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					Roosevelt County Health Council




             2009 Profile




 Roosevelt County Health Council Profile - 0
                         Table of Contents

Blah, blah blah




                  Roosevelt County Health Council Profile - 1
             Executive Summary for Roosevelt County Health Council

A basis for prioritizing the Roosevelt County Health Planning Council was begun in
1996 with town hall meetings around the hospital crisis issue and continued with
the two studies completed by A. B. Schroeder, PhD and J. E. Roehl, PhD, June 200
and June 2001, that identified specific needs and behavior trends within the
county. The Roosevelt County Health Planning Council (RCHPC) was formally
recognized by the Roosevelt County Commission in 1998. In 2005 the name was
changed to RCHC.

According to the 2000 Roosevelt County Healthier Communities Grant Survey of
Perceptions of County Health Care, the greatest resource gap in Roosevelt County
is the number and variety of health care providers in all categories, especially
medical specialists.

The Roosevelt County Resource Directory was developed in 2001. It was a
comprehensive collaborative process with health improvement entities and local,
county and state agencies. The process was based on the findings from the two
previously mentioned studies. The resource directory was updated in 2008 in
collaboration with the Curry County Wellness Council and United Way.

There are currently twelve active members on the RCHPC. Mrs. Tammy Phillips is
the current Chairperson, Mrs. Amber Hamilton is the current Vice-Chairperson and
Mrs. Tersa Bonifant is current Secretary. Monthly meetings are held every 2nd
Tuesday from 12-1:00pm at the Portales Memorial Building. The key areas
identified for intervention activities are: 1) Diabetes; 2) Pandemic Flu; 3)
Emergency Preparedness and 4) Adolescent Health.




                           Roosevelt County Health Council Profile - 2
Introduction

Contained herein is the 2010 revised comprehensive community health profile for
Roosevelt County. This profile was updated from previous reports and as a result
of community assessments. Additional input was received from collaborative
meetings, telephone conversations and other communications with other agency and
organization members throughout the county. The members of the Roosevelt
County Health Council (RCHC) discussed these findings and determined what issues
to focus attention on for the immediate future.



Vision Statement

The Vision of the Roosevelt County Health Council is to be a volunteer community
based organization facilitating holistic community wellness.



Mission Statement

The Mission of the Roosevelt County Health Council is to strengthen the network
of community partnerships, creating seamless coordination of resources for the
promotion of holistic community wellness.



Definition of Health

Health is a balance of physical, intellectual, spiritual, emotional, environmental and
social well-being.



Profile Purpose

The purpose of this profile is to give an overview of quality of life and health
status of residents in Roosevelt County. It has been designed in such a way that
makes it useful to Roosevelt County agencies seeking data and for funding
purposes.




                            Roosevelt County Health Council Profile - 3
Profile Development

Statistical information contained on state epidemiological websites,
(http://www.health.state.nm.us and http://ibis.health.state.nm.us) specific to
Roosevelt County, was utilized for the purpose of this report. A sub-committee of
the Roosevelt County Health Council Chair, Vice-Chair, Secretary, Public Nurse and
Coordinator was established to process and analyze data for report preparation.



Geographic Definition

Roosevelt County is located on the eastern side of New Mexico and encompasses a
landmass of 2,449 square miles. Roosevelt County has an elevation of 4,700 feet,
with an average mean temperature of 58.4 degrees. Annual average rainfall is
17.17 inches. The major sources of income for Roosevelt County are: Agriculture,
Dairy Industry, Cannon Air Force Base (CAFB), Eastern New Mexico University
(ENMU), Southwest Cheese Plant and the retail trade industry.



Population Description

Demographic information taken from the 2006 New Mexico's Indicator-Based
Information System (NM_IBIS) indicates that the major population concentration
of Roosevelt County is in Portales. The total population of Roosevelt County is
18,871, with a population density of 7.4 people per square mile. Portales, Roosevelt
County Seat, has the largest concentration of residents. There are eight smaller
villages: Causey, Dora, Elida, Floyd, Kenna, Arch, Milnesand and Pep. These are very
rural and sparsely populated. There are approximately 42 churches and 1 private
Christian School in Roosevelt County. Demographics break down as follows:
       - 30% of youth under the age of 18 live at or under the poverty level.
       - in 2006 there were 333 births and 167 deaths.
       - the ratio of men to women is 1.15%.
       - population growth ranged from .14% to .81% between 1994 and 2004.
       - per capita income was $29,857; below the state average of $41,509 and
          below the national average of $50,233. New Mexico's income ranks 47th.
       - classified as a chronic poverty county by the U.S. Census Bureau




