, Sarasota.

    Presented are the results of a survey involving personnel directors from 271 local firms in Manatee and Sarasota Counties (Florida) on the employment of the physically impaired, visually impaired, hearing impaired, and mentally retarded. Included are brief descriptions of the goals of the survey and the sampling technique used, and a sample survey…

  3. Discharge, water temperature, and water quality of Warm Mineral Springs, Sarasota County, Florida: A retrospective analysis

    Science.gov (United States)

    Metz, Patricia A.

    2016-09-27

    Warm Mineral Springs, located in southern Sarasota County, Florida, is a warm, highly mineralized, inland spring. Since 1946, a bathing spa has been in operation at the spring, attracting vacationers and health enthusiasts. During the winter months, the warm water attracts manatees to the adjoining spring run and provides vital habitat for these mammals. Well-preserved late Pleistocene to early Holocene-age human and animal bones, artifacts, and plant remains have been found in and around the spring, and indicate the surrounding sinkhole formed more than 12,000 years ago. The spring is a multiuse resource of hydrologic importance, ecological and archeological significance, and economic value to the community.The pool of Warm Mineral Springs has a circular shape that reflects its origin as a sinkhole. The pool measures about 240 feet in diameter at the surface and has a maximum depth of about 205 feet. The sinkhole developed in the sand, clay, and dolostone of the Arcadia Formation of the Miocene-age to Oligocene-age Hawthorn Group. Underlying the Hawthorn Group are Oligocene-age to Eocene-age limestones and dolostones, including the Suwannee Limestone, Ocala Limestone, and Avon Park Formation. Mineralized groundwater, under artesian pressure in the underlying aquifers, fills the remnant sink, and the overflow discharges into Warm Mineral Springs Creek, to Salt Creek, and subsequently into the Myakka River. Aquifers described in the vicinity of Warm Mineral Springs include the surficial aquifer system, the intermediate aquifer system within the Hawthorn Group, and the Upper Floridan aquifer in the Suwannee Limestone, Ocala Limestone, and Avon Park Formation. The Hawthorn Group acts as an upper confining unit of the Upper Floridan aquifer.Groundwater flow paths are inferred from the configuration of the potentiometric surface of the Upper Floridan aquifer for September 2010. Groundwater flow models indicate the downward flow of water into the Upper Floridan aquifer

  4. Discharge, water temperature, and water quality of Warm Mineral Springs, Sarasota County, Florida: A retrospective analysis

    Science.gov (United States)

    Metz, Patricia A.

    2016-09-27

    Warm Mineral Springs, located in southern Sarasota County, Florida, is a warm, highly mineralized, inland spring. Since 1946, a bathing spa has been in operation at the spring, attracting vacationers and health enthusiasts. During the winter months, the warm water attracts manatees to the adjoining spring run and provides vital habitat for these mammals. Well-preserved late Pleistocene to early Holocene-age human and animal bones, artifacts, and plant remains have been found in and around the spring, and indicate the surrounding sinkhole formed more than 12,000 years ago. The spring is a multiuse resource of hydrologic importance, ecological and archeological significance, and economic value to the community.The pool of Warm Mineral Springs has a circular shape that reflects its origin as a sinkhole. The pool measures about 240 feet in diameter at the surface and has a maximum depth of about 205 feet. The sinkhole developed in the sand, clay, and dolostone of the Arcadia Formation of the Miocene-age to Oligocene-age Hawthorn Group. Underlying the Hawthorn Group are Oligocene-age to Eocene-age limestones and dolostones, including the Suwannee Limestone, Ocala Limestone, and Avon Park Formation. Mineralized groundwater, under artesian pressure in the underlying aquifers, fills the remnant sink, and the overflow discharges into Warm Mineral Springs Creek, to Salt Creek, and subsequently into the Myakka River. Aquifers described in the vicinity of Warm Mineral Springs include the surficial aquifer system, the intermediate aquifer system within the Hawthorn Group, and the Upper Floridan aquifer in the Suwannee Limestone, Ocala Limestone, and Avon Park Formation. The Hawthorn Group acts as an upper confining unit of the Upper Floridan aquifer.Groundwater flow paths are inferred from the configuration of the potentiometric surface of the Upper Floridan aquifer for September 2010. Groundwater flow models indicate the downward flow of water into the Upper Floridan aquifer

  5. Influence of potential sea level rise on societal vulnerability to hurricane storm-surge hazards, Sarasota County, Florida

    Science.gov (United States)

    Frazier, Tim G.; Wood, Nathan; Yarnal, Brent; Bauer, Denise H.

    2010-01-01

    Although the potential for hurricanes under current climatic conditions continue to threaten coastal communities, there is concern that climate change, specifically potential increases in sea level, could influence the impacts of future hurricanes. To examine the potential effect of sea level rise on community vulnerability to future hurricanes, we assess variations in socioeconomic exposure in Sarasota County, FL, to contemporary hurricane storm-surge hazards and to storm-surge hazards enhanced by sea level rise scenarios. Analysis indicates that significant portions of the population, economic activity, and critical facilities are in contemporary and future hurricane storm-surge hazard zones. The addition of sea level rise to contemporary storm-surge hazard zones effectively causes population and asset (infrastructure, natural resources, etc) exposure to be equal to or greater than what is in the hazard zone of the next higher contemporary Saffir–Simpson hurricane category. There is variability among communities for this increased exposure, with greater increases in socioeconomic exposure due to the addition of sea level rise to storm-surge hazard zones as one progresses south along the shoreline. Analysis of the 2050 comprehensive land use plan suggests efforts to manage future growth in residential, economic and infrastructure development in Sarasota County may increase societal exposure to hurricane storm-surge hazards.

  6. 2004 Southwest Florida Water Management District Lidar: Sarasota District

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This metadata record describes the ortho & lidar mapping of Sarasota County, FL. The mapping consists of lidar data collected using a Leica ALS-40 Lidar Sensor,...

  7. Geographic Information System (GIS) characterization of benthic and emergent areas in the Intracoastal Waterway, Sarasota County, Florida in 1987 (NODC Accession 0000607)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This GIS layer graphically represents algae, seagrass, tidal marshes, mangroves, and oyster bed coverages found throughout the Intracoastal Waterway in Sarasota...

  8. 33 CFR 100.718 - Annual Suncoast Kilo Run; Sarasota Bay, Sarasota, FL.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Annual Suncoast Kilo Run; Sarasota Bay, Sarasota, FL. 100.718 Section 100.718 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.718...

  9. Sheridan County Health Manpower and Education Profile.

    Science.gov (United States)

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Sheridan County area of Wyoming, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  10. Clark County Health Manpower and Education Profile.

    Science.gov (United States)

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Clark County area of Nevada, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  11. Missoula County Health Manpower and Education Profile.

    Science.gov (United States)

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Missoula County area of Montana, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  12. Yellowstone County Health Manpower and Education Profile.

    Science.gov (United States)

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Yellowstone County area of Montana, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  13. 33 CFR 100.720 - Annual Suncoast Offshore Grand Prix; Gulf of Mexico, Sarasota, FL.

    Science.gov (United States)

    2010-07-01

    ... Prix; Gulf of Mexico, Sarasota, FL. 100.720 Section 100.720 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.720 Annual Suncoast Offshore Grand Prix; Gulf of Mexico, Sarasota, FL. (a) Regulated area. The regulated area...

  14. 33 CFR 100.719 - Annual Suncoast Offshore Challenge; Gulf of Mexico, Sarasota, FL.

    Science.gov (United States)

    2010-07-01

    ... Challenge; Gulf of Mexico, Sarasota, FL. 100.719 Section 100.719 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.719 Annual Suncoast Offshore Challenge; Gulf of Mexico, Sarasota, FL. (a) Regulated area. The regulated area...

  15. Concurrent exposure of bottlenose dolphins (Tursiops truncatus to multiple algal toxins in Sarasota Bay, Florida, USA.

    Directory of Open Access Journals (Sweden)

    Michael J Twiner

    Full Text Available Sentinel species such as bottlenose dolphins (Tursiops truncatus can be impacted by large-scale mortality events due to exposure to marine algal toxins. In the Sarasota Bay region (Gulf of Mexico, Florida, USA, the bottlenose dolphin population is frequently exposed to harmful algal blooms (HABs of Karenia brevis and the neurotoxic brevetoxins (PbTx; BTX produced by this dinoflagellate. Live dolphins sampled during capture-release health assessments performed in this region tested positive for two HAB toxins; brevetoxin and domoic acid (DA. Over a ten-year study period (2000-2009 we have determined that bottlenose dolphins are exposed to brevetoxin and/or DA on a nearly annual basis (i.e., DA: 2004, 2005, 2006, 2008, 2009; brevetoxin: 2000, 2004, 2005, 2008, 2009 with 36% of all animals testing positive for brevetoxin (n = 118 and 53% positive for DA (n = 83 with several individuals (14% testing positive for both neurotoxins in at least one tissue/fluid. To date there have been no previously published reports of DA in southwestern Florida marine mammals, however the May 2008 health assessment coincided with a Pseudo-nitzschia pseudodelicatissima bloom that was the likely source of DA observed in seawater and live dolphin samples. Concurrently, both DA and brevetoxin were observed in common prey fish. Although no Pseudo-nitzschia bloom was identified the following year, DA was identified in seawater, fish, sediment, snails, and dolphins. DA concentrations in feces were positively correlated with hematologic parameters including an increase in total white blood cell (p = 0.001 and eosinophil (p<0.001 counts. Our findings demonstrate that dolphins within Sarasota Bay are commonly exposed to two algal toxins, and provide the impetus to further explore the potential long-term impacts on bottlenose dolphin health.

  16. VT County Health Data 1986-2000 - 2

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) This datalayer contains Vermont Population and Health data describing public health (1986-2000), by county, extracted from various sources, such...

  17. Carson-Washoe County Health Manpower and Education Profile.

    Science.gov (United States)

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Carson-Washoe County area of Nevada, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general population…

  18. Albany-Laramie Counties Health Manpower and Education Profile.

    Science.gov (United States)

    Callen, John; And Others

    The profile is a concise description of the demographic and economic characteristics, existing health manpower employed, and health education programs for the Albany-Laramie Counties area of Wyoming, one of seven surveyed in the Mountain States region (Idaho, Montana, Wyoming, and Nevada). The first section of the profile provides general…

  19. The impact of changes in county public health expenditures on general health in the population.

    Science.gov (United States)

    Brown, Timothy T; Martinez-Gutierrez, Maria S; Navab, Bahar

    2014-07-01

    We estimate the effect of changes in the per capita expenditures of county departments of public health on county-level general health status. Using panel data on 40 counties in California (2001-2009), dynamic panel estimation techniques are combined with the Lewbel instrumental variable technique to estimate an aggregate demand for health function that measures the causal cumulative impact that per capita public health expenditures have on county-level general health status. We find that a $10 long-term increase in per capita public health expenditures would increase the percentage of the population reporting good, very good or excellent health by 0.065 percentage points. Each year expenditures were increased would result in ∼24,000 individuals moving from the 'poor or fair health' category to the 'good, very good or excellent health' category across these 40 counties. In terms of the overall impact of county public health departments on general health status, at current funding levels, each annual expenditure cycle results in over 207,000 individuals being in the 'good, very good or excellent' categories of health status rather than the 'poor or fair' categories.

  20. The Hmong and Health Care in Merced County, California

    Directory of Open Access Journals (Sweden)

    Marilyn Mochel

    1998-01-01

    Full Text Available This article discusses the linguistic and cultural barriersthe Hmong encounter when they attempt to access the healthcare delivery system in Merced County, California. Thetheoretical portion of the article discusses the concepts ofculture, culture change, and some psychological issues thatresult from culture contact. Western biomedicine is viewed asa cultural system. Following this theoretical section, thecultural and linguistic barriers confronted by the Hmong whenthey attempt the access health care in Merced are discussedas well as some successful programs in the development ofculturally sensitive health care. These include the SoutheastAsian Surgical Coordination Team and the Culture Broker Team.The last part of the article covers, in some detail, amultidisciplinary program in cross-cultural health which isbeing implemented by health workers in Merced County.

  1. Stakeholder perspectives on land-use strategies for adapting to climate-change-enhanced coastal hazards: Sarasota, Florida

    Science.gov (United States)

    Frazier, Tim G.; Wood, Nathan; Yarnal, Brent

    2010-01-01

    Sustainable land-use planning requires decision makers to balance community growth with resilience to natural hazards. This balance is especially difficult in many coastal communities where planners must grapple with significant growth projections, the persistent threat of extreme events (e.g., hurricanes), and climate-change-driven sea level rise that not only presents a chronic hazard but also alters the spatial extent of sudden-onset hazards such as hurricanes. We examine these stressors on coastal, long-term land-use planning by reporting the results of a one-day community workshop held in Sarasota County, Florida that included focus groups and participatory mapping exercises. Workshop participants reflected various political agendas and socioeconomic interests of five local knowledge domains: business, environment, emergency management and infrastructure, government, and planning. Through a series of alternating domain-specific focus groups and interactive plenary sessions, participants compared the county 2050 comprehensive land-use plan to maps of contemporary hurricane storm-surge hazard zones and projected storm-surge hazard zones enlarged by sea level rise scenarios. This interactive, collaborative approach provided each group of domain experts the opportunity to combine geographically-specific, scientific knowledge on natural hazards and climate change with local viewpoints and concerns. Despite different agendas, interests, and proposed adaptation strategies, there was common agreement among participants for the need to increase community resilience to contemporary hurricane storm-surge hazards and to explore adaptation strategies to combat the projected, enlarged storm-surge hazard zones.

  2. PRESSURE - WATER and Other Data from UNKNOWN and Other Platforms From Sarasota Bay from 19810821 to 19870725 (NODC Accession 9000127)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This accession contains nutrient data with a variety of parameters measured by Mote Marine Laboratory in Sarasota Bay, FL from May 1987 to June 1987. The data was...

  3. What determines health: a causal analysis using county level data.

    Science.gov (United States)

    Rettenmaier, Andrew J; Wang, Zijun

    2013-10-01

    This article revisits the long-standing issue of the determinants of health outcomes. We make two contributions to the literature. First, we use a large and comprehensive US county level health data set that has only recently become available. This data set includes five measures of health outcomes and 24 health risk factors in the categories of health behaviors, clinical care, social and economic factors, and physical environment. Second, to distinguish causality from correlation, we implement an emerging data-driven method to study the causal factors of health outcomes. Among all included potential health risk factors, we identify adult smoking, obesity, motor vehicle crash death rate, the percent of children in poverty, and violent crime rate to be major causal factors of premature mortality. Adult smoking, preventable hospital stays, college or higher education, employment, children in poverty, and adequacy of social support determine health-related quality of life. Finally, the Chlamydia rate, community safety, and liquor store density are three important factors causally related to low birth weight. Policy implications of these findings are discussed.

  4. Hydrologic data from a deep test well, City of Sarasota, Florida

    Science.gov (United States)

    Sutcliffe, Horace

    1979-01-01

    The city of Sarasota drilled a test well to a depth of 3,513 feet at the city 's wastewater-treatment facility in downtown Sarasota, Fla. The test well was drilled to determine the feasibility of disposing of liquid waste from the city 's secondary treatment plant. Drilling of the test well began in July 1973 and was completed in November 1974. A conventional circulation mud-rotary drilling method was used to a depth of 1 ,146 feet below land surface and a reverse circulation air-lift method was used to a depth of 3,513 feet. The greatest chloride concentration of water withdrawn from the test well was 31,000 milligrams per liter. The test well, uncased and open to dolomitic limestone between 2,006 and 3,513 feet, yielded 392 gallons per minute with a drawdown of approximately 100 feet. (Kosco-USGS)

  5. Community health needs assessment in Wake County, North Carolina: partnership of public health, hospitals, academia, and other stakeholders.

    Science.gov (United States)

    Alfano-Sobsey, Edie; Ledford, Sue Lynn; Decosimo, Kasey; Horney, Jennifer A

    2014-01-01

    Hospitals and other health care agencies are required to conduct a community health needs assessment (CHNA) every 3 years to obtain information about the health needs and concerns of the population. In 2013, to avoid duplication of efforts and to achieve a more comprehensive CHNA, Wake County Human Services, WakeMed Health and Hospitals, Duke Raleigh Hospital, Rex Healthcare, Wake Health Services, United Way of the Greater Triangle, and the North Carolina Institute for Public Health partnered to conduct a joint assessment for Wake County. Information was collected from the community through opinion surveys and focus groups. To understand the social, economic, and health status of Wake County residents, statistics were also collected from state, county, and local sources. Analysis of all data sources allowed 9 areas of community concern to be identified. Five community forums were held simultaneously at locations in east, south, west, north, and central Wake County to inform residents about the main findings of the assessment and to prioritize the 9 areas of concern. The top 3 priority areas identified were poverty and unemployment, health care access and utilization, and mental health and substance use. Results may not be generalizable to counties in North Carolina that are more rural or to counties outside North Carolina. The success of this unique collaborative process provides further opportunity for the project partners and other organizations to coordinate action plans, pool resources, and jointly address the priorities of this assessment over the next 3 years.

  6. 75 FR 59695 - Foreign-Trade Zone 169-Manatee County, Florida; Extension of Subzone; Aso LLC (Adhesive Bandage...

    Science.gov (United States)

    2010-09-28

    ... (Adhesive Bandage Manufacturing); Sarasota County, FL An application has been submitted to the Foreign-Trade... strips per year) was approved by the Board in 2000 for the manufacture of adhesive bandages under FTZ... has at times instead used various duty suspension provisions on adhesive tape. Aso is now...

  7. Non-Psychiatric Services Provided in a Mental Health Unit in a County Jail.

    Science.gov (United States)

    Young, Diane S.

    2002-01-01

    Examines mental health service provision by social workers in a county jail through a retrospective review of 359 mentally ill jail inmates' health and mental health records. Of the non-psychiatric, mental health services provided beyond initial assessment, housing placement evaluations and follow-up sessions were the most frequent. Suggestions…

  8. Health of adults in Los Angeles County: findings from the National Health and Nutrition Examination Survey, 1999-2004.

    Science.gov (United States)

    Porter, Kathryn S; Curtin, Lester R; Carroll, Margaret D; Li, Xianfen; Mohadjer, Leyla; Shih, Margaret; Simon, Paul A; Fielding, Jonathan E

    2011-09-01

    Los Angeles County has the largest population of any county in the nation. Population-based estimates of health conditions for Los Angeles County are based primarily on telephone surveys, which are known to underestimate conditions of public health importance. This report presents the prevalence of selected health conditions for civilian noninstitutionalized adults aged 20 and over living in Los Angeles County households and group quarters, based on survey data using direct physical measurements. Combined data from the 1999-2000, 2001-2002, and 2003-2004 National Health and Nutrition Examination Surveys (NHANES), conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics, were used for this report. Sample weights were recalculated for participants examined in Los Angeles County using population totals provided by the Los Angeles County Department of Public Health, excluding the institutionalized population. Compared with the nation as a whole, adults in Los Angeles County had similar rates of health conditions even after age and age-race adjustment, with a few exceptions. A significantly smaller proportion of Los Angeles County adults were obese (age-adjusted rate, 23.8%) compared with the United States (31.0%); this difference held after age-race adjustment. The age-adjusted rate of diagnosed diabetes for men was higher in Los Angeles County (9.1%) than in the nation (7.3%); however, this difference did not hold after age-race adjustment. The rates of total diabetes adjusted for age and age-race were similar for men in Los Angeles County and the United States. The rates of selected health conditions in this report were similar for adults in Los Angeles County compared with adults in the United States, with the exception of obesity. The rates of obesity adjusted for age and age-race were lower among Los Angeles County adults compared with national rates. Health estimates based on direct physical measurements can be useful

  9. DOE Zero Energy Ready Home Case Study: Habitat for Humanity South Sarasota County, Nokomis, FL

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    The builder won an Affordable Builder award in the 2014 Housing Innovation Awards for this super-insulated home that features a 5.5-inch-thick layer of open-cell spray foam on the inside of the attic ceiling, providing an R-20-insulated, cool, conditioned space for the home’s high-efficiency SEER 15 heat pumps.

  10. Aerial Photography and Imagery, Ortho-Corrected - 2010 Digital Orthophotos - Sarasota County

    Data.gov (United States)

    NSGIC Education | GIS Inventory — The RGB/CIR ONE-foot orthophotos to be mapped consists of 4,362 cells (approximately 3,912 square miles) flown with a Z/I Intergraph DMC airborne digital sensor. The...

  11. Aerial Photography and Imagery, Ortho-Corrected - 2009 Digital Orthophotos - Sarasota County

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — The 8-bit 4-Band (Red, Green, Blue, Near Infrared) one-foot orthophotos to be mapped consists of 3,849 cells (approximately 3,452 square miles) flown with a Z/I...

  12. Aerial Photography and Imagery, Ortho-Corrected - 2011 Digital Orthophotos - Sarasota County

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — The RGB/CIR ONE-foot orthophotos to be mapped consists of 4,033 cells (approximately 3,617 square miles) flown with a Z/I Intergraph DMC airborne digital sensor...

  13. Aerial Photography and Imagery, Ortho-Corrected - 2008 Digital Orthophotos - Sarasota County

    Data.gov (United States)

    NSGIC Education | GIS Inventory — The RGB/CIR half-foot orthophotos to be mapped consists of 2,258 cells (approximately 2,025 square miles) flown with a Z/I Intergraph DMC airborne digital sensor....

  14. Assessing potential spatial accessibility of health services in rural China: a case study of Donghai County.

    Science.gov (United States)

    Hu, Ruishan; Dong, Suocheng; Zhao, Yonghong; Hu, Hao; Li, Zehong

    2013-05-20

    There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential spatial accessibility of health services in Donghai County. We also give some advice on how to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated. The shortest traffic times of from hospitals to villages are calculated with an O-D matrix of GIS extension model. This paper applies an enhanced two-step floating catchment area (E2SFCA) method to study the spatial accessibility of health services and to determine areas with physician shortages in Donghai County. The sensitivity of the E2SFCA for assessing variation in the spatial accessibility of health services is checked using different impedance coefficient valuesa. Geostatistical Analyst model and spatial analyst method is used to analyse the spatial pattern and the edge effect of potential spatial accessibility of health services. The results show that 69% of villages have access to lower potential spatial accessibility of health services than the average for Donghai County, and 79% of the village scores are lower than the average for Jiangsu Province. The potential spatial accessibility of health services diminishes greatly from the centre of the county to outlying areas. Using a smaller impedance coefficient leads to greater disparity among the villages. The spatial accessibility of health services is greater along highway in the county. Most of villages are in underserved health services areas. An unequal distribution of health service resources and the reimbursement policies of the

  15. Health promotion and partnerships: collaboration of a community health management center, county health bureau, and university nursing program.

    Science.gov (United States)

    Huang, Chih-Ling

    2002-06-01

    Effective partnerships were established between a community health management center, a county health bureau and a university nursing program. A health fair was undertaken to heighten public health awareness through the collaboration of these various agencies. In this research, formative, process, and summative evaluations were conducted to determine the benefits of partnerships. Elements evaluated included the planning process, health fair relevancy, integration of community resources, participants satisfaction and knowledge acquisition, and partnership satisfaction. The samples of this study included (1) 529 adult participants who completed the on-site evaluation questionnaires; (2) 1,090 child participants who returned gift-reward cards; (3) 114 partners who gave written feedback on their satisfaction; and (4) 57 third-year and 16 fourth-year undergraduate nursing student participants. Data was collected from the evidence report of the Department of Health, the project proposal, activity protocols, meeting records, the project final report, students term papers, and questionnaires. The chief administrator of the County Health Bureau was very impressed with the creative exhibits in the fair and, therefore, invited a coalition to continue further workshops. Seventeen educational exhibits, two dance programs and two drama programs related to health issues were demonstrated in the fair. Resources from community organizations were successfully integrated and allocated. Community participants expressed satisfaction with the fair and anticipated similar activities in the future. Participants revealed more than 80% accuracy in health knowledge quizzes. The senior nursing students highlighted their interaction with the community, community health nurses, and health volunteers. Community-based health promotion and nursing education can be successfully connected when various disciplines and sectors form effective partnerships.

  16. Mental Health Work in a County Jail: A Heuristic Model.

    Science.gov (United States)

    Gacono, Carl B.

    1985-01-01

    Describes the San Luis Obispo County Jail Treatment program, which included crisis management, psychiatric services, substance abuse counseling, Graduate Equivalency Diploma preparation, vocation counseling, and postrelease counseling and referral. Data from 73 offenders indicated the approach was effective in lowering the immediate recidivism…

  17. Nutrition Program Boosts Dental Health of Orange County Migrant Families.

    Science.gov (United States)

    Cotter, Anne; And Others

    1995-01-01

    In Orange County, California, 76 migrant preschool children and 45 parents participated in a 7-week pilot program concerned with preventing dental disease by encouraging good dental habits and healthy food choices. Parent questionnaires revealed that the most remarkable program-related change was a decrease in consumption of sugary foods for over…

  18. Assessing potential spatial accessibility of health services in rural China: a case study of Donghai county

    OpenAIRE

    Hu, Ruishan; Dong, Suocheng; Zhao, Yonghong; Hu, Hao; Li, Zehong

    2013-01-01

    Introduction There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential sp...

  19. Health Care Needs of a Hispanic Population in Dane, Dodge, and Jefferson Counties.

    Science.gov (United States)

    Slesinger, Doris P.; And Others

    In the summer of 1976, 133 permanent residents in the Hispano community in Wisconsin's Dane, Dodge and Jefferson counties were interviewed to determine their perceptions of their own and their families' health needs and of their unmet health needs. Respondents were primarily women since it was felt they were the best informed about the family's…

  20. [Prediction model of health workforce and beds in county hospitals of Hunan by multiple linear regression].

    Science.gov (United States)

    Ling, Ru; Liu, Jiawang

    2011-12-01

    To construct prediction model for health workforce and hospital beds in county hospitals of Hunan by multiple linear regression. We surveyed 16 counties in Hunan with stratified random sampling according to uniform questionnaires,and multiple linear regression analysis with 20 quotas selected by literature view was done. Independent variables in the multiple linear regression model on medical personnels in county hospitals included the counties' urban residents' income, crude death rate, medical beds, business occupancy, professional equipment value, the number of devices valued above 10 000 yuan, fixed assets, long-term debt, medical income, medical expenses, outpatient and emergency visits, hospital visits, actual available bed days, and utilization rate of hospital beds. Independent variables in the multiple linear regression model on county hospital beds included the the population of aged 65 and above in the counties, disposable income of urban residents, medical personnel of medical institutions in county area, business occupancy, the total value of professional equipment, fixed assets, long-term debt, medical income, medical expenses, outpatient and emergency visits, hospital visits, actual available bed days, utilization rate of hospital beds, and length of hospitalization. The prediction model shows good explanatory and fitting, and may be used for short- and mid-term forecasting.

  1. A National Study of the Association between Food Environments and County-Level Health Outcomes

    Science.gov (United States)

    Ahern, Melissa; Brown, Cheryl; Dukas, Stephen

    2011-01-01

    Purpose: This national, county-level study examines the relationship between food availability and access, and health outcomes (mortality, diabetes, and obesity rates) in both metro and non-metro areas. Methods: This is a secondary, cross-sectional analysis using Food Environment Atlas and CDC data. Linear regression models estimate relationships…

  2. Provision of essential health package in public hospitals: a case of Homabay County hospitals, Kenya.

    Science.gov (United States)

    Opon, Shadrack Ochieng

    2016-01-01

    Essential Health Packages (EHP) delivery is likely to strengthen service delivery. Healthcare utilization rate is 77% for the sick. 44% and 18% who don't seek care are hindered by cost and distance respectively. The overall child mortality rate in Kenya is 121/1000. In Homabay County, child mortality rate is 91/1000, and maternal mortality rate of 583/100000. The study looked into the provision of EHP in public hospitals in Homabay County. Cross-sectional research design was used. Two hospitals were conveniently due to their municipality location. The study targeted 213 Health workers and 350 patients. Stratified sampling and proportionate sampling was used among different health workers. Sample size was determined by Yamane Formula. The study sampled 138 health workers and 186 patients. Questionnaire and key interview guide were used to collect data. There are inadequate health workers based on 138 (100%) health workers. Insufficient drugs were reported by 138 (100%) health workers, and 120 (64.5%) patients. 115 (83.3%) health workers say ambulances are not operational. 26 (18.8%) health workers noted lack medical equipment, 138 (100%) are aware of patients referred elsewhere due to lack of medical equipment. 153 (82.3%) and 135 (72.6%) patients' health access is hindered by cost and distance respectively. 159 (85.5%) patients don't always find services needed. 159 (85.5%) patients affected by long waiting time. Low service provision/utilization rate in Homabay County results from lack of health workers, inadequate drugs, poor health infrastructure, and lack of access in terms of affordability, availability and distance.

  3. Value of training on motivation among health workers in Narok County, Kenya.

    Science.gov (United States)

    Momanyi, George Osoro; Adoyo, Maureen Atieno; Mwangi, Eunice Muthoni; Mokua, Dennis Okari

    2016-01-01

    Training, as an additive human resources intervention is decisive to organizational performance. Employees require constant update of formal and informal knowledge alongside positive attitudes that have been defined as necessary in motivation leading to effectiveness in performance hence workplace training is tied to achieving organizational aims and objectives. The objective of this study was to determine the influence of training on motivation among health workers in Narok County, Kenya. A cross-sectional study utilizing a self administered questionnaire, targeting 237 health workers and 21 health managers was used. Data analysis was done using SPSS version 21 using descriptive statistics. Factor analysis was done on the training perception in relation to motivation. Majority of the respondents rated their motivation between 7 and 9 in the current health facility (35.4%), Sub-county (33.8%) and County (32.9%) with the median motivation level of 5. Majority of health workers 194 (81.9%) had received a form of training, of whom 191 (98.5%) indicated that on-job training was relevant to their tasks and that it motivated 192 (99.0%) of them to perform better due to coining skills to motivation. Training significantly predicted general motivation (p-value = 0.013), job satisfaction (p-value = .001), intrinsic job satisfaction (p-value = .001) and organisational commitment (p-value motivated health workforce in Narok County and recommended strengthening of current training initiatives by ensuring trainings are more regular and involvement of health workers in discussing their career development prospects.

  4. Public Health Offices, Published in 2006, Washoe County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Public Health Offices dataset, was produced all or in part from Published Reports/Deeds information as of 2006. Data by this publisher are often provided in...

  5. VT County Health Data 1986-2000 - 1

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) This datalayer contains a variety of tabular Vermont Public Health data (1986-2000), obtained from the following sources: the Vermont Department...

  6. Health Status and Cancer Screening in Hispanic Women: A Sample from Cumberland County, North Carolina

    Directory of Open Access Journals (Sweden)

    Heather Griffiths

    2011-05-01

    Full Text Available This exploratory study examines self-reported breast and cervical cancer screening history among women aged 18 years and above in Cumberland County, NC. Cumberland County is a multi-ethnic, semi-urban, racially diverse community with a large Hispanic population. Cross-sectional, mixed methodology data collection took place in local Tiendas. The sample consists of women belonging to a variety of ethnic groups generally classified as “Hispanic.” The questionnaire and interview guide used in the study developed from the Center for Disease Control’s National Health Interview Survey, and measured breast examination, mammogram, Pap Smear, family cancer, and health insurance history, as well as self reported health status, socio-demographic, and cultural features of the respondents. We found that despite demographics from the 2010 Census showing a high incidence of breast and cervical cancers in the North Carolina Hispanic population, fewer Hispanic women in Cumberland County screened themselves for the presence of this cancer as compared to women at the national level. Education positively impacted both self rated health status as well as cancer screening behavior. Interview data suggested the lack of screening behavior in this population was due to a perceived lack of cultural sensitivity and a dearth of translators.

  7. Imperial County baseline health survey potential impact of geothermal energy

    Energy Technology Data Exchange (ETDEWEB)

    Deane, M.

    1981-06-01

    The survey purpose, methods, and statistical methods are presented. Results are discussed according to: area differences in background variables, area differences in health variables, area differences in annoyance reactions, and comparison of symptom frequencies with age, smoking, and drinking. Included in appendices are tables of data, enumeration forms, the questionnaire, interviewer cards, and interviewer instructions. (MHR)

  8. [Public health in Orhei County--realities and opportunities].

    Science.gov (United States)

    Cărăuşu, Elena Mihaela; Stirbate, P; Indrei, L L

    2011-01-01

    Orhei District Hospital has 420 beds located in 17 wards. Providing beds in 2010 is 39.2 to 10 000 people compared with 47.7 in 2008, but it is still more than the regional average for the country- 32.6. Rotation bed, the lethality rate of hospitalization of people have not changed in the previous year. The average duration of treatment and average bed occupancy rose in 2010 compared with 2009, but the bed occupancy rate is still small--about 60%. Share divergence diagnostic is lower than the previous year--this is a good indicator of quality. Enough old equipment is still an issue for the District Hospital Orhei. Making an analysis of the distinctive features of health care evaluations, where resources are expressed by the cost and the results are expressed as effects on health, we conclude that it is necessary to change the conceptual aspects regarding health care financing. For redress the economic and financial situation, is proposed following strategy: 1. Reduced costs for hotel accommodation, by introducing "a day hospital". This system implies investigation and medical advice, and writing medication without the patient to remain hospitalized for a long time (for cases that do not require prolonged hospitalization) 2. Reducing costs the necessary material resources with, the introduction of electronic auction. 3. Introducing the concept of health management, need for hospital management, better management the four types of resources available (human resources, material resources, financial resources, time). 4. Increasing managerial capacity, through a competitive selection manager, will be combine short-term planning and the long-term strategy (more flexible) to raise the efficiency of medical care. In this respect spaces allocated section of Pulmonology, will be reassembled in geriatric beds, and the space available, will be outsourced of other persons (individuals or corporate person), under the law where they will earn additional income. It is noted that

  9. Allegheny County Air Quality

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Air quality data from Allegheny County Health Department monitors throughout the county. Air quality monitored data must be verified by qualified individuals before...

  10. Assessing health literacy in rural settings: a pilot study in rural areas of Cluj County, Romania.

    Science.gov (United States)

    Pop, Oana M; Brînzaniuc, Alexandra; Sirlincan, Emanuela O; Baba, Catalin O; Chereches, Razvan M

    2013-12-01

    Health literacy improves knowledge and builds skills to help individuals make appropriate decisions regarding their health. Over the past 20 years, several studies have described associations between health literacy and health outcomes. With respect to Romania, evidence is scarce on the level of health literacy, as well as on its determinants. Thus, the objectives of this study were to briefly screen functional health literacy levels in a sample of rural inhabitants, to assess the relationship between health literacy and reported health status, as well as to explore health literacy determinants within this population. Data were collected between September-November 2010, in four villages in Cluj County, Romania, using a cross-sectional survey. The mean age of respondents in the sample was 56 years, with roughly half of respondents being retired. The brief screening of health literacy suggested inadequate to marginal levels within the sample. Significant associations were observed between health literacy score and education, and self-perceived health status, whereas the relationship between health literacy and gender, and the presence of a chronic disease was not statistically significant. Limited health literacy has been shown to be common in people who rated their health as poor, those who attended only middle school, and individuals lacking basic information about their body. In order to minimize the adverse effects of low health literacy on health and health outcomes, efforts should be invested in identifying and addressing the health needs of adults with low and marginal health literacy, especially in underserved areas such as rural and remote settings, where access to health-related information is limited.

  11. Longitudinal Community Assessment for Public Health Emergency Response to Wildfire, Bastrop County, Texas.

    Science.gov (United States)

    Kirsch, Katie R; Feldt, Bonnie A; Zane, David F; Haywood, Tracy; Jones, Russell W; Horney, Jennifer A

    2016-01-01

    On September 4, 2011, a wildfire ignited in Bastrop County, Texas, resulting in losses of 34,068 acres of land and 1,645 homes and 2 deaths. At the request of the Texas Department of State Health Services Health Service Region 7 and the Bastrop County Office of Emergency Management, Community Assessments for Public Health Emergency Response (CASPER) were conducted in the weeks following the wildfire and again 3.5 years later to assess both the immediate and long-term public health and preparedness impacts of the wildfire. The objective of these assessments was to learn more about the trajectory of disaster recovery, including rebuilding, evacuation, household emergency planning, and mental and physical health outcomes among both adults and children. In 2015, households exposed to the 2011 wildfires were significantly more likely to have established a family meeting place and evacuation route, to have confidence in the local government's ability to respond to disaster, and to report symptoms of depression and higher stress. Longitudinal assessments using the CASPER method can provide actionable information for improved planning, preparedness, and recovery to public health and emergency management agencies and community residents.

  12. What predicts recovery orientation in county departments of mental health? A pilot study.

    Science.gov (United States)

    Brown, Timothy T; Mahoney, Christine B; Adams, Neal; Felton, Mistique; Pareja, Candy

    2010-09-01

    In this pilot study we examined the determinants of recovery orientation among employees and influential stakeholders in a sample of 12 county departments of mental health in California. A two-level hierarchical linear model with random intercepts was estimated. Analyses show that recovery orientation has a U-shaped relationship with the age of staff/influential stakeholders and is negatively related to the difference between the desired level of adhocracy and the current level of adhocracy. Recovery orientation is positively related to the education level of staff/influential stakeholders, satisfying transformational leadership outcomes, and larger mental health budgets per capita. Policy implications are discussed.

  13. Changes in use of county public health services following implementation of Alabama's immigration law.

    Science.gov (United States)

    White, Kari; Blackburn, Justin; Manzella, Bryn; Welty, Elisabeth; Menachemi, Nir

    2014-11-01

    Several states have enacted legislation restricting undocumented immigrants' access to publicly funded health benefits not protected by federal law. Using electronic health records from 140,856 county health department visits, we assessed the monthly change in Latino patients' visits compared to non-Latinos 12 months before and after implementation of Alabama's immigration law. We used ICD-9 diagnosis codes to determine whether visits included services exempt under the law: immunizations, testing and treatment for sexually transmitted infections (STIs) and communicable diseases, and family planning. Differences between groups in the mean percent change were assessed with t-tests. Among children younger than 18 years, there were no significant differences by ethnicity. Visits among Latino adults decreased by 28% for communicable diseases, 25% for STIs, and 13% for family planning; this was significantly different from changes among non-Latino adults (p public's health.

  14. Perfluoroalkyl compounds in relation to life-history and reproductive parameters in bottlenose dolphins (Tursiops truncatus) from Sarasota Bay, Florida, USA

    NARCIS (Netherlands)

    Houde, M.; Balmer, B.C.; Brandsma, S.H.; Wells, R.S.; Rowles, T.K.; Solomon, K.R.; Muir, D.C.G.

    2006-01-01

    Perfluoroalkyl compounds (PFCs) were determined in plasma, milk, and urine of free-ranging bottlenose dolphins (Tursiops truncatus) from Sarasota Bay (FL, USA) during three winter and two summer capture-and-release programs (2002¿ 2005). Plasma and urine samples were extracted using an ion-pairing m

  15. The University of Washington's Community-Oriented Public Health Practice program and Public Health-Seattle & King County partnership.

    Science.gov (United States)

    House, Peter J; Hartfield, Karen; Nicola, Bud; Bogan, Sharon L

    2014-01-01

    The Community-Oriented Public Health Practice (COPHP) program, a 2-year in-residence MPH degree program in the University of Washington School of Public Health, has partnered with Public Health-Seattle & King County (PHSKC) since 2002 to create a mutually beneficial set of programs to improve teaching and address community-based public health problems in a practice setting. The COPHP program uses a problem-based learning approach that puts students in small groups to work on public health problems. Both University of Washington-based and PHSKC-based faculty facilitate the classroom work. In the first year for students, COPHP, in concert with PHSKC, places students in practicum assignments at PHSKC; in the second year, students undertake a master's project (capstone) in a community or public health agency. The capstone project entails taking on a problem in a community-based agency to improve either the health of a population or the capacity of the agency to improve population health. Both the practicum and the capstone projects emphasize applying classroom learning in actual public health practice work for community-based organizations. This partnership brings PHSKC and COPHP together in every aspect of teaching. In essence, PHSKC acts as the "academic health department" for COPHP. There are detailed agreements and contracts that guide all aspects of the partnership. Both the practicum and capstone projects require written contracts. The arrangements for getting non-University of Washington faculty paid for teaching and advising also include formal contracts.

  16. Stigma experienced by people using mental health services in San Diego County.

    Science.gov (United States)

    Sarkin, Andrew; Lale, Rachel; Sklar, Marisa; Center, Kimberly C; Gilmer, Todd; Fowler, Chris; Heller, Richard; Ojeda, Victoria D

    2015-05-01

    This paper describes how individuals struggling with severe mental illness experience stigma along multiple dimensions including their experiences of discrimination by others, their unwillingness to disclose information about their mental health, and their internalization or rejection of the negative and positive aspects of having mental health problems. This cross-sectional study employs descriptive analyses and linear regression to assess the relationship between demographics, mental health diagnoses and self-reported stigma among people receiving mental health services in a large and ethnically diverse county public mental health system (n = 1,237) in 2009. We used the King Stigma Scale to measure three factors related to stigma: discrimination, disclosure, and positive aspects of mental illness. Most people (89.7 %) reported experiencing some discrimination from having mental health problems. Regression analyses revealed that younger people in treatment experienced more stigma related to mental health problems. Women reported experiencing more stigma than men, but men were less likely to endorse the potentially positive aspects of facing mental health challenges than women. Although people with mood disorders reported more discomfort with disclosing mental illness than people with schizophrenia, they did not report experiencing more discrimination than people with schizophrenia. Study findings suggest that the multidimensional experiences of stigma differ as a function of age, gender, and diagnosis. Importantly, these findings should inform anti-stigma efforts by describing different potential treatment barriers due to experiences of stigma among people using mental health services, especially among younger people and women who may be more susceptible to stigma.

  17. Use of county level data in health, energy, demographic, environmental, and economic analysis

    Energy Technology Data Exchange (ETDEWEB)

    Morris, S.C.; Novak, K.M.; Calef, C.E. (eds.)

    1979-04-01

    This document is an edited record of the conversation, dialogues, and topical discussions of the participants of a computer conference sponsored by the Biomedical and Environmental Assessment Division of Brookhaven National Laboratory during the period March 4-28, 1977. The main objective of the conference was to bring together a number of individual specialists from a wide and diverse range of both academic and professional disciplines to address the usage of county level data in health, energy, demographic, environmental, and economic analysis. A secondary aim of the conference was to test the feasibility and viability of using a computer conference as a means of accomplishing our primary objective. A preface, a list of participants, and the transcript of the main conference and subsession proceedings are included. Also included are information provided by participants on the identification of intercensal county equivalent areas and additional reports and documents relevant to the conference topic. The overall aims and objectives of the conference were successfully accomplished; some of the problems encountered using the computer as a conference vehicle were noted; recommendations were made to continue both formal and informal lines of communication on the subject of county level data.

  18. Disparities in Health Information Access: Results of a County-Wide Survey and Implications for Health Communication.

    Science.gov (United States)

    Kelley, Megan S; Su, Dejun; Britigan, Denise H

    2016-01-01

    Health knowledge and behavior can be shaped by the extent to which individuals have access to reliable and understandable health information. Based on data from a population-based telephone survey of 1,503 respondents of ages 18 years and older living in Douglas County, Nebraska, in 2013, this study assesses disparities in health information access and their related covariates. The two most frequently reported sources of health information are the Internet and health professionals, followed by print media, peers, and broadcast media. Relative to non-Hispanic Whites, Blacks are more likely to report health professionals as their primary source of health information (odds ratio [OR] = 2.61, p < .001) and less likely to report peers (OR = 0.39, p < .05). A comparison between Whites and Hispanics suggests that Hispanics are less likely to get their health information through the Internet (OR = 0.51, p < .05) and more likely to get it from broadcast media (OR = 4.27, p < .01). Relative to their counterparts, participants with no health insurance had significantly higher odds of reporting no source of health information (OR = 3.46, p < .05). Having no source of health information was also associated with an annual income below $25,000 (OR = 2.78, p < .05 compared to middle income range) and being born outside of the United States (OR = 5.00, p < .05). Access to health information is lowest among society's most vulnerable population groups. Knowledge of the specific outlets through which people are likely to obtain health information can help health program planners utilize the communication channels that are most relevant to the people they intend to reach.

  19. Community mental health in two sectors: County Caroni and St. George East--an evaluation.

    Science.gov (United States)

    James, V

    1986-01-01

    An evaluation of the community mental health program in Trinidad in two sectors with differing sociological backgrounds is made. Results showed that both sectors had regular outpatient clinics, outpatient group psychotherapy, and mental health officers partly community based. County Caroni had a low admission rate to St. Ann's Hospital, an ongoing education programme, an outpatient club, and an Extended Care Centre with Day Care Centre. The predominant illnesses seen in County Caroni were Alcoholism in the males and Depression and Anxiety States in the females. In St. George East, there was a higher admission rate to St. Ann's Hospital. The education program was irregular. There was an Extended Care Centre in Tacarigua half of which was allocated to psychiatric patients and a Day Care Centre at the Tumpuna Rehabilitation Centre. The most frequent illnesses in St. George East were Schizophrenia and Alcoholism in the males, and Schizophrenia and Depression with equal frequency in the females. The results indicated that the specific needs of each sector were different--hence the need for different approaches. The difficulties of implementing the Community Mental Health programme are discussed.

  20. Hazard-ranking of agricultural pesticides for chronic health effects in Yuma County, Arizona.

    Science.gov (United States)

    Sugeng, Anastasia J; Beamer, Paloma I; Lutz, Eric A; Rosales, Cecilia B

    2013-10-01

    With thousands of pesticides registered by the United States Environmental Protection Agency, it not feasible to sample for all pesticides applied in agricultural communities. Hazard-ranking pesticides based on use, toxicity, and exposure potential can help prioritize community-specific pesticide hazards. This study applied hazard-ranking schemes for cancer, endocrine disruption, and reproductive/developmental toxicity in Yuma County, Arizona. An existing cancer hazard-ranking scheme was modified, and novel schemes for endocrine disruption and reproductive/developmental toxicity were developed to rank pesticide hazards. The hazard-ranking schemes accounted for pesticide use, toxicity, and exposure potential based on chemical properties of each pesticide. Pesticides were ranked as hazards with respect to each health effect, as well as overall chronic health effects. The highest hazard-ranked pesticides for overall chronic health effects were maneb, metam-sodium, trifluralin, pronamide, and bifenthrin. The relative pesticide rankings were unique for each health effect. The highest hazard-ranked pesticides differed from those most heavily applied, as well as from those previously detected in Yuma homes over a decade ago. The most hazardous pesticides for cancer in Yuma County, Arizona were also different from a previous hazard-ranking applied in California. Hazard-ranking schemes that take into account pesticide use, toxicity, and exposure potential can help prioritize pesticides of greatest health risk in agricultural communities. This study is the first to provide pesticide hazard-rankings for endocrine disruption and reproductive/developmental toxicity based on use, toxicity, and exposure potential. These hazard-ranking schemes can be applied to other agricultural communities for prioritizing community-specific pesticide hazards to target decreasing health risk.

