adair county

Document Sample
adair county Powered By Docstoc
					                   adair county                           Adair County
                                                          Adair County performed better than the state on some of the
                                                          health indicators presented in this document. Overall, though,
                                                          Adair County performed relatively poorly on most health out-
ADAIR COUNTY
                                                          comes.
(MEASURE; GRADE)

MORTALITY
                                                          The rate of mortality from all causes was higher for Adair
INFANT (RATE PER 1,000)         7.5           C           County residents than for all Oklahomans. Rates for specific
TOTAL (RATE PER 100,000)     1073.1                   F   causes of death, including stroke, suicide, and influenza/
                                                          pneumonia, as well as the infant mortality rate were lower than
LEADING CAUSES OF DEATH
(RATE PER 100,000)                                        the state’s average. Of particular concern for Adair County is
HEART DISEASE                 265.2                   F   the rate of diabetes mortality, which was almost three times
CANCER                        233.0                   F   higher than the state’s rate. While diabetes mortality was high,
STROKE                         43.8           C           the prevalence of diabetes in Adair County was actually esti-
CHRONIC LOWER RESPIRATORY      69.3                   F   mated to be a little less than the state’s prevalence of 10.2
  DISEASE
                                                          percent.
UNINTENTIONAL INJURY              64.1                F
DIABETES                          86.0                F   Outcomes for engaging in healthy behaviors among Adair
INFLUENZA/PNEUMONIA               16.4    B               County residents were generally poor. For most indicators,
ALZHEIMER’S DISEASE               29.3            D
                                                          rates were worse than the state’s rates. One exception was
NEPHRITIS (KIDNEY DISEASE)        28.0                F
SUICIDE                           11.5        C
                                                          that a larger proportion of children under the age of three years
                                                          had received the recommended immunizations compared to
DISEASE
                                                          children across the state. Unfortunately, the teen fertility rate
DIABETES PREVALENCE             8.8%              D
                                                          in Adair County was almost 72 percent higher than the state’s
ASTHMA PREVALENCE              11.8%                  F
CANCER INCIDENCE              510.2                   F
                                                          teen fertility rate.
 (RATE PER 100,000)
                                                          Factors that may impact the county’s health status are socio-
RISK FACTORS & BEHAVIORS                                  economic status and access to healthcare. A larger percentage
FRUIT/VEGETABLE CONSUMPTION       12.9%               F   of individuals were living in poverty in Adair County compared
NO PHYSICAL ACTIVITY              37.5%               F   to the state as a whole. Fewer adults were without health insur-
SMOKING                           32.8%               F
                                                          ance, though the proportion of individuals without a personal
OBESITY                           32.1%               F
IMMUNIZATIONS < 3 YEARS           82.1%       C
                                                          health care provider were similar.
SENIORS FLU VACCINATION           64.0%               F
SENIORS PNEUMONIA VACCINATION     52.9%               F
LIMITED ACTIVITY DAYS (AVG)        6.9                F
POOR MENTAL HEALTH DAYS (AVG)      3.7            D
POOR PHYSICAL HEALTH DAYS (AVG)    5.2            D
GOOD OR BETTER HEALTH RATING      73.3%               F
TEEN FERTILITY (RATE PER 1,000)   47.8                F
FIRST TRIMESTER PRENATAL CARE     72.0%               F
LOW BIRTH WEIGHT                   8.1%       C
ADULT DENTAL VISITS               44.1                F
USUAL SOURCE OF CARE              77.9%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             18.9%           D
POVERTY                           22.4%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 80
              alfalfa county                                Alfalfa County
                                                            Alfalfa County performed relatively well on many of the health
                                                            indicators presented in this document. Because Alfalfa County
                                                            consists of a small population, and because some events oc-
ALFALFA COUNTY                                              curred infrequently, reliable rates could not be produced for
(MEASURE; GRADE)
                                                            some indicators.
MORTALITY
INFANT (RATE PER 1,000)         -                           The rate of mortality from all causes was approximately 25
TOTAL (RATE PER 100,000)      758.4             C           percent lower for Alfalfa County residents than for all Oklaho-
                                                            mans. Only the rates for unintentional injury and influenza/
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                            pneumonia deaths were higher than the state’s rates.
HEART DISEASE                 207.3             C
                                                            Outcomes for engaging in healthy behaviors among Alfalfa
CANCER                        138.4     A
                                                            County residents were mixed. A smaller proportion of Alfalfa
STROKE                         57.0                 D
CHRONIC LOWER RESPIRATORY      38.5         B               County children under the age of three years had received the
  DISEASE                                                   recommended immunizations compared to children across the
UNINTENTIONAL INJURY           67.5                     F   state. However, the teen fertility rate was much lower and the
DIABETES                       26.3             C           proportion of low birth weight infants was similar to the state’s
INFLUENZA/PNEUMONIA            36.2                     F   proportion. While residents of the county experienced a similar
ALZHEIMER’S DISEASE             7.3     A
                                                            number of mentally unhealthy days as state residents, they
NEPHRITIS (KIDNEY DISEASE)     20.1                 D
                                                            experienced 1.2 more physically unhealthy days. Socioeco-
SUICIDE                         6.5         B
                                                            nomic status is an important factor in assessing health status,
DISEASE                                                     and a larger percentage of individuals were living in poverty in
DIABETES PREVALENCE             -
                                                            Alfalfa County compared to the state as a whole.
ASTHMA PREVALENCE               -
CANCER INCIDENCE              431.1         B
 (RATE PER 100,000)

RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION      -
NO PHYSICAL ACTIVITY             -
SMOKING                          -
OBESITY                          -
IMMUNIZATIONS < 3 YEARS         70.0%                   F
SENIORS FLU VACCINATION          -
SENIORS PNEUMONIA VACCINATION -
LIMITED ACTIVITY DAYS (AVG)      -
POOR MENTAL HEALTH DAYS (AVG)    3.4%           C
POOR PHYSICAL HEALTH DAYS (AVG) 6.1%                    F
GOOD OR BETTER HEALTH RATING     -
TEEN FERTILITY (RATE PER 1,000) 17.7%       B
FIRST TRIMESTER PRENATAL CARE 75.7%                 D
LOW BIRTH WEIGHT                 8.5%           C
ADULT DENTAL VISITS              -
USUAL SOURCE OF CARE             -

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE           -
POVERTY                        16.0%                D




                                                                   2008 STATE OF THE STATE’S HEALTH REPORT l 81
                 atoka county                                 Partnership for Change Coalition
                                                              Coalition Priorities
                                                              - Tobacco control
                                                              - Teen pregnancy prevention
ATOKA COUNTY                                                  - Methamphetamine prevention
(MEASURE; GRADE)
                                                              - Reduce health disparities
MORTALITY                                                     - Youth leadership and empowerment
INFANT (RATE PER 1,000)        10.0                       F   - Community development
TOTAL (RATE PER 100,000)      890.4                   D
                                                              About Us
LEADING CAUSES OF DEATH
                                                              Partnership for Change (PFC) is an active group of individuals
(RATE PER 100,000)
HEART DISEASE                 281.8                       F   working to improve the health of citizens of Atoka and Coal
CANCER                        180.6               C           counties. Since its development in 2001, the partnership has
STROKE                         59.9                       F   maintained a successful collaborative effort striving to meet
CHRONIC LOWER RESPIRATORY      62.2                       F   the needs of the families and communities of both counties.
  DISEASE                                                     PFC has successfully implemented a comprehensive tobacco
UNINTENTIONAL INJURY              65.1                    F
                                                              control program that has provided cessation resources, youth
DIABETES                          26.1            C
                                                              development and empowerment, tobacco free policies and
INFLUENZA/PNEUMONIA                -
ALZHEIMER’S DISEASE               10.2    A                   environments, developed community education campaigns,
NEPHRITIS (KIDNEY DISEASE)        23.3                    F   provided youth and student education and even prevented
SUICIDE                           17.1                    F   tobacco sponsorship in their area. Recently the partnership
                                                              was awarded funding for a youth special project through the
DISEASE
DIABETES PREVALENCE             8.5%              C           Oklahoma Commission on Children and Youth (OCCY) which
ASTHMA PREVALENCE              10.1%                      F   will allow the coalition to send area youth to the 2 Much 2 Lose
CANCER INCIDENCE              409.0 A                         Training and bring the underage drinking initiative back to area
 (RATE PER 100,000)                                           schools. They have held town hall meetings and are working on
RISK FACTORS & BEHAVIORS                                      passing the Social Host Ordinance to prevent underage drink-
FRUIT/VEGETABLE CONSUMPTION        -                          ing. The coalition is currently partnering with the Department of
NO PHYSICAL ACTIVITY              32.3%                   F   Mental Health and Substance Abuse to implement a Metham-
SMOKING                           29.0%                   F   phetamine Prevention Grant in Atoka County and have started
OBESITY                           30.2%               D       Too Good For Drugs curriculum in three schools in the county.
IMMUNIZATIONS < 3 YEARS           81.1%           C
                                                              Through the Meth Prevention Project they have seen many new
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -
                                                              partners and sectors of the community become involved in the
LIMITED ACTIVITY DAYS (AVG)        5.6                D       coalition’s efforts.
POOR MENTAL HEALTH DAYS (AVG)      5.2                    F
                                                              Partnership for Change continues to improve the health of the
POOR PHYSICAL HEALTH DAYS (AVG)    5.3                    F
GOOD OR BETTER HEALTH RATING      77.8%                   F   area through a strong and dedicated coalition challenged to
TEEN FERTILITY (RATE PER 1,000)   22.8            C           make a difference.
FIRST TRIMESTER PRENATAL CARE     75.6%               D
LOW BIRTH WEIGHT                  10.1%               D       Key Activities
ADULT DENTAL VISITS               51.4%                   F   - ATOD (Alcohol Tobacco and Other Drugs) prevention activities
USUAL SOURCE OF CARE              87.7%       B               - Tobacco control
                                                              - Media campaigns
SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             36.0%               D       - Girl Power and Wise Guys conference
POVERTY                           22.8%               D




                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 82
              beaver county                               Beaver’s Health Awareness Partnership (BHAP)
                                                          Coalition Priorities
                                                          - Development of wellness/fitness center
                                                          - Physical activity
BEAVER COUNTY
(MEASURE; GRADE)                                          About Us
                                                          Beaver’s Health Awareness Partnership (BHAP), located in Bea-
MORTALITY
INFANT (RATE PER 1,000)         -                         ver, a rural community in the Oklahoma panhandle, has one
TOTAL (RATE PER 100,000)      763.7           C           specific goal and that is to establish a Wellness Center in their
                                                          community. This Wellness Center will be a multi-purpose facility
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          that will address many different needs, including a potential
HEART DISEASE                 169.6       B               day-care center that they currently do not have available. In the
CANCER                        180.4           C           past two years they have made a lot of progress towards mak-
STROKE                         40.8       B               ing their dream a reality. Currently they are looking at the possi-
CHRONIC LOWER RESPIRATORY      55.1               D       bility of developing the Center in phases to make it more eco-
  DISEASE                                                 nomically feasible. The group is currently promoting physical
UNINTENTIONAL INJURY              82.2                F
                                                          activity in multiple ways including an annual Walk this Weigh
DIABETES                          22.3    B
INFLUENZA/PNEUMONIA               16.4    B
                                                          event.
ALZHEIMER’S DISEASE               45.7                F
                                                          Key Activities
NEPHRITIS (KIDNEY DISEASE)         -
                                                          - Monthly meetings and partnership expansion
SUICIDE                            -
                                                          - Distributed business plan describing project, floor plan,
DISEASE                                                     and projected budget
DIABETES PREVALENCE             7.3%          C
                                                          - Information booth at Beaver County events
ASTHMA PREVALENCE               -
                                                          - Continued fundraising efforts
CANCER INCIDENCE              427.3       B
 (RATE PER 100,000)                                       - Walk this Weigh month long walking program
                                                          - Promoting physical activity in the community
RISK FACTORS & BEHAVIORS
                                                          - Shared accessible health resources with community
FRUIT/VEGETABLE CONSUMPTION        -
NO PHYSICAL ACTIVITY              36.4%               F
SMOKING                           43.5%               F
OBESITY                           25.1%       C
IMMUNIZATIONS < 3 YEARS           85.1%   B
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -
LIMITED ACTIVITY DAYS (AVG)        -
POOR MENTAL HEALTH DAYS (AVG)      2.9    B
POOR PHYSICAL HEALTH DAYS (AVG)    3.5    B
GOOD OR BETTER HEALTH RATING      74.1%               F
TEEN FERTILITY (RATE PER 1,000)   25.6            D
FIRST TRIMESTER PRENATAL CARE     72.3%               F
LOW BIRTH WEIGHT                   7.5%   B
ADULT DENTAL VISITS               50.4%               F
USUAL SOURCE OF CARE              71.2%               F

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             28.9%               F
POVERTY                           12.2%       C




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 83
       beckham county                                     OUR Turning Point Coalition
                                                          Coalition Priorities
                                                          - Positive youth development
                                                          - Health and wellness
BECKHAM COUNTY                                            - ATOD (Alcohol, Tobacco and Other Drugs)
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         6.0       B               There were three groups meeting regularly within Beckham and
TOTAL (RATE PER 100,000)     1091.6                   F   Roger Mills counties. These were Systems of Care, Western
                                                          Oklahoma Tobacco Control Coalition and the Sayre Resource
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          Network. All parties involved agreed to merge into one coalition
HEART DISEASE                 269.8                   F   and the OUR Turning Point Coalition covering Beckham – Roger
CANCER                        219.6                   F   Mills counties was created. Through the Meth Prevention grant
STROKE                         41.2       B               funded by Oklahoma Department of Mental Health and Sub-
CHRONIC LOWER RESPIRATORY      63.9                   F   stance Abuse Services, they implemented Creating Lasting
  DISEASE                                                 Family Connections (CLFC) an evidence-based program. CLFC
UNINTENTIONAL INJURY              86.0                F
                                                          will increase awareness of the significant dangers of meth use,
DIABETES                          44.0                F
                                                          interrupt the cycle of parents passing their habits on to their
INFLUENZA/PNEUMONIA               37.9                F
ALZHEIMER’S DISEASE               45.1                F   children, prevent initiation and help those who are seeking an
NEPHRITIS (KIDNEY DISEASE)        19.3            D       intervention. The coalition has also worked very hard with a
SUICIDE                           22.9                F   design company in Oklahoma City to develop a meth preven-
DISEASE
                                                          tion campaign. OUR Turning Point Coalition covering Beckham
DIABETES PREVALENCE             8.7%          C           – Roger Mills counties is primed and ready to aggressively ad-
ASTHMA PREVALENCE              16.4%                  F   dress the very issues impacting resident’s health, specifically,
CANCER INCIDENCE              506.0                   F   tobacco use, underage drinking, meth use and obesity.
 (RATE PER 100,000)
                                                          Key Activities
RISK FACTORS & BEHAVIORS
                                                          - Coalition planning and development
FRUIT/VEGETABLE CONSUMPTION        -
                                                          - Methamphetamine Prevention Project
NO PHYSICAL ACTIVITY              35.7%               F
SMOKING                           29.2%               F   - SWAT (Students Working Against Tobacco) team float
OBESITY                           29.4%           D         in Rodeo Parade
IMMUNIZATIONS < 3 YEARS           81.4%       C           - Community Assessment
SENIORS FLU VACCINATION           67.3%           D       - Promotion of tobacco free policies among cities and schools
SENIORS PNEUMONIA VACCINATION     62.4%           D       - Elk City Schools participated in International Walk to School Day
LIMITED ACTIVITY DAYS (AVG)        6.8                F
                                                          - Development of meth prevention media campaign
POOR MENTAL HEALTH DAYS (AVG)      4.3                F
                                                          - Extensive media coverage of local tobacco prevention efforts
POOR PHYSICAL HEALTH DAYS (AVG)    5.8                F
GOOD OR BETTER HEALTH RATING      80.4%           D       - SWAT (Students Working Against Tobacco) teams participated
TEEN FERTILITY (RATE PER 1,000)   29.7            D         in Kick Butts events including Project 1200
FIRST TRIMESTER PRENATAL CARE     42.3%               F   - Advocated for local Social Host Ordinances
LOW BIRTH WEIGHT                   8.5%       C           - Hosted town hall meeting focused on underage drinking
ADULT DENTAL VISITS               57.0%               F   - Pursuing YMCA in Elk City
USUAL SOURCE OF CARE              85.6%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             27.5%               F
POVERTY                           17.5%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 84
               blaine county                              Blaine County Community Health Action Team
                                                          Coalition Priorities
                                                          - ATOD (Alcohol, Tobacco and Other Drugs) prevention
                                                          - Resources for disadvantaged children
BLAINE COUNTY                                             - Positive youth development
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         9.7                   F   Blaine County Community Health Action Team (BCCHAT) was
TOTAL (RATE PER 100,000)      951.5                   F   originally developed as a Child Abuse Prevention Task Force to
                                                          address child welfare and substance abuse in the county. Due
LEADING CAUSES OF DEATH
                                                          to awareness of needs within the county, the Task Force ex-
(RATE PER 100,000)
HEART DISEASE                 321.8                   F   panded to include the general, cultural and emotional welfare
CANCER                        176.9           C           of the children and youth and community health. In 2002, the
STROKE                         54.8               D       Task Force was designated a Turning Point Initiative and a
CHRONIC LOWER RESPIRATORY      48.3               D       Partner with the Oklahoma Commission on Children and Youth,
  DISEASE                                                 and renamed Blaine County Community Health Action Team.
UNINTENTIONAL INJURY              71.3                F
                                                          The partnership correspondingly expanded, including parents,
DIABETES                          51.9                F
                                                          schools, DHS, YWCA, community leaders, elected officials,
INFLUENZA/PNEUMONIA               25.2            D
ALZHEIMER’S DISEASE                -                      county health department, ministers, business community,
NEPHRITIS (KIDNEY DISEASE)        18.9            D       youth, civic groups and Indian Health Services. In 2004, the
SUICIDE                            -                      needs of youth disabilities began to be addressed via a part-
                                                          nership with Sooner SUCCESS and soon after partnered with
DISEASE
DIABETES PREVALENCE            15.1%                  F   Great Plains System of Care to begin helping children, youth
ASTHMA PREVALENCE               8.9%          C           and families function better at home, in school, in the commu-
CANCER INCIDENCE              424.3       B               nity and throughout life.
 (RATE PER 100,000)
                                                          Key Activities
RISK FACTORS & BEHAVIORS
                                                          - Girl Power and Wise Guys
FRUIT/VEGETABLE CONSUMPTION        -
                                                          - Lunch and learn on Insure Oklahoma
NO PHYSICAL ACTIVITY              43.2%               F
SMOKING                           34.4%               F   - Partnered with Kingfisher County to apply for the Tobacco
OBESITY                           43.0%               F     Settlement Endowment Trust grant
IMMUNIZATIONS < 3 YEARS           78.7%       C           - Promotion of the Make It Your Business campaign
SENIORS FLU VACCINATION           68.6%           D       - Sponsored a recreation center team in the 2007 Blaine
SENIORS PNEUMONIA VACCINATION     66.0%       C             County Relay for Life
LIMITED ACTIVITY DAYS (AVG)        6.3                F
                                                          - 5th Annual Youth Listening Luncheon
POOR MENTAL HEALTH DAYS (AVG)      3.6            D
                                                          - Co-sponsored a Parent Resource Fair with Sooner SUCCESS
POOR PHYSICAL HEALTH DAYS (AVG)    6.4                F
GOOD OR BETTER HEALTH RATING      63.5%               F   - Participated in the tri-county youth conference
TEEN FERTILITY (RATE PER 1,000)   28.1            D       - 8th grade health fair
FIRST TRIMESTER PRENATAL CARE     79.5%           D       - Recreation center clean up
LOW BIRTH WEIGHT                  10.7%               F   - Sooner SUCCESS autism workshop
ADULT DENTAL VISITS               46.1%               F   - Implemented Risk Watch
USUAL SOURCE OF CARE              86.5%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             17.5%           D
POVERTY                           21.7%               F




                                                                2008 STATE OF THE STATE’S HEALTH REPORT l 85
                 bryan county                             Bryan County Turning Point Coalition
                                                          Coalition Priorities
                                                          - Healthy lifestyles
                                                          - Drug free community
BRYAN COUNTY                                              - Community collaboration and awareness
(MEASURE; GRADE)
                                                          - Youth and family development and education
MORTALITY                                                 - Economic development
INFANT (RATE PER 1,000)         8.6               D
TOTAL (RATE PER 100,000)     1045.8                   F   About Us
                                                          The Bryan County Turning Point Coalition (BCTPC) became a
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          Turning Point partnership in 2002. Coalition members repre-
HEART DISEASE                 279.9                   F   sent many sectors of the community that contribute to the coa-
CANCER                        216.4                   F   lition’s successes and effectiveness. Serving as a role model to
STROKE                         59.8                   F   other counties, the BCTPC is a leader in drug, alcohol and to-
CHRONIC LOWER RESPIRATORY      71.1                   F   bacco initiatives and prevention strategies. In 2008, energies
  DISEASE                                                 have also focused on a healthy workforce, literacy, injury pre-
UNINTENTIONAL INJURY              74.5                F
                                                          vention (traffic safety), fitness, nutrition and school health. This
DIABETES                          39.8                F
                                                          partnership believes in the Turning Point philosophy that only
INFLUENZA/PNEUMONIA               16.2    B
ALZHEIMER’S DISEASE               28.1            D       through a community-based, decision-making process where
NEPHRITIS (KIDNEY DISEASE)        14.1        C           community citizens tap into their own resources, strengths, and
SUICIDE                           18.7                F   visions is when we can effectively promote positive and sus-
DISEASE
                                                          tainable changes in the public’s health and the public health
DIABETES PREVALENCE            11.7%                  F   system.
ASTHMA PREVALENCE               6.5% A
                                                          Key Activities
CANCER INCIDENCE              501.5                   F
 (RATE PER 100,000)                                       - 3rd Annual Turning Point Chili Challenge
                                                          - Pandemic influenza community planning meeting
RISK FACTORS & BEHAVIORS
                                                          - Teen pregnancy prevention activities
FRUIT/VEGETABLE CONSUMPTION        9.0%               F
                                                          - Alcohol enforcement activities with Durant Police Department
NO PHYSICAL ACTIVITY              34.5%               F
SMOKING                           31.0%               F   - Youth leadership development (underage alcohol use
OBESITY                           27.2%       C             prevention training)
IMMUNIZATIONS < 3 YEARS           81.1%       C           - Male health involvement initiatives
SENIORS FLU VACCINATION           66.9%           D       - Health promotion activities (CATCH)
SENIORS PNEUMONIA VACCINATION     71.1%   B               - Media campaigns on positive health promotion
LIMITED ACTIVITY DAYS (AVG)        6.4                F
                                                          - Make It Your Business (worksite wellness promotion)
POOR MENTAL HEALTH DAYS (AVG)      4.5                F
                                                          - ‘Walk and Roll to School’ Day
POOR PHYSICAL HEALTH DAYS (AVG)    5.1            D
GOOD OR BETTER HEALTH RATING      72.1%               F   - Coalition self assessment - character education
TEEN FERTILITY (RATE PER 1,000)   36.6                F   - Adolescent health conference
FIRST TRIMESTER PRENATAL CARE     78.3%           D       - Parent education workshops
LOW BIRTH WEIGHT                   8.3%       C           - Summer camp for at-risk youth
ADULT DENTAL VISITS               56.5%               F   - Drug free community grant
USUAL SOURCE OF CARE              73.6%           D
                                                          - Violence prevention
SOCIOECONOMIC FACTORS                                     - HPV vaccination promotion/education
NO INSURANCE COVERAGE             23.4%               F   - Tobacco prevention
POVERTY                           21.9%               F   - Students Working Against Tobacco (SWAT) development