                           Roosevelt County Health Council Profile - 4
                        2002 Population Estimates
                           By Age and Gender
                     Roosevelt County                 New Mexico
   Age Groups    Male Female       Both       Male     Female      Both
Less than 1 yr     159      153       312     13,746    13,361      27,107
1 to 4 years       555      540     1,095     53,236    51,780     105,016
5 to 9 years       682      698     1,380     67,768    65,647     133,415
10 to 14 years     723      647     1,370     74,247    71,746     145,993
15 to 19 years     837      862     1,699     76,356    72,288     148,644
20 to 24 years     988      975     1,963     67,182    64,847     132,029
25 to 29 years     669      608     1,277     56,796    56,273     113,069
30 to 34 years     552      546     1,098     59,596    59,961     119,557
35 to 39 years     536      539     1,075     64,222    65,623     129,845
40 to 44 years     559      629     1,188     70,951    73,496     144,447
45 to 49 years     517      577     1,094     66,325    70,011     136,336
50 to 54 years     447      511       958     60,317    63,383     123,700
55 to 59 years     379      369       748     47,075    50,411      97,486
60 to 64 years     336      336       672     36,530    40,431      76,961
65 to 69 years     291      331       622     30,979    34,231      65,210
70 to 74 years     246      261       507     26,175    29,427      55,602
75 to 79 years     189      243       432     19,298    25,786      45,084
80 to 84 years     119      186       305     12,434    17,304      29,738
85 and over        116      210       326      8,926    16,894      25,820
     All Ages    8,900    9,221 18,121       912,159   942,900   1,855,059
                    Source: U.S. Beueau of the Census




                     Roosevelt County Health Council Profile - 5
                                       2002 Population Estimates
                                        By Age and Race/Ethnicity
                                      One Race
                                          American                                                    Hispanic or
                                                                 Two
  Age Groups                               Indian /   Asian /     or                                     Latino
                                           Alaska     Pacific   More                   Total           Ethnicity/1
                        White     Black     Native   Islander Races                  Population        Any Race
Under 5 years            1,328       30          22        12       15                   1,407                 724
5 to 9 years             1,301       31          18        15       15                   1,380                 627
10 to 14 years           1,275       57          19          6      13                   1,370                 577
15 to 19 years           1,593       50          30        10       16                   1,699                 642
20 to 24 years           1,849       51          33        15       15                   1,963                 700
25 to 29 years           1,204       33          17        17        6                   1,277                 501
30 to 34 years           1,044       19          17        15        3                   1,098                 434
35 to 39 years           1,019       25          18          9       4                   1,075                 388
40 to 44 years           1,132       21          16        14        5                   1,188                 376
45 to 49 years           1,049       16          13        13        3                   1,094                 317
50 to 54 years             922        9          18          7       2                     958                 278
55 to 59 years             730        8            7         3       0                     748                 201
60 to 64 years             659        2            7         2       2                     672                 131
65 to 69 years             610        3            6         1       2                     622                 108
70 to 74 years             501        1            4         1       0                     507                  92
75 to 79 years             424        2            1         5       0                     432                  59
80 to 84 years             300        1            2         2       0                     305                  39
85 and over                324        0            1         0       1                     326                  35
All Ages                17,264      359         249       147     102                   18,121               6,229
/1 Hispanic or Latino origin may be of any race. Adding the Hispanic or Latino population to the racial categories
will result in double counting.
                                    Source: U.S. Bureau of the Census




                                          Roosevelt County Health Council Profile - 6
Income

Median income of households in the county is $29,857, an increase from the 2007
profile. Per capita income for New Mexico is $41,509 and nationally the per capita
income is $50,233. The poverty level in Roosevelt County is high with 31.1 % of
children under 18 living in poverty conditions.



Education

Portales has 1 university, 5 elementary schools, 1 junior high school, 1 high school.
The towns of Floyd, Elida and Dora each have a combined K-12 school. There is 1
private faith based K-12 school as well.



