MAPP Model

Virginia’s Planning District 10 (Thomas Jefferson Health District) Community

Health Assessment

2012

Source: Centers for Disease Control and Prevention; National Association of County and City Health Officials

MAPP Model

1. Locality CHA Councils• Review, discuss and determine need for

additional quantitative and qualitative data• Prioritize health issues

Charlottesville-Albemarle Fluvanna Greene Louisa Nelson

2. TJHD MAPP 2 Health Leadership Council• Decide health questions for TJHD phone

survey • Complete Community Health Improvement

Plan for TJHD

• 1-2 reps per CHA locality council• District-wide agencies serving TJHD

• Local government• Schools• Colleges

• Community agencies

• Healthcare organizations• Non-profits

Source: Thomas Jefferson Health District

MAPP 2 Health 2011-12

M2H Organizational Partners2012

Source: TJHD

Albemarle County Creciendo Juntos/United Way Greene County Sheriff Martha Jefferson

Hospital (MJH) Smart Beginnings

Albemarle County Schools Downtown Family Health Care

Greene County Transit and Early Education MJH - Medical Group Stanardsville United

Methodist ChurchASG & CMHWC Emmanuel Christian Center JABA NCAE of ACE State VICAP Counselor

Blue Ridge Medical Center (BRMC)

Family & Consumer Sciences VA Cooperative

Extension ServiceJABA-Nelson Center

Nelson County Department of Social

Services

Thomas Jefferson Health District

BRMC/Rural Health Outreach Program (RHOP)

Fluvanna County Administrator JAUNT Nelson County Health

Department United Way

Charlottesville City Schools Fluvanna County Health Department. Jefferson Area CHIP Nelson County Schools University of Virginia (UVA)

Charlottesville Free Clinic Fluvanna County Public Schools Adult Education

Library Literary Board of Nelson County OK Collaborative UVA Curry School of

EducationCharlottesville Department of

Social Services Fluvanna County Schools Louisa County Board of Supervisors

Piedmont Housing Alliance

UVA Department of Public Health Sciences

Children, Youth and Family Services

Fluvanna Department of Social Services Louisa County CSA Piedmont Virginia

Community College UVA Emergency Department

City of Charlottesville Greene Care ClinicLouisa County

Department of Human Services

Region Ten UVA School of Nursing

Commission on Children and Families

Greene County Administrator

Louisa County Department. of Social

Services

Regional Literacy Council

Virginia Cooperative Extension

Community Action on Obesity Greene County Board of Supervisors Louisa County Fire & EMS Ride Share Virginia Department of

Health

Community Dental Center Greene County Department of Social Services

Louisa Health and Wellness SARA

Community Mental Health and Wellness Coalition

Greene County Health Department MACAA Skyline CAP, Inc.

Community Health Assessment Data

DemographicsSocioeconomicsHealth Resource Availability

Section One: Who are we and what do we bring to the table?

Demographics

Population Growth TJHD by Locality, 1990-2010

Albemarle (18%)

Charlottesville (8%)

Fluvanna (28%)

Greene (21%) Louisa (29%) Nelson (4%)0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

68,172

40,475

12,42910,297

20,235

12,778

98,970

43,475

25,691

18,403

33,153

15,020

1990 2000 2010Locality (% Change 2000-2010)

Num

ber o

f Per

sons

Liv

ing

in L

ocal

ity

Source: Weldon Cooper Center

Percent Change in PopulationTJHD by Locality, TJHD, and Virginia

1990-2010

Source: Weldon Cooper Center and the Thomas Jefferson District Planning Commission

1990 2000 2010 % Change 1990-2000

%Change 2000-2010

Albemarle 68,172 84,186 98,970 23% 18%

Charlottesville 40,475 40,099 43,475 -1% 8%

Fluvanna 12,429 20,047 25,691 61% 28%

Greene 10,297 15,244 18,403 48% 21%

Louisa 20,235 25,627 33,153 26% 29%

Nelson 12,778 14,445 15,020 13% 4%

TJHD 164,476 199,648 234,712 21% 18%

Virginia 6,189,317 7,079,030 8,001,024 14% 13%

Age and Sex Distribution TJHD, 2010

Source: U.S. Census Bureau

Under 5 years5 to 9 years

10 to 14 years15 to 19 years20 to 24 years25 to 29 years30 to 34 years35 to 39 years40 to 44 years45 to 49 years50 to 54 years55 to 59 years60 to 64 years65 to 69 years70 to 74 years75 to 79 years80 to 84 years85 to 89 years

90 years and over

12,0009,0006,0003,00003,0006,0009,00012,000

Male Female

Age Distribution TJHD, 2000,2010


Under 18 years 18 to 44 years 45 to 64 years 65 years and over0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

44,802

84,726

45,632

24,488

48,498

90,530

63,392

32,292

2000 2010

Num

ber o

f Per

sons

Liv

ing

in L

ocal

ity

Racial Composition TJHD, 2010


• Other includes: American Indian, Alaska Native, Native Hawaiian, Pacific Islander, and some other race

White79%

Black13%

Asian3%

Other2%

Two or more races2%

White Black AsianOther Two or more races

Percent of Population by RaceTJHD by Locality, 1980-2010

Percent of Population

1980 1990 2000 2010

Albemarle CountyBlack 11% 10% 10% 10%

White 87% 86% 85% 81%

City of CharlottesvilleBlack 18% 21% 22% 19%

White 81% 76% 70% 69%

Fluvanna CountyBlack 29% 23% 18% 15%

White 70% 77% 79% 81%

Greene CountyBlack 8% 6% 6% 6%

White 92% 93% 91% 88%

Louisa CountyBlack 33% 26% 22% 18%

White 67% 74% 77% 78%

Nelson CountyBlack 24% 19% 15% 13%

White 76% 80% 83% 83%


Percent Change in Hispanic PopulationTJHD by Locality and Virginia, 2000,2010


Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

2000 2010

319% in-

crease

92% in-crease

1,102

631,825

289% in-

crease223%

increase

102% in-

crease

167% increase

51% in-crease

Perc

ent o

f Tot

al P

erso

ns L

ivin

g in

Loc

ality

that

is

His

pani

c

Limited English Proficient Student Enrollment

TJHD and Virginia, 2002-2012

Source: Virginia Department of Education

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-120%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

11%

12%

2.9%

4.6%4.2%

7.2%

TJHD Virginia

Per

cent

of T

otal

Stu

dent

s E

nrol

led

in P

ublic

S

choo

l

Limited English Proficient Student Enrollment

TJHD by Locality, 2002-2012


2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12-1%

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

11%

12%

5.0%6.2%

3.4%

9.1%

0.3% 0.7%

Albemarle Charlottesville Fluvanna Greene Louisa Nelson

Per

cent

of T

otal

Stu

dent

s E

nrol

led

in P

ublic

S

choo

l

*Note: For locality graphs such as this one, only the localities that start or end as the lowest and highest points are labeled

SSI and Disabled OASDI BeneficiariesTJHD by Locality and Virginia, 2011

Source: U.S. Social Security Administration; U.S. Census Bureau

Total Number of Beneficiaries

Total Population

Percent of the Population

Albemarle 2,428 98,970 2.45%

Charlottesville 1,806 43,475 4.15%

Fluvanna 899 25,691 3.50%

Greene 725 18,403 3.94%

Louisa 1,850 33,153 5.58%

Nelson 891 15,020 5.93%

Virginia 355,299 8,001,024 4.44%

Residents who received SSI (Supplemental Security Income) benefits, excluding those who also received OASDI (Old-Age, Survivors, and Disability Insurance) benefits to avoid duplication, PLUS persons classified as “Disabled” who received OASDI benefits.

Greene County 1.3%

Albemarle County0.9%

Charlottesville2.0%

Fluvanna County1.0%

Nelson County2.4%

Louisa County1.9%

Source: Weldon Cooper Center: County Health Rankings; U.S. Social Security Administration

Percent of Supplemental Security Income (SSI) Recipients, TJHD by Locality, 2010

*Measured as December 2010 recipients of SSI benefits divided by the total population

Percent of Students Receiving Special Education


Source: Virginia Department of Education; U.S. Census Bureau, Small Area Health Insurance Estimates

2006 2007 2008 2009 20100%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

11%

8.13% 6.99%

9.54%

10.14%


Per

cent

of T

otal

Chi

ldre

n A

ged

19 a

nd U

nder

Li

ving

in L

ocal

ity

On-time* Graduation Rate: All StudentsTJHD by Locality and Virginia, 2008-2011


*The percentage of students in a cohort who earn a diploma within 4 years of entering high school**Cohort: Students who entered the ninth grade for the first time together and were scheduled to graduate 4 years later


10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

87.9%

74.6%

90.0%

82.6% 82.1% 80.1% 82.1%

92.9%

83.9%

93.3%88.0%

91.5%

85.3% 86.6%

2008 2009 2010 2011

Per

cent

of S

tude

nts

in C

ohor

t**

On-time* Graduation Rate: Economically Disadvantaged Students

TJHD by Locality and Virginia, 2008-2011


*The percentage of students in a cohort who earn a diploma within 4 years of entering high school**Cohort: Students who entered the ninth grade for the first time together and were scheduled to graduate 4 years later


10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

71.3%

61.4%

80.5% 78.2% 78.2%72.5% 70.6%

86.1%89.1% 89.0%

86.2%

90.4%

84.2% 79.9%

2008 2009 2010 2011

Per

cent

of S

tude

nts

in C

ohor

t**

Educational AttainmentCharlottesville Metro Area, and Virginia, 2011

Source: American Community Survey

High School 2011 Bachelor's Degree 2011 Advanced Degree 20110%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

88.1%

44.7%

21.5%

87.8%

35.1%

14.6%

Charlottesville Metro Area Virginia

Per

cent

of T

otal

Per

sons

Age

d 25

and

O

ver L

ivin

g in

Loc

ality

Socioeconomics

Median Household IncomeVirginia and U.S., 2000-2011

Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011$0

$5,000

$10,000

$15,000

$20,000

$25,000

$30,000

$35,000

$40,000

$45,000

$50,000

$55,000

$60,000

$65,000

$70,000

$75,000

$46,789

$61,877

$41,990

$50,502

Virginia U.S.

Ann

ual I

ncom

e in

Dol

lars

Median Household IncomeTJHD by Locality, 2000-2011


2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011$0

$5,000

$10,000

$15,000

$20,000

$25,000

$30,000

$35,000

$40,000

$45,000

$50,000

$55,000

$60,000

$65,000

$70,000

$75,000

$53,263

$63,972

$32,903

$41,826


Ann

ual I

ncom

e in

Dol

lars

Greene County 9.7%


Charlottesville20.2%

Fluvanna County7.3%

Nelson County13.1%

Louisa County9.9%

Source: Weldon Cooper Center: County Health Rankings; US Census Bureau, Small Area Income and Poverty Estimates 2010

Percent of Persons in PovertyTJHD by Locality, 2010

Percent of Persons in PovertyVirginia and U.S., 2000-2011


2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%0%2%4%6%8%

10%12%14%16%18%20%22%24%26%28%30%

8.9%

11.6%

11.3%

15.9%

Virginia U.S.

Per

cent

of T

otal

Per

sons

Liv

ing

in L

ocal

ity

Percent of Persons in PovertyTJHD by Locality, 2000-2011


2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

22%

24%

26%

28%

30%

16.8%

23.0%

6.5% 7.6%


Per

cent

of T

otal

Per

sons

Liv

ing

in L

ocal

ity

Percent of Children in PovertyVirginia and U.S., 2000-2011


2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%0%2%4%6%8%

10%12%14%16%18%20%22%24%26%28%30%

12.2%

15.6%

16.2%

22.5%

Virginia U.S.

Per

cent

of T

otal

Chi

ldre

n A

ged

18 a

nd U

nder

Liv

-in

g in

Loc

ality

Percent of Children in PovertyTJHD by Locality, 2000-2011


2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011-2%0%2%4%6%8%

10%12%14%16%18%20%22%24%26%28%30%

20.1%

22.2%

Fluvanna 9.0%

Fluvanna 10.2%


Per

cent

of T

otal

Chi

ldre

n A

ged

18 a

nd U

nder

Liv

-in

g in

Loc

ality

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-120%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

55%

60%

30.2%

36.0%32.9%

39.7%

TJHD Virginia

Per

cent

of T

otal

Stu

dent

s E

nrol

led

in P

ublic

S

choo

ls in

Loc

ality

Source: Virginia Department of Education, School Nutrition Program

Percent of Students Eligible for Free/Reduced Lunch


Source: Virginia Department of Education, School Nutrition Program

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-120%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

55%

60%

Albemarle 21.1% Albemarle 26.5%

50.7%

54.4%


Per

cent

of T

otal

Stu

dent

s E

nrol

led

in P

ublic

S

choo

ls in

Loc

ality

Percent of Students Eligible for Free/Reduced LunchTJHD by Locality, 2005-2012

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

250

500

750

1,000

1,250

1,500

1,750

2,000

2,250

2,500

2,750

3,000

3,250

3,500

775

3,198

1,386

3,052

162

789


Num

ber o

f Hou

seho

lds

Enr

olle

dNumber of Households Receiving Supplemental Nutrition Assistance

TJHD by Locality, 2001-2011Percent IncreaseAlbemarle: 313%Charlottesville: 120%Fluvanna: 387%Greene: 269%Louisa: 247%Nelson: 168%

Source: Virginia Department of Social Services, SNAP Participation Report.