                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 86
                caddo county                              Caddo County Interagency Coalition
                                                          Coalition Priorities
                                                          - Physical activity and nutrition
                                                          - Substance abuse prevention
CADDO COUNTY                                              - Suicide prevention
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         8.0               D       When the Caddo County Interagency Coalition (CCIC) was origi-
TOTAL (RATE PER 100,000)     1048.4                   F   nally established, the intent was one of information sharing
                                                          and resource networking. Members were a group of concerned
LEADING CAUSES OF DEATH
                                                          health professionals interested in finding out about services
(RATE PER 100,000)
HEART DISEASE                 297.9           C           available to their clients and sharing information about their
CANCER                        221.0                   F   own agencies. CCIC has grown and expanded their vision and
STROKE                         44.1                   F   become an action-oriented coalition. CCIC is committed to
CHRONIC LOWER RESPIRATORY      48.9               D       building a healthier future for the children of Caddo County by
  DISEASE                                                 changing attitudes and public policies related to a healthy com-
UNINTENTIONAL INJURY              68.6                F
                                                          munity and implementing effective programs.
DIABETES                          61.1                F
INFLUENZA/PNEUMONIA               33.2                F   Suicides have become an all too familiar tragedy in Caddo
ALZHEIMER’S DISEASE               29.1            D
                                                          County. CCIC is in their second year of a three-year suicide pre-
NEPHRITIS (KIDNEY DISEASE)        28.2                F
                                                          vention grant through the Department of Mental Health and
SUICIDE                           11.2        C
                                                          Substance Abuse Services.
DISEASE
DIABETES PREVALENCE            13.0%                  F   Key Activities
ASTHMA PREVALENCE               8.5%          C           - Partnered with local youth coalition
CANCER INCIDENCE              473.5               D       - Promoted 24/7 Tobacco Free policy in all county schools
 (RATE PER 100,000)
                                                          - Back-to-School Bash
RISK FACTORS & BEHAVIORS                                  - Teen leadership lock-in
FRUIT/VEGETABLE CONSUMPTION        8.0%               F   - Reward Reminder visits with youth
NO PHYSICAL ACTIVITY              28.2%           D       - Free family fun fair
SMOKING                           17.6%   B
                                                          - Suicide prevention training for community
OBESITY                           31.1%               F
                                                          - ‘Walk 4 Lives,’ community walk during National Suicide
IMMUNIZATIONS < 3 YEARS           72.8%               F
SENIORS FLU VACCINATION           71.1%       C
                                                            Prevention Week
SENIORS PNEUMONIA VACCINATION     65.2%           D       - Co-ed 3-on-3 basketball tournament
LIMITED ACTIVITY DAYS (AVG)        4.4    B               - Celebration of Life Pow-Wow
POOR MENTAL HEALTH DAYS (AVG)      3.8            D       - Thursday Teen Night
POOR PHYSICAL HEALTH DAYS (AVG)    3.9    B               - Parent university
GOOD OR BETTER HEALTH RATING      83.5%       C
                                                          - Youth participated in Youth Day at the capitol
TEEN FERTILITY RATE (PER 1,000)   32.1            D
                                                          - Operation Storefront
FIRST TRIMESTER PRENATAL CARE     78.6%           D
LOW BIRTH WEIGHT                   8.4%       C
ADULT DENTAL VISITS               54.4%               F
USUAL SOURCE OF CARE              82.9%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             16.1%       C
POVERTY                           21.2%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 87
       canadian county                                    Canadian County Community Health Action Team
                                                          Coalition Priorities
                                                          - Public awareness on issues relating to children
                                                          - Increase usage of EPSDT screenings
CANADIAN COUNTY                                           - Parent education
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         7.2           C           The Canadian County Coalition for Children and Families was
TOTAL (RATE PER 100,000)      836.0           C           organized in September 1996 and has always had great vision
                                                          and partnerships. The coalition provides a forum for network-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          ing, sharing of information, professional training and public
HEART DISEASE                 238.0               D       awareness on issues relating to children. It strives to support
CANCER                        178.7           C           and participate in a variety of different programs and commit-
STROKE                         52.5               D       tees and look forward to increasing participation. Additionally,
CHRONIC LOWER RESPIRATORY      49.2               D       the coalition is very excited about the continuing endeavors
  DISEASE                                                 with the Access to HealthCare Committee. This Committee is
UNINTENTIONAL INJURY              40.6        C
                                                          looking at expanding the way children are seen and referred to
DIABETES                          27.2            D
                                                          in the healthcare system by increasing the EPSDT screenings.
INFLUENZA/PNEUMONIA               23.4            D
ALZHEIMER’S DISEASE               26.3            D       This year the committee has been researching transportation
NEPHRITIS (KIDNEY DISEASE)        11.5    B               issues that are affecting their families.
SUICIDE                           14.6            D
                                                          Mustang - The Mustang Coalition is in the planning stages and
DISEASE                                                   they are working on building their membership and developing
DIABETES PREVALENCE             7.0%      B
                                                          their strategic planning. This group has great participation from
ASTHMA PREVALENCE               8.4%          C
                                                          the youth in the community and is working towards hosting a
CANCER INCIDENCE              487.2               D
 (RATE PER 100,000)                                       Town Hall meeting on Underage Drinking Prevention. The coali-
                                                          tion is also working on tobacco policies in the Mustang area.
RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION       15.2%               F   Key Activities
NO PHYSICAL ACTIVITY              25.4%           D       - Partnered with El Reno Public Schools on ‘Safe Schools,
SMOKING                           24.0%           D
                                                            Healthy Students’ federal grant
OBESITY                           23.2%  B
                                                          - Health fair
IMMUNIZATIONS < 3 YEARS           76.7%           D
SENIORS FLU VACCINATION           69.8%           D       - Promoted Child Abuse Prevention Awareness Month
SENIORS PNEUMONIA VACCINATION     67.3%    C              - Town hall meetings
LIMITED ACTIVITY DAYS (AVG)        3.4 A                  - Tobacco prevention
POOR MENTAL HEALTH DAYS (AVG)      3.8            D       - Underage drinking prevention
POOR PHYSICAL HEALTH DAYS (AVG)    3.4   B                - SWAT (Students Working Against Tobacco) activities
GOOD OR BETTER HEALTH RATING      88.7%  B
TEEN FERTILITY RATE (PER 1,000)   14.6   B
FIRST TRIMESTER PRENATAL CARE     90.2%  B
LOW BIRTH WEIGHT                   7.2%  B
ADULT DENTAL VISITS               71.3%    C
USUAL SOURCE OF CARE              80.3%    C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             18.0%           D
POVERTY                            8.6%   B




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 88
                carter county                             Carter County Turning Point Coalition
                                                          Coalition Priorities
                                                          - Community health
                                                          - Violence prevention
CARTER COUNTY                                             - Infrastructure development
(MEASURE; GRADE)
                                                          - Youth health and development
MORTALITY                                                 - Parenting skills and education
INFANT (RATE PER 1,000)         6.2           C           - Tobacco prevention
TOTAL (RATE PER 100,000)     1071.5                   F
                                                          - Substance abuse prevention
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          About Us
HEART DISEASE                 295.2                   F   The Carter County Turning Point Coalition began in 1998. Early
CANCER                        204.3               D       partners included public and private partners such as local law
STROKE                         63.1                   F   enforcement officials, hospital leadership, education representa-
CHRONIC LOWER RESPIRATORY      73.9                   F   tives, concerned citizens and local business owners. The group
  DISEASE                                                 prioritized community problems such as drug and tobacco usage
UNINTENTIONAL INJURY              75.6                F
                                                          along with limited outdoor exercise trails and the high rate of teen
DIABETES                          37.3                F
INFLUENZA/PNEUMONIA               39.2                F
                                                          pregnancy. The Coalition was awarded one of the first wave of
ALZHEIMER’S DISEASE               21.1        C           Communities of Excellence grants through Tobacco Settlement
NEPHRITIS (KIDNEY DISEASE)        20.0            D       Endowment Trust. In the spring of 2008 the Coalition revitalized
SUICIDE                           18.8                F   its membership by hosting a Community Forum that engaged par-
DISEASE
                                                          ticipants to identify community health and social issues that im-
DIABETES PREVALENCE             8.6%          C           pact individuals’ quality of life. The Forum was very well attended
ASTHMA PREVALENCE               8.7%          C           and served many purposes. It enhanced collaboration among
CANCER INCIDENCE              494.1               D       current members, it identified new community stakeholders and
 (RATE PER 100,000)                                       provided a process for everyone’s voice to be heard. A facilitator
RISK FACTORS & BEHAVIORS                                  guided a process to identify the coalition’s priority issues and pro-
FRUIT/VEGETABLE CONSUMPTION       20.5%           D       vided a setting for discussion to get input and ideas for implemen-
NO PHYSICAL ACTIVITY              36.3%               F   tation of efforts to improve the status of each priority area. In the
SMOKING                           25.6%               F   months following the Forum, the coalition has adopted by-laws;
OBESITY                           25.9%       C
                                                          developed working committees for each of the seven identified
IMMUNIZATIONS < 3 YEARS           77.8%       C
                                                          priority areas and completed the development of a strategic plan
SENIORS FLU VACCINATION           64.7%               F
SENIORS PNEUMONIA VACCINATION     64.7%           D
                                                          for implementing the programs/activities to address each priority.
LIMITED ACTIVITY DAYS (AVG)        7.3                F
                                                          Key Activities
POOR MENTAL HEALTH DAYS (AVG)      4.7                F
POOR PHYSICAL HEALTH DAYS (AVG)    4.1        C
                                                          - Tobacco prevention and control
GOOD OR BETTER HEALTH RATING      76.1%               F   - SWAT (Students Working Against Tobacco) activities
TEEN FERTILITY (RATE PER 1,000)   31.7            D       - Methamphetamine prevention and Crystal Darkness campaign
FIRST TRIMESTER PRENATAL CARE     87.1%   B               - Substance abuse conference
LOW BIRTH WEIGHT                  10.4%               F   - Health equities/disparities and minority health
ADULT DENTAL VISITS               56.5%               F   - Abstinence education
USUAL SOURCE OF CARE              77.1%           D
                                                          - Underage drinking initiatives and Social Host Law
SOCIOECONOMIC FACTORS                                     - Parent education workshops
NO INSURANCE COVERAGE             19.1%           D       - Health education
POVERTY                           17.0%           D       - Back-to-School Bash
                                                          - Youth Speak Out


                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 89
       cherokee county                                        Cherokee County Community Health Coalition
                                                              Coalition Priorities
                                                              - Health education (physical fitness and nutrition)
                                                              - Safe Kids Coalition
CHEROKEE COUNTY                                               - Tobacco prevention
(MEASURE; GRADE)
                                                              - Health information technology
MORTALITY
INFANT (RATE PER 1,000)         9.3                   D       About Us
TOTAL (RATE PER 100,000)     1049.8                       F   Cherokee County Community Health Coalition was one of the
                                                              first Oklahoma Turning Point Initiative partners. Partners and
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              activities grow and expand each year. Walk this Weigh events
HEART DISEASE                 296.3                       F   are held four times a year. The Healthy Worksite Initiative
CANCER                        195.2                   D       helped NEO Health with wellness challenges, and they were
STROKE                         71.9                       F   awarded the 2008 Cherokee County Healthy Worksite Award.
CHRONIC LOWER RESPIRATORY      64.2                       F   Help in Crisis offered the Healthy Women’s Curriculum and
  DISEASE                                                     Cookson Hills Community Action added wellness activities.
UNINTENTIONAL INJURY              69.3                    F
                                                              Healthy Women Classes educated 63 women about nutrition
DIABETES                          36.5                    F
                                                              and exercise. Of those that recorded pre- and post-weight,
INFLUENZA/PNEUMONIA               24.9                D
ALZHEIMER’S DISEASE               13.3    A                   more than 80 percent lost weight. Healthy Mothers/Healthy
NEPHRITIS (KIDNEY DISEASE)        18.5                D       Daughters classes taught the importance of nutrition, portion
SUICIDE                           18.5                    F   control, and physical activity and helped participants set goals
DISEASE
                                                              for a healthy lifestyle.
DIABETES PREVALENCE            11.4%                      F
                                                              CATCH Kids Club is an after school program teaching nutrition
ASTHMA PREVALENCE               9.4%                  D
                                                              and physical activity. Tobacco Prevention partners with Chero-
CANCER INCIDENCE              429.9           B
 (RATE PER 100,000)                                           kee Nation to provide smoking cessation classes at no cost,
                                                              sponsor the Junior Rodeo Association, and provide other activi-
RISK FACTORS & BEHAVIORS
                                                              ties. More than 300 parents signed smoke-free home pledges.
FRUIT/VEGETABLE CONSUMPTION       17.4%                   F
NO PHYSICAL ACTIVITY              35.2%                   F   The Health Coalition worked closely with the Cherokee County
SMOKING                           30.4%                   F
                                                              Health Service Council on project SMRTNET. In March 2008,
OBESITY                           27.3%           C
                                                              SMRTNET finished the pilot phase and went live at Tahlequah
IMMUNIZATIONS < 3 YEARS           83.3%       B
SENIORS FLU VACCINATION           71.1%           C           City Hospital, Northeastern State University and NEO Health. In
SENIORS PNEUMONIA VACCINATION     71.0%       B               May 2008, eleven hospitals affiliated with the Greater Okla-
LIMITED ACTIVITY DAYS (AVG)        7.2                    F   homa City Hospital Coalition signed a three-year contract for
POOR MENTAL HEALTH DAYS (AVG)      4.7                    F   SMRTNET services.
POOR PHYSICAL HEALTH DAYS (AVG)    6.2                    F
GOOD OR BETTER HEALTH RATING      71.6%                   F   Key Activities
TEEN FERTILITY (RATE PER 1,000)   34.7                    F   - Women’s Health seminar luncheons and classes
FIRST TRIMESTER PRENATAL CARE     68.5%                   F   - Healthy Mothers/Healthy Daughters classes
LOW BIRTH WEIGHT                   7.7%           C
                                                              - Healthy Worksite initiative
ADULT DENTAL VISITS               55.7%                   F
                                                              - Walk This Weigh events
USUAL SOURCE OF CARE              68.0%                   F
                                                              - CATCH Kids Club
SOCIOECONOMIC FACTORS                                         - Monthly “Tips for a Healthier You” posters
NO INSURANCE COVERAGE             32.7%                   F
                                                              - Arthritis Foundation Self-Help Class
POVERTY                           21.2%                   F
                                                              - Parent/Child Nutrition Classes
                                                              - SWAT (Students Working Against Tobacco) Activities

                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 90
          choctaw county                                  Believers In Boswell Community Coalition
                                                          Coalition Priorities
                                                          - Partnerships with community and county organizations
                                                          - Boswell youth center
CHOCTAW COUNTY                                            - Youth education and development
(MEASURE; GRADE)
                                                          - Community healthy living initiatives
MORTALITY                                                 - Community development and beautification
INFANT (RATE PER 1,000)        12.6                   F   - Community outreach and family activities
TOTAL (RATE PER 100,000)     1145.0                   F
                                                          About Us
LEADING CAUSES OF DEATH
                                                          ‘Working Together for a Greater Boswell’ is the simple mission
(RATE PER 100,000)
HEART DISEASE                 364.1                   F   statement of the Believers In Boswell Community Coalition, Inc.
CANCER                        261.3                   F   (BIB). Throughout 2008, the members of BIB have worked non-
STROKE                         51.7               D       stop to promote programs and projects designed to fulfill the
CHRONIC LOWER RESPIRATORY      69.4                   F   objectives set forth in their 2008 strategic plan. Boswell is the
  DISEASE                                                 smallest community to receive an “Excellence Award for Com-
UNINTENTIONAL INJURY              66.8                F
                                                          munity Development.” The Boswell Youth Center looks forward
DIABETES                          28.2            D
                                                          to its grand opening in 2009. The Boswell Plan4College Center
INFLUENZA/PNEUMONIA               38.3                F
ALZHEIMER’S DISEASE               22.3        C           will be moved to a permanent home within the youth center.
NEPHRITIS (KIDNEY DISEASE)        13.5        C           BIB applied for and received a $10,000 CBO grant that will
SUICIDE                           21.4                F   help advance the Plan4College Center in its efforts to increase
                                                          enrollment of 8th - 10th grade students within the Boswell,
DISEASE
DIABETES PREVALENCE             7.4%          C           Bennington, and Soper school districts. With the completion of
ASTHMA PREVALENCE               4.2% A                    the Energy Efficient Lighting Improvement Project at the
CANCER INCIDENCE              571.4                   F   Boswell Park, residents and visitors alike can enjoy our
 (RATE PER 100,000)                                       beautiful little park in comfort and safety. The latest park
RISK FACTORS & BEHAVIORS                                  improvement project to be kicked off by BIB is the “Project
FRUIT/VEGETABLE CONSUMPTION        -                      Playground.”
NO PHYSICAL ACTIVITY              32.0%               F
SMOKING                           34.0%               F   Key Activities
OBESITY                           23.6%   B               - 2008 strategic planning
IMMUNIZATIONS < 3 YEARS           74.6%           D       - Boswell Youth Center
SENIORS FLU VACCINATION           66.8%           D       - Plan4College Center
SENIORS PNEUMONIA VACCINATION     69.0%       C           - 1st Annual Spring-Fling
LIMITED ACTIVITY DAYS (AVG)        7.1                F
                                                          - Project Falvmmichi
POOR MENTAL HEALTH DAYS (AVG)      3.9            D
                                                          - Boswell Park Lighting Project and Project Playground
POOR PHYSICAL HEALTH DAYS (AVG)    5.6                F
GOOD OR BETTER HEALTH RATING      73.7%               F     (new playground equipment)
TEEN FERTILITY (RATE PER 1,000)   41.7                F   - Annual Fall Festival
FIRST TRIMESTER PRENATAL CARE     74.3%               F   - Annual Family Fun Night
LOW BIRTH WEIGHT                  10.8%               F   - SWAT (Students Working Against Tobacco) Kick Butts
ADULT DENTAL VISITS               53.0%               F     on Hollywood Movie Night
USUAL SOURCE OF CARE              72.6%           D
                                                          - Boswell Park clean-up and beautification project
SOCIOECONOMIC FACTORS                                     - Adopt-A-Spot
NO INSURANCE COVERAGE             28.1%               F   - Annual health expo
POVERTY                           27.6%               F   - Received Keep Oklahoma Beautiful mini-grant
                                                          - Annual Dixie Café BBQ Cook Off Antique Car + Tractor Show


                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 91
        cimarron county                                     Cimarron County
                                                            Cimarron County’s performance on the health indicators pre-
                                                            sented in this document was mixed. Because Cimarron County
                                                            consists of a small population, and because some events oc-
CIMARRON COUNTY                                             curred infrequently, reliable rates could not be produced for
(MEASURE; GRADE)
                                                            some indicators.
MORTALITY
INFANT (RATE PER 1,000)         -                           The rate of mortality from all causes was approximately 16
TOTAL (RATE PER 100,000)      820.8             C           percent lower for Cimarron County residents than for all Okla-
                                                            homans. This was due in part to the 67 percent lower rate of
LEADING CAUSES OF DEATH
                                                            cancer mortality. However, mortality rates for some specific
(RATE PER 100,000)
HEART DISEASE                 241.3                 D       causes were extremely high. Mortality rates attributed to diabe-
CANCER                        117.6     A                   tes, unintentional injury, and Alzheimer’s disease were 50 per-
STROKE                          -                           cent, 71 percent, and 150 percent higher, respectively, than
CHRONIC LOWER RESPIRATORY      59.0                     F   the state’s rates.
  DISEASE
UNINTENTIONAL INJURY           95.4                     F   Very few rates for health behavior indicators were able to be
DIABETES                       45.0                     F   reliably determined for Cimarron County residents. The propor-
INFLUENZA/PNEUMONIA             -                           tion of Cimarron County children under the age of three years
ALZHEIMER’S DISEASE            62.2                     F
                                                            who had received the recommended immunizations was the
NEPHRITIS (KIDNEY DISEASE)      -
                                                            same as the state’s proportion of children. The teen fertility
SUICIDE                         -
                                                            rate was 80 percent lower and the proportion of low birth
DISEASE                                                     weight infants was 30 percent lower than the state’s rates.
DIABETES PREVALENCE             -
                                                            However, fewer pregnant women had received adequate pre-
ASTHMA PREVALENCE               -
                                                            natal care compared to the state’s rate.
CANCER INCIDENCE              506.6                     F
 (RATE PER 100,000)
                                                            Socioeconomic status plays an important role in assessing
RISK FACTORS & BEHAVIORS                                    health status and in accessing health care. A larger percentage
FRUIT/VEGETABLE CONSUMPTION      -                          of individuals were living in poverty in Cimarron County com-
NO PHYSICAL ACTIVITY             -                          pared to the state as a whole.
SMOKING                          -
OBESITY                          -
IMMUNIZATIONS < 3 YEARS         80.0%           C
SENIORS FLU VACCINATION          -
SENIORS PNEUMONIA VACCINATION -
LIMITED ACTIVITY DAYS (AVG)      -
POOR MENTAL HEALTH DAYS (AVG)    -
POOR PHYSICAL HEALTH DAYS (AVG) -
GOOD OR BETTER HEALTH RATING     -
TEEN FERTILITY (RATE PER 1,000) 15.4        B
FIRST TRIMESTER PRENATAL CARE 63.4%                     F
LOW BIRTH WEIGHT                 6.4%       B
ADULT DENTAL VISITS              -
USUAL SOURCE OF CARE             -

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE           -
POVERTY                        17.1%                D