Languages

The predominate language spoken in Roosevelt County homes is English, 58%.
Spanish is predominately spoken in 17% of households, Indo-European languages
are spoken in 4% of households, Asian and Pacific Island languages are spoken in 1%
of households and in 20% of households, other languages are spoken, such as
German, Navajo, Danish, Apache, etc.



Community Assets and Wellness

Each city in Roosevelt County has individual assets. Dora has a city park located at
the K-12 school. There are four churches and an elderly/community center. A
volunteer fire department, New Mexico State Police and Roosevelt County
Sheriff's Department are available to residents.

Elida has a city park located at the K-12 school. There are four churches and an
elderly/community center. There are small businesses and restaurants available to
the public. A volunteer fire department, New Mexico State Police, Roosevelt
County Sheriff's Department and local law enforcement personnel are available to
residents.




                            Roosevelt County Health Council Profile - 7
Floyd has a large playground for the children, located at the K-12 school. There
are three churches and an elderly/community center. A volunteer fire department,
New Mexico State Police and Roosevelt County Sheriff's Department are available
to residents.

Portales has several city parks, baseball fields, soccer fields, a recreation center
and a skate park. Fishing and camping capabilities are available at the Oasis State
Park. Portales also has a variety of city museums located at Eastern New Mexico
University and an archaeological site located at Black Water Draw that is open to
the public. Portales is in the process of rejuvenating the "square" and is currently
updating the buildings and courthouse. A movie theater, several churches, two
libraries and numerous small businesses are all located within the city of Portales.
Summer activities available to the public include a golf course, tennis courts, 2
swimming pools and numerous musical and symphony productions. Seasonal and
annual events include 4-H rodeos, student football, baseball, soccer and basketball
games, New Mexico Ag Expo, the Peanut Festival, the Roosevelt County Fair, the
Portales Aviation Expo and the Cannon Air Force Base Air Show. Many other
activities are located in the surrounding communities of Clovis, Roswell, Hobbs, and
Lubbock, Texas.



Community Strengths

Roosevelt County residents have a strong sense of community and are quick to
respond to any community calls for assistance. Our community responded to a need
for a County General Hospital. The Plains Regional Medical Center, Community
Health Needs Assessment, December 1996, reported that three town hall
meetings were held in Portales, with 50-100 individuals who participated at each
meeting. Although the study was biased in favor of the Plains Regional Medical
Center, it demonstrated that citizens of Roosevelt County were strongly in favor
of having our own hospital. The community support behind this need resulted in
the reopening of the Roosevelt General Hospital with onsite management. There is
also a heli-pad site at the hospital for rapid transport to critical care and other
facilities for patients with critical needs.

The most recent example of community willingness to participate during a crisis
was after the tornado that hit Roosevelt and Curry Counties during Fall 2007. One
dairy was completely destroyed in Roosevelt County. County residents were quick



                           Roosevelt County Health Council Profile - 8
to assist the owner of the dairy in rounding up cattle, caring for cattle and with
dairy reconstruction. Four months after the disaster, the dairy was in full
operation. County residents and various agencies assisted with the clean-up and
other tasks in Curry County, which received the brunt of the damaging effects.
Roosevelt County emergency personnel provided both immediate and short-term
assistance with clean-up and other needs. As a result of the Local Emergency
Planning Council reviewed emergency plans and programs in Roosevelt County and
have been working on upgrading emergency notification systems and equipment
countywide.



Maternal Child Health Indicators

In 2006 there were an excessive number of teenage births, 72, between the ages
of 10-19. Of these 38, 52.7%, received prenatal care during first trimester and
four, .05%, received prenatal care during third trimester. That left 47% with
either no prenatal care or they received care at locations other than Roosevelt
County. This compares to 61% receiving prenatal care first trimester and .06% in
third trimester statewide, with 39.4% receiving no prenatal care. Overall, 58.8%
in Roosevelt County received prenatal care first trimester, .05% received third
trimester care, with 40.7% receiving no care. Statewide 71% received first
trimester care, .048% received third trimester care and only 29% received no
prenatal care. As can be seen, Roosevelt County clearly needs to improve prenatal
care to all age groups, especially those aged 11-19.