Greene County 10.4%



Fluvanna County6.0%

Nelson County13.7%

Louisa County11.8%

Source: Weldon Cooper Center: County Health Rankings; Virginia Department of Social Services

Percent of Supplemental Nutrition Assistance Program (SNAP) Participants

TJHD by Locality, 2010

*Measured as average monthly persons on SNAP divided by the total population

Number of Homeless PersonsTJHD, 2004-2011

Source: Thomas Jefferson Area Coalition for the Homeless (TJACH)

2004 2005 2006 2007 2008 2009 2010 20110

50

100

150

200

250

300

129

277

235

35 18

Sheltered Unsheltered

Num

ber o

f Hom

eles

s P

erso

ns

Unemployment Rate TJHD, Virginia, & U.S., 2000-2011

Source: Virginia Workforce Connection

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

11%

2.1%

5.5%

2.3%

6.2%

4.0%

8.9%

TJHD Virginia United States

Perc

ent o

f Tot

al P

erso

ns A

ged

16 a

nd O

ver L

ivin

g in

Lo

calit

y

Unemployment Rate TJHD by Locality, 2000-2011

Source: Virginia Workforce Connection

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

11%

4.9%

7.0%


Per

cent

of T

otal

Per

sons

Age

d 16

and

Ove

r Li

ving

in L

ocal

ity

Health Resource Availability

Sources of Health Insurance Virginia and U.S., 2010

Source: Kaiser Family Foundation

Virginia United States

Employer; 49%

Medicare; 13%

Medicaid; 16%

In-di-vidual; 5%

Other

Pub-lic; 1%

Uninsured;

16%

Employer; 55%

Medicare; 12%

Medicaid; 9%

In-di-vid-ual; 5%

Other Pub-lic; 4%

Uninsured; 14%

Percentages may not sum to 100% due to rounding effects

Health Insurance Coverage by AgeVirginia, 2010-2011

Source: U.S. Census Bureau, Annual Social and Economic Supplement

< 18 yrs 18-64 65+ yrs0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

67.7%70.3%

61.8%

35.4%

18.0%

94.9%

5.9%

18.8%

0.8%

Private Government Not Covered

Per

cent

of T

otal

Per

sons

in A

ge G

roup

Liv

ing

in L

ocal

ity

Estimated Uninsured Persons, 18-64 TJHD and Virginia, 2005-2010

Source: U.S. Census Bureau, Small Area Health Insurance Estimates

2005 2006 2007 2008 2009 2010

-5%

0%

5%

10%

15%

20%

25%

30%

35%

21.5%

17.8%16.7%

TJHD Virginia

Per

cent

of T

otal

Per

sons

Age

d 18

to 6

4 Li

ving

in

Loc

ality

Estimated Uninsured Persons, 18-64 TJHD by Locality, 2005-2010


2005 2006 2007 2008 2009 20100%

5%

10%

15%

20%

25%

30%

35%

21.0%

15.3%

27.2%

19.7%

18.1%17.5%

21.5%21.4%


Per

cent

of T

otal

Per

sons

Age

d 18

to 6

4 Li

ving

in

Loc

ality

Estimated Uninsured Persons <19 Years TJHD and Virginia, 2006-2010


2006 2007 2008 2009 2010-2%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

12.8%

7.9%

10.4%

7.0%

TJHD Virginia

Per

cent

of P

erso

ns A

ged

Less

than

19

Yea

rs L

iv-

ing

in L

ocal

ity

Estimated Uninsured Persons <19 Years TJHD by Locality, 2006-2010


2006 2007 2008 2009 20100%

2%

4%

6%

8%

10%

12%

14%

16%

18%

9.4%

7.5%

15.2%

10.2%


Per

cent

of P

erso

ns A

ged

Less

Tha

n 19

Yea

rs

Livi

ng in

Loc

ality

Medicaid Enrollment and Spending by Recipient Group Virginia and U.S., FY 2009

Source: Kaiser Family Foundation

Enrollment 0.95M

Spending $5.55B

Enrollment 62.59M

Spending $346B


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

55%

25%

49%

21%

16%

10%

26%

14%

11%

20%

10%

23%

18%

45%

15%

42%

Children Adults Elderly Disabled

Per

cent

of T

otal

Enr

ollm

ent/S

pend

ing

United StatesVirginia

Number of Primary Care ProvidersTJHD by Locality, 2011

Source: UVA Physician Directory; Martha Jefferson Hospital Physician Directory

Internal Medicine Pediatrics Family

Medicine OB/GYN Geriatrics

Albemarle/Charlottesville 65 39 67 27 8

Fluvanna 3 1 4 - 1

Greene - - 4 - -

Louisa 1 1 8 - -

Nelson - - 9 - -

TJHD 69 41 92 27 9

Number of Charlottesville Free Clinic Medical Patients

TJHD by Locality, FY2012

61040.48%

52134.57%

1036.83%

583.85%

916.04%

261.73%

956.30%

30.20%

Albemarle Charlottesville Fluvanna Greene Louisa Nelson Other Unknown

Source: Charlottesville Free Clinic

Number of Dental Service ProvidersTJHD by Locality, 2012

Source: Community Dental Center; DentaQuest; yellow pages

Dentists in General Practice, Oral Surgery and Pediatric Specialists

Albemarle/Charlottesville 189

Fluvanna 11

Greene 8

Louisa 9

Nelson 10

Number of Charlottesville Free Clinic Dental Patients, TJHD by Locality, FY2012

Source: Charlottesville Free Clinic

98952.80%

55829.79%

1105.87%

985.23%

573.04%

30.16%

542.88%

40.21%

Albemarle Charlottesville Fluvanna Greene Louisa Nelson Other Unknown

Average Number of Community Dental Center Patients Served Per Month, FY2010-2012

Source: Community Dental Center

FY2010 FY2011 FY20120

50

100

150

200

250

300

350

400

450

500

550

600

495

564

522

Ave

rage

Num

ber o

f Pat

ient

s S

erve

d P

er

Mon

th

Medicaid/FAMIS Enrollees <19 Years Receiving Dental ServicesTJHD by Locality, FY 2007-FY 2010

Source: Virginia Smiles for Children

2006-2007 2007-2008 2008-2009 2009-20100%

10%

20%

30%

40%

50%

60%

44.6%

50.3%

54.8%

58.4%

40.4%

44.2%46.4%

52.3%

Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD

Per

cent

of T

otal

Ped

iatri

c M

edic

aid/

FAM

IS E

nrol

lees

Liv

ing

in L

ocal

ity

Number of Licensed Mental Health Providers TJHD by Locality, 2011

Source: Mental Health America

Clinicians Practices

Psychiatrists Licensed Therapists

Total Practices

Practices Serving Youth

Practices Accepting Medicaid

Albemarle/Charlottesville 24 115 66 7 35

Fluvanna 0 3 3 2 2

Greene 0 1 1 1 1

Louisa 2 16 4 2 2

Nelson 0 3 2 2 2

TJHD 26 135 73 11 39

Number of Region Ten Community Services Board Direct Service Staff

TJHD by Locality, 2012

Source: Region Ten

Number of Mental Health Direct Service Staff

Albemarle/Charlottesville 161

Fluvanna 11

Greene 15

Louisa 14

Nelson 18

TJHD 219

All mental health direct service staff at Region Ten – anyone who provides mental health services, whether licensed or not

Number of Public Health Staff by SpecialtyTJHD by Locality, 2012

Local Health

Department

Number of Full-Time Equivalent Positions

Public Health Nurses

Environmental Health

SpecialistsNutritionists Clinicians

Public Health

Specialists

Albemarle/Charlottesville 10.65 9.00 3.70 0.70 4.40

Fluvanna 2.40 1.47 0.19 0.11 0.80

Greene 2.45 1.52 0.29 0.11 0.80

Louisa 4.85 2.59 0.63 0.37 2.00

Nelson 2.15 1.42 0.19 0.11 0.80

TJHD 22.50 16.00 5.00 1.40 8.80

Source: Thomas Jefferson Health District

Section Two: What are the strengths and risks in our community that

contribute to health?

Community ResourcesCommunity SafetyEnvironmental QualityHealth Behaviors

Community Resources

CAT Bus Route AlignmentsMonday-Saturday Service, Charlottesville, 2012

Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017

CAT Top Trip Origin and Destination LocationsCAT Survey Responses, Charlottesville, 2012

Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017

JAUNT PassengersTJHD by Locality, FY2008-FY2012

Source: Jaunt Ridership Report

*Passengers are counted by trip and may be duplicated

FY08 FY09 FY10 FY11 FY120

20,000

40,000

60,000

80,000

100,000

120,000

140,000

93,180

115,176110,209

126,191

13,452Fluvanna 18,047

25,516

33,945

16,018

Nelson 18,508

Albemarle Charlottesville Fluvanna Louisa Nelson

Num

ber o

f Pas

seng

ers

(by

plac

e of

orig

in)

JAUNT Passengers by TypeTJHD, FY2008–FY2012

Source: Jaunt Ridership Report

FY08 FY09 FY10 FY11 FY120

50,000

100,000

150,000

200,000

250,000

300,000

350,000

75,353 82,703 84,080 81,128 86,606

92,19696,408 96,110 98,122 100,738

67,17879,322 84,377 93,819

93,279

Medical Elderly and Disabled (nonmedical)Children and Youth Elderly Nutrition ServicesRural Routes Other

Num

ber o

f Pas

seng

ers

Greene Transit AuthorityGreene County, January – August 2011

January February March April May June July August0

50

100

150

200

250

300

350

208

313

Num

ber o

f Med

ical

Trip

s

Source: Greene County Transit, Inc.

Recreational Facilities TJHD by Locality and Virginia, 2009

Source: County Health Rankings

Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia0

5

10

15

20

25

12.6

21.3

7.8

5.4

9.1

6.5

11

Faci

litie

s pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

-ity

National Bench-mark

Food Stores by TypeTJHD, 2009

572

134

9

141

207

11

Grocery stores Supercenters & club stores Convenience storesSpecialized food stores Fast-food restaurants Full-service restaurantsFarmers' markets

Source: U.S. Department of Agriculture

Food Stores by TypeTJHD by Locality, 2009

0

2

4

6

8

10

12

14

16

18

20

22

24

26

3

0

9

0

4

9

0

3

0

10

1

3

11

44

1

23

2

11

9

2

4

0

16

0

7 7

1

Greene Fluvanna Louisa Nelson

Num

ber o

f Foo

d S

tore

s A

vaila

ble

in L

ocal

ity


Food Stores by TypeTJHD by Locality, 2009


0

10

20

30

40

50

60

70

80

90

100

110

120

25

1

49

3

53

61

4

18

0

27

3

63

110

0

Albemarle Charlottesville

Num

ber o

f Foo

d S

tore

s A

vaila

ble

in L

ocal

ity

Number of children < 5 yrs old residing in locality 7,832 1,592 1,310 2,029 727

Licensed Childcare Centers & Preschool ProgramsNumber of Slots Available (Includes 1 mo to 5

yrs old and 6-12 yrs old after school) 3,919 279 434 381 393

Number of Facilities 54 4 7 12 7

Number of those Facilities that Accept

Ages

1 mo to 1 yr old 19 2 1 1 -1 to 2 yrs old 6 - 1 - -2 to 4 yrs old 23 - 3 7 54 to 5 yrs old 6 2 2 4 2

Licensed Family Day HomesNumber of Slots Available (Includes 1 mo to 5

yrs old and 6-12 yrs old after school) 174 44 0 76 12

Number of Facilities 16 4 0 7 1

Number of those Facilities that Accept

Ages

1 mo to 1 yr old 12 2 - 7 11 to 2 yrs old 1 2 - - -2 to 4 yrs old 3 - - - -4 to 5 yrs old - - - - -