  1. Hazard-Ranking of Agricultural Pesticides for Chronic Health Effects in Yuma County, Arizona

    Science.gov (United States)

    Sugeng, Anastasia J.; Beamer, Paloma I.; Lutz, Eric A.; Rosales, Cecilia B.

    2013-01-01

    With thousands of pesticides registered by the United States Environmental Protection Agency, it not feasible to sample for all pesticides applied in agricultural communities. Hazard-ranking pesticides based on use, toxicity, and exposure potential can help prioritize community-specific pesticide hazards. This study applied hazard-ranking schemes for cancer, endocrine disruption, and reproductive/developmental toxicity in Yuma County, Arizona. An existing cancer hazard-ranking scheme was modified, and novel schemes for endocrine disruption and reproductive/developmental toxicity were developed to rank pesticide hazards. The hazard-ranking schemes accounted for pesticide use, toxicity, and exposure potential based on chemical properties of each pesticide. Pesticides were ranked as hazards with respect to each health effect, as well as overall chronic health effects. The highest hazard-ranked pesticides for overall chronic health effects were maneb, metam sodium, trifluralin, pronamide, and bifenthrin. The relative pesticide rankings were unique for each health effect. The highest hazard-ranked pesticides differed from those most heavily applied, as well as from those previously detected in Yuma homes over a decade ago. The most hazardous pesticides for cancer in Yuma County, Arizona were also different from a previous hazard-ranking applied in California. Hazard-ranking schemes that take into account pesticide use, toxicity, and exposure potential can help prioritize pesticides of greatest health risk in agricultural communities. This study is the first to provide pesticide hazard-rankings for endocrine disruption and reproductive/developmental toxicity based on use, toxicity, and exposure potential. These hazard-ranking schemes can be applied to other agricultural communities for prioritizing community-specific pesticide hazards to target decreasing health risk. PMID:23783270

  2. Oral health status of children in Los Angeles County and in the United States, 1999-2004.

    Science.gov (United States)

    Dye, Bruce A; Vargas, Clemencia M; Fryar, Cheryl D; Ramos-Gomez, Francisco; Isman, Robert

    2017-04-01

    To ascertain and compare the oral health status and related sociodemographic risk indicators in children in Los Angeles (LA) County with children in the United States. Data from the National Health and Nutrition Examination Survey (NHANES) 1999-2004 were used to calculate prevalence estimates for children aged 2-13 years living in LA County and in the United States. Sociodemographic indicators were evaluated using multiple logistic regression modeling. Overall, children in LA County were more likely to experience dental caries than children in the United States in 1999-2004. In the primary dentition, nearly 40% of preschool children residing in LA County had dental caries compared to 28% of same-age children in the United States. Among children aged 6-13, 44% living in LA County had dental caries in the permanent dentition compared to 27% in the United States. Mexican American children in LA County had higher caries experience in permanent teeth (but not in primary teeth) than US Mexican American children. Among children aged 6-9 years, there was no difference in the prevalence of dental sealants in permanent teeth between those living in LA County and in the United States. However, among children aged 10-13 years, dental sealants were more than twice as prevalent in US children (40.8%) than in LA County children (17.5%). Among LA County children, the adjusted odds of having caries experience or untreated dental caries in permanent teeth were not higher among children from lower income families than in lower income children in the United States. Children residing in LA County had less favorable oral health than children in the United States in 1999-2004. The usual sociodemographic caries risk indicators identified among children in the United States were not consistently observed among children in LA County. Unlike in the wider United States, poverty was not a risk indicator for dental caries in older children in LA County. © 2016 John Wiley & Sons A/S. Published

  3. Service Receipt and Mental Disorders in Child Welfare and Mental Health Systems in Los Angeles County.

    Science.gov (United States)

    He, Amy S; Traube, Dorian E; Brimhall, Kim C; Lim, Caroline; Lecklitner, Greg; Olson, Adrienne

    2017-08-01

    Use of administrative data from child welfare (CW) and mental health systems in Los Angeles County provided a unique opportunity to more closely examine mental health needs of children dually served by these systems. This study examined the presence of mental disorders and correlates of receipt of mental health services by diagnostic classification in this population. Data were obtained for 3,191 children receiving services from Los Angeles County's Department of Children and Family Services and Department of Mental Health (DMH) between July 2011 and July 2012. Multivariate linear and logistic regression models examined the relationship between sociodemographic and CW-related characteristics and receipt of outpatient services by clinician-diagnosed mental disorder. Of the 3,191 referred children, 68% met criteria for one of the four diagnostic classifications. Mood disorders were the most common diagnosis (30%), followed by anxiety disorders (20%), behavior disorders (9%), and attention-deficit hyperactivity disorder (9%). Children with prior DMH involvement received more services regardless of diagnosis. Older children (ages ≥15) received more services than younger children, whereas younger children were more likely to receive family therapy. Race-ethnicity did not play a significant role in predicting service receipt. The unique mental health needs of CW-involved children were exemplified by the differences found in the percentages of children with diagnoses of mental disorders between this sample and children in the general population. Because of family and placement disruptions among CW-involved children, it is important that the provision of individual therapy is not overlooked in favor of family therapy.

  4. NOAA Office for Coastal Management Coastal Inundation Digital Elevation Model: Tampa (FL) WFO - Manatee, Sarasota, Charlotte, and Lee Counties

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This digital elevation model (DEM) is a part of a series of DEMs produced for the National Oceanic and Atmospheric Administration Office for Coastal Management's Sea...

  5. Implementation of mass media community health education: the Forsyth County Cervical Cancer Prevention Project.

    Science.gov (United States)

    Dignan, M; Bahnson, J; Sharp, P; Beal, P; Smith, M; Michielutte, R

    1991-09-01

    The Forsyth County Cervical Cancer Prevention Project (FCP) is a community-based health education project funded by the National Cancer Institute. The target population includes around 25 000 black women age 18 and older who reside in Forsyth County, North Carolina. The overall goal of the program is to prevent mortality from cervical cancer by promoting Pap smears and return for follow-up care when needed. Based on the principles of social marketing, a plan to reach the target population with mass media educational messages through electronic and print channels was developed. Guided by marketing objectives, the target population was divided into relatively discrete segments. The segments included church attenders, patients in waiting rooms of public and selected health providers, female students at local colleges, shoppers, viewers of radio and television, newspaper readers, and business owners and managers. Introduction of the program was based on strategies developed for reaching the target population in each segment with television, radio and print mass media messages. Qualitative assessment of the mass media developed by the program indicated that all forms of communication helped to increase awareness of the program.

  6. Cross-Jurisdictional Sharing for Emergency Management-Related Public Health: Exploring the Experiences of Tribes and Counties in California

    Directory of Open Access Journals (Sweden)

    Maureen A. Wimsatt

    2017-09-01

    Full Text Available Each American Indian tribe is unique in several ways, including in its relationships with local governments and risk for emergencies. Cross-jurisdictional sharing (CJS arrangements are encouraged between tribes and counties for emergency management-related population health, but researchers have not yet explored CJS experiences of tribes and counties for emergency management. This investigation used collaboration theory and a CJS spectrum framework to assess the scope and prevalence of tribe–county CJS arrangements for emergency management in California as well as preconditions to CJS. Mixed-methods survey results indicate that tribes and counties have varied CJS arrangements, but many are informal or customary. Preconditions to CJS include tribe–county agreement about having CJS, views of the CJS relationship, barriers to CJS, and jurisdictional strengths and weaknesses in developing CJS arrangements. Areas for public health intervention include funding programs that build tribal capacity in emergency management, reduce cross-jurisdictional disagreement, and promote ongoing tribe–county relationships as a precursor to formal CJS arrangements. Study strengths, limitations, and future directions are also discussed.

  7. Spatial variation of health risk for drinking groundwater in Mingshan County, Ya’an,China

    Directory of Open Access Journals (Sweden)

    Fuquan Ni

    2010-12-01

    Full Text Available In recent years, rural drinking water safety has become a growing concern in China. The present study aims to the core problems in rural drinking water safety in Mingshan County, Ya’an, China where groundwater is used as drinking water. The objective of this study was to determine groundwater quality and to assess the health risk of pollution in groundwater in Mingshan County, Ya’an, China. Over the 19-year period from 1991 to 2010, the total number of groundwater samples was 47.This study inspected source water quality, applied the health risk assessment model recommended by U.S.EPA, and calculated carcinogenic risk, non-carcinogenic risk and total risk of factors exceeding standards. Health risk thematic maps of carcinogenic risk and non-carcinogenic risk caused by single factor and their combination can be obtained with the method of inverse-distance weighting interpolation (IDW and the function of geo-statistical analysis in ArcGIS (Geographic Information System, GIS. The results showed, carcinogenic risk caused by chemicals in drinking groundwater is low, which is in the acceptable interval in risk management both at home and abroad for years. However, non-carcinogenic risk is high and number of sampling sites with risk values exceeding the standards amounted to 30, in which, non-carcinogenic risk of Cr (6+, nitrate, fluoride and Fe of number 43, 46, 74, 64, 67, 50 were the sources that cause total health risk high. This study revealed the risk level of drinking groundwater quality, orders of treatment on pollutants and provided a scientific basis for groundwater management in this area.

  8. Child health care utilisation in families with young or single mothers in a Swedish county.

    Science.gov (United States)

    Wallby, Thomas; Modin, Bitte; Hjern, Anders

    2013-03-01

    Young age and lone parenthood are risk factors for impaired health among mothers and their children. Due to the higher risks of negative influences on physical and mental health, young and single mothers should be of special concern to the Child Health Services (CHS). In the present study, we investigated consumption patterns of child health care services among young and single mothers in Uppsala County, Sweden to study whether they are reached by the universal CHS program and if selective or indicative measures were administered in daily CHS practice. Register data on CHS contacts and socio-demographic indicators were collected for 10692 infants, born in 1998-2006. Results show small differences in contact pattern and immunization status, between children of young versus older, and single versus cohabiting mothers. However, both young (RR 0.64) and single (RR 0.80) mothers had significantly lower rates of participation in parental group. The CHS were consequently successful in implementing the universal preventive child health programme for all families, including families with young or single mothers. There was no indication, however, of an established selective preventive strategy aimed at these high risk families. Programs for strengthening the support provided to vulnerable families by the CHS are needed.

  9. Effects of health education and stove improvement in preventing coal-burning-borne endemic fluorosis in Pingba County of Guizhou Province

    Institute of Scientific and Technical Information of China (English)

    张伯友

    2013-01-01

    Objective To observe the effect of health education and installation of improved stove in control of coal-burn-ing-borne endemic fluorosis in Pingba County of Guizhou Province.Methods Two towns (Shizi and Qibo) of Pingba County that had implemented the health education and

  10. LGBT health and vaccinations: Findings from a community health survey of Lexington-Fayette County, Kentucky, USA.

    Science.gov (United States)

    Jones, Jeff; Poole, Asheley; Lasley-Bibbs, Vivian; Johnson, Mark

    2016-04-07

    Data on adult immunization coverage at the state level and for LGBT Americans in particular are sparse. This study reports the results of a 2012 Lexington-Fayette County, Kentucky, community health assessment's results asking about eight adult vaccinations among 218 lesbian, gay, bisexual, and transgendered (LGBT) respondents. Researchers collected data using an online survey distributed through LGBT social media, posters, and LGBT print media. The LGBT sample largely matches the demographics of the county as a whole except this group reports higher level of education and fewer uninsured individuals. Among LGBT respondents, immunization prevalence reaches 68.0% (annual Influenza), 65.7% (Hepatitis B), 58.8% (Chickenpox/Varicella), 55.9% (Hepatitis A), 41.2% (Smallpox), and 25.8% (Pneumonia). Among respondents who are currently within the recommended 19-26 years age range for the Human Papillomavirus (HPV) vaccine, the LGBT females are less likely to report receiving the vaccine (15.4%) compared to the national coverage percentage of 34.5%. Males, however, are more likely to have received the vaccine (10.3%) than the national percentage of 2.3%. The small number of LGBT seniors in the study report a much higher prevalence of the Shingles (Herpes Zoster) vaccines than for U.S. seniors 60 and older (71.4% compared to 20.1% nationally). LGBT respondents report higher percentages of adult vaccination. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. The "sugar pack" health marketing campaign in Los Angeles County, 2011-2012.

    Science.gov (United States)

    Barragan, Noel C; Noller, Ali J; Robles, Brenda; Gase, Lauren N; Leighs, Michael S; Bogert, Suzanne; Simon, Paul A; Kuo, Tony

    2014-03-01

    As part of a comprehensive approach to combating the obesity epidemic, the Los Angeles County Department of Public Health launched the "Sugar Pack" health marketing campaign in fall 2011. Carried out in three stages, the campaign sought to educate and motivate the public to reduce excess calorie intake from sugar-sweetened beverage consumption. The primary Sugar Pack creative concepts provided consumers with information about the number of sugar packs contained in sugary drinks. Data from formative market research as well as lessons from previous campaigns in other U.S. jurisdictions informed the development of the materials. These materials were disseminated through a multipronged platform that included paid outdoor media on transit and billboards and messaging using social media (i.e., Twitter, Facebook, YouTube, and sendable e-cards). Initial findings from a postcampaign assessment indicate that the Sugar Pack campaign reached broadly into targeted communities, resulting in more than 515 million impressions. Lessons learned from the campaign suggest that employing health marketing to engage the public can lead to increased knowledge, favorable recognition of health messages, and self-reported intention to reduce sugar-sweetened beverage consumption, potentially complementing other obesity prevention strategies in the field.

  12. Evaluation of potential protective factors against metabolic syndrome in bottlenose dolphins:feeding and activity patterns of dolphins in Sarasota Bay, Florida

    Science.gov (United States)

    Wells, Randall S.; McHugh, Katherine A.; Douglas, David C.; Shippee, Steve; McCabe, Elizabeth Berens; Barros, Nélio B.; Phillips, Goldie T.

    2014-01-01

    Free-ranging bottlenose dolphins (Tursiops truncatus) living in Sarasota Bay, Florida appear to have a lower risk of developing insulin resistance and metabolic syndrome compared to a group of dolphins managed under human care. Similar to humans, differences in diet and activity cycles between these groups may explain why Sarasota dolphins have lower insulin, glucose, and lipids. To identify potential protective factors against metabolic syndrome, existing and new data were incorporated to describe feeding and activity patterns of the Sarasota Bay wild dolphin community. Sarasota dolphins eat a wide variety of live fish and spend 10–20% of daylight hours foraging and feeding. Feeding occurs throughout the day, with the dolphins eating small proportions of their total daily intake in brief bouts. The natural pattern of wild dolphins is to feed as necessary and possible at any time of the day or night. Wild dolphins rarely eat dead fish or consume large amounts of prey in concentrated time periods. Wild dolphins are active throughout the day and night; they may engage in bouts of each key activity category at any time during daytime. Dive patterns of radio-tagged dolphins varied only slightly with time of day. Travel rates may be slightly lower at night, suggesting a diurnal rhythm, albeit not one involving complete, extended rest. In comparison, the managed dolphins are older; often fed a smaller variety of frozen-thawed fish types; fed fish species not in their natural diet; feedings and engaged activities are often during the day; and they are fed larger but fewer meals. In summary, potential protective factors against metabolic syndrome in dolphins may include young age, activity, and small meals fed throughout the day and night, and specific fish nutrients. These protective factors against insulin resistance and type 2 diabetes are similar to those reported in humans. Further studies may benefit humans and dolphins.

  13. Modelling of resource allocation to health care authorities in Stockholm county

    DEFF Research Database (Denmark)

    Andersson, Paula; Varde, E; Diderichsen, Finn

    2000-01-01

    before. We also show the effect of using more current data sources by replacing existing census variables with data from annually updated registers. Since the aim is to use the resource allocation models for prospective budgeting we test and evaluate the predictive power of the models one to two years......Since the Stockholm County Council introduced a system of purchasers and providers there has been a quest for population-based resource allocation models to allocate monies to purchasers of health care. In contrast to models used in Britain, Swedish models have been based on individual level data....... This paper presents recent developments in the model used in Stockholm for all care except primary care, testing new statistical methods for compression and clustering of the matrices used and the effect of introducing diagnostic information in addition to the demographic and socio-economic information used...

  14. The Spatial Association Between Federally Qualified Health Centers and County-Level Reported Sexually Transmitted Infections: A Spatial Regression Approach.

    Science.gov (United States)

    Owusu-Edusei, Kwame; Gift, Thomas L; Leichliter, Jami S; Romaguera, Raul A

    2017-08-16

    The number of categorical sexually transmitted disease (STD) clinics is declining in the United States. Federally qualified health centers (FQHCs) have the potential to supplement the needed sexually transmitted infection (STI) services. In this study, we describe the spatial distribution of FQHC sites and determine if reported county-level nonviral STI morbidity were associated with having FQHC(s) using spatial regression techniques. We extracted map data from the Health Resources and Services Administration data warehouse on FQHCs (ie, geocoded health care service delivery [HCSD] sites) and extracted county-level data on the reported rates of chlamydia, gonorrhea and, primary and secondary (P&S) syphilis (2008-2012) from surveillance data. A 3-equation seemingly unrelated regression estimation procedure (with a spatial regression specification that controlled for county-level multiyear (2008-2012) demographic and socioeconomic factors) was used to determine the association between reported county-level STI morbidity and HCSD sites. Counties with HCSD sites had higher STI, poverty, unemployment, and violent crime rates than counties with no HCSD sites (P < 0.05). The number of HCSD sites was associated (P < 0.01) with increases in the temporally smoothed rates of chlamydia, gonorrhea, and P&S syphilis, but there was no significant association between the number of HCSD per 100,000 population and reported STI rates. There is a positive association between STI morbidity and the number of HCSD sites; however, this association does not exist when adjusting by population size. Further work may determine the extent to which HCSD sites can meet unmet needs for safety net STI services.

  15. Distribution of Industrial Farms in the United States and Socioeconomic, Health, and Environmental Characteristics of Counties

    Directory of Open Access Journals (Sweden)

    S. M. Rafael Harun

    2013-01-01

    Full Text Available The method of producing food animals has changed in the United States over the past century, moving from traditional burns to enclosed structures resembling industrial buildings, where animals are raised in high stocking density (commonly known as “Concentrated Animal Feeding Operations,” CAFOs. The objective to maximize profit has resulted in poor farm management; raised issues of environmental pollution, public health, animal rights, and environmental justice, and had socio-economic impacts. Studies concerning the issues are limited to specific regions and types of CAFOs. In addition, studies on the spatial distribution and temporal changes of CAFO at a country scale are lacking. This study bridges some of the gaps by analyzing the spatial distribution of industrial farms in the United States in 2002 and 2007 and their relationship with vulnerable population and exploring the relationships among the concentrations of farms, socio-economic, health, and environmental characteristics of the counties. A range of spatial statistics tools were applied in this study. The study revealed variations in spatial distribution depending on the type of the CAFOs. The issue of environmental justice was found prevalent depending on the types of industrial farms. Each type of industrial farm was found to interact uniquely with the selected demographic, health, and environmental parameters.

  16. Assessing climate change and health vulnerability at the local level: Travis County, Texas.

    Science.gov (United States)

    Prudent, Natasha; Houghton, Adele; Luber, George

    2016-10-01

    We created a measure to help comprehend population vulnerability to potential flooding and excessive heat events using health, built environment and social factors. Through principal component analysis (PCA), we created non-weighted sum index scores of literature-reviewed social and built environment characteristics. We created baseline poor health measures using 1999-2005 age-adjusted cardiovascular and combined diabetes and hypertension mortality rates to correspond with social-built environment indices. We mapped US Census block groups by linked age-adjusted mortality and a PCA-created social-built environment index. The goal was to measure flooding and excessive heat event vulnerability as proxies for population vulnerability to climate change for Travis County, Texas. This assessment identified communities where baseline poor health, social marginalisation and built environmental impediments intersected. Such assessments may assist targeted interventions and improve emergency preparedness in identified vulnerable communities, while fostering resilience through the focus of climate change adaptation policies at the local level. No claim to original US government works. Journal compilation © 2016 Overseas Development Institute.

  17. Establishing baseline levels of trace elements in blood and skin of bottlenose dolphins in Sarasota Bay, Florida: Implications for non-invasive monitoring

    Energy Technology Data Exchange (ETDEWEB)

    Bryan, Colleen E. [National Institute of Standards and Technology, Hollings Marine Laboratory, 331 Fort Johnson Road, Charleston, South Carolina 29412 (United States); College of Charleston, Grice Marine Laboratory, 205 Fort Johnson Road, Charleston, South Carolina 29412 (United States)], E-mail: colleen.bryan@nist.gov; Christopher, Steven J. [National Institute of Standards and Technology, Hollings Marine Laboratory, 331 Fort Johnson Road, Charleston, South Carolina 29412 (United States); Balmer, Brian C.; Wells, Randall S. [Chicago Zoological Society c/o Mote Marine Laboratory, 1600 Ken Thompson Parkway, Sarasota, Florida 34236 (United States)

    2007-12-15

    Several major unusual mortality events occurring in recent years have increased the level of concern for the health of bottlenose dolphin populations along the United States Atlantic and Gulf of Mexico coasts. Trace element concentrations were examined in a population of free-ranging dolphins in Sarasota Bay, Florida, in order to develop a benchmark for future comparisons within and between populations. Whole blood (n = 51) and skin (n = 40) samples were collected through capture and release health assessment events during 2002-2004. Samples were analyzed for Al, V, Cr, Mn, Cu, Zn, As, Se, Rb, Sr, Mo, Cd, and Pb by inductively coupled plasma mass spectrometry (ICPMS) and Hg via atomic fluorescence spectrometry (AFS). Trace element concentrations (wet mass) in skin were 2 to 45 times greater than blood, except Cu was approximately 1.5 times higher in blood. Statistically strong correlations (p < 0.05) were found for V, As, Se, Rb, Sr, and Hg between blood and skin demonstrating that these tissues can be used as effective non-lethal monitoring tools. The strongest correlation was established for Hg (r = 0.9689) and concentrations in both blood and skin were above the threshold at which detrimental effects are observed in other vertebrate species. Female dolphins had significantly greater Hg concentrations in blood and skin and Pb concentrations in skin, relative to males. Calves exhibited significantly lower V, As, and Hg concentrations in blood and V and Hg concentrations in skin, relative to other age classes. Rubidium and Cu concentrations in skin were greatest in subadults and calves, respectively. In blood, V, Zn, and As concentrations were significantly greater in winter, relative to summer, and the opposite trend was observed for Rb and Sr concentrations. In skin, Cu and Zn concentrations were significantly greater in winter, relative to summer, and the opposite trend was observed for Mn, Rb, Cd, and Pb concentrations. The baseline concentrations and trends

  18. Allegheny County Plumbers

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — All master plumbers must be registered with the Allegheny County Health Department. Only Registered Master Plumbers who possess a current plumbing license or...

  19. Allegheny County Hospitals

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The data on health care facilities includes the name and location of all the hospitals and primary care facilities in Allegheny County. The current listing of...

  20. Allegheny County Hypertension Hospitalization

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This data provides hypertension prevalence data for each Zip Code in Allegheny County. The information was produced by Pennsylvania Health Care Cost Containment...

  1. Allegheny County Traffic Counts

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Traffic sensors at over 1,200 locations in Allegheny County collect vehicle counts for the Pennsylvania Department of Transportation. Data included in the Health...

  2. Public health assessment for public health implications of radiation contamination at former clock factories located in Bristo (Hartford County), New Haven, (New Haven County), Thomaston (Litchfield County), and Waterbury (New Haven County), Connecticut, Region 1. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-01-29

    This public health assessment was developed (1) to evaluate the radiation data collected by the Connecticut Department of Environmental Protection (CT DEP) at structures that once housed clock factories in four Connecticut municipalities, and (2) to determine whether a public health hazard exists at any of these sites from the contamination. Contamination was detected at levels that may pose a health risk to current occupants at the former Waterbury Clock Factory, the former Lux Clock Factory, and the former Benrus Clock Company buildings in Waterbury; the former Sessions Clock Company in Bristol; and the former Seth Thomas Clock Company in Thomaston. However, none of the radiation levels detected pose an immediate health problem. The Connecticut Department of Public Health recommends that individuals be disassociated from areas with radiation at levels exceeding 15 mRem/year.

  3. [Computer usage among primary health care physicians in the Vukovar-Srijem County].

    Science.gov (United States)

    Iveković, Hrvoje

    2002-01-01

    A survey was carried out, aiming at identification of the current usage of computers among primary health care physicians of the Vukovar-Srijem County. The results indicated poor knowledge and practice concerning the computer usage among examinees: 58% of the responders are not aware of the possibilities of computer usage in a GP office and 82% have not had an opportunity to see the software specialised for usage at GP offices. The results obtained from this survey indicate that none of the examinees use computer during daily routine work at the GP office. Only 26% of the examinees have got a computer, and use it at home, mostly for text processing. The Internet is used actively by 8% of examinees. Lack of education and equipment have been identified as main obstacles in the process of introducing computers to GP offices. Positive attitude towards computer usage has been identified, representing an important stimulus towards a more active role of the health centres management in solving this problem.

  4. Fighting Back Against Childhood Obesity Through the Cape May County Children’s Health Summit

    Directory of Open Access Journals (Sweden)

    Marilou Rochford

    2004-10-01

    Full Text Available Obesity is a fast-growing health issue affecting children and adolescents across the nation. Rutgers Cooperative Extension (RCE, along with agency and community partners, implemented a collaborative solution aimed at raising awareness, providing education, and effecting workable strategies for preventing obesity in children and families in the Cape May County, New Jersey, community. Because we regularly work with children and families, we knew that our clientele mirrored the national statistics on obesity, which state that 13% of children aged six to 11 years and 14% of adolescents aged 12 to 19 in the United States are overweight (1. These numbers represent a nearly three-fold increase for adolescents in the past two decades, the effects of which can be devastating both physically and emotionally. Adult health issues, such as high cholesterol, high blood pressure, and type 2 diabetes, have increased dramatically in children (2. Further troubling statistics show that overweight adolescents have a 70% chance of becoming overweight or obese adults, the likelihood of which increases to 80% if at least one parent is overweight or obese (2. Overweight children suffer emotionally, too, facing social discrimination, poor self-esteem, and depression (3.

  5. DDT, DDD, and DDE in soil of Xiangfen County, China: Residues, sources, spatial distribution, and health risks.

    Science.gov (United States)

    Ma, Jin; Pan, Li-Bo; Yang, Xiao-Yang; Liu, Xiao-Ling; Tao, Shi-Yang; Zhao, Long; Qin, Xiao-Peng; Sun, Zai-Jin; Hou, Hong; Zhou, Yong-Zhang

    2016-11-01

    We collected and analyzed 128 surface soil samples from Xiangfen County for dichlorodiphenyltrichloroethane (DDT), dichlorodiphenyldichloroethane (DDD), and dichlorodiphenyldichloroethylene (DDE). Total DDT concentrations (DDTs; sum of p,p'-DDD, p,p'-DDE, and p,p'-DDT) ranged from ND to 427.81 ng g(-1) (dry weight, dw), with a mean of 40.26 ng g(-1) (dw). Among the three compounds, p,p'-DDD was the most dominant. The DDTs in Xiangfen County soils mainly originated from historical DDT use, but there were also new inputs likely related to dicofol use. The DDTs in Xiangfen County soils were mainly degraded under anaerobic conditions, and direct degradation to DDD was the main degradation route. Regions with relatively high concentrations of DDTs were mainly located in North and South Xiangfen County. In these regions, many soil samples contained p,p'-DDT as the predominant pollutant, suggestive of extensive new inputs of DDT. A health risk assessment revealed that there are no serious long-term health impacts of exposure to DDTs in soil, for adults or children.

  6. A population in pain: report from the Olmsted County health study.

    Science.gov (United States)

    Watkins, Emmeline A; Wollan, Peter C; Melton, L Joseph; Yawn, Barbara P

    2008-03-01

    Pain is poorly understood on a population level. This study provides updated estimates of the prevalence, location, severity, and impact of pain in a U.S. community and discusses current definitions of "chronic" pain. We mailed four-page surveys to a random sample of 5,897 adult residents of Olmsted County, MN. The survey asked about participant pain (location, duration, severity, and impact), as well as satisfaction with pain-related health care. Of the 3,575 responders (61%), 64.4% reported having chronic pain (>3 months' duration); 6.9% reported subacute pain (1-3 months); and 9.9% reported acute pain (<1 month). Body regions with the highest prevalence of pain were the head (31.9%), lower back (37.7%), and joints (59.5%). Chronic pain sufferers had more days per months with pain, more moderate or severe pain, and greater levels of interference with general activities and sleep than the people with acute and subacute pain. Almost two-thirds of those with chronic pain (63%) reported multiple pain locations. Several chronic pain sufferers gave fair or poor ratings for the quality of care (13.3% of those rating) or the effectiveness of treatment (28.1%) for pain. The prevalence of chronic pain is high, often in more than one location, and over 21% of chronic pain sufferers report dissatisfaction with current care.

  7. Distribution of cardiovascular disease and associated risk factors by county type and health insurance status: results from the 2008 Ohio Family Health Survey.

    Science.gov (United States)

    Kariisa, Mbabazi; Seiber, Eric

    2015-01-01

    Epidemiologic studies have documented a disproportionate burden of chronic diseases in Appalachia, showing the area to be underserved by the health-care system. Nothing is known about how the health status of the Appalachian population compares with other rural or non-rural populations in the same state. We examined the associations among county type, health insurance category, and health outcomes in poorer adult Ohioans. We obtained data from the 2008 Ohio Family Health Survey, a complex landline- and cell phone-based survey of 50,944 noninstitutionalized households. We constructed bivariate analyses examining health status measures across various insurance categories and metropolitan, suburban, rural, and Appalachian counties in Ohio. Medicaid enrollees living in Appalachian and rural counties tended to be in poorer health and have a greater prevalence of smoking than non-Medicaid enrollees. Within rural and Appalachian regions, Medicaid enrollees were more likely than non-Medicaid enrollees to have lower self-rated health (54.8%, 95% confidence interval [CI] 44.1, 65.5 in rural regions and 52.1%, 95% CI 44.7, 59.5 in Appalachian regions). Appalachian and rural Medicaid enrollees were at an increased likelihood of having several chronic diseases compared with non-Medicaid enrollees. Our findings suggest that rural and Ohio Appalachian Medicaid enrollees were more likely to have hypertension, cardiovascular disease, and overall poorer health than non-Medicaid enrollees. These findings have important policy implications for health-care reform, highlighting regional disparities in provider coverage. These underserved regions would need an increase in the provider base to positively impact proposed Medicaid expansion programs.

  8. [Decentralization and how to conduct it as a revolution or an evolution? County public health and management capacity building as a prerequisite for successful decentralization in the Republic of Croatia].

    Science.gov (United States)

    Sogorić, Selma; Dzakula, Aleksandar; Polasek, Ozren; Grozić-Zivolić, Sonja; Lang, Slobodan

    2010-12-01

    Based on the results of the first phase of the County Public Health Capacity Building Program named Health-Plan for It, implemented in the Republic of Croatia during the 2002-2008 period, this article analyzes the relationship between training of the county teams and their ability to develop health policy. Our hypothesis was that decentralized model of health planning and management would not occur just by changing legislation alone. Counties in Croatia needed educational support (learning-by-doing training) in order to improve public health practices at the county level. During the 2002-2005 period, the first 15 county teams (so-called first cycle counties) completed their training. The teams consisted of 12 to 15 members, representatives of political and executive component, technical component (public health professionals, representatives of health and social welfare institutions) and community members (non-government sector and media). Teams were trained in cohorts. Three counties passed together through the six-month process of modular training (four education modules, with four days of intensive training and "homework" between modules) at the time. The remaining 5 counties (second-cycle counties) completed the same kind of training in 2007-2008. The Public Health Performance Matrix (the Local Public Health Practice Performance Measures instrument developed by the US CDC Public Health Practice Program Office) was used as an evaluation instrument. Each county team had to fill it out at the beginning of education. Comparison of the Public Health Performance Matrices of first cycle counties (training in 2002-2005) with those of the second cycle counties (trained several years later) yielded no differences. Although training materials were publicly available (accessible through the Croatian Healthy Cities web pages) for years, the second cycle counties did not spontaneously (without training) increase their county-level capacities for participative health needs

  9. The Los Angeles County Community Disaster Resilience Project - a community-level, public health initiative to build community disaster resilience.

    Science.gov (United States)

    Eisenman, David; Chandra, Anita; Fogleman, Stella; Magana, Aizita; Hendricks, Astrid; Wells, Ken; Williams, Malcolm; Tang, Jennifer; Plough, Alonzo

    2014-08-19

    Public health officials need evidence-based methods for improving community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR), a public health program for increasing community disaster resilience. The LACCDR Project utilizes a pretest-posttest method with control group design. Sixteen communities in Los Angeles County were selected and randomly assigned to the experimental community resilience group or the comparison group. Community coalitions in the experimental group receive training from a public health nurse trained in community resilience in a toolkit developed for the project. The toolkit is grounded in theory and uses multiple components to address education, community engagement, community and individual self-sufficiency, and partnerships among community organizations and governmental agencies. The comparison communities receive training in traditional disaster preparedness topics of disaster supplies and emergency communication plans. Outcome indicators include longitudinal changes in inter-organizational linkages among community organizations, community member responses in table-top exercises, and changes in household level community resilience behaviors and attitudes. The LACCDR Project is a significant opportunity and effort to operationalize and meaningfully measure factors and strategies to increase community resilience. This paper is intended to provide public health and academic researchers with new tools to conduct their community resilience programs and evaluation research. Results are not yet available and will be presented in future reports.

  10. Integrated Health Risk Assessment of Heavy Metals in Suxian County, South China

    Directory of Open Access Journals (Sweden)

    Daping Song

    2015-06-01

    Full Text Available The purpose of this study was to assess soil heavy metal contamination and the potential risk for local residents in Suxian county of Hunan Province, southern China. Soil, rice and vegetable samples from the areas near the mining industrial districts were sampled and analyzed. The results indicate that the anthropogenic mining activities have caused local agricultural soil contamination with As, Pb, Cu and Cd in the ranges of 8.47–341.33 mg/kg, 19.91–837.52 mg/kg, 8.41–148.73 mg/kg and 0.35–6.47 mg/kg, respectively. GIS-based mapping shows that soil heavy metal concentrations abruptly diminish with increasing distance from the polluting source. The concentrations of As, Pb, Cu and Cd found in rice were in the ranges of 0.02–1.48 mg/kg, 0.66–5.78 mg/kg, 0.09–6.75 mg/kg, and up to 1.39 mg/kg, respectively. Most of these concentrations exceed their maximum permissible levels for contaminants in foods in China. Heavy metals accumulate to significantly different levels between leafy vegetables and non-leafy vegetables. Food consumption and soil ingestion exposure are the two routes that contribute to the average daily intake dose of heavy metals for local adults. Moreover, the total hazard indices of As, Pb and Cd are greater than or close to the safety threshold of 1. Long-term As, Pb and Cd exposure through the regular consumption of the soil, rice and vegetables in the investigated area poses potential health problems to residents in the vicinity of the mining industry.

  11. Exploring Barriers to Implementation of Smoking Policies:A Qualitative Study on Health Professionals from Three County-Level Hospitals

    Institute of Scientific and Technical Information of China (English)

    JUN-FANG WANG; SHAO-JUN MA; CUI-ZHU MEI; XUE-FANG XU; CHUN-PING WANG; GONG-HUAN YANG

    2008-01-01

    Objective This study was to identify factors limiting the implementation of smoking policies in county-level hospitals. Methods We conducted qualitative interviews (17 focus groups discussions and 6 one-to-one in depth interviews)involving 103 health professionals from three target county-level hospitals. A combination of purposive and convenience sampling was used to recruit subjects and gain a broad range of perspectives on issues emerging from ongoing data-analysis until data saturation occurred. The transcripts were analyzed for themes and key points. Results The main themes that emerged suggested that both smokers and non-smokers viewed smoking very negatively. However, it was clear that, underlying this acceptance of the health risks of smoking, there was a wide range of beliefs. Most of the health professionals pointed out that, as smoking was legal, addictive, and influenced by social norms, currently it was almost unrealistic to expect all smokers to give up smoking or not to smoke in the hospitals. Furthermore, they were concerned about the potentially detrimental effects of providing counseling advice to all smokers on the interpersonal relationship among colleagues or between doctors and patients. In addition, low level of employee participation influenced the sustainable implementation of smoking policies. Conclusions Simply being aware of the health risks about smoking did not necessarily result in successful implementation of the smoking policies. Application of comprehensive intervention strategies such as implementing smoking policies in public places at the county level, creating supportive environments, promoting community participation,and conducting health education, may be more effective.

  12. Submarine groundwater discharge in the Sarasota Bay system: Its assessment and implications for the nearshore coastal environment

    Science.gov (United States)

    Mwashote, B. M.; Murray, M.; Burnett, W. C.; Chanton, J.; Kruse, S.; Forde, A.

    2013-02-01

    A study was conducted from July 2002 through June 2006 in order to assess the significance of submarine groundwater discharge (SGD) to Sarasota Bay (SB), Florida. The assessment approaches used in this study included manual seepage meters, geochemical tracers (radon, 222Rn and methane, CH4), and subseafloor resistivity measurements. The estimated SGD advection rates in the SB system were found to range from 0.7 to 24.0 cm/day, except for some isolated hot spot occurrences where higher rates were observed. In general, SGD estimates were relatively higher (5.9-24.0 cm/day) in the middle and south regions of the bay compared to the north region (0.7-5.9 cm/day). Average dissolved inorganic nutrient concentrations within the SB water column ranged: 0.1-11 μM (NO2+NO3), 0.1-9.1 μM (NH4) and 0.2-1.4 μM (PO4). The average N/P ratio was higher in the north compared to the middle and south regions of the bay. On average, we conservatively estimate that about 27% of the total N in the SB system was derived via SGD. The prevalence of shallow embayed areas in the SB system and the presence of numerous septic tanks in the surrounding settlements enhanced the potential effects of nutrient rich seepages. Statistical comparison of the quantitative approaches revealed a good agreement between SGD estimates from manual seepage meters and those derived from the 222Rn model (p=0.67; α=0.05; n=18). CH4 was found to be useful for qualitative SGD assessments. CH4 and 222Rn were correlated (r2=0.31; α=0.05; n=54). Large scale resistivity surveys showed spatial variability that correlates more clearly with lithology than with SGD patterns.

  13. Social health assistance schemes: the case of Medical Financial Assistance for the rural poor in four counties of China

    Directory of Open Access Journals (Sweden)

    Yang Yang

    2011-10-01

    Full Text Available Abstract Background Economic transition which took place in China over the last three decades, has led to a rapid marketization of the health care sector. Today inequity in health and poverty resulting from major illness has become a serious problem in rural areas of China. Medical Financial Assistance (MFA is a health assistance scheme that helps rural poor people cope with major illness and alleviate their financial burden from major illness, which will definitely play a significant role in the process of rebuilding Chinese new rural health system. It mainly provides assistance to cover medical expenditure for inpatient services or the treatment of major illnesses, with joint funding from the central and local government. The purpose of this paper is to review the design, funding, implementation and to explore the preliminary effects of four counties' MFA in Hubei and Sichuan province of China. Methods We used an analytical framework built around the main objective of any social assistance scheme. The framework contains six 'targeting' procedural 'steps' which may explain why a specific group does not receive the assistance it ought to receive. More specifically, we explored to what extent the targeting, a key component of social assistance programs, is successful, based on the qualitative and quantitative data collected from four representative counties in central and western China. Results In the study sites, the budget of MFA ranged from 0.8 million Yuan to 1.646 million Yuan in each county and the budget per eligible person ranged from 32.67 Yuan to 149.09 Yuan. The preliminary effects of MFA were quite modest because of the scarcity of funds dedicated to the scheme. The coverage rate of MFA ranged from 17.8% to 24.1% among the four counties. MFA in the four counties used several ways to ration a restricted budget and provided only limited assistance. Substantial problems remained in terms of eligibility and identification of the

  14. State of spirituality-infused mental health services in Los Angeles County wellness and client-run centers.

    Science.gov (United States)

    Yamada, Ann-Marie; Subica, Andrew M; Kim, Min Ah; Van Nguyen, Kevin; Lim, Caroline S; Mancuso, Laura L

    2014-11-01

    Spiritual coping is associated with positive mental health outcomes for individuals with serious mental illness, yet spirituality-infused services are seldom offered in public sector mental health agencies. The Los Angeles County Department of Mental Health introduced a policy addressing spirituality in 2012. This study explored the breadth and degree to which spirituality-infused activities were being offered in 53 Los Angeles wellness and recovery centers after the policy was widely disseminated. More than 98 % of the centers offered options for spirituality-infused activities; one-third offered spirituality-focused groups. Los Angeles's progress may guide implementation of spirituality-infused services in other state or local public mental health systems.

  15. County Spending

    Data.gov (United States)

    Montgomery County of Maryland — This dataset includes County spending data for Montgomery County government. It does not include agency spending. Data considered sensitive or confidential and will...

  16. Ecosystem Health Assessment at County-Scale Using the Pressure-State-Response Framework on the Loess Plateau, China

    Directory of Open Access Journals (Sweden)

    Delin Liu

    2016-12-01

    Full Text Available Assessing ecosystem health is helpful to determine reasonable eco-environmental restoration and resource management strategies. Based on a pressure-state-response (PSR framework, a set of comprehensive indicators including natural, social and economic aspects was proposed and applied for assessing the ecosystem health of Yuanzhou County, Loess Plateau, Ningxia Province, China. The basic data used to calculate the values of the assessment indicators include Landsat TM image and socio-economic data, and remote sensing (RS and the geographic information system (GIS were used to process image data. The results showed that the ecosystem health conditions of most townships in Yuanzhou County were at the moderately healthy level, three townships were at the healthy level, and only two townships were at the unhelathy level; the areas (percentage at the unhealthy, moderately healthy and healthy levels were 443.91 km2 (12.66%, 2438.75 km2 (69.54% and 624.50 km2 (17.81%, respectively. The results could provide useful information for local residents and the government to take measures to improve the health conditions of their township ecosystem.

  17. Availability of more healthful food alternatives in traditional, convenience, and nontraditional types of food stores in two rural Texas counties.

    Science.gov (United States)

    Bustillos, Brenda; Sharkey, Joseph R; Anding, Jenna; McIntosh, Alex

    2009-05-01

    Limited research has focused on the availability of more healthful food alternatives in traditional food stores (supermarkets and grocery stores) in rural areas. Current market trends suggest that food items may be available for purchase in stores other than traditional food stores. An observational survey was developed and used on-site to document the availability and variety of fruit and vegetables (fresh, canned, and frozen), meats (meat, poultry, fish, and eggs), dairy (milk, yogurt, and cheese), and grains (whole grains and refined grains) in all traditional food stores, convenience stores, and nontraditional food stores (dollar stores and mass merchandisers) in two rural Texas counties. Descriptive statistics and t tests identified that although the widest selection of more healthful food items was available in supermarkets, not all supermarkets carried all items. Grocery stores carried less variety of fresh fruits (8+/-0.7 vs 4.7+/-0.3; Pfood stores. Among convenience and nontraditional food stores, "dollar" stores offered the best variety of more healthful canned fruits and vegetables, whole-wheat bread, and whole-grain cereal. Mass merchandisers and dollar stores offered a greater variety of more healthful types of canned tuna and poultry, reduced-fat and skim milk, and low-fat tortillas. In these rural counties, traditional food stores offered greater availability of more healthful food choices across food groups. More healthful food choices in canned fruits and vegetables, canned meat and fish, milk, and grains were also available in dollar stores, mass merchandisers, and convenience stores. Results suggest that a complete understanding of the food environment, especially in rural areas, requires knowledge of the availability and variety of healthful food in all types of stores that are accessible to families.

  18. Florida red tide and human health: a pilot beach conditions reporting system to minimize human exposure.

    Science.gov (United States)

    Kirkpatrick, Barbara; Currier, Robert; Nierenberg, Kate; Reich, Andrew; Backer, Lorraine C; Stumpf, Richard; Fleming, Lora; Kirkpatrick, Gary

    2008-08-25

    With over 50% of the US population living in coastal counties, the ocean and coastal environments have substantial impacts on coastal communities. While many of the impacts are positive, such as tourism and recreation opportunities, there are also negative impacts, such as exposure to harmful algal blooms (HABs) and water borne pathogens. Recent advances in environmental monitoring and weather prediction may allow us to forecast these potential adverse effects and thus mitigate the negative impact from coastal environmental threats. One example of the need to mitigate adverse environmental impacts occurs on Florida's west coast, which experiences annual blooms, or periods of exuberant growth, of the toxic dinoflagellate, Karenia brevis. K. brevis produces a suite of potent neurotoxins called brevetoxins. Wind and wave action can break up the cells, releasing toxin that can then become part of the marine aerosol or sea spray. Brevetoxins in the aerosol cause respiratory irritation in people who inhale it. In addition, asthmatics who inhale the toxins report increase upper and lower airway symptoms and experience measurable changes in pulmonary function. Real-time reporting of the presence or absence of these toxic aerosols will allow asthmatics and local coastal residents to make informed decisions about their personal exposures, thus adding to their quality of life. A system to protect public health that combines information collected by an Integrated Ocean Observing System (IOOS) has been designed and implemented in Sarasota and Manatee Counties, Florida. This system is based on real-time reports from lifeguards at the eight public beaches. The lifeguards provide periodic subjective reports of the amount of dead fish on the beach, apparent level of respiratory irritation among beach-goers, water color, wind direction, surf condition, and the beach warning flag they are flying. A key component in the design of the observing system was an easy reporting pathway for

  19. Allegheny County Fast Food Establishments

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Allegheny County Health Department has generated this list of fast food restaurants by exporting all chain restaurants without an alcohol permit from the...