                            Roosevelt County Health Council Profile - 9
                                 2006 Roosevelt County Live Births
                                By Age of Mother and Prenatal Care

                           Roosevelt County                            New Mexico
 Age Groups              1st Trimester   3rd Trimester            1st Trimester   3rd Trimester
                Births   Prenatal Care Prenatal Care      Births  Prenatal Care Prenatal Care
10-14 years          1               0               0        61              23              8
15-17 years         34              17               1     1,592             934            102
18-19 years         37              21               3     3,035           1,924            195
20-24 years       129               84               6     9,276           6,301            544
25-29 years         76              47               8     7,848           5,951            329
30-34 years         38              27               0     4,988           3,827            185
35-39 years         17               0               0     2,494           1,921             85
40-44 years          1               0               0       569             419             12
45-49 years          0               0               0        55              35              2
50+ years            0               0               0         0               0              0
  All Ages        333              196              18 29,918            21,335           1,462
                                  Source: Bureau of Vital Records




Mortality

Mortality rates, overall, are statistically low. The majority of death occurs in the
65+ population, .05% in 2006. Deaths in the 45-64 year old group constitute only
.01% of that population, and ages 25-44, only .003%.




                          2006 Roosevelt County Mortality Rates From All Causes
                                           By Age and Gender
                                    Roosevelt County                   New Mexico
               Age Groups      All Causes Male Female All Causes           Male Female
              < 1 year                   0     0          0           170     98     72
              1-4 years                  0     0          0            31     18     13
              5-14 years                 0     0          0            53     31     22
              15-24 years                0     0          0           315    223     92
              25-44 years              18      7         11         1,079    751    328
              45-64 years              35     24         11         3,185 1,966   1,219
              65-84 years              67     36         31         6,493 3,433   3,060
              85+ years                47     22         25         3,905 1,438   2,467
                 All Ages             167     89         78        15,231 7,958   7,273
                                     Source: Bureau of Vital Records




                                  Roosevelt County Health Council Profile - 10
Leading Causes of Death

The leading cause of death in 2006 was Heart Disease, Malignant Neoplasm and
Respiratory Disease, with men being 38% more likely than women to succumb to
Heart Disease and Malignant Neoplasm's, but equally likely to succumb to
Respiratory Disease. Women are more likely to die from Cerebrovascular Disease
(Stroke) and men from Diabetes Mellitus.




                                   2006 Leading Causes of Death
                                        By Indicator and Sex
              Top Ten Causes                Roosevelt County              New Mexico
                   of Death             Number Male Female Number Male Female
      Heart Disease                           51      32       19     3,331 1,715    1,616
      Malignant Neoplasm                      38      22       16     3,136 1,652    1,484
      Unintentional Injuries                   5       0        5     1,267   805      462
      Respiratory Diseases                    15       8        7       911   438      473
      Cerebrovascular Diseases                 7       0        7       632   253      379
      Diabetes Mellitus                        6       5        1       560   274      286
      Alzheimer's Disease                      0       0        0       358   114      244
      Influenza / Pneumonia                    0       0        0       357   180      177
      Intentional Injuries                     4       4        0       347   282       65
      Liver Disease / Cirrhosis                0       0        0       322   212      110
                  All Causes                 126      71       55    11,221 5,925    5,296
                                Source: U.S. Bureau of Vital Records




                              Roosevelt County Health Council Profile - 11
Chronic Disease Indicators

      A) Cancer - The leading cause of Cancer in men is Prostate, with Lung and
Bronchus a close second and Colon/Rectum, third. In women the leading cause of
Cancer is Breast, with Lung and Bronchus a somewhat distant second and
Colen/Rectum, third.