Source: Virginia Department of Social Services

Licensed Child Care FacilitiesTJHD by Locality, 2012

Fluvanna

GreeneLouisa

Nelson

Charlottesville &

Albemarle

Community Safety

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

100020003000400050006000700080009000

1000011000120001300014000

6,016.59

4,336.80

TJHD

Rep

orte

d G

roup

A O

ffens

es*

per 1

00,0

00 P

er-

sons

Liv

ing

in L

ocal

ityReported Crime Incidence Rate

TJHD, 2000-2011

*Reported Group A Offenses; arson, assault, bribery, burglary, counterfeiting/forgery, destruction/damage/vandalism of property; drug/narcotic; embezzlement; extortion/blackmail; fraud; gambling; homicide; kidnapping/abduction; larceny/theft; motor vehicle theft; pornography/obscene material; prostitution; robbery; sex, forcible and non-forcible; stolen property; weapon law violations

Source: Department of State Police, Virginia Uniform Crime Reporting Program

Reported Crime Incidence RatesTJHD by Locality, 2000-2011

*Reported Group A Offenses; arson, assault, bribery, burglary, counterfeiting/forgery, destruction/damage/vandalism of property; drug/narcotic; embezzlement; extortion/blackmail; fraud; gambling; homicide; kidnapping/abduction; larceny/theft; motor vehicle theft; pornography/obscene material; prostitution; robbery; sex, forcible and non-forcible; stolen property; weapon law violations


2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

100020003000400050006000700080009000

1000011000120001300014000

10,067.00

8,470.68

1,975.40 2,270.19

Albemarle Charlottesville Fluvanna Greene Louisa NelsonRep

orte

d G

roup

A O

ffens

es*

per 1

00,0

00 P

erso

ns

Livi

ng in

Loc

ality

Domestic Violence Arrest Rates Albemarle and Charlottesville, 2001-2010

2001 2002 2003 2004 2005 2006 2007 2008 2009 20100

1

2

3

4

5

6

7

8

2.40

1.76

7.40

3.68

Albemarle Charlottesville

Dom

estic

Vio

lenc

e A

rres

ts p

er 1

,000

Per

sons

Liv

ing

in L

ocal

ity

Source: Commission for Children and Families, Stepping Stones

Domestic Violence Arrest Rate Louisa County, 2009-2011

Source: Louisa County Sheriff’s Office

2009 2010 20110

1

2

3

4

5

6

7

8

1.27

5.67

4.71

Louisa

Dom

estic

Vio

lenc

e A

rres

ts p

er 1

,000

Per

sons

Li

ving

in L

ocal

ity

Violence Incidence Rates in SchoolsTJHD and Virginia, 2007-2011


0

2

4

6

8

10

12

14

16

18

20

22

24

26

15.47

2.74

6.53

2.64

5.20

0.36

2.57

1.001.58

6.08

12.73

3.46

5.03

2.47

6.67

0.35

5.14

0.96 1.45

4.82

TJHD Virginia

Inci

dent

s pe

r 1,0

00 S

tude

nts

Enr

olle

d in

P

ublic

Sch

ools

in L

ocal

ity

Violence Incidence Rates in Schools TJHD by Locality, 2007-2011


0

2

4

6

8

10

12

14

16

18

20

22

24

2624.95

3.78

12.97

15.06

7.34

12.15

Albemarle Charlottesville FluvannaGreene Louisa Nelson

Inci

dent

s pe

r 1,0

00 S

tude

nts

Enr

olle

d in

P

ublic

Sch

ools

in L

ocal

ity

Founded Child Abuse and Neglect Rates


Source: Virginia Department of Social Services *Five-year rolling averages of Rate of Abuse and Neglect per 1,000 Children (Founded Investigations and Duplicated)

2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-10 2007-110

1

2

3

4

5

6

7

1.94

2.853.03

2.47

TJHD Virginia

Foun

ded

Chi

ld A

buse

and

Neg

lect

Rep

orts

per

1,

000

Chi

ldre

n A

ged

0-17

Liv

ing

in L

ocal

ity

Founded Child Abuse and Neglect Rates


Source: Virginia Department of Social Services *Five-year rolling averages of Rate of Abuse and Neglect per 1,000 Children (Founded Investigations and Duplicated)

2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-10 2007-110

1

2

3

4

5

6

7

0.89 0.95

5.15

6.39

Albemarle Charlottesville Fluvanna Greene Louisa

Foun

ded

Chi

ld A

buse

and

Neg

lect

Rep

orts

pe

r 1,0

00 C

hild

ren

Age

d 0-

17 L

ivin

g in

Loc

al-

ity

Reported Adult Abuse and Neglect Rates, TJHD and Virginia, 2008-2011


2008 2009 2010 20110

1

2

3

4

5

6

7

8

9

10

11

12

5.254.96

2.41 2.88

TJHD Virginia

Adu

lt P

rote

ctiv

e S

ervi

ce R

epor

ts p

er 1

,000

A

dults

Age

d 18

and

Ove

r Liv

ing

in L

ocal

ity

Reported Adult Abuse and Neglect Rates, TJHD by Locality, 2008-2011


2008 2009 2010 20110

1

2

3

4

5

6

7

8

9

10

11

12

9.73

7.00

2.74

5.48

4.02

1.38

Albemarle Charlottesville Fluvanna Greene Louisa

Adu

lt P

rote

ctiv

e S

ervi

ce R

epor

ts p

er 1

,000

A

dults

Age

d 18

and

Ove

r Liv

ing

in L

ocal

ity

Drug/Narcotic Arrest RatesTJHD and Virginia, 2000-2011


2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110

100

200

300

400

500

600

700

800

900

1000

1100

1200

439.2

495.0455.4

595.7

TJHD Virginia

Dru

g/N

arco

tic A

rres

ts p

er 1

00,0

00 P

erso

ns L

ivin

g in

Lo

calit

y

Drug/Narcotic Arrest RatesTJHD by Locality, 2000-2011


2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110

100

200

300

400

500

600

700

800

900

1000

1100

1200

900.2871.5

160.9

248.0


Dru

g/N

arco

tic A

rres

ts p

er 1

00,0

00 P

erso

ns L

iv-

ing

in L

ocal

ity

Driving Under the Influence (DUI) Arrest Rates, TJHD and Virginia, 2000-2011

2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110

50100150200250300350400450500550600650700750800850900

TJHD 348.4

251.9

Virginia 352.0368.0

TJHD Virginia

DU

I Arr

ests

per

100

,000

Per

sons

Liv

ing

in L

ocal

ity


Driving Under the Influence (DUI) Arrest Rates, TJHD by Locality, 2000-2011


2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110

50100150200250300350400450500550600650700750800850900

483.1

298.0

Greene; 814.3

Greene; 234.6188.2

120.2


DU

I Arr

ests

per

100

,000

Per

sons

Liv

ing

in L

o-ca

lity

Environmental Quality

Air Quality Index Report Charlottesville CBSA, Fairfax CBSA, Richmond CBSA,

and Virginia Beach CBSA, 2011

Source: Environmental Protection Agency

Air Quality Rating

Total Number of

Days Monitored

(Number of days at each rating)

Good Moderate

Unhealthy for

Sensitive Groups

Unhealthy for

Anyone

Charlottesville CBSA 330 (91%) 34 (9%) 0 (0%) 0 (0%) 364

Fairfax CBSA 295 (82%) 54 (15%) 9 (2%) 2 (1%) 360

Richmond CBSA 283 (78%) 70 (19%) 11 (3%) 1 (0%) 365

Virginia Beach CBSA 276 (76%) 79 (21%) 10 (3%) 0 (0%) 365*Cities are defined as Core Based Statistical Areas (CBSA) – Charlottesville CBSA includes Albemarle, Fluvanna, Greene, and Nelson Counties and the City of Charlottesville; Richmond CBSA includes the Amelia, Caroline, Charles City, Chesterfield, Cumberland, Dinwiddie, Goochland, Hanover, Henrico, King And Queen, King William, Louisa, New Kent, Powhatan, Prince George and Sussex Counties as well as the Cities of Colonial Heights, Hopewell, Petersburg and Richmond.

Good and Impaired Streams in WatershedsTJHD, 2008

Maury

Middle

James

- Buff

alo

Middle

James

- Willi

s

Pamun

key

Rapida

n - U

pper

Rappa

hann

ock

Rivann

a

South

Fork S

hena

ndoa

h0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2378

55 80 77

27

117

3359

25 44 40

28

39

Impaired Streams Good Streams

Per

cent

of T

otal

Stre

ams

in W

ater

shed

Source: Environmental Protection Agency – Surf Your Watershed

Watersheds That Drain IntoTJHD

Source: Environmental Protection Agency

Rivanna

Pamunkey

South Fork Shenandoah

Middle James - Buffalo

Rapidan – Upper Rappahannock

Maury

Middle James - Willis

Impaired Steams TJHD, 2010

Source: Thomas Jefferson District Planning Commission

Rivanna: Biological Health ScoresTJHD, 2006-2009

Source: StreamWatch

6%

22%

56%

13%

3%

Very Good Good

Fair Poor

Very Poor

Samples are scored per an index that reflects the composition and diversity of the array of captured organisms. Site health is assessed based on all scores generated during the assessment window

Lead Exposure: At-Risk Zip Codes*TJHD by Locality, 2011

Source: Virginia Department of Health, Lead Safe Virginia

Albemarle 22901 22931 (Covesville)

22937 (Esmont)

22943 (Greenwood)

22947 (Keswick)

22959 (North Garden)

24590(Scottsville)

Charlottesville 22903

Fluvanna 23022 23084

Greene 22935(Dyke)

Louisa 23024

Nelson 22938 (Faber)

22964 (Piney River)

22969 (Schuyler)

22971 (Shipman)

24464 (Montebello)

24553 (Gladstone)

*VDH identifies areas in Virginia at risk for lead exposure as those with more than 27% of homes built before 1950 and/or those with an increased prevalence of children with elevated blood lead levels (EBLL)

Elevated Blood Lead Level Tests in Children <72 Months of Age



2004 2005 2006 2007 2008 2009 2010 20110

100

200

300

400

500

600

700

800

900

248

768

Greene; 58

Greene; 204


Num

ber o

f Chi

ldre

n <7

2 M

onth

s of

Age

Tes

ted

Elevated Blood Lead Level Test Results in Children <72 Months of Age



2004 2005 2006 2007 2008 2009 2010 20110

2

4

6

8

10

12

1413

2

8

1

3

4

1

3 3

6

2 2

5

4


Num

ber o

f Tes

ts R

etur

ning

Pos

itive

Health Behaviors

Low dietary polyunsaturated fatty acids (PUFA)

Low intake of fruits and vegetables

Alcohol use

High dietary trans fatty acids

Low dietary omega-3 fatty acids

High dietary salt

High LDL cholesterol

High blood glucose

Physical inactivity

Overweight-obesity (high BMI)

High blood pressure

Tobacco smoking

0 100 200 300 400 500

15

58

64

82

84

102

113

190

191

216

395

467

Septicemia

Kidney Disease

Influenza and Pneumonia

Alzheimer's Disease

Diabetes

Unintentional Injuries

Chronic Lower Respiratory Diseases

Stroke

Cancer

Heart Disease

-10% 0% 10% 20% 30%

1.4%

1.8%

2.5%

2.8%

3.1%

4.7%

5.1%

6.3%

23.1%

37.2%

Percentage of Total Deaths Deaths (in thousands)

Source: Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, et al. (2009) The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors. PLoS Med 6(4):Heron, M., Tejada-Vera, B. (2009). Deaths: Leading Causes for 2005. National Vital Statistics Reports. 58(8)

Leading Causes of Death Deaths Attributable to Individual Risk Factors

Leading vs. Actual Causes of Death

Self-Reported Adult SmokersTJHD and Virginia, 2000-2010

2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%

5%

10%

15%

20%

25%

17.6% 17.9%

22.9%

18.0%

TJHD Virginia

Per

cent

of A

dults

Age

d 20

and

Ove

r Liv

ing

in

Loca

lity

Healthy People 2020

Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey

Tobacco Facts Virginia, 2012


Adult Smoking Rank(1st = low smoking rates) 31st N/A

Cigarette Tax(per pack)

$0.30($0.35 local tax for Cville) $1.46

Cigarette Tax Rank(1st = high taxes) 50th N/A

FY 2012 Funding for State TC Programs(millions)

$8.4 $456.7

Tobacco Prevention Spending % of CDC Target 8.1% 12.5%

Tobacco Prevention Spending Rank(1st =high spending rates) 30th N/A

Source: Campaign for Tobacco-Free Kids; City of Charlottesville City Treasurer Website