                                                                   2008 STATE OF THE STATE’S HEALTH REPORT l 92
       cleveland county                                   Cleveland County Turning Point Coalition
                                                          Coalition Priorities
                                                          - Decrease tobacco use
                                                          - Decrease alcohol consumption by minors
CLEVELAND COUNTY                                          - Decrease obesity rates among residents
(MEASURE; GRADE)
                                                          - Reduce underage drinking
MORTALITY
INFANT (RATE PER 1,000)         6.3           C           About Us
TOTAL (RATE PER 100,000)      867.3               D       Tobacco Free Cleveland County - The Cleveland County Turning
                                                          Point Coalition is well-established and has developed many
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          community initiatives around tobacco use prevention, business
HEART DISEASE                 269.5                   F   wellness, community health improvement, and underage drink-
CANCER                        166.1       B               ing prevention. Some recent successes include: 24/7 no to-
STROKE                         62.0                   F   bacco use policies at schools, SWAT (Students Working Against
CHRONIC LOWER RESPIRATORY      53.2               D       Tobacco) Teams, Lunch and Learn Education events for busi-
  DISEASE                                                 nesses, Walk this Weigh Events, Farmers Markets, and Social
UNINTENTIONAL INJURY              37.8        C
                                                          Host Ordinances.
DIABETES                          25.5        C
INFLUENZA/PNEUMONIA               23.0            D       Key Activities
ALZHEIMER’S DISEASE               17.5    B
                                                          - Healthy Lifestyle Folders for Noble Public School students
NEPHRITIS (KIDNEY DISEASE)        13.7        C
                                                          - City Council passed Youth Access in Noble
SUICIDE                           10.5        C
                                                          - Kick Butts Day at Reeves Park
DISEASE                                                   - Underage drinking prevention forums
DIABETES PREVALENCE             5.3% A
                                                          - Town Hall Meetings in Noble and Norman
ASTHMA PREVALENCE               8.9%          C
                                                          - City of Norman passed Social Host Ordinance
CANCER INCIDENCE              531.7                   F
 (RATE PER 100,000)                                       - City of Noble passed Social Host Ordinance
                                                          - City of Moore passed Social Host Ordinance
RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION       15.7%               F
NO PHYSICAL ACTIVITY              22.1%     C
SMOKING                           21.2%     C
OBESITY                           23.5%   B
IMMUNIZATIONS < 3 YEARS           79.6%     C
SENIORS FLU VACCINATION           73.9%     C
SENIORS PNEUMONIA VACCINATION     73.8% A
LIMITED ACTIVITY DAYS (AVG)        4.0    B
POOR MENTAL HEALTH DAYS (AVG)      4.2                F
POOR PHYSICAL HEALTH DAYS (AVG)    3.3 A
GOOD OR BETTER HEALTH RATING      88.4%   B
TEEN FERTILITY (RATE PER 1,000)   13.5    B
FIRST TRIMESTER PRENATAL CARE     86.6%     C
LOW BIRTH WEIGHT                   7.3%   B
ADULT DENTAL VISITS               70.3%     C
USUAL SOURCE OF CARE              82.7%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             13.2%       C
POVERTY                           11.6%       C




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 93
                      coal county                       Partnership for Change Coalition
                                                        Coalition Priorities
                                                        - Tobacco control
                                                        - Teen pregnancy prevention
COAL COUNTY                                             - Methamphetamine prevention
(MEASURE; GRADE)
                                                        - Reduce health disparities
MORTALITY                                               - Youth leadership and empowerment
INFANT (RATE PER 1,000)        26.8                 F   - Community development
TOTAL (RATE PER 100,000)     1127.9                 F
                                                        About Us
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                        Partnership for Change (PFC) is an active group of individuals
HEART DISEASE                 418.1                 F   working to improve the health of citizens of Atoka and Coal
CANCER                        199.2             D       counties. Since its development in 2001, the partnership has
STROKE                         61.7                 F   maintained a successful collaborative effort striving to meet
CHRONIC LOWER RESPIRATORY      53.4             D       the needs of the families and communities of both counties.
  DISEASE                                               PFC has successfully implemented a comprehensive tobacco
UNINTENTIONAL INJURY           65.6                 F
                                                        control program that has provided cessation resources, youth
DIABETES                       32.8                 F
                                                        development and empowerment, tobacco free policies and
INFLUENZA/PNEUMONIA            21.7         C
ALZHEIMER’S DISEASE             -                       environments, developed community education campaigns,
NEPHRITIS (KIDNEY DISEASE)     44.2                 F   provided youth and student education and even prevented
SUICIDE                         -                       tobacco sponsorship in their area. Recently the partnership
DISEASE
                                                        was awarded funding for a youth special project through Okla-
DIABETES PREVALENCE             -                       homa Commission on Children and Youth which will allow the
ASTHMA PREVALENCE               -                       coalition to send area youth to the 2 Much 2 Lose Training and
CANCER INCIDENCE              519.0                 F   bring the underage drinking initiative back to area schools.
 (RATE PER 100,000)                                     They have held town hall meetings and are working on passing
RISK FACTORS & BEHAVIORS                                the Social Host Ordinance to prevent underage drinking. The
FRUIT/VEGETABLE CONSUMPTION      -                      coalition is currently partnering with the Department of Mental
NO PHYSICAL ACTIVITY             -                      Health and Substance Abuse Services to implement a Metham-
SMOKING                          -                      phetamine Prevention Grant and have started Too Good For
OBESITY                          -                      Drugs curriculum in three schools in the county. Through the
IMMUNIZATIONS < 3 YEARS         86.4%   B
                                                        Meth Prevention Project they have seen many new partners
SENIORS FLU VACCINATION          -
SENIORS PNEUMONIA VACCINATION -
                                                        and sectors of the community become involved in the coali-
LIMITED ACTIVITY DAYS (AVG)      -                      tion’s efforts.
POOR MENTAL HEALTH DAYS (AVG)    3.0    B
                                                        Partnership for Change continues to improve the health of the
POOR PHYSICAL HEALTH DAYS (AVG) 3.7     B
GOOD OR BETTER HEALTH RATING     -                      area through a strong and dedicated coalition challenged to
TEEN FERTILITY (RATE PER 1,000) 25.8            D       make a difference.
FIRST TRIMESTER PRENATAL CARE 77.5%             D
LOW BIRTH WEIGHT                 8.6%       C           Key Activities
ADULT DENTAL VISITS              -                      - Alcohol Tobacco and Other Drugs prevention activities
USUAL SOURCE OF CARE             -                      - Tobacco control
                                                        - Media campaigns
SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE           -                       - Methamphetamine prevention activities
POVERTY                        24.2%                F   - Girl Power and Wise Guys Conference




                                                               2008 STATE OF THE STATE’S HEALTH REPORT l 94
    comanche county                                       Fit Kids of Southwest Oklahoma
                                                          Coalition Priorities
                                                          - Physical activity
                                                          - Healthy eating
COMANCHE COUNTY
(MEASURE; GRADE)                                          About Us
                                                          Childhood obesity is the greatest health threat facing our chil-
MORTALITY
INFANT (RATE PER 1,000)         7.6           C           dren and arguably our state today. The fact that the Centers for
TOTAL (RATE PER 100,000)      952.1                   F   Disease Control and Prevention and other leading health ex-
                                                          perts predict that this generation of children will be the first
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          that will not outlive their parents due to the health implications
HEART DISEASE                 272.0                   F   of obesity is deplorable. This profound statement is the driving
CANCER                        214.3                   F   force behind the Southwest Oklahoma Fit Kids Coalition. In
STROKE                         57.9                   F   fact, their motto follows that statement with “not OUR kids!” Fit
CHRONIC LOWER RESPIRATORY      71.8                   F   Kids of Southwest Oklahoma, originally Lawton Fit Kids, was
  DISEASE                                                 developed in 2005 to serve as a coordinating organization in
UNINTENTIONAL INJURY              41.7        C
                                                          an effort to create a more active and healthy community for
DIABETES                          35.5                F
                                                          children. As the name indicates, the focus of Fit Kids is chil-
INFLUENZA/PNEUMONIA               30.4                F
ALZHEIMER’S DISEASE               21.8        C           dren but they realized that they must develop and grow an ac-
NEPHRITIS (KIDNEY DISEASE)        14.1        C           tive and healthy community for all persons. Southwest Okla-
SUICIDE                           12.7        C           homa Fit Kids has taken a comprehensive approach to reach-
DISEASE
                                                          ing families where they live, work, and learn. Southwest Okla-
DIABETES PREVALENCE             9.9%              D       homa Fit Kids promotes the idea of creating a community-
ASTHMA PREVALENCE               8.3%          C           based participatory process to improving community life. A pilot
CANCER INCIDENCE              466.4           C           study is currently in progress in ten elementary schools.
 (RATE PER 100,000)
                                                          Key Activities
RISK FACTORS & BEHAVIORS
                                                          - $100,000 MacMahon Foundaton Grant (for school fitness)
FRUIT/VEGETABLE CONSUMPTION       15.1%               F
                                                          - Alliance for a Healthier Generation Initiative (AHG)
NO PHYSICAL ACTIVITY              30.7%               F
SMOKING                           27.5%               F   - Implemented Beat the Track
OBESITY                           27.8%           D       - Implemented Farm to School
IMMUNIZATIONS < 3 YEARS           79.9%       C           - Safe Routes to School and Walking School Bus
SENIORS FLU VACCINATION           73.0%       C           - Intramural sports for middle school and high school students
SENIORS PNEUMONIA VACCINATION     71.1%   B               - 6th hour PE offered at YMCA
LIMITED ACTIVITY DAYS (AVG)        5.5            D
                                                          - Kids in the Kitchen
POOR MENTAL HEALTH DAYS (AVG)      4.0                F
                                                          - WALK (Wellness And Lawton's Kids)
POOR PHYSICAL HEALTH DAYS (AVG)    3.9    B
GOOD OR BETTER HEALTH RATING      82.5%           D       - PLAY (Preventive Lifestyles for Active Youth)
TEEN FERTILITY (RATE PER 1,000)   28.0            D       - Super Kid's Marathon
FIRST TRIMESTER PRENATAL CARE     83.2%       C           - Spirit of Survival Marathon
LOW BIRTH WEIGHT                   8.5%       C           - Miracle League Fields
ADULT DENTAL VISITS               68.7%       C           - Fitness Trailway through the wildlife refuge
USUAL SOURCE OF CARE              76.2%           D
                                                          - Accessible Communities Model City Project
SOCIOECONOMIC FACTORS                                     - Commanding General’s Walk /Run Challenge: Western Miles
NO INSURANCE COVERAGE             16.1%       C           - Civilian Health Improvement Program
POVERTY                           17.6%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 95
               cotton county                               Cotton County
                                                           Cotton County’s performance on the health indicators pre-
                                                           sented in this document were mixed. Cotton County performed
                                                           better than the state in some areas and worse than the state
COTTON COUNTY                                              in others.
(MEASURE; GRADE)
                                                           The rate of mortality from all causes was approximately 6 per-
MORTALITY
INFANT (RATE PER 1,000)         -                          cent higher for Cotton County residents than for all Oklaho-
TOTAL (RATE PER 100,000)     1016.8                    F   mans. Approximately 25 percent more deaths in Cotton County
                                                           were attributable to heart disease compared to deaths that
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                           occurred across the state. Mortality resulting from uninten-
HEART DISEASE                 325.9                    F   tional injury was the third leading cause of death in Cotton
CANCER                        193.9                D       County, with a mortality rate that was 64 percent higher than
STROKE                         49.0            C           Oklahoma’s rate. Mortality rates due to stroke, chronic lower
CHRONIC LOWER RESPIRATORY      48.2                D       respiratory disease, and Alzheimer’s disease were lower
  DISEASE                                                  among Cotton County residents compared to all Oklahomans.
UNINTENTIONAL INJURY           91.5                    F
DIABETES                       39.3                    F   Cotton County residents experienced fewer limited activity and
INFLUENZA/PNEUMONIA             -                          poor mental health days than others across the state. How-
ALZHEIMER’S DISEASE            19.2        B
                                                           ever, they endured more physically unhealthy days than other
NEPHRITIS (KIDNEY DISEASE)      -
                                                           Oklahomans. More than 90 percent of women received ade-
SUICIDE                         -
                                                           quate prenatal care, which is 17 percent more women than
DISEASE                                                    those who seek adequate care across the state. Unfortunately,
DIABETES PREVALENCE             -
                                                           more infants were born with low birth weight in Cotton County
ASTHMA PREVALENCE               -
                                                           compared to all infants born in Oklahoma.
CANCER INCIDENCE              398.1    A
 (RATE PER 100,000)

RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION      -
NO PHYSICAL ACTIVITY             -
SMOKING                          -
OBESITY                          -
IMMUNIZATIONS < 3 YEARS         77.6%      D
SENIORS FLU VACCINATION          -
SENIORS PNEUMONIA VACCINATION -
LIMITED ACTIVITY DAYS (AVG)      4.9     C
POOR MENTAL HEALTH DAYS (AVG)    2.3 A
POOR PHYSICAL HEALTH DAYS (AVG) 5.3          F
GOOD OR BETTER HEALTH RATING     -
TEEN FERTILITY (RATE PER 1,000) 20.2     C
FIRST TRIMESTER PRENATAL CARE 90.3%    B
LOW BIRTH WEIGHT                 9.3%      D
ADULT DENTAL VISITS              -
USUAL SOURCE OF CARE             -

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE           -
POVERTY                        18.0%                   F




                                                                  2008 STATE OF THE STATE’S HEALTH REPORT l 96
                   craig county                           Craig County Community Partnership
                                                          Coalition Priorities
                                                          - Mental health and substance abuse
                                                          - Access to children’s health
CRAIG COUNTY                                              - Physical fitness and nutrition
(MEASURE; GRADE)

MORTALITY
                                                          About Us
INFANT (RATE PER 1,000)         6.4           C           Alcohol use by underage drinkers is a persistent public health
TOTAL (RATE PER 100,000)     1013.2                   F   problem in the United States, and alcohol is the most com-
                                                          monly used drug among adolescents. That is why every year
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          Craig County Community Partnership (CCCP) puts together edu-
HEART DISEASE                 311.8                   F   cational and promotional events for youth like the Alcohol Real-
CANCER                        193.7               D       ity Day in April and Red Ribbon Week in October. Since 2007,
STROKE                         45.2           C           CCCP started the Get Moving Day Camp, a camp provided to
CHRONIC LOWER RESPIRATORY      43.4           C           students with disabilities that teaches nutrition, physical activ-
  DISEASE                                                 ity, and substance abuse prevention. After several clothing sale
UNINTENTIONAL INJURY              65.6                F
                                                          fundraisers, the children’s free clinic opened. A group that
DIABETES                          34.7                F
INFLUENZA/PNEUMONIA               33.4                F
                                                          spun off of CCCP started an adult free clinic, and had its grand
ALZHEIMER’S DISEASE               18.2    B               opening on September 25, 2008.
NEPHRITIS (KIDNEY DISEASE)        26.5                F
                                                          Key Activities
SUICIDE                            -
                                                          - Red Ribbon Week
DISEASE                                                   - Supporting After Prom committee
DIABETES PREVALENCE             6.8%      B
                                                          - 2 Much 2 Lose Camp(s)
ASTHMA PREVALENCE               8.6%          C
                                                          - Free children’s clinic
CANCER INCIDENCE              532.3                   F
 (RATE PER 100,000)                                       - Make a Difference project
                                                          - Drug prevention education
RISK FACTORS & BEHAVIORS
                                                          - Alcohol Reality Day
FRUIT/VEGETABLE CONSUMPTION       12.8%               F
NO PHYSICAL ACTIVITY              31.0%               F
                                                          - Prescription Drug Dump Day
SMOKING                           22.8%           D       - Craig County Junior Coalition
OBESITY                           27.8%           D       - Calf Fry Family Day
IMMUNIZATIONS < 3 YEARS           84.2%   B               - Underage drinking town hall meeting
SENIORS FLU VACCINATION           73.4%       C           - Lights on For Life
SENIORS PNEUMONIA VACCINATION     64.1%           D       - March Against Meth
LIMITED ACTIVITY DAYS (AVG)        7.0                F
                                                          - Get Moving day camp
POOR MENTAL HEALTH DAYS (AVG)      3.2        C
POOR PHYSICAL HEALTH DAYS (AVG)    4.9            D
                                                          - Neighborhood Watch cards
GOOD OR BETTER HEALTH RATING      78.5%               F   - Craig County adult clinic
TEEN FERTILITY (RATE PER 1,000)   24.3        C           - National Family Day to promote families eating together
FIRST TRIMESTER PRENATAL CARE     74.3%               F
LOW BIRTH WEIGHT                  10.1%           D
ADULT DENTAL VISITS               58.5%               F
USUAL SOURCE OF CARE              82.1%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             24.1%               F
POVERTY                           16.1%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 97
                   creek county                           Bristow Community Health Improvement Project
                                                          Coalition Priorities
                                                          - Physical fitness and nutrition
                                                          - Tobacco prevention
CREEK COUNTY                                              - Substance abuse prevention
(MEASURE; GRADE)
                                                          - Access to health care
MORTALITY                                                 - After school programming
INFANT (RATE PER 1,000)         8.6               D
TOTAL (RATE PER 100,000)      984.4                   F   About Us
                                                          Bristow Community Health Improvement Project (CHIP) contin-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          ues to put on the Wildflower Run annually. However, each year
HEART DISEASE                 260.5               D       has allowed them opportunities to partner with other festivities.
CANCER                        214.2                   F   In 2008, the Wildflower Run will be the ending celebration of
STROKE                         56.2               D       the Seven Healthy Habits of Bristow. CHIP is working on a
CHRONIC LOWER RESPIRATORY      62.9                   F   monthly campaign promoting the seven healthy habits includ-
  DISEASE                                                 ing Pure Air (Tobacco Prevention), Sunlight (vitamin D and skin
UNINTENTIONAL INJURY              66.9                F
                                                          cancer awareness), Rest (right amount of sleep), Exercise, Wa-
DIABETES                          37.7                F
                                                          ter, Proper Diet and Spirituality.
INFLUENZA/PNEUMONIA               15.9    B
ALZHEIMER’S DISEASE               37.5                F
                                                          Each month has a word that is displayed in the Bristow news-
NEPHRITIS (KIDNEY DISEASE)        15.8        C
                                                          paper, on the radio, and around the town. The public schools
SUICIDE                           20.9                F
                                                          and community are involved in mini projects promoting the
DISEASE                                                   healthy habit of the month. CHIP is also hosting a health fair
DIABETES PREVALENCE             8.5%          C
                                                          explaining and educating the community on the seven healthy
ASTHMA PREVALENCE              12.0%                  F
                                                          habits. It is seven natural remedies to health… inexpensive…
CANCER INCIDENCE              494.9               D
 (RATE PER 100,000)                                       easy… excellent health.

RISK FACTORS & BEHAVIORS                                  Key Activities
FRUIT/VEGETABLE CONSUMPTION       12.4%               F   - Wildflower Run
NO PHYSICAL ACTIVITY              28.5%               F   - Seven Healthy Habits
SMOKING                           22.0%           D
                                                          - Game On
OBESITY                           28.2%           D
                                                          - Free clinic
IMMUNIZATIONS < 3 YEARS           72.1%               F
SENIORS FLU VACCINATION           68.4%           D       - Habitat for Humanity
SENIORS PNEUMONIA VACCINATION     63.2%           D       - HPV clinics
LIMITED ACTIVITY DAYS (AVG)        5.3        C
POOR MENTAL HEALTH DAYS (AVG)      4.2                F
POOR PHYSICAL HEALTH DAYS (AVG)    4.4        C
GOOD OR BETTER HEALTH RATING      79.8%               F
TEEN FERTILITY (RATE PER 1,000)   24.0        C
FIRST TRIMESTER PRENATAL CARE     71.5%               F
LOW BIRTH WEIGHT                   7.6%       C
ADULT DENTAL VISITS               56.6%               F
USUAL SOURCE OF CARE              84.4%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             19.8%           D
POVERTY                           13.0%       C