                                  2000 Cancer Incedence
                                    By Indicator and Sex
                                        Roosevelt County               New Mexico
                Site                Number Male Female Number             Male    Female
All Cancers                              420     228      192    45,140 23,565 21,575
Stomach                                     0      0        0       848     515      333
Colon & Rectum                            45      24       21     4,655   2,482    2,173
Liver & Intrhepatic Bile Duct               0      0        0       623     412      211
Gallbladder                                 0      0        0       165      52      113
Pancreas                                    0      0        0     1,113     570      543
Lung & Bronchus                           61      39       22     5,261   3,053    2,208
Melanomas of the Skin                       5      5        0     1,719     974      745
Breast                                    60       0       60     7,118      51    7,067
Cervix                                      0      0        0       566       0      566
Corpus & Uterus, NOS                        8      0        8     1,116       0    1,116
Prostate                                  74      74        0     7,320   7,320        0
Urinary Bladder                           21      13        8     1,808   1,324      484
Kidney & Renal Pelvis                     11       6        5     1,213     741      472
Non-Hodgkins Lymphomas                    15      10        5     1,671     912      759
Lueukemias                                14       8        6     1,259     727      532
All Other Cancers                         81      40       41     8,685   4,432    4,253
            All Causes                   815     447      368    90,280 47,130 43,150
                            Source: U.S. Bureau of Vital Records




      B) Cerebrovascular Diseases (Stroke) - During 2006 there were 7 deaths in
Roosevelt County from Cerebrovascular Diseases, all women. New Mexico reported
632 deaths and nationally, there were 143,579 deaths overall.

       C) Chronic Obstructive Pulmonary Disease (COPD) - During 2006 there were
15 deaths in Roosevelt County from Chronic Obstructive Pulmonary Disease. The
adult smoking rate in Roosevelt County is 24%. Many, if not all of these deaths,
may be secondary to tobacco use. New Mexico reported 911 deaths and nationally,
there were 130,933 deaths overall.



                               Roosevelt County Health Council Profile - 12
      D) Diabetes - During 2006 there were 60 deaths from Diabetes in
Roosevelt County, 623 deaths in New Mexico and 27.5 per 100,000 nationally.

      E) Arthritis - In 2001, the New Mexico Policy Commission, Hospital
Inpatient Discharge Data reported 131 cases of Arthritis in Roosevelt County and
12,396 cases in New Mexico.

      F) Asthma - Roosevelt County had the highest emergency department rates
of Asthma care for children under age 15, at 144 cases - more than triple the
state average. A number of causes have been identified: mothers who smoked
during pregnancy; infant/child exposure to second and third hand smoke; and air
particulates carried in the Eastern New Mexico winds.

      G) Disability

           - could not find county specific data
      H) Oral Health

            - waiting to hear back from Carmen Pacheco @ La Casa for dental info



Infectious Disease Indicators

      A) Leading Causes



- interpret data here for graph below




                          Roosevelt County Health Council Profile - 13
                                2006 Infectious Disease Indicators
                                           By Indicator
                                                 Roosevelt County New Mexico
                             Site                     Number        Number
               Campylobacteriosis Cases                         14       385
               Cryptosporidiosis Cases                            0       47
               E Coli Cases                                       0       42
               Hepatitis A Cases                                  0       16
               Influenza Cases                                    0        0
               Pertussis Cases                                    0       70
               Pneumonia Cases                                    0        0
               Salmonellosis Cases                                7      257
               Shigellosis Cases                                  0      171
               Tuberculosis Cases                                 0      111
                         All Causes                             21     1,099
                              Source: U.S. Bureau of Vital Records




               needs flu and pnemonia info - waiting to hear from carol




        B) Sexually Transmitted Diseases - Sexually transmitted diseases are
predominantly a problem in the 29 and younger population. Chlamydia tops the list
with 62 cases in the 20-29 year old group and 35 cases in the 13-19 year old group.
In the 13-19 year old group, girls are 4 times more likely than boys to contract
Chlamydia. Although there were only 9 cases of Gonorrhea, 7 were in ages 20-29
and 2 in ages 13-19, equally distributed between male and female. Three cases of
HIV/AIDS were reported in the 13-19 year old population, all male. No other
cases were reported, unlike in New Mexico as a whole, where of the 81 total cases,
66 were between ages 20-49. No cases of Syphilis were reported in Roosevelt
County. There were 46 reported cases in New Mexico overall. Men were twice as
likely as women to contract Syphilis.