Physical InactivityTJHD by Locality and Virginia, 2009

Source: Behavioral Risk Factor Surveillance System; County Health Rankings *Numbers are self-reported


5%

10%

15%

20%

25%

30%

35%

19%

26%

22%

24%

30%

25%24%

Est

imat

ed p

erce

nt o

f adu

lts a

ged

20 a

nd o

ver r

epor

ting

no

leis

ure

time

phys

ical

act

ivity

Percent of Obese Adults by StateU.S., 1990 and 2010

Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System

Percentage of Adults Who Are Obese TJHD by Locality, 2009

Greene County 30.5%



Fluvanna County29.6%

Nelson County26.4%

Louisa County31.7%

Source: Centers for Disease Control and Prevention: National Diabetes Surveillance System

**Body mass was derived from self-report of height and weight from adults 20 and Over.

*Obese = Body Mass Index (BMI) ≥30, or ~ 30 lbs. overweight for 5’ 4” person

Percentage of Adults Who Are Obese TJHD and Virginia, 2000-2010

Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey

2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010

-5%

0%

5%

10%

15%

20%

25%

30%

35%

21.6%

27.6%

21.0%

25.9%

TJHD Virginia

Per

cent

of A

dults

Age

d 20

and

Ove

r Liv

ing

in L

ocal

-ity

Percentage of 5th Graders Who Are Overweight or Obese

Albemarle and Charlottesville Public Schools, 1998-2011

Source: Community Action on Obesity

1998 2003 2004 2007 2009 2010 20110%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

17.4% 18.2% 15.9% 16.9% 17.4% 15.9% 18.3%

17.6% 17.6% 19.3% 18.4% 18.3%15.2%

18.4%

Overweight Obese

Per

cent

of F

ifth

Gra

ders

Enr

olle

d in

Pub

lic

Sch

ools

in L

ocal

ity

Percentage of 5th &10th Graders Who Are Overweight or Obese

Nelson County Public Schools, 2009-2011

Source: Blue Ridge Medical Center

5th 10th 5th 10th 5th 10th2008-2009 2009-2010 2010-2011

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

25.0%15.7%

20.3%13.1% 14.9% 17.5%

25.6%

32.8% 26.1%

22.6%

31.2% 29.9%

% Overweight % Obese

Per

cent

of F

ifth

and

Tent

h G

rade

rs E

nrol

led

in

Pub

lic S

choo

ls in

Loc

ality

Seat Belt UsageVirginia, 1987-2011

Source: Virginia Department of Motor Vehicles, Highway Safety Office

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

0%5%

10%15%20%25%30%35%40%45%50%55%60%65%70%75%80%85%90%95%

100%

32.5%

81.8%

Virginia

National Average

Per

cent

of D

river

s an

d P

asse

nger

s U

sing

Sea

t B

elts

Three Year Rolling Average Number of Hospitalizations from Motor/Other Vehicle Accidents With and Without Safety

Device Usage, TJHD, 2007-2011

Source: Virginia Department of Health, Office of Emergency Medical Services

*Safety Devices include air bags, child safety seats, helmets, and safety belts; note that the presence of a safety device does not necessarily imply that it was used (properly or otherwise). Similarly, "none" does not necessarily mean that safety device was not used

2007-09 2008-10 2009-110

10

20

30

40

50

60

70

80

54.3 55.0

45.0

67.762.7

54.3

TJHD with SD TJHD without SD

Num

ber o

f Hos

pita

lizat

ions

from

MV

As

Three Year Rolling Average Number of Hospitalizations from Motor/Other Vehicle Accidents With and Without Safety

Device Usage, TJHD by Locality, 2007-2011

Source: Virginia Department of Health, Division of Health Statistics

Three-Year Rolling Averages, Number of Hospitalizations from MVAs by Locality

2007-2009 2008-2010 2009-2011

AlbemarleWith SD 14.7 12.7 8.3

Without SD 22.3 20.3 18.7

CharlottesvilleWith SD 7.3 7.7 7.0

Without SD 12.3 9.7 8.7

FluvannaWith SD 5.0 6.0 6.0

Without SD 8.3 6.3 7.0

GreeneWith SD 6.3 6.0 5.0

Without SD 4.7 4.0 3.0

LouisaWith SD 11.0 12.0 9.0

Without SD 10.3 12.0 9.0

NelsonWith SD 10.0 10.7 9.7

Without SD 9.7 10.3 8.0

Source: Virginia Department of Health, Division of Immunization

2008 2009 2010 20110%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%95.9% 95.1% 94.8% 93.4%

40.9%

95.7%

84.8%

94.7%

Public School Private School

Per

cent

of K

inde

rgar

tene

rs E

nrol

led

in R

e-po

rting

Sch

ools

*Percentage of Adequately Immunized

KindergartenersTJHD, 2008-2011

*Includes schools that submit student immunization survey results in the Fall of each year – approximately 30 public schools and 6 private schools (only 2 private schools reported in 2008)

2008 2009 2010 20110%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%97.5% 97.0% 97.8%

88.4%

21.4%

94.9%

81.8%78.8%

Public School Private School

Per

cent

of S

ixth

Gra

ders

Enr

olle

d in

Rep

ort-

ing

Sch

ools

*Percentage of Adequately Immunized Sixth

GradersTJHD, 2008-2011

*Includes schools that submit student immunization survey results in the Fall of each school year – approximately 10 public schools and approximately 8 private schools (only 2 private schools reported in 2008)

Source: Virginia Department of Health, Division of Immunization

Section Three: What is our health status?

Maternal and Child HealthLeading Causes of DeathCancerUnintentional InjuryInfectious DiseasesAmbulatory Care Sensitive ConditionsMental Health

Maternal and Child Health

Live Birth Rates TJHD and Virginia, 1998-2011

*Live Births Counted by Place of Residence Source: Virginia Department of Health. Division of Health Statistics

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

2

4

6

8

10

12

14

16

18

20

12.9

10.8

13.9

12.7

TJHD Virginia

Live

Birt

hs*

per 1

,000

Tot

al P

erso

ns L

ivin

g in

Loc

ality

Live Birth Rates TJHD by Locality, 1998-2011

Source: Virginia Department of Health. Division of Health Statistics

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

2

4

6

8

10

12

14

16

18

20

16.6

12.213.7

8.3


Live

Birt

hs*

per 1

,000

Tot

al P

erso

ns L

ivin

g in

Loc

ality

*Live Births Counted by Place of Residence

Infant Mortality Rates*TJHD and Virginia,1999-2011

Source: Virginia Department of Health, Division of Health Statistics*Deaths among infants <1year of age

1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110

2

4

6

8

10

12

14

16

18

20

22

7.06.3

7.2 7.0

TJHD Virginia

Healthy People 2020

Infa

nt D

eath

s pe

r 1,0

00 L

ive

Birt

hs b

y P

lace

of R

esi-

denc

e

Infant Mortality Rates* by Race TJHD, Virginia, and U.S., 1999-2011


1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110

2

4

6

8

10

12

14

16

18

20

22

14.9

17.3

13.8

13.8

TJHD White 5.7

TJHD White 4.5

Virginia White; 5.6 Virginia White; 5.4

TJHD Black Virginia Black U.S. Black TJHD White Virginia White U.S. White

Healthy People 2020

Infa

nt D

eath

s pe

r 1,0

00 L

ive

Birt

hs b

y P

lace

of

Res

iden

ce

*Deaths among infants <1year of age

Neonatal Death Rate* TJHD and Virginia, 1999-2011

Source: Virginia Department of Health, Division of Health Statistics*Deaths among infants <28 days of age

1999-2003 2000-2004 2001-2005 2002-2006 2003-2007 2004-2008 2005-2009 2006-2010 2007-20110

2

4

6

8

10

12

14

16

18

20

22

4.4 4.3

5.0 4.7

TJHD Virginia

Healthy People 2020

Infa

nt D

eath

s pe

r 1,0

00 L

ive

Birt

hs b

y P

lace

of R

esi-

denc

e

2001-2003

2002-2004

2003-2005

2004-2006

2005-2007

2006-2008

2007-2009

2008-2010

10%

11%

12%

13%

TJHD West Central Perinatal Region Virginia

Perc

ent o

f Tot

al L

ive

Birt

hs b

y Pl

ace

of R

esid

ence

Percentage of Preterm* BirthsTJHD, West Central Perinatal Region and Virginia, 2001-2010

Source: Virginia Department of Health*Percent of live births born less than 37 weeks gestation

Healthy People 2020

Percentage of Preterm* BirthsTJHD by Locality, 2001-2010

Source: Virginia Department of Health

2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

11%

12%

13%

5.95%

7.96%

11.21%

10.27%

8.59%

6.28%


Perc

ent o

f Tot

al L

ive

Birt

hs b

y Pl

ace

of R

esid

ence

*Percent of live births born less than 37 weeks gestation

Percentage of Low-Weight* BirthsTJHD, Virginia, and U.S.,1999-2011

Source: Virginia Department of Health, Division of Health Statistics*Low Birth Weight = Live Births Weighing <2500 grams

1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

11%

12%

13%

14%

7.1%7.6%

7.9%

Virginia 7.9%

TJHD Virginia United States

Healthy People 2020

Perc

ent o

f Tot

al L

ive

Birt

hs b

y Pl

ace

of R

esid

ence

Percentage of Low-Weight* BirthsTJHD by Locality,1999-2011


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

11%

12%

13%

14%

Fluvanna 6.2%

Fluvanna 6.6%

Louisa 8.5%

Louisa 9.4%

Nelson 8.9%

Nelson 5.8%


Per

cent

of T

otal

Liv

e B

irths

by

Pla

ce o

f Res

iden

ce

*Low Birth Weight = Live Births Weighing <2500 grams

Percentage of Low-Weight Births* by Race, TJHD and Virginia, 1999-2011


1999-01

2000-02

2001-03

2002-04

2003-05

2004-06

2005-07

2006-08

2007-09

2008-10

2009-11-1%

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

11%

12%

13%

14%

TJHD Black Virginia Black TJHD White Virginia White

Per

cent

of T

otal

Liv

e B

irths

by

Pla

ce o

f Res

i-de

nce

Healthy People 2020


Percentage of Low-Weight Births* by Race, TJHD by Locality, 2005-2011


Three-year Rolling Averages, Low Birthweight births as a percentage of Live Births

2005-2007 2006-2008 2007-2009 2008-2010 2009-2011

AlbemarleWhite 6.3% 6.5% 6.4% 5.7% 5.0%

Black 10.9% 9.7% 8.4% 10.3% 12.2%

CharlottesvilleWhite 7.0% 6.9% 6.2% 5.4% 5.2%

Black 13.7% 13.4% 15.0% 13.9% 14.3%

FluvannaWhite 7.5% 7.5% 7.0% 6.2% 6.5%

Black 16.4% 18.4% 14.2% 13.4% 7.5%

GreeneWhite 6.0% 8.6% 8.0% 8.0% 7.2%

Black 25.6% 21.5% 17.0% 8.6% 8.6%

LouisaWhite 9.0% 8.7% 8.6% 8.5% 8.3%

Black 13.3% 12.0% 12.2% 15.0% 16.7%

NelsonWhite 6.6% 6.4% 7.6% 6.2% 6.1%

Black 9.8% 5.1% 6.9% 6.5% 5.1%


Teen Pregnancy Rates: Ages 10-19TJHD and Virginia, 2000-2011


2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110

5

10

15

20

25

30

35

40

45

50

55

60

65

23.2

15.6

29.6

21.3

TJHD Virginia

Pre

gnan

cies

per

1,0

00 F

emal

es A

ged

10 to

19

Teen Pregnancy Rates: Ages 10-19TJHD by Locality, 2000-2011


2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110

5

10

15

20

25

30

35

40

45

50

55

60

65

16.0

8.7

23.6

32.1

34.9

19.1


Pre

gnan

cies

per

1,0

00 F

emal

es A

ged

10 to

19

Teen Pregnancy Rates: Ages 15-17TJHD and Virginia, 2000-2011


2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110

5

10

15

20

25

30

35

40

45

50

55

60

65

70

27.6

13.3

31.3

19.1

TJHD Virginia

Pre

gnan

cies

per

1,0

00 F

emal

es A

ged

15-1

7

Healthy People 2020

Teen Pregnancy Rates: Ages 15-17TJHD by Locality, 2000-2011


2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110

5

10

15

20

25

30

35

40

45

50

55

60

65

70

14.9

8.8

57.8

31.831.7

20.5


Pre

gnan

cies

per

1,0

00 F

emal

es A

ged

15-1

7


Teen Pregnancy Rates by Race,Ages 10-19, TJHD and Virginia, 2000-2011

2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

41.2

26.2

48.7

35.1

19.5

13.8

23.6

16.7


Pre

gnan

cies

per

1,0

00 F

emal

es A

ged

10 to

19

Teen Pregnancy Rates by Race, Ages 10-19, TJHD by Locality, 2005-2011


Three-Year Rolling Averages, Rate of Teen Pregnancies per 1,000 females ages 10-19