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 98
               custer county                              Custer-Washita Health Action Team
                                                          Coalition Priorities
                                                          “Creating partnerships to educate, support, and empower
                                                           communities to promote healthy lifestyles.”
CUSTER COUNTY
(MEASURE; GRADE)                                          About Us
MORTALITY
                                                          Custer-Washita Health Action Team (C-WHAT) began meeting
INFANT (RATE PER 1,000)         4.8       B               as one group in 2006. C-WHAT is a combination of Custer-
TOTAL (RATE PER 100,000)      947.3                   F   Washita Systems of Care, Project Pickett Fences, and the Com-
                                                          munity Coalition. Although all three movements had different
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          goals, they all had the same vision: to strengthen the commu-
HEART DISEASE                 285.2                   F   nity. Together the coalitions have grown by leaps and bounds
CANCER                        172.0       B               to include several other agencies and persons not previously
STROKE                         41.9       B               connected to any of these groups. Coalition members have
CHRONIC LOWER RESPIRATORY      55.6               D       developed plans to improve the health of Custer and Washita
  DISEASE                                                 counties. Many of the strategies are focused on children and
UNINTENTIONAL INJURY              44.5            D
                                                          infrastructure. Due to the high rates of meth use in Washita
DIABETES                          42.8                F
INFLUENZA/PNEUMONIA               30.0                F
                                                          County, C-WHAT in partnership with the City of Cordell received
ALZHEIMER’S DISEASE               29.9            D       a three-year Meth Prevention grant through the Department of
NEPHRITIS (KIDNEY DISEASE)        17.8            D       Mental Health and Substance Abuse Services for Washita
SUICIDE                           15.2            D       County. After a long assessment process, the coalition decided
DISEASE
                                                          to implement the “Too Good for Drugs” curricula in all Washita
DIABETES PREVALENCE            11.7%                  F   County schools.
ASTHMA PREVALENCE               8.4%          C
                                                          Key Activities
CANCER INCIDENCE              488.7               D
 (RATE PER 100,000)                                       - Compliance checks throughout each county
                                                          - Educated city council and community on Social Host Ordinance
RISK FACTORS & BEHAVIORS
                                                          - Assessment and implementation of the meth grant, funded
FRUIT/VEGETABLE CONSUMPTION       17.6%               F
NO PHYSICAL ACTIVITY              25.2%           D
                                                            by the Department of Mental Health and Substance Abuse
SMOKING                           18.9%       C             Services
OBESITY                           28.3%           D       - C-WHAT members went door-to-door to over 9,000 homes to
IMMUNIZATIONS < 3 YEARS           76.1%           D         educate on Social Host Ordinance and hotline number to
SENIORS FLU VACCINATION           73.4%       C             report underage drinking in Clinton and Weatherford
SENIORS PNEUMONIA VACCINATION     71.7%   B               - Media campaign for Meth Prevention grant
LIMITED ACTIVITY DAYS (AVG)        4.1    B
                                                          - Action plans developed from Custer County and Washita
POOR MENTAL HEALTH DAYS (AVG)      3.4        C
POOR PHYSICAL HEALTH DAYS (AVG)    4.0        C
                                                            County youth listening conferences
GOOD OR BETTER HEALTH RATING      83.3%       C           - Driving force in effort to bring Big Brothers Big Sisters to
TEEN FERTILITY (RATE PER 1,000)   34.2                F     Custer County
FIRST TRIMESTER PRENATAL CARE     79.1%           D
LOW BIRTH WEIGHT                   7.5%   B
ADULT DENTAL VISITS               62.7%           D
USUAL SOURCE OF CARE              85.4%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             20.1%           D
POVERTY                           20.2%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 99
       delaware county                                    Delaware County Community Partnership
                                                          Coalition Priorities
                                                          - Alcohol use among teens
                                                          - Meth use in the community
DELAWARE COUNTY                                           - Teen sexual activity
(MEASURE; GRADE)
                                                          - Obesity among youth
MORTALITY                                                 - More youth activities
INFANT (RATE PER 1,000)         4.8       B
TOTAL (RATE PER 100,000)      883.0               D       About Us
                                                          The Delaware County Community Partnership (DCCP) is a com-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          prehensive interactive involvement of organizations and indi-
HEART DISEASE                 274.2                   F   viduals, as representative of the county as possible. DCCP is
CANCER                        184.6           C           dedicated to improving the quality of life for the people of Dela-
STROKE                         46.9           C           ware County by encouraging healthy attitudes and behaviors
CHRONIC LOWER RESPIRATORY      48.6               D       aimed at the prevention of illegal drug use and alcohol/
  DISEASE                                                 substance abuse and other destructive behaviors, including,
UNINTENTIONAL INJURY              68.5                F
                                                          but not limited to, physical and sexual abuse. DCCP had their
DIABETES                          30.7            D
                                                          first town hall meeting on underage drinking, and it was a huge
INFLUENZA/PNEUMONIA               16.3    B
ALZHEIMER’S DISEASE               19.6    B               success. They had Triple Cross Ministry demonstrate their
NEPHRITIS (KIDNEY DISEASE)        14.9        C           horse therapy program. The health department and OSU Exten-
SUICIDE                           14.4            D       sion started the YMCA garden in their CATCH program. After the
DISEASE
                                                          youth planted their garden, they took what they could pick from
DIABETES PREVALENCE            10.4%                  F   the garden (and supplemented the rest) to make fresh salsa
ASTHMA PREVALENCE               6.8% A                    on a day they were discussing ways to consume more fruits
CANCER INCIDENCE              494.6               D       and vegetables.
 (RATE PER 100,000)
                                                          Key Activities
RISK FACTORS & BEHAVIORS
                                                          - Underage drinking awareness town hall meeting
FRUIT/VEGETABLE CONSUMPTION       14.7%         F
                                                          - Look Before You Leap
NO PHYSICAL ACTIVITY              35.2%         F
SMOKING                           26.9%         F         - Car Seats for Healthy Families
OBESITY                           28.1%       D           - 2M2L (2 Much 2 Lose) camp
IMMUNIZATIONS < 3 YEARS           80.7%     C
SENIORS FLU VACCINATION           75.4%   B
SENIORS PNEUMONIA VACCINATION     73.4% A
LIMITED ACTIVITY DAYS (AVG)        6.8          F
POOR MENTAL HEALTH DAYS (AVG)      4.4          F
POOR PHYSICAL HEALTH DAYS (AVG)    5.1        D
GOOD OR BETTER HEALTH RATING      76.0%         F
TEEN FERTILITY (RATE PER 1,000)   27.3        D
FIRST TRIMESTER PRENATAL CARE     76.5%       D
LOW BIRTH WEIGHT                   8.0%     C
ADULT DENTAL VISITS               54.9%         F
USUAL SOURCE OF CARE              84.4%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             18.2%           D
POVERTY                           19.1%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 100
               dewey county                               Dewey County
                                                          Dewey County’s performance on the health indicators pre-
                                                          sented in this document were mixed. Dewey County performed
                                                          better than the state in some areas and worse than the state
DEWEY COUNTY                                              in others.
(MEASURE; GRADE)
                                                          The rate of mortality from all causes was almost 8 percent
MORTALITY
INFANT (RATE PER 1,000)         -                         higher for Dewey County residents than for all Oklahomans.
TOTAL (RATE PER 100,000)     1027.9                   F   While mortality rates attributed to heart disease, stroke, and
                                                          influenza/pneumonia were lower among Dewey County resi-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          dents, rates attributed to some of the other leading causes of
HEART DISEASE                 217.1           C           death were higher. The most notable difference is the rate of
CANCER                        210.1                   F   chronic lower respiratory disease mortality, which was 73 per-
STROKE                         47.3           C           cent higher among Dewey County residents than residents of
CHRONIC LOWER RESPIRATORY     108.2                   F   the state as a whole.
  DISEASE
UNINTENTIONAL INJURY              73.5                F   Outcomes for engaging in healthy behaviors among Dewey
DIABETES                          30.2            D       County residents were relatively better than outcomes for all
INFLUENZA/PNEUMONIA               18.2    B               Oklahomans, with a few exceptions.
ALZHEIMER’S DISEASE               34.2                F
NEPHRITIS (KIDNEY DISEASE)         -                      Dewey County had fewer smokers and obese individuals com-
SUICIDE                            -                      pared to the state as a whole. There were also 89 percent
DISEASE                                                   fewer low birth weight infants. However, a larger proportion of
DIABETES PREVALENCE             -                         Dewey County residents were physically inactive, and fewer
ASTHMA PREVALENCE               -                         women received adequate prenatal care during pregnancy.
CANCER INCIDENCE              425.0       B               While the poverty rate in Dewey County was similar to the
 (RATE PER 100,000)
                                                          state’s poverty rate, more of the county’s residents were with-
RISK FACTORS & BEHAVIORS                                  out health insurance.
FRUIT/VEGETABLE CONSUMPTION        -
NO PHYSICAL ACTIVITY              35.7%         F
SMOKING                           20.0%     C
OBESITY                           20.1% A
IMMUNIZATIONS < 3 YEARS           84.6%   B
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -
LIMITED ACTIVITY DAYS (AVG)        5.7        D
POOR MENTAL HEALTH DAYS (AVG)      2.3 A
POOR PHYSICAL HEALTH DAYS (AVG)    4.4      C
GOOD OR BETTER HEALTH RATING      82.8%       D
TEEN FERTILITY (RATE PER 1,000)   15.2    B
FIRST TRIMESTER PRENATAL CARE     66.1%         F
LOW BIRTH WEIGHT                   4.4% A
ADULT DENTAL VISITS               61.0%         F
USUAL SOURCE OF CARE              80.9%     C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             26.6%               F
POVERTY                           14.1%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 101
                      ellis county                        Ellis County
                                                          Ellis County’s performance on many of the health indicators
                                                          presented in this document were mixed. Because Ellis County
                                                          consists of a small population, and because some events oc-
ELLIS COUNTY                                              curred infrequently, reliable rates could not be produced for
(MEASURE; GRADE)
                                                          some indicators.
MORTALITY
INFANT (RATE PER 1,000)        -                          The rate of mortality from all causes was 14 percent lower for
TOTAL (RATE PER 100,000)     833.9            C           Ellis County residents than for all Oklahomans. This was due in
                                                          part to the 50 percent lower rate of cancer deaths and the 38
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          percent lower rate of Alzheimer’s disease deaths. Unintentional
HEART DISEASE                234.3                D       injury was actually the third leading cause of death in Ellis
CANCER                       132.0    A                   County, with a rate 55 percent higher than the state rate. Also
STROKE                        43.9            C           notable is that the diabetes mortality was 87 percent higher in
CHRONIC LOWER RESPIRATORY     75.3                    F   Ellis County compared to the state’s rate.
  DISEASE
UNINTENTIONAL INJURY          86.4                    F   Many of the health behavior indicators were not able to be
DIABETES                      56.7                    F   reliably determined, and outcomes for those that were deter-
INFLUENZA/PNEUMONIA            -                          mined were generally similar or better than the state’s out-
ALZHEIMER’S DISEASE           17.0        B
                                                          comes. Ellis County had a smaller proportion of low birth
NEPHRITIS (KIDNEY DISEASE)     -
                                                          weight infants and a teen fertility rate that was approximately
SUICIDE                        -
                                                          half of the state’s rate. However, fewer children under the age
DISEASE                                                   of three years had received their recommended immunizations
DIABETES PREVALENCE            -
                                                          and fewer women had received adequate prenatal care during
ASTHMA PREVALENCE              -
                                                          pregnancy compared to state residents.
CANCER INCIDENCE             376.8    A
 (RATE PER 100,000)

RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION      -
NO PHYSICAL ACTIVITY             -
SMOKING                          -
OBESITY                          -
IMMUNIZATIONS < 3 YEARS         72.3%                 F
SENIORS FLU VACCINATION          -
SENIORS PNEUMONIA VACCINATION -
LIMITED ACTIVITY DAYS (AVG)      -
POOR MENTAL HEALTH DAYS (AVG)    2.8    B
POOR PHYSICAL HEALTH DAYS (AVG) 4.4       C
GOOD OR BETTER HEALTH RATING     -
TEEN FERTILITY (RATE PER 1,000) 14.5%   B
FIRST TRIMESTER PRENATAL CARE 71.6%                   F
LOW BIRTH WEIGHT                 5.4% A
ADULT DENTAL VISITS              -
USUAL SOURCE OF CARE             -

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE          -
POVERTY                       12.9%           C




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 102
           garfield county                                Health Planning Committee (Enid Metro Commission)
                                                          Coalition Priorities
                                                          - Physical activity
                                                          - Nutrition
GARFIELD COUNTY                                           - Access to health care
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)        10.4                   F   The Enid Metropolitan Human Service Commission’s Health
TOTAL (RATE PER 100,000)      939.4                   F   Planning Committee is affiliated with Turning Point and in-
                                                          cludes a diverse representation of stakeholders who are dedi-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          cated to making a difference in the health of their community.
HEART DISEASE                 238.0               D
                                                          Since Enid is one of the larger cities in Oklahoma, the Certified
CANCER                        195.9               D
                                                          Healthy Business certification has been promoted to many
STROKE                         69.5                   F
CHRONIC LOWER RESPIRATORY      58.2                   F   businesses and plans are in place to reach out to workplaces
  DISEASE                                                 interested in improving the wellness of their employees. Local
UNINTENTIONAL INJURY              52.5            D       health department staff have been trained on the Strong and
DIABETES                          32.4                F   Healthy Oklahoma “Make it Your Business” Toolkits and will
INFLUENZA/PNEUMONIA               22.1        C           provide the training free of charge.
ALZHEIMER’S DISEASE               19.7    B
NEPHRITIS (KIDNEY DISEASE)        17.7            D       One initiative that has been embraced by many local busi-
SUICIDE                           11.9        C           nesses and promoted to their employees is Walk this Weigh, a
DISEASE                                                   six-week walking program. They just completed their second
DIABETES PREVALENCE             7.6%          C           year and over 800 people participated. Generous sponsors
ASTHMA PREVALENCE               7.2%      B               allowed the committee to give away wonderful prizes to those
CANCER INCIDENCE              472.6               D       who participated.
 (RATE PER 100,000)
                                                          Key Activities
RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION       15.3%               F   - Kick-off for Walk this Weigh at Enid’s downtown square
NO PHYSICAL ACTIVITY              30.0%               F   - Promoted Certified Healthy Business
SMOKING                           26.5%               F   - Created posters to promote healthy eating for Enid schools
OBESITY                           27.7%       C             and area businesses
IMMUNIZATIONS < 3 YEARS           82.5%   B               - Promoted Insure Oklahoma to area organizations
SENIORS FLU VACCINATION           72.3%       C
SENIORS PNEUMONIA VACCINATION     70.3%   B
LIMITED ACTIVITY DAYS (AVG)        6.6                F
POOR MENTAL HEALTH DAYS (AVG)      3.9            D
POOR PHYSICAL HEALTH DAYS (AVG)    4.5        C
GOOD OR BETTER HEALTH RATING      82.7%           D
TEEN FERTILITY (RATE PER 1,000)   27.6            D
FIRST TRIMESTER PRENATAL CARE     69.3%               F
LOW BIRTH WEIGHT                   8.0%       C
ADULT DENTAL VISITS               60.3%               F
USUAL SOURCE OF CARE              78.8%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             24.5%               F
POVERTY                           14.0%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 103
               garvin county                            Garvin County Safe and Healthy Students Consortium
                                                        Coalition Priorities
                                                        - Provide a safe and healthy atmosphere for the community
                                                        - Improve communication with parents and community
GARVIN COUNTY
(MEASURE; GRADE)                                        About Us
MORTALITY
                                                        The Garvin County Safe and Healthy Students Consortium,
INFANT (RATE PER 1,000)         8.4             D       composed of three Garvin County school districts, Elmore City-
TOTAL (RATE PER 100,000)     1030.8                 F   Pernell, Stratford, and Wynnewood, began in the fall of 2005
                                                        when the superintendents of the three schools decided to
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                        band together in order to apply for large federal grants.
HEART DISEASE                 248.1             D
                                                        The consortium received the “Secondary and Elementary
CANCER                        195.2             D
                                                        School Counseling Grant” in the amount of $346,159 per year.
STROKE                         73.0                 F
CHRONIC LOWER RESPIRATORY      69.7                 F   The grant provides for elementary counselors for each of the
  DISEASE                                               consortium schools, positions none of the schools could previ-
UNINTENTIONAL INJURY              85.5              F   ously afford. The grant also provides for school- based social
DIABETES                          27.5          D       workers for each of the schools and a grant facilitator to over-
INFLUENZA/PNEUMONIA               20.4      C           see the grant functions. This grant has been extremely benefi-
ALZHEIMER’S DISEASE               25.2      C
                                                        cial to the schools and consortium communities as it provided
NEPHRITIS (KIDNEY DISEASE)        16.9          D
                                                        much needed curriculum and training for both teachers and
SUICIDE                           29.6              F
                                                        community members. Now in the third year of this grant, the
DISEASE                                                 consortium is seeing major results in the areas of truancy re-
DIABETES PREVALENCE            12.3%                F
                                                        duction and bullying prevention, as well as improved communi-
ASTHMA PREVALENCE               9.5%            D
                                                        cation with parents and community. In June of 2008, the con-
CANCER INCIDENCE              532.5                 F
 (RATE PER 100,000)                                     sortium received notification from its congressman that it had
                                                        been selected to receive an Alcohol Abuse Reduction Grant
RISK FACTORS & BEHAVIORS
                                                        from the U.S. Department of Education, a three-year grant in
FRUIT/VEGETABLE CONSUMPTION        6.9%         F
NO PHYSICAL ACTIVITY              33.9%         F
                                                        the amount of $347,432 per year. The Garvin County Safe and
SMOKING                           31.4%         F       Healthy Students Consortium was the only Oklahoma entity to
OBESITY                           26.6%     C           receive this federal grant. This grant provides for Safe School
IMMUNIZATIONS < 3 YEARS           84.1%   B             Officers for each of the consortium schools and a Grant Direc-
SENIORS FLU VACCINATION           80.5% A               tor to oversee the application of the grant and trainings.
SENIORS PNEUMONIA VACCINATION     74.7% A
LIMITED ACTIVITY DAYS (AVG)        5.6        D         Key Activities
POOR MENTAL HEALTH DAYS (AVG)      5.2          F       - Bullying prevention
POOR PHYSICAL HEALTH DAYS (AVG)    5.5          F       - Underage drinking prevention
GOOD OR BETTER HEALTH RATING      73.0%         F
                                                        - Truancy reduction
TEEN FERTILITY (RATE PER 1,000)   23.8      C
FIRST TRIMESTER PRENATAL CARE     78.3%       D
LOW BIRTH WEIGHT                   8.3%     C
ADULT DENTAL VISITS               47.5%         F
USUAL SOURCE OF CARE              81.8%     C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             22.9%             F
POVERTY                           16.6%         D




                                                               2008 STATE OF THE STATE’S HEALTH REPORT l 104
                   grady county                           Interagency and Community Coalition
                                                          Coalition Priorities
                                                          - Improve quality of life for all residents
                                                          - Promote healthy lifestyles
GRADY COUNTY                                              - Work through government, private citizens, business,
(MEASURE; GRADE)
                                                            and social service agencies
MORTALITY
INFANT (RATE PER 1,000)         7.8           C           About Us
TOTAL (RATE PER 100,000)     1014.6                   F   The Interagency and Community Coalition has worked on sev-
                                                          eral activities over the past year. The main focus for the coali-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          tion this year was the Health Fair. At the Health Fair and Forum
HEART DISEASE                 317.6                   F   there were approximately 100 attendees from the community.
CANCER                        221.8                   F   The coalition is in the process of creating a community re-
STROKE                         40.0       B               source guide for local businesses. Each member of the coali-
CHRONIC LOWER RESPIRATORY      61.5                   F   tion is doing his or her part to help out with the resource guide.
  DISEASE                                                 The coalition has worked on educating the public about Insure
UNINTENTIONAL INJURY              61.1                F
                                                          Oklahoma. The coalition has also started working on underage
DIABETES                          41.0                F
                                                          drinking prevention education, and is working towards getting
INFLUENZA/PNEUMONIA               17.3    B
ALZHEIMER’S DISEASE               30.7            D       the social host ordinance passed in Grady County. The coalition
NEPHRITIS (KIDNEY DISEASE)        15.3        C           has partnered with the systems of care coalition to help serve
SUICIDE                           10.2        C           the families in need. The coalition is also a big supporter of the
DISEASE
                                                          Oklahoma Certified Healthy Business program and encourages
DIABETES PREVALENCE             7.3%          C           local businesses to apply.
ASTHMA PREVALENCE              11.1%                  F
                                                          Key Activities
CANCER INCIDENCE              464.8           C
 (RATE PER 100,000)                                       - Grady County Health and Resource Fair in Chickasha
                                                          - Child safety seat checkup
RISK FACTORS & BEHAVIORS
                                                          - Child abuse prevention
FRUIT/VEGETABLE CONSUMPTION       11.0%         F
                                                          - Underage drinking prevention education
NO PHYSICAL ACTIVITY              25.7%       D
SMOKING                           21.1%     C             - Tobacco education prevention
OBESITY                           29.2%       D           - Community resource guide
IMMUNIZATIONS < 3 YEARS           76.6%       D
SENIORS FLU VACCINATION           77.3%   B
SENIORS PNEUMONIA VACCINATION     75.2% A
LIMITED ACTIVITY DAYS (AVG)        5.1      C
POOR MENTAL HEALTH DAYS (AVG)      3.5      C
POOR PHYSICAL HEALTH DAYS (AVG)    4.4      C
GOOD OR BETTER HEALTH RATING      83.5%     C
TEEN FERTILITY (RATE PER 1,000)   22.0      C
FIRST TRIMESTER PRENATAL CARE     85.1%     C
LOW BIRTH WEIGHT                   9.3%       D
ADULT DENTAL VISITS               54.9%         F
USUAL SOURCE OF CARE              73.9%       D

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             20.8%               F
POVERTY                           16.6%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 105
                   grant county                       Grant County
                                                      Grant County performed relatively well on many of the health
                                                      indicators presented in this document. Because Grant County
                                                      consists of a small population, and because some events oc-
GRANT COUNTY                                          curred infrequently, reliable rates could not be produced for
(MEASURE; GRADE)
                                                      some indicators.
MORTALITY
INFANT (RATE PER 1,000)       12.7                F   The rate of mortality from all causes was approximately nine
TOTAL (RATE PER 100,000)     873.9            D       percent lower for Grant County residents than for all Oklaho-
                                                      mans. However, the rate of infant mortality was 55 percent
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                      higher. The mortality rate attributed to unintentional injury was
HEART DISEASE                212.5        C           much worse in Grant County than in Oklahoma as a whole,
CANCER                       186.7        C           placing unintentional injury as the third leading cause of death
STROKE                        51.0            D       in Grant County. Diabetes mortality was also higher in the
CHRONIC LOWER RESPIRATORY     47.6        C           county compared to the state.
  DISEASE
UNINTENTIONAL INJURY          75.0                F   Rates for the health behavior indicators were similar, if not
DIABETES                      41.8                F   better, than the state’s outcomes. Grant County residents ex-
INFLUENZA/PNEUMONIA           17.6    B               perienced fewer days in poor health. Fewer infants were born
ALZHEIMER’S DISEASE            -
                                                      with low birth weight, and more children under the age of three
NEPHRITIS (KIDNEY DISEASE)     -
                                                      years had received their recommended immunizations. Alterna-
SUICIDE                        -
                                                      tively, the proportion of women who received adequate prena-
DISEASE                                               tal care was only slightly lower than the state’s rate.
DIABETES PREVALENCE            -
ASTHMA PREVALENCE              -
CANCER INCIDENCE             428.1    B
 (RATE PER 100,000)

RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION      -
NO PHYSICAL ACTIVITY             -
SMOKING                          -
OBESITY                          -
IMMUNIZATIONS < 3 YEARS         83.3%  B
SENIORS FLU VACCINATION          -
SENIORS PNEUMONIA VACCINATION -
LIMITED ACTIVITY DAYS (AVG)      -
POOR MENTAL HEALTH DAYS (AVG)    2.2 A
POOR PHYSICAL HEALTH DAYS (AVG) 2.4 A
GOOD OR BETTER HEALTH RATING     -
TEEN FERTILITY (RATE PER 1,000) 19.6     C
FIRST TRIMESTER PRENATAL CARE 75.8%        D
LOW BIRTH WEIGHT                 6.2%  B
ADULT DENTAL VISITS              -
USUAL SOURCE OF CARE             -

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE          -
POVERTY                       14.6%           D




                                                             2008 STATE OF THE STATE’S HEALTH REPORT l 106
                   greer county                        Greer County Turning Point Partnership
                                                       Coalition Priorities
                                                       - Underage drinking
                                                       - Teen pregnancy
GREER COUNTY                                           - Tobacco prevention
(MEASURE; GRADE)
                                                       - Nutrition /physical activity
MORTALITY
INFANT (RATE PER 1,000)         -                      About Us
TOTAL (RATE PER 100,000)      954.5                F   Parents in a small, Greer county town began meeting on their
                                                       own at the local public school. They were becoming increas-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                       ingly alarmed at the behaviors in which they heard the youth in
HEART DISEASE                 226.4        C           the community were involved. They became a Turning Point
CANCER                        184.3        C           partnership in 2007.
STROKE                         61.9                F
CHRONIC LOWER RESPIRATORY      61.9                F   Their initial strategies were to address underage drinking by
  DISEASE                                              getting the Social Host Ordinance passed in local communities.
UNINTENTIONAL INJURY              55.9             F   After extensive education, the towns of Granite and Mangum
DIABETES                          27.5         D       passed the Social Host Ordinance.
INFLUENZA/PNEUMONIA               37.8             F
ALZHEIMER’S DISEASE               21.3     C           They also partnered with two other nearby counties and were
NEPHRITIS (KIDNEY DISEASE)         -                   awarded the Communities of Excellence grant to address the
SUICIDE                            -                   tobacco issue at the local level.
DISEASE
                                                       They have given true meaning to Margaret Mead’s quote,
DIABETES PREVALENCE             -
ASTHMA PREVALENCE               -
                                                       “Never doubt that a small group of thoughtful, committed citi-
CANCER INCIDENCE              472.8            D       zens can change the world. Indeed, it is the only thing that ever
 (RATE PER 100,000)                                    has.”