                             Roosevelt County Health Council Profile - 14
             2007 Roosevelt County Sexually Transmitted Diseases
                             By Age and Gender
                     Roosevelt County                    New Mexico
  Age Groups     Chlamydia    Male Female       Chlamydia     Male Female
 < 13 years               2      1          1           107       4    103
 13-19 years             35      7        28          3,033    564   2,469
 20-29 years             62     24        38          5,016 1,404    3,612
 30-39 years              9      2          7           985    328     657
 40-49 years              1      0          1           223      80    143
 50+ years                0      0          0            97      34     63
    All Ages           109      34        75          9,461 2,414    7,047
                      Source: Bureau of Vital Records




            2007 Roosevelt County Sexually Transmitted Diseases
                            By Age and Gender
                     Roosevelt County                   New Mexico
 Age Groups     Gonorrhea    Male Female       Gonorrhea     Male Female
< 13 years                0     0          0             25      3    22
13-19 years               2     1          1            457   143    314
20-29 years               7     4          3            963   458    505
30-39 years               1     0          1            221   123     98
40-49 years               0     0          0             91     68    23
50+ years                 0     0          0             40     27    13
   All Ages             10      5          5          1,797   822    975
                     Source: Bureau of Vital Records



            2007 Roosevelt County Sexually Transmitted Diseases
                            By Age and Gender
                      Roosevelt County                  New Mexico
  Age Groups     HIV/AIDS    Male Female        HIV/AIDS     Male Female
< 13 years               0       0          0            0      0       0
13-19 years              3       3          0            3      3       0
20-29 years              0       0          0           16      8       8
30-39 years              0       0          0           26     15     11
40-49 years              0       0          0           24     14     10
50+ years                0       0          0           12     10       2
   All Ages              3       3          0           81     50     31
                      Source: Bureau of Vital Records




                    Roosevelt County Health Council Profile - 15
                      2007 Roosevelt County Sexually Transmitted Diseases
                                      By Age and Gender
                                Roosevelt County                   New Mexico
           Age Groups       Syphilis   Male   Female      Syphilis    Male    Female
         < 13 years                 0     0           0           0       0         0
         13-19 years                0     0           0           3       1         2
         20-34 years                0     0           0          17     10          7
         35-44 years                0     0           0          13       8         5
         45-54 years                0     0           0          10       9         1
         55+ years                  0     0           0           3       3         0
             All Ages               0     0           0          46     31         15
                               Source: Bureau of Vital Records




Environmental Health Indicators

       A) Safe Streets & Neighborhoods - Portales is making a concerted effort
to increase the number of wheelchair accessible sidewalks around town and has
sufficient lighting on streets to help increase safe neighborhoods. However, there
are still an abundant number of unsafe homes and empty buildings that need to be
demolished and replaced with safer structures. Too many families live in sub-
standard housing due to poverty. New and adequate business office locations are
needed. Residents feel secure having the Portales Police Department, the New
Mexico State Police, Eastern New Mexico Police Department and the Roosevelt
County Sheriff's Department available. A local fire department is available in
Portales and outlying areas of Roosevelt County have three volunteer fire
departments. For added security, Cannon Air Force Base is within 11 miles of
Portales and is always ready to assist when needed.

       B) Food Safety - There is a need for quality restaurants in Roosevelt
County. Currently there are four Mexican food restaurants, one steak house,
three sandwich shops, two Chinese restaurants and one general restaurant. There
is one walk-up burger shop, two drive-thru fast food shops and one drive-thru
coffee shop. There are no general coffee shops or quality restaurants where
people can gather and eat. Many of the restaurants lack abidance to the federal
minimum wage laws and terminate employees upon formal complaints to authorities.




                             Roosevelt County Health Council Profile - 16
       C) Air & Water Quality - Roosevelt County residents have concerns related
to the increase in air and water pollution from the diary industry. Based on survey
results from a 2005 environmental survey sent to 500 county residents, the
perception is that the quality of life in the county has diminished because of the
influx of diaries from California and other locations. An investigation into the
amount of pollution and the resultant health problems has been ongoing for the
past three years. There has been one Tuberculosis outbreak with over two
hundred contacts and twenty-two positive test results and three confirmed cases
of those who came in contact with the infected person. As Asthma cases continue
to increase in our county, a joint study of air particulates is currently under way by
New Mexico University and the University of Texas, in conjunction with the USDA.

       D) Lead - Many of the Roosevelt County housing is significantly aged and
was constructed during the time-frame of lead-based paint. Asbestos use during
construction is also a problem. Demolition of vacant, old and run-down buildings
runs into the problem of having asbestos products that require special removal
care and there are no companies that provide that service within a hundred mile
radius. Consequently these old buildings and homes are often demolished without
proper asbestos abatement to the detriment of the health of those involved in the
demolition, their families and others in our community.