2005-2007 2006-2008 2007-2009 2008-2010 2009-2011

AlbemarleWhite 10.4 11.2 10.6 9.8 8.1

Black 29.8 29.3 23.9 20.0 13.9

CharlottesvilleWhite 43.5 37.3 29.9 28.1 24.5

Black 56.0 58.5 61.5 56.4 51.9

FluvannaWhite 15.0 14.6 13.0 10.2 9.0

Black 19.4 20.4 21.2 25.3 22.6

GreeneWhite 26.7 26.1 20.3 17.7 17.9

Black 27.1 17.1 7.2 6.9 6.9

LouisaWhite 26.3 26.8 25.8 27.0 25.8

Black 33.9 32.2 25.9 26.1 20.3

NelsonWhite 28.4 25.5 25.2 21.7 19.4

Black 26.4 33.7 41.6 31.7 16.7

Induced Termination Rates TJHD and Virginia, 2003-2011


2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110

2

4

6

8

10

12

14

16

18

20

22

24

26

28

30

32

12.1 11.7

16.215.1

TJHD Virginia

Indu

ced

Term

inat

ions

per

1,0

00 W

omen

Age

d 15

-44

Induced Termination Rates TJHD by Locality, 2003-2011


2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-2010 2009-20110

2

4

6

8

10

12

14

16

18

20

22

24

26

28

30

32

6.1

6.1

26.926.0

6.6

4.4


Indu

ced

Term

inat

ions

per

1,0

00 W

omen

Age

d 15

-44

2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%

10%

20%

30%

40%

50%

60%

70%

80%

90%79.3%

77.0%

84.7% 83.2%

TJHD Virginia

Healthy People 2020

Perc

ent o

f Tot

al L

ive

Birt

hs to

Mot

hers

by

Plac

e of

Res

iden

cePercentage of Mothers Entering Prenatal

Care in the 1st TrimesterTJHD and Virginia, 2000-2010

Source: Virginia Department of Health, Division of Health Statistics*Percentage of Total Live Births to mothers with Prenatal Care Beginning in the First 13 Weeks

Percentage of Mothers Entering Prenatal Care in the 1st Trimester



2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Charlottesville; 76.6%Charlottesville; 75.0%

Louisa; 81.8% Louisa; 79.4%


Per

cent

of T

otal

Liv

e B

irths

to M

othe

rs

by P

lace

of R

esid

ence

*Percentage of Total Live Births to mothers with Prenatal Care Beginning in the First 13 Weeks

Percentage of Mothers Who had 10 or More Prenatal Care Visits



1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

79.8%

66.0%

82.7%

77.7%

TJHD Virginia

Per

cent

of T

otal

Liv

e B

irths

to M

othe

rs b

y P

lace

of R

esid

ence

Percentage of Mothers Who had 10 or More Prenatal Care Visits



1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Charlottesville; 84.4%

Charlottesville; 64.1%

Louisa; 79.8%Louisa; 69.9%

Nelson; 79.2%

Nelson; 64.0%


Per

cent

of T

otal

Liv

e B

irths

to M

othe

rs b

y P

lace

of R

esid

ence

Percentage of Mothers With <12th Grade Education

TJHD by Locality and Virginia, 2002-2010


2002 2003 2004 2005 2006 2007 2008 2009 20100%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

19%

14%

9% 9%

Albemarle Charlottesville Fluvanna Greene Louisa Nelson Virginia

Per

cent

of T

otal

Liv

e B

irths

to M

othe

rs b

y P

lace

of R

esid

ence

Percentage of Mothers Who Report Smoking during Pregnancy



1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

9.2%7.5%

8.4%6.2%

TJHD Virginia

Healthy People 2020

Per

cent

of T

otal

Liv

e B

irths

to M

othe

rs b

y P

lace

of

Res

iden

ce

Percentage of Mothers Who Report Smoking during Pregnancy



1999-01 2000-02 2001-03

2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

5.6%4.7%

15.3% 15.5%


Per

cent

of T

otal

Liv

e B

irths

to M

othe

rs b

y P

lace

of R

esid

ence

Reported Substance Exposed Infants*TJHD, FY1999-2011


99-00 00-01 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 09-10 10-110

2

4

6

8

10

12

14

16

18

20

22

24

2

22

TJHD

Num

ber o

f Rep

orte

d S

ubst

ance

Exp

osed

In

fant

s

*Newborn infants that may have been exposed to controlled substances prior to birth (as indicated by a positive drug toxicology of the mother with presence of a controlled substance or by the child being born dependent on a controlled substance and demonstrating withdrawal symptoms) or have a diagnosis of fetal alcohol syndrome

Leading Causes of Death

Mortality Rates TJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

100

200

300

400

500

600

700

800

900

1,000

1,100

1,200

857.8

678.5

882.9

747.7

TJHD VirginiaAge

-Adj

uste

d D

eath

s pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

-ity

Mortality RatesTJHD by Locality, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

100

200

300

400

500

600

700

800

900

1,000

1,100

1,200

768.4

670.3

972.9

648.7

1021.3

765.9

Albemarle Charlottesville Fluvanna Greene Louisa NelsonAge

-Adj

uste

d D

eath

s pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

-ity

Mortality Rates by Race TJHD and Virginia, 2002-2011


2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110

100

200

300

400

500

600

700

800

900

1,000

1,100

1,200

937.33TJHD Black; 896.86

1,048.97

Virginia Black 891.33

766.81

644.81

799.65

720.70

TJHD Black Virginia Black TJHD White Virginia WhiteAge

-Adj

uste

d D

eath

s pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

-ity

Mortality Rates by RaceTJHD by Locality, 1999-2010


Three-Year Rolling Averages, Mortality Rate per 100,000 Persons Living in Locality

2004-2006 2005-2007 2006-2008 2007-2009 2008-2010

AlbemarleWhite 710.8 728.8 713.5 715.9 720.0

Black 815.0 878.5 890.6 997.6 879.0


Black 963.3 974.2 969.5 995.7 909.6

FluvannaWhite 675.4 709.0 703.2 692.1 685.5

Black 908.7 911.6 945.6 942.6 883.0

GreeneWhite 903.3 843.7 799.4 776.0 773.5

Black 891.3 987.9 1042.2 1051.5 748.2

LouisaWhite 769.7 765.6 760.0 763.6 746.0

Black 990.8 996.5 878.7 872.8 919.5

NelsonWhite 780.3 730.0 689.3 681.3 812.9

Black 907.8 923.8 1101.2 963.0 1277.0

Five Leading Causes of DeathTJHD and Virginia, 2010

1. Cancer

2. Heart Disease

3. Stroke

4. Chronic Respiratory Disease (Chronic Obstructive Pulmonary Disease (COPD) and Asthma)

5. Unintentional InjuriesSource: Virginia Department of Health, Division of Health Statistics

Leading Causes of Death By AgeVirginia, 2010Youth/Teens


6.1%

24.2%

3.0%

6.1%

60.6%

<1 Year

32.4%

12.4%

5.7%

1.0%

48.6%

1-14 Years

11.1%

7.3%

0.6%

0.3%

80.6%

15-24 Years

Leading Causes of Death By AgeVirginia, 2010

Adults


21.4%

21.3%

3.0%1.1%

53.2%

25-39 Years

47.0%

31.9%

5.4%

3.5% 12.2%

40-59 Years

52.5%

30.4%

5.5%

7.4%

4.2%60-64 Years

Leading Causes of Death By AgeVirginia, 201065 and over


50.7%

30.0%

6.6%

9.8%

2.9%65-74 Years

39.5%

36.1%

9.6%

11.1%

3.7%75-84 Years

22.0%

50.8%

14.5%

8.1%

4.6%85 and over Years

Heart Disease Death RatesTJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

25

50

75

100

125

150

175

200

225

250

275

300

325

222.6

148.8

243.3

171.6

TJHD Virginia

Age

-Adj

uste

d H

eart

Dis

ease

Dea

ths

per

100,

000

Per

sons

Liv

ing

in L

ocal

ity

Heart Disease Death RatesTJHD by Locality, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

25

50

75

100

125

150

175

200

225

250

275

300

325

198.6

133.9

Fluvanna 223.4

Fluvanna 180.2

Nelson 259.5

Nelson 176.2


Age

-Adj

uste

d H

eart

Dis

ease

Dea

ths

per 1

00,0

00

Per

sons

Liv

ing

in L

ocal

ity

Heart Disease Death Rates by Race TJHD and Virginia, 2000-2009


2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-090

25

50

75

100

125

150

175

200

225

250

275

300

325

274.8

207.5

284.2

223.0

205.5

143.7

226.5

170.9


Age

-Adj

uste

d H

eart

Dis

ease

Dea

ths

per 1

00,0

00

Per

sons

Liv

ing

in L

ocal

ity

Heart Disease Death Rates by RaceTJHD by Locality, 1999-2010


Three-Year Rolling Averages, Heart Disease Mortality Rate per 100,000 Persons Living in Locality

2004-2006 2005-2007 2006-2008 2007-2009 2008-2010

AlbemarleWhite 148.9 151.3 142.2 142.4 140.7

Black 194.3 221.0 183.1 195.7 190.1


Black 232.4 249.2 245.1 245.3 255.0

FluvannaWhite 149.2 165.3 166.9 161.7 158.8

Black 181.1 223.8 226.7 308.7 303.2

LouisaWhite 182.8 175.3 168.3 176.2 176.7

Black 243.3 193.5 144.6 136.2 146.3

NelsonWhite 207.7 168.0 155.0 158.1 165.5

Black 209.4 242.0 231.0 187.5 144.4

Stroke-Related Death Rates TJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

10

20

30

40

50

60

70

80

90

100

110

120

78.2

44.2

67.2

41.9

TJHD Virginia

Age

-Adj

uste

d S

troke

-Rel

ated

Dea

ths

per 1

00,0

00

Per

sons

Liv

ing

in L

ocal

ity

Stroke-Related Death Rates TJHD by Locality, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

10

20

30

40

50

60

70

80

90

100

110

120

91.7

41.7

Greene 85.5

Greene 60.8

70.5

35.9

60.8

45.0


Age

-Adj

uste

d S

troke

-Rel

ated

Dea

ths

per 1

00,0

00

Per

sons

Liv

ing

in L

ocal

ity

Stroke-Related Death Rates by Race TJHD and Virginia, 2000-2009

2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090

10

20

30

40

50

60

70

80

90

100

110

120110.9

52.5

69.5

39.9

87.3

60.9

60.1

39.0

TJHD Black TJHD White Virginia Black Virginia White

Age

-Adj

uste

d S

troke

-Rel

ated

Dea

ths

per 1

00,0

00

Per

sons

Liv

ing

in L

ocal

ity


Cancer-Related Death RatesTJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

25

50

75

100

125

150

175

200

225

250

275

300

190.4179.6

206.9

174.5

TJHD Virginia

Age

-Adj

uste

d C

ance

r D

eath

s pe

r 100

,000

Per

-so

ns L

ivin

g in

Loc

ality

Cancer-Related Death RatesTJHD by Locality, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

25

50

75

100

125

150

175

200

225

250

275

300

179.3

Albemarle 181.9

Charlottesville 217.5

165.3

Fluvanna 191.1

222.8

243.4

199.1


Age

-Adj

uste

d C

ance

r Dea

ths

per 1

00,0

00 P

er-

sons

Liv

ing

in L

ocal

ity

Cancer-Related Death Rates by RaceTJHD and Virginia, 2000-2009


2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090

25

50

75

100

125

150

175

200

225

250

275

300

239.4 226.6

256.5

217.9

180.0

TJHD White 171.2

193.7

Virginia White 173.5


Age

-Adj

uste

d C

ance

r Dea

ths

per 1

00,0

00 P

er-

sons

Liv

ing

in L

ocal

ity

Cancer-Related Death Rates by RaceTJHD by Locality, 1999-2010


Three-Year Rolling Averages, Cancer Mortality Rate per 100,000 Persons Living in Locality