RISK FACTORS & BEHAVIORS                               Key Activities
FRUIT/VEGETABLE CONSUMPTION        -
                                                       - Communities of Excellence grant
NO PHYSICAL ACTIVITY               -
                                                       - Discussion and research on the Social Host Ordinance
SMOKING                            -
OBESITY                            -
                                                       - Door-to-door campaign to educate residents of the recently
IMMUNIZATIONS < 3 YEARS           77.2%      D           passed Social Host Ordinance
SENIORS FLU VACCINATION            -                   - Presented to city councils regarding Social Host Ordinance
SENIORS PNEUMONIA VACCINATION      -                   - Grand opening of hiking trail and butterfly garden
LIMITED ACTIVITY DAYS (AVG)        -
POOR MENTAL HEALTH DAYS (AVG)      3.0   B
POOR PHYSICAL HEALTH DAYS (AVG)    2.9 A
GOOD OR BETTER HEALTH RATING       -
TEEN FERTILITY (RATE PER 1,000)   55.2         F
FIRST TRIMESTER PRENATAL CARE     82.3%    C
LOW BIRTH WEIGHT                  12.4%        F
ADULT DENTAL VISITS                -
USUAL SOURCE OF CARE               -

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE              -
POVERTY                           24.8%            F




                                                              2008 STATE OF THE STATE’S HEALTH REPORT l 107
           harmon county                                  Harmon County Partners in Change
                                                          Coalition Priorities
                                                          - Community mobilization
                                                          - Youth empowerment
HARMON COUNTY                                             - Partnership development
(MEASURE; GRADE)
                                                          - Tobacco use prevention
MORTALITY
INFANT (RATE PER 1,000)         -                         About Us
TOTAL (RATE PER 100,000)     1006.5                   F   Harmon County held its first stakeholders meeting in October
                                                          2007. They named their coalition Harmon County Partners in
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          Change (PIC), and continue to meet on a monthly basis.
HEART DISEASE                 242.2               D
                                                          This year Harmon County PIC was awarded a mini grant by the
CANCER                        196.2               D
                                                          Wichita Mountains Prevention Network to partner with a
STROKE                         51.2               D
CHRONIC LOWER RESPIRATORY      41.1           C           neighboring county and host a Youth Leadership Retreat. At
  DISEASE                                                 the retreat, youth enhanced their leadership skills, learned how
UNINTENTIONAL INJURY           81.8                   F   industries (tobacco and alcohol) target them, how to get your
DIABETES                      150.6                   F   message across to the media, and the importance of being
INFLUENZA/PNEUMONIA            42.1                   F   engaged in their communities if they want to make a real differ-
ALZHEIMER’S DISEASE             -
                                                          ence. Youth also completed a high and low level ropes course.
NEPHRITIS (KIDNEY DISEASE)     25.8                   F
SUICIDE                         -                         Key Activities
DISEASE                                                   - Initial meeting with key leaders in community
DIABETES PREVALENCE             -                         - Partnered with neighboring counties to re-apply for Tobacco
ASTHMA PREVALENCE               -                           Settlement Endowment Trust grant
CANCER INCIDENCE              427.4       B               - Youth Leadership Retreat at Jacob’s Ladder in Chandler
 (RATE PER 100,000)
                                                          - Presented Make It Your Business information to local
RISK FACTORS & BEHAVIORS                                    chamber of commerce
FRUIT/VEGETABLE CONSUMPTION      -
NO PHYSICAL ACTIVITY             -
SMOKING                          -
OBESITY                          -
IMMUNIZATIONS < 3 YEARS         96.2% A
SENIORS FLU VACCINATION          -
SENIORS PNEUMONIA VACCINATION -
LIMITED ACTIVITY DAYS (AVG)      -
POOR MENTAL HEALTH DAYS (AVG)    -
POOR PHYSICAL HEALTH DAYS (AVG) -
GOOD OR BETTER HEALTH RATING     -
TEEN FERTILITY (RATE PER 1,000) 42.9                  F
FIRST TRIMESTER PRENATAL CARE 81.8%           C
LOW BIRTH WEIGHT                 8.6%         C
ADULT DENTAL VISITS              -
USUAL SOURCE OF CARE             -

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE           -
POVERTY                        28.2%                  F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 108
              harper county                             Harper County Turning Point Partnership
                                                        Coalition Priorities
                                                        - Underage drinking
                                                        - Youth access to alcohol
HARPER COUNTY                                           - Physical activity
(MEASURE; GRADE)
                                                        - Senior housing
MORTALITY
INFANT (RATE PER 1,000)         -                       About Us
TOTAL (RATE PER 100,000)     1011.1                 F   Harper County Turning Point Partnership had great success
                                                        with their initial project, the opening of a health department in
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                        their county in 2003. Harper County was one of only seven
HEART DISEASE                 224.0         C           counties in Oklahoma that did not have a health department.
CANCER                        264.1                 F   The partnership is currently working on developing a Senior
STROKE                        116.9                 F   Housing Complex. The Harper County Development Authority,
CHRONIC LOWER RESPIRATORY       -                       created to act as the governing board, meets once a month to
  DISEASE                                               work on the senior housing project. Plans for the complex have
UNINTENTIONAL INJURY          113.9                 F
                                                        been approved; a developer has been secured, and is awaiting
DIABETES                        -
                                                        final approval of funding based on market analysis.
INFLUENZA/PNEUMONIA             -
ALZHEIMER’S DISEASE             -
                                                        The youth committee’s work on underage drinking continued
NEPHRITIS (KIDNEY DISEASE)      -
                                                        with the Social Host Ordinance passing in both Harper County
SUICIDE                         -
                                                        communities and an Every 15 Minutes program held at
DISEASE                                                 Laverne school by their 2 Much 2 Lose (2M2L) Club. Every 15
DIABETES PREVALENCE             -
                                                        minutes a student was “killed” throughout the day and once
ASTHMA PREVALENCE               -
                                                        the Grim Reaper had gotten them they could not talk the rest
CANCER INCIDENCE              492.4             D
 (RATE PER 100,000)                                     of the day to demonstrate that every 15 minutes someone is
                                                        killed in an alcohol-related accident. An assembly was held at
RISK FACTORS & BEHAVIORS
                                                        the end of the day and included letters written by the students’
FRUIT/VEGETABLE CONSUMPTION      -
                                                        parents. The school and 2M2L Club felt that it was a great suc-
NO PHYSICAL ACTIVITY             -
SMOKING                          -                      cess.
OBESITY                          -
                                                        Key Activities
IMMUNIZATIONS < 3 YEARS         86.0%   B
SENIORS FLU VACCINATION          -                      - Every 15 Minutes program at Laverne school
SENIORS PNEUMONIA VACCINATION -                         - Media campaign on underage drinking and youth access
LIMITED ACTIVITY DAYS (AVG)      -                      - Met with Laverne and Buffalo town boards and community
POOR MENTAL HEALTH DAYS (AVG)    -                        citizens on Social Host Ordinance
POOR PHYSICAL HEALTH DAYS (AVG) -                       - Promoted 2M2L (2 Much 2 Lose) in Laverne and Buffalo
GOOD OR BETTER HEALTH RATING     -
                                                          schools
TEEN FERTILITY (RATE PER 1,000) 20.4        C
                                                        - Worked with community partners to apply for Safe Routes
FIRST TRIMESTER PRENATAL CARE 69.5%                 F
LOW BIRTH WEIGHT                 7.1%   B                 to School grant
ADULT DENTAL VISITS              -                      - Implementing Body Recall classes three times per week
USUAL SOURCE OF CARE             -                        in both communities
SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE           -
POVERTY                        10.6%    B




                                                               2008 STATE OF THE STATE’S HEALTH REPORT l 109
             haskell county                               Haskell County Coalition
                                                          Coalition Priorities
                                                          - Partnership development
                                                          - Provide resources and education to families
HASKELL COUNTY                                            - Youth education and empowerment
(MEASURE; GRADE)
                                                          - School readiness
MORTALITY                                                 - Underage drinking prevention
INFANT (RATE PER 1,000)         9.8                   F
TOTAL (RATE PER 100,000)      992.1                   F   About Us
                                                          The Haskell County Coalition is committed to improving the
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          quality of life for everyone through efficient and effective part-
HEART DISEASE                 295.1                   F   nerships.
CANCER                        227.2                   F
                                                          Since becoming a Turning Point partnership in 2006 they have
STROKE                         38.7       B
CHRONIC LOWER RESPIRATORY      49.2               D       expanded the partnership to not just provide an opportunity for
  DISEASE                                                 important community networking but provide resources and
UNINTENTIONAL INJURY              95.9                F   services to the county. The coalition partnered with three other
DIABETES                          26.0        C           county coalitions to provide a Smart Start Program for all four
INFLUENZA/PNEUMONIA               38.0                F   counties. The group also utilized School Enrichment data col-
ALZHEIMER’S DISEASE                -
                                                          lected from county schools to develop an Adolescent Health
NEPHRITIS (KIDNEY DISEASE)        11.8    B
                                                          Conference to meet the needs of area schools while providing
SUICIDE                            -
                                                          youth education and empowering them to live healthy by mak-
DISEASE                                                   ing better choices. The coalition also partnered the 2 Much 2
DIABETES PREVALENCE             5.3% A
                                                          Lose project to work on preventing underage drinking and
ASTHMA PREVALENCE              12.0%                  F
                                                          passing Social Host Ordinances.
CANCER INCIDENCE              455.4           C
 (RATE PER 100,000)
                                                          New to the coalition are the Walk This Weigh Initiative, Parent/
RISK FACTORS & BEHAVIORS                                  Child Play Groups, Make It Your Business and the Back To
FRUIT/VEGETABLE CONSUMPTION        -                      School Round-Up. They have held monthly Walk This Weigh
NO PHYSICAL ACTIVITY              29.2%               F   events through the summer and fall. The coalition partnered
SMOKING                           28.5%               F
                                                          with local agencies to provide school supplies and promote up-
OBESITY                           22.7%   B
                                                          to-date immunizations to school age children.
IMMUNIZATIONS < 3 YEARS           81.0%       C
SENIORS FLU VACCINATION           72.4%       C
                                                          Key Activities
SENIORS PNEUMONIA VACCINATION      -
                                                          - Back-to-School Round-Up
LIMITED ACTIVITY DAYS (AVG)        7.8                F
POOR MENTAL HEALTH DAYS (AVG)      4.9                F
                                                          - Walk this Weigh events
POOR PHYSICAL HEALTH DAYS (AVG)    6.3                F   - Alcohol, Tobacco and Other Drugs prevention activities
GOOD OR BETTER HEALTH RATING      71.0%               F   - New partners established
TEEN FERTILITY (RATE PER 1,000)   38.0                F   - Underage drinking initiatives started
FIRST TRIMESTER PRENATAL CARE     75.8%           D       - Parent and family needs addressed
LOW BIRTH WEIGHT                   6.3%   B
ADULT DENTAL VISITS               46.5%               F
USUAL SOURCE OF CARE              86.4%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             18.6%           D
POVERTY                           21.8%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 110
             hughes county                                Hughes County Turning Point
                                                          Coalition Priorities
                                                          - Partnership development
                                                          - Address underage drinking
HUGHES COUNTY                                             - Youth education and empowerment
(MEASURE; GRADE)
                                                          - Prevention of Alcohol, Tobacco and Other Drugs (ATOD)
MORTALITY                                                 - Access to health care
INFANT (RATE PER 1,000)         7.8           C
TOTAL (RATE PER 100,000)     1002.1                   F   About Us
                                                          Since becoming a Turning Point partnership in late 2006,
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          Hughes County Turning Point has expanded the partnership to
HEART DISEASE                 341.7                   F   not just provide an opportunity for important community net-
CANCER                        217.3                   F   working but to provide resources and services to the county.
STROKE                         57.1               D
CHRONIC LOWER RESPIRATORY      44.1           C           They are very dedicated to preventing tobacco, drug and alco-
  DISEASE                                                 hol use in area youth. They participated in Red Ribbon Week
UNINTENTIONAL INJURY              84.1                F   activities, Great American Smokeout, Alcohol Awareness
DIABETES                          27.1            D       Month, Kick Butts Day and World No Tobacco Day. In partner-
INFLUENZA/PNEUMONIA               16.8    B               ship with the John Crow IV Memorial Foundation and the To-
ALZHEIMER’S DISEASE               30.1            D
                                                          bacco Control Program, they supported Tobacco Prevention
NEPHRITIS (KIDNEY DISEASE)        12.0        C
                                                          Speaker Rick Bender presenting to hundreds of area students.
SUICIDE                            -
                                                          The coalition sponsored a Town Hall Meeting on Underage
DISEASE                                                   Drinking and is working to get Social Host Ordinances passed
DIABETES PREVALENCE             8.0%          C
                                                          in area cities. They also worked to support local efforts to apply
ASTHMA PREVALENCE               2.9% A
                                                          for Federally Qualified Health Center (FQHC) funding and estab-
CANCER INCIDENCE              518.3                   F
 (RATE PER 100,000)                                       lish a clinic in Wetumka.

RISK FACTORS & BEHAVIORS                                  Though this is a young coalition they are actively working to
FRUIT/VEGETABLE CONSUMPTION        -                      positively impact the health of their community.
NO PHYSICAL ACTIVITY              28.8%               F
SMOKING                           35.6%               F   Key Activities
OBESITY                           17.7% A                 - Tobacco control activities
IMMUNIZATIONS < 3 YEARS           80.2%     C             - FQHC application support
SENIORS FLU VACCINATION           63.8%               F
                                                          - Alcohol, Tobacco and Other Drugs prevention activities
SENIORS PNEUMONIA VACCINATION     67.2%     C
                                                          - Town hall meeting on underage drinking
LIMITED ACTIVITY DAYS (AVG)        9.4                F
POOR MENTAL HEALTH DAYS (AVG)      4.1                F
POOR PHYSICAL HEALTH DAYS (AVG)    4.4      C
GOOD OR BETTER HEALTH RATING      75.1%               F
TEEN FERTILITY (RATE PER 1,000)   43.3                F
FIRST TRIMESTER PRENATAL CARE     69.2%               F
LOW BIRTH WEIGHT                   7.4%   B
ADULT DENTAL VISITS               47.8%               F
USUAL SOURCE OF CARE              70.3%               F

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             33.7%               F
POVERTY                           27.2%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 111
           jackson county                              Jackson County Community Health Action Team
                                                       Coalition Priorities
                                                       - Tobacco use prevention
                                                       - Underage drinking
JACKSON COUNTY                                         - Access to healthcare
(MEASURE; GRADE)
                                                       - Immunization
MORTALITY                                              - Physical activity and nutrition
INFANT (RATE PER 1,000)        10.2                F
TOTAL (RATE PER 100,000)     1070.5                F   About Us
                                                       Jackson County Community Health Action Team (JCCHAT) be-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                       gan meeting in 2003. JCCHAT’s vision is to become one of the
HEART DISEASE                 311.9                F   healthiest counties in the state by 2020, and they have had
CANCER                        192.5            D       significant accomplishments over the past five years that will
STROKE                         89.8                F   help them reach their vision. JCCHAT successfully advocated
CHRONIC LOWER RESPIRATORY      67.4                F   for the city of Altus to pass a local seatbelt ordinance, which
  DISEASE                                              attributed to a decrease in motor vehicle fatalities and injuries
UNINTENTIONAL INJURY              49.3         D
                                                       as well as a substantial increase in the seatbelt compliance
DIABETES                          34.4             F
                                                       rate. Other accomplishments include establishing a free health
INFLUENZA/PNEUMONIA               24.4         D
ALZHEIMER’S DISEASE               65.3             F   clinic, hosting community walks, 24/7 tobacco-free schools,
NEPHRITIS (KIDNEY DISEASE)        13.9     C           active SWAT (Students Working Against Tobacco) teams, and
SUICIDE                            -                   educating city government to pass local tobacco ordinances
DISEASE
                                                       such as smoke-free environment, youth access and social host.
DIABETES PREVALENCE            10.6%               F
                                                       As with most coalitions, JCCHAT has gone through ebb and flow.
ASTHMA PREVALENCE               5.9% A
                                                       Last year the membership decided to begin meeting on a quar-
CANCER INCIDENCE              464.5        C
 (RATE PER 100,000)                                    terly basis. They have found that this has not worked out as
                                                       well as anticipated. Follow through with projects has declined,
RISK FACTORS & BEHAVIORS
                                                       as has membership. They understand and respect the fact that
FRUIT/VEGETABLE CONSUMPTION       19.1%       D
                                                       JCCHAT members are volunteers and community coalitions
NO PHYSICAL ACTIVITY              28.4%       D
SMOKING                           20.9%     C          require commitment. They are very appreciative of those mem-
OBESITY                           26.9%     C          bers who have been committed to the effort from the beginning
IMMUNIZATIONS < 3 YEARS           81.3%     C          and continually look for new members and innovative ideas.
SENIORS FLU VACCINATION           70.9%     C
SENIORS PNEUMONIA VACCINATION     75.9% A              Key Activities
LIMITED ACTIVITY DAYS (AVG)        8.5             F   - Community walks
POOR MENTAL HEALTH DAYS (AVG)      3.0    B            - Free health clinic
POOR PHYSICAL HEALTH DAYS (AVG)    4.7        D        - Strategic planning
GOOD OR BETTER HEALTH RATING      77.2%            F
                                                       - Operation Storefront
TEEN FERTILITY (RATE PER 1,000)   38.4             F
                                                       - Reward reminder visits
FIRST TRIMESTER PRENATAL CARE     86.2%     C
LOW BIRTH WEIGHT                  10.6%            F   - SWAT (Students Working Against Tobacco) float for
ADULT DENTAL VISITS               67.7%     C            Christmas parade
USUAL SOURCE OF CARE              73.3%       D        - Harvest for the Hungry Food Drive
                                                       - Walking trail enhancement at the city reservoir
SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             18.5%        D       - Present to City Council regarding tobacco ordinance
POVERTY                           19.8%            F   - Youth leadership retreat (AWARE)
                                                       - Compliance checks with local police department
                                                       - Strut the Mutt, Kick the Butt, Walk this Weigh

                                                              2008 STATE OF THE STATE’S HEALTH REPORT l 112
        jefferson county                              Jefferson County Turning Point Partnership
                                                      Coalition Priorities
                                                      - Positive youth development
                                                      - Nutrition and obesity
JEFFERSON COUNTY                                      - Substance abuse
(MEASURE; GRADE)
                                                      - Parental education and involvement
MORTALITY
INFANT (RATE PER 1,000)         -                     About Us
TOTAL (RATE PER 100,000)     1060.5               F   The Jefferson County Board of Health is credited for the devel-
                                                      opment of the countywide coalition. It was in 2006 when they
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                      began talking about the need to engage the county to address
HEART DISEASE                 303.5               F   the health issues impacting the residents. The Board of Health
CANCER                        225.4               F   initiated a “Call to Action” meeting and Jefferson County re-
STROKE                         78.2               F   sponded. Since that initial meeting, the Jefferson County Turn-
CHRONIC LOWER RESPIRATORY      79.6               F   ing Point Coalition has met on a monthly basis to discuss the
  DISEASE                                             strengths and weaknesses of their county and work to reduce
UNINTENTIONAL INJURY           65.2               F
                                                      duplication of services.
DIABETES                       62.5               F
INFLUENZA/PNEUMONIA            23.9           D       Jefferson County is a rural county. Time after time youth have
ALZHEIMER’S DISEASE             -
                                                      said that they need and want something to do. They feel there
NEPHRITIS (KIDNEY DISEASE)      -
                                                      is nothing productive to do in their towns. After doing some
SUICIDE                         -
                                                      brainstorming with youth, the partnership agreed to help pur-
DISEASE                                               sue a youth recreation center. They are currently looking for a
DIABETES PREVALENCE             -
                                                      building that will be suitable for the center. The intention of
ASTHMA PREVALENCE               -
                                                      opening a recreation center is to give youth a place to go where
CANCER INCIDENCE              548.5               F
 (RATE PER 100,000)                                   they are not pressured or tempted to engage in risky behaviors.

RISK FACTORS & BEHAVIORS                              Key Activities
FRUIT/VEGETABLE CONSUMPTION      -                    - Developed committee to research possibility of building
NO PHYSICAL ACTIVITY             -                      an activity center to promote healthy lifestyles
SMOKING                          -
                                                      - Car safety seat check
OBESITY                          -
                                                      - Smart Start float entry at Waurika Christmas Parade
IMMUNIZATIONS < 3 YEARS         90.1% A
SENIORS FLU VACCINATION          -                    - Coalition members were educated on topics such as
SENIORS PNEUMONIA VACCINATION -                         underage drinking, health disparities, and parenting
LIMITED ACTIVITY DAYS (AVG)      -                      issues facing community members
POOR MENTAL HEALTH DAYS (AVG)    3.4      C
POOR PHYSICAL HEALTH DAYS (AVG) 4.6           D
GOOD OR BETTER HEALTH RATING     -
TEEN FERTILITY (RATE PER 1,000) 46.8              F
FIRST TRIMESTER PRENATAL CARE 80.1%           D
LOW BIRTH WEIGHT                 8.1%     C
ADULT DENTAL VISITS              -
USUAL SOURCE OF CARE             -

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE           -
POVERTY                        22.0%              F




                                                             2008 STATE OF THE STATE’S HEALTH REPORT l 113
         johnston county                                      Tishomingo Development Team
                                                              Coalition Priorities
                                                              - Leadership
                                                              - Community image
JOHNSTON COUNTY                                               - Children and youth
(MEASURE; GRADE)
                                                              - Public relations/tourism
MORTALITY                                                     - Health and wellness promotion
INFANT (RATE PER 1,000)         -                             - Business development and expansion
TOTAL (RATE PER 100,000)     1051.7                       F
                                                              About Us
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              As a pilot project, OSU Extension in June 2002 offered grants
HEART DISEASE                 289.0                       F   to communities with limited leadership development opportuni-
CANCER                        195.7                   D       ties. Local citizens conducted town meetings to determine the
STROKE                         32.5       A                   needs of the community. From these town meetings, a group
CHRONIC LOWER RESPIRATORY      64.6                       F   was formed to develop a community strategic plan. This group
  DISEASE                                                     evolved into the Tishomingo Development Team (TDT). TDT has
UNINTENTIONAL INJURY              84.6                    F
                                                              continued to meet on a monthly basis to coordinate the efforts
DIABETES                          56.9                    F
                                                              of identified standing committees and to conduct group busi-
INFLUENZA/PNEUMONIA               31.4                    F
ALZHEIMER’S DISEASE               25.1            C           ness. Many accomplishments have been made in the short
NEPHRITIS (KIDNEY DISEASE)        25.4                    F   time TDT has existed. A long-term plan for the City of Tisho-
SUICIDE                            -                          mingo has been developed. This endeavor was successful by
DISEASE
                                                              joining efforts with a task force led by Tishomingo’s Landmark
DIABETES PREVALENCE             8.4%              C           Bank. After the plans were complete, TDT revised the bylaws to
ASTHMA PREVALENCE               5.8% A                        add committees that matched the needs identified by the task
CANCER INCIDENCE              456.9               C           force members as well as those already established by TDT to
 (RATE PER 100,000)                                           enable individuals and organizations the opportunity to support
RISK FACTORS & BEHAVIORS                                      our community. TDT has become a member of the Communi-
FRUIT/VEGETABLE CONSUMPTION        -                          ties Foundation of Oklahoma, a 501(c)(3) organization. Col-
NO PHYSICAL ACTIVITY              24.1%           C           laboration within the community and existing organizations is
SMOKING                           23.8%               D       the key. TDT members are committed to improving the quality
OBESITY                           42.9%                   F   of health for Johnston County residents and the community in
IMMUNIZATIONS < 3 YEARS           81.3%           C
                                                              which they live.
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -                          Key Activities
LIMITED ACTIVITY DAYS (AVG)        9.9                    F
                                                              - Conducted coalition self assessment
POOR MENTAL HEALTH DAYS (AVG)      4.6                    F
                                                              - Beautification initiative of main street
POOR PHYSICAL HEALTH DAYS (AVG)    6.4                    F
GOOD OR BETTER HEALTH RATING      72.0%                   F   - Conducted community needs assessment
TEEN FERTILITY (RATE PER 1,000)   38.0                    F   - Johnston County youth leadership
FIRST TRIMESTER PRENATAL CARE     82.3%           C           - 4th of July Celebration - car seat installation
LOW BIRTH WEIGHT                   8.2%           C           - Annual Kids for Kids Festival
ADULT DENTAL VISITS               48.8%                   F   - Oklahoma Pride (safe routes to school)
USUAL SOURCE OF CARE              84.1%       B
                                                              - Alfalfa Bill Bicycle Ride (arts programs)
SOCIOECONOMIC FACTORS                                         - After school programs
NO INSURANCE COVERAGE              9.9%       B               - Youth Fit and Fun summer camps
POVERTY                           20.4%                   F   - Collaboration among existing groups



