c a r t e r e t c o u n t y 2 0 0 5 c o m m u n i t y h e a lt h a s s e s s m e n t Creating Healthy Lifestyles for All Citizens of Carteret County: Where They Live, Learn, Earn, Play, and Pray The Board of Directors for Healthy Carolinians of Carteret County determined that the Healthy Carolinians of Carteret County (HCCC) operates as a 501(c)(3) public following were the top five charity. health priorities that needed Our Vision to be addressed in Carteret County over the next five years: To create environments that support a healthy lifestyle for all citizens of Carteret County where they live, learn, earn, play and pray. 1. Access to care Our Mission 2. Obesity 3. Physical Inactivity To promote individual and community responsibility for good health in Carteret 4. Drug/Alcohol Abuse County. 5. Mental Health The HCCC board of directors has adopted the following goals for 2006-2011: 1. Improve quality of life and years of health 2. Create a network of programs and services that support healthy lifestyles Healthy Carolinians of Carteret County wants to create partnerships that work to- gether to bring needed interventions and resources to Carteret County. Our mission is not to compete with other organizations but to assist other organiza- tions reaching goals and objectives related to healthy living in Carteret County. Our community’s good health depends on all individuals and organizations taking responsibility for promoting and supporting healthy lifestyles in Carteret County. Healthy Carolinians is a state level initiative that supports local communities in their efforts to assess the health of their community. The Healthy Carolinians process also supports local commu- nities in their efforts to mobilize resources to combat community health problems revealed through the Community Health Assessment. The Assessment The Community Health Assessment survey instrument was distributed throughout Carteret County by the Community Health Assessment Team, which consisted of The purpose of the Community a core staff from the Carteret County Health Department and Healthy Carolinians Health Assessment is to provide of Carteret County. Community forums were also held in three different locations to obtain verbal input from the community. Surveys were collected and submitted for an understanding of the current summary and analysis by Carteret Community College. health status and needs of Cart- The surveys produced primary data on current health status and needs, as contrasted eret County, along with commu- with existing secondary data which was collected from a variety of sources on state and community health nity strengths, assets, and poten- status. The latter pro- vided a basis for com- tial resources to address those parison of county health needs. The goal is to provide a conditions to those for the state as a whole, compilation of health data and thereby identifying is- sues for consideration as information with which appro- top health priorities in priate planning may take place Carteret County. to improve the overall health of Members of Healthy Carolinians of Carteret the community. County participated in the important decision- making process used to identify the top health priorities for the com- munity. Healthy Carolinians of Carteret County will develop action teams to address specific health needs. Action teams will be formed to address these health priorities. Join an Action Team today and help Healthy Carolinians of Carteret County make our community a healthier place to live, learn, earn, play and pray! For more informa- tion about joining an Action Team, call 252-222-3439. To download a copy of the 2005 Carteret County Community Health Assessment, visit www.healthycarteret.org. Our place on the path... Carteret County is known as “The Crystal Coast” and covers an area of approximately 1,064 square miles, of which 524 square miles are land. This coastal area is geographically the southernmost point of the Outer Banks (SOBX), bordered on the north by Pamlico Sound and on the east and south by the Atlantic Ocean. The county’s written history dates back to around 1525. Carteret was first home to the Tuscarora Indian tribes. The early settlers came mainly from the other American colonies rather than directly from Europe. Carteret County was formed in 1722 from Craven and was named in honor of Sir John Carteret who later became the Earl of Granville, one of the Lords Proprietors of North Carolina. Carteret County has a permanent population of approximately 59,383 person based on the US 2000 Census. The county grew by more than 13.3% from 1990 to 2000 and grew an estimated 4.2% from 2000 to 2004. The NC Department of Commerce elevated Carteret County from a Tier 4 to a Tier 5 ranking, which is the highest tier, as one of the less economically distressed counties in the state. Population growth was the factor that moved the county to top tier level. Carteret moved from 67th to 39th most populated county in the state. These tier rankings can have far reaching implications for attracting new business to the area. Based on parent surveys, Carteret County schools are perceived to be safe and orderly, that teachers and administrators have high expectations of the students and that parents are kept informed of student progress. In Carteret County, smoke-free environments in schools, medical facilities, many workplaces, restaurants and institutions have been established by policy. For example, Carteret County School System was one of the first school systems in the state to adopt a 100% tobacco-free policy. There are approximately 150 churches in Carteret County representing When local citizens were asked “What does good health many denominations where individuals and families can worship together. mean/What does a healthy Most of the churches have active youth programs, and both adults and children are involved community look like,” these in many faith-based outreach programs locally and world-wide. were some of the responses • Freedom from pain In the fall of 2005, Safe Kids in Carteret County was created to provide • Good air and water education and direct services to reduce injury in the community. The local • Combination of physical, mental and spiritual well-being Safe Kids plan includes hands-on educational activities for children and families at car seat • Everyone working together checks, bike rodeos, and water safety events through collaboration with other community • Financial health partners. Through grants, Safe Kids in Carteret County will