2003-2005 2004-2006 2005-2007 2006-2008 2007-2009

AlbemarleWhite 168.5 180.7 183.0 191.5 183.8

Black 145.4 171.7 166.7 204.0 212.8


Black 254.1 255.1 269.2 251.9 234.6

FluvannaWhite 164.2 163.3 170.2 177.7 182.1

Black 291.3 315.9 259.9 255.9 217.0

LouisaWhite 190.9 193.8 204.0 216.5 209.1

Black 171.6 192.5 234.1 211.1 243.5

Four-Year Rolling Average 2002-2005 2003-2006 2004-2007 2005-2008 2006-2009

NelsonWhite 198.3 205.8 196.3 201.7 178.6

Black 202.3 222.0 183.2 187.3 250.8

COPD-Related Death Rates TJHD and Virginia, 1999-2010


1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100

5

10

15

20

25

30

35

40

45

50

55

60

65

40.5

34.9

42.5

38.6

TJHD Virginia

Age

-Adj

uste

d C

OP

D D

eath

s pe

r 100

,000

Per

-so

ns L

ivin

g in

Loc

ality

Four-year rolling averages

COPD-Related Death Rates TJHD by Locality, 1999-2010


1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100

5

10

15

20

25

30

35

40

45

50

55

60

65

36.9 36.2

37.8

24.2

41.1

54.755.0

39.1


Age

-Adj

uste

d C

OP

D D

eath

s pe

r 100

,000

Per

sons

Li

ving

in L

ocal

ity


COPD-Related Death Rates by Race TJHD and Virginia, 2000-2009


2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-090

5

10

15

20

25

30

35

40

45

50

55

60

65

38.1

21.2

31.5 26.3

44.7

39.0

46.3

42.6


Age

-Adj

uste

d C

OP

D D

eath

s pe

r 100

,000

Per

sons

Li

ving

in L

ocal

ity

Diabetes-Related Death RatesTJHD and Virginia, 1999-2010

Source: Virginia Department of Health, Division of Health StatisticsFive-year rolling averages

1999-03 2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-100

5

10

15

20

25

30

35

40

45

50

55

21.1

15.7

23.7

20.1

TJHD Virginia

Age

-Adj

uste

d D

iabe

tes

Dea

ths

per 1

00,0

00

Per

sons

Liv

ing

in L

ocal

ity

Diabetes-Related Death RatesTJHD by Locality, 1999-2010

Source: Virginia Department of Health, Division of Health StatisticsFive-year rolling averages

1999-03 2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-100

5

10

15

20

25

30

35

40

45

50

55

12.5

11.8

26.524.8

19.3

10.5

37.6

20.3

Albemarle Charlottesville Fluvanna Louisa Nelson

Age

-Adj

uste

d D

iabe

tes

Dea

ths

per 1

00,0

00

Per

sons

Liv

ing

in L

ocal

ity

Diabetes-Related Death Rates by RaceTJHD and Virginia, 2000-2009


2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-20090

5

10

15

20

25

30

35

40

45

50

55

38.3

41.5

47.8

37.9

TJHD White; 19.5

12.5

Virginia White 19.7

16.3


Age

-Adj

uste

d D

iabe

tes

Dea

ths

per 1

00,0

00

Per

sons

Liv

ing

in L

ocal

ity

Unintentional Injury Death RatesTJHD and Virginia, 1999-2010

Source: Virginia Department of Health, Division of Health StatisticsFour-year rolling averages

1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

TJHD; 33.8

38.4

Virginia; 34.0 34.5

TJHD Virginia

Age

-Adj

uste

d U

nint

entio

nal I

njur

y D

eath

s pe

r 10

0,00

0 P

erso

ns L

ivin

g in

Loc

ality

Unintentional Injury Death RatesTJHD by Locality, 1999-2010


1999-02 2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-09 2007-100

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

24.6

36.337.8

30.7

69.6

51.8


Age

-Adj

uste

d U

nint

entio

nal I

njur

y D

eath

s pe

r 10

0,00

0 P

erso

ns L

ivin

g in

Loc

ality


Unintentional Injury Death Rates by Race TJHD and Virginia, 2000-2009


2000-03 2001-04 2002-05 2003-06 2004-07 2005-08 2006-090

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

39.7

47.8

33.4

53.5

TJHD White 35.3

39.9VA White, 35.9

38.6


Age

-Adj

uste

d U

nint

entio

nal I

njur

y D

eath

s pe

r 10

0,00

0 P

erso

ns L

ivin

g in

Loc

ality


Suicide and Homicide Rates TJHD and Virginia, 1999-2009

Source: Virginia Department of Health, Virginia Online Injury Reporting System

1999-2001

2000-2002

2001-2003

2002-2004

2003-2005

2004-2006

2005-2007

2006-2008

2007-2009

0

2

4

6

8

10

12

14

16

18

20

4.60

2.80

6.12

4.98

14.49

TJHD Suicide 11.4111.05

Virginia Suicide 11.54

TJHD Homicide Virginia Homicide TJHD Suicide Virginia SuicideAge

-Adj

uste

d D

eath

s per

100

,000

Per

sons

Liv

ing

in L

ocal

ity

Youth Suicide RatesTJHD and Virginia, 2004-2008

• Suicide is the third leading cause of death for 10-24 year-olds.

• On average, two Virginia youths die each week from suicide.

• The suicide rate is higher in males than the rate of females.

• The White suicide rate is 2.4 times higher than the Black suicide rate.

Source: Virginia Department of Health, Office of Family Health Services

TJHD Virginia0

2

4

6

8

10

4.39

6.86

2004-2008

Dea

ths p

er 1

00,0

00 P

erso

ns L

ivin

g in

Loc

ality

Cancer

Lung Cancer Incidence RatesTJHD by Locality, TJHD and Virginia, 1999-2008

Source: Virginia Cancer Registry

Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD Virginia0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

80

85

64.97

60.99

49.93

59.68

81.89

61.6564.43 64.44

69.80

61.77

67.99

74.72 77.51

83.64

69.87 68.40

Age

-Adj

uste

d R

ate

of L

ung

& B

ronc

hus

Can

cer

Cas

es p

er 1

00,0

00 P

erso

ns L

ivin

g in

Loc

ality

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

Lung Cancer Incidence Rates by Race TJHD and Virginia, 1999-2008


Black White Black WhiteTJHD Virginia

05

10152025303540455055606570758085

73.38

63.31

69.12

64.39

78.06

69.06 71.73 68.91

Age

-Adj

uste

d R

ate

of L

ung

& B

ronc

hus

Can

cer

Cas

es p

er 1

00,0

00 P

erso

ns L

ivin

g in

Loc

ality

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

Lung Cancer Death Rates TJHD and Virginia, 1996-2007


1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-200705

10152025303540455055606570758085

55.252.5

60.7

54.8

TJHD Virginia

Age

-Adj

uste

d R

ate

of L

ung

Can

cer D

eath

s pe

r 10

0,00

0 P

erso

ns L

ivin

g in

Loc

ality

Breast Cancer Incidence Rates TJHD by Locality, TJHD and Virginia, 1999-2008



20

40

60

80

100

120

140

160

180

200

175.67

158.68

119.13 116.16

103.84 106.35

144.81

124.5

140.7

109.6

131.5

102.0

115.7

146.6

127.5 124.8

Age

-Adj

uste

d R

ate

of F

emal

e B

reas

t Can

cer

Cas

es p

er 1

00,0

00 F

emal

es L

ivin

g in

Loc

ality

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

Breast Cancer Incidence Rates by Race TJHD and Virginia, 1999-2008



0102030405060708090

100110120130140150160

129.15

147.74

118.13126.59

133.84125.95 127.06 124.83

Age

-Adj

uste

d R

ate

of F

emal

e B

reas

t Can

cer C

ases

per

10

0,00

0 Fe

mal

es L

ivin

g in

Loc

ality

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

Breast Cancer Death Rates TJHD and Virginia, 1996-2007


1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-20070

10

20

30

40

50

60

70

80

90

100

26.6

20.9

28.825.4

TJHD Virginia

Age

-Adj

uste

d R

ate

of B

reas

t Can

cer D

eath

s pe

r 10

0,00

0 P

erso

ns L

ivin

g in

Loc

ality

Prostate Cancer Incidence Rates TJHD by Locality, TJHD and Virginia, 1999-2008



25

50

75

100

125

150

175

200

225

172.68

137.05145.13

99.11

129.64

202.11

154.94165.13

171.89152.38 155.70

145.27

167.55 165.51 163.15

160.73

Age

-Adj

uste

d R

ate

of P

rost

ate

Can

cer C

ases

per

10

0,00

0 M

ales

Liv

ing

in L

ocal

ity

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

Prostate Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008



0

25

50

75

100

125

150

175

200

225

250

275

207.16

145.56

248.15

148.09

202.91

156.68

242.00

145.10

Age

-Adj

uste

d R

ate

of P

rost

ate

Can

cer C

ases

per

10

0,00

0 M

ales

Liv

ing

in L

ocal

ity

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

Prostate Cancer Death RatesTJHD and Virginia, 1996-2007


1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-200705

101520253035404550556065707580859095

100105

34.2 TJHD 27.3

36.8

Virginia 26.6

TJHD Virginia

Age

-Adj

uste

d R

ate

of P

rost

ate

Can

cer D

eath

s pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

ity

Colorectal Cancer Incidence Rates TJHD by Locality, TJHD and Virginia, 1999-2008



5

10

15

20

25

30

35

40

45

50

55

60

65

70

55.36

43.1346.30 46.38

57.87

66.80

53.0850.20

46.53

34.54

44.95 47.26

52.32

38.20

44.17 45.14

Age

-Adj

uste

d R

ate

of C

olor

ecta

l Can

cer C

ases

pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

ity

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

03 1999

-20

03

1999

-20

03

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

Colorectal Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008



0

5

10

15

20

25

30

35

40

45

50

55

60

65

7067.45

50.93

59.66

48.57

60.97

41.66

55.02

43.24

Age

-Adj

uste

d R

ate

of C

olor

ecta

l Can

cer C

ases

pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

ity

1999

-20

03

1999

-20

03

1999

-20

03

1999

-20

032004

-20

08

2004

-20

08

2004

-20

08

2004

-20

08

Colorectal Cancer Death RatesTJHD and Virginia, 1996-2007


1996-2000 1997-2001 1998-2002 1999-2003 2000-2004 2001-2005 2002-2006 2003-20070

5

10

15

20

25

30

35

40

45

50

55

60

65

70

18.9

15.6

21.4

17.3

TJHD Virginia

Age

-Adj

uste

d R

ate

of C

olor

ecta

l Can

cer D

eath

s pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

ity

Unintentional Injury

Percent of Hospitalizations due to Unintentional Injury by Cause


TJHD VirginiaSource: Virginia Department of Health, Virginia Online Injury Reporting System

Falls; 52.5%

Motor Vehicles/Other Transport Crashes, 20.2%

Stuck by,

against;

2.8%

Poi-son-ing,

4.3%

Bites/Sting

s, 1.9%

Other/Un-

speci-fied, 18.2%

Falls; 53.2%

Motor Vehicles/Other Transport Crashes, 17.2%

Stuck by,

against;

2.9%

Poi-son-ing;

5.4%

Bites/Sting

s, 1.9%

Other/Un-specified, 19.4%

Percent of Hospitalizations due to Unintentional Injury by Cause



0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

55%

60%

65%58.1%

28.1%

3.5%

20.7%

4.7%2.6%

Albemarle-Charlottesville Fluvanna GreeneLouisa Nelson

Per

cent

of T

otal

Hos

pita

lizat

ions

due

to U

nint

entio

nal I

njur

y by

C

ause

Hospitalizations due to Unintentional Injury by Cause and Age Group, TJHD and Virginia, 1999-2009

0-19 20-64 65 and over

Number % Number % Number %

FallsTJHD 174 19% 1263 30% 3653 79%

Virginia 8384 23% 48821 33% 127603 78%

Motor Vehicle/Other Transport Crashes

TJHD 393 43% 1333 32% 234 5%

Virginia 11899 33% 39778 27% 7981 5%

Struck by, againstTJHD 76 8% 139 3% 56 1%

Virginia 2793 8% 5546 4% 1892 1%

PoisoningTJHD 45 5% 230 6% 143 3%

Virginia 2752 8% 11512 8% 4606 3%

Bites, StingsTJHD 24 3% 117 3% 47 1%

Virginia 1314 4% 3960 3% 1158 1%

Other/UnspecifiedTJHD 199 22% 1059 26% 506 11%

Virginia 8566 24% 38530 26% 20352 12%


Rates of Hospitalizations due to Falls among Persons Aged 65+, TJHD and Virginia, 1999-2009


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-090

25

50

75

100

125

150

175

200

225

151.86

168.08160.99

193.04

TJHD VirginiaRep

orte

d H

ospi

tal D

isch

arge

s fo

r Inj

urie

s du

e to

Fal

ls p

er

100,

000

Per

sons

Age

d 65

and

Ove

r Liv

ing

in L

ocal

ity

Rates of Unintentional Injury Deaths by Cause, TJHD and Virginia,1999-2009


Falls Transport Crashes Suffocation Poisoning Drowning Fire/Flame Other/Unspecified0