                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 114
                       kay county                         Kay County
                                                          Coalition Priorities
                                                          - Substance abuse prevention
                                                          - Alcohol
KAY COUNTY                                                - Injury prevention
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         7.8           C           Kaw Nation Wellness Coalition formed in 2005, and chose to
TOTAL (RATE PER 100,000)      948.5                   F   become a partner with Turning Point after attending the Turn-
                                                          ing Point Forum last December. The coalition has many active
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          tribal members as well as partners from other organizations in
HEART DISEASE                 259.6               D       Kay County. Their goal is to most effectively address the health
CANCER                        206.5               D       issues in their county.
STROKE                         54.4               D
CHRONIC LOWER RESPIRATORY      52.3               D       Key Activities
  DISEASE                                                 - Developed newsletter through the Tribal Youth Program and
UNINTENTIONAL INJURY              64.9                F     Injury Prevention Program
DIABETES                          41.0                F   - Created North Central Oklahoma Health Consortium with
INFLUENZA/PNEUMONIA               20.9        C             Ponca City Hospital, Blackwell Hospital, and the White Eagle
ALZHEIMER’S DISEASE               24.1        C
                                                            Clinic as partners
NEPHRITIS (KIDNEY DISEASE)        15.6        C
                                                          - Met with Ponca City Hospital to develop Native American
SUICIDE                           14.3            D
                                                            specific training for their leadership team
DISEASE
DIABETES PREVALENCE            12.0%                  F
ASTHMA PREVALENCE              10.1%                  F
CANCER INCIDENCE              554.7                   F
 (RATE PER 100,000)

RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION       21.8%           D
NO PHYSICAL ACTIVITY              28.3%           D
SMOKING                           27.0%               F
OBESITY                           26.9%       C
IMMUNIZATIONS < 3 YEARS           74.5%           D
SENIORS FLU VACCINATION           71.1%       C
SENIORS PNEUMONIA VACCINATION     60.0%               F
LIMITED ACTIVITY DAYS (AVG)        4.9        C
POOR MENTAL HEALTH DAYS (AVG)      4.1                F
POOR PHYSICAL HEALTH DAYS (AVG)    5.1            D
GOOD OR BETTER HEALTH RATING      79.2%               F
TEEN FERTILITY (RATE PER 1,000)   39.2                F
FIRST TRIMESTER PRENATAL CARE     66.0%               F
LOW BIRTH WEIGHT                   7.2%   B
ADULT DENTAL VISITS               50.6%               F
USUAL SOURCE OF CARE              82.4%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             21.0%               F
POVERTY                           18.1%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 115
     kingfisher county                                        Kingfisher Community Collaborative
                                                              Coalition Priorities
                                                              - Positive youth development
                                                              - Parent education
KINGFISHER COUNTY                                             - ATOD (Alcohol, Tobacco and Other Drugs)
(MEASURE; GRADE)
                                                              - Nutrition and physical activity
MORTALITY                                                     - Counselors for schools
INFANT (RATE PER 1,000)         -
TOTAL (RATE PER 100,000)      897.1                   D       About Us
                                                              Kingfisher Community Collaborative, Inc. (KCC) was initially
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              organized in 1997 and has worked to assist schools and improve
HEART DISEASE                 253.5                   D       communication among the many area agencies and organiza-
CANCER                        206.5                   D       tions. KCC’s role in the community is always evolving based on
STROKE                         43.1               C           the culture and issues impacting the county. KCC has been
CHRONIC LOWER RESPIRATORY      58.1                       F   successful in sustaining projects that have proven outcomes
  DISEASE                                                     and recognized those that have not. KCC is committed to build-
UNINTENTIONAL INJURY              67.4                    F
                                                              ing healthy families today for healthy communities tomorrow.
DIABETES                          31.9                    F
INFLUENZA/PNEUMONIA               36.5                    F   The KCC has a proven 10-year history of development, evidenced
ALZHEIMER’S DISEASE               14.6    A
                                                              by increasing membership from across the county. The Kingfisher
NEPHRITIS (KIDNEY DISEASE)        13.4            C
                                                              Community Collaborative is commited to the health and well-
SUICIDE                           15.8                D
                                                              being of the youth and families of Kingfisher County. KCC val-
DISEASE                                                       ues the health and well-being of Kingfisher County children and
DIABETES PREVALENCE             4.8% A
                                                              families. KCC is committed to compassionate service, integrity,
ASTHMA PREVALENCE               8.4%              C
                                                              a cooperative effort, and the innate worth of every individual.
CANCER INCIDENCE              488.0                   D
 (RATE PER 100,000)
                                                              Key Activities
RISK FACTORS & BEHAVIORS                                      - March Against Meth
FRUIT/VEGETABLE CONSUMPTION        -                          - Health fair and ‘Game On’ challenge
NO PHYSICAL ACTIVITY              26.3%               D       - Escape school for parents and children
SMOKING                           22.4%               D
                                                              - Systems of care
OBESITY                           33.5%                   F
                                                              - Youth poster project ’Only Addicted to the Game’
IMMUNIZATIONS < 3 YEARS           84.6%       B
SENIORS FLU VACCINATION            -                          - SWAT (Students Working Against Tobacco) and
SENIORS PNEUMONIA VACCINATION      -                            2M2L (2 Much 2 Lose) activities
LIMITED ACTIVITY DAYS (AVG)        4.0        B               - 8th grade mini health fair
POOR MENTAL HEALTH DAYS (AVG)      4.2                    F   - Parent education classes/Parent University
POOR PHYSICAL HEALTH DAYS (AVG)    3.4        B               - Fitness buddies at the elementary school
GOOD OR BETTER HEALTH RATING      80.2%               D
                                                              - After school programs
TEEN FERTILITY (RATE PER 1,000)   20.5            C
                                                              - SPIT It Out project
FIRST TRIMESTER PRENATAL CARE     85.4%           C
LOW BIRTH WEIGHT                   6.3%       B               - 5th grade Chisholm Trail walking program
ADULT DENTAL VISITS               62.0%                   F   - 2M2L (2 Much 2 Lose) youth leadership camp
USUAL SOURCE OF CARE              85.8%       B               - Established Smart Start
                                                              - Coordinated school health pilot project
SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             18.0%               D       - Participated in International Walk to School Day
POVERTY                           10.4%       B               - Safe routes to school
                                                              - Diabetic walk


                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 116
                kiowa county                              Kiowa County Community Coalition
                                                          Coalition Priorities
                                                          - Alcohol, Tobacco and Other Drugs (ATOD)
                                                          - Immunizations
KIOWA COUNTY                                              - Parenting
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         8.5               D       The Kiowa County Community Coalition began the year by re-
TOTAL (RATE PER 100,000)     1063.1                   F   viewing and editing the existing action plan. Underage drinking
                                                          and tobacco use among youth remain the primary focus. There
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          had simply been too many tragedies and near tragedies in the
HEART DISEASE                 295.4                   F   community related to alcohol. Coalition partners spent much of
CANCER                        205.9               D       the year educating community leaders, law enforcement, and
STROKE                         84.2                   F   residents of the importance of preventing underage drinking
CHRONIC LOWER RESPIRATORY      73.1                   F   and youth tobacco use. Key to their strategies of addressing
  DISEASE                                                 these issues were policy changes and other environmental
UNINTENTIONAL INJURY              63.2                F
                                                          strategies to counteract the effect ATOD is having in this rural
DIABETES                          40.7                F
                                                          community. They successfully advocated for the City of Hobart
INFLUENZA/PNEUMONIA               25.4            D
ALZHEIMER’S DISEASE               19.7    B               to pass a local Social Host Ordinance.
NEPHRITIS (KIDNEY DISEASE)        21.8            D
                                                          Key Activities
SUICIDE                            -

DISEASE                                                   - Reviewed and updated strategic plan
DIABETES PREVALENCE            19.8%                  F   - Researched local underage drinking ordinances
ASTHMA PREVALENCE               7.9%      B               - Meeting with key community leaders about passing local
CANCER INCIDENCE              489.6               D         underage drinking ordinances
 (RATE PER 100,000)
                                                          - Operation Storefront
RISK FACTORS & BEHAVIORS                                  - Youth partnered with local police to address underage drinking
FRUIT/VEGETABLE CONSUMPTION        -                        issue by conducting shoulder taps and compliance checks
NO PHYSICAL ACTIVITY              25.4%           D       - Incorporated parenting classes with WIC nutrition education
SMOKING                           26.2%               F
                                                            classes
OBESITY                           37.1%               F
                                                          - Hosted Pfizer presentation on Chantix
IMMUNIZATIONS < 3 YEARS           77.0%           D
SENIORS FLU VACCINATION           69.0%           D       - Publicly recognized the Hobart Police Department for their
SENIORS PNEUMONIA VACCINATION     71.2%   B                 efforts regarding underage drinking
LIMITED ACTIVITY DAYS (AVG)       10.1                F   - Applied for year two of Communities of Excellence grant to
POOR MENTAL HEALTH DAYS (AVG)      4.8                F     address tobacco use
POOR PHYSICAL HEALTH DAYS (AVG)    4.8            D
GOOD OR BETTER HEALTH RATING      65.1%               F
TEEN FERTILITY (RATE PER 1,000)   38.1                F
FIRST TRIMESTER PRENATAL CARE     78.6%           D
LOW BIRTH WEIGHT                  11.3%               F
ADULT DENTAL VISITS               53.9%               F
USUAL SOURCE OF CARE              80.0%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             25.2%               F
POVERTY                           20.7%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 117
             latimer county                               Living in Latimer County Coalition
                                                          Coalition Priorities
                                                          - Substance abuse prevention
                                                          - Youth and family education and enrichment
LATIMER COUNTY                                            - Physical activity and nutrition
(MEASURE; GRADE)
                                                          - School readiness
MORTALITY                                                 - Access to health care
INFANT (RATE PER 1,000)        14.0                   F   - Community networking
TOTAL (RATE PER 100,000)     1028.4                   F
                                                          About Us
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          The Latimer County Coalition was established in November
HEART DISEASE                 276.3                   F   2004. This group has been identified as a vehicle to create
CANCER                        192.9               D       positive change in the community through effective partner-
STROKE                         28.2       A               ships, community networking, and accessing resources.
CHRONIC LOWER RESPIRATORY      47.0           C
  DISEASE                                                 From sponsoring Back to School Bashes and Coalition Open
UNINTENTIONAL INJURY          107.1                   F   House Events and participating in many community events,
DIABETES                       37.9                   F   they have proven to be a valued community partner that is
INFLUENZA/PNEUMONIA            28.5                   F   continually bringing needed resources and services to their
ALZHEIMER’S DISEASE            24.8           C
                                                          community.
NEPHRITIS (KIDNEY DISEASE)     28.4                   F
SUICIDE                        48.3                   F   A major role of the coalition is community networking. This
DISEASE                                                   group strives to link services and resources to make the best of
DIABETES PREVALENCE            11.9%                  F   what is available in their rural area.
ASTHMA PREVALENCE               8.1%          C
CANCER INCIDENCE              371.1 A                     Living In Latimer County Coalition is working to improve the
 (RATE PER 100,000)                                       health of the families and youth of Latimer County.

RISK FACTORS & BEHAVIORS                                  Key Activities
FRUIT/VEGETABLE CONSUMPTION        -
                                                          - Annual Back-to-School Bash
NO PHYSICAL ACTIVITY              35.7%               F
                                                          - Partnership expansion
SMOKING                           27.7%               F
OBESITY                           44.6%               F
                                                          - Coalition open house
IMMUNIZATIONS < 3 YEARS           86.6% A                 - Smart Start initiative
SENIORS FLU VACCINATION            -                      - Partnership expansion
SENIORS PNEUMONIA VACCINATION      -                      - Community networking
LIMITED ACTIVITY DAYS (AVG)        8.2                F
POOR MENTAL HEALTH DAYS (AVG)      7.2                F
POOR PHYSICAL HEALTH DAYS (AVG)    8.2                F
GOOD OR BETTER HEALTH RATING      60.7%               F
TEEN FERTILITY (RATE PER 1,000)   27.3            D
FIRST TRIMESTER PRENATAL CARE     78.0%           D
LOW BIRTH WEIGHT                   5.2% A
ADULT DENTAL VISITS               57.7%               F
USUAL SOURCE OF CARE              84.0%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             24.0%               F
POVERTY                           20.2%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 118
               leflore county                             LeFlore County Coalition for Healthy Living
                                                          Coalition Priorities
                                                          - Law enforcement and alternatives to incarceration
                                                          - Education, prevention, and wellness
LEFLOR COUNTY                                             - Public relations and fund raising
(MEASURE; GRADE)
                                                          - Intervention and treatment (school readiness)
MORTALITY
INFANT (RATE PER 1,000)         8.2               D       About Us
TOTAL (RATE PER 100,000)      999.5                   F   The LeFlore County Coalition for Healthy Living is a unique part-
                                                          nership of community organizations, agencies, mental health
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          providers, business professionals, family members, and indi-
HEART DISEASE                 267.5                   F   viduals committed to improving the quality of life for children
CANCER                        200.9               D       and families residing in LeFlore County.
STROKE                         61.4                   F
CHRONIC LOWER RESPIRATORY      55.9               D       The Coalition is actively striving to make LeFlore County a
  DISEASE                                                 healthier place to live through efforts including establishing a
UNINTENTIONAL INJURY              75.6                F   local Boys and Girls Club, drug prevention initiatives, school
DIABETES                          23.5        C           readiness programs, educating and empowering area youth,
INFLUENZA/PNEUMONIA               38.6                F   funding and implementing the Systems of Care program, and
ALZHEIMER’S DISEASE               32.8                F
                                                          providing education to the community.
NEPHRITIS (KIDNEY DISEASE)        14.4        C
SUICIDE                           16.3            D       This county-wide coalition is working to promote healthy living
DISEASE                                                   for its neighbors, friends and families.
DIABETES PREVALENCE            13.5%                  F
ASTHMA PREVALENCE               7.6%      B
                                                          Key Activities
CANCER INCIDENCE              480.9               D       - Smart Start activities
 (RATE PER 100,000)                                       - Boys and girls club efforts
                                                          - Systems of care program implementation
RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION       17.4%               F   - Alcohol Tobacco and Other Drugs prevention efforts
NO PHYSICAL ACTIVITY              29.7%               F   - Community mobilization
SMOKING                           26.4%               F   - Community education
OBESITY                           35.7%               F   - Access to drug and mental health treatment activities
IMMUNIZATIONS < 3 YEARS           80.1%       C
SENIORS FLU VACCINATION           73.6%       C
SENIORS PNEUMONIA VACCINATION     68.8%       C
LIMITED ACTIVITY DAYS (AVG)        5.6            D
POOR MENTAL HEALTH DAYS (AVG)      4.8                F
POOR PHYSICAL HEALTH DAYS (AVG)    4.6        C
GOOD OR BETTER HEALTH RATING      74.8%               F
TEEN FERTILITY (RATE PER 1,000)   35.1                F
FIRST TRIMESTER PRENATAL CARE     72.9%               F
LOW BIRTH WEIGHT                   6.8%   B
ADULT DENTAL VISITS               56.3%               F
USUAL SOURCE OF CARE              77.5%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             26.9%               F
POVERTY                           22.8%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 119
              lincoln county                                Lincoln County Turning Point Coalitions
                                                            Coalition Priorities
                                                            - Increase partnerships with organizations to improve the
                                                              effectiveness of coalition
LINCOLN COUNTY                                              - Community involvement
(MEASURE; GRADE)
                                                            - Drug and alcohol abuse
MORTALITY
INFANT (RATE PER 1,000)         9.9                     F   About Us
TOTAL (RATE PER 100,000)     1002.5                     F   Davenport - Received the Governors Safe and Drug Free
                                                            (SADF) Schools and Communities Grant which will bring in
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                            $20,000 a year for five years to address underage drinking
HEART DISEASE                 287.3                     F   and youth violence prevention. With the SADF grant they were
CANCER                        223.4                     F   able to pilot an after school program. Due to the proven need
STROKE                         61.1                     F   of the after school program, they worked with Davenport Public
CHRONIC LOWER RESPIRATORY      51.3                 D       Schools to apply for the 21st Century Learning Grant. This
  DISEASE                                                   grant was funded for over $250,000 and allows Davenport to
UNINTENTIONAL INJURY              69.8                  F
                                                            run a comprehensive after school and summer program for K-
DIABETES                          18.9      B
                                                            8th grade students. This spring, the coalition also held a Town
INFLUENZA/PNEUMONIA               26.7                  F
ALZHEIMER’S DISEASE               22.2          C           Hall meeting to address underage drinking. They are now work-
NEPHRITIS (KIDNEY DISEASE)        21.0              D       ing to pass a social host ordinance in Davenport.
SUICIDE                           26.1                  F
                                                            Prague - A Turning Point partner since April 2008, this coalition
DISEASE                                                     has put together a community needs assessment and identi-
DIABETES PREVALENCE             9.0%                D
                                                            fied alcohol and drug use as primary concerns, followed by
ASTHMA PREVALENCE              11.8%                    F
                                                            unsafe driving. Concerns were also expressed over lack of
CANCER INCIDENCE              490.8                 D
 (RATE PER 100,000)                                         youth programming in the community. The Prague Turning
                                                            Point Coalition is working towards implementation of a social
RISK FACTORS & BEHAVIORS
                                                            host ordinance in the Prague community, as well as working
FRUIT/VEGETABLE CONSUMPTION       17.5%                 F
                                                            with local pharmacists in a campaign to address prescription
NO PHYSICAL ACTIVITY              34.4%                 F
SMOKING                           29.4%                 F   drug abuse. Another key issue that the coalition is focusing on
OBESITY                           29.9%             D       is bullying prevention in the schools.
IMMUNIZATIONS < 3 YEARS           74.8%             D
SENIORS FLU VACCINATION           82.6% A                   Meeker - The Meeker coalition partnered with Turning Point
SENIORS PNEUMONIA VACCINATION     82.5% A                   in May of 2008.
LIMITED ACTIVITY DAYS (AVG)        5.1          C
POOR MENTAL HEALTH DAYS (AVG)      4.2                  F
                                                            Key Activities
POOR PHYSICAL HEALTH DAYS (AVG)    6.2                  F   - Prague community health survey
GOOD OR BETTER HEALTH RATING      77.3%                 F   - Davenport town hall meeting on underage drinking
TEEN FERTILITY (RATE PER 1,000)   20.2          C           - ‘Building Champions, One Week at a Time’ summer camp
FIRST TRIMESTER PRENATAL CARE     79.0%             D       - ‘Building Champions’ after school program
LOW BIRTH WEIGHT                   8.0%         C
                                                            - Physical activity and nutrition in community and schools
ADULT DENTAL VISITS               58.2%                 F
                                                            - Substance abuse and youth violence prevention
USUAL SOURCE OF CARE              82.5%         C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             20.0%             D
POVERTY                           14.6%             D




                                                                   2008 STATE OF THE STATE’S HEALTH REPORT l 120
                   logan county                           Sooner SUCCESS/Networking Group
                                                          Coalition Priorities
                                                          - Physical activity and nutrition
                                                          - Early childhood issues and education
LOGAN COUNTY                                              - Prevention of alcohol, tobacco, and other drug abuse
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         8.7               D       The Logan County Turning Point Coalition has begun to focus
TOTAL (RATE PER 100,000)      858.1               D       some of its efforts on improving the community environment
                                                          for its citizens. In 2008 they worked towards the Highland Park
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          Trails Enhancement Project. Within the past year, the citizens
HEART DISEASE                 240.1               D       of Guthrie have formed a community team, the Guthrie Coffee
CANCER                        192.8               D       Cruise, which leads weekly bike rides through the city of Guth-
STROKE                         62.3                   F   rie. The Guthrie Coffee Cruise has about 15 riders. The Group
CHRONIC LOWER RESPIRATORY      52.4               D       rides around four miles and takes riders through downtown
  DISEASE                                                 Guthrie, on the trails at Highland Park, and ends at the Farm-
UNINTENTIONAL INJURY              45.2            D
                                                          ers’ Market in downtown Guthrie. There is a pretty diverse
DIABETES                          21.9    B
                                                          group of riders, from hardcore cyclists to senior citizens. One
INFLUENZA/PNEUMONIA               21.7        C
ALZHEIMER’S DISEASE               15.0    B               father that participates in the ride brings along his 4-year-old
NEPHRITIS (KIDNEY DISEASE)        14.1        C           son who rides the whole trip on training wheels. The Mayor of
SUICIDE                           10.0        C           Guthrie is a regular rider as well, and he supports the weekly
DISEASE
                                                          bike rides.
DIABETES PREVALENCE             6.7%      B
                                                          Sooner SUCCESS - This coalition holds monthly meetings with
ASTHMA PREVALENCE              10.6%                  F
                                                          featured speakers throughout the year, covering different top-
CANCER INCIDENCE              427.7       B
 (RATE PER 100,000)                                       ics that the coalition members and community members can
                                                          take back to their clients or families. The Sooner SUCCESS
RISK FACTORS & BEHAVIORS
                                                          coalition held the first ever “Touch the Trucks” Child Abuse
FRUIT/VEGETABLE CONSUMPTION       10.1%               F
                                                          Prevention event. This event was held in April at the Logan
NO PHYSICAL ACTIVITY              31.4%               F
SMOKING                           17.8%  B                County Fairgrounds. Sponsors of this event were Logan County
OBESITY                           29.5%           D       Sooner SUCCESS, Smart Start Logan County, and the Logan
IMMUNIZATIONS < 3 YEARS           78.1%    C              County Health Department.
SENIORS FLU VACCINATION           66.7%           D
SENIORS PNEUMONIA VACCINATION     63.3%           D       Key Activities
LIMITED ACTIVITY DAYS (AVG)        2.9 A                  - Weekly bike rides
POOR MENTAL HEALTH DAYS (AVG)      3.9            D       - Work to improve the lives of children and their families
POOR PHYSICAL HEALTH DAYS (AVG)    2.8 A                    considered at-risk
GOOD OR BETTER HEALTH RATING      83.4%    C
                                                          - Featured speakers
TEEN FERTILITY (RATE PER 1,000)   12.9   B
                                                          - Child abuse prevention “Touch the Trucks”
FIRST TRIMESTER PRENATAL CARE     88.5   B
LOW BIRTH WEIGHT                   7.1%  B                - Underage drinking prevention
ADULT DENTAL VISITS               56.1%               F   - Tobacco prevention
USUAL SOURCE OF CARE              81.2%    C              - Working on the Social Host Ordinance
SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             16.9%           D
POVERTY                           13.0%       C