purchase safety seats and bike • Safety • Good leadership helmets for local distribution. • Godliness • Accessible resources The Carteret County Health Department has a dental health program and services • Prevention education that provides a mobile dental clinic, “Miles of Smiles.” The mobile clinic • Recreation and travels to elementary schools within Carteret County, providing dental care to children 0-17 cultural activities • Preparedness for emergencies years of age. The program strives to produce short-term and long-term improvements while • Clean environment providing a quality dental experience for all participating children. Children 0-17 enrolled • Good communication in the NC Medicaid or Health Choice programs qualify for the service. In the Community Health Assessment and Community forums, many people said the best things about living in Carteret County are the natural beauty, beaches, healthy outdoor atmosphere, and recreational and cultural opportunities. State and federal parks, state aquarium, off-shore diving, community parks, recreational fishing, public fishing piers, golf courses, public swimming and boating areas, and forests are just a few of our county’s bounty of resources. • • 5 Major Causes of Death Heart Disease All Cancers What we are leaving • Cerebrovascular Disease • Chronic Respiratory Disease • Alzheimer’s Disease The 2004 NC state rate for uninsured is 17.5%. Carteret County ranks 63rd in the state with uninsured rates of 11.1% for ages 0-17; 23.3% 5 Major Causes of Death vs. State County State* for ages 18-64; and an overall uninsured rate of 20.4%. Heart Disease 258 234 All Cancers 214 197 Many general practice and family practice physicians refer their pa- Alzheimer’s Disease 31 26 Other Unintentional Injuries 33 25 tients to specialists outside of the county. Suicide 19 11 Health Care Services in Carteret County are located primarily in Infant Mortality: Total death rate of 9.0 per 1,000, compared to state rate of 8.5 per 1,000 Morehead City/Beaufort areas. There is one hospital, 15 jurisdictional EMS units, and paramedic responders within the county. There is no consolidated Obesity, Children 2 Through 4 At Risk Overweight county-wide 911 service. County: 16.2% County 18.8% State: 15.6% State: 14.9% The Carteret County Health Department is located in Morehead City Live Births Where Mother and although it offers a variety of health care services, there are no Smoked During Pregnancy County: 19.5 % satellite or outreach clinics for the more rural areas. State: 14.4% 44.9% of the survey respondents revealed that public transportation issues were one of four significant community health problems in our county. The only general public transportation services is taxi cab services in the Beau- fort, Morehead City and Atlantic Beach areas. There is a countywide transportation service, “Carteret County Area Transportation System (CCATS) which does not pro- vide emergency medical transportation or escort service but does provide Paratransit and Community Transit services. * 2000-2004 age-adjusted rates per 100,000 behind... Our next step in Carteret County is to establish Action Teams to address each health need separately. Among 25 top health issues in the United States, almost one-half (49.4%) of Action Teams will be formed to address survey respondents identified obesity/overweight health status as their chief those top five (5) health priorities: Access concern for Carteret County. It is worth noting that four of the top five health concerns to Care; Obesity, Physical Inactivity, Alco- for the county were lifestyle related, with “access to care” being the one exception. hol/Drug Abuse; and Mental Health issues. These teams will be comprised of indi- Heart disease, cancer, cerebrovascular disease, diabetes and asthma are the viduals with a particular interest, connec- major causes of illness and hospitalization in Carteret County. tion, or expertise on the issue. The Action Teams will pursue a systematic course of In relation to finding and using 29 specific health services in Carteret Coun- action in attempting to fully understand ty, respondents identified the following five issues as being most important: each health issue, develop appropriate in- health care transportation, mental health/counseling, drug and alcohol treatment, lack of terventions, identify resources, and com- private health insurance coverage and home care for the elderly/disabled. plete a plan for implementation. These efforts will be guided by the board With regard to 21 unhealthy behaviors resulting in poor health, survey re- of directors for Healthy Carolinians of spondents felt that five of the top six issues for Carteret County were related Carteret County. to some form of substance abuse (including tobacco, alcohol and drugs). The unhealthy behaviors included alcohol abuse, lack of exercise, drinking and driving, drug abuse, to- bacco use among adults, and tobacco use among those under 18. Narrative comments from survey respondents included issues such as inad- equate mental health services, unsafe roads (for physical or leisure activity), lack of public transportation and over development. Carteret County Health Department Carteret County Parks and Recreation Carteret County Schools Carteret County Department of Social Services A Publication of Healthy Carolinians of Carteret County Carteret General Hospital Coastal Community Action Mayor’s Committee for Persons with Disabilities North Carolina Cooperative Extension – Carteret County Onslow Carteret Behavioral Health Services Community Volunteers If you would like to volunteer Business community Faith-based community to join an Action Team in order to create healthy environments for all citizens in Carteret County where they live, For more information contact: learn, earn, play and pray, please call today. Or, if your Anne Hardison, President/Coordinator Healthy Carolinians of Carteret County group or organization is already working on these P.O. Box 754 issues, please let us know. Morehead City, NC 28557 252.222.3439 (office) email@example.com Data in this document was taken from the Carteret County 2005 Community Health Assessment – a report issued by the Carteret County Health Department and Healthy Carolinians of Carteret County. Full report can be downloaded at www.healthycarteret.org Funding for the completion of the Carteret County 2005 Community Health Assessment and printing of this publication provided by Healthy Carolinians of Carteret County and the Carteret County Health Department.