Injury, Violence, Substance Abuse Indicators

Violence continues to be a problem in New Mexico, but in Roosevelt County there
were no deaths reported from firearms or violent deaths. Roosevelt County had no
unintentional deaths reported, no suicides reported and only three deaths from
illegal drug use in 2003.



Risk and Resiliency Indicators



Interpretation of Community Health Status Information

Health-related Services: Capacity, Access and Use

      A) Capacity: What Services Exist for Whom



                            Roosevelt County Health Council Profile - 17
      B) Access: What Influences Access to Services for Different Groups



      C) Utilization: Who Utilizes Existing Services



Health Disparities

There is a perception that because there is a hospital, there are medical
specialists. The reality is that there are no cardiologists, osteopathic physicians
or other specialists usually present in hospital settings. Patients in Roosevelt
County must either travel to Clovis for some types of specialist care (part-time
cardiologist who comes from Lubbock, TX and two psychiatrists who divide their
time between Roosevelt County and Curry County's) or travel to Albuquerque, NM
or Lubbock, TX for quality health care. In life threatening situations this can
prove fatal. Another ongoing concern is the cost of care and the quality of care
the consumer receives. Residents feel that they are paying too much for too little.

Between 54% and 83% of county residents report an awareness of resources
available in the county. Unfortunately, 45% to 50% of county residents do not use
these resources because of perceived lack of qualified medical personnel, lack of
modern testing equipment and updated treatment techniques. An education plan to
overcome this lack of confidence and recruitment of new medical personnel into
the County is necessary for improving the overall quality of health and health care
in Roosevelt County and alleviate any lack of confidence residents have about their
health care options.

There is a high rate of teen births and low birth weight babies in the county.
Further investigation of the cause of this has revealed that there is an underlying
attitude in the community that families who want to remain in the Welfare system
have their teen daughters get pregnant so that the family can stay on WIC, food
stamps, welfare and HUD housing. This attitude and the attitude of the young men
fathering these children, that their child will be taken care of by the system, is
fueling the high teen pregnancy rate. It will take a change in existing welfare laws
and stiff penalties and accountability to result in change in this social norm.




                           Roosevelt County Health Council Profile - 18
Senior citizens reported that there is a lack of outpatient clinics in the county,
especially those qualified to treat geriatric patients. They reported a lack of
quality retirement facilities, activities and appropriate environments for seniors.
They noted a need for more in-home care providers and more PAT vans and drivers.

There are only a few activities for youth in the County and most of these are
during summer months only. There is a youth recreation center for after school
and afternoons in the summer, primarily for elementary and middle-school aged
youth. There is also a skate board center at the Recreation center for older
youth. There are also little league and little wranglers programs, as well as boy and
girl scouts. More than 1/2 of the youth in Portales schools are latch-key kids.
There are no bowling alleys, skating rink or other recreation activities locally or
locations for youth to participate in when out of school. There is a serious need
for planned activities for teens after school, on the weekends and during vacation
periods. Planned activities for this population might help lower the extremely high
teen pregnancy rate.

The ever present poverty in Roosevelt County is a problem. There is a real need to
solicit more businesses that pay more than the minimum wage rate. There is also a
need for incentives to get families off welfare by providing training and jobs that
pay more than the minimum wage rate. Currently families (at least one adult and
one child) receive more on welfare, food stamps, WIC and HUD housing than they
would working full time earning minimum wage. Consequently, many in the
community who fall into the poverty income category opt to stay on social programs
by continuing to produce children every few years so that they can maintain their
standard of living, albeit the poverty level. Unfortunately, many families are
encouraging their teenage girls to have children so that the family can retain their
benefits.

Other resource gaps include a lack of funds or incentive for people to clean their
properties of old furniture, cares, metal of various sorts and other trash; lack of
access to workers at the various dairies in order to perform TB tests, provide
prenatal care and other health related education and services; and a shortage of
bilingual health workers in the county.

Summary of Profile Highlights & Overall Interpretation

      A) What Issues Strongly Affect the Health of County



                           Roosevelt County Health Council Profile - 19
B) Explanation or Discussion from Council's Perspective




                    Roosevelt County Health Council Profile - 20

				
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