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 121
                      love county                         Task Force on Child Abuse/Domestic Violence/
                                                          Substance Abuse Prevention/Love County Turning
                                                          Point/System of Care Coalition
                                                          Coalition Priorities
LOVE COUNTY                                               - Prevention of child abuse and domestic violence
(MEASURE; GRADE)                                          - Substance abuse prevention and tobacco prevention
MORTALITY                                                 - Mental health access
INFANT (RATE PER 1,000)         -                         - Responsible sexual behavior
TOTAL (RATE PER 100,000)      868.2               D       - Nutrition and physical activity
LEADING CAUSES OF DEATH
                                                          About Us
(RATE PER 100,000)
                                                          A Child Abuse Prevention Task Force that had been meeting
HEART DISEASE                 185.4       B
CANCER                        193.0               D       monthly since 1991 became the Turning Point Partnership in
STROKE                         37.1       B               2002. In 2008, the group completed distribution of 10,000
CHRONIC LOWER RESPIRATORY      68.3                   F   telephone stickers promoting the 211 Helpline; conducted
  DISEASE                                                 “Start Talking So They Don’t Start Drinking,” a county-wide
UNINTENTIONAL INJURY              80.4                F   Town Hall meeting on underage drinking; and celebrated pas-
DIABETES                          22.5        C
                                                          sage of SB 551, the Forget-Me-Not Vehicle Safety Act. The law,
INFLUENZA/PNEUMONIA               50.4                F
                                                          which makes it illegal to leave a child under six or vulnerable
ALZHEIMER’S DISEASE               21.0        C
NEPHRITIS (KIDNEY DISEASE)        50.5                F   adult unattended in a car, was proposed by the coalition.
SUICIDE                           19.0                F
                                                          Key Activities
DISEASE                                                   - Farmers market in Marietta
DIABETES PREVALENCE            19.1%                  F   - 211 helpline promotion
ASTHMA PREVALENCE              14.7%                  F
                                                          - Love County Town Hall meeting on underage drinking
CANCER INCIDENCE              480.9               D
                                                          - Oklahoma Bar Association awarded a grant for domestic
 (RATE PER 100,000)
                                                            abuse
RISK FACTORS & BEHAVIORS                                  - Forget-Me-Not Vehicle Safety Act advocacy
FRUIT/VEGETABLE CONSUMPTION        -
NO PHYSICAL ACTIVITY              39.4%               F
SMOKING                           35.8%               F
OBESITY                           30.7%               F
IMMUNIZATIONS < 3 YEARS           81.3%       C
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -
LIMITED ACTIVITY DAYS (AVG)        -
POOR MENTAL HEALTH DAYS (AVG)      4.2                F
POOR PHYSICAL HEALTH DAYS (AVG)    6.0                F
GOOD OR BETTER HEALTH RATING      65.4%               F
TEEN FERTILITY (RATE PER 1,000)   21.2        C
FIRST TRIMESTER PRENATAL CARE     83.7%       C
LOW BIRTH WEIGHT                  11.5%               F
ADULT DENTAL VISITS               54.2%               F
USUAL SOURCE OF CARE              80.6%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             27.2%               F
POVERTY                           14.6%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 122
                major county                                  Major County
                                                              Major County performed relatively well on many of the health
                                                              indicators presented in this document. While Major County’s
                                                              rates were generally better than the Oklahoma rates for many
MAJOR COUNTY                                                  indicators, there were some areas where the county’s rates
(MEASURE; GRADE)
                                                              were worse than the state’s rates.
MORTALITY
INFANT (RATE PER 1,000)         -                             The rate of mortality from all causes was only 7 percent lower
TOTAL (RATE PER 100,000)      890.8                   D       for Major County residents than for all Oklahomans. Yet mortal-
                                                              ity rates attributed to heart disease and unintentional injury
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              were much higher than rates across the state. Unintentional
HEART DISEASE                 324.5                       F   injury was the third leading cause of death in Major County,
CANCER                        180.4               C           with a rate 60 percent higher than that of the state. Also nota-
STROKE                         54.7                   D       ble is that the nephritis mortality rate was twice the state’s
CHRONIC LOWER RESPIRATORY      40.2               C           rate, placing it as the sixth leading cause of death in the
  DISEASE                                                     county.
UNINTENTIONAL INJURY              88.8                    F
DIABETES                          20.8        B               Outcomes for engaging in healthy behaviors among Major
INFLUENZA/PNEUMONIA                -                          County residents were mixed. More Major County residents
ALZHEIMER’S DISEASE                -
                                                              were physically inactive and obese compared to Oklahomans.
NEPHRITIS (KIDNEY DISEASE)        30.3                    F
                                                              However, 90 percent of Major County children under the age of
SUICIDE                            -
                                                              three years had received the recommended immunizations,
DISEASE                                                       and county residents experienced few limited activity and poor
DIABETES PREVALENCE            11.1%                      F
                                                              health days. Perhaps most notable is that the teen fertility rate
ASTHMA PREVALENCE               -
                                                              was 230 percent lower than the state’s teen fertility rate.
CANCER INCIDENCE              453.9               C
 (RATE PER 100,000)

RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION        -
NO PHYSICAL ACTIVITY              30.7%                   F
SMOKING                            -
OBESITY                           34.7%                   F
IMMUNIZATIONS < 3 YEARS           90.0%   A
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -
LIMITED ACTIVITY DAYS (AVG)        3.2    A
POOR MENTAL HEALTH DAYS (AVG)      2.8        B
POOR PHYSICAL HEALTH DAYS (AVG)    3.2    A
GOOD OR BETTER HEALTH RATING      77.4%                   F
TEEN FERTILITY (RATE PER 1,000)    8.5    A
FIRST TRIMESTER PRENATAL CARE     76.7%               D
LOW BIRTH WEIGHT                   7.8%           C
ADULT DENTAL VISITS               55.1%                   F
USUAL SOURCE OF CARE              72.4%               D

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE              9.6%       B
POVERTY                           11.5%           C




                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 123
         marshall county                                  Marshall County Partners In Progress
                                                          Community Coalition
                                                          Coalition Priorities
                                                          - Healthy living
MARSHALL COUNTY                                           - Youth development
(MEASURE; GRADE)
                                                          - Community safety
MORTALITY                                                 - Cultural diversity
INFANT (RATE PER 1,000)         5.1       B               - Collaboration and improvement
TOTAL (RATE PER 100,000)      901.9               D       - Substance abuse education and intervention
LEADING CAUSES OF DEATH
                                                          About Us
(RATE PER 100,000)
HEART DISEASE                 246.2               D
                                                          The Marshall County “Partners In Progress” community coali-
CANCER                        187.6           C           tion was formed in the spring of 2006. Although very young in
STROKE                         62.2                   F   age, this community has identified leadership and developed
CHRONIC LOWER RESPIRATORY      75.3                   F   by-laws and a strategic plan. Their membership is comprised of
  DISEASE                                                 caring community members who work together to improve the
UNINTENTIONAL INJURY              47.3            D
                                                          overall quality of health and living for residents of Marshall
DIABETES                          25.1        C
                                                          County. Serving as a key partner within the U-Turn Consortium,
INFLUENZA/PNEUMONIA               26.8                F
ALZHEIMER’S DISEASE               16.1    B
                                                          this partnership is making great strides in tobacco prevention
NEPHRITIS (KIDNEY DISEASE)         7.9    B               and tobacco control throughout the county. Coalition members
SUICIDE                           14.1            D       are dedicated to providing positive experiences, guidance, and
                                                          leadership for their local youth.
DISEASE
DIABETES PREVALENCE             8.6%          C
                                                          Key Activities
ASTHMA PREVALENCE               4.0% A
                                                          - Coalition team building training
CANCER INCIDENCE              501.9                   F
 (RATE PER 100,000)
                                                          - Underage drinking awareness initiatives
                                                          - Town hall meeting on underage drinking
RISK FACTORS & BEHAVIORS
                                                          - Store Front Campaign
FRUIT/VEGETABLE CONSUMPTION        -
                                                          - Health fairs
NO PHYSICAL ACTIVITY              43.1%               F
SMOKING                           26.3%               F
                                                          - Health and nutrition classes (minority population)
OBESITY                           34.3%               F   - Community awareness booth
IMMUNIZATIONS < 3 YEARS           80.9%       C           - Strategic planning
SENIORS FLU VACCINATION            -                      - Media campaigns for healthy living
SENIORS PNEUMONIA VACCINATION      -                      - Injury prevention - car seat safety
LIMITED ACTIVITY DAYS (AVG)        5.5            D
                                                          - Expand partnership participation
POOR MENTAL HEALTH DAYS (AVG)      3.5        C
                                                          - Teen pregnancy prevention programs
POOR PHYSICAL HEALTH DAYS (AVG)    5.8                F
GOOD OR BETTER HEALTH RATING      71.2%               F
                                                          - SWAT (Students Working Against Tobacco)
TEEN FERTILITY (RATE PER 1,000)   35.2                F   - Tobacco prevention/tobacco control initiatives
FIRST TRIMESTER PRENATAL CARE     78.6%           D       - Drug free community - chili challenge
LOW BIRTH WEIGHT                   6.8%   B               - Media campaign targeting BIG TOBACCO
ADULT DENTAL VISITS               53.2%               F   - Health equity awareness planning
USUAL SOURCE OF CARE              76.7%           D
                                                          - Kick Butts Day
SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             20.6%               F
POVERTY                           24.2%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 124
              mayes county                                    Mayes County HOPE
                                                              Coalition Priorities
                                                              - Alcohol misuse among adults
                                                              - Prevention of underage substance abuse
MAYES COUNTY                                                  - Nutrition and physical activity
(MEASURE; GRADE)
                                                              - Prevention of unsafe sexual activity
MORTALITY                                                     - Tobacco use prevention
INFANT (RATE PER 1,000)         6.1               C
TOTAL (RATE PER 100,000)      908.3                   D       About Us
                                                              The purpose of the Mayes County HOPE Coalition is to reduce
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              high-risk health behaviors such as alcohol, drug and tobacco
HEART DISEASE                 255.8                   D       use, unsafe sexual activity, poor nutrition, and physical inactiv-
CANCER                        199.0                   D       ity through education, coalition building, interventions, and
STROKE                         51.1                   D       other appropriate activities; thus improving the quality of life of
CHRONIC LOWER RESPIRATORY      52.7                   D       the citizens of Mayes County.
  DISEASE
UNINTENTIONAL INJURY              59.8                    F   Mayes County HOPE was one of the coalitions selected for the
DIABETES                          23.5            C           Cherokee Nation CAN grant. They are hiring a prevention spe-
INFLUENZA/PNEUMONIA               24.8                D       cialist and have identified alcohol misuse among adults as
ALZHEIMER’S DISEASE               14.6    A
                                                              their top priority from data collected.
NEPHRITIS (KIDNEY DISEASE)         9.5        B
SUICIDE                           17.2                    F   Tobacco Compliance Checks were done by Rogers, Ottawa,
DISEASE                                                       Craig, Mayes, Nowata, and Delaware Area Prevention Resource
DIABETES PREVALENCE            11.7%                      F   Center. They identified only two violations, and violators were
ASTHMA PREVALENCE               6.1% A                        cooperative and received appropriate education.
CANCER INCIDENCE              490.9                   D
 (RATE PER 100,000)                                           Mayes County youth advocate groups — the Keystoners (with
                                                              Boys and Girls Club), Thunderbird Academy, and SHIFT (with
RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION       16.6%                   F   Pryor Public Schools) — are developing a youth council to work
NO PHYSICAL ACTIVITY              34.1%                   F   on issues such as the social host ordinance.
SMOKING                           30.7%                   F
OBESITY                           28.6%               D
                                                              During their local underage drinking town hall meeting, the
IMMUNIZATIONS < 3 YEARS           79.4%     C                 SHIFT group asked for the teens to stand if they knew another
SENIORS FLU VACCINATION           79.8% A                     teen that drank or did drugs...this question’s overwhelming
SENIORS PNEUMONIA VACCINATION     74.7% A                     response led to planning of the teen center.
LIMITED ACTIVITY DAYS (AVG)        5.8                D
POOR MENTAL HEALTH DAYS (AVG)      5.2                    F   Key Activities
POOR PHYSICAL HEALTH DAYS (AVG)    4.7                D       - 2M2L (2 Much 2 Lose) camp
GOOD OR BETTER HEALTH RATING      75.9%                   F   - Walk this Weigh health fair
TEEN FERTILITY (RATE PER 1,000)   25.4                D       - Walk for diabetes with Pryor public schools
FIRST TRIMESTER PRENATAL CARE     80.2%               D
                                                              - Developing a teen center
LOW BIRTH WEIGHT                   6.9%   B
                                                              - Underage drinking town hall meeting
ADULT DENTAL VISITS               53.2%                   F
USUAL SOURCE OF CARE              80.8%     C                 - Resource council meetings - free clinic

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             17.6%               D
POVERTY                           20.6%                   F




                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 125
           mcclain county                                 McClain County Turning Point Partnerships
                                                          Coalition Priorities
                                                          - Increase partnerships with organizations to improve the
                                                            effectiveness of coalition
MCCLAIN COUNTY                                            - Improve the health and wellness of our community
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         8.0               D       Blanchard – The Blanchard Community Coalition put together
TOTAL (RATE PER 100,000)      957.3                   F   several focus groups in the Blanchard community to look at
                                                          current perceptions of physical activity at Lion’s Park in Blanch-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          ard. The Coalition also held their 2nd annual Go Girl Go Camp
HEART DISEASE                 265.0                   F   for girls in 4th-8th grades, focusing on bullying prevention,
CANCER                        225.9                   F   physical activity, leadership, alcohol and drug prevention, and
STROKE                         74.8                   F   nutrition. The Coalition also put together a youth speak out,
CHRONIC LOWER RESPIRATORY      64.7                   F   which gave the youth of Blanchard an opportunity to let leaders
  DISEASE                                                 in the community know what is important to them. One primary
UNINTENTIONAL INJURY              65.3                F
                                                          focus from the youth speak out was a teen center in Blanch-
DIABETES                          21.1    B
                                                          ard. On October 31, 2008, the Blanchard Teen Center had its
INFLUENZA/PNEUMONIA               28.9                F
ALZHEIMER’S DISEASE               22.7        C           grand opening.
NEPHRITIS (KIDNEY DISEASE)         7.0    B
                                                          Purcell – The Purcell CYAP coalition became a Turning Point
SUICIDE                            -
                                                          partner in April 2008. This coalition has worked very hard to
DISEASE                                                   host a Movie and Swim night every Thursday throughout the
DIABETES PREVALENCE             7.2%   B
                                                          summer for kids of all ages. The Coalition has also put on vari-
ASTHMA PREVALENCE               5.5% A
                                                          ous sporting events for the youth, including basketball, softball
CANCER INCIDENCE              554.4                   F
 (RATE PER 100,000)                                       and baseball. At the end of the summer the coalition puts on
                                                          an “End of Summer Bash” for the kids and their families in the
RISK FACTORS & BEHAVIORS
                                                          Purcell area. The CYAP coalition is in the process of working
FRUIT/VEGETABLE CONSUMPTION       17.7%         F
                                                          very closely with community partners to obtain a Youth/Teen
NO PHYSICAL ACTIVITY              24.2%     C
SMOKING                           20.9%     C             Center to host all their after school activities that are held by
OBESITY                           26.2%     C             the coalition.
IMMUNIZATIONS < 3 YEARS           75.7%       D
SENIORS FLU VACCINATION           65.5%         F         Key Activities
SENIORS PNEUMONIA VACCINATION     64.5%       D           - Blanchard Family Fun Day
LIMITED ACTIVITY DAYS (AVG)        2.8 A                  - Social Host Ordinance passed in Blanchard
POOR MENTAL HEALTH DAYS (AVG)      2.1 A                  - Go Girl Go camp
POOR PHYSICAL HEALTH DAYS (AVG)    4.2      C             - Youth Speak Out
GOOD OR BETTER HEALTH RATING      84.1%     C
                                                          - Blanchard Teen Center
TEEN FERTILITY (RATE PER 1,000)   16.2    B
                                                          - Purcell End of Summer Bash
FIRST TRIMESTER PRENATAL CARE     84.0%     C
LOW BIRTH WEIGHT                   8.6%     C             - Purcell after school movie/swim night
ADULT DENTAL VISITS               61.1%         F
USUAL SOURCE OF CARE              91.3% A

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             19.6%           D
POVERTY                           12.8%       C




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 126
                                                          McCurtain County ~ Coalition For Change

     mccurtain county                                     Coalition Priorities
                                                          - Collaboration
                                                          - Substance abuse prevention and intervention
                                                          - Youth and family education/development
                                                          - Healthy living/minority health
MCCURTAIN COUNTY
(MEASURE; GRADE)
                                                          About Us
MORTALITY                                                 The vision for the McCurtain County Coalition For Change is to have
INFANT (RATE PER 1,000)         7.8           C           a safe and healthy community. Since its inception in 1991, mem-
TOTAL (RATE PER 100,000)     1138.0                   F   bership has grown to 60 members countywide. Today the Coalition
LEADING CAUSES OF DEATH                                   For Change has matured with many successful programs and on-
(RATE PER 100,000)                                        going community projects. In the past, this partnership’s primary
HEART DISEASE                 295.9                   F   focus has been to work together to reduce alcohol and other drug
CANCER                        235.4                   F   problems through coordinated and committed community preven-
STROKE                         58.4                   F
                                                          tion efforts. However, current activities are expanding partnerships
CHRONIC LOWER RESPIRATORY      61.3                   F
                                                          in an effort to address all health related and community concerns
  DISEASE
UNINTENTIONAL INJURY          105.9                   F   that impact citizen’s quality of life. Coalition for Change currently
DIABETES                       52.2                   F   serves as one of four pilots in Oklahoma funded to address METH
INFLUENZA/PNEUMONIA            24.1               D       use in the local community. All four pilots have participated in the
ALZHEIMER’S DISEASE            22.1           C           development of a joint Media Campaign identified as the “FIGHT
NEPHRITIS (KIDNEY DISEASE)     16.8           C           METH” Campaign. This campaign is unique in design and was most
SUICIDE                        30.9                   F
                                                          recently showcased at the Oklahoma Department of Mental Health
DISEASE                                                   and Substance Abuse Services’ State METH Prevention Conference.
DIABETES PREVALENCE             9.0%              D
ASTHMA PREVALENCE               9.3%              D       Key Activities
CANCER INCIDENCE              499.2                   F   - Methamphetamine prevention strategies and media campaign
 (RATE PER 100,000)                                       - Student mentor programs
RISK FACTORS & BEHAVIORS                                  - Summer programs for youth
FRUIT/VEGETABLE CONSUMPTION        9.9%               F   - Outdoor/Indoor recreation and bicycle safety
NO PHYSICAL ACTIVITY              29.8%               F   - Community walks (Walk this Weigh)
SMOKING                           24.0%           D       - Tobacco counter-marketing
OBESITY                           29.1%           D       - Tobacco ad surveys
IMMUNIZATIONS < 3 YEARS           86.2%   B
                                                          - Youth drug free clubs
SENIORS FLU VACCINATION           58.9%               F
                                                          - Alcohol compliance checks
SENIORS PNEUMONIA VACCINATION     66.6%       C
LIMITED ACTIVITY DAYS (AVG)        7.9                F   - Social Host Law promotion
POOR MENTAL HEALTH DAYS (AVG)      3.8            D       - Storefront campaign
POOR PHYSICAL HEALTH DAYS (AVG)    6.3                F   - Community clean up
GOOD OR BETTER HEALTH RATING      73.1%               F   - Recycling
TEEN FERTILITY (RATE PER 1,000)   41.0                F   - Community food drives
FIRST TRIMESTER PRENATAL CARE     83.?%       C
                                                          - Tobacco/Drug educational programs
LOW BIRTH WEIGHT                   8.4%       C
                                                          - Tobacco cessation classes
ADULT DENTAL VISITS               50.0%               F
USUAL SOURCE OF CARE              73.9%           D       - Adolescent health conference
                                                          - Too Good for Drugs and Project Alert curriculum
SOCIOECONOMIC FACTORS
                                                          - 2M2L (2 Much 2 Lose) - underage drinking prevention
NO INSURANCE COVERAGE             28.0%               F
                                                          - Town hall meeting addressing underage drinking
POVERTY                           16.9%           D
                                                          - SWAT (Students Working Against Tobacco)



                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 127
       mcintosh county                                        McIntosh County Coalition
                                                              Coalition Priorities
                                                              - Substance abuse prevention
                                                              - Youth education and empowerment
MCINTOSH COUNTY                                               - Tobacco control
(MEASURE; GRADE)
                                                              - Alternative youth activities
MORTALITY                                                     - Community mobilization
INFANT (RATE PER 1,000)        15.3                       F   - Non-profit/service provider facility
TOTAL (RATE PER 100,000)      950.5                       F
                                                              About Us
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              The McIntosh County Coalition for a Healthy Community, also
HEART DISEASE                 292.0                       F   known as McCoCo was established in 2001. Since being devel-
CANCER                        212.0                       F   oped they have brought much needed resources to their com-
STROKE                         47.3               C           munities, including the Drug Free Communities Grant, Okla-
CHRONIC LOWER RESPIRATORY      56.6                   D       homa Commission on Children and Youth (OCCY) Grants, the
  DISEASE                                                     Tobacco Control Grant, alternative activities for youth and the
UNINTENTIONAL INJURY              75.5                    F
                                                              community, a county resource directory, and many opportuni-
DIABETES                          25.0            C
                                                              ties for youth development and empowerment. This rural coali-
INFLUENZA/PNEUMONIA               17.6        B
ALZHEIMER’S DISEASE               13.0    A                   tion has strived to bridge gaps and provide services and re-
NEPHRITIS (KIDNEY DISEASE)        12.0            C           sources to the area.
SUICIDE                           19.5                    F
                                                              Youth issues are a major priority of the group. McCoCo has
DISEASE                                                       always worked very hard to ensure that the youth of the com-
DIABETES PREVALENCE            11.3%                      F
                                                              munity have a safe and healthy place to grow up. They offer
ASTHMA PREVALENCE              12.5%                      F
                                                              activities such as After Prom Parties and the annual Trail of
CANCER INCIDENCE              496.3                   D
 (RATE PER 100,000)                                           Terror to provide healthy alternatives for students. The coalition
                                                              has established SWAT (Students Working Against Tobacco)
RISK FACTORS & BEHAVIORS
                                                              teams, 2 Much 2 Lose groups, and a PRIDE Youth Coalition to
FRUIT/VEGETABLE CONSUMPTION       16.4%         F
                                                              provide an opportunity for students to play an active role in
NO PHYSICAL ACTIVITY              33.8%         F
SMOKING                           34.3%         F             improving the health of their community.
OBESITY                           26.9%     C
                                                              McCoCo recently partnered with the OCCY to conduct a key
IMMUNIZATIONS < 3 YEARS           75.4%       D
SENIORS FLU VACCINATION           77.5%   B                   informant survey in McIntosh County. Numerous community
SENIORS PNEUMONIA VACCINATION     67.4%     C                 members were surveyed and the information was compiled
LIMITED ACTIVITY DAYS (AVG)        6.0        D               into a report, which the coalition is using to create a plan to
POOR MENTAL HEALTH DAYS (AVG)      4.2          F             meet the needs identified by the community.
POOR PHYSICAL HEALTH DAYS (AVG)    5.0        D
GOOD OR BETTER HEALTH RATING      74.7%         F             Key Activities
TEEN FERTILITY (RATE PER 1,000)   22.8      C                 - Trail of Terror
FIRST TRIMESTER PRENATAL CARE     64.8%         F             - OCCY Key Informant survey
LOW BIRTH WEIGHT                   9.4%       D
                                                              - Alcohol Tobacco and Other Drugs (ATOD) prevention activities
ADULT DENTAL VISITS               55.7%         F
                                                              - Tobacco control activities
USUAL SOURCE OF CARE              90.4% A
                                                              - Strategic planning
SOCIOECONOMIC FACTORS                                         - PRIDE projects and presentations
NO INSURANCE COVERAGE             21.8%                   F
                                                              - Annual After Prom Party
POVERTY                           15.6%               D
                                                              - Town hall meeting on underage drinking