  20. Public health assessment for Sandoval Zinc Company, Sandoval, Marion County, Illinois, Region 5: CERCLIS number ILD053980454. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1999-06-10

    The Sandoval Zinc site occupies about 13 acres southeast of Sandoval in Marion County, Illinois. It is an abandoned primary and secondary zinc smelter that was next to a coal mining operation. Smelting waste may have been transported off the site and used as fill in Sandoval and other nearby communities. Airborne emissions occurred during regular operations and accidental fires. Surface water runoff transported wastes from the site into adjacent ditches, creeks, ponds, and farm properties. Overall, the Sandoval Zinc site poses no apparent public health hazard to most of the population in Sandoval. The site may be a public health hazard to preschool children with excessive hand-to-mouth activity exposed to residential surface soils with high levels of lead. However, blood sample results from children in a day care near the site did not show elevated levels of lead.

  1. Socioeconomic factors and parity of access to robotic surgery in a county health system.

    Science.gov (United States)

    Tatebe, Leah Carey; Gray, Regan; Tatebe, Ken; Garcia, Fernando; Putty, Bradley

    2017-02-28

    Equal access to novel surgical technologies remains a policy concern as hospitals adopt robotic surgery with increasing prevalence. This study sought to determine whether socioeconomic factors influence access to robotic surgery. All laparoscopic and robotic fundoplications and paraesophageal hernia repairs performed by a surgical group over 6 years at a county and two neighboring private hospitals were identified. Robotic use by hospital setting, age, gender, reported ethnicity, estimated income, insurance payer, and diagnosis were examined. Of 418 patients identified, 180 (43%) presented to the county hospital, where subjects were younger (51.1 versus 56.2 years, p robotic surgery offered in the county hospital was observed based on age, gender, reported ethnicity, estimated income, or insurance payer. Patients with higher income and private insurers were more likely to present to the private hospital setting where robotics is utilized more often. The presence of a paraesophageal hernia was a significant factor in determining robotic therapy in both settings.

  2. National Health and Nutrition Examination Survey: California and Los Angeles County, Estimation Methods and Analytic Considerations, 1999-2006 and 2007-2014.

    Science.gov (United States)

    Parker, Jennifer D; Kruszon-Moran, Deanna; Mohadjer, Leyla K; Dohrmann, Sylvia M; Van de Kerckhove, Wendy; Clark, Jason; Burt, Vicki L

    2017-05-01

    Background California is the most populated state and Los Angeles County is the most populated county in the United States. National Health and Nutrition Examination Survey (NHANES) sample weights and variance units were developed for these places to obtain subnational estimates. Objective This report describes the California and Los Angeles County NHANES 1999-2006 and 2007-2014 samples, including the creation of the sample weights and variance units and descriptions of the resulting data files. Some analytic guidelines are provided. Results Eight years of NHANES data were combined for each data file to provide an adequate sample size and reduce disclosure risks. Because Los Angeles County has been a self-representing primary sampling unit, sample weights for Los Angeles County were relatively straightforward. However, a modelbased approach was used to create sample weights for California. The relatively large proportion of Mexican- American and other Hispanic persons in California, coupled with the different NHANES 1999-2014 sample design requirements for oversampling these groups within the small number of NHANES locations selected each cycle, led to a relatively large size of these groups in the California and Los Angeles County NHANES files. For example, 1,137 and 374 of the 3,353 Mexican-Americans persons in NHANES 2007-2014 were in the California and Los Angeles County samples, respectively. Conclusion The California and Los Angeles County NHANES 1999-2006 and 2007-2014 samples are available in the National Center for Health Statistics Research Data Center. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  3. Maternal and infant health indicators by county, census tract and year, 1999-2006

    Data.gov (United States)

    California Environmental Health Tracking Program — This data set contains values for Nationally Consistent Data and Measures (NCDMs) designated by the national Environmental Public Health Tracking Program derived...

  4. An Innovative Project Breaks Down Barriers to Oral Health Care for Vulnerable Young Children in Los Angeles County.

    Science.gov (United States)

    Crall, James J; Illum, Jackie; Martinez, Ana; Pourat, Nadereh

    2016-06-01

    Despite the high rate of untreated tooth decay, many young children in California under six years of age have never been to a dentist. Numerous and complex barriers to access to oral health care for young children exist, and a multifaceted approach is required to improve receipt of preventive and treatment services that could improve the oral health of this population. This policy brief describes the UCLA-First 5 LA 21st Century Dental Homes Project, which was designed to improve oral health care for young children in 12 Federally Qualified Health Center (FQHC) clinic sites with co-located dental and primary care services and its accessibility in their service areas throughout Los Angeles County. The project funded infrastructure and staffing, provided technical assistance to improve operations, trained clinical personnel to provide oral health care to young children, implemented a quality improvement learning collaborative, trained parents and child care providers in oral hygiene and healthy habits, and disseminated information to promote effective policies. Early data on the project indicated twofold increases in delivery of both diagnostics and treatment visits for young children, and a threefold increase in preventive services for young children during the program.

  5. The Role of Effective Factors in Preventive Behaviors of Brucellosis in Stockbreeder of Charaoymaq County: A Health Belief Model

    Directory of Open Access Journals (Sweden)

    Vahid Babaei

    2016-03-01

    Full Text Available Background & Objectives: Prevention and control of brucellosis is necessary to identify the influential factors. Therefore, this study has aimed to investigate the effective factors in preventive behaviors of brucellosis in ranchers of Charaoymaq County. Materials & Methods: In this cross-sectional study, 200 ranchers participated who were selected via stratified random sampling from 5 health centers. To collect information, a questionnaire was used based on health belief model. The data analysis was performed, using SPSS 21, statistical tests of linear regression analysis, and correlation and description tests at a significance level of p < 05/0. Results: In this study, there was a significant correlation between education level and preventive behaviors and among the structures of health belief model. According to regression analysis of health belief model structures, the strongest predictors of behavior were tips to action, self-efficacy, and perceived susceptibility. Conclusion: Based on these results, using educational models can be effective in identifying factors influencing health behaviors. The findings of this study also showed that tips to action, self-efficacy, and perceived susceptibility are the most important predictors of behavior, and special attention must be paid to designing and implementing educational interventions on them.

  6. Effects of Nativity, Length of Residence, and County-Level Foreign-Born Density on Mental Health Among Older Adults in the U.S.

    Science.gov (United States)

    Choi, Sunha; Kim, Giyeon; Lee, Sungkyu

    2016-12-01

    Using the 2004-2007 Medical Expenditure Panel Survey data that are linked to county-level data from the Area Health Resources Files, this study examined whether the healthy immigrant effect applies to mental health of foreign-born older adults. Additionally, testing a protective ethnic density effect on older foreign-born individuals' mental health, this study examined how the percentage of foreign-born population in the county affected the relationship between older adults' immigration status (U.S.-nativity and length of residence in the U.S.) and their mental health status. The sample included 29,011 individuals (level-1) from 920 counties (level-2) across 50 states and D.C. Using the Mental Component Summary of the Short-Form 12, the Kessler Index (K-6), and the Patient Health Questionnaire (PHQ-2), U.S.-born individuals (n = 24,225), earlier immigrants (≥15 years in the U.S.; n = 3866), and recent immigrants (U.S.; n = 920) were compared. The results indicate that recent immigrants showed worse mental health on all three measures compared with U.S.-born individuals and on the K-6 and PHQ-2 compared with earlier immigrants. Higher county-level foreign-born densities were associated with worse mental health status of individuals. However, the significant interactions found in the full conditional multilevel models indicated that the high foreign-born density functioned as a risk factor for worse mental health only among recent immigrants but not among the U.S.-born. In conclusion, the results revealed the vulnerability of older recent immigrants, especially those living in the counties with high foreign-born densities.

  7. Public Health Surveillance Strategies for Mass Gatherings: Super Bowl XLIX and Related Events, Maricopa County, Arizona, 2015.

    Science.gov (United States)

    Ayala, Aurimar; Berisha, Vjollca; Goodin, Kate; Pogreba-Brown, Kristen; Levy, Craig; McKinney, Benita; Koski, Lia; Imholte, Sara

    2016-01-01

    Super Bowl XLIX took place on February 1, 2015, in Glendale, Arizona. In preparation for this event and associated activities, the Maricopa County Department of Public Health (MCDPH) developed methods for enhanced surveillance, situational awareness, and early detection of public health emergencies. Surveillance strategies implemented from January 22 to February 6, 2015, included enhanced surveillance alerts; animal disease surveillance; review of NFL clinic visits; syndromic surveillance for emergency room visits, urgent care facilities, and hotels; real-time onsite syndromic surveillance; all-hazards mortality surveillance; emergency medical services surveillance, review of poison control center reports; media surveillance; and aberration detection algorithms for notifiable diseases. Surveillance results included increased influenzalike illness activity reported from urgent care centers and a few influenza cases reported in the NFL clinic. A cyanide single event exposure was investigated and determined not to be a public health threat. Real-time field syndromic surveillance documented minor injuries at all events and sporadic cases of gastrointestinal and neurological (mostly headaches) disease. Animal surveillance reports included a cat suspected of carrying plague and tularemia and an investigation of highly pathogenic avian influenza in a backyard chicken flock. Laboratory results in both instances were negative. Aberration detection and syndromic surveillance detected an increase in measles reports associated with a Disneyland exposure, and syndromic surveillance was used successfully during this investigation. Coordinated enhanced epidemiologic surveillance during Super Bowl XLIX increased the response capacity and preparedness of MCDPH to make informed decisions and take public health actions in a timely manner during these mass gathering events.

  8. Spatiotemporal discordance in five common measures of rurality for US counties and applications for health disparities research in older adults

    Directory of Open Access Journals (Sweden)

    Steven A. Cohen

    2015-11-01

    Full Text Available Introduction: Rural populations face numerous barriers to health, including poorer health care infrastructure, access to care, and other sociodemographic factors largely associated with rurality. Multiple measures of rurality used in the biomedical and public health literature can help assess rural-urban health disparities and may impact the observed associations between rurality and health. Furthermore, understanding what makes a place truly rural versus urban may vary from region to region in the United States.Purpose: The objectives of this study are to compare and contrast five common measures of rurality and determine how well-correlated these measures are at the national, regional, and divisional level, as well as to assess patterns in the correlations between the prevalence of obesity in the population aged 60+ and each of the five measures of rurality at the regional and divisional level.Methods: Five measures of rurality were abstracted from the US Census and US Department of Agriculture (USDA to characterize US counties. Obesity data in the population aged 60+ were abstracted from the Behavioral Risk Factor Surveillance System (BRFSS. Spearman’s rank correlations were used to quantify the associations among the five rurality measurements at the national, regional, and divisional level, as defined by the US Census Bureau. Geographic information systems were used to visually illustrate temporal, spatial, and regional variability. Results: Overall, Spearman’s rank correlations among the five measures ranged from 0.521 (percent urban-Urban Influence Code to 0.917 (Rural-Urban Continuum Code-Urban Influence Code. Notable discrepancies existed in these associations by Census region and by division. The associations between measures of rurality and obesity in the 60+ population varied by rurality measure used and by region. Conclusion: This study is among the first to systematically assess the spatial, temporal, and regional differences

  9. Iglesia luterana de Sarasota

    Directory of Open Access Journals (Sweden)

    Lundy, Victor A.

    1961-11-01

    Full Text Available La arquitectura de Lundy —arquitecto solitario de Florida— se caracteriza por la rebeldía a la adopción de formas tradicionales, por el empleo de la madera (aprovechando todas, absolutamente todas sus cualidades, por la perfecta estructuración constructiva de la forma adoptada y por el estudio concienzudo de sus plantas, que, con la máxima sencillez, llegan a alcanzar el funcionalismo más racional.

  10. Modifying effect of the County Level Health Indices on Cardiopulmonary Effects Associated with Wildfire Exposure

    Science.gov (United States)

    Background and Aims: Socioeconomic status (SES) is a known risk factor for cardiopulmonary health and some studies suggest SES may be an effect modifier for health effects associated with exposure to air pollution. We investigated the synergistic impact of health disparities on ...

  11. A Mixed-Methods Evaluation of the Choose Less, Weigh Less Portion Size Health Marketing Campaign in Los Angeles County.

    Science.gov (United States)

    Gase, Lauren N; Barragan, Noel C; Robles, Brenda; Leighs, Michael; Kuo, Tony

    2015-01-01

    To assess the impact of the Choose Less, Weigh Less portion size health marketing campaign. A mixed-methods, cross-sectional evaluation. A quantitative Internet panel survey was administered through an online sampling vendor and qualitative interviews were conducted by street intercept. The panel survey included 796 participants, weighted to represent Los Angeles County. Street intercept interviews were conducted with 50 other participants. The Choose Less, Weigh Less campaign included print media on transit shelters, bus and rail cars, and billboards; radio and online advertising; and Web site content and social media outreach. The panel survey measured self-reported campaign exposure and outcomes, including knowledge of recommended daily calorie limits, attitudes toward portion sizes, and intent to reduce calories and portion size. Intercept interviews assessed campaign appeal, clarity, and utility. Weighted survey data were analyzed using logistic regression to assess the association between campaign exposure and outcomes. Interview data were analyzed for themes. The campaign reached 19.7% of the Los Angeles County population. Significant differences were seen for 2 of the 10 outcomes assessed. Participants who saw the campaign were more likely than those who did not to report fast-food portion sizes as being too large (adjusted odds ratio [Adj. OR]: 1.89; 95% confidence interval [CI]: 1.16, 3.07) and intention to choose a smaller portion (Adj. OR: 1.99; 95% CI: 1.20, 3.31). Qualitative data revealed three themes about appeal, clarity, and utility. Health marketing efforts targeting portion size can have relatively broad reach and limited but positive impacts on consumer attitudes and intent to select smaller portions.

  12. School-Based Intervention for Nutrition Promotion in Mi Yun County, Beijing, China: Does a Health-Promoting School Approach Improve Parents' Knowledge, Attitudes and Behaviour?

    Science.gov (United States)

    Wang, Dongxu; Stewart, Donald; Chang, Chun

    2016-01-01

    Purpose: The purpose of this paper is to assess whether the school-based nutrition programme using the health-promoting school (HPS) framework was effective to improve parents' knowledge, attitudes and behaviour (KAB) in relation to nutrition in rural Mi Yun County, Beijing. Design/methodology/approach: A cluster-randomised intervention trial…

  13. A Comparative Analysis of the Validity of US State- and County-Level Social Capital Measures and Their Associations with Population Health

    Science.gov (United States)

    Lee, Chul-Joo; Kim, Daniel

    2013-01-01

    The goals of this study were to validate a number of available collective social capital measures at the US state and county levels, and to examine the relative extent to which these social capital measures are associated with population health outcomes. Measures of social capital at the US state level included aggregate indices based on the…

  14. School-Based Intervention for Nutrition Promotion in Mi Yun County, Beijing, China: Does a Health-Promoting School Approach Improve Parents' Knowledge, Attitudes and Behaviour?

    Science.gov (United States)

    Wang, Dongxu; Stewart, Donald; Chang, Chun

    2016-01-01

    Purpose: The purpose of this paper is to assess whether the school-based nutrition programme using the health-promoting school (HPS) framework was effective to improve parents' knowledge, attitudes and behaviour (KAB) in relation to nutrition in rural Mi Yun County, Beijing. Design/methodology/approach: A cluster-randomised intervention trial…

  15. Disparity in reimbursement for tuberculosis care among different health insurance schemes: evidence from three counties in central China

    Institute of Scientific and Technical Information of China (English)

    Yao Pan; Shanquan Chen; Manli Chen; Pei Zhang; Qian Long; Li Xiang; Henry Lucas

    2016-01-01

    Background:Health inequity is an important issue all around the world.The Chinese basic medical security system comprises three major insurance schemes,namely the Urban Employee Basic Medical Insurance (UEBMI),the Urban Resident Basic Medical Insurance (URBMI),and the New Cooperative Medical Scheme (NCMS).Little research has been conducted to look into the disparity in payments among the health insurance schemes in China.In this study,we aimed to evaluate the disparity in reimbursements for tuberculosis (TB) care among the abovementioned health insurance schemes.Methods:This study uses a World Health Organization (WHO) framework to analyze the disparities and equity relating to the three dimensions of health insurance:population coverage,the range of services covered,and the extent to which costs are covered.Each of the health insurance scheme's policies were categorized and analyzed.An analysis of the claims database of all hospitalizations reimbursed from 2010 to 2012 in three counties of Yichang city (YC),which included 1506 discharges,was conducted to identify the differences in reimbursement rates and out-of-pocket (OOP) expenses among the health insurance schemes.Results:Tuberculosis patients had various inpatient expenses depending on which scheme they were covered by (TB patients covered by the NCMS have less inpatient expenses than those who were covered by the URBMI,who have less inpatient expenses than those covered by the UEBMI).We found a significant horizontal inequity of healthcare utilization among the lower socioeconomic groups.In terms of financial inequity,TB patients who earned less paid more.The NCMS provides modest financial protection,based on income.Overall,TB patients from lower socioeconomic groups were the most vulnerable.Conclusion:There are large disparities in reimbursement for TB care among the three health insurance schemes and this,in turn,hampers TB control.Reducing the gap in health outcomes between the three health insurance

  16. Bathymetry of Lake Manatee, Manatee County, Florida, 2009

    Science.gov (United States)

    Bellino, Jason C.; Pfeiffer, William R.

    2010-01-01

    Lake Manatee, located in central Manatee County, Florida, is the principal drinking-water source for Manatee and Sarasota Counties. The drainage basin of Lake Manatee encompasses about 120 square miles, and the reservoir covers a surface area of about 1,450 acres at an elevation of 38.8 feet above NAVD 88 or 39.7 feet above NGVD 29. The full pool water-surface elevation is 39.1 feet above NAVD 88 (40.0 feet above NGVD 29), and the estimated minimum usable elevation is 25.1 feet above NAVD 88 (26.0 feet above NGVD 29). The minimum usable elevation is based on the elevation of water intake structures. Manatee County has used the stage/volume relation that was developed from the original survey in the 1960s to estimate the volume of water available for consumption. Concerns about potential changes in storage capacity of the Lake Manatee reservoir, coupled with a recent drought, led to this bathymetry mapping effort.

  17. The mental health, quality of life and life satisfaction of internally displaced persons living in Nakuru County, Kenya.

    Science.gov (United States)

    Getanda, Elijah Mironga; Papadopoulos, Chris; Evans, Hala

    2015-08-06

    Internally displaced persons (IDPs) are among the most vulnerable people in the world today. Previous research highlights that conflict-induced forced displacement can cause problems with mental health and wellbeing. This study aimed to contribute to this body of knowledge by investigating the mental health, quality of life, and life satisfaction among IDPs living in Nakuru, Kenya. A questionnaire that included the General Health Questionnaire-12, Satisfaction with Life Scale, and a modified version of the WHO Quality of Life-BREF tool was used for data collection. The questionnaire also included an open-ended question inviting qualitative responses about their experience as an IDP. The questionnaire was distributed through a three-stage sampling approach across four refugee camps from four regions of the Nakuru County in Kenya. One hundred IDPs participated in this study. All participants scored substantially higher than the applied GHQ-12 threshold for caseness (mean GHQ-12 score = 28.7, SD = 3.6). Quality of life and life satisfaction scores were also very poor (M = 10.24, SD = 1.9; M = 6.82, SD = 1.5 respectively). The qualitative results reflected these findings with statements reflecting suicidal thoughts, unhappiness with the government, lack of support, and fear for themselves and their children. Significantly higher GHQ-12 scores were found among older IDPs (rho = .202, sig = .046), widowers compared to married IDPs (mean difference = -2.41, SE = .885, sig = .027), while lower scores were found among IDPs who reported having friends as a source of support (U = 834, sig = .045), while quality of life scores were higher among IDPs who reported receiving governmental support (U = 248, sig = .018). The findings revealed poor levels of mental health, quality of life and life satisfaction. Older, widowed IDPs and those who did not perceive support from friends or the government were found to be at the highest risk of poor health and wellbeing.

  18. Using County-Level Public Health Data to Prioritize Medical Education Topics

    Science.gov (United States)

    Sumner, Walton, II; Schootman, Mario; Asaro, Philip; Yan, Yan; Hagen, Michael D.

    2008-01-01

    Introduction: Medical education topics might be locally prioritized using public health data on health outcomes and risk factors unrelated to quality of care. Methods: The Missouri Information for Community Assessment (MICA) supplied preventable hospitalization rates (PHRs) for asthma, chronic obstructive pulmonary disease (COPD), diabetes, heart…

  19. Substance Abuse among Health-Care Professionals in Rutherford and Surrounding Counties.

    Science.gov (United States)

    Edwards, Sherri Reid; Heritage, Jeannette G.

    Drug abuse is a serious problem in today's work force. It is found in every occupation, from the entry-level employee to the chief executive officer. Among health care professionals alcohol is the number-one substance abused, prescription drugs are second, and cocaine is third. Substance abuse among health-care professionals in Rutherford,…

  20. The practice of health care alliance in Huangzhong county, Qinghai province%青海省湟中县医疗联合体改革实践

    Institute of Scientific and Technical Information of China (English)

    张鲁豫; 朱炜明; 马慧芬; 金音子; 何莉; 岳大海; 孟庆跃

    2015-01-01

    The fragmentation of health care system within a county and serious capacity constraints of health-care services in township health centers are generally the most significant problems facing underdeveloped counties in western China. Under constraints of limited public financial resources, how to increase service capability of township health centers and improve service quality, continuity and convenience of health care system has become one of the most severe challenges in implementing China’s county health care system reform. This paper takes Huangzhong coun-ty, Qinghai province as a case study. It investigates how the locals use health care alliance to vertically integrate county health care resources during reform implementation, analyzes various aspects of reform measures and the corre-sponding structural characteristics such as the integration of administrative management, integration of human re-sources, dual diagnosis referral, interoperability of information systems, sharing of resources and test results, etc. , and provides similar China’s counties with a case study to be used for reference.%我国西部经济相对不发达的县级地区普遍面临着县域内医疗服务体系碎片化,乡镇卫生院医疗卫生服务能力严重不足的问题。在有限的公共财政资源约束下,如何提高乡镇卫生院服务能力,改善医疗服务体系的服务质量、连续性和便利性成为我国县级医疗卫生体系改革的现实挑战。本文以青海省湟中县为典型案例,调研当地通过医疗服务联合体纵向整合县域医疗资源的改革实践,分析其行政管理一体化、人力资源整合、双向转诊、信息系统互联互通以及资源与检查结果共享等方面的改革措施及相应结构特点,为我国类似地区改革提供参考案例。

  1. Public health assessment for Jennison Wright Corporation, Granite City, Madison County, Illinois, Region 5. CERCLIS Number ILD006282479; Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

    The Jennison-Wright Corporation (J-W) is a National Priorities List (NPL) site in Madison County, Illinois, in the northern section of granite City. The J-W facility engaged in wood treatment of railroad ties and wood blocks using creosote, pentachlorophenol, and zinc naphthanate. Soil contamination also exists off the site from runoff, disposal, and air deposition. Based on available information, the J-W site is considered a public health hazard because of the risk to human health resulting from past, present, and future exposure to soil contaminants. The reason for this conclusion is exposure to soil contaminants originating from on- and off-site areas, including dermal exposure in heavily contaminated enfenced off-site areas and the increase in cancer risk from exposure to these soil contaminants. Future concerns include contaminated groundwater migration and subsequent exposure through ingestion and inhalation of contaminants from the site. Substances of concern include creosote and coal tar and their associated polycyclic aromatic hydrocarbons, pentachlorophenol, dioxins, and furans.

  2. A Comparative Analysis of the Validity of US State- and County-Level Social Capital Measures and Their Associations with Population Health.

    Science.gov (United States)

    Lee, Chul-Joo; Kim, Daniel

    2013-03-01

    The goals of this study were to validate a number of available collective social capital measures at the U.S. state and county levels, and to examine the relative extent to which these social capital measures are associated with population health outcomes. Measures of social capital at the U.S. state level included aggregate indices based on the Annenberg National Health Communication Survey (ANHCS) and the Behavioral Risk Factor Surveillance System (BRFSS), Petris Social Capital Index (PSCI), Putnam's index, and Kim et al.'s scales. County-level measures consisted of Rupasingha et al.'s social capital index (RGFI) and a BRFSS-derived measure. These measures, except for the PSCI, showed evidence of acceptable validity. Moreover, we observed differences across the social capital measures in their associations with population health outcomes. The implications of the findings for future research in this area are discussed.

  3. Building Economic Security Today: making the health-wealth connection in Contra Costa county's maternal and child health programs.

    Science.gov (United States)

    Parthasarathy, Padmini; Dailey, Dawn E; Young, Maria-Elena D; Lam, Carrie; Pies, Cheri

    2014-02-01

    In recent years, maternal and child health professionals have been seeking approaches to integrating the Life Course Perspective and social determinants of health into their work. In this article, we describe how community input, staff feedback, and evidence from the field that the connection between wealth and health should be addressed compelled the Contra Costa Family, Maternal and Child Health (FMCH) Programs Life Course Initiative to launch Building Economic Security Today (BEST). BEST utilizes innovative strategies to reduce inequities in health outcomes for low-income Contra Costa families by improving their financial security and stability. FMCH Programs' Women, Infants, and Children Program (WIC) conducted BEST financial education classes, and its Medically Vulnerable Infant Program (MVIP) instituted BEST financial assessments during public health nurse home visits. Educational and referral resources were also developed and distributed to all clients. The classes at WIC increased clients' awareness of financial issues and confidence that they could improve their financial situations. WIC clients and staff also gained knowledge about financial resources in the community. MVIP's financial assessments offered clients a new and needed perspective on their financial situations, as well as support around the financial and psychological stresses of caring for a child with special health care needs. BEST offered FMCH Programs staff opportunities to engage in non-traditional, cross-sector partnerships, and gain new knowledge and skills to address a pressing social determinant of health. We learned the value of flexible timelines, maintaining a long view for creating change, and challenging the traditional paradigm of maternal and child health.

  4. Combining the benefits of decision science and financial analysis in public health management: a county-specific budgeting and planning model.

    Science.gov (United States)

    Fos, Peter J; Miller, Danny L; Amy, Brian W; Zuniga, Miguel A

    2004-01-01

    State public health agencies are charged with providing and overseeing the management of basic public health services on a population-wide basis. These activities have a re-emphasized focus as a result of the events of September 11, 2001, the subsequent anthrax events, and the continuing importance placed on bioterrorism preparedness, West Nile virus, and emerging infectious diseases (eg, monkeypox, SARS). This has added to the tension that exists in budgeting and planning, given the diverse constituencies that are served in each state. State health agencies must be prepared to allocate finite resources in a more formal manner to be able to provide basic public health services on a routine basis, as well as during outbreaks. This article describes the use of an analytical approach to assist financial analysis that is used for budgeting and planning in a state health agency. The combined benefits of decision science and financial analysis are needed to adequately and appropriately plan and budget to meet the diverse needs of the populations within a state. Health and financial indicators are incorporated into a decision model, based on multicriteria decision theory, that has been employed to acquire information about counties and public health programs areas within a county, that reflect the impact of planning and budgeting efforts. This information can be used to allocate resources, to distribute funds for health care services, and to guide public health finance policy formulation and implementation.

  5. Anatomy of a public health agency turnaround: the case of the general health district in Mahoning County.

    Science.gov (United States)

    Honoré, Peggy A; Stefanak, Matthew; Dessens, Scott

    2012-01-01

    A turnaround describes an organization's ability to recover from successive periods of decline. Current and projected declines in US economic conditions continue to place local public health departments at risk of fiscal exigency. This examination focused on turnaround methodologies used by a local public health department to reverse successive periods of operational and financial declines. Illustrations are provided on the value added by implementing financial ratio and trend analysis in addition to using evidence-based private sector turnaround strategies of retrenchment, repositioning, and reorganization. Evidence has shown how the financial analysis and strategies aided in identifying operational weakness and set in motion corrective measures. The Public Health Uniform Data System is introduced along with a list of standards offered for mainstreaming these and other routine stewardship practices to diagnose, predict, and prevent agency declines.

  6. Self-perceived oral health among 19-year-olds in a Swedish County--A comparative study between 2004 and 2011.

    Science.gov (United States)

    Ahlvin, Anna; Gerdin, Elisabeth Wärnberg; Bågesund, Mats; Ordell, Sven

    2016-01-01

    For decades, Swedish dental professionals have collected clinical epidemiological data from the dental records. To supplement the epidemiology, Ostergötland County Council decided to examine patient perceptions of oral health: self-rated knowledge, self-perceived oral health, and opinions about oral health. The aim was to compare self-perceived oral health among 19-year-olds to determine differences between genders, various municipalities and between 2004 and 2011. This study analysed the responses from two cross-sectional surveys of the entire population of 19-year-olds in Ostergötland County, Sweden, performed in 2004 and 2011. Of the 2,413 (53%) (50% men, 50% women) 19-year-olds who responded to the questionnaire in 2004 and the 3,803 (67%) (50% men, 50% women) in 2011, most 19-year-olds (88.1% [2004] and 87.5 % [2011]) reported satisfaction with their oral health. Around half of the respondents rated their knowledge on periodontitis as low. Boys rated their knowledge about avoiding periodontitis higher than girls (p toothpaste (7.5% in 2004 and 9.3% in 2011), especially the boys (10.3% in 2004 and 10.5% in 2011). Girls reported both a higher social impact and greater concern about aesthetics related to their oral health. They also reported headache (27.5%) nearly twice as often as boys (14.2%) (p > 0.001). Responses between the municipalities did not differ, with the exception of items regarding periodontitis. Thus, this study found indications that perceptions of oral health and knowledge in Ostergötland County complied with Swedish Dental Act. The study also found patient perceptions of oral health among 19-year-olds to be good.

  7. National Weather Service, Emergency Medical Services, Scripps Institution of Oceanography/UCSD and California EPA Collaboration on Heat Health Impact and Public Notification for San Diego County

    Science.gov (United States)

    Tardy, A. O.; Corcus, I.; Guirguis, K.

    2015-12-01

    The National Weather Service (NWS) has issued official heat alerts in the form of either a heat advisory or excessive heat warning product to the public and core partners for many years. This information has traditionally been developed through the use of triggers for heat indices which combine humidity and temperature. The criteria typically used numeric thresholds and did not consider impact from a particular heat episode, nor did it factor seasonality or population acclimation. In 2013, the Scripps Institution of Oceanography, University of California, San Diego in collaboration with the Office of Environmental Health Hazard Assessment, of the California Environmental Protection Agency and the NWS completed a study of heat health impact in California, while the NWS San Diego office began modifying their criteria towards departure from climatological normal with much less dependence on humidity or heat index. The NWS changes were based on initial findings from the California Department of Public Health, EpiCenter California Injury Data Online system which documents heat health impacts. Results from the UCSD study were finalized and published in 2014; they supported the need for significant modification of the traditional criteria. In order to better understand the impacts of heat on community health, medical outcome data were provided by the County of San Diego Emergency Medical Services Branch, which is charged by the County's Public Health Officer to monitor heat-related illness and injury daily from June through September. The data were combined with UCSD research to inform the modification of local NWS heat criteria and establish trigger points to pilot new procedures for the issuance of heat alerts. Finally, practices and procedures were customized for each of the county health departments in the NWS area of responsibility across extreme southwest California counties in collaboration with their Office of Emergency Services. The end result of the

  8. Uninsured Young Adults by County

    Data.gov (United States)

    U.S. Department of Health & Human Services — This data file indicates the estimated number of uninsured individuals ages 19-25 in each U.S. county. These individuals may be eligible to join their parents health...

  9. Urban-rural differences in excess mortality among high-poverty populations: evidence from the Harlem Household Survey and the Pitt County, North Carolina Study of African American Health.

    Science.gov (United States)

    Geronimus, Arline T; Colen, Cynthia G; Shochet, Tara; Ingber, Lori Barer; James, Sherman A

    2006-08-01

    Black youth residing in high-poverty areas have dramatically lower probabilities of surviving to age 65 if they are urban than if they are rural. Chronic disease deaths contribute heavily. We begin to probe the reasons using the Harlem Household Survey (HHS) and the Pitt County, North Carolina Study of African American Health (PCS). We compare HHS and PCS respondents on chronic disease rates, health behaviors, social support, employment, indicators of health care access, and health insurance. Chronic disease profiles do not favor Pitt County. Smoking uptake is similar across samples, but PCS respondents are more likely to quit. Indicators of access to health care and private health insurance are more favorable in Pitt County. Findings suggest rural mortality is averted through secondary or tertiary prevention, not primary. Macroeconomic and health system changes of the past 20 years may have left poor urban Blacks as medically underserved as poor rural Blacks.

  10. Clinical audit of foot problems in patients with rheumatoid arthritis treated at Counties Manukau District Health Board, Auckland, New Zealand

    Directory of Open Access Journals (Sweden)

    Dalbeth Nicola

    2009-05-01

    Full Text Available Abstract Background At diagnosis, 16% of rheumatoid arthritis (RA patients may have foot joint involvement, increasing to 90% as disease duration increases. This can lead to joint instability, difficulties in walking and limitation in functional ability that restricts activities of daily living. The podiatrist plays an important role in the multidisciplinary team approach to the management of foot problems. The aim of this study was to undertake a clinical audit of foot problems in patients with RA treated at Counties Manukau District Health Board. Methods Patients with RA were identified through rheumatological clinics run within CMDHB. 100 patients were eligible for inclusion. Specific foot outcome tools were used to evaluate pain, disability and function. Observation on foot lesions were noted and previous history of foot assessment, footwear/insoles and foot surgery were evaluated. Results The median age of the cohort was 60 (IQR: 51–64 years old with median disease duration of 15 (IQR: 7.3–25 years. Over 85% presented with foot lesions that included corns and callus over the forefoot region and lesser toe deformities. Moderate to high disability was noted. High levels of forefoot structural damage were observed. 76% had not seen a podiatrist and 77% reported no previous formal foot assessment. 40% had been seen at the orthotic centre for specialised footwear and insoles. 27% of RA patients reported previous foot surgery. A large proportion of patients wore inappropriate footwear. Conclusion This clinical audit suggests that the majority of RA patients suffer from foot problems. Future recommendations include the provision of a podiatrist within the current CMDHB multidisciplinary rheumatology team to ensure better services for RA patients with foot problems.

  11. Public Health Offices, Public Health Agencies - county, name, address, contact info, email, website, Published in 2007, Iowa Dept. of Public Health.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Public Health Offices dataset, was produced all or in part from Published Reports/Deeds information as of 2007. It is described as 'Public Health Agencies -...

  12. Accounting and Analysis on Public Health Expenditures in County-Level Maternal and Child Health Care Centers%县级妇幼保健院公共卫生费用核算与分析

    Institute of Scientific and Technical Information of China (English)

    吕丽丽; 刘国祥; 黄卫东; 高熹; 刘加卓

    2013-01-01

    Objective: Through accounting and analyzing public health expenditures of county-level maternal and child health care centers(MCHCC), to provide government scientific references for making the maternal and child health policies. Methods:The functional approach of health care accounting methods is used to account the public health expenditures. Results: The connotation and scale of public health services of county-level MCHCC are defined, and the items and contents of public health services are presented; the public health expenditures of county-level MCHCC were calculated and analyzed. Conclusion:The government financial input on public health care should be clear and enough; the government should implement the compensation mechanism to eliminate the phenomenon that MCHCC “put more emphasis on medical treatment than prevention disease” .%目的:通过核算与分析县级妇幼保健院公共卫生费用,为政府制定妇幼卫生政策提供科学依据。方法:采用卫生费用核算方法中的功能法进行公共卫生费用核算。结果:界定了县级妇幼保健院公共卫生服务项目内涵和外延,并确定了其分类及内容;进行了县级妇幼保健院公共卫生费用核算及分析。结论:政府在公共卫生服务方面的拨款应该做到用途清晰且足额拨付;政府应该尽快完善补偿机制,彻底根除妇幼保健院“重治轻防”的现象。

  13. The topography of poverty in the United States: a spatial analysis using county-level data from the Community Health Status Indicators project.

    Science.gov (United States)

    Holt, James B

    2007-10-01

    Socioeconomic and health-related data at the county level are now available through the Community Health Status Indicators (CHSI) database. These data are useful for assessing the health of communities and regions. Users of the CHSI data can access online reports and an online mapping application for visualizing patterns in various community-related measures. It also is possible to download these data to conduct local analyses. This paper describes a spatial analysis of poverty in the United States at the county level for 2000. Spatial statistical techniques in a geographic information system were used to quantify significant spatial patterns, such as concentrated poverty rates and spatial outliers. The analysis revealed significant and stark patterns of poverty. A distinctive north-south demarcation of low versus high poverty concentrations was found, along with isolated pockets of high and low poverty within areas in which the predominant poverty rates were opposite. This pattern can be described as following a continental poverty divide. These insights can be useful in explicating the underlying processes involved in forming such spatial patterns that result in concentrated wealth and poverty. The spatial analytic techniques are broadly applicable to socioeconomic and health-related data and can provide important information about the spatial structure of datasets, which is important for choosing appropriate analysis methods.

  14. Laboratory diagnosis, clinical manifestations, epidemiological situation and public health importance of cutaneous leishmaniasis in Shushtar County, Southwestern Iran

    Institute of Scientific and Technical Information of China (English)

    Hamid Kassiri; Ali kassiri; Masoud Lotfi; Parvaneh Farajifard; Elnaz Kassiri

    2014-01-01

    Objective:To investigate as a descriptive and cross sectional study on epidemiology, the laboratory diagnosis and clinical manifestation ofCutaneousLeishmaniasis(CL) inShushtar County.Methods:The investigation was carried out on referrals from different districts of ShushtarCounty and was diagnosed based on their ulcer clinical manifestations withCL using laboratory method.This study was actively developed over the period of2008 to2010.Surface of a clean slide was pressed on to the scraped part of the lesions and moved along to produce a smear on the slide.The slides were fixed with methanol, stained with standardGiemsa, and examined carefully under high magnification for an hour or more to look for amastigotes by a trained person.Two smears were prepared and examined from each patient and data were collected using different correlative patients characteristics to analyze information.The essential records including residential area, type and location of lesion, age, sex, the number of ulcers, season, and the history of traveling to endemic areas for this disease were carefully gathered. Results:Parasites presumed to beLeishmania major (L. major) based on the existence of a large vacuole in the cytoplasm.Totally206 patients were referred to the central laboratory and their manifestation lesions were clinically examined.Of these,64 cases(31.1%) were female and142 cases(68.9%) were male.The findings documented that the rate of incidence ofCL was in fall61 cases(29/6%) and winter80 cases(38/8%), which is one of the most important characteristics of zoonoticCL.Sixty-eight cases(33%) had ulcers on hands,63 cases(30.6%) on feet and30 cases (14.6%) on hands and feet.A total of120 patients(58.3%) had only one ulcer.But70 cases(34%) had2 ulcers.The highest incidence was found among patients with two age groups of20-29 years old(43.2%) and10-19 years old(18%).The most cases resided in rural areas with164 cases(79.6%). Conclusions:Analyzing of the composed results revealed

  15. Life history as a source of variation for persistent organic pollutant (POP) patterns in a community of common bottlenose dolphins (Tursiops truncatus) resident to Sarasota Bay, FL.

    Science.gov (United States)

    Yordy, Jennifer E; Wells, Randall S; Balmer, Brian C; Schwacke, Lori H; Rowles, Teri K; Kucklick, John R

    2010-04-01

    As apex predators within coastal ecosystems, bottlenose dolphins (Tursiops truncatus) are prone to accumulate complex mixtures of persistent organic pollutants (POPs). While substantial variations in POP patterns have been previously observed in dolphin populations separated across regional- and fine-scale geographic ranges, less is known regarding the factors influencing contaminant patterns within localized populations. To assess the variation of POP mixtures that occurs among individuals of a population, polychlorinated biphenyl (PCB), organochlorine pesticide (OCP) and polybrominated diphenyl ether (PBDE) concentrations were measured in blubber and milk of bottlenose dolphins resident to Sarasota Bay, FL, and principal components analysis (PCA) was used to explain mixture variations in relation to age, sex and reproductive maturity. PCA demonstrated significant variations in contaminant mixtures within the resident dolphin community. POP patterns in juvenile dolphins resembled patterns in milk, the primary diet source, and were dominated by lower-halogenated PCBs and PBDEs. A significant correlation between principal component 2 (PC2) and age in male dolphins indicated that juvenile contaminant patterns gradually shifted away from the milk-like pattern over time. Metabolically-refractory PCBs significantly increased with age in male dolphins, whereas PCBs subject to cytochrome p450 1A1 metabolism did not, suggesting that changes in male POP patterns likely resulted from the selective accumulation of persistent POP congeners. Changes to POP patterns were gradual for juvenile females, but changed dramatically at reproductive maturity and gradually shifted back towards pre-parturient profiles thereafter. Congener-specific blubber/milk partition coefficients indicated that lower-halogenated POPs were selectively offloaded into milk and changes in adult female contaminant profiles likely resulted from the offloading of these compounds during the first reproductive

  16. Self-reported use of Supplemental Nutrition Assistance Program benefits to purchase soda in a public health center population: Los Angeles County, California, 2012.

    Science.gov (United States)

    Barragan, Noel; Gase, Lauren; Butler, Rebecca; Smith, Lisa; Simon, Paul; Kuo, Tony

    2015-01-01

    To better inform local program planning for the Supplemental Nutrition Assistance Program (SNAP), the Los Angeles County Department of Public Health used self-reported data from a public health center population to examine the prevalence of benefits used to purchase soda. We performed statistical analyses, including multivariable regression modeling, using data from a local health and nutrition examination survey. The survey response rate was 69% (n=1,503). More than one-third of survey participants reported receiving, or living in a household where someone receives, nutrition assistance benefits. When asked, 33% (n=170) reported using these benefits to purchase soda "sometimes" and 18% (n=91) reported "often" or "always," suggesting that the use of program benefits to purchase soda was not uncommon in this subpopulation. These findings have meaningful policy and planning implications, as they contribute to ongoing dialogue about strategies for optimizing nutrition among SNAP recipients.

  17. Public health assessment for Adams County Quincy landfills 2 and 3, Quincy, Adams County, Illinois, Region 5. Cerclis No. ILD980607055. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-09-28

    Since the completion of remedial activities at the site, the Quincy landfill 2 and 3 site poses no apparent public health hazard. No one is currently exposed to contamination at the site. Any past exposure would not have been at levels of health concern. Based on current conditions, IDPH recommends that the Quincy Landfill 2 and 3 participating respondents group: Encourage the homeowner 1/2 mile west of the site to connect to Mill Creek Public Water supply and to seal the private well to eliminate possible exposure to site-related contaminants in groundwater; provide groundwater containment and treatment if groundwater cleanup levels are not met and maintained; continue proper maintenance of the leachate collection system and tank; maintain the landfill cap, particularly to address any erosion that occurs; and maintain a 6-foot-high security fence around the perimeter of the site to prevent trespassing.

  18. Estimating the Costs and Benefits of Providing Free Public Transit Passes to Students in Los Angeles County: Lessons Learned in Applying a Health Lens to Decision-Making

    Directory of Open Access Journals (Sweden)

    Lauren N. Gase

    2014-10-01

    Full Text Available In spite of increased focus by public health to engage and work with non-health sector partners to improve the health of the general as well as special populations, only a paucity of studies have described and disseminated emerging lessons and promising practices that can be used to undertake this work. This article describes the process used to conduct a Health Impact Assessment of a proposal to provide free public transportation passes to students in Los Angeles County. This illustrative case example describes opportunities and challenges encountered in working with an array of cross-sector partners and highlights four important lessons learned: (1 the benefits and challenges associated with broad conceptualization of public issues; (2 the need for more comprehensive, longitudinal data systems and dynamic simulation models to inform decision-making; (3 the importance of having a comprehensive policy assessment strategy that considers health impacts as well as costs and feasibility; and (4 the need for additional efforts to delineate the interconnectivity between health and other agency priorities. As public health advances cross-sector work in the community, further development of these priorities will help advance meaningful collaboration among all partners.

  19. CDC BioSense: Tarrant County, Texas

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Tarrant County Public Health (TCPH) and Biosense collaboration is an effort to visualize TCPH health data collected by Biosense using Google Fusion Table...

  20. The Los Angeles County Community Disaster Resilience Project — A Community-Level, Public Health Initiative to Build Community Disaster Resilience

    Directory of Open Access Journals (Sweden)

    David Eisenman

    2014-08-01

    Full Text Available Public health officials need evidence-based methods for improving community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR, a public health program for increasing community disaster resilience. The LACCDR Project utilizes a pretest–posttest method with control group design. Sixteen communities in Los Angeles County were selected and randomly assigned to the experimental community resilience group or the comparison group. Community coalitions in the experimental group receive training from a public health nurse trained in community resilience in a toolkit developed for the project. The toolkit is grounded in theory and uses multiple components to address education, community engagement, community and individual self-sufficiency, and partnerships among community organizations and governmental agencies. The comparison communities receive training in traditional disaster preparedness topics of disaster supplies and emergency communication plans. Outcome indicators include longitudinal changes in inter-organizational linkages among community organizations, community member responses in table-top exercises, and changes in household level community resilience behaviors and attitudes. The LACCDR Project is a significant opportunity and effort to operationalize and meaningfully measure factors and strategies to increase community resilience. This paper is intended to provide public health and academic researchers with new tools to conduct their community resilience programs and evaluation research. Results are not yet available and will be presented in future reports.

  1. The Los Angeles County Community Disaster Resilience Project — A Community-Level, Public Health Initiative to Build Community Disaster Resilience

    Science.gov (United States)

    Eisenman, David; Chandra, Anita; Fogleman, Stella; Magana, Aizita; Hendricks, Astrid; Wells, Ken; Williams, Malcolm; Tang, Jennifer; Plough, Alonzo

    2014-01-01

    Public health officials need evidence-based methods for improving community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR), a public health program for increasing community disaster resilience. The LACCDR Project utilizes a pretest–posttest method with control group design. Sixteen communities in Los Angeles County were selected and randomly assigned to the experimental community resilience group or the comparison group. Community coalitions in the experimental group receive training from a public health nurse trained in community resilience in a toolkit developed for the project. The toolkit is grounded in theory and uses multiple components to address education, community engagement, community and individual self-sufficiency, and partnerships among community organizations and governmental agencies. The comparison communities receive training in traditional disaster preparedness topics of disaster supplies and emergency communication plans. Outcome indicators include longitudinal changes in inter-organizational linkages among community organizations, community member responses in table-top exercises, and changes in household level community resilience behaviors and attitudes. The LACCDR Project is a significant opportunity and effort to operationalize and meaningfully measure factors and strategies to increase community resilience. This paper is intended to provide public health and academic researchers with new tools to conduct their community resilience programs and evaluation research. Results are not yet available and will be presented in future reports. PMID:25153472

  2. Trace Elements Contamination and Human Health Risk Assessment in Drinking Water from the Agricultural and Pastoral Areas of Bay County, Xinjiang, China.