5

10

15

20

25

30

5.54

17.13

2.753.67

0.960000000000001 1.1

5.55.4

13.04

2.32

5.89

1.06 1.22

4.66

TJHD Virginia

Age

-Adj

uste

d U

nint

entio

nal I

njur

y D

eath

s pe

r 10

0,00

0 P

erso

ns L

ivin

g in

Loc

ality

Rates of Unintentional Injury Deaths by Cause, TJHD by Locality,1999-2009


Falls Transport Crashes Suffocation Poisoning Drowning Fire/Flame Other/Unspecified0

5

10

15

20

25

30

6.78

29.72

3.984.76

1.12999999999998

3.71

9.45

Albemarle-Charlottesville Fluvanna Greene Louisa Nelson

Age

-Adj

uste

d U

nint

entio

nal I

njur

y D

eath

s pe

r 10

0,00

0 P

erso

ns L

ivin

g in

Loc

ality

*Crashes are by place of occurrence

Rates of Motor Vehicle AccidentsTJHD and Virginia, 2000-2011

Source: Virginia Department of Motor Vehicles

2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110

250

500

750

1,000

1,250

1,500

1,750

2,000

2,250

2,500

2,750

3,000

3,250

3,500

2317.64

1659.472010.26

1471.82

TJHD Virginia

Mot

or V

ehic

le A

ccid

ents

per

100

,000

Per

sons

Li

ving

in L

ocal

ity

*Crashes are by place of occurrence

Rates of Motor Vehicle AccidentsTJHD by Locality, 2000-2011


2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110

250

500

750

1,000

1,250

1,500

1,750

2,000

2,250

2,500

2,750

3,000

3,250

3,500

3000.91

1716.27

1228.58

1006.37

2046.23 2025.78


Mot

or V

ehic

le A

ccid

ents

per

100

,000

Per

sons

Li

ving

in L

ocal

ity

Motor Vehicle Crash Fatality RatesTJHD and Virginia, 2000-2011

Source: Virginia Department of Motor VehiclesFive Year Averages

2000-04 2001-05 2002-06 2003-07 2004-08 2005-09 2006-10 2007-110

5

10

15

20

25

30

35

40

45

50

19.98

16.20

12.73 10.38

TJHD VirginiaMot

or V

ehic

le C

rash

Fat

aliti

es p

er 1

00,0

00 P

erso

ns

Livi

ng in

Loc

ality

Percent of Alcohol-Related Motor Vehicle Crashes, TJHD and Virginia, 2000-2011


2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

TJHD 8.1% 8.5%

Virginia 7.9%7.4%

TJHD Virginia

Per

cent

of T

otal

Mot

or V

ehic

le C

rash

es in

w

hich

Alc

ohol

was

Invo

lved

-- b

y P

lace

of

Occ

urre

nce

Percent of Alcohol-Related Motor Vehicle Crashes, TJHD by Locality, 2000-2011


2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

6.6%

8.2%

13.3%

11.7%

10.3%

6.7%


Per

cent

of T

otal

Mot

or V

ehic

le C

rash

es in

w

hich

Alc

ohol

was

Invo

lved

-- b

y P

lace

of

Occ

urre

nce

Percent of Alcohol-Related Motor Vehicle Crash Fatalities, TJHD and Virginia, 2000-2011


2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

44.5%

33.0%

38.3%

37.0%

TJHD Virginia

Per

cent

of T

otal

Mot

or V

ehic

le C

rash

Fat

aliti

es in

w

hich

Alc

ohol

was

Invo

lved

-- b

y P

lace

of

Occ

urre

nce

v

Infectious Diseases

Rates of Reportable Communicable Diseases, TJHD and Virginia, 2000-2010

CommunicableDisease

TJHD VirginiaAverage

Number ofCases

Average RatePer 100,000*

AverageNumber of

CasesAverage RatePer 100,000*

Chlamydia 559 260.2 23,406 306.7Gonorrhea 134 62.3 8,723 119.3Pertussis 56 26.3 246 3.3Salmonellosis 35 16.3 1,186 15.8Giardiasis 33 15.5 489 6.5Chicken Pox 25 11.7 1,079 14.3Campylobacteriosis 21 9.8 687 9.2Lyme Disease 20 9.1 514 6.7

Source: Virginia Department of Health, Division of Surveillance and Investigation

*Population data based on U.S. Census Data for TJHD and State of Virginia (2000-2010)

Chlamydia Incidence RatesTJHD and Virginia,1997-2010

Source: Virginia Department of Health, Division of Disease Prevention

1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

255075

100125150175200225250275300325350375400425

219.6

280.7

189.3

397.7

TJHD VirginiaRep

orte

d C

ases

of C

hlam

ydia

per

100

,000

Per

sons

Liv

ing

in L

ocal

-ity

Chlamydia Incidence RatesTJHD by Locality,1997-2010


1997-99

1998-00

1999-01

2000-02

2001-03

2002-04

2003-05

2004-06

2005-07

2006-08

2007-09

2008-10

0255075

100125150175200225250275300325350375400425

Albemarle-Charlottesville 229.8

342.4

150.8 Greene 162.2

Louisa 236.0

230.8

Albemarle-Charlottesville Fluvanna Greene Louisa NelsonRep

orte

d C

ases

of C

hlam

ydia

per

100

,000

Per

sons

Liv

ing

in L

o-

calit

y

Gonorrhea Incidence RatesTJHD and Virginia,1997-2010

1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

20

40

60

80

100

120

140

160

94.3

68.6

134.4

109.4

TJHD VirginiaRep

orte

d C

ases

of G

onor

rhea

per

100

,000

Per

sons

Liv

ing

in L

o-ca

lity


Gonorrhea Incidence RatesTJHD by Locality,1997-2010


1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

20

40

60

80

100

120

140

160

119.1

89.5

34.2

25.8

Albemarle-Charlottesville Fluvanna Greene Louisa NelsonRep

orte

d C

ases

of G

onor

rhea

per

100

,000

Per

sons

Liv

ing

in L

o-ca

lity

HIV and AIDS Incidence RatesTJHD and Virginia, 1997-2009


1997-99 1998-00 1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-090

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

8.2

5.9

10.2

6.1

13.5 13.4

15.1

8.9

TJHD HIV TJHD AIDS Virginia HIV Virginia AIDSRep

orte

d C

ases

of H

IV/A

IDS

per

100

,000

Per

sons

Liv

ing

in L

ocal

-ity

Syphilis (early) Incidence RatesTJHD and Virginia,1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

1

2

3

4

5

6

7

8

0.5

2.8

4.1

6.8

TJHD Virginia

Rep

orte

d C

ases

of S

yphi

lis p

er 1

00,0

00 P

erso

ns L

ivin

g in

Loc

ality

Pertussis Incidence RatesTJHD, and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

5

10

15

20

25

30

35

40

45

50

20.4 16.4

2.23.5

TJHD VirginiaRep

orte

d C

ases

of P

ertu

ssis

per

100

,000

Per

sons

Liv

ing

in L

ocal

-ity

Chicken Pox Incidence RatesTJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

5

10

15

20

25

30

2.1

16.3

12.7

12.1

TJHD VirginiaRep

orte

d C

ases

of C

hick

en P

ox p

er 1

00,0

00 P

erso

ns L

ivin

g in

Loc

ality

Hepatitis B Incidence RatesTJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

2.3

0.4

2.4

1.4

TJHD Virginia

Healthy People 2020

Rep

orte

d C

ases

of H

epat

itis

B p

er 1

00,0

00 P

erso

ns L

ivin

g in

Lo-

calit

y

Salmonellosis Incidence RatesTJHD and Virginia,1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

2

4

6

8

10

12

14

16

18

20

22

18.5

14.0

17.4

14.9

TJHD Virginia

Healthy People 2020

Rep

orte

d C

ases

of S

alm

onel

losi

s pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

ity

Campylobacteriosis Incidence Rates TJHD and Virginia,1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

2

4

6

8

10

12

14

16

18

14.2

11.7

8.5 9.5

TJHD Virginia

Rep

orte

d C

ases

of C

ampy

loba

cter

iosi

s pe

r 100

,000

Per

sons

Li

ving

in L

ocal

ity

E. Coli O157:H7 Incidence Rates TJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

2.7

3.4

1.0

2.3

TJHD Virginia

Healthy People 2020

Rep

orte

d C

ases

of E

. Col

i O15

7:H

7 pe

r 100

,000

Per

sons

Liv

ing

in L

ocal

ity

Giardiasis Incidence Rates TJHD and Virginia,1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

2

4

6

8

10

12

14

16

18

20

22

24

26

28

17.8

12.8

6.3

6.2

TJHD VirginiaRep

orte

d C

ases

of G

iard

iasi

s pe

r 100

,000

Per

sons

Liv

ing

in L

o-ca

lity

Legionellosis Incidence Rates TJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

1.932.1

1.87

0.9

TJHD VirginiaRep

orte

d C

ases

of L

egio

nello

sis

per 1

00,0

00 P

erso

ns L

ivin

g in

Lo-

calit

y

Lyme Disease Incidence Rates TJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

5

10

15

20

25

30

TJHD 1.7

25.3

Virginia 2.0

13.2

TJHD VirginiaRep

orte

d C

ases

of L

yme

Dis

ease

per

100

,000

Per

sons

Liv

ing

in L

ocal

ity

Spotted Fever Rickettsiosis Incidence Rates, TJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

0.5

4.4

0.3

1.5

TJHD Virginia

Rep

orte

d C

ases

of S

potte

d Fe

ver R

icke

ttsio

sis

per

100,

000

Per

sons

Liv

ing

in L

ocal

ity

Tuberculosis Incidence RatesTJHD and Virginia, 1999-2010


1999-01 2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

1.8

2.9

4.4

3.6

TJHD Virginia

Healthy People 2020

Rep

orte

d C

ases

of T

uber

culo

sis

per 1

00,0

00 P

erso

ns L

ivin

g in

Lo-

calit

y

Ambulatory Care-Sensitive Conditions

Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance System

Percent of Adults Diagnosed with Diabetes (Self-Reported), TJHD and Virginia, 2000-2010

2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009 2008-20100%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

3.9%

8.7%

6.1%

7.8%

TJHD Virginia

Per

cent

of T

otal

Adu

lts A

ged

20 a

nd O

ver L

ivin

g in

Loc

ality

Hospital Discharge Rates for DiabetesTJHD and Virginia, 2000-2011

Source: VDH Data Warehouse; Virginia Hospital Information Systems

2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-1102468

10121416182022242628303234

TJHD 15.8317.01

Virginia 15.4614.82

TJHD Virginia

Age

-Adj

uste

d H

ospi

tal D

isch

arge

s fo

r Dia

bete

s

per 1

0,00

0 P

erso

ns L

ivin

g in

Loc

ality

Hospital Discharge Rates for DiabetesTJHD by Locality, 2000-2010

2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-1002468

10121416182022242628303234

Albemarle 14.59

15.76

24.6026.13

12.75

17.25

Albemarle Charlottesville FluvannaGreene Louisa Nelson

Age

-Adj

uste

d H

ospi

tal D

isch

arge

s fo

r Dia

bete

s

per 1

0,00

0 P

erso

ns L

ivin

g in

Loc

ality


Hospital Discharge Rates for AsthmaTJHD and Virginia, 2000-2010

2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

2

4

6

8

10

12

14

16

18

20

22

15.85

11.94

14.9912.66

TJHD Virginia

Age

-Adj

uste

d H

ospi

tal D

isch

arge

s fo

r Ast

hma

per

10,0

00 P

erso

ns L

ivin

g in

Loc

ality


Hospital Discharge Rates for AsthmaTJHD by Locality, 2000-2010

2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

2

4

6

8

10

12

14

16

18

20

22

Albemarle; 13.62

12.00

16.68

9.39

18.80

16.50


Age

-Adj

uste

d H

ospi

tal D

isch

arge

s fo

r Ast

hma

per

10,0

00 P

erso

ns L

ivin

g in

Loc

ality


Hospital Discharge Rates for Hypertension, TJHD and Virginia, 2000-2011


2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-110

1

2

3

4

5

6

7

8

9

10

TJHD; 2.69 TJHD; 2.68

Virginia; 2.68 Virginia; 2.64

TJHD Virginia

Age

-Adj

uste

d H

ospi

tal D

isch

arge

s fo

r Hyp

erte

nsio

n pe

r 10,

000

Per

sons

Liv

ing

in L

ocal

ity

Hospital Discharge Rates for COPDTJHD and Virginia, 2000-2010

2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

5

10

15

20

25

30

22.49

17.69

21.5218.18

TJHD Virginia

Age

-Adj

uste

d H

ospi

tal D

isch

arge

s fo

r CO

PD

per

10

,000

Per

sons

Liv

ing

in L

ocal

ity


Hospital Discharge Rates for COPDTJHD by Locality, 2000-2010

2000-02 2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

5

10

15

20

25

30

20.9017.72

24.44

14.96

27.30

23.1923.30

26.10


Age

-Adj

uste

d H

ospi

tal D

isch

arge

s fo

r CO

PD

per

10

,000

Per

sons

Liv

ing

in L

ocal

ity


Mental Health

Average Number of Poor Physical/Mental Health in the Last 30 Days (Self-reported)