    Science.gov (United States)

    Turdi, Muyessar; Yang, Linsheng

    2016-09-23

    Tap water samples were collected from 180 families in four agricultural (KYR: Keyir, KRW: Kariwak, YTR: Yatur, DW: Dawanqi) and two pastoral areas (B: Bulong and Y: Yangchang) in Bay County, Xinjiang, China, and levels of seven trace elements (Cd, Cr, As Ni, Pb, Zn, Se) were analyzed using inductively-coupled plasma mass spectrometry (ICP-MS) to assess potential health risks. Remarkable spatial variations of contamination were observed. Overall, the health risk was more severe for carcinogenic versus non-carcinogenic pollutants due to heavy metal. The risk index was greater for children overall (Cr > As > Cd and Zn > Se for carcinogenic and non-carcinogenic elements, respectively). The total risk index was greater in agricultural areas (DW > KYR > YTR > KRW > B > Y). Total risk indices were greater where well water was the source versus fountain water; for the latter, the total health risk index was greater versus glacier water. Main health risk factors were Cr and As in DW, KYR, YTR, KRW, and B, and Zn, Cr, and As in the Y region. Overall, total trace element-induced health risk (including for DW adults) was higher than acceptable (10(-6)) and lower than priority risk levels (10(-4)) (KYR, YTR, KRW, Y, and B). For DW children, total health risk reached 1.08 × 10(-4), higher than acceptable and priority risk levels (10(-4)).

  3. Community Engagement in Health-Related Research: A Case Study of a Community-Linked Research Infrastructure, Jefferson County, Arkansas, 2011-2013.

    Science.gov (United States)

    Stewart, M Kathryn; Felix, Holly C; Olson, Mary; Cottoms, Naomi; Bachelder, Ashley; Smith, Johnny; Ford, Tanesha; Dawson, Leah C; Greene, Paul G

    2015-07-23

    Underrepresentation of racial minorities in research contributes to health inequities. Important factors contributing to low levels of research participation include limited access to health care and research opportunities, lack of perceived relevance, power differences, participant burden, and absence of trust. We describe an enhanced model of community engagement in which we developed a community-linked research infrastructure to involve minorities in research both as participants and as partners engaged in issue selection, study design, and implementation. We implemented this effort in Jefferson County, Arkansas, which has a predominantly black population, bears a disproportionate burden of chronic disease, and has death rates above state and national averages. Building on existing community-academic partnerships, we engaged new partners and adapted a successful community health worker model to connect community residents to services and relevant research. We formed a community advisory board, a research collaborative, a health registry, and a resource directory. Newly formed community-academic partnerships resulted in many joint grant submissions and new projects. Community health workers contacted 2,665 black and 913 white community residents from December 2011 through April 2013. Eighty-five percent of blacks and 88% of whites were willing to be re-contacted about research of potential interest. Implementation challenges were addressed by balancing the needs of science with community needs and priorities. Our experience indicates investments in community-linked research infrastructure can be fruitful and should be considered by academic health centers when assessing institutional research infrastructure needs.

  4. Framing the Local Context and Estimating the Health Impact of CPPW Obesity Prevention Strategies in Los Angeles County, 2010-2012.

    Science.gov (United States)

    Kuo, Tony; Robles, Brenda; Trogdon, Justin G; Ferencik, Rachel; Simon, Paul A; Fielding, Jonathan E

    2016-01-01

    Few studies have described the range and health impacts of obesity prevention strategies in local communities supported by the Communities Putting Prevention to Work program. To address this gap, we reviewed implemented strategies in Los Angeles County (LAC) for 3 program focus areas: physical activity-promotion, health marketing, and creation of healthy food environments. Local context and results from an impact simulation are presented. Information on population reach and program milestones was synthesized to describe historical and programmatic progress of the obesity prevention efforts during 2010-2012. To forecast health impacts, the Prevention Impacts Simulation Model (PRISM) was used to simulate population health outcomes, including projected changes in obesity burden and health behaviors 30 years into the future. LAC with more than 9.8 million residents. Low-income adults and youth who were the intended audiences of the Communities Putting Prevention to Work program in LAC. Implemented strategies for the 3 focus areas. Documentation of program reach and PRISM forecasting of obesity rates and health impacts. Implemented strategies in LAC ranged from best practices in healthy food procurement (estimated reach: 600 000 students, 300 000 meals per day) to completed shared-use agreements (10+ agreements across 5 school districts) to a series of strategically designed health marketing campaigns on healthy eating (>515 million impressions). On the basis of PRISM simulations, these highlighted program activities have the potential to reduce by 2040 the number of youth (-29 870) and adults (-94 136) with obesity, youth (-112 453) and adults (-855 855) below recommended levels of physical activity, and youth (-14 544) and adults (-28 835) who consumed excess junk food, as compared with baseline (2010-2011). Program context and PRISM-simulated health impacts showed modest but promising results in LAC, which may lead to further population health improvements in the

  5. Sooner rather than later. Oklahoma County hospitals and health agencies take immediate action on the uninsured problem by collaborating.

    Science.gov (United States)

    Zigmond, Jessica

    2007-04-23

    In reality TV, contestants are constantly forming an alliance--with mixed results. In Oklahoma County, it seemed like a good idea for physicians, hospitals and other leaders to come together to provide care for the uninsured. And it has been. Evan Collins, left, whose organization is part of that alliance, says: "We hope if this model works well, we can export it to other communities to replicate the same thing.

  6. Public health assessment for Danville H and L Number 1 Danville City Dump, Danville, Vermilion County, Illinois, Region 5: CERCLIS Number ILD980680052. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-17

    The inactive H and L No. 1 Municipal Landfill Response Action Site is south of Danville between the Vermilion River and Interstate 74 in Vermilion County, Illinois. The landfill operated from the 1940s to 1974, accepting domestic and industrial waste from the area. The site has a history of problems with leachate flows, seeps, and persistent odors. Before remedial activities, leachate would flow through the cover soil, predominantly along the northeastern part of the landfill. A leachate collection system was constructed in January 1992 and is currently in operation. The investigation and cleanup of contaminated soils and sediments on two adjacent residential properties are pending. Site-related contaminants currently pose no apparent public health hazard because human exposure to contaminated media is not occurring at levels of health concern.

  7. Decentralization of the provision of health services to people living with HIV/AIDS in rural China: the case of three counties

    Directory of Open Access Journals (Sweden)

    Zhang Yurong

    2011-02-01

    Full Text Available Abstract This study is based on a large-scale household survey and in-depth interviews of key informants that was conducted in villages in three counties of two provinces in China. We assess the new decentralized service provision system for people living with HIV/AIDS in rural populations in China. Since 2003, new social assistance schemes, and, more importantly, decentralization of routine treatment and care to community health stations, were progressively implemented in rural areas most affected by the HIV/AIDS epidemic. Though some problems remain, such as persistent discrimination towards infected patients and the lack of sufficient training of medical staff, the new decentralized pattern of service provision has lowered barriers to health access and alleviated economic pressure on affected households.

  8. Vulnerability-Based Spatial Sampling Stratification for the National Children’s Study, Worcester County, Massachusetts: Capturing Health-Relevant Environmental and Sociodemographic Variability

    Science.gov (United States)

    Downs, Timothy J.; Ogneva-Himmelberger, Yelena; Aupont, Onesky; Wang, Yangyang; Raj, Ann; Zimmerman, Paula; Goble, Robert; Taylor, Octavia; Churchill, Linda; Lemay, Celeste; McLaughlin, Thomas; Felice, Marianne

    2010-01-01

    Background The National Children’s Study is the most ambitious study ever attempted in the United States to assess how environmental factors impact child health and development. It aims to follow 100,000 children from gestation until 21 years of age. Success requires breaking new interdisciplinary ground, starting with how to select the sample of > 1,000 children in each of 105 study sites; no standardized protocol exists for stratification of the target population by factoring in the diverse environments it inhabits. Worcester County, Massachusetts, like other sites, stratifies according to local conditions and local knowledge, subject to probability sampling rules. Objectives We answer the following questions: How do we divide Worcester County into viable strata that represent its health-relevant environmental and sociodemographic heterogeneity, subject to sampling rules? What potential does our approach have to inform stratification at other sites? Results We developed a multivariable, vulnerability-based method for spatial sampling consisting of two descriptive indices: a hazards/stressors exposure index (comprising three proxy variables), and an adaptive capacity/sociodemographic character index (five variables). Multivariable, health-relevant stratification at the start of the study may improve detection power for environment–child health associations down the line. Eighteen strata capture countywide heterogeneity in the indices and have optimal relative homogeneity within each. They achieve comparable expected birth counts and conform to local concepts of space. Conclusion The approach offers moderate to high potential to inform other sites, limited by intersite differences in data availability, geodemographics, and technical capacity. Energetic community engagement from the start promotes local stratification coherence, plus vital researcher–community trust and co-ownership for sustainability. PMID:20211802

  9. Genetic analysis of invasive Aedes albopictus populations in Los Angeles County, California and its potential public health impact.

    Directory of Open Access Journals (Sweden)

    Daibin Zhong

    Full Text Available The Asian tiger mosquito, Aedes albopictus, is an anthropophilic aggressive daytime-biting nuisance and an efficient vector of certain arboviruses and filarial nematodes. Over the last 30 years, this species has spread rapidly through human travel and commerce from its native tropical forests of Asia to every continent except Antarctica. In 2011, a population of Asian tiger mosquito (Aedes albopictus was discovered in Los Angeles (LA County, California. To determine the probable origin of this invasive species, the genetic structure of the population was compared against 11 populations from the United States and abroad, as well as preserved specimens from a 2001 introduction into California using the mitochondrial cytochrome c oxidase 1 (CO1 gene. A total of 66 haplotypes were detected among samples and were divided into three main groups. Aedes albopictus collected in 2001 and 2011 from LA County were genetically related and similar to those from Asia but distinct from those collected in the eastern and southeastern United States. In view of the high genetic similarities between the 2001 and 2011 LA samples, it is possible that the 2011 population represents in part the descendants of the 2001 introduction. There remains an imperative need for improved surveillance and control strategies for this species.

  10. Genetic analysis of invasive Aedes albopictus populations in Los Angeles County, California and its potential public health impact.

    Science.gov (United States)

    Zhong, Daibin; Lo, Eugenia; Hu, Renjie; Metzger, Marco E; Cummings, Robert; Bonizzoni, Mariangela; Fujioka, Kenn K; Sorvillo, Teresa E; Kluh, Susanne; Healy, Sean P; Fredregill, Chris; Kramer, Vicki L; Chen, Xiaoguang; Yan, Guiyun

    2013-01-01

    The Asian tiger mosquito, Aedes albopictus, is an anthropophilic aggressive daytime-biting nuisance and an efficient vector of certain arboviruses and filarial nematodes. Over the last 30 years, this species has spread rapidly through human travel and commerce from its native tropical forests of Asia to every continent except Antarctica. In 2011, a population of Asian tiger mosquito (Aedes albopictus) was discovered in Los Angeles (LA) County, California. To determine the probable origin of this invasive species, the genetic structure of the population was compared against 11 populations from the United States and abroad, as well as preserved specimens from a 2001 introduction into California using the mitochondrial cytochrome c oxidase 1 (CO1) gene. A total of 66 haplotypes were detected among samples and were divided into three main groups. Aedes albopictus collected in 2001 and 2011 from LA County were genetically related and similar to those from Asia but distinct from those collected in the eastern and southeastern United States. In view of the high genetic similarities between the 2001 and 2011 LA samples, it is possible that the 2011 population represents in part the descendants of the 2001 introduction. There remains an imperative need for improved surveillance and control strategies for this species.

  11. Evaluation of Health Service Quality in Counties with the Health XI Project in Gansu Province: Taking the Gaolan County for Example%甘肃省卫XI项目县卫生服务质量评价研究:以皋兰县为例

    Institute of Scientific and Technical Information of China (English)

    闫宣辰; 杨敬宇

    2011-01-01

    探讨在甘肃省卫XI项目县如何推行卫生服务质量评价工作,以改善和提高卫生服务能力,为卫XI项目活动的更好实施提供理论支持和实践经验.研究了皋兰县卫生服务质量评价工作的实际情况,总结了在项目县推行卫生服务质量评价的具体步骤,并提出了对评价指标实行编码化管理,对于最后评价结果的规范化输出和进行不同评价主体间的结果比对有重要意义.%To discuss the implement Jhe health care quality evaluation in counties with the Health XI Project in Cansu Province, to improve and enhance the capacity of health services, and to provide theoretical support and practical experience for the Health XI Project activities. Health services quality evaluation is a necessary means of the quality management and the basic precondition of health services. The paper investigeted the actual situation of health care quality evaluation in one of project counties, Gaolan in Cansu Province, and summarized the implementation steps of quality assessment. On the basis of the actual situation, the index of evaluation was proposed to code management, which was the standardization of the evaluation results for the final output. And also, the standardization results can combine with the results of quantitative assessment and subjects with different evaluation results should be compared.

  12. 78 FR 54651 - Sole Source Cooperative Agreement Award to the National Association of County and City Health...

    Science.gov (United States)

    2013-09-05

    ... management systems. This project aims to improve collaboration between ASPR and the local health departments... care, public health, and emergency management systems. One of the overarching goals of both the National Health Security Strategy (2009) and the ASPR Strategic Plan 2011-2015 is to build community...

  13. The 2007 los angeles mommy and baby study: a multilevel, population-based study of maternal and infant health in los angeles county.

    Science.gov (United States)

    Chao, Shin M; Wakeel, Fathima; Herman, Dena; Higgins, Chandra; Shi, Lu; Chow, Jessica; Sun, Stacy; Lu, Michael C

    2014-01-01

    Objectives. In order to comprehensively examine the risks and resources associated with racial-ethnic disparities in adverse obstetric outcomes, the Los Angeles County Department of Public Health and the University of California, Los Angeles, joined efforts to design and implement the 2007 Los Angeles Mommy and Baby (LAMB) study. This paper aims to present the conceptual frameworks underlying the study's development, highlight the successful collaboration between a research institution and local health department, describe the distinguishing characteristics of its methodology, and discuss the study's implications for research, programs, and policies. Methods. The LAMB study utilized a multilevel, multistage cluster design with a mixed-mode methodology for data collection. Two samples were ultimately produced: the multilevel sample (n = 4,518) and the augmented final sample (n = 6,264). Results. The LAMB study allowed us to collect multilevel data on the risks and resources associated with racial-ethnic disparities in adverse obstetric outcomes. Both samples were more likely to be Hispanic, aged 20-34 years, completed at least 12 years of schooling, and spoke English. Conclusions. The LAMB study represents the successful collaboration between an academic institution and local health department and is a theoretically based research database and surveillance system that informs effective programmatic and policy interventions to improve outcomes among LAC's varied demographic groups.

  14. Health assessment for TRW Proposed National Priorities List (NPL) Site, Minerva, Stark County, Ohio, Region 5. CERCLIS No. OHD004179339. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1989-01-31

    The TRW site is a Proposed National Priorities List (NPL) site located about one mile northeast of downtown Minerva, Stark County, Ohio. Previous disposal practices by the former TRW plant (currently owned by PCC Airfoils, Inc.) introduced polychlorinated biphenyls (PCBs) and volatile organic compounds (VOCs) into on-site and off-site soils and ground water. Off-site residential wells were contaminated with elevated levels of VOCs, especially vinyl chloride. In 1985, contaminated soils and sediments from the former disposal areas were excavated and disposed of in an on-site secure landfill (cell). In addition, in 1986 a Consent Order between TRW and the Ohio Environmental Protection Agency was signed, in which TRW agreed to implement an on-site and off-site ground water 'pump and treat' operation to intercept the VOC contaminant plumes. The site is of potential public health concern because of the risk to human health that could result from possible exposure to hazardous substances at levels that may result in adverse health effects over time.

  15. Understanding land use, livelihoods, and health transitions among Tibetan nomads: a case from Gangga Township, Dingri County, Tibetan Autonomous Region of China.

    Science.gov (United States)

    Xu, Jianchu; Yang, Yong; Li, Zhuoqing; Tashi, Nyima; Sharma, Rita; Fang, Jing

    2008-06-01

    Tibetan nomads in the Tibetan Autonomous Region of China have experienced profound transitions in recent decades with important implications for land use, livelihoods, and health development. The change from being traditional nomads to agropastoralists engaged in permanent agriculture, a sedentary village life (known as "sedentarization"), has been associated with a remarkable change in diet and lifestyle, decline in spatial mobility, increase in food production, and emerging infectious and noncommunicable diseases. The overarching response of the government has been to emphasize infrastructure and technological solutions. The local adaptation strategies of Tibetan nomads through maintaining balanced mobile herding, reindeer husbandry, as well as off-farm labor and trade could address both the cause of environmental degradation and improve the well-being of local people. Drawing on transdisciplinary, preliminary field work in Gangga Township of Dingri County in the foothills of Mt. Everest, we identify pertinent linkages between land use and health, and spatial and temporal mismatch of livelihoods and health care services, in the transition to sedentary village life. We suggest emerging imperatives in Ecohealth to help restore Tibetan livelihoods in transition to a sedentary lifestyle.

  16. Allegheny County Restaurant/Food Facility Inspection Violations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Facilities located within Allegheny County that produce, distribute and sell food products are subject to mandatory, routine inspection by one of the health...

  17. 保定市山区县中小学学生健康状况调查%Investigation on health condition of primary and middle school students in mountain area counties of Baoding City

    Institute of Scientific and Technical Information of China (English)

    李俊爱; 赵宝军

    2013-01-01

    [Objective] To understand the health condition of primary and middle school students in mountain area counties of Baoding City,provide scientific basis for making health education materials.[Methods] Two counties were selected from 8 mountain area counties of Baoding City by stratified sampling,and all primary and middle school students in both two counties received the health examination according to unified standard.The data were analyzed,and results between two counties were compared.[Results]The top five influencing factor for health condition of primary and middle school students was poor eyesight,dental caries,antiadoncus,obesity and eye diseases.The detection rate of poor eyesight in middle school students of Yixian County was significantly higher than that of Shunping County (P < 0.05),and there was no significant difference in other results between two counties (P > 0.05).The detection rate of poor eyesight was the highest,and the detection rate in primary schools and middle schools of Shunping County was 33.70% and 56.13% respectively,while that in primary schools and middle schools of Yixian County was 58.31% and 65% respectively.The dental caries presented the second highest detection rate,the detection rate in primary schools of Shunping County was 26.08%,while that in junior middle school and senior middle school was 15.72% and 13.84% respectively.[Conclusion] The health conditions of primary and middle school students in mountain area counties of Baoding City are similar.%目的 全面了解和掌握保定市山区县中小学学生健康状况,为有针对性地制定健康教育教材的科学依据.方法 对保定市辖区内的8个山区县按照分层随抽样方法进行抽样,选择2个县对县城内的所有中小学学生按照统一检查标准进行健康检查,2县检查结果进行对比分析,数据进行统计处理.结果 视力不良、龋齿、扁桃体肿大、肥胖、眼疾是排在前5位的影响中小学

  18. Crises and Resilience at the Frontline—Public Health Facility Managers under Devolution in a Sub-County on the Kenyan Coast

    Science.gov (United States)

    Nyikuri, Mary; Tsofa, Benjamin; Barasa, Edwine; Okoth, Philip; Molyneux, Sassy

    2015-01-01

    Background Public primary health care (PHC) facilities are for many individuals the first point of contact with the formal health care system. These facilities are managed by professional nurses or clinical officers who are recognised to play a key role in implementing health sector reforms and facilitating initiatives aimed at strengthening community involvement. Little in-depth research exists about the dimensions and challenges of these managers’ jobs, or on the impact of decentralisation on their roles and responsibilities. In this paper, we describe the roles and responsibilities of PHC managers–or ‘in-charges’ in Kenya, and their challenges and coping strategies, under accelerated devolution. Methods The data presented in this paper is part of a wider set of activities aimed at understanding governance changes under devolution in Kenya, under the umbrella of a ‘learning site’. A learning site is a long term process of collaboration between health managers and researchers deciding together on key health system questions and interventions. Data were collected through seven formal in depth interviews and observations at four PHC facilities as well as eight in depth interviews and informal interactions with sub-county managers from June 2013 to July 2014. Drawing on the Aragon framework of organisation capacity we discuss the multiple accountabilities, daily routines, challenges and coping strategies among PHC facility managers. Results PHC in-charges perform complex and diverse roles in a difficult environment with relatively little formal preparation. Their key concerns are lack of job clarity and preparedness, the difficulty of balancing multidirectional accountability responsibilities amidst significant resource shortages, and remuneration anxieties. We show that day-to-day management in an environment of resource constraints and uncertainty requires PHC in-charges who are resilient, reflective, and continuously able to learn and adapt. We

  19. Crises and Resilience at the Frontline-Public Health Facility Managers under Devolution in a Sub-County on the Kenyan Coast.

    Directory of Open Access Journals (Sweden)

    Mary Nyikuri

    Full Text Available Public primary health care (PHC facilities are for many individuals the first point of contact with the formal health care system. These facilities are managed by professional nurses or clinical officers who are recognised to play a key role in implementing health sector reforms and facilitating initiatives aimed at strengthening community involvement. Little in-depth research exists about the dimensions and challenges of these managers' jobs, or on the impact of decentralisation on their roles and responsibilities. In this paper, we describe the roles and responsibilities of PHC managers-or 'in-charges' in Kenya, and their challenges and coping strategies, under accelerated devolution.The data presented in this paper is part of a wider set of activities aimed at understanding governance changes under devolution in Kenya, under the umbrella of a 'learning site'. A learning site is a long term process of collaboration between health managers and researchers deciding together on key health system questions and interventions. Data were collected through seven formal in depth interviews and observations at four PHC facilities as well as eight in depth interviews and informal interactions with sub-county managers from June 2013 to July 2014. Drawing on the Aragon framework of organisation capacity we discuss the multiple accountabilities, daily routines, challenges and coping strategies among PHC facility managers.PHC in-charges perform complex and diverse roles in a difficult environment with relatively little formal preparation. Their key concerns are lack of job clarity and preparedness, the difficulty of balancing multidirectional accountability responsibilities amidst significant resource shortages, and remuneration anxieties. We show that day-to-day management in an environment of resource constraints and uncertainty requires PHC in-charges who are resilient, reflective, and continuously able to learn and adapt. We highlight the importance of

  20. Public Health Offices, Prince George's County Health Department Nutrition Sites, Published in 2009, 1:2400 (1in=200ft) scale, Prince George's County Office of Information Technology and Communications.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Public Health Offices dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Published Reports/Deeds information as of 2009. It is...

  1. Self-reported general health, physical distress, mental distress, and activity limitation by US county, 1995-2012

    NARCIS (Netherlands)

    L.A. Dwyer-Lindgren (Laura); J.P. Mackenbach (Johan); F.J. van Lenthe (Frank); A.H. Mokdad (Ali H)

    2017-01-01

    textabstractBackground: Metrics based on self-reports of health status have been proposed for tracking population health and making comparisons among different populations. While these metrics have been used in the US to explore disparities by sex, race/ethnicity, and socioeconomic position, less is

  2. Assessment of School-Based Quasi-Experimental Nutrition and Food Safety Health Education for Primary School Students in Two Poverty-Stricken Counties of West China.

    Science.gov (United States)

    Shen, Minxue; Hu, Ming; Sun, Zhenqiu

    2015-01-01

    Few studies on nutrition and food safety education intervention for students in remote areas of China were reported. The study aimed to assess the questionnaire used to measure the knowledge, attitude and behavior with respect to nutrition and food safety, and to evaluate the effectiveness of a quasi-experimental nutrition and food safety education intervention among primary school students in poverty-stricken counties of west China. Twelve primary schools in west China were randomly selected from Zhen'an of Shaanxi province and Huize of Yunnan province. Six geographically dispersed schools were assigned to the intervention group in a nonrandom way. Knowledge, attitude and behavior questionnaire was developed, assessed, and used for outcome measurement. Students were investigated at baseline and the end of the study respectively without follow-up. Students in intervention group received targeted nutrition and food safety lectures 0.5 hour per week for two semesters. Item response theory was applied for assessment of questionnaire, and a two-level difference-in-differences model was applied to assess the effectiveness of the intervention. The Cronbach's alpha of the original questionnaire was 0.84. According to item response model, 22 knowledge items, 6 attitude items and 8 behavior items showed adequate discrimination parameter and were retained. 378 and 478 valid questionnaires were collected at baseline and the end point. Differences of demographic characteristics were statistically insignificant between the two groups. Two-level difference-in-differences models showed that health education improved 2.92 (95% CI: 2.06-3.78) and 2.92 (95% CI: 1.37-4.47) in knowledge and behavior scores respectively, but had no effect on attitude. The questionnaire met the psychometric standards and showed good internal consistence and discrimination power. The nutrition and food safety education was effective in improving the knowledge and behavior of primary school students in

  3. Assessment of School-Based Quasi-Experimental Nutrition and Food Safety Health Education for Primary School Students in Two Poverty-Stricken Counties of West China.

    Directory of Open Access Journals (Sweden)

    Minxue Shen

    Full Text Available Few studies on nutrition and food safety education intervention for students in remote areas of China were reported. The study aimed to assess the questionnaire used to measure the knowledge, attitude and behavior with respect to nutrition and food safety, and to evaluate the effectiveness of a quasi-experimental nutrition and food safety education intervention among primary school students in poverty-stricken counties of west China.Twelve primary schools in west China were randomly selected from Zhen'an of Shaanxi province and Huize of Yunnan province. Six geographically dispersed schools were assigned to the intervention group in a nonrandom way. Knowledge, attitude and behavior questionnaire was developed, assessed, and used for outcome measurement. Students were investigated at baseline and the end of the study respectively without follow-up. Students in intervention group received targeted nutrition and food safety lectures 0.5 hour per week for two semesters. Item response theory was applied for assessment of questionnaire, and a two-level difference-in-differences model was applied to assess the effectiveness of the intervention.The Cronbach's alpha of the original questionnaire was 0.84. According to item response model, 22 knowledge items, 6 attitude items and 8 behavior items showed adequate discrimination parameter and were retained. 378 and 478 valid questionnaires were collected at baseline and the end point. Differences of demographic characteristics were statistically insignificant between the two groups. Two-level difference-in-differences models showed that health education improved 2.92 (95% CI: 2.06-3.78 and 2.92 (95% CI: 1.37-4.47 in knowledge and behavior scores respectively, but had no effect on attitude.The questionnaire met the psychometric standards and showed good internal consistence and discrimination power. The nutrition and food safety education was effective in improving the knowledge and behavior of primary school

  4. Newcomers health in Brantford and the counties of Brant, Haldimand and Norfolk: perspectives of newcomers and service providers.

    Science.gov (United States)

    Sethi, Bharati

    2013-10-01

    The Canadian government's plan to support a balanced distribution of immigrants throughout the nation has contributed to newcomers' dispersion to small town communities and rural areas. However, very little work has examined the health experiences of immigrants settling in smaller urban and rural regions. Even less literature exists on the perspectives of service providers working with newcomers in Canada's urban-rural communities. This paper focuses on a part of a larger Community-based study on 'Newcomer Settlement and Integration in Education, Training, Employment, Health and Social Support' in Brantford--a middle-sized urban/rural region in Ontario, Canada--and discusses the findings in the health domain. Data were generated from 212 service providers and 237 newcomers using both qualitative and quantitative research tools. Newcomers identified several barriers in accessing mental and/or physical health services including lack of culturally appropriate services and discrimination. The striking differences between newcomers' and service providers' responses to the survey questionnaires bring to light cultural variations between the newcomers' and the service providers' perceptions of 'health'. The findings reinforce the need for including newcomers in developing more inclusive and culturally-appropriate health services and programs.

  5. 县级城市医疗卫生事业建设中的问题研究%The Study on Medical and Health Problems in the Construction of County-level Cities

    Institute of Scientific and Technical Information of China (English)

    王卓

    2011-01-01

    在城市化进程加快的今天,县级城市既有城市的特点,又有农村的特征。医疗卫生是公共事业的重要组成部分,县级城市的医疗卫生事业发展水平对于我国医疗卫生事业的整体发展而言关系重大。从医疗卫生服务体系上来说,县级城市既有向城市专科医疗方向发展的特点,又具有巩固与发展三级医疗卫生网络的特点。因而对于县级城市医疗卫生事业发展的研究具有深远意义。%With accelerating urbanization process nowadays,County-level cities have combine the characteristics of the city and rural areas.Health care is an important part of public utilities,and the level of health care development on county-level cities means a lot to the overall situation of China's development in medical and health care.In terms of medical and health service system,the county-level cities are in the direction of the existing division of labor to urban development,and possess characteristics of the consolidation and development of three-tier health care network.Thus it is of meaningful importance to study the development of medical and health care in county-level cities.

  6. Environmental pollution: An enormous and invisible burden on health systems in low- and middle-income counties.

    Science.gov (United States)

    Landrigan, Philip J; Fuller, Richard

    2014-01-01

    Background. Environmental pollution has become the leading risk factor for death in low- and middle-income countries (LMICs). The World Health Organization and others calculate that exposures to polluted air - indoor and outdoor, water and soil resulted in 8.4 million deaths in LMICs in 2012. By comparison, HIV/AIDS causes 1.5 million deaths per year, and malaria and tuberculosis Less than 1 million each. The diseases caused by pollution include the traditional scourges of pneumonia and diarrhea, but increasingly they also include chronic, non-communicable diseases (NCDs) such as such as heart disease, stroke and cancer. Method. We review the diseases caused by pollution and the multiple economic and human burdens that these diseases impose on health systems in countries with already limited resources. Results. We find that diseases caused by pollution increase health care costs, especially for high-cost NCDs. They impose an unnecessary load on health care delivery systems by increasing hospital staffing needs and thus diverting resources from essential prevention programmes such as childhood immunizations, infection control and maternal and child health. They undermine the development of poor countries by reducing the health, intelligence and economic productivity of entire generations. Pollution is highly preventable and pollution prevention is highly cost-effective. Yet despite their high economic and human costs and amenability to prevention, the diseases caused by pollution have not received the attention that they deserve in policy planning or in the international development agenda. Conclusion. Pollution is not inevitable. It is a problem that can be solved in our lifetime. Given the great impact of pollution on health and health care resources and the high cost-benefit ratio of pollution prevention, efforts to mitigate pollution should become a key strategic priority for international funders and for governments of LMICs. Recommendation. Assisting LMICs to

  7. Implementation and Evaluation of a Large-Scale Teleretinal Diabetic Retinopathy Screening Program in the Los Angeles County Department of Health Services.

    Science.gov (United States)

    Daskivich, Lauren P; Vasquez, Carolina; Martinez, Carlos; Tseng, Chi-Hong; Mangione, Carol M

    2017-05-01

    Diabetic retinopathy (DR) is the leading cause of blindness in adults of working age in the United States. In the Los Angeles County safety net, a nonvertically integrated system serving underinsured and uninsured patients, the prevalence of DR is approximately 50%, and owing to limited specialty care resources, the average wait times for screening for DR have been 8 months or more. To determine whether a primary care-based teleretinal DR screening (TDRS) program reduces wait times for screening and improves timeliness of needed care in the Los Angeles County safety net. Quasi-experimental, pretest-posttest evaluation of exposure to primary care-based TDRS at 5 of 15 Los Angeles County Department of Health Services safety net clinics from September 1, 2013, to December 31, 2015, with a subgroup analysis of random samples of 600 patients before and after the intervention (1200 total). Primary care clinic-based teleretinal screening for DR. Annual rates of screening for DR before and after implementation of the TDRS program across the 5 clinics, time to screening for DR in a random sample of patients from these clinics, and a description of the larger framework of program implementation. Among the 21 222 patients who underwent the screening (12 790 female, 8084 male, and 348 other gender or not specified; mean [SD] age, 57.4 [9.6] years), the median time to screening for DR decreased from 158 days (interquartile range, 68-324 days) before the intervention to 17 days (interquartile range, 8-50 days) after initiation of the program (P < .001). Overall annual screening rates for DR increased from 5942 of 14 633 patients (40.6%) before implementation to 7470 of 13 133 patients (56.9%) after initiation of the program at all 15 targeted clinics (odds ratio, 1.9; 95% CI, 1.3-2.9; P = .002). Of the 21 222 patients who were screened, 14 595 (68.8%) did not require referral to an eye care professional, 4160 (19.6%) were referred for treatment or monitoring

  8. 遵义市24所县级公立医院卫生人力资源现状分析%Status analysis on health human resources in 24 county level hospitals in Zunyi

    Institute of Scientific and Technical Information of China (English)

    闵锐; 方鹏骞; 孙杨

    2011-01-01

    Objectives: To learn status of health human resources in county level public hospitals in west region and give evidence based reference for rational allocation health staff in county level public hospital. Methods: Typical case analysis was used to analyze health human resources in 24 county level hospitals in Zunyi from 2007 to 2009. Results: Human resources of county level hospitals in west regions is far less than the average of the whole country and human resources planning is poor and the allocation is fairly irrationality. The gaps within the region is relative large. Conclusions: Scientifically allocate county level hospital human resources, faithfully solve personnel quota and highlight on human resources training and sustainable development.%目的:了解西部地区县级公立医院的卫生人力资源现状,为今后合理地配置县级公立医院人员提供科学依据.方法:通过典型案例分析对遵义市24家县级综合医院2007年到2009年连续三年的卫生人力资源进行调查.结果:西部地区县级公立医院人力资源数量远少于全国平均水平,人力规划较落后,配置略显不合理,区域内差异较大.结论:及建议科学配置县级公立医院的人才队伍,切实解决人员编制问题,注重人才培养及可持续发展.

  9. mHealth Series: mHealth project in Zhao County, rural China – Description of objectives, field site and methods

    Directory of Open Access Journals (Sweden)

    Michelle Helena van Velthoven

    2013-12-01

    Full Text Available We set up a collaboration between researchers in China and the UK that aimed to explore the use of mHealth in China. This is the first paper in a series of papers on a large mHealth project part of this collaboration. This paper included the aims and objectives of the mHealth project, our field site, and the detailed methods of two studies.

  10. Maryland environmental public health tracking outreach with Spanish-speaking persons living in Baltimore city or county.

    Science.gov (United States)

    Braggio, John T; Mitchell, Clifford S; Fierro-Luperini, Sonia

    2015-01-01

    The 2000 Pew reports became the impetus for the National Environmental Public Health Tracking (EPHT) Program, but there was no mention that Spanish-speaking persons are at increased risk of exposure to environmental hazards. To undertake successful EPHT outreach on Spanish-speaking persons (Hispanics), it is necessary to better understand their environmental health profile and barriers to health care access. Behavioral Risk Factor Surveillance System (BRFSS) survey questions were administered orally in Spanish to Spanish-speaking study participants. Volunteers were tested at a non-for-profit social service and referral agency in Baltimore. To control for acculturation, only Spanish-speaking persons who had lived in the United States for less than 10 years were selected. Responses to 40 BRFSS survey questions asked during the assessment and completion of 3 intervention activities. This study provides new information about Spanish-speaking persons, most of whom (85.3%) would not have been included in the landline administration of the BRFSS survey. Although 29.9% of the participants reported indoor pesticide use and another 9.2% reported outdoor pesticide use, lifetime (3.5%) and current (1.2%) asthma prevalence was significantly lower than asthma prevalence reported by Maryland Hispanics and all Maryland residents. There were significantly lower cholesterol screening (21.5%) and a significantly higher prevalence of diabetes (12.5%) in Spanish-speaking participants than in Maryland Hispanics and all Maryland residents. Among study participants, only 7.8% had health insurance and 39.9% reported that they could not see a doctor. Of the 3 outreach efforts completed, the most promising one involved asking Spanish-English-speaking health care professionals to distribute Spanish comic books about pesticides exposures and health outcomes in community settings where Spanish-only speakers and children were found. The effectiveness of passive and community-based EPHT

  11. Health assessment for E. H. Schilling Landfill, Ironton, Lawrence County, Ohio, Region 5. CERCLIS No. OHD980509847. Preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    1988-12-02

    The E.H. Schilling Landfill site is listed on the National Priorities List. The five-acre site was a landfill, licensed to accept only nonhazardous dry industrial waste, from 1971 until 1980 when it was closed. The environmental contamination on-site consists of polychlorinated biphenyls, vinyl toluene, cumene, polynuclear aromatic hydrocarbons or PAHs, including fluoranthene, benzo(a)pyrene, and benzo(a)anthracene, in soil. The site is considered to be of potential public health concern because of the risk to human health caused by the possibility of exposure to hazardous substances via ground water, soil, sediment, surface water, and air.

  12. County-Level Poverty Is Equally Associated with Unmet Health Care Needs in Rural and Urban Settings

    Science.gov (United States)

    Peterson, Lars E.; Litaker, David G.

    2010-01-01

    Context: Regional poverty is associated with reduced access to health care. Whether this relationship is equally strong in both rural and urban settings or is affected by the contextual and individual-level characteristics that distinguish these areas, is unclear. Purpose: Compare the association between regional poverty with self-reported unmet…

  13. Allegheny County Address Points

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains address points which represent physical address locations assigned by the Allegheny County addressing authority. Data is updated by County...

  14. Allegheny County Council Districts

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset portrays the boundaries of the County Council Districts in Allegheny County. The dataset is based on municipal boundaries and City of Pittsburgh ward...

  15. Allegheny County Municipal Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates the municipal boundaries in Allegheny County. Data was created to portray the boundaries of the 130 Municipalities in Allegheny County the...

  16. Allegheny County Address Points

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains address points which represent physical address locations assigned by the Allegheny County addressing authority. Data is updated by County...

  17. Allegheny County Council Districts

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset portrays the boundaries of the County Council Districts in Allegheny County. The dataset is based on municipal boundaries and City of Pittsburgh ward...

  18. Allegheny County Municipal Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates the municipal boundaries in Allegheny County. Data was created to portray the boundaries of the 130 Municipalities in Allegheny County the...

  19. Study of Peer-led Intervention on Reproductive Health Education and AIDS Prevention in Joint Venture Factories in Kunshan County

    Institute of Scientific and Technical Information of China (English)

    Xiao-ming SUN; Jian-fang ZHOU; Feng-ming YAN; Qin YIN; Jing-shu MAO; Cai-ying HUANG; Bo TAO

    2007-01-01

    Objective To disseminate the knowledge of contraception and STD/AIDS prevention to unmarried young adults.Methods A peer-led 8-month intervention on reproductive health promotion and STD/AIDS prevention was conducted in joint venture factories in Kunshan Countythrough existing family planning service network. A quasi-experimental design was used.Results The contraception, STD/AIDS related knowledge and attitudes improved significantly, and the use of condom also increased significantly in experimental group after the intervention. No such changes occurred in control group.Conclusion This study demonstrates that the peer-led education is an effective approach of expanding reproductive health and AIDS prevention services to unmarried young adults in the joint venture factories.

  20. Lack of Measles Transmission to Susceptible Contacts from a Health Care Worker with Probable Secondary Vaccine Failure - Maricopa County, Arizona, 2015.

    Science.gov (United States)

    Jones, Jefferson; Klein, Ron; Popescu, Saskia; Rose, Karen; Kretschmer, Melissa; Carrigan, Alice; Trembath, Felicia; Koski, Lia; Zabel, Karen; Ostdiek, Scott; Rowell-Kinnard, Paula; Munoz, Esther; Sunenshine, Rebecca; Sylvester, Tammy

    2015-08-07

    On January 23, 2015, the Maricopa County Department of Public Health (MCDPH) was notified of a suspected measles case in a nurse, a woman aged 48 years. On January 11, the nurse had contact with a patient with laboratory-confirmed measles associated with the Disneyland theme park-related outbreak in California. On January 21, she developed a fever (103°F [39.4°C]), on January 23 she experienced cough and coryza, and on January 24, she developed a rash. The patient was instructed to isolate herself at home. On January 26, serum, a nasopharyngeal swab, and a urine specimen were collected. The following day, measles infection was diagnosed by real time reverse transcription polymerase chain reaction testing of the nasopharyngeal swab and urine specimen and by detection of measles-specific immunoglobulin (Ig)M and IgG in serum by enzyme-linked immunosorbent assay. Because of her symptoms and laboratory results, the patient was considered to be infectious.

  1. Design on the performance evaluation framework of district and county health system in Shanghai%上海区县卫生系统绩效评价概念框架设计

    Institute of Scientific and Technical Information of China (English)

    任建琳; 江力波; 彭颖; 王剑萍; 张勘

    2014-01-01

    本研究参照国际多个国家和组织的卫生服务系统绩效评估框架,结合上海区县卫生系统的特点,提出上海区县卫生系统绩效评价概念框架.其绩效框架包含2个一级评估目标和7个二级评估维度:在长期目标中,“健康状况”、“满意度”和“疾病风险保护”是区县卫生系统绩效的长期效果评估维度;在中期目标中,“可及性”、“成本”、“效率”和“质量”,是区县卫生系统绩效的中期效果评估维度.本研究旨在评价区县卫生系统改善健康能力的整体绩效.其三级指标有待进一步研究确立.%Shanghai district and county health system performance evaluation conceptual frameworkwas proposed based on health services system performance assessment frameworks raised by some countries and international organizations,and combined with Shanghai district and county health system characteristics.This framework contains two first grade indices and seven second grade indices:In the long term goals,'health','satisfaction' and 'disease risk protection' are the county's longterm effects of health system performance assessment dimensions; in the medium-term goals,the'accessibility','cost',' efficiency' and 'quality' are the county' s medium-term effects of health system performance assessment dimensions.This study aimed to evaluate Shanghai county health system's overall performance.Further study is needed in constructing its third grade indices.

  2. mHealth Series: Measuring maternal newborn and child health coverage by text messaging - a county-level model for China.

    Science.gov (United States)

    Zhang, Yanfeng; Chen, Li; van Velthoven, Michelle H M M T; Wang, Wei; Liu, Li; Du, Xiaozhen; Wu, Qiong; Li, Ye; Car, Josip

    2013-12-01

    Effective interventions in maternal, newborn and child health (MNCH), if achieving high level of population coverage, could prevent most of deaths in children under five years of age. High-quality measurements of MNCH coverage are essential for tracking progress and making evidence-based decisions. MNCH coverage data are mainly collected through fieldworkers' interview with preselected households in standard programs of Demographic and Health Surveys (DHS) or Multiple Indicator Cluster Surveys (MICS) in most low- and middle-income countries. Household surveys will continue to be the major data source for MNCH coverage in the foreseeable future. However, face-to-face data collection broadly used in household surveys is labor-intensive, time-consuming and expensive. Mobile phones are drawing more and more interest in medical research with the rapid increase in usage and text messaging could be an innovative way of data collection, that is, we could collect DHS data through mHealth method. We refer to it as "mDHS". We propose in this paper a conceptual model for measuring MNCH coverage by text messaging in China. In developing this model, we considered resource constraints, sample representativeness, sample size and survey bias. The components of the model are text messaging platform, routine health information system, health facilities, communities and households. Measuring MNCH interventions coverage by text messaging could be advantageous in many ways and establish a much larger evidence-base for MNCH health policies in China. Before mDHS could indeed be launched, research priorities would include a systematic assessment of routine health information systems and exploring feasibility to collect name lists, mobile phone numbers and general demographic and socio-economic data; qualitative interviews with health workers and caregivers; assessment of data validity of all indicators to be collected by text messaging; and exploring approaches to increase participation

  3. Traditional medicine as an alternative form of health care system: a preliminary case study of Nangabo sub-county, central Uganda.

    Science.gov (United States)

    Galabuzi, Charles; Agea, Jacob Godfrey; Fungo, Bernard L; Kamoga, Regina M N

    2009-10-15

    This study was conducted in Nangabo sub-county of Wakiso district. The purpose was to document the common Traditional Medicine (TM) practices; assess the local people's preferences for TM versus western medicine (WM) and lastly to determine the awareness about the importance of TM by local people. Data were collected using semi-structured administered face-to-face with respondents. A total of 120 interviewed. Six focused group discussions (FGDs) were held to validate the questionnaire responses. Data were analyzed descriptively using Statistical Package for Social Sciences (SPSS). The findings indicated that most (43%) respondents derive their livelihoods from traditional medicine practices. Three forms of TM were reported-herbalism (67%), spiritual counseling (23%) and bone setting (10%). Although the majority (81%) of respondents were quite aware of the importance of TM in the sustenance of health care system, majority (55%) of them shunned TM in preference to WM, largely because of the belief that TM is evil-founded and devilish in nature. Only 45% of the respondents preferred TM to WM. The main reasons given for visiting TM practioners rather than western medical practitioners were that TM is sometimes more effective than WM and that in many instances it has very minimal side effects on the human body. There is, however, a need for Ugandan government to legitimize the practice of TM since it contributes a lot to health care needs in areas where western medicine is insufficiently provided. In addition, there is a need for further research into the efficacy and safety of traditional medicines if it is to be adequately integrated into western medicine.

  4. Assessment of School-Based Quasi-Experimental Nutrition and Food Safety Health Education for Primary School Students in Two Poverty-Stricken Counties of West China

    Science.gov (United States)

    Shen, Minxue; Hu, Ming; Sun, Zhenqiu

    2015-01-01

    Background Few studies on nutrition and food safety education intervention for students in remote areas of China were reported. The study aimed to assess the questionnaire used to measure the knowledge, attitude and behavior with respect to nutrition and food safety, and to evaluate the effectiveness of a quasi-experimental nutrition and food safety education intervention among primary school students in poverty-stricken counties of west China. Methods Twelve primary schools in west China were randomly selected from Zhen’an of Shaanxi province and Huize of Yunnan province. Six geographically dispersed schools were assigned to the intervention group in a nonrandom way. Knowledge, attitude and behavior questionnaire was developed, assessed, and used for outcome measurement. Students were investigated at baseline and the end of the study respectively without follow-up. Students in intervention group received targeted nutrition and food safety lectures 0.5 hour per week for two semesters. Item response theory was applied for assessment of questionnaire, and a two-level difference-in-differences model was applied to assess the effectiveness of the intervention. Results The Cronbach’s alpha of the original questionnaire was 0.84. According to item response model, 22 knowledge items, 6 attitude items and 8 behavior items showed adequate discrimination parameter and were retained. 378 and 478 valid questionnaires were collected at baseline and the end point. Differences of demographic characteristics were statistically insignificant between the two groups. Two-level difference-in-differences models showed that health education improved 2.92 (95% CI: 2.06–3.78) and 2.92 (95% CI: 1.37–4.47) in knowledge and behavior scores respectively, but had no effect on attitude. Conclusion The questionnaire met the psychometric standards and showed good internal consistence and discrimination power. The nutrition and food safety education was effective in improving the knowledge

  5. A survey of plants and plant products traditionally used in livestock health management in Buuri district, Meru County, Kenya

    Directory of Open Access Journals (Sweden)

    Gakuubi Martin

    2012-10-01

    Full Text Available Abstract Background Up till now, nomadic communities in Africa have been the primary focus of ethnoveterinary research. Although mainly arable and/or mixed arable/pastoral farmers, Ameru of central Kenya are known to have a rich history of ethnoveterinary knowledge. Their collective and accumulative ethnoveterinary knowledge (EVK is likely to be just as rich and worth documenting. The aim of the study was to document and analyse the ethnoveterinary knowledge of the Ameru. Methods Non-alienating, dialogic, participatory action research (PAR and participatory rural appraisal (PRA approaches involving 21 women and men aged between 50 and 79 years old were utilized. A combination of snowball and purposive sampling methods were used to select 21 key respondents. The methods comprised a set of triangulation approach needed in EVK for non-experimental validation of ethnoknowledge of the Ameru. Results A total of 48 plant species distributed in 26 families were documented with details of diseases/ill-health conditions, parts of plants used and form of preparation and administration methods applied to different animal groups. Of these families, Fabaceae had the highest number of species (16.67%, followed by Solanaceae (12.5%, Asteraceae and Euphorbiacea (each comprising 8.33%, Lamiaceae (6.25%, Apocynaceae and Boraginaceae (each comprising 4.17%, while the rest of the 19 families, each was represented by a single plant species. About 30 livestock diseases/ill-health conditions were described, each treated by at least one of the 48 plant species. Most prevalent diseases/ill-health conditions included: - anaplasmosis, diarrhea, East Coast fever, pneumonia, helminthiasis, general weakness and skin diseases involving wounds caused by ectoparasites. Conclusion The study showed that there was a rich knowledge and ethnopractices for traditional animal healthcare amongst the Ameru. This study therefore provides some groundwork for elucidating the efficacy of

  6. Public health assessment for Re-Solve, Incorporated, Dartmouth, Bristol County, Massachusetts, Region 1: CERCLIS number MAD980520621. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1999-05-25

    The Re-Solve National Priorities List (NPL) site is a 6-acre area situated in the town of Dartmouth, Massachusetts. During the years 1956-1980 the Re-Solve Company distilled industrial solvents on-site. Waste materials from this process were disposed of by burning solvents in four on-site lagoons and spreading waste oils in various portions of the site. Elevated levels of polychlorinated biphenyls (PCBs) and volatile organic compounds (VOCs) were measured in soils throughout the site in 1981, and it was added to the NPL in December 1982. This site is characterized as a past and present public health hazard primarily due to the likely past and present exposure to PCBs through the consumption of PCB contaminated fish and eels from area water bodies. Based upon results of fish sampling that detected PCBs in area eel, the Massachusetts Department of Public Health issued and updated an advisory in 1986 and 1994 recommending that people not eat the fish and eel caught in these affected waters. The potentially exposed population; therefore, include area fishers who may be consuming contaminated fish or eel.

  7. FY2015 VHA Enrollees by County

    Data.gov (United States)

    Department of Veterans Affairs — The VA's Veteran Health Administration, in support of the Open Data Initiative, is providing the number of Veteran enrollees by state/county for fiscal year 2015....

  8. Accounting and Analysis on Public Health Expenditures in County-Level Centers for Disease Control%县级疾病控制机构公共卫生费用核算与分析

    Institute of Scientific and Technical Information of China (English)

    高熹; 刘国祥; 张歆; 吕丽丽; 刘加卓

    2013-01-01

    目的:通过核算与分析县级疾病控制机构公共卫生费用,为政府制定和完善公共卫生政策提供科学依据。方法:采用卫生费用核算方法中的功能法进行公共卫生费用核算。结果:界定了县级疾病控制机构公共卫生服务项目内涵和外延,并确定了其分类及内容;进行了县级疾病控制机构公共卫生费用核算及分析。结论:完善财政补偿机制,增加财政投入;合理调整财政投入结构,确保基本公共卫生服务的提供质量;加强政府监管,调整县级疾病控制机构的工作重点。%Objective: Through accounting and analyzing public health expenditures of county-level centers for disease control (CDC), to provide government scientific references for making and implementing public health policies. Methods: The functional approach of health care accounting methods is used to account the public health expenditures. Results: The connotation and scale of public health care activities of county-level CDC are defined, and the items and contents of public health services are presented; the public health expenditures of county-level CDC were calculated and analyzed. Conclusion: The compensation mechanism should be perfected, and the financial investment in public health needs to be raised;the structure of financial input ought to be rationally adjusted so as to guarantee the basic public health services quality, and government supervision needs to be strengthened to adjust the key projects of county-level CDC.

  9. Survey of human resources for public health workers at the povertystricken minority county, Guizhou Province%贵州省少数民族贫困县公共卫生队伍现状调查

    Institute of Scientific and Technical Information of China (English)

    胡健; 武飚; 吴园园

    2012-01-01

    目的 了解贵州省少数民族贫困县公共卫生队伍现状.方法 2010年8月选取贵州省黔东南苗族侗族自治州三穗县对县级公共卫生人员(疾病预防控制中心、妇幼保健院人员)及乡级公共卫生人员(10个乡镇卫生院防保组人员)共83人进行问卷调查.结果 乡级公共卫生人员21人.平均每千人口乡级公共卫生人员0.08人;乡级公共卫生人员缺编率为84.4%;乡级公共卫生人员执业助理医师占61.9%,执业医师占9.5%,注册护士占28.6%;中专医学学历占66.6%,大专占33.4%;无预防医学专业教育背景;职称均为初级;各乡镇乡级公共卫生人员人口分布的洛伦兹曲线离绝对公平线较远;职称晋升困难;工资待遇、住房条件低(差)于同龄同学历县级公共卫生人员.结论 乡级公共卫生人员严重短缺,结构不合理,业务素质较低,分布公平性较差;工作与生活条件待改善.%OBJECTIVE To describe the current situation of human resources for public health workers at the poverty-stricken minority county, Guizhou Province. METHODS A cross-sectional survey was conducted among 83 public health workers at the county center for disease control and prevention, maternal and child health hospital, and 10 township health centers of Sansui county, Qiandongnan autonomous prefecture of Miao and Dong minorities, Guizhou province in August 2010. RESULTS A total of 21 public health workers were reported at township health centers. The results also showed an average of 0.08 person of public health workers at township health centers per 1 000 population. The percentage of job vacancies at township health centers was 84.4%. About 61.9% of the respondents at township health centers worked as assistants of medical doctors, 9.5% as medical doctors, and 28.6% as registered nurses. 66.6% were graduated from the technical secondary medical school, 33.4% from the junior medical college. Respondents at

  10. County-level environmental quality and associations with individual - and county-level preterm birth

    Science.gov (United States)

    Human health is influenced by simultaneous exposure to stressors and amenities, but research usually considers single exposures. We constructed a county-level Environmental Quality Index (EQI) using principal components analysis with data from five domains (air, water, land, buil...

  11. Allegheny County TIF Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Tax Increment Financing (TIF) outline parcels for Allegheny County, PA. TIF closing books contain all necessary documentation related to a TIF in order to close on...

  12. Allegheny County TIF Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Tax Increment Financing (TIF) outline parcels for Allegheny County, PA. TIF closing books contain all necessary documentation related to a TIF in order to close on...

  13. Allegheny County Property Assessments

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Real Property parcel characteristics for Allegheny County, PA. Includes information pertaining to land, values, sales, abatements, and building characteristics (if...

  14. Allegheny County Street Centerlines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains the locations of the street centerlines for vehicular and foot traffic in Allegheny County. Street Centerlines are classified as Primary...

  15. Allegheny County Parks Outlines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Shows the size and shape of the nine Allegheny County parks. If viewing this description on the Western Pennsylvania Regional Data Center’s open data portal...

  16. Allegheny County Street Centerlines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains the locations of the street centerlines for vehicular and foot traffic in Allegheny County. Street Centerlines are classified as Primary Road,...

  17. Allegheny County Depression Medication

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — These Census Tract-level datasets described here provide de-identified diagnosis data for customers of three managed care organizations in Allegheny County (Gateway...

  18. Allegheny County Diabetes Hospitalization

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This data includes the number of people hospitalized with diabetes between 2013-2015, by age group, for Allegheny County Zip Codes.

  19. Allegheny County Dam Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset shows the point locations of dams in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data portal...

  20. Westmoreland County Crash Data

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Contains locations and information about every crash incident reported to the police in Westmoreland County from 2011 to 2015. Fields include injury severity,...

  1. Allegheny County Crash Data

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Contains locations and information about every crash incident reported to the police in Allegheny County from 2004 to 2015. Fields include injury severity,...

  2. County Population Vulnerability

    Data.gov (United States)

    City and County of Durham, North Carolina — This layer summarizes the social vulnerability index for populations within each county in the United States at scales 1:3m and below. It answers the question...

  3. Beaver County Crash Data

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Contains locations and information about every crash incident reported to the police in Beaver County from 2011 to 2015. Fields include injury severity, fatalities,...

  4. Washington County Crash Data

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Contains locations and information about every crash incident reported to the police in Washington County from 2011 to 2015. Fields include injury severity,...

  5. Allegheny County Street Centerlines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains the locations of the street centerlines for vehicular and foot traffic in Allegheny County. Street Centerlines are classified as Primary Road,...

  6. Allegheny County Obesity Rates

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Obesity rates for each Census Tract in Allegheny County were produced for the study “Developing small-area predictions for smoking and obesity prevalence in the...

  7. Allegheny County Major Rivers

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains locations of major rivers that flow through Allegheny County. These shapes have been taken from the Hydrology dataset. The Ohio River,...

  8. Allegheny County Boundary

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains the Allegheny County boundary. If viewing this description on the Western Pennsylvania Regional Data Center’s open data portal...

  9. Allegheny County Smoking Rates

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Smoking rates for each Census Tract in Allegheny County were produced for the study “Developing small-area predictions for smoking and obesity prevalence in the...

  10. Taos County Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — Vector line shapefile under the stewardship of the Taos County Planning Department depicting roads in Taos County, New Mexico. Originally under the Emergency...

  11. Allegheny County Homicides

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The dataset has location information on homicides that occurred in Allegheny County from 2002-2014. Age group, gender, and race and year of death have been...

  12. Allegheny County Parcel Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains parcel boundaries attributed with county block and lot number. Use the Property Information Extractor for more control downloading a filtered...

  13. Allegheny County Property Viewer

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Webmap of Allegheny municipalities and parcel data. Zoom for a clickable parcel map with owner name, property photograph, and link to the County Real Estate website...

  14. Allegheny County Tobacco Vendors

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The tobacco vendor information provides the location of all tobacco vendors in Allegheny County in 2015. Data was compiled from administrative records managed by...

  15. Allegheny County Asbestos Permits

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Asbestos permit data issued by the County for commercial building demolitions and renovations as required by the EPA. This file is updated daily and can be...

  16. Allegheny County Anxiety Medication

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — These Census Tract-level datasets described here provide de-identified diagnosis data for customers of three managed care organizations in Allegheny County (Gateway...

  17. Butler County Crash Data

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Contains locations and information about every crash incident reported to the police in Butler County from 2011 to 2015. Fields include injury severity, fatalities,...

  18. Evaluation on health education of iodine deficiency disorders prevention in Baofeng county%宝丰县碘缺乏病健康教育效果评价

    Institute of Scientific and Technical Information of China (English)

    牛国永; 张功员

    2012-01-01

    目的 对河南省宝丰县碘缺乏病(IDD)健康教育干预前的基线调查和干预措施实施1年的效果评价,评估IDD健康教育措施的效果.方法 采用分层随机化的方法选择干预组和对照组,进行干预前、后的比较分析.结果 干预组小学生IDD防治知识知晓率由干预前的62.56%提高到干预后的95.78%,家庭主妇从61.17%提高到93.17%;碘盐覆盖率从91.00%提高到99.67%;居民户合格碘盐食用率由88.17%提高到97.67%;小学生尿碘值小于50μg/L和小于100μg/L的比例由8.7%和16.8%下降到0和1.8%.小学生甲状腺肿大率由4.83%下降到4.00%.对照组上述指标干预前后比较均无统计学意义.干预后干预组与对照组比较小学生甲状腺肿大率无统计学意义,其它均有统计学意义.结论 健康教育干预可有效提高小学生和家庭主妇的IDD防治知识知晓率.同时使居民户碘盐覆盖率和合格碘盐食用率均明显上升.使小学生尿碘值小于50μg/L和小于100 μg/L的比例明显下降.%Objective Through the basic survey before interference and the evaluation of effect of the interfering measures within one year of health education about Iodine Deficiency Disorders( IDD) in Baofeng county of Henan province, evaluating the effect of health education measures. Methods To choose intervention group and contrast group in the stratified randomization method, to analyze and compare the results before and after intervention. Results After health education, the rate of knowledge on IDD by the baseline survey rising from 62. 56% to 93. 17% in primary school students, from 61. 17% to 93. 17% in the housewives; The coverage rate of iodized salt rising from 91. 00% to 99. 67% ; The intake rate of qualified iodized salt of the residents rising from 88. 17% to 97. 67%; The rate of urinary iodine under 50 μg/L and under 100 μg/L of the primary students were falling down from 8. 7% and 16. 8% to 0% and 1. 8

  19. On the Season, a Report of a Public Health Project Conducted Among Negro Migrant Agricultural Workers in Palm Beach County, Florida.

    Science.gov (United States)

    Browning, Robert H.; Northcutt, Travis J., Jr.

    A 5-year project to develop public health services for migrant workers was initiated in Florida in 1956. The project staff consisted of 8 public health personnel: 2 public health nurses, a public health educator, a public health nutritionist, a medical social worker, a part-time sanitarian, a liaison worker, and a secretary. Two practicing…

  20. 安徽省对口援建新疆皮山县卫生人才培养调查与分析%Investigation and analysis of health personnel training during Anhui province aiding Xinjiang Pishan county

    Institute of Scientific and Technical Information of China (English)

    汪长如; 王劲松; 麻冲

    2015-01-01

    目的:为新疆定向培养医疗卫生人才提供决策依据。方法通过文献法、关键知情人深度访谈法、问卷调查、观察法,了解皮山县卫生人才发展现状和需求,分析新疆民族学生的学情,以及安徽省援疆人才培养情况。结果皮山县卫生人才总量不足、增量不够,致力援疆项目民族学生的思想政治教育、国家通用语言能力、学业质量、文化心理适应能力等方面需要着力加强,安徽省援疆卫生人才培养采取了创新工作机制、创新人才培养模式等举措。结论解决皮山县卫生人才短缺问题,必须严格人才选拔标准、扩大定向培养规模,坚持立德树人、保证人才培养质量,以及采取激励措施、鼓励内地优秀毕业生到新疆就业。%Objective To provide decision support for the Xinjiang oriented training medical talents. Methods Through the literature method, key informant interviews method, questionnaires method, observation method, learned about health personnel situation and demand Pishan county, analyzed the situation of Xinjiang minority students in Anhui Province as well as the aiding-Xinjiang personnel training.Results Health talent in Pishan county was in short, its increment was not enough, the Intellectual Aid Project for Xinjiang Minority Students including the ideological and political education, national general language ability, academic quality, cultural and psychological adaptation ability need strengthening, Anhui Province health personnel training took the measures like innovating the mode of cultivating mechanism and talent initiatives.Conclusions In order to solve the problem of Pishan county health personnel shortages, we must tighten the standard of selecting talents, expand the scale of the oriented training, adhere to the morality education, ensure the quality of personnel training, and take incentive measures to encourage the mainland outstanding graduates to work in

  1. 县域突发公共卫生事件大众风险沟通现状研究%Research on Current Situation of County Public Health Emergencies Risk Communication

    Institute of Scientific and Technical Information of China (English)

    张巍; 张继彬; 陈国永; 张刚; 李杰; 钱玲; 毛群安

    2011-01-01

    Objective: To investigate the situation of the current work of and the related factors of the county public health emergencies risk communication, so as to offers scientific basis for making the public risk communication strategy, plan and guide at the county level. Methods: Adopt the qualitative research method in two counties, conduct depth interview for government spokesman, the focus group discussion of medical and health institutions and relevant administrative agency personnel, and the general public. Results: Although county public emergency responses have the basic knowledge and consciousness of risk communication, there are rarely risk communications content and items in the emergency response plan of the county government, let alone department's responsibility. The coordination mechanism of risk communication is ineffective, not make good use of media resource. In addition to the mass media, the people would believe the oral notice from government and village officers and cadres. Conclusion: There are lacks of substantive provisions and coordinate system of the county-level public emergency risk communication work plan. To deal with serious emergency incident, it is necessary for them to conduct the systematic training and exercises on risk communication. Common people expect the diversity of channels of risk communication, especially having the higher trust for interpersonal communication.%目的:了解我国县域开展突发公共卫生事件大众风险沟通的工作现状及相关因素,为制定县级大众风险沟通策略、计划和指南提供科学依据.方法:采用质化研究方法,在辽宁省海城市和安徽省寿县,深度访谈政府发言人,焦点小组座谈医疗卫生机构和有关行政机构人员,以及普通群众.结果:政府部门的应急预案中涉及风险沟通的内容很少,部门职责不明,协调机制不灵,媒体资源调动不充分.除了大众媒介外,基层百姓更相信政府干部的层层通知.结

  2. Occupational Health Costs of Enterprises with Occupational Benzene Hazard in Xianghe County, Langfang,Hebei%河北省廊坊市香河县苯职业危害企业职业卫生投入分析

    Institute of Scientific and Technical Information of China (English)

    张杰; 任合彦; 徐萍

    2012-01-01

    [ Objective ] To describe distributions of occupational health costs of enterprises with occupational benzene hazard in Xianghe County, Hebei Province, and to evaluate levels of occupational disease prevention and control. [ Methods ] A questionnaire survey on occupational health costs was conducted among 245 small and medium-sized enterprises with occupational benzene hazard in Xianghe County. Obtained results were used for statistical analysis. [ Results ] The per capita occupational health cost was RMB 758.7 yuan. The overall occupational health costs of 245 enterprises amounted to RMB 2.372 million yuan, accounting for 0.6% of their overall annual gross product. The distribution of occupational health costs and its proportion to gross product showed a positive skewness. Twenty-three enterprises invested zero in occupational health, accounting for 9.4% of all enterprises investigated. The costs of detection and evaluation of occupational hazardous factors, occupational health surveillance, and occupational health training accounted for 15.3%, 17.2%, and 15.1% of the total occupational health costs, respectively. [ Conclusion ] The enterprises with occupational benzene hazard in Xianghe County invest insufficient capital in occupational health, and their effort for prevention and control is generally on low levels. The limited funds for prevention and control are not invested in those sections with higher cost-effectiveness ratios. Moreover, their prevention and control strategies are not well-directed and fail to prioritize those important sections.%[目的]调查河北省廊坊市香河县苯职业危害企业职业卫生投入经费及分布状况,初步评估其职业病防治水平.[方法]对香河县245家苯职业危害中小企业职业卫生投入状况开展问卷调查,对调查结果进行统计分析.[结果]每位劳动者平均享有758.7元人民币职业卫生费用;245家企业职业卫生总经费共237.2万元人

  3. VT Boundaries - county polygons

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) The BNDHASH dataset depicts Vermont villages, towns, counties, Regional Planning Commissions (RPC), and LEPC (Local Emergency Planning Committee)...

  4. Capacity building for primary health care reform and its effectiveness in Feixi county, Anhui province%安徽省肥西县基层卫生服务能力提升改革及其成效

    Institute of Scientific and Technical Information of China (English)

    金音子; 何莉; 岳大海; 朱炜明; 张鲁豫; 马慧芬; 孟庆跃

    2015-01-01

    目的::分析安徽省肥西县基层卫生服务能力提升改革措施及成效,为深化基层医疗卫生服务体系改革提供参考。方法:采用关键知情人访谈、政策文件和档案资料分析以及机构问卷调查等方法收集资料,定性和定量研究结合,通过交叉分析和解释得出研究发现。结果:2010—2014年,肥西县从基层卫生人员能力、卫生服务体系网络建设、工作条件改善、机构管理制度建设四方面进行改革后,基层卫生人员能力提升、工作积极性增加、收入提高,基层卫生条件改善,纵向和横向医疗服务协作机制建立,县内就诊率和基层卫生服务利用提高。结论:肥西县“自下而上”的探索路径和“以点带面”的试点推行,不仅是基层卫生体系综合改革的核心内容,也有效撬动了其它方面的改革,触动了医疗卫生体系体制机制。%Objective:To analyze the implementation and effectiveness of primary health care reform in Feixi county, Anhui province. Methods: This paper uses data analysis of interviews with key insiders, policy documents and archives, as well as institutional questionnaire survey and other methods to collect information, and then it com-bines qualitative and quantitative research to arrive at research findings through cross-analysis and interpretation. Re-sults:From 2010 to 2014, the reform enhanced the capacity of primary health care in four main aspects, including capacity building of primary health care personnel, network construction of primary health care system, improvement of working conditions, and system construction of institutional management. Accordingly, the human capacity of pri-mary health care personnel was improved, their enthusiasm for work increased, their income was raised, the working conditions were improved, the cooperation mechanism for vertical and horizontal health care services was established, and the consultation rate

  5. Allegheny County Blazed Trails Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Shows the location of blazed trails in all Allegheny County parks. This is the same data used in the Allegheny County Parks Trails Mobile App, available for Apple...

  6. Allegheny County Zip Code Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates the zip code boundaries that lie within Allegheny County. These are not clipped to the Allgeheny County boundary. If viewing this...

  7. Allegheny County Blazed Trails Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Shows the location of blazed trails in all Allegheny County parks. This is the same data used in the Allegheny County Parks Trails Mobile App, available for Apple...

  8. Hurricane exposure and county fetal death rates, utilization of a county environmental quality index for confounding control.

    Science.gov (United States)

    The effects of natural disasters on public health are a rising concern, with increasing severity of disaster events. Many disaster studies utilize county-level analysis, however most do not control for county level environmental factors. Hurricane exposure during pregnancy could ...

  9. Hurricane exposure and county fetal death rates, utilization of a county environmental quality index for confounding control.

    Science.gov (United States)

    The effects of natural disasters on public health are a rising concern, with increasing severity of disaster events. Many disaster studies utilize county-level analysis, however most do not control for county level environmental factors. Hurricane exposure during pregnancy could ...

  10. Health-Related Conditions and Depression in Elderly Mexican American and Non-Hispanic White Residents of a United States-Mexico Border County: Moderating Effects of Educational Attainment

    Directory of Open Access Journals (Sweden)

    David F. Briones

    2011-01-01

    Full Text Available We investigated the prevalence of “high” levels of depressive symptomatology and 13 health-related medical conditions in elderly Mexican American (MA and non-Hispanic white (NHW residents of El Paso County, Texas. We analyzed the extent to which depressive symptoms in this population are associated with these conditions. Elderly MA residents possessed a higher prevalence of current depression, a relatively unique health-related condition profile, and were more likely to experience a set of conditions that impede participation in daily life—conditions that we found to be strongly associated with high depressive symptomatology in the elderly. After adjusting for educational attainment, using multiple regression analyses, depression was not associated with ethnicity and only six of the health related conditions showed significant differences between MA and NHW subjects. We believe these results provide an important insight into the mechanism of health-related conditions and depressive symptomatology in a large sample of elderly MAs; and how conditions typically attributed to MA ethnicity may in actuality be an artifact of socioeconomic status variables such as educational-attainment.

  11. Allegheny County Block Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset overlays a grid on the County to assist in locating a parcel. The grid squares are 3,500 by 4,500 square feet. The data was derived from original...

  12. Sheridan County Recreation Plan.

    Science.gov (United States)

    Webster, Elaine

    A pilot project investigating the feasibility of year-round recreational programs in rural counties of populations of less than 10,000 is described in this report. (Sheridan County, Kansas, was chosen as the project site.) Part I, the introductory section, briefly defines recreation and its relation to human needs. Part II provides a geographic…

  13. Allegheny County Block Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset overlays a grid on the County to assist in locating a parcel. The grid squares are 3,500 by 4,500 square feet. The data was derived from original...

  14. Allegheny County Watershed Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates the 52 isolated sub-Watersheds of Allegheny County that drain to single point on the main stem rivers. Created by 3 Rivers 2nd Nature based...

  15. LANDSLIDES IN SUCEAVA COUNTY

    Directory of Open Access Journals (Sweden)

    Dan Zarojanu

    2017-07-01

    Full Text Available In the county of Suceava, the landslides are a real and permanent problem. This paper presents the observations of landslides over the last 30 years in Suceava County, especially their morphology, theirs causes and the landslide stopping measures. It presents also several details regarding the lanslides from the town of Suceava, of Frasin and the village of Brodina.

  16. Hancock County Awards Gala

    Science.gov (United States)

    2008-01-01

    Gene Goldman (left), deputy director of NASA's John C. Stennis Space Center, accepts an Award of Excellence from Jack Zink, executive director of the Hancock County Port and Harbor Commission, during the 2008 Annual Hancock County Awards Gala. The Award of Excellence was presented to recognize Stennis Space Center's contribution to NASA's 50 years of excellence in space exploration.

  17. Effect of provision of an integrated neonatal survival kit and early cognitive stimulation package by community health workers on developmental outcomes of infants in Kwale County, Kenya: study protocol for a cluster randomized trial.

    Science.gov (United States)

    Pell, Lisa G; Bassani, Diego G; Nyaga, Lucy; Njagi, Isaac; Wanjiku, Catherine; Thiruchselvam, Thulasi; Macharia, William; Minhas, Ripudaman S; Kitsao-Wekulo, Patricia; Lakhani, Amyn; Bhutta, Zulfiqar A; Armstrong, Robert; Morris, Shaun K

    2016-09-08

    Each year, more than 200 million children under the age of 5 years, almost all in low- and middle-income countries (LMICs), fail to achieve their developmental potential. Risk factors for compromised development often coexist and include inadequate cognitive stimulation, poverty, nutritional deficiencies, infection and complications of being born low birthweight and/or premature. Moreover, many of these risk factors are closely associated with newborn morbidity and mortality. As compromised development has significant implications on human capital, inexpensive and scalable interventions are urgently needed to promote neurodevelopment and reduce risk factors for impaired development. This cluster randomized trial aims at evaluating the impact of volunteer community health workers delivering either an integrated neonatal survival kit, an early stimulation package, or a combination of both interventions, to pregnant women during their third trimester of pregnancy, compared to the current standard of care in Kwale County, Kenya. The neonatal survival kit comprises a clean delivery kit (sterile blade, cord clamp, clean plastic sheet, surgical gloves and hand soap), sunflower oil emollient, chlorhexidine, ThermoSpot(TM), Mylar infant sleeve, and a reusable instant heater. Community health workers are also equipped with a portable hand-held electric scale. The early cognitive stimulation package focuses on enhancing caregiver practices by teaching caregivers three key messages that comprise combining a gentle touch with making eye contact and talking to children, responsive feeding and caregiving, and singing. The primary outcome measure is child development at 12 months of age assessed with the Protocol for Child Monitoring (Infant and Toddler version). The main secondary outcome is newborn mortality. This study will provide evidence on effectiveness of delivering an innovative neonatal survival kit and/or early stimulation package to pregnant women in Kwale County

  18. NCHS - Drug Poisoning Mortality by County: United States

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset describes drug poisoning deaths at the county level by selected demographic characteristics and includes age-adjusted death rates for drug poisoning...

  19. Chester County ground-water atlas, Chester County, Pennsylvania

    Science.gov (United States)

    Ludlow, Russell A.; Loper, Connie A.

    2004-01-01

    Chester County encompasses 760 square miles in southeastern Pennsylvania. Groundwater- quality studies have been conducted in the county over several decades to address specific hydrologic issues. This report compiles and describes water-quality data collected during studies conducted mostly after 1990 and summarizes the data in a county-wide perspective. In this report, water-quality constituents are described in regard to what they are, why the constituents are important, and where constituent concentrations vary relative to geology or land use. Water-quality constituents are grouped into logical units to aid presentation: water-quality constituents measured in the field (pH, alkalinity, specific conductance, and dissolved oxygen), common ions, metals, radionuclides, bacteria, nutrients, pesticides, and volatile organic compounds.Waterquality constituents measured in the field, common ions (except chloride), metals, and radionuclides are discussed relative to geology. Bacteria, nutrients, pesticides, and volatile organic compounds are discussed relative to land use. If the U.S. Environmental Protection Agency (USEPA) or Chester County Health Department has drinkingwater standards for a constituent, the standards are included. Tables and maps are included to assist Chester County residents in understanding the water-quality constituents and their distribution in the county. Ground water in Chester County generally is of good quality and is mostly acidic except in the carbonate rocks and serpentinite, where it is neutral to strongly basic. Calcium carbonate and magnesium carbonate are major constituents of these rocks. Both compounds have high solubility, and, as such, both are major contributors to elevated pH, alkalinity, specific conductance, and the common ions. Elevated pH and alkalinity in carbonate rocks and serpentinite can indicate a potential for scaling in water heaters and household plumbing. Low pH and low alkalinity in the schist, quartzite, and

  20. Application of decision support systems in county urban planning: a proposal for Macaé county

    Directory of Open Access Journals (Sweden)

    GALANTE, A. C.

    2008-06-01

    Full Text Available The Macaé County is one of the greatest economy of the state of Rio de Janeiro. With the use of the information technology is possible to create a powerful tool for supporting the decision making processing for this County, aiding the process of improvement of life quality. For that one, intends to use a Decision Support System able to give different kind of information of County areas, like health and education. For the union of all information the datawarehouse technology will be used. For query implementation the technologies of OLAP and GIS are used together. Therefore, those technologies together make a powerful tool for aiding the decision making process of the Macaé County.

  1. The growth pattern of 0-1-year-old Danish children, when screened by public health nurses--the Copenhagen County Child Cohort 2000

    DEFF Research Database (Denmark)

    Olsen, Else Marie; Petersen, Janne; Skovgaard, Anne Mette

    2005-01-01

    Using inadequate growth references when screening child health could lead to false conclusions concerning individual growth. We were concerned that this might apply to the official Danish growth reference.......Using inadequate growth references when screening child health could lead to false conclusions concerning individual growth. We were concerned that this might apply to the official Danish growth reference....

  2. SURVEY, SOLANO COUNTY, USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — Solano County California, hydrographic survey data collected by Harned Surveying and Engineering (HSE). Data collection period January 1, 2011 through March 1, 2011.

  3. Allegheny County Hydrology Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Hydrology Feature Dataset contains photogrammetrically compiled water drainage features and structures including rivers, streams, drainage canals, locks, dams,...

  4. Allegheny County Sheriff Sales

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — List of properties up for auction at a Sheriff Sale. Datasets labeled "Current" contain this month's postings, while those labeled "Archive" contain a running list...

  5. Allegheny County Cemetery Outlines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Outlines of public and private cemeteries greater than one acre in size. Areas were delineated following a generalized line along the outside edge of the area....

  6. Durham County Demographic Profile

    Data.gov (United States)

    City and County of Durham, North Carolina — (a) Includes persons reporting only one race.(b) Hispanics may be of any race, so also are included in applicable race categories. D: Suppressed to avoid disclosure...

  7. Allegheny County Hydrology Lines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Hydrology Feature Dataset contains photogrammetrically compiled water drainage features and structures including rivers, streams, drainage canals, locks, dams,...

  8. County Political Boundaries (National)

    Data.gov (United States)

    Department of Transportation — County boundaries with political limit - boundaries extending into the ocean (NTAD 2015). The TIGER/Line shapefiles and related database files (.dbf) are an extract...

  9. Minnesota County Boundaries

    Data.gov (United States)

    Minnesota Department of Natural Resources — Minnesota county boundaries derived from a combination of 1:24,000 scale PLS lines, 1:100,000 scale TIGER, 1:100,000 scale DLG, and 1:24,000 scale hydrography...

  10. Allegheny County Hydrology Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Hydrology Feature Dataset contains photogrammetrically compiled water drainage features and structures including rivers, streams, drainage canals, locks, dams,...

  11. Allegheny County Hydrology Lines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Hydrology Feature Dataset contains photogrammetrically compiled water drainage features and structures including rivers, streams, drainage canals, locks, dams,...

  12. Allegheny County Dog Licenses

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — A list of dog license dates, dog breeds, and dog name by zip code. Currently this dataset does not include City of Pittsburgh dogs.

  13. INTEGRATED WASTE MANAGEMENT SYSTEM IN HARGHITA COUNTY

    Directory of Open Access Journals (Sweden)

    Mihai-Constantin AVORNICULUI

    2015-11-01

    Full Text Available Waste management problems in Harghita County (and other places in the country have a major negative impact on society and pose a direct threat to human health, and an adverse effect on quality of life. Considering the current practices, it is clear that the system of waste management in Romania and Harghita county needs to be improved to meet the requirements of new national and European regulations. In Harghita County there are 36 protected areas of national interest, four protected areas of local interest and 18 Natura 2000 sites, including 13 Sites of Community Importance (SCI and 5 Special Protection Areas (SPA. Strengthening a sustainable waste management system involves major changes to current practices. Implementing such changes can be successfully achieved only through the involvement of the whole society: population– as users, entrepreneurs, socio-economic institutions and public authorities.

  14. 农村地区县妇幼保健院助产服务现状及优势分析%Analysis on current situation and advantages of midwifery service in maternal and child health care hospital at county level in rural area

    Institute of Scientific and Technical Information of China (English)

    罗荣; 金曦; 杜立燕; 胡文玲; 谷丽紧

    2013-01-01

    目的:调查农村地区不同类别助产机构产科服务提供情况及服务能力,对县妇幼保健院助产服务现状和优势进行分析.方法:在全国随机抽取44个地市全部助产服务机构2010年产科服务情况进行问卷调查,重点对农村地区(县和县级市)中不同类型助产机构进行分析.结果:农村助产服务机构中县妇幼保健院占6.5%,县妇幼保健院产科床位数占辖区产科总床位数的18.1%,分娩数量占辖区分娩量的42.9%,平均每个县妇幼保健院年分娩为1 259人,高于县级综合性医院和其他医疗机构.县妇幼保健院中能提供综合产科和综合新生儿科服务的比例最高分别为85.3%、61.9%,高于县级综合性医院83.1%、59.4%,并明显高于其他医疗机构32.4%、19.3%.结论:县妇幼保健院是农村地区助产服务的主要力量之一,与其他助产机构相比,县妇幼保健院在助产服务提供数量和能力方面都具有一定优势.应进一步加强对妇幼保健机构的规范化建设,以保证其职能的履行.%Objective:To investigate the obstetrical service providing status and service ability of different types of midwifery institutions in rural area,and analyze the current situation and advantages of midwifery service in county maternal and child health care hospitals.Methods:The whole midwifery institutions in 44 cities were randomly selected,the obstetrical service statuses of the midwifery institutions in 2010 were investigated by a questionnaire,different types of midwifery institutions in rural area (counties and county-level cities) were analyzed.Results:Among the midwifery service institutions in rural area,county maternal and child health care hospitals accounted for 6.5%,the number of beds in obstetrical departments of county maternal and child health care hospitals accounted for 18.1% of the total number of beds in obstetrical departments of county maternal and child health care hospitals

  15. Research on Health Risk Assessment of Drinking Water Quality in a County of Changzhi%长治市某县乡镇集中式饮用水源水质健康风险评价

    Institute of Scientific and Technical Information of China (English)

    张晶; 赵海生; 张松柏; 田雄超

    2011-01-01

    文章采用美国环境保护署(U.S.EPA)提出的水质健康风险评价模型,对长治市某县6处乡镇集中式饮用水水源水质进行评价,探讨了水体中所含污染物对人体健康潜在影响。结果表明,该县6处饮用水水源所含污染物对人体健康潜在危害均高于国际辐射委员会(ICRP)推荐的最大可接受限值5.0×10-5 a-1;化学致癌物是该县饮用水中危害人体健康的主要风险来源,对人体健康危害的风险度排序为:Cr6+﹥As﹥Cd。水环境健康风险评价模型较传统的水质等级评价体系能够量化表征水体中各污染物对人体健康的潜在危害,有利于明确水体污染物治理的优先顺序,为水环境管理提供科学依据。%In this paper,the model of health risk assessment proposed by U.S.EPA(United States Environmental Protection Agency) is applied to drinking water supply source in a county of Changzhi city and health risk of the pollutant in the drinking water supply source is discussed.Results indicates that the total health risk values were higher than the maximum allowed level(5.0×10-5 a-1) recommended by ICRP(International Commission on Radiological Protection).The health risk caused by chemical carcinogen was significantly higher than those caused by non-carcinogen contaminations,and the ranking of risk values due to chemical carcinogen was Cr6+﹥As﹥Cd.Compared to the traditional water quality assessment system,the health risk assessment can quantificationally connect water pollution to human health,put single indicator to human health directly and define the priority of controlled pollutants,which provides the scientific support for environmental management.

  16. Status of village health personnel in poverty-stricken minority counties, Guizhou province%贵州省少数民族贫困县村医队伍现状调查

    Institute of Scientific and Technical Information of China (English)

    胡健; 武飚; 李孔章

    2011-01-01

    Objective To describe the situation of village health personnel (VHP) in poverty-stricken minority counties.Methods A cross-sectional survey was conducted among 172 VHP at 77 village clinics in Puan minority county,Guizhou province in January 2010.Results The age of the VHP was from 22 to 68 years, with an average of 39 years.About 98.8% of respondents did not have any technical title;81.4% of the VHP were village doctors with occupational qualification and 18.6% were assistant doctor.For all VHP,86.7% completed technical secondary school or relevant certificate education;1.2% had junior college or above education,and 12.2% had no vocational education.There was an average of 0.48 village doctor or assistant doctor per 1 000 rural population, which was significantly lower than the average level of Guizhou province,the western areas of China,and China (P < 0.01 ) ,respectively.Respondents reported an average monthly income of 1 250 RMB yuan, which was lower than that of village teachers at the primary school.All respondents did not have any endowment insurances, but had new type of rural cooperative medical care system with their own payment.Lorenz curve of VHP distribution was close to absolute equity line.Conclusion VHP in Puan minority county was in a shortage with an older age structure and a lower technical qualification.VHP distribution showed a good equity among towns in the county.%目的 了解少数民族贫困县村医队伍现状.方法 2010年1月选取贵州省黔西南布依族苗族自治州普安县14个乡镇77个村卫生室所有在岗村医172人进行面对面访谈.结果 村医年龄22~68岁,平均年龄39岁;98.8%的村医无专业技术职称;执业资格以乡村医生资格证书为主,占81.4%,执业助理医师占18.6%;医学学历以中专或相当于中专水平(贵州省卫生厅授证)为主,占86.7%,大专及以上占1.2%,无任何医学学历占12.1%;平均每千农业人口乡村医生和卫生员0.48人,明显

  17. 新疆额敏县1073例青少年口腔健康状况和行为调查%A survey of oral health status and behavior of 1073 adolescents in Emin County, Xinjiang

    Institute of Scientific and Technical Information of China (English)

    阿达来提·阿布力米提; 努尔古力·加尼木汗; 迪丽努尔·阿吉; 赵今; 热娜古孜·阿不都米吉提; 古丽努尔·阿吾提

    2013-01-01

    目的:了解青少年口腔健康状况和行为,为牙病防治工作和口腔健康教育规划提供信息依据.方法:参照第三次全国口腔健康流行病学调查方案,设计口腔健康调查表,对新疆塔城地区额敏县1073名汉族和哈萨克族学生进行口腔检查和卫生行为问卷调查,并进行统计学分析.结果:52.8%哈萨克族和63.6%汉族青少年养成每天2次刷牙习惯;33%哈萨克族、59.8%汉族青少年进行定期体检;40.6%哈萨克族和47.8%汉族就医时选择大型医院;了解口腔知识途径为各种媒体占43.6%;牙体缺损未充填率35.9%;因外伤、龋损、先天缺失导致牙列缺损的比例分别为0.65%、3.17%、3.45%;未进行牙列缺损修复者占6.5%;牙龈炎性色红、肿胀、增生检出率分别达22.1%、9.6%、2.1%;轻度牙石34.0%.结论:塔城地区额敏县青少年口腔健康状况不容乐观,哈萨克族学生口腔保健意识低于汉族学生,需全面加强口腔健康宣教和相关知识普及.%AIM: To investigate the oral health status and behavior of the adolescents in Emin County, Xin- jiang . METHODS: 1073 Han and Kazak nationality students aged 17 ~20 years were surveyed according to the third national oral health epidemiological survey method. The subjects received oral examination and were asked to answer a questionnaire concerning oral health behavior. Statistical analysis was performed using SPSS 13.0 statistics software. RESULTS: 52. 8% Kazak and 63.6% Han students brushed teeth twice daily. 33. 0% Kazak and 59. 8% Han had regular physical examination. 40. 6% Kazak and 47. 8% Han prefered to seek treatment in big hospitals. 43.6% adolescents had oral health knowledge. 35. 9% of dental defects were not filled. Dentition defect caused by trauma, caries and ectrogeny was 0.65% , 3. 17% and 3.45% respectively. 6.5% dentition defects were not restored. The detection rates of gum redness, swelling and

  18. The Current Situation Investigation of Health Behaviors of Pupils in Nayong County in Guizhou Province%贵州省纳雍县农村小学生卫生行为现状调查

    Institute of Scientific and Technical Information of China (English)

    郭浩冉; 罗虹

    2012-01-01

    目的:了解贵州农村小学生的卫生行为现状,为制定相对应的健康干预提供依据.方法:采取整群随机抽样的方法,随机抽取贵州省纳雍县3所农村小学3~6年级12个班中519名小学生,采取自行设计的问卷调查农村小学生的卫生现状.结果:3~6年级小学生卫生行为形成率中饭前便后洗手、不随地吐痰、勤剪指甲、早晚刷牙、每3月换一次牙刷、不喝生水、水果洗后再吃的形成率分别为47.76%、69.56%、43.93%、71.68%、44.12%、42.77%、69.36%;被调查学校中无一所开展健康教育课程或宣教.结论:纳雍县农村小学生的卫生行为形成率较低,老师、家长及电视是农村小学生健康知识的主要来源,故应大力加强健康教育,尤其是学校对于健康知识的宣教.%Objective: To understand current situation of health behaviors of pupils in Guizhou province, and so as to provide evidence for establishment of relevant health intervention measures. Methods : Cluster random sampling method was employed, and grade 3-6 pupils in three rural primary schools of Nayong county were randomly selected. Self designed questionnaire was carried out to study the heath situation of rural primary school students in Guizhou province. Results: There were 519 pupils in 12 classes of three rural primary schools under investigation. The formation rates of washing hands before and after meals, no spitting, shearing nails frequently, brushing teeth every morning and night, changing toothbrush every 3 months, not drinking raw water and eating washed fruits were 47. 76% , 69.56% , 43.93% , 71. 68% , 44.12% , 42.77% and 69. 36% respectively. All the studied primary schools did not develop health education. Conclusions: The formation rates of health behaviors of rural pupils in Nayong county are low, and their health knowledge almost comes from teachers, parents and television. Health education should be strengthened in rural primary

  19. Integrated satellite imaging and syndromic surveillance reveal health effects of smoke from wildfires in rural eastern North Carolina counties in the summer of 2008

    Science.gov (United States)

    Rationale: Wildfire smoke often impacts rural areas without air quality monitors, limiting assessment of health impacts. A 2008 wildfire in Pocosin Lakes National Wildlife Refuge produced massive quantities of smoke affecting eastern NC, a rural area with limited air quality moni...

  20. Hydrogeologic framework of LaSalle County, Illinois

    Science.gov (United States)

    Kay, Robert T.; Bailey, Clinton R.

    2016-10-28

    Water-supply needs in LaSalle County in northern Illinois are met by surface water and groundwater. Water-supply needs are expected to increase to serve future residential and mining uses. Available information on water use, geology, surface-water and groundwater hydrology, and water quality provides a hydrogeologic framework for LaSalle County that can be used to help plan the future use of the water resources.The Illinois, Fox, and Vermilion Rivers are the primary surface-water bodies in LaSalle County. These and other surface-water bodies are used for wastewater disposal in the county. The Vermilion River is used as a drinking-water supply in the southern part of the county. Water from the Illinois and Fox Rivers also is used for the generation of electric power.Glacial drift aquifers capable of yielding sufficient water for public supply are expected to be present in the Illinois River Valley in the western part of the county, the Troy Bedrock Valley in the northwestern part of the county, and in the Ticona Bedrock Valley in the south-central part of the county. Glacial drift aquifers capable of yielding sufficient water for residential supply are present in most of the county, although well yield often needs to be improved by using large-diameter wells. Arsenic concentrations above health-based standards have been detected in some wells in this aquifer. These aquifers are a viable source for additional water supply in some areas, but would require further characterization prior to full development.Shallow bedrock deposits comprising the sandstone units of the Ancell Group, the Prairie du Chien Group, dolomite of the Galena and Platteville Groups, and Silurian-aged dolomite are utilized for water supply where these units are at or near the bedrock surface or where overlain by Pennsylvanian-aged deposits. The availability of water from the shallow bedrock deposits depends primarily on the geologic unit analyzed. All these deposits can yield sufficient water for

  1. Analysis of maternal death of maternal and child health project for 12 years in Jinyun county%母婴健康工程实施12年缙云县孕产妇死亡分析

    Institute of Scientific and Technical Information of China (English)

    蒋凤芳

    2013-01-01

    objective To analyze maternal death cases from 1995 to 2012 in Jinyun county , and to evaluate the results of maternal and infant health project implemented 12 years. Methods To col ect and analyze cases of maternal death in Jinyun county from 1995 to 2012 according to retrospective survey methods. Results The average maternal mortality rate was 29.23/10 mil ion, the mortality rate can be avoid was 29.39/10 mil ion before maternal and infant health project (1995-2000). The average maternal mortality rate was 23.39/10 mil ion, the mortality rate can be avoid was 17.54/10 mil ion after maternal and infant health project (2001-2012). There was statistical y significance in mortality rate (Χ2=9.245,P<0.05), and there was statistical y significance in mortality rate can be avoid (Χ2=14.684,P<0.05). Conclusion Maternal and child health project implement in Jinyun for 12 years, greatly reduce the mortality rate of maternal, improve the level of maternal and child health remarkable.%目的:对缙云县1995-2012年孕产妇死亡情况进行分析,以评价母婴健康工程实施12年成效。方法采用回顾性调查方法,收集缙云县1995-2012年死亡的孕产妇个案报告,并进行整理分析。结果缙云县1995-2012年孕产妇死亡情况可以分为2个阶段,母婴健康工程实施前(1995-2000),孕产妇平均死亡率为29.23/10万,可以避免的死亡率为29.23/10万;母婴健康工程实施后(2001-2012),孕产妇平均死亡率为23.39/10万,可以避免的死亡率为17.54/10万;项目实施前后孕产妇死亡率比较有统计学意义(Χ2=9.245,P<0.05),可以避免的死亡率比较差异有统计学意义(Χ2=14.684,P<0.05)。结论母婴健康工程在缙云县实施12年,成效显著,大大降低了本县孕产妇死亡率,提高了本地区妇幼保健水平。

  2. 探讨县级卫生信息化网络平台建设在医保监管工作中的应用%Effect of Construction of Health Information Network Platform for the Supervision of Health Care at the County Level

    Institute of Scientific and Technical Information of China (English)

    宋宏杰; 李晓林; 姚付元

    2014-01-01

    目的:探讨卫生信息化网络平台建设在沐川县医保监管工作中的应用。方法利用计算机网络技术(是通信技术与计算机技术相结合的产物)建设县级卫生信息化网络平台。结果极大地方便了群众的就医和医保报帐,实施完善了医保经办部门对医药机构和定点医院的监督管理,保障医保基金的安全和合理使用。结论通过应用与实施,得到了广大干群和社会的充分肯定,奠定了卫生信息化管理普及到乡镇卫生院、村卫生室的基础,实现了保障参保人权益、减轻参保人就医负担,健全医疗卫生机构内部管理机制、合理控制医保基金支出,增强医保经办部门管理服务能力、实现了医·患·保3方面共赢。%Objective To investigate the health information network platform construction application in muchuan county health supervision work.Methods Using computer network technology,is the combination of the communication technology and computer technology)[1]construction at the county level health information network platform. Results Bringing great masses of medical treatment and health care accounted for,the implementation of improved health care department charge of fixed-point hospital of medical institutions and fund a powerful supervision and management,ensure the social security safety and rational use of medical insurance fund.Conclusion Through the application and implementation of the broad masses and the ful af irmation of the society,laid the health information management popularization to the basics of township hospitals and vil age clinics,protect people's rights,lighten the burden of medical,and improve the medical and health institutions internal management mechanism, reasonable control medical insurance fund expenditure,strengthen the health care department charge management service ability,realize the win-win medical,develop,keep three aspects.