TJHD by Locality, TJHD and Virginia, 2004-2010

Source: County Health Rankings*Numbers are self-reported

Albemarle Charlottesville Fluvanna Greene Louisa Nelson TJHD Average Virginia0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

2.2

2.9

3.4

2.9

4.7

1.2

2.883.2

2.5 2.8

2.1

2.8

3.7

2.5 2.73

3.2

Average Number of Physically Unhealthy Days reported in past 30 daysAverage Number of Poor Mental Health Days reported in past 30 daysNational Benchmark for Physically Unhealthy DaysNational Benchmark for Poor Mental Health Days

Num

ber*

of P

hysi

cally

Unh

ealth

y/P

oor

Men

tal H

ealth

Day

s

0%

5%

10%

15%

20%

25%

30%

25%

12%11%

9%

7% 7%

3%2%

Per

cent

of T

otal

Reg

ion

Ten

Pat

ient

s S

erve

d

Region Ten Community Services Board’s Most Frequent Diagnosed Disorders, 2011

Source: Region Ten Community Services Board

Number of Emergency Services Delivered by Region 10 Community Services Board by Type of Service

1996-2009

Source: Region Ten Community Services Board

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 20090

500

1000

1500

2000

2500

3000

1453

2306

1042

629

Emergency Custody Order Evaluations Temporary Detention Orders IssuedTotal Evaluations Hospital AdmissionsWellness Recovery Center Referrals

Num

ber o

f Reg

ion

Ten

Ser

vice

s D

eliv

ered

Source: Substance Abuse and Mental Health Services Administration

Adults with a co-occuring MH and AOD disorder

Children with a co-occurring MH and AOD disorder

0%

5%

10%

15%

20%

25%

30%

35%32.8%

7.6%

20.0%

4.6%

Virginia US

Perc

ent o

f Tot

al A

dults

/Chi

ldre

n Se

rved

thro

ugh

Stat

e M

enta

l Hea

lth A

genc

ies

Percent of Persons Served though State Mental Health Agencies with Co-Occurring Mental Health and Substance Abuse Disorders, Virginia and U.S., 2010

MH = Mental Health; AOD = Alcohol and Other Drug

Source: Substance Abuse and Mental Health Services Administration

Adults with a SMI and a substance abuse disorder

Children with a SMI and a substance abuse disorder

0%

5%

10%

15%

20%

25%

30%

35%31.8%

7.9%

24.4%

8.7%

Virginia US

Per

cent

of T

otal

Adu

lts/C

hild

ren

Ser

ved

thro

ugh

Sta

te M

enta

l Hea

lth A

genc

ies

Percent of Persons Served though State Mental Health Agencies with Co-Occurring Severe Mental Health and

Substance Abuse Disorder, Virginia and U.S., 2010

Adults with a serious mental illness (SMI) are Persons 18 years and Over who, “at any time during a given year, had a diagnosable mental, behavioral, or emotional disorder without the benefit of treatment or other support services … that has resulted in functional impairment which substantially interferes with or limits one or more major life activities.…"

Hospital Discharge Rates for PsychosesTJHD and Virginia, 2000-2011


2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

100

200

300

400

500

600

700

800

677.19

418.60

586.01563.09

TJHD VA

Hos

pita

l Dis

char

ges

per 1

00,0

00 P

erso

ns L

ivin

g in

Loc

al-

ity

Hospital Discharge Rates for Neurotic Disorders, Personality Disorders, and other Nonpsychotic Mental Disorders



2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

50

100

150

200

250

300

257.45

206.30199.55

140.88

TJHD VAHos

pita

l Dis

char

ges

per 1

00,0

00 P

erso

ns L

ivin

g in

Loc

al-

ity

Section Four: What are community members’ perceptions of health in their

communities?

Thomas Jefferson Area Community SurveyMAPP 2 Health Focus GroupsLouisa County Qualitative Data

Thomas Jefferson Area Community Survey

Thomas Jefferson Area Community Survey (TJACS)

TJHD, 2012

Source: UVA Center for Survey Research

• Conducted by the UVA Center for Survey Research (CSR) in January 2012

• Survey of 1,098 individuals living in Charlottesville City and Albemarle, Nelson, Fluvanna, Greene, and Louisa Counties

• Conducted through a Random Digit Dial (RDD) sample of landline and cell-phone numbers – Also included a random sample of directory-listed landline

households

Medical Doctors DentistsCounselors for

Mental Health or Substance Abuse

Urgent Care

FacilitiesHospitals

Albemarle 15.0% 22.1% 40.7% 12.8% 9.4%

Charlottesville 14.9% 26.6% 33.5% 9.8% 15.3%

Fluvanna 10.1% 12.0% 10.1% 43.8% 24.0%

Greene 15.3% 8.0% 15.1% 40.0% 21.6%

Louisa 18.5% 6.2% 7.9% 35.5% 31.9%

Nelson 7.7% 9.8% 17.6% 27.3% 37.6%

TJHD11.3% 13.4% 20.7% 17.9% 14.9%

19.7% Insists No Problems

Question 1: Thinking about [your county], which of the following

services is most difficult to get care from?


Problems with cost, insurance

or Medicaid

Distance or Transportation

Not enough doctors, dentists or counselors

Language or cultural

difficulties

Albemarle 77.8% 12.0% 6.7% 3.5%

Charlottesville 77.1% 10.3% 10.5% 2.2%

Fluvanna 43.5% 36.7% 19.8% 0.0%

Greene 36.9% 38.7% 24.4% 0.0%

Louisa 43.8% 36.9% 18.8% 0.4%

Nelson 45.2% 41.8% 6.7% 6.3%

TJHD 59.4% 20.4% 11.0% 2.2%

Question 2: Thinking about [your county], what is the biggest difficulty people have in getting health services?


Smoking Weight and obesity

Alcohol/ drug use

Infant Death Mental Health

Albemarle 8.5% 36.1% 25.5% 4.0% 25.9%

Charlottesville 10.0% 39.4% 25.8% 2.8% 22.1%

Fluvanna 5.8% 32.4% 40.4% 7.6% 13.8%

Greene 5.8% 38.8% 45.0% 2.3% 8.1%

Louisa 7.1% 28.7% 48.7% 0.0% 15.5%

Nelson 3.8% 43.1% 40.7% 0.0% 12.4%

TJHD 7.8% 36.0% 32.7% 3.1% 20.3%

Question 3: Which of the following public health concerns is the most

important for [your county] to give more attention to?


MAPP 2 Health Focus Groups

Focus Group DemographicsTJHD, 2012

Number PercentAttendees 47 100.0%

GenderMale 15 31.9%

Female 32 68.1%Race

Black or African American 4 8.5%White 40 85.1%Other 3 6.4%

EthnicityHispanic or Latino 4 8.5%

Not Hispanic or Latino 43 91.5%Age

18-27 7 14.9%

28-37 3 6.4%

38-47 5 10.6%

48-57 8 17.0%

58-67 13 27.7%

>68 10 21.3%

Focus Group Demographics TJHD, 2012

Number PercentMarital Status

Married 27 57.4%

Widowed 3 6.4%

Divorced 6 12.8%

Never Married 8 17.0%

No Answer 3 6.4%

Employment statusEmployed 26 55.3%

Homemaker 1 2.1%

Student 2 4.3%

Self-Employed 3 6.4%

Retired 8 17.0%

Unemployed 4 8.5%

Disabled/ Unable to Work 1 2.1%

No Answer 2 4.3%

Focus Group DemographicsTJHD, 2012

Number PercentEducation Completed

Less than eighth grade 1 2.1%

High school diploma or GED 8 17.0%

College degree (4 years or less of college) 23 48.9%

Advanced degree 14 29.8%

No Answer 1 2.1%

Income< $15,000 11 23.4%

$15,000–$29,000 5 10.6%

$30,000–$44,000 10 21.3%

$45,000–$59,000 5 10.6%

$60,000–$74,000 4 8.5%

$75,000–$89,000 1 2.1%

>90,000 3 6.4%

No answer 8 17.0%

Focus Group Health Care CharacteristicsTJHD, 2012

Number PercentMedical Insurance

None 4 8.5%

Medicare 11 23.4%

Medicaid 6 12.8%

Private 13 27.7%

Employment-based 20 42.6%

Other 4 8.5%

No Answer 1 2.1%

On average, how many times each month do you use health care services (doctor, dentist, hospital, etc)?

1- 4 33 70.2%

5-9 3 6.4%

10-14 0 0.0%

15 or more 0 0.0%

Other: 1-4/year 7 14.9%

Never 3 6.4%

No Answer 1 2.1%

Focus Group Health Care CharacteristicsTJHD, 2012

Number Percent

Do you have any of the following conditions? Check all that apply:

Smoking 5 10.6%

Diabetes 5 10.6%

Heart Disease 2 4.3%

Cancer 2 4.3%

Asthma 6 12.8%

High Blood Pressure 14 29.8%

Other 5 10.6%

TJHD Focus Group Results2012

• Weight and Obesity– Education about health and nutrition is important in

combating weight and obesity issues

– The cost of nutritious foods, the convenience of unhealthy foods, and a lack of activity are important contributing factors to obesity

– Fluvanna, Greene, and Nelson participants reported a lack of walking trails and places to take part in physical activity• This was not considered a problem by Charlottesville and

Albemarle participants


• Transportation– Noted as an issue by Fluvanna, Greene and Nelson

participants: Some citizens of these counties rely on public transportation to get healthcare from providers in Charlottesville/Albemarle

– Current transportation system presents some barriers to community members, such as the cost and the schedule

• Urgent Care– Urgent care centers in Greene and Fluvanna would be a

helpful, may reduce reliance on the rescue squad


• Mental Health and Substance Abuse Issues– Drug abuse is heavily tied to mental health issues

• Those who do not receive mental healthcare more likely to turn to drugs and alcohol in order to “self-medicate”

– Barriers to receiving mental healthcare are stigma, cost, and availability of providers

– Fluvanna and Nelson participants believed that drug use was affected by a lack of recreational activities


• Resources– Participants reported frustration over the lack of a

central location to access information about resources• Recommend disseminating information through the

media (television, radio, newspaper)

• Recommend having people that assist community members in navigating services

Louisa County Qualitative Data

Issue

Percent of respondents that said it

was important

Percent of respondents that were:

Additional CommentsSatisfied Unsatisfied

Neither satisfied

nor unsatisfied

Having emergency/urgent medical care facilities 94.2% 16.2% 58.7% 25.1% 27% expressed desire to have a facility in Louisa

CountyHaving affordable medical care choices 92.4% 30.7% 33.8% 35.4% 16% travel outside of Louisa for medical care

Having drug/alcohol abuse treatment programs 68.4% 14.5% 29.3% 56.2% 36% lack knowledge of available resources and/or

didn’t need the serviceHaving affordable dental care choices 81.6% 25.5% 34.7% 39.9% 25% commented on the high cost of dental care and

poor service locallyHaving mental health treatment programs 69.1% 18.3% 30.1% 51.6% 20% expressed need for more programs because it

would help the community as a wholeHaving recreational programs for youth 91.3% 43.0% 22.9% 34.1% 4% would like more programs geared for younger

children

Having supervised after school programs for youth 76.9% 31.8% 23.6% 44.7%

10% commented that activities for youth are important to their quality of life and for working parents

Having support programs for caregivers of senior citizens

75% 18.2% 25.5% 56.3% 49% lacked knowledge of available resources and/or didn’t need the service

Having domestic violence education/awareness programs

72.8% 11.9% 28.6% 59.6% 29% expressed that there is a need for more programs

Having parenting skills education programs 63.8% 17.6% 31.9% 50.5% 6% thought churches could become more involved

Louisa County Citizen Survey: Health-related questions

Source: County of Louisa

MAPP Model

Documents

Transcript of MAPP Model