  3. Public health assessment for Matthiessen and Hegeler Zinc Company, La Salle, La Salle County, Illinois, Region 5. Cerclis No. IL0000064782. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-09-30

    Past smelting, mining, and rolling operations at Matthiessen and Hegeler Zinc Company (MHZ) have resulted in contamination of soils by organic chemicals and various metals. Slag piles, demolition debris, and past mining on the site have also created a variety of physical hazards that could be dangerous to trespassers. Soils in residential areas bordering the site also contain metals that can be linked to past site operations. Completed exposure pathway include: Past inhalation of airborne emissions from plant operations; Off the site, cadmium, lead, and arsenic are present in some soil at levels of potential health concern if exposure occurs for a long time. Based on these levels, the proximity of potentially sensitive populations, and the exposures that occurred in the past, the MHZ site is considered a public health hazard.

  4. 2013年清徐县农村环境卫生监测项目结果分析%Analysis of Results of Environmental Health Monitoring Projects in Rural Qingxu County in 2013

    Institute of Scientific and Technical Information of China (English)

    吴俊红

    2014-01-01

    Objective:To understand the status of environmental sanitation in rural areas of Qingxu County,the rural environmental health hazards and further grasp the dynamic factors of level,environmental and health conditions in rural areas,then give objective evaluations through the development of rural environmental health monitoring. Methods:According to "Shanxi Province Rural Environmental Sanitation Monitoring Technical Project" implementation. a total of 100 households were surveyed in 20 villages with 20 soil monitoring. Results:The rural household latrine popularization rate of sanitary toilet was 26. 18%. Ascaris eggs were not detected. The qualified rate of lead and cadmium were respec-tively 100%. Conclusion:The situation of the rural environmental hygiene is poor and the villagers ' environmental health consciousness is weak. It's time to strengthen the environmental health education and rural environmental sanita-tion infrastructure investment.%目的:了解清徐县农村环境卫生状况,掌握农村环境卫生健康危害因素水平及动态变化,客观评价农村环境卫生状况。方法:共调查20个村庄,农户100户,土壤监测20份,按照《山西省农村环境卫生监测项目技术方案》要求执行。结果:所调查的农村卫生厕所普及率为26.18%,土壤中蛔虫卵未检出,铅合格率100%,镉合格率100%。结论:农村环境卫生状况较差,村民环境卫生意识淡薄,应加强对环境卫生知识宣传和农村环境卫生基础设施建设的投入。

  5. Snohomish County Biodiesel Project

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Terrill; Carveth, Deanna

    2010-02-01

    Snohomish County in western Washington State began converting its vehicle fleet to use a blend of biodiesel and petroleum diesel in 2005. As prices for biodiesel rose due to increased demand for this cleaner-burning fuel, Snohomish County looked to its farmers to grow this fuel locally. Suitable seed crops that can be crushed to extract oil for use as biodiesel feedstock include canola, mustard, and camelina. The residue, or mash, has high value as an animal feed. County farmers began with 52 acres of canola and mustard crops in 2006, increasing to 250 acres and 356 tons in 2008. In 2009, this number decreased to about 150 acres and 300 tons due to increased price for mustard seed.

  6. Allegheny County Cell Tower Points

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset portrays cell tower locations as points in Allegheny County. The dataset is based on outbuilding codes in the Property Assessment Parcel Database used...

  7. Valencia County E-911 Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This data set contains a vector digital representation of all accessible roads in the county including interstate highways, State highways, county roads and some...

  8. Allegheny County Land Use Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Allegheny County land use as ascribed to areas of land. The Land Use Feature Dataset contains photogrammetrically compiled information concerning vegetation and...

  9. Allegheny County Cell Tower Points

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset portrays cell tower locations as points in Allegheny County. The dataset is based on outbuilding codes in the Property Assessment Parcel Database used...

  10. Allegheny County Mortgage Foreclosure Records

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This data includes filings related to mortgage foreclosure in Allegheny County. The foreclosure process enables a lender to take possession of a property due to an...

  11. Allegheny County School District Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates the school district boundaries within Allegheny County If viewing this description on the Western Pennsylvania Regional Data Center’s open...

  12. Allegheny County Land Use Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Allegheny County land use as ascribed to areas of land. The Land Use Feature Dataset contains photogrammetrically compiled information concerning vegetation and...

  13. Allegheny County Commercial Vehicle Inspections

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset lists the locations and results of all commercial vehicle inspections performed by the Allegheny County Police Motor Carrier Safety Assistance Program...

  14. 2015 Lowndes County (GA) Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — TASK NAME: NOAA OCM Lidar for Lowndes County, GA with the option to Collect Lidar in Cook and Tift Counties, GA Lidar Data Acquisition and Processing Production Task...

  15. Sonoma County, CA, 2013 Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Sonoma County Vegetation Mapping and LiDAR Consortium retained WSI to provide lidar and Orthophoto data and derived products in Sonoma County, CA. A classified LAS...

  16. Allegheny County Property Sale Transactions

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains data on all Real Property parcels that have sold since 2012 in Allegheny County, PA. Before doing any market analysis on property sales, check...

  17. Allegheny County Public Building Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains the locations of municipal facilities in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s...

  18. Allegheny County Public Building Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains the locations of municipal facilities in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open...

  19. Curry County E-911 Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — Line attributes denoting all street centerlines in Curry County. Dataset includes all centerlines for all county maintained roads, all state and federal highways,and...

  20. Allegheny County Employee Salaries 2016

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Employee salaries are a regular Right to Know request the County receives. Here is the disclaimer language that is included with the dataset from the Open Records...

  1. TERRAIN, KENT COUNTY, RHODE ISLAND

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Kent AOI consists of the costal portion of the county, and meshes up seamlessly with the Providence county AOI directly north. Ground Control is collected...

  2. TERRAIN, PROVIDENCE COUNTY, RHODE ISLAND

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Providence AOI consists of the costal portion of the county, and meshes up seamlessly with the Kent county AOI directly south. Ground Control is collected...

  3. Allegheny County School District Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates the school district boundaries within Allegheny County If viewing this description on the Western Pennsylvania Regional Data Center’s open...

  4. Allegheny County Poor Housing Conditions

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This estimate of the percent of distressed housing units in each Census Tract was prepared using data from the American Community Survey and the Allegheny County...

  5. Grant County E-911 Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This data set contains a vector digital representation of all accessible roads in the county including interstate highways, State highways, county roads and city...

  6. Allegheny County Addressing Street Centerlines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset shows the road centerlines in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data portal...

  7. Allegheny County Summer Food Sites

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This data set shows the Summer Food Sites located within Allegheny County for children (18 years and younger) for breakfast and lunch during summer recess. OPEN...

  8. Allegheny County Jail Daily Census

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — A daily census of the inmates at the Allegheny County Jail (ACJ). Includes gender, race, age at booking, and current age. The records for each month contain a...

  9. Allegheny County Park Rangers Outreach

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Launched in June 2015, the Allegheny County Park Rangers program reached over 48,000 people in its first year. Park Rangers interact with residents of all ages and...

  10. Allegheny County Fatal Accidental Overdoses

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Fatal accidental overdose incidents in Allegheny County, denoting age, gender, race, drugs present, zip code of incident and zip code of residence. Zip code of...

  11. 广西基层妇幼保健院卫生技术人员流失情况分析%Analysis on the floating character of the health technical personnel of county's maternal and child health care hospitals in Guangxi

    Institute of Scientific and Technical Information of China (English)

    漆光紫; 黄高明; 任美璇

    2013-01-01

    目的:分析广西基层妇幼保健院卫生技术人员流失情况,为新医改进程中妇幼保健机构的建设和发展提供参考依据.方法:采用分层随机抽样方法对广西28家县级妇幼保健院进行调查.结果:5年中广西县级妇幼保健院进入与流失人员比为3.9∶1;总体上流失人员年龄、职业技能、学历和职称均比进入人员高(P<0.05);流失人员主要是流向其他医疗卫生机构,占89.9%;人员流失的首要原因是报酬和待遇低,其次是不能入编制,缺乏保障,以及专业发展受限,不能发挥个人能力和特长,感觉不受重视,没有发展前途也占一定比例.结论:广西基层妇幼保健院高层次、高素质卫生技术人员流失严重,应采取各种有效措施吸引人才、留住人才、激励人才,以提高基层妇幼保健院人才队伍建设水平.%Objective: To analyze the floating character of the health technical personnel of county's maternal and child health care hospitals in Guangxi, provide a reference for the construction and development of maternity and child care institutions in the course of new medical reform. Methods: A survey was taken in 28 county's maternal and child health care hospitals in Guangxi by the stratified random sampling. Results: The ratio of the inflow staffs and the outflow staffs was 3. 9: 1 in the past 5 years. In general, the age, vocational skills, education level and technical post level of the outflow staffs were higher than that of the inflow staffs (P < 0. 05) . 89. 9% of the outflow staffs decide to work in other medical institutes. The first cause of personnel loss of county's women and children's health hospitals was slender earning and bad welfare. The second cause came from non - institution personnel. Third, subject construction in hospital was backward, which limits fully develop of ability and expertise of the health technical personnel. Conclusion: The phenomenon of the outflow of the senior

  12. Health assessment for Presque Isle National Priorities List (NPL) Site, Erie, Erie County, Pennsylvania, Region 3. CERCLIS No. PAD980508865. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1988-08-04

    An abandoned gas well on the Presque Isle peninsula in Lake Erie released black contaminated materials during the 1970s and early 1980s. The well has since been returned to service and is being monitored. There was concern for contaminants on the peninsula and concern that the many gas/oil wells on the mainland might release similar contaminants and affect the area's potable water supply. Analyses of material discharged by the well indicated many organic and inorganic contaminants. Specifically, ammonia, antimony, arsenic, beryllium, cadmium, chromium, lead, chloride, strontium, nickel, selenium, silver, titanium, zinc, benzene and polynuclear aromatic hydrocarbons. Soils at the gas well were subjected to leachate tests (EP Toxicity Tests) that gave a qualitative indication that heavy metals occur in those materials. No definite link was established between the contaminants and gas/oil wells. Based on the available data, there currently is no known human contact with contaminants that were previously discharged from the gas well at Beach Number 7. Therefore, adverse impact on public health from these releases is considered to be unlikely. There are unresolved public health-related issues concerning groundwater at the beach, soils at the gas well, other gas wells on the peninsula, and mainland groundwater.

  13. Associations between self-perception of weight, food choice intentions, and consumer response to calorie information: a retrospective investigation of public health center clients in Los Angeles County before the implementation of menu-labeling regulation.

    Science.gov (United States)

    Nianogo, Roch A; Kuo, Tony; Smith, Lisa V; Arah, Onyebuchi A

    2016-01-22

    Although obesity continues to rise and remains a great public health concern in the U.S., a number of important levers such as self-perception of weight and calorie postings at point-of-purchase in restaurants are still not well-characterized in the literature, especially for low-income and minority groups in Los Angeles County (LAC). To study this gap, we examined the associations of self-perception of weight (as measured by body weight discrepancy) with food choice intentions and consumer response to calorie information among low-income adults residing in LAC during the pre-menu labeling regulation era. Descriptive and multivariable logistic regression analyses were performed to examine the aforementioned associations utilizing data from the 2007-2008 Calorie and Nutrition Information Survey (CNIS). The CNIS was a local health department study of 639 low-income adults recruited from five large, multi-purpose public health centers in LAC. Survey participants who reported that their desired weight was less than their current weight (versus desired weight the same as current weight) had (i) higher odds of intending to select lower-calorie foods under the scenario that calorie information was available at point-of-purchase (aOR = 2.0; 95 % CI: 1.0-3.9); and (ii) had higher odds of reporting that it is "very important" to have these calorie postings on food items in grocery stores (aOR = 3.1; 95 % CI: 0.90-10.7) and in fast-food restaurants (aOR = 3.4; 95 % CI: 1.0-11.4). Self-perception of weight was found to be associated with the intention to select lower-calorie foods under the scenario that calorie information was available at point-of-purchase. Future public health efforts to support menu labeling implementation should consider these and other findings to inform consumer education and communications strategies that can be tailored to assist restaurant patrons with this forthcoming federal law.

  14. The reversal of fortunes: trends in county mortality and cross-county mortality disparities in the United States.

    Directory of Open Access Journals (Sweden)

    Majid Ezzati

    2008-04-01

    Full Text Available Counties are the smallest unit for which mortality data are routinely available, allowing consistent and comparable long-term analysis of trends in health disparities. Average life expectancy has steadily increased in the United States but there is limited information on long-term mortality trends in the US counties This study aimed to investigate trends in county mortality and cross-county mortality disparities, including the contributions of specific diseases to county level mortality trends.We used mortality statistics (from the National Center for Health Statistics [NCHS] and population (from the US Census to estimate sex-specific life expectancy for US counties for every year between 1961 and 1999. Data for analyses in subsequent years were not provided to us by the NCHS. We calculated different metrics of cross-county mortality disparity, and also grouped counties on the basis of whether their mortality changed favorably or unfavorably relative to the national average. We estimated the probability of death from specific diseases for counties with above- or below-average mortality performance. We simulated the effect of cross-county migration on each county's life expectancy using a time-based simulation model. Between 1961 and 1999, the standard deviation (SD of life expectancy across US counties was at its lowest in 1983, at 1.9 and 1.4 y for men and women, respectively. Cross-county life expectancy SD increased to 2.3 and 1.7 y in 1999. Between 1961 and 1983 no counties had a statistically significant increase in mortality; the major cause of mortality decline for both sexes was reduction in cardiovascular mortality. From 1983 to 1999, life expectancy declined significantly in 11 counties for men (by 1.3 y and in 180 counties for women (by 1.3 y; another 48 (men and 783 (women counties had nonsignificant life expectancy decline. Life expectancy decline in both sexes was caused by increased mortality from lung cancer, chronic obstructive

  15. Minnesota County Boundaries - lines

    Data.gov (United States)

    Minnesota Department of Natural Resources — Minnesota county boundaries derived from a combination of 1:24,000 scale PLS lines, 1:100,000 scale TIGER, 1:100,000 scale DLG, and 1:24,000 scale hydrography lines....

  16. Counties Without a Physician.

    Science.gov (United States)

    Getz, Virginia

    1982-01-01

    Uses a budgeting technique to determine if free-market incentives or forces would provide an economic base sufficient to support medical professionals who might practice in the approximately 140 U.S. counties that lack a physician (located mainly in a narrow band from west Texas north through South Dakota). (AH)

  17. Crisis & commitment: 150 years of service by Los Angeles county public hospitals.

    Science.gov (United States)

    Cousineau, Michael R; Tranquada, Robert E

    2007-04-01

    The Los Angeles County University of Southern California Medical Center will open soon, replacing the county's current 74-year-old facility with a modern, although smaller, facility. Los Angeles County has provided hospital care to the indigent since 1858, during which time, the operation of public hospitals has shifted from a state-mandated welfare responsibility to a preeminent part of the county's public health mission. As this shift occurred, the financing of Los Angeles County hospitals changed from primarily county support to state and federal government sources, particularly Medicaid. The success of the new hospital will depend on whether government leaders at all levels provide the reforms needed to help the county and its partners stabilize its funding base.

  18. Status and Strategy of Maternal Health of Women in a Rural County of Western China%中国西部农村地区某县孕产期保健利用现状及对策研究

    Institute of Scientific and Technical Information of China (English)

    曾缓; 王宏; 唐晓君; 龙敏; 林长坡; 雷迅; 曹冰; 汪洋

    2011-01-01

    Objective To describe the status of women's maternal health care use and its influencing factors in Western China. Methods 544 women have been investigated by questionnaire,44 health providers and 42 women have been interviewed to collect data. Results 70.6% participated in local New Rural Cooperative Medical Scheme(NRCMS)in this area,only 32.9% got reimbursement,and 66.0% haven't got it because of family planning policy. The NRCMS was important for women in emergency or with severe complications. Reimbursement for migrants was too complicated. Most of the maternal health human resource was concentrated in County Hospital and Maternal and Child Health Care Hospital. One quarter of health personnel in township hospital had education under secondary school level. Among total maternal health income from 2005 to 2008, fund from government occupied only 5.0%. One fifth of the women’ s total maternal cost accounted for more than 20% of their family income. 39. 8% of the women chose county hospital and 58.6% chose township health center for delivery,and service quality and transport were the main reasons. Geographic accessibility of some mountainous townships was hindered by transport problems. The social and cultural accessibility was impeded by Zuoyuezi’ phenomenon, boy priority and language island’. Conclusion NRCMS has increased maternal care use to some extent. Geographic accessibility has been improved except in remote area. Many social and cultural factors influenced maternal health care.%目的 了解西部农村地区某县妇女孕产期保健利用现状及影响因素.方法 对544名妇女进行问卷调查,对44名卫生服务管理者/供者以及42名妇女进行访谈.结果 70.6%的孕产妇参加了新型农村合作医疗(新农合),32.9%获得报销,未获报销的66.0%是因为超生.新农合缓解了具有产科危重症或并发症的孕产妇的经济负担.流动人口的报销手续复杂.卫生人力资源主要分布在

  19. Heavy metals health risk assessment for population via consumption of vegetables grown in old mining area; a case study: Banat County, Romania

    Directory of Open Access Journals (Sweden)

    Gogoasa Ioan

    2011-10-01

    Full Text Available Abstract Background The aim of this study is to measure the levels of heavy metals (Fe, Mn, Zn, Cu, Ni, Cd and Pb found in common vegetables (parsley, carrot, onion, lettuce, cucumber and green beans grown in contaminated mining areas compared with those grown in reference clear area and to determine their potential detrimental effects via calculation of the daily metal intake (DImetal and Target Hazard Quotients (THQ for normal daily consumption of these vegetables, for male and female gender. Results Compared with the reference in contaminated areas, soil and plant contents of all analyzed metals are higher, usually over normally content for Mn, Zn, Cu, Cd and Pb. Particularly, in soil, higher values than intervention threshold values (ITV were found for Cu and Pb and higher than maximum allowable limits (MAL for Zn, Cu, Cd and Pb for parsley roots and leaves, carrot roots, cabbage, lettuce and cucumber. DImetal and THQ values for male and female were calculated for each vegetable and metal and for which oral reference doses exist. The combined THQ values calculated are concerning in that they are usually below the safe level of THQ Conclusion The results of this study regarding metal contents in soils, vegetables, DImetal and THQ suggest that the consumption of some vegetables (especially parsley, carrot and cabbage and less for lettuce, cucumber and green beans is not free of risks in these areas. The complex THQ parameter use in health risk assessment of heavy metals provides a better image than using only a simple parameter (contents of metals in soils and vegetables.

  20. 景东县2004-2013年肺结核防治的卫生经济学分析%Health economics analysis of treatment and control for tuberculosis in Jingdong County from 2004 to 2013

    Institute of Scientific and Technical Information of China (English)

    方源扬; 刘国强; 黄显聪; 王丹; 李亚斐

    2016-01-01

    目的:运用卫生经济学方法对景东县2004-2013年肺结核防治工作进行评价,为结核病防控的可持续发展提供科学依据。方法采用描述性流行病学方法对景东县2004-2013年结核病流行病学特征进行分析,按照《全国结核病防治规划(2001-2010年)终期评估实施方案》进行卫生经济学评价。结果全县共发现活动性肺结核病患者1610例,治疗成功1533例。肺结核发病人群分布以15~64岁人群为主,职业分布以农民最多;结核病控制项目实施后减少了肺结核死亡患者403例,避免感染肺结核人数9140人,避免新发患者914例;2004-2013年投入结核病防控的社会总成本为181.12万元,挽回失能调整生命年10326.5个,挽回的社会总价值达5849.07万元,成本效用比为175.39,效益成本比为32.29︰1。结论景东县结核病防控项目成效显著,取得了较好社会效益。%Objective This study was designed to analyze the epidemiological features of tuberculosis in Jingdong County from 2004 to 2013, and to assess the health economics effect of disease control and prevention. Methods A descriptive epidemiology method was used to analyze the features of tuberculosis in Jingdong County, 2004-2013. Health economics assessment was performed in accordance with the “Final evaluation protocol to National Guideline for Control and Prevention of Tuberculosis, 2001-2010” Results From 2004 to 2013, 1610 active tuberculosis patients were found, and 1 533 patients completed the treatment. The age distributions of active tuberculosis patients were 15-64 years old, and most of them were peasants. National Program of Tuberculosis Control and Prevention reduced 403 patients dead from tuberculosis, prevented 9140 people infecting from tuberculosis, and avoided 914 new cases. The total social cost of tuberculosis control and prevention is 1.8112 million RMB, retrieved 10 326.5 disability adjusted life year, and redeemed total social value

  1. The Santa Barbara County Health Care Services program: birth weight change concomitant with screening for and treatment of glucose-intolerance of pregnancy: a potential cost-effective intervention?

    Science.gov (United States)

    Jovanovic-Peterson, L; Bevier, W; Peterson, C M

    1997-04-01

    Macrosomic infants still suffer birth trauma in excess of the general population; thus, while debated, the medical and legal sequelae of macrosomia appear to be costly. The clinical role of maternal hyperglycemia below the threshold for the diagnosis of gestational diabetes (GDM) in the etiology of macrosomia remains an area of controversy. Based on the hypothesis that increasing glucose levels result in an increasing prevalence of macrosomia, we designed a study to observe the impact on birth weight and on cost of a treatment program for glucose-intolerant pregnant women in The Santa Barbara County Health Care Services (SBCHCS). In 1985, 18% of 4364 births (85% Mexican-American in origin) in the SBCHCS were > 90th percentile birth weight. In 1986, we began a program to treat all glucose-intolerant pregnant women who had a positive glucose challenge test (GCT > 140 mg/dL after a 50-g oral glucose load), even if they had a negative glucose tolerance test. All glucose-tolerant pregnant women were placed on a 40% carbohydrate, 1800 kcal diet and taught to monitor their blood glucose. Insulin was begun if the fasting blood glucose was > 90 mg/dL and/or the 1-hour post meal was > 120 mg/dL. After introduction of the screening/ treatment program, the prevalence of macrosomia in 1992 was 7% and the cesarean section rate had dropped from 30 to 20%. The cost to SBCHC to educate and treat the additional glucose-intolerant women was $233,650. Assuming that there would have been an additional 398 macrosomic infants with some requiring cesarean delivery and intensive care, total potential savings could be estimated at $833,870 per year. Thus, treatment of glucose-intolerant pregnant women was associated with a decrease in macrosomia and may be cost-effective.

  2. Castleward, County Down

    OpenAIRE

    Fisher, Jonathan

    2008-01-01

    Fisher was a painter and engraver in Ireland, working after the Dutch and Italian landscape painting tradition. He is best known by engravings after his designs, of which a large number were produced during his career.[notes from Irish Paintings in the `National Gallery of Ireland?, 2001]The house depicted in the present painting is Castle Ward, located in County Down, Northern Ireland. The 18th century house is famed for its mixture of Classical and Gothic styles.

  3. 江西省永新县芦溪乡卫生院医疗卫生服务现状调查%A Status Survey on Luxi Township Health Center, Yongxin County of Jiangxi Province

    Institute of Scientific and Technical Information of China (English)

    刘小明; 李鸿浩; 周小军; 周天生; 洪凌燕; 易敬林; 阮世颖; 韩金祥; 李幼平; 李胜; 杨晓妍

    2012-01-01

    Objective To understand the current situation of medical service and management in Luxi township health center (LxC) in Yongxin county of Jiangxi province, so as to provide baseline data about drug allocation, logistic key techniques research and products development for township health centers. Methods By means of questionnaire and focus interview, the LxC was investigated from the following aspects: general information, human resources, medicine list, basic device configuration, medical service and management, as well as service efficiency. Results a) Yongxin county including 13 village committees covers an area of 86 km2, with the population of 22 300 in 2009, and it pertains to a backward area with the annual per capita income of RMB 4 100 yuan; b) Among the total 28 staffs in LxC, 78.6% were health workers; the general practitioner (GP)/nurse ratio was about 1:0.58; the proportion of GP, nurses, medical technicians, other staffs was 54.55%, 31.82%, 9.09% and 4.54%, respectively; the proportion of bachelor degree, junior college graduation and secondary technical school graduation was 9.1%, 13.6%, and 77.3%, respectively; and the ratio of elementary, middle, and high professional title of health workers was 15:5:1; c) There were 625 species of drugs in LxC in 2009,and the hospital beds approved by government were 0.69 per thousand agricultural persons, which, however, were 1.15 in fact. The rate of 51 basic equipments shown in national regulation was actually 76.5%, and the readiness and utilization rate of existing 40 equipments was 92.5%; and d) In 2009, the outpatients were 12 150 person-time, with the average cost of RMB 29.39 yuan; the hospital discharge was 1 589 person-time, with the average stay of 12 days and the average cost of RMB 490.05 yuan; the vaccine inoculations were 5 053 person-time; among the total income, the medical service income accounted for 73.2%, while the drug income accounted for 53.7%; the personnel expenditure was 31.0% of the

  4. Somerset County Renewable Energy Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Katula, Denise [County of Somerset, Somervile, NJ (United States)

    2014-05-07

    The County of Somerset, New Jersey, through the Somerset County Improvement Authority (SCIA), applied Federal funding through the U.S. Department of Energy to will apply project funds to buy-down the capital costs of equipment associated with the installation of solar photovoltaic (PV) systems at two sites owned by the County. This Renewable Energy Initiative allows the County to take advantage of clean renewable energy, without any adverse debt impacts, and at a price that results in operating budget savings beyond what is presently available in the marketplace. This project addressed the objectives of the Office of Energy Efficiency and Renewable Energy by making the acquisition of renewable energy more affordable for the County, thereby, encouraging other counties and local units to develop similar programs and increase the deployment of solar energy technologies. The two sites that were funded by the DOE grant are part of a much larger, ambitious, and unique renewable energy project, described in the next section.

  5. Birth defects data for 8 California counties by county, maternal age, maternal race/ethnicity, and infant gender for the years 2000-2006.

    Data.gov (United States)

    California Environmental Health Tracking Program — This dataset contains counts, rates, and confidence intervals of 12 selected birth defects among live births during 2000-2006 within eight California counties:...

  6. Alba County - Rural Tourism Destination?

    Directory of Open Access Journals (Sweden)

    Claudia Olimpia Moisa

    2016-12-01

    Full Text Available The purpose of this paper is to identify the main rural touristic resources available in Alba County and also the preferred tourist destinations, highlighting the role and the importance of the rural tourism and agro-tourism in the economy of Alba County and, not least, identifying the main direction for its development and promotion. In other words, the aim of this paper is to answer the question "Is it or not Alba County a rural tourist destination?"

  7. Homeless Families, Children, and Youth in Stanislaus County--Problems and Solutions.

    Science.gov (United States)

    Boley, Ellen

    The homeless crisis in America is a complex issue with no "quick fixes." In Stanislaus County, California, it seems that there are many programs operating in isolation of one another. Approximately 5% of the county's population is homeless. Homeless persons have survival needs for food and clothing, hygiene, health care, affordable…

  8. 77 FR 67322 - Revisions to the California State Implementation Plan, Placer County Air Pollution Control District

    Science.gov (United States)

    2012-11-09

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Placer County Air Pollution... proposing to approve revisions to the Placer County Air Pollution Control District (PCAPCD) portion of the... authority to address disproportionate human health or environmental effects with practical, appropriate,...

  9. Allegheny County Beltway System Street Centerlines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Authoritative dataset of the beltway system in Allegheny County. The system was developed to help motorists navigate through Allegheny County on low-traffic roads....

  10. 2015 Resident Survey (City and County)

    Data.gov (United States)

    City and County of Durham, North Carolina — The purpose of the annual City/County survey: To objectively assess citizen satisfaction with the delivery of City/County servicesTo set a baseline for future...

  11. 2016 Resident Survey (City and County)

    Data.gov (United States)

    City and County of Durham, North Carolina — The purpose of the annual City/County survey: To objectively assess citizen satisfaction with the delivery of City/County servicesTo set a baseline for future...

  12. HealthStats_CNTYHEAL2

    Data.gov (United States)

    Vermont Center for Geographic Information — This datalayer contains Vermont Population and Health data describing public health (1986-2000), by county, extracted from various sources, such as; the Vermont...

  13. Cholera outbreak in Homa Bay County, Kenya, 2015.

    Science.gov (United States)

    Githuku, Jane Njoki; Boru, Waqo Gufu; Hall, Casey Daniel; Gura, Zeinab; Oyugi, Elvis; Kishimba, Rogath Saika; Semali, Innocent; Farhat, Ghada Nadim; Mattie Park, Meeyoung

    2017-01-01

    Cholera is among the re-emerging diseases in Kenya. Beginning in December 2014, a persistent outbreak occurred involving 29 out of the 47 countries. Homa Bay County in Western Kenya was among the first counties to report cholera cases from January to April 2015. This case study is based on an outbreak investigation conducted by FELTP residents in Homa Bay County in February 2015. It simulates an outbreak investigation including laboratory confirmation, active case finding, descriptive epidemiology and implementation of control measures. This case study is designed for the training of basic level field epidemiology trainees or any other health care workers working in public health-related fields. It can be administered in 2-3 hours. Used as adjunct training material, the case study provides the trainees with competencies in investigating an outbreak in preparation for the actual real-life experience of such outbreaks.

  14. Eight Americas: investigating mortality disparities across races, counties, and race-counties in the United States.

    Directory of Open Access Journals (Sweden)

    Christopher J L Murray

    2006-09-01

    Full Text Available BACKGROUND: The gap between the highest and lowest life expectancies for race-county combinations in the United States is over 35 y. We divided the race-county combinations of the US population into eight distinct groups, referred to as the "eight Americas," to explore the causes of the disparities that can inform specific public health intervention policies and programs. METHODS AND FINDINGS: The eight Americas were defined based on race, location of the county of residence, population density, race-specific county-level per capita income, and cumulative homicide rate. Data sources for population and mortality figures were the Bureau of the Census and the National Center for Health Statistics. We estimated life expectancy, the risk of mortality from specific diseases, health insurance, and health-care utilization for the eight Americas. The life expectancy gap between the 3.4 million high-risk urban black males and the 5.6 million Asian females was 20.7 y in 2001. Within the sexes, the life expectancy gap between the best-off and the worst-off groups was 15.4 y for males (Asians versus high-risk urban blacks and 12.8 y for females (Asians versus low-income southern rural blacks. Mortality disparities among the eight Americas were largest for young (15-44 y and middle-aged (45-59 y adults, especially for men. The disparities were caused primarily by a number of chronic diseases and injuries with well-established risk factors. Between 1982 and 2001, the ordering of life expectancy among the eight Americas and the absolute difference between the advantaged and disadvantaged groups remained largely unchanged. Self-reported health plan coverage was lowest for western Native Americans and low-income southern rural blacks. Crude self-reported health-care utilization, however, was slightly higher for the more disadvantaged populations. CONCLUSIONS: Disparities in mortality across the eight Americas, each consisting of millions or tens of millions of

  15. The Bridges of Taishun County

    Institute of Scientific and Technical Information of China (English)

    MaJianhe

    2003-01-01

    The American film The Bridges of Madison County captured the imagination of many Chinese moviegoers with its bittersweet love story and scenes of rustic covered bridges. But the U.S. can't lay sole claim to such spectacular rural sights:China has its own county worldrenowned for unforgettable bridges.

  16. 2006 Fulton County Georgia Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Light Detection and Ranging (LiDAR) LAS dataset is a survey of Fulton County. The Fulton County LiDAR Survey project area consists of approximately 690.5 square...

  17. Analysis of status quo on the allocation for health human resource in township health centers:Based on the survey in eighteen counties of six provinces%我国乡镇卫生院卫生人力资源配置现状分析--基于6省18县的调查

    Institute of Scientific and Technical Information of China (English)

    朱坤; 张小娟; 田淼淼

    2015-01-01

    目的:分析我国乡镇卫生院卫生人力资源配置的现状和问题。方法:采用典型抽样的方法选择6省18县296所乡镇卫生院的在岗职工作为研究对象,并访谈了20名分管农村卫生的政府官员和乡镇卫生院院长;利用描述性统计分析对定量数据进行分析,对访谈数据进行归纳、总结和主题分析。结果:乡镇卫生院卫生人力资源总量和分布不均衡,中部地区卫生人力资源配置标准较低,乡镇卫生院空编和编外用人并存现象普遍存在。乡镇卫生院内部的卫生人力资源配置不尽合理,专业卫生技术人员配置比例低于国家规定,高级职称比例较低,部分地区存在人才断档的隐忧。乡镇卫生院人力资源建设仍存在一些障碍,医学生的培养与乡镇卫生院的需求错位,乡镇卫生院人员招聘政策不合理,卫生技术人员待遇偏低、晋升职称困难、职业发展受限。建议:优化乡镇卫生院人力资源结构;调整乡镇卫生院人才招聘政策;畅通乡镇卫生院卫生技术人员的晋升通道,拓展其职业发展空间;提升卫生技术人员的待遇,增强乡镇卫生院的岗位吸引力。%Objective:To analyze the status quo and problems of the health human resources of township health center.Methods:296 township health centers in 18 counties of 6 provinces were selected with typical sampling and workers in the centers as target population.Relative administrative officials and directors of township health centers were interviewed.Descriptive analysis and thematic analysis were conducted with quantitative data and qualitative da-ta.Results:The volume and distribution of human resources in township health centers are not balanced and the allo-cation standard of the middle area is low.The null establishment and the employees out of establishment coexist.The allocation of health human resources inside township health centers is not

  18. Cluster of Ebola Virus Disease, Bong and Montserrado Counties, Liberia

    OpenAIRE

    Nyenswah, Tolbert G.; Fallah, Mosaka; Calvert, Geoffrey M; Duwor, Stanley; Hamilton, E. Dutch; Mokashi, Vishwesh; Arzoaquoi, Sampson; Dweh, Emmanuel; Burbach, Ryan; Dlouhy, Diane; Oeltmann, John E.; Moonan, Patrick K.

    2015-01-01

    Lack of trust in government-supported services after the death of a health care worker with symptoms of Ebola resulted in ongoing Ebola transmission in 2 Liberia counties. Ebola transmission was facilitated by attempts to avoid cremation of the deceased patient and delays in identifying and monitoring contacts.

  19. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) County Prevalence Data (2010 and prior)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2002-2010. BRFSS SMART County Prevalence land line only data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral Risk Factor Surveillance...

  20. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) County Prevalence Data (2011 to 2012)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2011 to 2012. BRFSS SMART County Prevalence combined land line and cell phone data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral...

  1. Heart Disease Mortality Data Among US Adults (35+) by State/Territory and County

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2012 to 2014, 3-year average. Rates are age-standardized. County rates are spatially smoothed. The data can be viewed by gender and race/ethnicity. Data source:...

  2. Stroke Mortality Data Among US Adults (35+) by State/Territory and County

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2012 to 2014, 3-year average. Rates are age-standardized. County rates are spatially smoothed. The data can be viewed by gender and race/ethnicity. Data source:...

  3. Stroke Mortality Data Among US Adults (35+) by State/Territory and County

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2013 to 2015, 3-year average. Rates are age-standardized. County rates are spatially smoothed. The data can be viewed by gender and race/ethnicity. Data source:...

  4. Stroke Mortality Data Among US Adults (35+) by State/Territory and County

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2012 to 2014, 3-year average. Rates are age-standardized. County rates are spatially smoothed. The data can be viewed by gender and race/ethnicity. Data source:...

  5. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) County Prevalence Data (2010 and prior)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2002-2010. BRFSS SMART County Prevalence land line only data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral Risk Factor Surveillance...

  6. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) County Prevalence Data (2010 and prior)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2002-2010. BRFSS SMART County Prevalence land line only data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral Risk Factor...

  7. Heart Disease Mortality Data Among US Adults (35+) by State/Territory and County

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2013 to 2015, 3-year average. Rates are age-standardized. County rates are spatially smoothed. The data can be viewed by gender and race/ethnicity. Data source:...

  8. 县级多部门基本公共卫生服务项目合作现状调查%Study on Situation of Sectoral Cooperation in Basic Public Health Service Project at County Level

    Institute of Scientific and Technical Information of China (English)

    邹雄; 马才辉; 周东华; 冯占春

    2012-01-01

    目的:了解县级基本公共卫生服务项目实施中多部门合作的现状、问题及其原因,探索有效促进多部门合作的对策建议.方法:定性定量研究相结合,通过文献查阅、问卷调查、关键人物访谈等方法,对相关部门合作现状及问题进行调查.结果:为了更好实施基本公共卫生服务项目,样本地区的卫生部门都曾与当地妇联、财政、教育局以及计生等部门开展过不同程度的合作,卫生部门合作意愿较强烈,其他部门相对缺乏合作意愿,实际合作效果差强人意,主要存在规章制度不规范、缺乏激励机制以及经费投入不足等问题.结论:为有效促进各部门间的合作,应当强化政府公共服务职能,激发多部门间的合作需求;加快区域卫生信息平台建设,建立健全信息共享机制;提高合作制度的规范性,推动多部门合作常态化;建立健全筹资与投入机制,严格规范资金的监督管理.%Objective: To analyze the main reasons and to explore effective countermeasures of promoting sectoral cooperation by in-vestigating the present situation and problems of sectoralcooperation of basic public health service in 8 Chinese counties. Methods: A com-bination of qualitative and quantitative studies was applied. Reference reviews questionnaires, key individual interviews and focus group discussions(FGD)were taken to investigate the present situation and problems of sectoral cooperation. Results: Healthy sectorscooperative willingness were stronger than other sectors in sampling regions, for they did cooperation in different degree with localWomen's Federation, Finance, Education Bureau, Family Plan Fertility Committee and so on. The problem of dissatisfactory cooperative effect lies in nonstan-dard rules and regulations, lack of motivation system, inadequate funding and so on. Conclusions: In order to promote sector's cooperation, we should strengthen the government's public service function to

  9. Orange County Photovoltaic Project & Educational COmponent

    Energy Technology Data Exchange (ETDEWEB)

    Parker, Renee [Orange County Government, FL (United States)

    2016-02-12

    Orange County Climate Change Education Center: The Climate Change Education Center, originally located within the Orange County Convention Center, served as a central place to inform and educate commercial and residential sectors of environmental, health, and economic benefits of renewable energy, energy efficiency, and greenhouse gas emission reductions. Grant funds were used to pay for the rent required to maintain a lease at the Convention Center, conduct five educational workshops, and for planned upgrades to the Center displays highlighting a number of energy efficiency and renewable energy projects implemented at the Orange County Convention Center and Downtown Orange County. An initial design concept for an upgraded Climate Change Education Center and educational displays was proposed. However, after the Convention Center determined the space occupied by the Climate Change Education Center; a feasibility study for relocation to the proposed area was conducted in October 2013. In December 2013, it was determined that the desired location of the for the Climate Change Education Center at the Orange County Extension Education Center provided too many construction challenges for relocation with too many building retrofits and access problems, including lack of access for loading and unloading exhibits as well as roof drainage relocations and sewer service connection issues. Another suitable location for relocating the Climate Change Education Center could not be located so the project was terminated. The Climate Change Education Center is no longer in existence in Orange County and has been eliminated. Grant funds were used to pay for marketing services for a state wide marketing program including solar & other renewable energy technologies for rebranding and developing marketing materials including web site design and updating. A website was maintained and updated the www.PowerUpGreenEnergy.com website (no longer in service). Sustainability Training for the

  10. 三台县某镇居民健康状况和卫生服务利用调查及影响因素分析%The survey and analysis of influencing factors of health condition and health service of Santai county

    Institute of Scientific and Technical Information of China (English)

    杨丽

    2013-01-01

    目的:了解三台县某镇居民健康状况及卫生服务利用情况。方法:从三台县某镇按照经济状况好、中、差分层随机抽取工870户、3176人进行问卷调查。结果:调查居民的两周患病率为13.6%,其中两周患病的主要影响因素有年龄、文化程度、是否在业;慢性病患病率为12.1%,其中慢性病患病的主要影响因素有年龄;居民两周就诊率为10.6%,患病后对卫生服务的利用情况偏低,最常就诊单位为卫生室(站),其次是社区卫生服务中心。结论:居民的健康状况良好,对卫生服务的利用程度较低,但是在就诊机构中,对社区卫生服务中心的认知和认可程度高。%Objective: To analyze the health condition and health service of Santai county. Methdos: Choosed 870 family and 3176 person to survey. Results: The two weeks prevalence rate was 13.6%, the main factors were age, culture, employment. The prevalence rate of chronic disease was 12.1%, the main factors was age. The two weeks consultation rate was 10.6%. The patients always went to medical room and community health service centers. Conclusion: The health condition of our district is good but with less using public health services.

  11. County and Parish Boundaries, Published in 2003, Cerro Gordo County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This County and Parish Boundaries dataset, was produced all or in part from Hardcopy Maps information as of 2003. Data by this publisher are often provided in State...

  12. 2008 USGS South New Jersey County Project Lidar: Cumberland County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The South New Jersey County Lidar Project is to provide LiDAR data for the New Jersey Department of Environmental Protection (NJ-DEP) for Cape May, Cumberland, and...

  13. Outcome evaluation on health education about iodine deficiency disorders in Congjiang County, Gulzbou Province in 2007%2007年贵州省从江县碘缺乏病健康教育效果评价

    Institute of Scientific and Technical Information of China (English)

    王娟; 林来祥; 何平; 赵德运; 刘铭; 周德梅; 肖祖述; 越远; 陈祖培; 钱明

    2009-01-01

    Objective To evaluate the effect of health education in controlling the iodine deficiency diserders(IDD) in order to provide reference data for the further prevention and control. Methods Each village of 3 towns in Congjiang County was selected in 2007, where the health education lasting for 10 months had been implemented in the school students of 3-6 grade and the villagers. The school students of 3-6 grade and 30 housewives in the villagers were investigated for their IDD control knowledge, the salt consuming conditions as well as the sales of both rough and fine salt at a salt retail site in each village before and after the health education was implemented. Results The awareness rate of the knowledge of IDD control in the students and housewives was 91.4% (581/636) and 78.3% (282/360), respectively after intervention, which significantly increased (χ2= 532.044, 326.117, both P < 0.01) compared with the rate of 28.2% (184/652) and 11.4% (41/360) before intervention. The proportion of consuming fine salt was 91.8%(146/159) and 95.6%(86/90), significantly inereased(χ2= 236.623, 135.350, both P < 0.01) compared with 6.1%(10/163) and 7.8% (7/90) found before intervention. The selling proportion of fine salt at the salt retail site in the village was 60.0%(900/1500), significantly increased(χ2= 824.176, P < 0.01) compared with 10.0%(150/1500) before intervention. Conclusions Health education and promotion is solid foundation for effectively controlling IDD, through which the students and villagers are actively and voluntarily involved in the program and hence have formed good living and hygiene habits, thus expected effect has been obtained.%目的 评价健康教育干预防治碘缺乏病(IDD)效果,为防治工作提供参考依据.方法 2007年在贵州省从江县选择3个乡,每个乡选择1个村作为试点村,对每所村小学3~6年级全体学生和全体村民进行IDD知识的健康教育,时间为10个月.在健康教育

  14. 2006 Volusia County, Florida Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset is the lidar data for Volusia County, Florida, approximately 1,432 square miles, acquired in early March of 2006. A total of 143 flight lines of Lidar...

  15. Allegheny County Toxics Release Inventory

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Toxics Release Inventory (TRI) data provides information about toxic substances released into the environment or managed through recycling, energy recovery, and...

  16. Allegheny County Land Cover Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Land Cover dataset demarcates 14 land cover types by area; such as Residential, Commercial, Industrial, Forest, Agriculture, etc. If viewing this description on...

  17. Allegheny County Land Cover Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Land Cover dataset demarcates 14 land cover types by area; such as Residential, Commercial, Industrial, Forest, Agriculture, etc. If viewing this description...

  18. Allegheny County Wooded Area Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates stands of trees (coniferous and deciduous) too numerous to plot as individual trees. The area is delineated following a generalized line...

  19. Sierra County E-911 Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This data set contains a vector digital representation of all accessible roads including interstate highways, State highways, county roads and some city streets in...

  20. Allegheny County WIC Vendor Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains the locations of Women, Infants, and Children (WIC) program vendors. If viewing this description on the Western Pennsylvania Regional Data...

  1. County Boundaries with Shorelines (National)

    Data.gov (United States)

    Department of Transportation — County boundaries with shorelines cut in (NTAD). The TIGER/Line Files are shapefiles and related database files (.dbf) that are an extract of selected geographic and...

  2. Allegheny County Building Footprint Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains photogrammetrically compiled roof outlines of buildings. All near orthogonal corners are square. Buildings that are less than 400 square feet...

  3. 2014 Mobile County, AL Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Atlantic was contracted to acquire high resolution topographic LiDAR (Light Detection and Ranging) data located in Mobile County, Alabama. The intent was to collect...

  4. Allegheny County Land Cover Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Land Cover dataset demarcates 14 land cover types by area; such as Residential, Commercial, Industrial, Forest, Agriculture, etc. If viewing this description on...

  5. Soils - Volusia County Soils (Polygons)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — Soils: 1:24000 SSURGO Map. Polygon boundaries of Soils in Volusia County, downloaded from SJRWMD and created by NRCS and SJRWMD. This data set is a digital version...

  6. 2009 SCDNR Charleston County Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Photoscience completed the original collection and classification of the multiple return LiDAR of Charleston County, South Carolina in the winter of 2006-2007. In...

  7. Allegheny County Soil Type Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains soil type and soil classification, by area. Additional info at: http://mcdc.cas.psu.edu/datawiz.htm;...

  8. Allegheny County Environmental Justice Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Environmental Justice areas in this guide have been defined by the Pennsylvania Department of Environmental Protection. The Department defines an environmental...

  9. 2009 SCDNR Horry County Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Sanborn Map Company completed the original classification of the multiple return LiDAR of Horry County, South Carolina in 2009. In 2013, Dewberry was tasked with...

  10. ORTHOIMAGERY, ERIE COUNTY, OHIO USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The 2006 OSIP digital orthophotography was collected during the months of March and April (leaf-off conditions). The MrSID Images covering each county at 1-foot...

  11. 2009 SCDRN Lidar: Florence County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The South Carolina Department of Natural Resources (SCDNR) contracted with Sanborn to provide LiDAR mapping services for Florence County, SC. Utilizing multi-return...

  12. Allegheny County Soil Type Areas

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains soil type and soil classification, by area. Additional info at: http://mcdc.cas.psu.edu/datawiz.htm;...

  13. Allegheny County Certified MWDBE Businesses

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — According to the Federal Department of Transportation, Disadvantaged Business Enterprises (DBE) are for-profit small business concerns where socially and...

  14. Allegheny County Map Index Grid

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Map Index Sheets from Block and Lot Grid of Property Assessment and based on aerial photography, showing 1983 datum with solid line and NAD 27 with 5 second grid...

  15. Allegheny County Building Footprint Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains photogrammetrically compiled roof outlines of buildings. All near orthogonal corners are square. Buildings that are less than 400 square feet...

  16. Horry County Beach Management Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Horry County has coordinated with DHEC OCRM to fully inventory, analyze, and documenteach of the ten required elements for an approvable local comprehensive beach...

  17. Allegheny County Map Index Grid

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Map Index Sheets from Block and Lot Grid of Property Assessment and based on aerial photography, showing 1983 datum with solid line and NAD 27 with 5 second grid...

  18. ORTHOIMAGERY, LICKING COUNTY, OHIO USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The 2006 OSIP digital orthophotography was collected during the months of March and April (leaf-off conditions). The MrSID Images covering each county at 1-foot...

  19. 2009 Chatham County Georgia Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — LiDAR generated point cloud acquired in spring 2009 for Chatham County, Georgia for the Metropolitan Planning Commission. The data are classified as follows: Class 1...

  20. Allegheny County Basin Outlines Map

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This basins dataset was created to initiate regional watershed approaches with respect to sewer rehabilitation. If viewing this description on the Western...

  1. 2009 SCDNR Berkeley County Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Sanborn Map Company completed the original classification of the multiple return LiDAR of Berkeley County, South Carolina in 2009. In 2013, Dewberry was tasked with...

  2. ORTHOIMAGERY, CLAY COUNTY, WV, USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — NAIP is a program to acquire peak growing season ?leaf on? imagery, and deliver this imagery to USDA County Service Centers, in order to maintain the common land...

  3. 2009 Chatham County Georgia Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — LiDAR generated point cloud acquired in spring 2009 for Chatham County, Georgia for the Metropolitan Planning Commission. The data are classified as follows: Class...

  4. Allegheny County Wooded Area Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates stands of trees (coniferous and deciduous) too numerous to plot as individual trees. The area is delineated following a generalized line...

  5. 2004 Harrison County, MS Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This metadata record describes the topographic mapping of Harrison County, Mississippi during March of 2004. Products generated include lidar point clouds in .LAS...

  6. Allegheny County WIC Vendor Locations

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains the locations of Women, Infants, and Children (WIC) program vendors. If viewing this description on the Western Pennsylvania Regional Data...

  7. 多元线性回归构建湖南省县医院卫生人力和床位预测模型%Prediction model of health workforce and beds in county hospitals of Hunan by multiple linear regression

    Institute of Scientific and Technical Information of China (English)

    凌茹; 刘家望

    2011-01-01

    目的:应用多元线性回归构建湖南省县医院卫生人力和床位的预测模型.方法:分层随机抽样确立16个样本县,按照统一调查表进行调查,根据文献研究筛选20项指标进行多元线性回归分析.结果:进入卫生技术人员数多元线性回归模型的自变量包括:县域的城镇居民可支配收入、粗死亡率、县域医疗机构的实有床位、业务用房面积、专业设备总值、万元以上设备数、固定资产、长期负债、医疗收入、医疗支出、门急诊人次、出院人次、实际开放总床日、病床使用率;进入县医院床位数多元线性回归模型的自变量包括:县域的65岁及以上的人口数、城镇居民可支配收入,县域医疗机构的卫生技术人员、业务用房面积、专业设备总值、固定资产、长期负债、医疗收入、医疗支出、门急诊人次、出院人次、实际开放总床日、病床使用率、平均住院日.结论:预测模型解释性和拟合程度较好,可以用于短中期预测.%Objective To construct prediction model for health workforce and hospital beds in county hospitals of Hunan by multiple linear regression. Methods We surveyed 16 counties in Hunan with stratified random sampling according to uniform questionnaires, and multiple linear regression analysis with 20 quotas selected by literature view was done. Results Independent variables in the multiple linear regression model on medical personnels in county hospitals included the counties' urban residents' income, crude death rate, medical beds, business occupancy, professional equipment value, the number of devices valued above 10 000 yuan, fixed assets, long-term debt, medical income, medical expenses, outpatient and emergency visits, hospital visits, actual available bed days, and utilization rate of hospital beds. Independent variables in the multiple linear regression model on county hospital beds included the the population of aged 65 and above

  8. Best Manufacturing Practices. Report of Survey Conducted at Stafford County Public Schools, Stafford County, VA

    National Research Council Canada - National Science Library

    1994-01-01

    During the week of August 8, 1994, a Best Manufacturing Practices (BMP) survey was conducted at the Stafford County Public Schools located in Stafford County, Virginia, considered one of the fastest growing counties in the state...

  9. 西藏浪卡子县不同民族人群口腔健康状况调查%Oral health status of different nationalities in Nagarze County of Shannan Prefecture

    Institute of Scientific and Technical Information of China (English)

    王冕; 蒋勇

    2011-01-01

    AIM: To investigate the prevalence of caries and periodontal disease in Han and Tibetan nation-alities in Nagarze County of Shannan Prefecture. METHODS: Oral health examination was done according to the standards of the 3rd National Oral Epidemiological Survey and WHO Oral Health Surveys. 342 residents aged from 35 to 74 years were included in the investigation and were divided into three age groups (35-44year-old, 45-64-year-old and 65-74year-old). RESULTS: Caries prevalence rates of Han and Tibetan nationalities among different age groups were 78.2% , 93. 7% , 94. 7% and 58. 3% , 79. 3% , 83. 3% respectively. Gingival bleeding rates were 57. 3% , 71.8% , 73.3% and 62.5% , 65.5% , 66.7% respectively. Dental calculus detection rates were 99. 1% , 96.7% , 94.6%and 91. 7% , 89. 6% , 77. 8% respectively. Periodontitis rates were 26. 1% , 35. 9% , 44% and 33. 3% , 48.2% , 55. 6% respectively. Of the 342 subjects investigated, impaired teeth rates in the Han nantionality were 62.5%, 65. 5% and 73. 6%, while those in Tibetan nationality were 76. 5%, 84. 2% and 85.8%. CONCLUSION; Oral disease prevalence in Tibetan nationality is higher than in Han nationality. More work should be done in order to improve the oral health status of this area.%目的:了解西藏山南地区浪卡子县藏族和汉族不同年龄组人群的口腔健康状况,为当地口腔疾病防治提供依据.方法:按照《第三次全国口腔健康流行病学调查方案》和世界卫生组织《口腔健康调查基本方法》的标准对山南地区浪卡子县342名居民(35~74岁)口腔卫生情况进行调查.结果:在35~44、45~64、65~74岁组,藏族和汉族恒牙患龋率分别为78.2%、93.7%、94.7%和58.3%、79.3%、83.3%,牙龈炎患病率分别为57.3%、71.8%、73.3%和62.5%、65.5%、66.7%,牙石检出率分别为99.1%、96.7%、94.6%和91.7%、89.6%、77.8%,牙周炎率分别为26.1%、35.9%、44%和33.3%、48.2%、55.6

  10. Health resources allocation status of traditional Chinese medicine hospitals in poverty and non-poverty counties in Guangxi in 2010:a comparative study%2010年广西贫困县与非贫困县中医院卫生资源对比研究

    Institute of Scientific and Technical Information of China (English)

    李杨凤; 冯启明; 罗萍; 黎燕宁; 罗红叶; 张娟; 何秋平; 韩文

    2015-01-01

    目的:评价2010年广西贫困县与非贫困县中医院卫生资源的配置状况。方法通过问卷调查,收集2010年广西28个贫困县与26个非贫困县中医院的床位、卫生人力、设备、资产及用房等方面的数据,比较贫困县与非贫困县中医院卫生资源配置的差异。结果贫困县中医院病床规模以≤60床为主,占39.3%(11/28),非贫困县中医院病床规模以101~200床为主,占46.2%(12/26)。两类县的医护比均低于国家要求的1.2~1.3∶1的比例。贫困县中医院100万元以上设备总数为34台,平均1.21台;非贫困县100万元以上设备总数为51台,平均1.96台。两类县中医院净资产分别为873.0万元、1637.5万元,资产负债率分别为31.8%、45.7%;各项业务用房面积占建筑面积比例中,住院业务用房面积均偏高,其他业务用房面积均未达到国家中医医院建设标准。结论广西县级中医院主要以中小型规模建设为主,各类卫生技术人员的数量和编制明显不足、比例倒置;大型医疗设备缺乏;偿债能力有限,发展水平有待提高;住院用房面积比例居高,可能与医保报销有一定关系。%Objective To evaluate the health resources allocation status of traditional Chinese medicine( TCM) hospitals in poverty and non-poverty counties in Guangxi Zhuang Autonomous Region(Guangxi) in 2010.Methods A questionnaire survey was conducted to collect the data concerning number of hospital bed,health human resources,equipments,assets and business housing areas of TCM hospitals in 28 poverty and 26 non-poverty counties in Guangxi in 2010.A comparative analysis on the health resources allocations of poverty and non-poverty counties was performed.Results 39.3%(11/28) of TCM hospitals in the poverty counties owned the hospital beds more than 60,while 46.2%(12/26) of TCM hospitals in the non-poverty counties owned the hospital

  11. On the Relationship between Atmospheric Environmental Quality and Human Health:---a Case Study of Bama County of Guangxi%大气环境质量与人类健康关系研究--以广西巴马县为例

    Institute of Scientific and Technical Information of China (English)

    贲国艳; 陈俊华; 董炜华

    2016-01-01

    大气是人类赖以生存的环境,其成分以及污染程度都与人类的健康息息相关。该文以广西巴马瑶族自治县为例,采取了主成分分析的方法对巴马县的气候和负离子含量这两个大气环境质量因子进行探究,得出人类平均寿命与氮化物和硫化物成负相关,与空气中的负氧离子含量成正相关关系。说明大气环境质量对人类健康关系的影响是非常重要的,最后提出保护大气环境的相关建议和重要性。保护大气环境,减少废气排放,是每个人应尽的责任。%The atmosphere is the human survival environment,its composition and pollution level is closely related to human health.This article is to take the Bama Yao nationality autonomous county in Guangxi province as an example,discussing the relationship between atmospheric environmental quality and human health.Atmospheric environment quality includes the chemical composition of the atmosphere,negative ion content,climate,temperature and other factors.By adopting the method of principal component analysis to evaluate the atmospheric environment quality of the county,it is con-cluded that the atmospheric environment quality is one of vital factors to human health.So,to protect the atmospheric environment and reduce exhaust is our duty.

  12. Frequency of congenital malformations and chromosomal disorders in Bacau and Vaslui counties (Romania)

    Indian Academy of Sciences (India)

    Cristina-Elena Popa; Gogu Ghiorghiţă

    2015-12-01

    This paper presents the state of genetic health of the human populations in two Romanian counties, Bacau and Vaslui, as they are different in area, number of inhabitants, level of economic and social development, etc. The data presented in this paper is from the Public Health Directions of the two counties, reflecting the situation recorded during 2006–2013. In the 8 years study, 1894 cases of congenital and chromosomal disorders were recorded in the newborns from the populations in the two counties. The identified cases were distributed based on years, categories of disorders and sexes. The average frequency of congenital disorders in the two populations over the investigated period was about 1.65 in Bacau county and 1.83% in Vaslui counties. In the population of Bacau county, these disorders affect in the same number in both the sexes (49.62% female cases and 50.38% male cases), while in Vaslui, the male cases are more than the females (53.92 and 46.08%, respectively). The main congenital disorders observed were: cardiovascular system anomalies, musculoskeletal system, urogenital system, etc. During the investigation period, in the human population of Bacau county, 97 cases of newborns with chromosomal disorders were diagnosed (0.16% of the living newborns), while in Vaslui county there were 106 cases (0.26% of the living newborns). Among these disorders, the Down’s syndrome was the most frequent one, representing 83.5 and 85.8% of cases in the population of Bacau county, and Vaslui counties.

  13. Somerset County Flood Information System

    Science.gov (United States)

    Hoppe, Heidi L.

    2007-01-01

    The timely warning of a flood is crucial to the protection of lives and property. One has only to recall the floods of August 2, 1973, September 16 and 17, 1999, and April 16, 2007, in Somerset County, New Jersey, in which lives were lost and major property damage occurred, to realize how costly, especially in terms of human life, an unexpected flood can be. Accurate forecasts and warnings cannot be made, however, without detailed information about precipitation and streamflow in the drainage basin. Since the mid 1960's, the National Weather Service (NWS) has been able to forecast flooding on larger streams in Somerset County, such as the Raritan and Millstone Rivers. Flooding on smaller streams in urban areas was more difficult to predict. In response to this problem the NWS, in cooperation with the Green Brook Flood Control Commission, installed a precipitation gage in North Plainfield, and two flash-flood alarms, one on Green Brook at Seeley Mills and one on Stony Brook at Watchung, in the early 1970's. In 1978, New Jersey's first countywide flood-warning system was installed by the U.S. Geological Survey (USGS) in Somerset County. This system consisted of a network of eight stage and discharge gages equipped with precipitation gages linked by telephone telemetry and eight auxiliary precipitation gages. The gages were installed throughout the county to collect precipitation and runoff data that could be used to improve flood-monitoring capabilities and flood-frequency estimates. Recognizing the need for more detailed hydrologic information for Somerset County, the USGS, in cooperation with Somerset County, designed and installed the Somerset County Flood Information System (SCFIS) in 1990. This system is part of a statewide network of stream gages, precipitation gages, weather stations, and tide gages that collect data in real time. The data provided by the SCFIS improve the flood forecasting ability of the NWS and aid Somerset County and municipal agencies in

  14. Orthorectified Photomosaic for De Soto National Memorial Vegetation Mapping Project

    Data.gov (United States)

    National Park Service, Department of the Interior — EarthData International collected ADS-40/ISTAR-derived orthophotography over Hillsborough, Pinellas, Manatee and Sarasota Counties Florida with a 1 foot pixel...

  15. County and Parish Boundaries, County_boundary, Published in 1998, 1:600 (1in=50ft) scale, Buffalo County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This County and Parish Boundaries dataset, published at 1:600 (1in=50ft) scale as of 1998. It is described as 'County_boundary'. Data by this publisher are often...

  16. Healthy People 2020: Leading Health Indicators

    Science.gov (United States)

    ... County Data Resources Federal Prevention Initiatives Healthy People eLearning Program Planning Content Syndication Public Health 3.0 ... of 10-year, national goals and objectives for improving the health of all Americans. Healthy People 2020 ...

  17. 基于生命权视域的农民工职业健康权制度伦理构建--以云南水富县农民工为例%Institutional Ethics Establishment of Peasant Workers ’ Health Rights Based on Life Rights:A Case Study from Shuifu County,Yunnan Province

    Institute of Scientific and Technical Information of China (English)

    刘小勤

    2014-01-01

    In the current period ,peasant workers represents the most serious risk group which harmed by occupational diseases ,the safeguard of peasant workers’ health rights and interests need to be paid great attention .This paper analyzes the main components of occupational health rights in the view of life rights based on the investigation of peasant workers from Shuifu County .The health rights and interests of peasant workers to work in harmless environment could not be reached .The realistic dilemma of peasant workers in this county is how to acquire on time medical treatment and successive safeguard after they harmed by occupational diseases .Based on the investigation and analysis of the main factors which affect peasant workers’ health rights , it is necessary to guarantee social rights equality , to empower the people , to improve legal system on the prevention of occupational diseases and to strengthen occupational health supervision in both politics and strategy .Thus ,the permanent goal to guarantee peasant workers ’ occupational health rights will be achieved .%农民工作为当前中国社会中受职业病危害最严重的群体,其职业健康权益的维护应引起高度关注。从生命权的视角分析职业健康权的主要内容。以水富县农民工为例,揭示农民工在无害的作业环境中劳动目标无法全面实现,以及在患职业病后难以获得及时的医疗救治。在对影响农民工维护职业健康权的主要因素进行解析的基础上,提出在政治高度和战略高度确保社会权利平等实现,赋权于民,健全社会保障机制,完善职业病防治法律制度,加强职业健康维护监管,最终实现农民工职业健康维权常态化目标。

  18. Determining Knowledge Level And Application Self Breast Check (Sbc And Breast Cancer Of Women In Muğla County, Bayır, Yerkesik and Yeşilyurt Health Center Areas

    Directory of Open Access Journals (Sweden)

    Gülcihan Çadır

    2006-12-01

    Full Text Available This study has been carried out in order to determine knowledge level and applicationof Self Breast Check (SBC and breast cancer of women over 20, in the areas MuglaCounty,Bayır, Yerkesik and Yeşilyurt Healt Center. [8]In the study 2181 women over 20 in Muğla county, Bayır, Yerkesik and Yeşilyurthealt center areas were given 45 survey questions which was composed of 16 guestions ondescription, 15 guestions on their information level and 14 questions Self Breast Check (SBCand datas collected and assessed. [9]Of the women, ages education level,social security, income, marital statüs, number ofchilderen, main source of informatio, reasons of not applying SBC, SBC aplication ,relativeswith breast cancer, compered a meaningful difference (p<0.05 in the comparison ofinformation points, have been found out. [10]Status when the women’s SBC compared with age groups, education,job,socialsecurity income level, marital statüs, and main source of information; a meaningful differencehas been found out (p<0.05. [11]It has been determined that 45.1 % of the women who participated in the survey didSBC,19.4 % had clinic examination and 10.5 % had mamography.

  19. Nye County Nuclear Waste Repository Project Office independent scientific investigations program annual report, May 1997--April 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-01

    This annual summary report, prepared by the Nye County Nuclear Waste Repository Project Office (NWRPO), summarizes the activities that were performed during the period from May 1, 1997 to April 30, 1998. These activities were conducted in support of the Independent Scientific Investigation Program (ISIP) of Nye County at the Yucca Mountain Site (YMS). The Nye County NWRPO is responsible for protecting the health and safety of the Nye County residents. NWRPO`s on-site representative is responsible for designing and implementing the Independent Scientific Investigation Program (ISIP). Major objectives of the ISIP include: Investigating key issues related to conceptual design and performance of the repository that can have major impact on human health, safety, and the environment; identifying areas not being addressed adequately by the Department of Energy (DOE). Nye County has identified several key scientific issues of concern that may affect repository design and performance which were not being adequately addressed by DOE. Nye County has been conducting its own independent study to evaluate the significance of these issues. This report summarizes the results of monitoring from two boreholes and the Exploratory Studies Facility (ESF) tunnel that have been instrumented by Nye County since March and April of 1995. The preliminary data and interpretations presented in this report do not constitute and should not be considered as the official position of Nye County. The ISIP presently includes borehole and tunnel instrumentation, monitoring, data analysis, and numerical modeling activities to address the concerns of Nye County.

  20. Geothermal development plan: Maricopa county

    Energy Technology Data Exchange (ETDEWEB)

    White, D.H.

    1981-01-01

    Maricopa county is the area of Arizona receiving top priority since it contains over half of the state's population. The county is located entirely within the Basin and Range physiographic region in which geothermal resources are known to occur. Several approaches were taken to match potential users to geothermal resources. One approach involved matching some of the largest facilities in the county to nearby geothermal resources. Other approaches involved identifying industrial processes whose heat requirements are less than the average assessed geothermal reservoir temperature of 110/sup 0/C (230/sup 0/F). Since many of the industries are located on or near geothermal resources, geothermal energy potentially could be adapted to many industrial processes.

  1. Geothermal development plan: Maricopa county

    Energy Technology Data Exchange (ETDEWEB)

    White, D.H.

    1981-01-01

    Maricopa county is the area of Arizona receiving top priority since it contains over half of the state's population. The county is located entirely within the Basin and Range physiographic region in which geothermal resources are known to occur. Several approaches were taken to match potential users to geothermal resources. One approach involved matching some of the largest facilities in the county to nearby geothermal resources. Other approaches involved identifying industrial processes whose heat requirements are less than the average assessed geothermal reservoir temperature of 110/sup 0/C (230/sup 0/F). Since many of the industries are located on or near geothermal resources, geothermal energy potentially could be adapted to many industrial processes.

  2. Declines in sugar-sweetened beverage consumption among children in Los Angeles County, 2007 and 2011.

    Science.gov (United States)

    Simon, Paul A; Lightstone, Amy S; Baldwin, Steve; Kuo, Tony; Shih, Margaret; Fielding, Jonathan E

    2013-08-08

    This study assessed changes in consumption of sugar-sweetened beverages (SSBs) among children (aged≤17 years) in Los Angeles County. We analyzed children's data from the 2007 (n=5,595) and 2011 (n=5,934) Los Angeles County Health Survey. The percentage of children who consumed 1 or more SSB per day decreased from 43.3% in 2007 to 38.3% in 2011 (Pconsumption among children in Los Angeles County, consumption remains high, highlighting the need for additional policy and programmatic interventions.

  3. 2012 FEMA Lidar: Southern Virginia Counties

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Dewberry collected LiDAR for ~3,341 square miles in various Virginia Counties, a part of Worcester County, and Hoopers Island. The acquisition was performed by...

  4. 2010 South Carolina DNR Lidar: Kershaw County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Provide high density LiDAR elevation data map of Kershaw County, SC. Provide Bare Earth DEM (vegetation removal) of Kershaw County, SC.

  5. Allegheny County Particulate Matter 2.5

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The U.S. Environmental Protection Agency provides information on the particulate matter concentration for Allegheny County that have a diameter greater or equal to...

  6. 2012 FEMA Lidar: Middle Counties (VA)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Dewberry collected LiDAR for ~3,341 square miles in various Virginia Counties, a part of Worcester County, and Hoopers Island. The acquisition was performed by...

  7. Allegheny County Voting District (2015) Web Map

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This webmap demarcates municipal voting districts in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  8. State of Aging in Allegheny County Survey

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — For more than three decades UCSUR has documented the status of older adults in the County along multiple life domains. Every decade we issue a comprehensive report...

  9. Allegheny County Magisterial Districts Outlines (2015)

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset shows the magisterial districts in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data portal...

  10. 2010 South Carolina DNR Lidar: Sumter County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Provide high density LiDAR elevation data map of Sumter County, SC. Provide Bare Earth DEM (vegetation removal) of Sumter County, SC.

  11. Douglas County Historical Rectified Aerial Photos 1937

    Data.gov (United States)

    Kansas Data Access and Support Center — This raster dataset consists of approximately 200 aerial photographs taken in 1937 in Douglas county, Kansas, United States. The Douglas County Public Works...

  12. Allegheny County Parks Data Web Map

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Shows the size, shape, and amenities of the nine Allegheny County parks. If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  13. Allegheny County Pennsylvania Senate District Boundaries

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates the Pennsylvania Senate district boundaries within Allegheny County. If viewing this description on the Western Pennsylvania Regional Data...

  14. Allegheny County Weights and Measures Inspections

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Inspections conducted by the Allegheny County Bureau of Weights and Measures. The Bureau inspects weighing and timing devices such as gas pumps, laundromat timers,...

  15. Allegheny County Voting District Boundaries (2015)

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset demarcates municipal voting districts in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  16. Allegheny County-Owned Bridges Points

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset shows the location of bridges owned by Allegheny County as centroids. If viewing this description on the Western Pennsylvania Regional Data Center’s...

  17. Allegheny County-Owned Roads Centerlines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset shows the roads owned by Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data portal...

  18. Allegheny County-Owned Bridges Centerlines

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset shows the bridges owned by Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data portal...

  19. Allegheny County Polling Place Locations (November 2014)

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains locations of the polling places in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  20. Douglas County Historical Rectified Aerial Photos 1954

    Data.gov (United States)

    Kansas Data Access and Support Center — This raster dataset consists of approximately 200 aerial photographs taken in 1954 in Douglas county, Kansas, United States. The Douglas County Public Works...

  1. 2010 ARRA Lidar: Hampton County (SC)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Provide high density LiDAR elevation data map of Hampton County, SC. Provide Bare Earth DEM (vegetation removal) of Hampton County, SC.

  2. Allegheny County Median Age at Death

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The median age at death is calculated for each municipality in Allegheny County. Data is based on the decedent's residence at the time of death, not the location...

  3. Allegheny County Farmers Markets Locations (2017)

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset shows the locations of farmers markets in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  4. Allegheny County Voting District (2015) Web Map

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This webmap demarcates municipal voting districts in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  5. Allegheny County Polling Place Locations (November 2015)

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains locations of the polling places in Allegheny County.If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  6. Elevation - LIDAR Survey - Roseau County, Minnesota

    Data.gov (United States)

    Army Corps of Engineers, Department of the Army, Department of Defense — LIDAR Data for Roseau County Minnesota. This project consists of approximately 87 square miles of LIDAR mapping in Roseau County, Minnesota at two sites: area 1,...

  7. Allegheny County Polling Place Locations (November 2016)

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains locations of the polling places in Allegheny County.If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  8. Allegheny County Polling Place Locations (May 2017)

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains locations of the polling places in Allegheny County.If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  9. Allegheny County Voting District (2016) Web Map

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This webmap demarcates municipal voting districts in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  10. Allegheny County Polling Place Locations (November 2014)

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains locations of the polling places in Allegheny County. If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  11. Allegheny County Polling Place Locations (November 2016)

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains locations of the polling places in Allegheny County.If viewing this description on the Western Pennsylvania Regional Data Center’s open data...

  12. 77 FR 72968 - Revisions to the California State Implementation Plan, for Imperial County, Placer County and...

    Science.gov (United States)

    2012-12-07

    ... County and Ventura County Air Pollution Control Districts AGENCY: Environmental Protection Agency (EPA). ACTION: Direct final rule. SUMMARY: EPA is taking direct final action to approve revisions to the Imperial County Air Pollution Control District (ICAPCD), Placer County Air Pollution Control...

  13. 76 FR 12280 - Revisions to the California State Implementation Plan, for Imperial County, Kern County, and...

    Science.gov (United States)

    2011-03-07

    ... County, and Ventura County; Air Pollution Control Districts AGENCY: Environmental Protection Agency (EPA). ACTION: Direct final rule. SUMMARY: EPA is taking direct final action to approve revisions to the Imperial County Air Pollution Control District (ICAPCD), Kern County Air Pollution Control District...

  14. Snake envenomations in northwest counties of the Rio de Janeiro State, Brazil

    Directory of Open Access Journals (Sweden)

    H. B. Tinoco

    2005-03-01

    Full Text Available The frequency of envenoming in Northwest counties of the Rio de Janeiro State, Brazil, from 1995 to 2000 was evaluated. Reports from the Municipal Secretariat of Health of these counties were used. The results demonstrated that, from 1997 to 1999, there was a shortage of notification, and 40 cases of envenomations caused by Bothrops snakes were registered. These cases were more common from February to October, and the lower limbs of male peasants were the mainly affected areas.

  15. 基于健康保障责任的县级医院综合改革思路探讨%Discussion of the Multi-Reform of County-level Public Hospital Management System Based on Account of Health Security Duty

    Institute of Scientific and Technical Information of China (English)

    王克春; 王小合; 马征

    2012-01-01

    The county's health service needs a medical service set-up to take the medical service responsibility. The medical service set-up mainly consists of public hospitals. The county government governs public hospitals through the set-up to take form of the management and to be the duty of investment. In the condition of the set-up management and the medical insurance controlling-costs, the county public hospitals can build voluntarily the inside management system according to the outside management. There are two key problems in country public hospital reform, which are basic country health care organization as linkup body of two service systems and regulating the two benefit of patients and doctors in economy. The multi-reform of public hospital management system in country will go forward if the two problems to be solved.%从健康保障出发,县域的医疗服务需要由县域医疗服务体系承担,其中,县城医疗服务体系主要由公立医院组成.县政府通过县域医疗服务体系管理公立医院,由此确定相应的投入责任和管理体制.在医疗服务体系的管理下,外加医疗保险及新农合对医院医疗费用的管理,县级医院依据外部环境和条件,构造内部管理体制.当前县级医院管理体制改革中存在两个关键问题:一个是农村基层医疗卫生机构(乡镇卫生院和村卫生室)在医疗服务和预防保健服务上的连体问题:另一个是在经济上调整医患双方利益问题,解决这两个问题将有利于推进县公立医院综合改革.

  16. 76 FR 13172 - Placer County Water Agency

    Science.gov (United States)

    2011-03-10

    ... Energy Regulatory Commission Placer County Water Agency Notice of Application Tendered for Filing with... Filed: February 23, 2011 d. Applicant: Placer County Water Agency e. Name of Project: Middle Fork... Manager, Placer County Water Agency, 144 Ferguson Road, Auburn, CA 95603; Telephone: (530) 823-4490....

  17. The surficial aquifer in Pinellas County, Florida

    Science.gov (United States)

    Causseaux, K.W.

    1985-01-01

    The surficial aquifer in Pinellas County, Florida, contains potable water throughout most of the county and is a potential source of water to augment the public supply that is presently imported from adjacent counties. The county accounts for 38 percent of the public supply consumption of ground water in the 11-county area of west-central Florida and 68 percent of this water is imported from two adjacent counties. The surficial aquifer has a saturated thickness of more than 30 feet throughout most of the county. Specific capacity per foot of screen for wells is less than 0.1 gallon per minute per foot of drawdown in some parts of the county, but yield is sufficient in most of the county for many small uses with shallow-well pumps. Minimum potential yield varies from 5 gallons per minute in the northern part of the county to more than 30 gallons per minute in the south. Concentrations of iron are high enough in parts of the county to cause staining. Chloride concentrations are less than 100 milligrams per liter in most of the county and do not pose a problem for many uses. (USGS)

  18. Trouble Brewing in Orange County. Policy Brief

    Science.gov (United States)

    Buck, Stuart

    2010-01-01

    Orange County will soon face enormous budgetary pressures from the growing deficits in public pensions, both at a state and local level. In this policy brief, the author estimates that Orange County faces a total $41.2 billion liability for retiree benefits that are underfunded--including $9.4 billion for the county pension system and an estimated…

  19. Clinton County Child Care Needs Assessment

    OpenAIRE

    Elicker, James; Benner, Aprile; Hahn, Georgia; Hertzog, Jodie; Kensinger, Katherine

    1998-01-01

    The final report of a research study assessing current and future needs for child care in Clinton county. Counties with similar profiles may find the results relevant. The methods used also can serve as a model for other counties wishing to conduct their own assessments.

  20. Public water supplies in Gloucester County, New Jersey

    Science.gov (United States)

    Hardt, William F.

    1963-01-01

    Gloucester County is in the southwestern part of New Jersey, below Camden, and is a part of the Lower Delaware River Valley. This area is attracting new industry and has shown a population increase of about 47 percent from 1950 to 1960, mostly urban. With the economic growth of the county, the availability and quality of water become increasingly important. The county is in the Coastal Plain of New Jersey. It is underlain by unconsolidated sands and clays of Quaternary, Tertiary, and Cretaceous age. The Raritan and Magothy Formations constitute the most important aquifers and yield more than 95 percent of the water pumped by the public water systems in the county. These formations are capable of yielding 1,400 gpm (gallons per minute) or more to large diameter wells. High yielding wells generally can be drilled anywhere in the county, although the formations are deeper toward the Atlantic Ocean. The Cohansey Sand, second most important aquifer, yields up to 800 gpm or more from large diameter wells. This aquifer is present only in the sparsely populated southeastern half of the county. The Wenonah Formation and Mount Laurel Sand are capable of yielding 100 to 200 gpm in certain areas. The overall chemical quality of the naturally occurring ground water is good. The water generally meets the U.S. Public Health Service's (1962) suggested limit for dissolved solids; however, in some areas, the water carries objectionable amounts of iron and nitrate in solution and has a low pH. Contamination of ground water by salt-water encroachment or by pollution from industrial activity or organic waste in densely populated areas should be prevented. The quality rather than the quantity of water may be the important factor in future ground-water developments. The 21 public water systems in Gloucester County pumped about 1.3 billion gallons of water during 1948 and some 2.7 billion gallons during 1959. This is slightly more than a hundred percent increase in pumpage in 12 year s

  1. Somerset County Employer Needs Assessment.

    Science.gov (United States)

    Rephann, Terance J.

    Allegany Community College in Cumberland, Maryland, conducted an employer assessment survey of Somerset County businesses during the winter of 1995 in order to provide evaluation data for planning and curriculum development for the secondary and postsecondary educational institutions. The survey was mailed to 760 establishments, with a 29 percent…

  2. Southern Nevada Library Services; Serving Lincoln County, Nye County, Esmeralda County through the Clark County Library District: An Evaluation.

    Science.gov (United States)

    Dalton, Phyllis I.

    An anecdotal review covers the first year of increased library service in Nye, Lincoln, and Esmeralda Counties, Nevada, under the Southern Nevada Library Services project funded by the Library Services and Construction Act. Using information from questionnaires and site visits, the extent of library services in each community in the area is…

  3. Hydrogeology of Webb County, Texas

    Science.gov (United States)

    Lambert, Rebecca B.

    2004-01-01

    Introduction: Webb County, in semiarid South Texas on the U.S.-Mexico border, is a region confronted by increasing stresses on natural resources. Laredo (fig. 1), the largest city in Webb County (population 193,000 in 2000), was one of the 10 fastest-growing metropolitan areas in the country during 1990-2000 (Perry and Mackun, 2001). Commercial and industrial activities have expanded throughout the region to support the maquiladora industry (manufacturing plants in Mexico) along the border and other growth as a result of the passage of the North American Free Trade Agreement. The Rio Grande currently (2002) is the primary source of public water supply for Laredo and other cities along the border in Webb County (fig. 1). Other cities, such as Bruni and Mirando City in the southeastern part of the county, rely on ground-water supplies to meet municipal demands. Increased water demand associated with development and population growth in the region has increased the need for the City of Laredo and Webb County to evaluate alternative water sources to meet future demand. Possible options include (1) supplementing the surface-water supply with ground water, and (2) applying artificial storage and recovery (ASR) technology to recharge local aquifers. These options raise issues regarding the hydraulic capability of the aquifers to store economically substantial quantities of water, current or potential uses of the resource, and possible effects on the quality of water resulting from mixing ground water with alternative source waters. To address some of these issues, the U.S. Geological Survey (USGS), in cooperation with the City of Laredo, began a study in 1996 to assess the ground-water resources of Webb County. A hydrogeologic study was conducted to review and analyze available information on the hydrogeologic units (aquifers and confining units) in Webb County, to locate available wells in the region with water-level and water-quality information from the aquifers, and

  4. Poultry Houses, WI Livestock Consortium Livestock Premises; confidentiality protected by law; use for animal health emergencies only; some aggregated county data, Published in 2009, 1:24000 (1in=2000ft) scale, Wisconsin Department of Agriculture, Trade & Consumer Protection.

    Data.gov (United States)

    NSGIC State | GIS Inventory — Poultry Houses dataset current as of 2009. WI Livestock Consortium Livestock Premises; confidentiality protected by law; use for animal health emergencies only; some...

  5. Examining the relationship between the food environment and adult diabetes prevalence by county economic and racial composition: an ecological study.

    Science.gov (United States)

    Haynes-Maslow, Lindsey; Leone, Lucia A

    2017-08-09

    Inequitable access to healthy food may contribute to health disparities. This study examines the relationship between the prevalence of adult diabetes and food access in the U.S. by county economic/racial composition. An ecological study from 2012 was used to estimate the relationship between diabetes and retail food outlet access. County diabetes prevalence was measured based on individual responses to the Behavioral Risk Factor Surveillance Survey question, "Have you ever been told by a doctor that you have diabetes?" If the answer was "yes" individuals were classified as having diabetes. Retail food outlets included grocery stores, supercenters, farmer's markets, full-service restaurants, fast food restaurants and convenience stores. Counties were categorized as "high-poverty" or "low-poverty". Counties were categorized as low ( 31.0%) percent minority residents. Multiple linear regression models estimated the association between retail food outlets and diabetes, controlling for confounders, and testing for interactions between retail food outlets and county racial composition. Regression models were conditioned on county economic composition. Data were analyzed in 2016. Density of retail foods outlets varied greatly by county economic and racial composition; counties with medium-minority populations had the least access to grocery stores and the highest access to fast food restaurants and convenience stores. Low poverty/low-minority population counties had the greatest access to farmer's markets and grocery stores. For low poverty/low-minority counties, grocery stores were associated with decreased of diabetes prevalence. Supercenters were associated with an increase in diabetes prevalence for high-poverty/low-minority counties. Only low poverty/medium-minority counties had a statistically significant relationship between farmer's markets and diabetes prevalence. Fast food restaurants were found to be positively associated with diabetes prevalence in all

  6. Water resources of Langlade County, Wisconsin

    Science.gov (United States)

    Batten, W. G.

    1987-01-01

    Langlade County depends almost exclusively on ground water pumped from the glacial sand and gravel deposits for its water needs. Well yields of 10 to 20 gallons per minute can be obtained from these deposits throughout most of the county. Yields of 500 to 1,000 gallons per minute are obtained for irrigation of crops from glacial outwash deposits in some areas of the county and particularly in the extensive 125-square-mile outwash plain in south-central Langlade County. Very low yields of less than 5 gallons per minute are obtainable for private domestic use from Precambrian crystalline rocks in areas of the county where overlying glacial material is thin. Glacial deposits are more than 400 feet thick in glacial moraine areas of east-central Langlade County; saturated thicknesses exceed 250 feet in the north-central part of the county.

  7. Situation and effect of vertical integrated of rural health services:A case study in Dafeng Coun-ty of Jiangsu Province%农村卫生服务纵向整合实例分析--以江苏省大丰市为例

    Institute of Scientific and Technical Information of China (English)

    田淼淼; 徐向东; 朱坤; 张小娟; 穆辰; 卞晓莉; 杨维平

    2014-01-01

    Objective: To analyze the current situation and effect of vertical integrated of rural health services in Dafeng County. Method: Policy documents and data are collected and interviews are implemented for studying the integrated situation. Results: The vertical integration in Dafeng County is virtual joint form with forming 6 city-level medical volunteer service teams and 52 health management teams. With the imple-mentation of fully integrated management, signing service with rural doctor mode is carried out, which pro-mote the establishment of rural unified service standards and regulations. Using health card of residents which promote the regional shared of treatment information. Conclusions: Vertically integrated mode had connection in health management teams, supported by fully integration, developed by signing service with rural doctor and carried by residents’ health card, which could provide reference for implementing vertical integration of rural health service. But strategies needed to be strengthened in improving health services’ ability of township hospitals, clarifying interest relationship as well as integrating health service regulations and strengthen the health information system for sharing and docking.%目的:以江苏省大丰市为例,分析农村卫生服务纵向整合的现状及效果。方法:收集该市实施农村卫生服务纵向整合的政策文件及2012-2013年相关数据,开展相关人员访谈了解整合现状。结果:大丰市纵向整合以虚拟联合的形式开展,组建市级医疗志愿服务团队6支、乡镇卫生院健康管理团队52支;推行紧密型一体化管理,开展乡村医生签约服务,基本建立乡村统一的服务规范及规章制度;率先开通使用居民健康卡,基本实现诊疗信息区域共享。结论:大丰市农村卫生服务在县乡之间和乡村之间分别通过技术协作和托管予以整合,探索以健康管理服

  8. Deforestation and malaria in Mâncio Lima County, Brazil.

    Science.gov (United States)

    Olson, Sarah H; Gangnon, Ronald; Silveira, Guilherme Abbad; Patz, Jonathan A

    2010-07-01

    Malaria is the most prevalent vector-borne disease in the Amazon. We used malaria reports for health districts collected in 2006 by the Programa Nacional de Controle da Malaria to determine whether deforestation is associated with malaria incidence in the county (municipio) of Mancio Lima, Acre State, Brazil. Cumulative percent deforestation was calculated for the spatial catchment area of each health district by using 60 x 60-meter, resolution-classified imagery. Statistical associations were identified with univariate and multivariate general additive negative binomial models adjusted for spatial effects. Our cross-sectional study shows malaria incidence across health districts in 2006 is positively associated with greater changes in percentage of cumulative deforestation within respective health districts. After adjusting for access to care, health district size, and spatial trends, we show that a 4.2%, or 1 SD, change in deforestation from August 1997 through August 2001 is associated with a 48% increase of malaria incidence.

  9. Groundwater-Quality Assessment, Pike County, Pennsylvania, 2007

    Science.gov (United States)

    Senior, Lisa A.

    2009-01-01

    constituents introduced by human activities that pose a health risk or otherwise were of concern in groundwater in the county. The analyses included major ions, nutrients, selected trace metals, volatile organic compounds (VOCs), selected organic wastewater compounds, gross alpha-particle and gross beta-particle activity, uranium, and radon-222. Analyses of the 20 samples were primarily for dissolved constituents, but six samples were analyzed for both dissolved and total metals. Results of the 2007 sampling indicated few water-quality problems, although concentrations of some constituents indicated influence of human activities on groundwater. No constituent analyzed exceeded any primary drinking-water standard or maximum contaminant level (MCL) established by the U.S. Environmental Protection Agency. Radon-222 levels were greater than, or equal to, the proposed MCL of 300 picocuries per liter (pCi/L) in water from 15 (75 percent) of the 20 wells. Radon-222 levels did not exceed the alternative MCL of 4,000 pCi/L in any groundwater sample. Radon-222 is naturally occurring, and the greatest concentrations (up to 2,650 pCi/L) were in water samples from wells in members of the Catskill Formation, a fractured-rock aquifer. The dissolved arsenic concentration of 3.9 micrograms per liter (ug/L) in one sample was greater than the health-advisory (HA) level of 2 ug/L but less than the MCL of 10 ug/L. Recommended or secondary maximum contaminant levels (SMCLs) were exceeded for pH, dissolved iron, and dissolved manganese. In six samples analyzed for dissolved and total concentrations of selected metals, total concentrations commonly were much greater than dissolved concentrations of iron, and to a lesser degree, for arsenic, lead, copper, and manganese. Concentrations of iron above the SMCL of 300 ug/L may be more widespread in the county for particulate iron than for dissolved iron. The total arsenic concentration in one of the six samples was greater than the HA level of

  10. 甘肃省迭部县藏族5岁儿童患龋情况及家长口腔健康知识调查%An investigation of dental caries status of 5-year-old Zang nationality children and their parents′oral health knowledge in Tewo County,Gansu Province

    Institute of Scientific and Technical Information of China (English)

    朱燕燕; 胡晓潘; 李志强

    2015-01-01

    目的:了解甘肃省迭部县藏族5岁儿童龋病发病情况及家长口腔健康知识,为少数民族地区儿童制定龋病防治措施提供参考。方法:参照第三次全国口腔健康流行病学调查标准和方法,随机选取迭部县5所幼儿园400名藏族5岁儿童进行龋病检查,并对其家长进行龋病流行病学及相关因素问卷调查。结果:迭部县藏族5岁儿童的乳牙患龋率、龋均分别为59.64%、2.53;54.57%的儿童有睡前吃甜点习惯,48.48%的儿童过去12个月没有到医院看过牙,父母大多未了解儿童口腔健康状况,家长口腔卫生知识的知晓率农村组低于城市组。结论:藏族5岁儿童龋病发病率高,儿童口腔健康行为及家长口腔卫生知识有待进一步改进。%AIM:To investigate the dental caries prevalence and their parents′oral health knowledge of 5 -year-old children of Zang nationality in Tewo County,Gansu Province.METHODS:According to the Third National Oral Health Epidemiological Investigation Standard and Method,400 five-year-old children in five kindergartens in Te-wo country were randomly selected in this study.Oral health examination was made to determine dental caries status,a questionnaire was answered for the investigation of the parents′oral health knowledge and the childrens′oral health be-havior.RESULTS:The dental caries prevalence rate and average caries teeth of the children were 59.64%and 2.53 respectively.54.57% of the children had the habit for having dessert before sleeping,48.48%of the children did not see a dentist in the past 12 months.The majority of the parents knew little about the oral health of their children and the parents living in countryside had less oral hygiene knowledge than those living in city.CONCLUSION:Dental caries prevalence is high in 5-year-old Zang nationality children in Tewo county.The oral health behavior of the chil-dren and the oral health knowledge of their

  11. Yolo County controlled landfill project

    Energy Technology Data Exchange (ETDEWEB)

    Augenstein, D. [IEM, Palo Alto, CA (United States); Yazdani, R.; Dahl, K.; Mansoub, A.; Moore, R. [Yolo County Department of Public Works, Davis, CA (United States); Pacey, J. [Emcon, San Mateo, CA (United States)

    1999-07-01

    A new landfill management approach controlled landfilling is being demonstrated by the Yolo County, California Department of Public Works at the Yolo County Central Landfill (YCCL) near Davis. Overall objectives are to obtain earlier and greater methane energy recovery from landfilled waste and to reduce landfill greenhouse gas emissions to near-negligible levels. Methane generation and waste stabilization were accelerated by improving biological conditions within a test cell through carefully controlled additions of water and leachate. A control cell was operated in parallel. Landfill gas capture was maximized, with emissions reduced to minimal levels, by a combination of surface membrane containment, a permeable layer conducting gas to collection points, and operation at slight vacuum. Cells are highly instrumented to determine performance. To date, normalized methane recovery is the highest seen from such a large waste mass, anywhere - about ten times that from conventional landfall practice. The rationale and details of this project, and first three years' results, are summarized. (author)

  12. An Adaptation of the Teaching Reference Community Developed by the National Communicable Disease Center. Dixon, Tiller County, U. S. A.

    Science.gov (United States)

    Nocks, Barry

    Demographic and other descriptive data on a hypothetical metropolitan area (Dixon City, Tiller County) are presented in the report, which is intended as a health study and training model. Most of the statistical and descriptive data are drawn from a health training model developed by the Communicable Disease Center, U. S. Department of Health,…

  13. Brookside Mills, Knox County, TN

    Science.gov (United States)

    Brookside Mills, located in Knox County, TN, was a textile mill that was founded in 1885 and at its peak employed over 1,000 people. Its former uses included fabric weaving, dying, and sewing operations. It was at some point a department store, and during a portion of its history, coal was used as an energy source. Weaving operations continued in some form at the Brookside factory until 1969. In 1996 the buildings were demolished.

  14. Spatially varying predictors of teenage birth rates among counties in the United States

    Directory of Open Access Journals (Sweden)

    Carla Shoff

    2012-09-01

    Full Text Available BACKGROUND Limited information is available about teenage pregnancy and childbearing in rural areas, even though approximately 20 percent of the nation's youth live in rural areas. Identifying whether there are differences in the teenage birth rate (TBR across metropolitan and nonmetropolitan areas is important because these differences may reflect modifiable ecological-level influences such as education, employment, laws, healthcare infrastructure, and policies that could potentially reduce the TBR. OBJECTIVE The goals of this study are to investigate whether there are spatially varying relationships between the TBR and the independent variables, and if so, whether these associations differ between metropolitan and nonmetropolitan counties. METHODS We explore the heterogeneity within metropolitan/nonmetropolitan county groups separately using geographically weighted regression (GWR, and investigate the difference between metropolitan/nonmetropolitan counties using spatial regime models with spatial errors. These analyses were applied to county-level data from the National Center for Health Statistics and the US Census Bureau. RESULTS GWR results suggested that non-stationarity exists in the associations between TBR and determinants within metropolitan/nonmetropolitan groups. The spatial regime analysis indicated that the effect of socioeconomic disadvantage on TBR significantly varied by the metropolitan status of counties. CONCLUSIONS While the spatially varying relationships between the TBR and independent variables were found within each metropolitan status of counties, only the magnitude of the impact of the socioeconomic disadvantage index is significantly stronger among metropolitan counties than nonmetropolitan counties. Our findings suggested that place-specific policies for the disadvantaged groups in a county could be implemented to reduce TBR in the US.

  15. Strathcona County energy exploration public consultation report

    Energy Technology Data Exchange (ETDEWEB)

    Blair, C. [Bearing Point Inc., Edmonton, AB (Canada)

    2003-12-09

    A committee was established by the Strathcona County Council in response to resident concerns regarding oil and gas exploration in the region. Bearing Point Inc. was hired to report on the results of a workshop where residents voiced their opinion on how their land is used. Many people live in Strathcona for its beauty, solitude and recreational activities, and consider the oil and gas exploration as compromising their lifestyles. The workshop focused on the following six categories which reflected the citizen's views regarding oil and gas exploration: environment, health and safety; communication and planning; regulation and rights; economics; accountability; and, other. Residents expressed concerns regarding water supply, air pollution, light pollution, noise pollution, soil contamination, land damage, wildlife disruption, asthma and other health conditions, pipeline safety, land use and reclamation, use of technology and environmental damage. They also expressed concerns regarding landowners rights and resources. The residents felt that regulations governing oil and gas exploration were inadequate and favoured the oil and gas industry. Other concerns were based on property devaluation and increase in the volume and use of heavy equipment to the road system. Residents proposed various approaches to address each of these concerns.

  16. 7 CFR 7.25 - County executive director duties.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false County executive director duties. 7.25 Section 7.25... CONSERVATION STATE, COUNTY AND COMMUNITY COMMITTEES § 7.25 County executive director duties. (a) The county executive director shall execute the policies established by the county committee and be responsible for...

  17. Unemployment and dispensed prescribed antidepressants in Stockholm County 1998-09.

    Science.gov (United States)

    Lundin, Andreas; Hansson, Anders

    2014-08-01

    The association between unemployment rates and population mental health has been studied with contradictory results. We examine the association between unemployment and antidepressants in Stockholm County. Age- and sex-specific monthly data on unemployment and dispensed prescribed antidepressants from January 1998 to January 2008 in Stockholm County were used. The association was studied with bivariate cointegration analysis with stationarity check of the residuals. We found that dispensing of antidepressants was inversely associated with unemployment. One interpretation is that antidepressants have not followed decreasing unemployment rates. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  18. Training status and needs of health staffs in county-level public hospitals of Guangxi province%广西县级公立医院医务人员培训现状及培训需求调查

    Institute of Scientific and Technical Information of China (English)

    陈荷; 冯启明; 罗红叶; 罗萍; 莫鑫鑫; 高洪达; 李杨凤; 张娟

    2015-01-01

    Objective To investigate the status and needs of training medical staff in county-level medical institutions in Guangxi to provide preferences for developing training programs. Methods Self-designed questionnaires were used to investigate a random sample of 477 medical staffs in 9 county-level medical institutions including People's Hospi-tals, Chinese Medical Hospitals, Maternity and Child Care Hospitals in Wuming, Liujiang, Rongxian counties. Re-sults 13% of the medical staffs had never participated in training; 28.1% of them were trained once a month; 50.7% of them were trained for less than a week. 39.4% of them expected to receive training once a year , 21.6% expected a week to half a month and 21.8% expected three months to six months. 60.4% of them expected to receive new knowl-edge and technique training. 73.6%of them expected to go to provincial hospitals for training and 57% of them expect-ed to receive extension study. Conclusion There are differences between medical staff training needs and status. Exist-ing questions are incomplete training coverage, too dense training frequency ,too short training period, medical staffs urgently need the training of continuing professional development, new technology and professional knowledge, and training effect is not obvious. We can establish medical staff in-service training incentives ,increase medical staffing and reform training methods to encourage and attract more medical staff to attend training.%目的:通过调查广西县级医疗单位医务人员培训现状及培训需求情况,为主管部门今后制订县级医务人员培训计划提供依据。方法对广西三个县的县人民医院、中医院、妇幼保健院共9个医院的医务人员采取随机抽样的方法,对抽取的477名医务人员进行培训现状与培训需求的问卷调查。结果在477名被调查的医务人员中,从未参加过培训的占13.0%,培训频率每月一次的占28.1%,培训

  19. Applicability of PSD Permitting Requirements, Wellcraft Marine Corporation, Sarasota, Florida

    Science.gov (United States)

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  20. Situation of public health emergencies team members of centers for disease control and prevention(CDC) in parts of county-level institution%八城市区县级疾病预防控制中心卫生应急人员现况分析

    Institute of Scientific and Technical Information of China (English)

    刘燕燕; 李香蕊; 崔娜; 孙静; 王亚东

    2013-01-01

    Objective To investigate disease prevention and control emergency response team status of county-level institution from 8 cities. Methods Stratified cluster sampling was adopted combined with individual questionnaire survey and in- depth interview. Results The male to female ratio was 1. 2 : 1. The average age of team members was (37. 47 ?8. 54)years old. 6. 7% of them were over the age of 50 years old. As for their educational background, 55. 9% of them were undergraduates. Their main major was public health (46. 5% ). The title structure was given priority to with primary title (39. 7% ) 30. 3% of them considered their physical condition was well. 58. 6% of them thought about themselves competent health emergency work. Conclusions The structure about disease prevention and control emergency response team members of county-level institution from 8 cities is reasonable, which is basically in line with the requirement of the health emergency. However, there are still many problems. We should base on the task requirements, optimize primary health emergency response team from the quantity, quality and structure, also pay more attention to the health emergency response team physical and mental health and team building.%目的 分析八城市区县级疾病预防控制中心(CDC)应急人员的现况,为城市基层专业卫生应急队伍建设提供依据.方法 采用分层整群随机抽样方法,选取7个省会城市和1个直辖市的全部区县级CDC的卫生应急人员,进行个人问卷调查.结果 男女比例为1.2∶1;平均年龄为(37.47 ±8.54)岁,50岁以上人员占6.7%;学历以本科为主(55.9%);专业以公共卫生为主(46.5%);职称构成总体以初级职称为主(39.7%);认为自己的体能比较好的占30.3%,有58.6%的队员认为自己的体能可以较好胜任卫生应急工作.结论 八城市区县级疾病预防控制中心卫生应急队员基本符合卫生应急工作的需求;但仍存在着一些问

  1. VT County Forest Data 1966-1997

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) This datalayer contains Vermont forestry estimate data, by county, primarily obtained from the Vermont Forest Inventory and Analysis (FIA),...

  2. VT River Restoration Data in Lamoille County

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) Documented river and riparian buffer restoration projects in Lamoille County, Vermont. Restoration includes buffer plantings (trees and shrubs),...

  3. Houses of Worship - Volusia County Churches (Points)

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — Volusia County church locations were aggregated from several sources including Property Appraisal parcel data, Supervisor of Elections resources, Bell South Yellow...

  4. 县处级干部亚健康与生活满意度、应对方式研究%ANALYSIS OF SUB-HEALTH, LIFE SATISFACTION AND COPING STYLE AMONG COUNTIES PRIMARY OFFICIALS

    Institute of Scientific and Technical Information of China (English)

    巩金培; 张琰; 王俊峰; 张澜

    2012-01-01

    [Objective] To explore the sub health and its correlative factors. [Methods] 128 officials via a cluster sampling method in Xinjiang were studied with life Satisfaction Index A and Simple Coping Style Question and Sub-health Self-rating Scale-30. [Results] The life satisfaction level of cadres were lower than the norm (P< 0.01). Life satisfaction in the health group was higher than the sub health group, and that in the sub health group was higher than the sickness group (P < 0.01). Life satisfaction level of the females was higher than the males (P < 0.05). Life satisfaction in public institutions was higher than in authorities and enterprises (P< 0.05). Male and female sub health was negatively correlated with Life satisfaction (P< 0.01), and had a positive correlation with passive coping style (P< 0.05). The female sub health was negatively correlated with positive coping (P< 0.01). [Conclusion] Promoting and improving the level of life satisfaction and coping style will benefit their health.%[目的]探寻处级干部亚健康状况,与之有关的因素.[方法]采用生活满意度指教A量表、简易应对方式问卷、及亚健康自评量表-30,通过分层抽样方法,对128名新疆县处级干部进行调查.[结果]处级干部生活满意度水平低于常模(P<0.01).健康组生活满意度水平高于亚健康组,亚健康组又高于疾病组(P<0.01).女性生活满意度水平高于男性(P<0 05);事业单位生活满意度水平高于机关、企业单位(P<0.05).男性、女性亚健康与生活满意度呈负相关(P<0.01),与消极应对呈正相关(P<0.05),女性亚健康还与积极应对呈负相关(P<0.01).[结论]提高生活满意度及采取有效的应对方式,有利于改善亚健康状况.

  5. The effects on population health status of using dedicated property taxes to fund local public health agencies

    Directory of Open Access Journals (Sweden)

    Moonesinghe Ramal

    2011-06-01

    Full Text Available Abstract Background In the United States, a dedicated property tax describes the legal authority given to a local jurisdiction to levy and collect a tax for a specific purpose. We investigated for an association of locally dedicated property taxes to fund local public health agencies and improved health status in the eight states designated as the Mississippi Delta Region. Methods We analyzed the difference in health outcomes of counties with and without a dedicated public health tax after adjusting for a set of control variables using regression models for county level data from 720 counties of the Mississippi Delta Region. Results Levying a dedicated public health tax for counties with per capita income above $28,000 is associated with improved health outcomes of those counties when compared to counties without a dedicated property tax for public health. Alternatively, levying a dedicated property tax in counties with lower per capita income is associated with poor health outcomes. Conclusions There are both positive and negative consequences of using dedicated property taxes to fund public health. Policymakers should carefully examine both the positive association of improved health outcomes and negative impact of taxation on poor populations before authorizing the use of dedicated local property tax levies to fund public health agencies.

  6. 75 FR 26709 - Clarke County Water Supply Project, Clarke County, IA

    Science.gov (United States)

    2010-05-12

    ... Natural Resources Conservation Service Clarke County Water Supply Project, Clarke County, IA AGENCY... Moines, IA 50309-2180, telephone: 515-284- 4769. SUPPLEMENTARY INFORMATION: A Notice of Intent (NOI) to... http://www.ia.nrcs.usda.gov . A map of the Clarke County Water Supply proposed study sites will also...

  7. 75 FR 25308 - Environmental Impact Statement: Winnebago County, IL and Rock County, WI

    Science.gov (United States)

    2010-05-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Federal Highway Administration Environmental Impact Statement: Winnebago County, IL and Rock County, WI... Beloit, Rock County, Wisconsin to the interchange of Rockton Road and I-90 southeast of South...

  8. 75 FR 31463 - Comal County Regional Habitat Conservation Plan, Comal County, TX

    Science.gov (United States)

    2010-06-03

    ... Fish and Wildlife Service Comal County Regional Habitat Conservation Plan, Comal County, TX AGENCY... statement, draft habitat conservation plan, and permit application; announcement of a public hearing... County, Texas, as a result of activities including, but not limited to: Public or private...

  9. 33 CFR 100.905 - Door County Triathlon; Door County, WI.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Door County Triathlon; Door County, WI. 100.905 Section 100.905 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.905 Door County...

  10. 甘肃省某县农村留守老人与非留守老人心理健康状况调查%Research on Mental Health of Rural Old People in a County of Gansu Province

    Institute of Scientific and Technical Information of China (English)

    余娟

    2016-01-01

    目的:探索甘肃省农村留守与非留守留守老人的心理健康状况,为有效改善农村老人的心理健康水平提供依据。方法:采用分层随机抽样法,通过问卷调查甘肃省某县106名留守老人和205名非留守老人。结果:留守与非留守老人的自测健康状况存在显著差异;非留守老人表现出较多的社会支持和积极应对方式,较少的消极应对方式;老人健康状态与社会支持、积极应对方式之间存在显著正相关。结论:应通过建立有效社会支持、加强专业心理援助帮助提高留守老人的心理健康水平。%Objective: To explore the mental health status and the relationship between mental health and social support on the left behind and non-left behind old people in the rural area in Gansu, and to provide the basis for improving the level of mental health on the rural elderly. Methods: Using stratified random sampling method, we researched 106 left behind and 205 non-left behind old peoples by questionnairs.Re-sults: First, there are significant differences in self-testing health status, specifically for the dimensions of body health and mental health;Sec-ond, non-left behind elderly showed more social support and relatively more positive coping, negative coping styles less;Third, there is a signif-icant correlation between the elderly health status and social support and positive coping style.Conclusions:Effective social support, such as the professional psychological assistance should be established, to alleviate the psychological pressure of the left behind old people.

  11. Breast Health Belief System Study

    Science.gov (United States)

    2001-08-01

    advantages: cultural and geographic familiarity, interinstitutional collaboration , and cost effectiveness in terms of controlling per diem and travel...providers of the significance of beliefs on health practices. Collaborators in this study included Georgia State, Albany State, Fort Valley State, and...Georgia counties. As the map on the following pages shows, many of Georgia’s southern counties are in economic decline. Collaborators are Georgia

  12. Down With Teen Pregnancy, Up With Mobility: Teen Pregnancy Prevention Efforts in Gaston County, North Carolina.

    Science.gov (United States)

    Dobbins, Christopher C; Kenney, Brittain N; Meier, Carrie E; Taormina, Velma V

    Unintended pregnancies are typically associated with poor health outcomes for mothers and babies, and they also limit the social mobility of women and their families. Gaston County has achieved great success in reducing both teen pregnancies and unintended pregnancies among low-income women through the Gaston Youth Connected project and the local health department's push to increase accessibility to long-acting reversible contraception. Reductions in the racial disparities in teen pregnancy rates, higher graduation rates for females, and fewer pregnancies among low-income women all indicate a potential for better reproductive health to increase the social mobility of Gaston County women. The ability to clearly connect health outcomes to long-term social improvements helps create sustainable community buy-in and should be a priority in public health initiatives.

  13. US County-Level Trends in Mortality Rates for Major Causes of Death, 1980–2014

    Science.gov (United States)

    Dwyer-Lindgren, Laura; Bertozzi-Villa, Amelia; Stubbs, Rebecca W.; Morozoff, Chloe; Kutz, Michael J.; Huynh, Chantal; Barber, Ryan M.; Shackelford, Katya A.; Mackenbach, Johan P.; van Lenthe, Frank J.; Flaxman, Abraham D.; Naghavi, Mohsen; Mokdad, Ali H.; Murray, Christopher J. L.

    2017-01-01

    IMPORTANCE County-level patterns in mortality rates by cause have not been systematically described but are potentially useful for public health officials, clinicians, and researchers seeking to improve health and reduce geographic disparities. OBJECTIVES To demonstrate the use of a novel method for county-level estimation and to estimate annual mortality rates by US county for 21 mutually exclusive causes of death from 1980 through 2014. DESIGN, SETTING, AND PARTICIPANTS Redistribution methods for garbage codes (implausible or insufficiently specific cause of death codes) and small area estimation methods (statistical methods for estimating rates in small subpopulations) were applied to death registration data from the National Vital Statistics System to estimate annual county-level mortality rates for 21 causes of death. These estimates were raked (scaled along multiple dimensions) to ensure consistency between causes and with existing national-level estimates. Geographic patterns in the age-standardized mortality rates in 2014 and in the change in the age-standardized mortality rates between 1980 and 2014 for the 10 highest-burden causes were determined. EXPOSURE County of residence. MAIN OUTCOMES AND MEASURES Cause-specific age-standardized mortality rates. RESULTS A total of 80 412 524 deaths were recorded from January 1, 1980, through December 31, 2014, in the United States. Of these, 19.4 million deaths were assigned garbage codes. Mortality rates were analyzed for 3110 counties or groups of counties. Large between-county disparities were evident for every cause, with the gap in age-standardized mortality rates between counties in the 90th and 10th percentiles varying from 14.0 deaths per 100 000 population (cirrhosis and chronic liver diseases) to 147.0 deaths per 100 000 population (cardiovascular diseases). Geographic regions with elevated mortality rates differed among causes: for example, cardiovascular disease mortality tended to be highest along the

  14. Poor people on the move: county-to-county migration and the spatial concentration of poverty.

    Science.gov (United States)

    Nord, M

    1998-05-01

    "Poverty rates in high-poverty and low-poverty rural [U.S.] counties, and, thus, the spatial concentration of poverty, are affected by poverty-specific differences in in-migration and out-migration patterns. These patterns are investigated using 1985-90 county-to-county migration data from the decennial census. Effects on poverty rates of four migration flows (in- and out-migration of poor, in- and out-migration of nonpoor) are quantified, and their impacts on spatial concentration of poverty are assessed. The effect of selected county characteristics on the migration of the poor and nonpoor in nonmetro counties [is] estimated."

  15. 重庆市铜梁县高血压患者健康教育效果分析%Effect evaluation of health education among hypertension patients in Tongliang County of Chongqing

    Institute of Scientific and Technical Information of China (English)

    张隆云

    2012-01-01

    目的 评价农村高血压患者实施健康教育后的效果.方法 利用乡村医生对农村高血压患者进行健康教育干预,干预前后分别填写调查问卷.结果 通过健康教育干预,患者的高血压知识知晓率,遵守健康生活方式率,治疗率,控制率分别从健康教育前的30.7%、22.0%、36.8%和26.0%提高到健康教育后的75.8%、51.0%、72.8%和60.5% (P<0.05),差异有统计学意义.结论 利用乡村医生开展高血压患者的健康教育提高了高血压控制率,干预效果明显.%Objective To evaluate effect of health education activities among hypertensive patients in rural areas. Methods Health education intervention among hypertensive patients were carried out by country doctors in Tongliang country. Questionnaire surveys were implemented before and after the interventions. Results After health education interventions, the patients' awareness rate of high blood pressure, rate of taking healthy lifestyle, rate of treatment and rate of control had been increased from 30.1% , 22.0% , 36. 8% , 26.0% to 75. 8% , 51.0% , 72. 8% and 60. 5% , respectively (P<0.05). Conclusion Health education interventions among hypertensive patients carried out by the country doctors improves the control rate of the high blood pressure remarkably.

  16. 76 FR 44302 - Fresno County Resource Advisory Committee

    Science.gov (United States)

    2011-07-25

    ... Robbin Ekman, Fresno County Resource Advisory Committee Coordinator, c/ o Sierra National Forest, High... FURTHER INFORMATION CONTACT: Robbin Ekman, Fresno County Resource Advisory Committee Coordinator, (559...

  17. 76 FR 28415 - Fresno County Resource Advisory Committee

    Science.gov (United States)

    2011-05-17

    ... Robbin Ekman, Fresno County Resource Advisory Committee Coordinator, c/ o Sierra National Forest, High... FURTHER INFORMATION CONTACT: Robbin Ekman, Fresno County Resource ] Advisory Committee Coordinator, (559...

  18. County and organizational predictors of depression symptoms among low-income nursing assistants in the USA.

    Science.gov (United States)

    Muntaner, Carles; Li, Yong; Xue, Xiaonan; Thompson, Theresa; Chung, Haejoo; O'Campo, Patricia

    2006-09-01

    Low-wage workers represent an ever-increasing proportion of the US workforce. A wide spectrum of firms demand low-wage workers, yet just 10 industries account for 70% of all low-paying jobs. The bulk of these jobs are in the services and retail sales industries. In health services, 60% of all workers are low-paid, with nursing aides, orderlies, personal attendants, and home care aides earning an average hourly wage of just 7.97 US dollars--a wage that keeps many of these workers hovering near or below the poverty line. Nursing assistants also tend to work in hazardous and grueling conditions. Work conditions are an important determinant of psychological well-being and mental disorders, particularly depression, in the workplace have important consequences for quality of life, worker productivity, and the utilization and cost of health care. In empirical studies of low-wage workers, county-level variables are of theoretical significance. Multilevel studies have recently provided evidence of a link between county-level variables and poor mental health among low-wage workers. To date, however, no studies have simultaneously considered the effect of county-and workplace-level variables. This study uses a repeated measures design and multilevel modeling to simultaneously test the effect of county-, organizational-, workplace-, and individual-level variables on depression symptoms among low-income nursing assistants employed in US nursing homes. We find that age and emotional strain have a statistically significant association with depression symptoms in this population, yet when controlling for county-level variables of poverty, the organizational-level variables used were no longer statistically significant predictors of depression symptoms. This study also contributes to current research methodology in the field of occupational health by using a cross-classified multilevel model to explicitly account for all variations in this three-level data structure, modeling and

  19. Geothermal development issues: Recommendations to Deschutes County

    Energy Technology Data Exchange (ETDEWEB)

    Gebhard, C.

    1982-07-01

    This report discusses processes and issues related to geothermal development. It is intended to inform planners and interested individuals in Deschutes County about geothermal energy, and advise County officials as to steps that can be taken in anticipation of resource development. (ACR)

  20. Educational and Demographic Profile: Madera County

    Science.gov (United States)

    California Postsecondary Education Commission, 2004

    2004-01-01

    This profile uniquely presents a variety of educational and socioeconomic information for Madera County, nearby counties, and the state. The profile highlights the relationship between various factors that affect the economic well-being of individuals and communities. This presentation of information provides a framework for enhanced…

  1. Educational and Demographic Profile: Napa County.

    Science.gov (United States)

    California Postsecondary Education Commission, 2004

    2004-01-01

    This profile uniquely presents a variety of educational and socioeconomic information for Napa County, nearby counties, and the state. The profile highlights the relationship between various factors that affect the economic well-being of individuals and communities. This presentation of information provides a framework for enhanced communication…

  2. Cheyenne-Laramie County Economic Development Strategy

    Science.gov (United States)

    1986-06-01

    Chamber of Commerce John Etchepare Warren Livestock Co. Shirley Francis Laramie County Commissioner Nancy Gire Economic Development Planner, Cheyenne...Eagle Reeves & Company Investments Jeff Ketcham John Rogers Laramie County Commissioner Rogers, Wolf & Blythe Mike Lane Dean Run Lane & Associates...Dorn, Director of Planning Mountain Bell Memorial Hospital Fred Baggs, General Manager Joe Dougherty Fleiscli Oil Yellowstone Neighborhood

  3. Imperial County geothermal development annual meeting: summary

    Energy Technology Data Exchange (ETDEWEB)

    1983-01-01

    All phases of current geothermal development in Imperial County are discussed and future plans for development are reviewed. Topics covered include: Heber status update, Heber binary project, direct geothermal use for high-fructose corn sweetener production, update on county planning activities, Brawley and Salton Sea facility status, status of Imperial County projects, status of South Brawley Prospect 1983, Niland geothermal energy program, recent and pending changes in federal procedures/organizations, plant indicators of geothermal fluid on East Mesa, state lands activities in Imperial County, environmental interests in Imperial County, offshore exploration, strategic metals in geothermal fluids rebuilding of East Mesa Power Plant, direct use geothermal potential for Calipatria industrial Park, the Audubon Society case, status report of the Cerro Prieto geothermal field, East Brawley Prospect, and precision gravity survey at Heber and Cerro Prieto geothermal fields. (MHR)

  4. Environmental assessment: Deaf Smith County site, Texas

    Energy Technology Data Exchange (ETDEWEB)

    1986-05-01

    In February 1983, the US Department of Energy (DOE) identified a location in Deaf Smith County, Texas, as one of nine potentially acceptable sites for a mined geologic repository for spent nuclear fuel and high-level radioactive waste. To determine their suitability, the Deaf Smith County site and the eight other potentially sites have been evaluated in accordance with the DOE's General Guidelines for the Recommendation of Sites for the Nuclear Waste Repositories. The Deaf Smith County site is in the Permian Basin, which is one of five distinct geohydrologic settings considered for the first repository. On the basis of the evaluations reported in this EA, the DOE has found that the Deaf Smith County site is not disqualified under the guidelines. On the basis of these findings, the DOE is nominating the Deaf Smith County site as one of the five sites suitable for characterization. 591 refs., 147 figs., 173 tabs.

  5. Mental health services availability and admission of the seriously mentally ill from the emergency department.

    Science.gov (United States)

    Moseley, Charles; Shen, Jay; Cochran, Christopher

    2008-01-01

    This study used a cross-sectional, multiple logistic regression design to examine the relationship between mental health service availability and the admission of 111,527 seriously mentally ill (SMI) patients from the emergency department (ED) in New York State in 2002. The study found that SMI patients were admitted from the ED in counties that were mental health professional shortage areas and in counties with less long-term inpatient psychiatric days. Contrary to expectations, counties with community mental health centers (CMHCs) had more admissions than counties without CMHCs. The results support prior research that indicates the need for more specialized mental health services for the SMI, including more psychiatric beds.

  6. Environmental manganese and cancer mortality rates by county in North Carolina: an ecological study.

    Science.gov (United States)

    Spangler, John G; Reid, Jeffrey C

    2010-02-01

    Manganese is an element essential for health in trace amounts, but toxic at higher exposures. Since manganese is replacing lead in gasoline globally, evaluation of potential cancer effects is essential. To determine whether environmental manganese is related to cancer at the county level in North Carolina (n = 100 counties; North Carolina 2000 population = 8,049,313), we carried out an ecological study using data from the North Carolina State Center for Health Statistics, North Carolina Geological Survey, US Geological Survey, and US Census. County-level all-cause and cancer mortality rates between 1997 and 2001 reported in deaths per 100,000 population associated by multivariable regression with logarithmically transformed groundwater (microgram per liter) and airborne (microgram per cubic meter) manganese concentrations by county measured between 1973 and 1979 (water) and in 1996 (air). Models controlled for county characteristics. Median all-cause and cancer mortality rates by county in North Carolina (1997-2001) exceeded those of the USA (2000). For each log increase in groundwater manganese concentration, there was a corresponding county-level increase of 12.10 deaths/100,000 population in all-site cancer rates, 2.84 deaths/100,000 in colon cancer rates, and 7.73 deaths/100,000 in lung cancer rates. For each log increase in airborne manganese concentration, there was a corresponding county-level decrease of 8.10 deaths/100,000 population in all-site cancer rates, 3.28 deaths/100,000 in breast cancer rates, and 3.97 deaths/100,000 in lung cancer rates. Neither groundwater nor air concentrations of manganese correlated with county-level all-cause or prostate cancer death rates. These are the first data we know of to document a potential relationship between environmental manganese and population-level cancer death rates. The positive association between groundwater manganese and specific cancer mortality rates might be a function of the high concentrations

  7. Analysis on effect of health education about toxoplasmosis among blood donors in Zhaoxian County of Hebei Province%河北省赵县献血者弓形虫病健康教育效果

    Institute of Scientific and Technical Information of China (English)

    宋任浩; 何路军; 常缨

    2013-01-01

    [Objective] To evaluate the effect of health education about toxoplasmosis among blood donors, provide the basis for making effective health education strategy. [Methods]By using stratified random cluster sampling, the blood donors received various forms of health education about toxoplasmosis, and the awareness rate and the scores of prevention knowledge before and after education were compared. [Results] After the intervention, the awareness rate and the scores of the knowledge about toxoplasmosis prevention had improved in different degrees, and the qualified rate increased from 8. 14% (25/307) before intervention to 82. 08% (252/307) after intervention. [Conclusion]The omnidirectional and multi-form health education is the effective method to improve the prevention awareness of toxoplasmosis. It is necessary to popularize the knowledge about toxoplasmosis prevention, enhance the self prevention ability, and change the unhealthy diet habit. Meanwhile, serological screening of Toxoplasma Gondii in high risk population of blood donors is the effective method to improve the blood quality and ensure the safe use of blood.%目的 评价对献血者实施弓形虫病健康教育的效果,为制定有效的健康教育策略提供依据.方法 采用分层随机整群抽样方法选择调查对象,在献血者中开展多种形式的弓形虫病健康教育干预,比较干预前后预防知识知晓和得分情况.结果 干预后弓形虫病预防知识知晓率和得分均有不同程度的提高,合格率从干预前的8.14% (25/307)提高到干预后的82.08%(252/307).结论 全方位、多形式的弓形虫病健康教育是提高弓形虫病预防意识的有效方法.在献血者中普及弓形虫病预防知识,提高自我防病能力,改变不良生活饮食习惯,同时应在特殊高危献血人群中开展弓形虫血清学筛查是提高血液质量、保证用血者安全的有效措施.

  8. LymeDisease_9211_county

    Data.gov (United States)

    U.S. Department of Health & Human Services — To facilitate the public health and research community's access to NNDSS data on Lyme disease, CDC has developed a public use dataset. Based on reports submitted to...

  9. Food Environment, Diet, and Obesity Among LA County Adults

    Centers for Disease Control (CDC) Podcasts

    2015-08-31

    This podcast features Nelly Mejia, winner of the journal’s 2015 Student Research Paper Contest and PhD Candidate at the Pardee RAND Graduate School in Santa Monica, California. Nelly discusses her winning paper, which examined the relationship between neighborhood food outlet locations and the diet and body mass index of adults living in Los Angeles County, California.  Created: 8/31/2015 by Preventing Chronic Disease (PCD), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 8/31/2015.

  10. 75 FR 5707 - Approval and Promulgation of Implementation Plans; Albuquerque-Bernalillo County, NM; Excess...

    Science.gov (United States)

    2010-02-04

    ... AGENCY 40 CFR Part 52 Approval and Promulgation of Implementation Plans; Albuquerque- Bernalillo County, NM; Excess Emissions AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY... by the Governor of New Mexico on behalf of the Albuquerque Environmental Health Department (AEHD)...

  11. An Evaluation of Elementary School Nutrition Practices and Policies in a Southern Illinois County

    Science.gov (United States)

    Sherry, Jennifer S.

    2008-01-01

    The purpose of this study is to assess elementary school nutrition programs in a rural county in southern Illinois. The researcher interviewed the food service managers of eight schools and completed the School Health Index (SHI) based on their responses. Eighty-seven percent of the schools did not have venues such as vending machines outside the…

  12. An Evaluation of Elementary School Nutrition Practices and Policies in a Southern Illinois County

    Science.gov (United States)

    Sherry, Jennifer S.

    2008-01-01

    The purpose of this study is to assess elementary school nutrition programs in a rural county in southern Illinois. The researcher interviewed the food service managers of eight schools and completed the School Health Index (SHI) based on their responses. Eighty-seven percent of the schools did not have venues such as vending machines outside the…

  13. Migrant Health Program: New Jersey State Department of Health, 1971 Annual Report.

    Science.gov (United States)

    New Jersey State Dept. of Health, Trenton.

    Project objectives and descriptions of 6 county migrant health projects are summarized and evaluated. The project services provided the migrant worker and his family included hospital, dental health, eye examination, nutrition, school health, maternal and child health, sanitation, and social services. Clinical and outreach activities in the…

  14. Fayette County Better Buildings Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Capella, Arthur [County of Fayette, Uniontown, PA (United States)

    2015-03-04

    The Fayette County Better Buildings Initiative represented a comprehensive and collaborative approach to promoting and implementing energy efficiency improvements. The initiative was designed to focus on implementing energy efficiency improvements in residential units, while simultaneously supporting general marketing of the benefits of implementing energy efficiency measures. The ultimate goal of Fayette County’s Better Buildings Initiative was to implement a total of 1,067 residential energy efficiency retrofits with a minimum 15% estimated energy efficiency savings per unit. Program partners included: United States Department of Energy, Allegheny Power, and Private Industry Council of Westmoreland-Fayette, Fayette County Redevelopment Authority, and various local partners. The program was open to any Fayette County residents who own their home and meet the prequalifying conditions. The level of assistance offered depended upon household income and commitment to undergo a BPI – Certified Audit and implement energy efficiency measures, which aimed to result in at least a 15% reduction in energy usage. The initiative was designed to focus on implementing energy efficiency improvements in residential units, while simultaneously supporting general marketing of the benefits of implementing energy efficiency measures. Additionally, the program had components that involved recruitment and training for employment of persons in the energy sector (green jobs), as well as marketing and implementation of a commercial or community facilities component. The residential component of Fayette County’s Better Buildings Initiative involved a comprehensive approach, providing assistance to low- moderate- and market-rate homeowners. The initiative will also coordinate activities with local utility providers to further incentivize energy efficiency improvements among qualifying homeowners. The commercial component of Fayette County’s Better Building Initiative involved grants

  15. Costilla County Biodiesel Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Doon, Ben; Quintana, Dan

    2011-08-25

    The Costilla County Biodiesel Pilot Project has demonstrated the compatibility of biodiesel technology and economics on a local scale. The project has been committed to making homegrown biodiesel a viable form of community economic development. The project has benefited by reducing risks by building the facility gradually and avoiding large initial outlays of money for facilities and technologies. A primary advantage of this type of community-scale biodiesel production is that it allows for a relatively independent, local solution to fuel production. Successfully using locally sourced feedstocks and putting the fuel into local use emphasizes the feasibility of different business models under the biodiesel tent and that there is more than just a one size fits all template for successful biodiesel production.

  16. 75 FR 79334 - Madera County Resource Advisory Committee

    Science.gov (United States)

    2010-12-20

    ...; ] DEPARTMENT OF AGRICULTURE Forest Service Madera County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Madera County Resource Advisory Committee will be meeting... expenditure of Payments to States Madera County Title II funds. The Madera County Resource Advisory Committee...

  17. 7 CFR 1230.634 - FSA county office report.

    Science.gov (United States)

    2010-01-01

    ... CONSUMER INFORMATION Procedures for the Conduct of Referendum Referendum § 1230.634 FSA county office report. The FSA county office will notify the FSA State office of the results of the referendum. Each FSA county office will transmit the results of the referendum in its county to the FSA State office. Such...

  18. The 1966 enactment of Medicare: its effect on discharges from Los Angeles County-operated hospitals.

    Science.gov (United States)

    Glassman, P A; Bell, R M; Tranquada, R E

    1994-08-01

    The effect of Medicare on two public hospitals in Los Angeles County was analyzed by examining the percentage of patients 65 years of age and older among all discharges from 1958 through 1971. At Harbor General Hospital, discharges of elderly patients had dropped from 21.7% to 7.9% by late 1966; at Los Angeles County General Hospital, discharges decreased from 15.3% to 10.7% between 1966 and 1967. Monitoring public hospitals' demographic changes after enacting a national health plan may provide information on patients' and providers' acceptance of insurance and on resources needed by public hospitals to care for those left without coverage.

  19. Notes from the field: identification of a Taenia tapeworm carrier - Los Angeles County, 2014.

    Science.gov (United States)

    Croker, Curtis; Soriano, Jan; Civen, Rachel; Larsen, Robert A; Schwartz, Benjamin

    2015-01-30

    Carriers of the pork tapeworm, Taenia solium, are the sole source of cysticercosis, a parasitic tissue infection. When tapeworm eggs excreted by the carrier are ingested, tapeworm larvae can form cysts. When cysts form in the brain, the condition is called neurocysticercosis and can be especially severe. In Los Angeles County an average of 136 county residents are hospitalized with neurocysticercosis each year. The prevalence of Taenia solium carriage is largely unknown because carriage is asymptomatic, making detection difficult. The identification and treatment of tapeworm carriers is an important public health measure that can prevent additional neurocysticercosis cases.

  20. 陕西省大荔县农村残疾人心理健康评估调查分析%Assessment of Mental Health among the Disabled People in the Rural Area of Dali County, Shaanxi Province

    Institute of Scientific and Technical Information of China (English)

    李欢; 周小燕; 韩明; 马丽; 王科程; 魏晓丽

    2012-01-01

    [ Objective ] To evaluate mental health status of the rural disabled population, so as to provide reference for future mental health service to help them. [ Methods ] A total of 260 disabled people (except those with psychic disability or intellectual disability) were cluster sampled from 4 villages and completed a Symptom Check List-90 (SCL-90). [ Results ] Of the study subjects, the average scores of 9 SCL-90 items were 1.73-2.19. The detection rate of item scores greater than 2 ranged from 38.6% to 56.6%. The top five items were obsessive symptoms, depression, psychotic symptoms, somatization, and human relations, with high detection rates of 56.6%-51.4%. The scores of human relations, depression, anxiety and phobia were significantly higher in the female disabled people than in the male ones. [ Conclusion ] Psychological problems are prevailing among the rural disabled people, which call for much more attention to the improvement of their mental health, quality of life, and communication ability.%[目的]了解目前农村残疾人的心理健康状况,为未来残疾人心理卫生服务工作提供参考依据. [方法]采用整群抽样方法,抽取4个村的残疾人260名(精神残疾和智力残疾除外),使用症状自评量表(Symptom Check List-90,SCL-90)进行问卷调查. [结果]大荔县残疾人SCL-90量表的9项因子平均分为1.73~2.19.各因子分≥2的检出率在38.6%~56.6%,前5位检出率为56.6%~51.4%,分别是强迫症状、抑郁、精神病性、躯体化、人际关系.男性和女性残疾人的因子得分在人际关系、抑郁、焦虑、恐怖方面的差异有统计学意义,均为女性表现更明显. [结论]当地农村残疾人普遍存在心理问题,社会应予高度重视,需要帮助残疾人改善心理健康状况,提高生活质量和沟通能力.

  1. Current status of basic public health services equalization in Shunde District and Yun-an County in Guangdong Province%广东省顺德区和云安县基本公共卫生服务均等化现况调查

    Institute of Scientific and Technical Information of China (English)

    郝爱华; 陈岩; 刘勇鹰; 易学锋; 梁宁; 张一愚; 张永慧

    2012-01-01

    problems in regard to inequity of basic public health services and the contributing factors through comparative study across regions with different economic development in Guangdong Province. Methods Sample-typical method was used in questionnaire survey between community health care and medical service in Shunde District and Yun-an County. Content of the questionnaire included human resources, financial resources, service items of basic public health service, etc. The investigation was conducted in 20% of all residents from these areas with systematic random sampling method. Questionnaire interview with face to face was carried out to study the awareness and utilization of the basic public health service. Results Shunde District had 11 community health service institutes . The average number of medical technicians was 4. 55/1 000 people, while of medical and preventive care staffs was 0. 12/1 000 people. Yun-an County had 9 township hospitals . There were 0. 70 medical technicians and 0.06 medical and preventive care staffs per thousand people in this county. 48. 9% (2 703/5 524) of medical technicians were college diploma holders in Shunde, while 67. 5% (172/255) were technical sec-ondary school degree holders in Yun-an. Junior professional title accounted for 65.2% (3 606/5 524) in Shunde and 60. 0% (153/255 ) in Yun-an. Among 9 basic public health service items, the awareness rate of 5 items or above was 50. 2% ( 287/572) in Shunde and 19. 5% (48/246) ( P <0. 01) in Yun-an. Among these items, the lower awareness rate of items in both Shunde and Yun-an were as follows: establishment healthcare record, management of dangerous psychopath, and elderly health care. The awareness rates of these three items in Shunde were 24.5% , 31.6% , and 36.4% .while 14.2% , 10.2% , and 20.7% in Yun-an, respectively. The residents gained less public health service items, especially related to establishment of healthcare record, elderly health care, and management of diabetic patients. The

  2. County and Parish Boundaries, Published in 2009, 1:4800 (1in=400ft) scale, Chautauqua County/Elk County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This County and Parish Boundaries dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Hardcopy Maps information as of 2009. Data by...

  3. County and Parish Boundaries, County Boundary Layer, Published in unknown, 1:2400 (1in=200ft) scale, Walworth County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This County and Parish Boundaries dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Published Reports/Deeds information as of unknown....

  4. County and Parish Boundaries, county boundary, Published in 2008, 1:24000 (1in=2000ft) scale, Box Elder County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This County and Parish Boundaries dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other information as of 2008. It is described as...

  5. County and Parish Boundaries, counties, Published in 2008, 1:24000 (1in=2000ft) scale, Box Elder County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This County and Parish Boundaries dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other information as of 2008. It is described as...

  6. County and Parish Boundaries, County Boundary, Published in 2013, 1:12000 (1in=1000ft) scale, Portage County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This County and Parish Boundaries dataset, published at 1:12000 (1in=1000ft) scale, was produced all or in part from Published Reports/Deeds information as of 2013....

  7. County and Parish Boundaries, county mask, Published in 2009, 1:24000 (1in=2000ft) scale, Washington County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This County and Parish Boundaries dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other information as of 2009. It is described as...

  8. Influence of Peer Pressure on Secondary School Students Drop out in Rongo Sub-County, Migori County, Kenya

    Science.gov (United States)

    Omollo, Atieno Evaline; Yambo, Onyango J. M.

    2017-01-01

    The purpose of this study was to establish the influence of peer pressure on secondary school students' drop out in Rongo Sub-County, Migori County, Kenya. The statement of the problem showed that the sub-county had a dropout rate of 43 percent as compared to the neighboring sub counties like Uriri, Awendo, Nyatike, Kuria and Migori which had 25,…

  9. Epidemiological survey on scorpionism in Gotvand County, Southwestern Iran:an analysis of 1 067 patients

    Institute of Scientific and Technical Information of China (English)

    Hamid Kassiri; Elnaz Kassiri; Rahele Veys-Behbahani; Ali Kassiri

    2014-01-01

    Objective:To study epidemiologic parameters of scorpion stings inGotvandCounty, SouthwesternIran, during2006-2008.Methods:In this descriptive study, data were collected from health services center's files atGotvandCounty.A special scorpion sting sheet was prepared.This sheet contained information about the site of scorpion stung, the date and place of the accident, the sex of the injured and etc.The frequencies of entomo-epidemiological characters were changed to the percentage basis.Results:Cases were collected from health services center's files over three years.There were1067 scorpion victims,44.1% of whom were from rural areas.Stings occurred throughout the year, however, the highest and lowest frequency happened inAugust(12.5%),January(1.9%) andFebruary(1.9%), respectively.About41.9% of stings were on the feet and38.8% on the hands.Stings mainly occurred in summer(35.3%) and spring(33.2%), respectively.The average of prevalence rate of scorpion sting in the county was 5.6/1000 people.The scorpions responsible for the majority of stings were identified as67.3% yellow,20.2% black and12.5% unknown colors. Conclusions:Scorpionism inGotvandCounty ofKhuzestanProvince is a public health problem, which needs to be monitored carefully by the government.

  10. Bioassessment of Hollis Creek, Oktibbeha County, Mississippi

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Physical, chemical and biological components at five stations on Hollis Creek, Oktibbeha County, Mississippi were evaluated using Rapid Bioassessment Protocols (RBP)...

  11. DCS Hydrology Submission for Lincoln County, Oregon

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The hydrology dataset for Lincoln County, Oregon includes proposed 10-, 50-, 100-, and 500-year discharges for Salmon River, Schooner Creek, Drift Creek, Siletz...

  12. 2008 South Carolina Lidar: Cherokee County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  13. 2008 South Carolina Lidar: Chester County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  14. 2008 South Carolina Lidar: Greenwood County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  15. 2008 South Carolina Lidar: Chesterfield County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  16. 2008 South Carolina Lidar: Marion County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  17. Hydrologic Data Sites for Garfield County, Utah

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map shows the USGS (United States Geologic Survey), NWIS (National Water Inventory System) Hydrologic Data Sites for Garfield County, Utah. The scope and...

  18. Hydrologic Data Sites for Wayne County, Utah

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map shows the USGS (United States Geologic Survey), NWIS (National Water Inventory System) Hydrologic Data Sites for Wayne County, Utah. The scope and purpose...

  19. 2008 St. Johns County, FL Countywide Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Airborne terrestrial LiDAR was collected for St. Johns County, FL. System Parameters/Flight Plan. The LiDAR system acquisition parameters were developed based on a...

  20. 2008 South Carolina Lidar: Laurens County

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...