                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 128
             murray county                                Murray County Turning Point
                                                          Coalition Priorities
                                                          - Increase partnerships with organizations to improve the
                                                            effectiveness of coalition
MURRAY COUNTY                                             - Community Involvement
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         6.1           C           Sulphur - People in Sulphur are invited to take back their lives
TOTAL (RATE PER 100,000)     1039.0                   F   — and their health! In April 2008, a local group of organizations
                                                          joined forces to form a Turning Point Coalition. The local organi-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          zations that have joined forces with the Turning Point Coalition
HEART DISEASE                 309.1                   F   are the Main Street Organization, Arbuckle Memorial Hospital,
CANCER                        226.5                   F   Murray County Health Department, Chickasaw National Rec-
STROKE                         59.8                   F   reation Area, Lifestyle Center of America, and the City of Sul-
CHRONIC LOWER RESPIRATORY      58.4                   F   phur. This Turning Point Coalition has encouraged its citizens
  DISEASE                                                 to become more involved in their community. The coalition is
UNINTENTIONAL INJURY              74.7                F
                                                          focused on helping the community become more aware of its
DIABETES                          56.9                F
                                                          environment, and to also educate and promote good eating
INFLUENZA/PNEUMONIA               31.3                F
ALZHEIMER’S DISEASE               17.7    B               habits, daily exercise, and to help the community become
NEPHRITIS (KIDNEY DISEASE)        17.3            D       healthier. The Walk this Weigh event kick-off was a great event
SUICIDE                           23.2                F   to get the community involved and to introduce them to the
DISEASE
                                                          walking trail through the sidewalks of downtown Sulphur. The
DIABETES PREVALENCE            13.7%                  F   sidewalks are providing a flat surface to walk on that will also
ASTHMA PREVALENCE               -                         be lit from 5 PM to 10 PM every evening. The main street or-
CANCER INCIDENCE              547.2                   F   ganization has provided satellite radio to be played during the
 (RATE PER 100,000)                                       evenings for the walkers. The coalition has also posted educa-
RISK FACTORS & BEHAVIORS                                  tional signs along the downtown walking trail to encourage and
FRUIT/VEGETABLE CONSUMPTION        -                      promote healthy living.
NO PHYSICAL ACTIVITY              25.8%       D
SMOKING                           26.9%         F         Davis - The community of Davis had its first community meet-
OBESITY                           18.6% A                 ing to form a Turning Point Coalition on October 1, 2008. There
IMMUNIZATIONS < 3 YEARS           82.6%   B               are many community members in Davis who are very excited
SENIORS FLU VACCINATION            -                      about forming this coalition. Stay tuned to Davis for upcoming
SENIORS PNEUMONIA VACCINATION      -                      events held by the Davis Turning Point Coalition.
LIMITED ACTIVITY DAYS (AVG)        4.9      C
POOR MENTAL HEALTH DAYS (AVG)      3.5      C             Key Activities
POOR PHYSICAL HEALTH DAYS (AVG)    4.6      C             - Walk this Weigh in Sulphur
GOOD OR BETTER HEALTH RATING      75.6%         F
                                                          - Healthy Living Classes: Diabetes Prevention, Portion
TEEN FERTILITY (RATE PER 1,000)   46.2          F
                                                            Distortion, Strong and Healthy Oklahoma, and Heart Health
FIRST TRIMESTER PRENATAL CARE     85.7%     C
LOW BIRTH WEIGHT                   9.1%       D
ADULT DENTAL VISITS               68.1%     C
USUAL SOURCE OF CARE              80.2%     C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             15.3%       C
POVERTY                           14.8%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 129
    muskogee county                                       Muskogee County Turning Point
                                                          Coalition Priorities
                                                          - Tobacco control
                                                          - Physical fitness and nutrition
MUSKOGEE COUNTY                                           - Worksite wellness
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         6.2           C           The Muskogee County Turning Point Coalition is a committed
TOTAL (RATE PER 100,000)      958.3                   F   group of diverse individuals dedicated to improving the health
                                                          of Muskogee County. They have three overarching goal areas:
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          tobacco control, worksite wellness, and physical fitness and
HEART DISEASE                 267.4                   F   nutrition. They have had many successes in tobacco control
CANCER                        208.9                   F   and plan to carry that into their other goal areas.
STROKE                         52.7               D
CHRONIC LOWER RESPIRATORY      67.6                   F   The tobacco control committee, Muskogee Against Tobacco,
  DISEASE                                                 has been very active and made a huge impact on not just Mus-
UNINTENTIONAL INJURY              51.4            D       kogee but Sequoyah County. From Students Working Against
DIABETES                          27.1            D       Tobacco, secondhand smoke initiatives, cessation, youth pre-
INFLUENZA/PNEUMONIA               16.6    B               vention to tobacco and the promotion of policy and system
ALZHEIMER’S DISEASE               42.0                F
                                                          changes this committee works to reduce the burden of tobacco
NEPHRITIS (KIDNEY DISEASE)        16.1        C
                                                          on community members.
SUICIDE                           14.0            D

DISEASE                                                   Muskogee County Turning Point’s newest project is the partner-
DIABETES PREVALENCE            10.8%                  F   ship to implement the City of Muskogee Wellness Initiative.
ASTHMA PREVALENCE              10.1%                  F   This is a joint effort with the Muskogee Against Tobacco coali-
CANCER INCIDENCE              537.1                   F   tion, Muskogee Turning Point, the City of Muskogee and Care
 (RATE PER 100,000)
                                                          ATC to improve the health of their community. It is a chance to
RISK FACTORS & BEHAVIORS                                  create new strategies that will help to change norms related to
FRUIT/VEGETABLE CONSUMPTION       14.3%               F   eating, activity and tobacco. This partnership has and will con-
NO PHYSICAL ACTIVITY              35.6%               F   tinue to make a real impact on the health and well-being of
SMOKING                           29.7%               F
                                                          citizens from children to seniors.
OBESITY                           29.6%           D
IMMUNIZATIONS < 3 YEARS           81.4%       C           Key Activities
SENIORS FLU VACCINATION           68.4%           D
                                                          - Tobacco control activities
SENIORS PNEUMONIA VACCINATION     65.3%           D
                                                          - Alcohol Tobacco and Other Drugs (ATOD) prevention activities
LIMITED ACTIVITY DAYS (AVG)        6.0            D
POOR MENTAL HEALTH DAYS (AVG)      4.2                F
                                                          - Worksite Wellness promotion
POOR PHYSICAL HEALTH DAYS (AVG)    5.5                F   - Physical fitness and nutrition promotion
GOOD OR BETTER HEALTH RATING      76.3%               F
TEEN FERTILITY (RATE PER 1,000)   32.5            D
FIRST TRIMESTER PRENATAL CARE     70.4%               F
LOW BIRTH WEIGHT                   8.6%       C
ADULT DENTAL VISITS               55.3%               F
USUAL SOURCE OF CARE              71.6%               F

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             25.9%               F
POVERTY                           19.9%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 130
                   noble county                               Noble County
                                                              Noble County’s performance on many of the health indicators
                                                              presented in this document were mixed. The county’s out-
                                                              comes were better than the state’s for some indicators, and
NOBLE COUNTY                                                  worse for others.
(MEASURE; GRADE)
                                                              The rate of mortality from all causes was approximately 20
MORTALITY
INFANT (RATE PER 1,000)         -                             percent lower for Noble County residents than for all Oklaho-
TOTAL (RATE PER 100,000)      794.8               C           mans. The mortality rate for stroke was half of the state’s rate,
                                                              and the mortality rate for chronic lower respiratory disease was
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              also significantly less than that of the state. Only the rates for
HEART DISEASE                 236.1                   D       unintentional injury and influenza/pneumonia deaths were
CANCER                        176.8               C           higher than the state’s rates.
STROKE                         27.0       A
CHRONIC LOWER RESPIRATORY      38.1           B               Rates for several health behavior indicators were better in No-
  DISEASE                                                     ble County than across the state. Fewer Noble County resi-
UNINTENTIONAL INJURY              63.8                    F   dents were smokers, physically inactive, and obese compared
DIABETES                          26.8            C           to Oklahoma residents. County residents experienced fewer
INFLUENZA/PNEUMONIA               37.0                    F   limited activity and poor health days than Oklahomans. The
ALZHEIMER’S DISEASE               22.3            C
                                                              teen fertility rate and proportion of infants born with low birth
NEPHRITIS (KIDNEY DISEASE)        11.5        B
                                                              weight were less than the state’s corresponding rates.
SUICIDE                           13.8                D

DISEASE                                                       While almost one in four Noble County residents was without
DIABETES PREVALENCE            12.4%                      F   health insurance, almost 90 percent of residents had a per-
ASTHMA PREVALENCE              10.9%                      F   sonal health care provider. It is also notable that although mor-
CANCER INCIDENCE              442.3           B               tality due to chronic diseases was lower in the county than in
 (RATE PER 100,000)
                                                              the state, prevalence of diabetes and asthma were greater in
RISK FACTORS & BEHAVIORS                                      Noble County than across Oklahoma as a whole.
FRUIT/VEGETABLE CONSUMPTION        -
NO PHYSICAL ACTIVITY              27.6%       D
SMOKING                           22.7%       D
OBESITY                           22.4%   B
IMMUNIZATIONS < 3 YEARS           74.0%         F
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -
LIMITED ACTIVITY DAYS (AVG)        4.6      C
POOR MENTAL HEALTH DAYS (AVG)      3.6        D
POOR PHYSICAL HEALTH DAYS (AVG)    3.8    B
GOOD OR BETTER HEALTH RATING      74.9%         F
TEEN FERTILITY (RATE PER 1,000)   16.9    B
FIRST TRIMESTER PRENATAL CARE     77.8%       D
LOW BIRTH WEIGHT                   5.4% A
ADULT DENTAL VISITS               61.0%         F
USUAL SOURCE OF CARE              88.3% A

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             23.5%                   F
POVERTY                           14.5%               D




                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 131
            nowata county                                 Nowata County
                                                          Nowata County performed better than the state on many of the
                                                          health indicators presented in this document. Rates for dis-
                                                          ease prevalence and for some health behaviors were worse
NOWATA COUNTY                                             than the state’s corresponding outcomes.
(MEASURE; GRADE)
                                                          The rate of mortality from all causes was approximately 10
MORTALITY
INFANT (RATE PER 1,000)         -                         percent lower for Nowata County residents than for all Oklaho-
TOTAL (RATE PER 100,000)      862.6               D       mans. Only deaths attributed to Alzheimer’s disease were more
                                                          prominent in the county than across the state. The Alzheimer’s
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          disease mortality rate was almost double that of the state,
HEART DISEASE                 256.1               D       placing Alzheimer’s disease as the sixth leading cause of death
CANCER                        185.8           C           in Nowata County.
STROKE                         50.6               D
CHRONIC LOWER RESPIRATORY      49.1               D       Diabetes prevalence was similar in Nowata County compared
  DISEASE                                                 to Oklahoma, while both asthma prevalence and cancer inci-
UNINTENTIONAL INJURY              50.5            D       dence were significantly greater. Fewer county residents were
DIABETES                          25.4        C           consuming five daily servings of fruits and vegetables and were
INFLUENZA/PNEUMONIA               16.8    B               physically active. More county residents were obese and were
ALZHEIMER’S DISEASE               40.5                F
                                                          smokers. Fewer seniors had received vaccinations to help ward
NEPHRITIS (KIDNEY DISEASE)        11.5    B
                                                          off potentially deadly influenza and pneumonia illnesses. Alter-
SUICIDE                           14.1            D
                                                          natively, Nowata County had lower rates of teen fertility and
DISEASE                                                   low birth weight infants, and more women received adequate
DIABETES PREVALENCE            10.9%                  F
                                                          prenatal care during pregnancy compared to the Oklahoma
ASTHMA PREVALENCE              11.7%                  F
                                                          population.
CANCER INCIDENCE              520.2                   F
 (RATE PER 100,000)
                                                          Factors that may impact the county’s health status are socio-
RISK FACTORS & BEHAVIORS                                  economic status and access to healthcare. A larger percentage
FRUIT/VEGETABLE CONSUMPTION       13.7%         F         of individuals were living in poverty in Nowata County com-
NO PHYSICAL ACTIVITY              32.0%         F         pared to the state as a whole. A similar proportion of Nowata
SMOKING                           28.1%         F
                                                          County adults were without health insurance, though a slightly
OBESITY                           32.9%         F
                                                          larger proportion had a personal health care provider.
IMMUNIZATIONS < 3 YEARS           79.1%     C
SENIORS FLU VACCINATION           60.7%         F
SENIORS PNEUMONIA VACCINATION     45.9%         F
LIMITED ACTIVITY DAYS (AVG)        5.6        D
POOR MENTAL HEALTH DAYS (AVG)      3.6        D
POOR PHYSICAL HEALTH DAYS (AVG)    3.9    B
GOOD OR BETTER HEALTH RATING      70.7%         F
TEEN FERTILITY (RATE PER 1,000)   22.4      C
FIRST TRIMESTER PRENATAL CARE     85.9%     C
LOW BIRTH WEIGHT                   4.5% A
ADULT DENTAL VISITS               56.3%         F
USUAL SOURCE OF CARE              82.0%     C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             20.1%           D
POVERTY                           15.5%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 132
       okfuskee county                                        Okfuskee Community Partnership Board
                                                              Coalition Priorities
                                                              - Improve the quality of life for Okfuskee County residents
                                                              - Promote physical activity and nutrition
OKFUSKEE COUNTY                                               - Increase partnerships to improve the coalition
(MEASURE; GRADE)
                                                              About Us
MORTALITY
INFANT (RATE PER 1,000)         -                             The Okfuskee County Community Partnership Board has been
TOTAL (RATE PER 100,000)     1118.3                       F   part of Turning Point since September 2007. The Okfuskee
                                                              Community has supported the partnership in all of its activities.
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              The Partnership Board has provided many activities over the
HEART DISEASE                 363.6                       F   past year: Town Hall meeting on Underage Drinking Prevention,
CANCER                        227.2                       F   Day for Youth, Family Day, Tobacco Prevention, Students Work-
STROKE                         31.8       A                   ing Against Tobacco (SWAT), 2 Much 2 Lose (2M2L), Child
CHRONIC LOWER RESPIRATORY      54.2                   D       Abuse Prevention, and Parenting Classes. The partnership
  DISEASE                                                     board has wonderful members that come together and think
UNINTENTIONAL INJURY              83.9                    F
                                                              outside the box to put together activities for the youth. One of
DIABETES                          38.2                    F
                                                              the biggest events that has been done is the “Day For Youth,”
INFLUENZA/PNEUMONIA               15.1        B
ALZHEIMER’S DISEASE               18.8        B               a one-day camp that introduces middle school kids to different
NEPHRITIS (KIDNEY DISEASE)        19.7                D       activities and education topics that they wouldn’t see in a nor-
SUICIDE                            -                          mal day at home or in school. The partnership board also puts
DISEASE
                                                              together a big day in April for Child Abuse Prevention month.
DIABETES PREVALENCE            18.2%                      F   One primary focus for the coalition within the next year is to get
ASTHMA PREVALENCE               7.9%          B               together a youth coalition in Okfuskee County. The Okfuskee
CANCER INCIDENCE              503.8                       F   County Partnership Board has wonderful participation from all
 (RATE PER 100,000)                                           of its partners.
RISK FACTORS & BEHAVIORS
                                                              Key Activities
FRUIT/VEGETABLE CONSUMPTION        -
                                                              - ‘Day for Youth’ Camp
NO PHYSICAL ACTIVITY              47.4%                   F
SMOKING                           31.4%                   F   - SWAT (Students Working Against Tobacco),
OBESITY                           28.0%               D         2M2L (2 Much 2 Lose) activities
IMMUNIZATIONS < 3 YEARS           83.7%       B               - Child abuse prevention
SENIORS FLU VACCINATION            -                          - HOT Car awareness day
SENIORS PNEUMONIA VACCINATION      -                          - Parenting classes
LIMITED ACTIVITY DAYS (AVG)        7.1                    F
                                                              - 24/7 policy
POOR MENTAL HEALTH DAYS (AVG)      4.8                    F
                                                              - Underage drinking prevention
POOR PHYSICAL HEALTH DAYS (AVG)    5.0                D
GOOD OR BETTER HEALTH RATING      75.4%                   F   - Town hall meetings
TEEN FERTILITY (RATE PER 1,000)   34.9                    F
FIRST TRIMESTER PRENATAL CARE     76.3%               D
LOW BIRTH WEIGHT                   8.0%           C
ADULT DENTAL VISITS               48.3%                   F
USUAL SOURCE OF CARE              71.5%                   F

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             38.8%                   F
POVERTY                           24.3%                   F




                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 133
     oklahoma county                                      Central Oklahoma Turning Point (COTP)
                                                          Coalition Priorities
                                                          - Access to healthcare
                                                          - Oklahoma Wellness Week
OKLAHOMA COUNTY                                           - Children’s oral health
(MEASURE; GRADE)
                                                          - Teen health issues
MORTALITY                                                 - Corporate wellness
INFANT (RATE PER 1,000)         8.9               D       - Tobacco use prevention
TOTAL (RATE PER 100,000)      904.9               D
                                                          About Us
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          Central Oklahoma Turning Point (COTP) began in 2003. More
HEART DISEASE                 247.5               D       than 1,000 stakeholders from every community sector partici-
CANCER                        191.5           C           pated in the planning process, researching ways to improve the
STROKE                         56.8               D       health status of central Oklahomans. Personal behavior is a
CHRONIC LOWER RESPIRATORY      55.3               D       contributing factor to overall poor health. Work is concentrated
  DISEASE                                                 in five subcommittees: (1) Education, (2) Community Engage-
UNINTENTIONAL INJURY              43.8        C
                                                          ment, (3) Healthcare Systems, (4) Health Policy, and (5) Youth
DIABETES                          26.4        C
                                                          Engagement.
INFLUENZA/PNEUMONIA               20.3        C
ALZHEIMER’S DISEASE               19.4    B
                                                          COTP has become an initiative of United Way of Central Okla-
NEPHRITIS (KIDNEY DISEASE)        14.3        C
                                                          homa. In 2005, Oklahoma Wellness Week was launched to
SUICIDE                           14.4            D
                                                          coincide with National Public Health Week - an annual event
DISEASE                                                   now. A county-wide health fair, lectures, Walk this Weigh, and
DIABETES PREVALENCE             7.9%          C
                                                          other activities round out the week. In 2006, during Oklahoma
ASTHMA PREVALENCE               8.6%          C
                                                          Wellness Week, COTP introduced Strong & Healthy Oklahoma,
CANCER INCIDENCE              511.2                   F
 (RATE PER 100,000)                                       a collaboration of community partners and multiple disciplines.
                                                          To date, almost a million copies of the Guide to a Strong &
RISK FACTORS & BEHAVIORS
                                                          Healthy Oklahoma have been distributed statewide. A Spanish
FRUIT/VEGETABLE CONSUMPTION       16.4%               F
                                                          version is scheduled to be published soon.
NO PHYSICAL ACTIVITY              29.5%               F
SMOKING                           25.1%               F
                                                          A new Corporate Wellness Coordinators group was formed via
OBESITY                           25.4%       C
                                                          a partnership with Oklahoma City-County Health Department
IMMUNIZATIONS < 3 YEARS           82.3%   B
SENIORS FLU VACCINATION           73.5%       C           (OCCHD) and the Oklahoma City Community Foundation (OCCF).
SENIORS PNEUMONIA VACCINATION     68.9%       C
                                                          Partnerships and collaboration are critical to success in sus-
LIMITED ACTIVITY DAYS (AVG)        4.4    B
POOR MENTAL HEALTH DAYS (AVG)      3.9            D
                                                          taining efforts and maintaining active community involvement.
POOR PHYSICAL HEALTH DAYS (AVG)    3.8    B
                                                          Key Activities
GOOD OR BETTER HEALTH RATING      81.2%           D
TEEN FERTILITY (RATE PER 1,000)   37.2                F
                                                          - Annual stakeholder retreat
FIRST TRIMESTER PRENATAL CARE     78.5%           D       - Corporate wellness coordinators group
LOW BIRTH WEIGHT                   8.9%       C           - Tobacco use prevention efforts
ADULT DENTAL VISITS               63.2%           D       - Funding for mobile dental units
USUAL SOURCE OF CARE              75.1%           D       - Oklahoma Wellness Week - Walk This Weigh, county-wide
SOCIOECONOMIC FACTORS                                       health fair
NO INSURANCE COVERAGE             22.5%               F   - Health Alliance for the uninsured
POVERTY                           17.6%               F   - ‘Parent’s Let’s Talk’ Trainings for parents of teens



                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 134
     okmulgee county                                      Okmulgee County Wellness Coalition
                                                          Coalition Priorities
                                                          - Substance abuse prevention
                                                          - Child and family abuse prevention
OKMULGEE COUNTY                                           - Obesity prevention
(MEASURE; GRADE)
                                                          - Access to health care
MORTALITY                                                 - Emergency service improvement
INFANT (RATE PER 1,000)         9.5               D       - Gang abatement and prevention
TOTAL (RATE PER 100,000)     1048.9                   F
                                                          About Us
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          The Okmulgee County Wellness Coalition was started in 2006
HEART DISEASE                 294.6                   F   by a small group of individuals interested in improving the
CANCER                        231.2                   F   health and well being of citizens of their area. In a short
STROKE                         51.8               D       amount of time they have established a large, active, diverse
CHRONIC LOWER RESPIRATORY      62.2                   F   membership and made great progress in improving the health
  DISEASE                                                 of Okmulgee County. They have developed a large coalition
UNINTENTIONAL INJURY              63.2                F
                                                          with several active committees working in the identified goal
DIABETES                          52.2                F
                                                          areas.
INFLUENZA/PNEUMONIA               22.6            D
ALZHEIMER’S DISEASE               18.5    B
                                                          Through the use of community needs assessments, Okmulgee
NEPHRITIS (KIDNEY DISEASE)        20.6            D
                                                          County Wellness Coalition identifies priority gaps in the com-
SUICIDE                           16.9                F
                                                          munity and establishes training or strategic intervention pro-
DISEASE RATES                                             grams to address the identified issues.
DIABETES PREVALENCE            11.9%                  F
ASTHMA PREVALENCE               8.8%          C           This group has built excitement and momentum in their com-
CANCER INCIDENCE              487.0               D       munity that has produced and will continue to produce very
 (RATE PER 100,000)
                                                          real positive results. They have proven that community partner-
RISK FACTORS & BEHAVIORS                                  ships do have an impact on the health of a community.
FRUIT/VEGETABLE CONSUMPTION       15.5%               F
NO PHYSICAL ACTIVITY              34.8%               F   Key Activities
SMOKING                           33.7%               F   - Community mobilization and education
OBESITY                           28.3%           D       - Access to health care assessment
IMMUNIZATIONS < 3 YEARS           82.4%   B               - Alcohol Tobacco and Other Drugs prevention activities
SENIORS FLU VACCINATION           72.5%       C
                                                          - Obesity prevention efforts
SENIORS PNEUMONIA VACCINATION     69.0%       C
                                                          - Emergency services initiative
LIMITED ACTIVITY DAYS (AVG)        6.1            D
POOR MENTAL HEALTH DAYS (AVG)      4.5                F
                                                          - Tobacco control activities
POOR PHYSICAL HEALTH DAYS (AVG)    4.5        C           - Gang prevention activities
GOOD OR BETTER HEALTH RATING      76.0%               F   - Community activist recognition
TEEN FERTILITY (RATE PER 1,000)   28.5            D       - Weed and Seed initiative planning
FIRST TRIMESTER PRENATAL CARE     72.0%               F
LOW BIRTH WEIGHT                   8.4%       C
ADULT DENTAL VISITS               55.2%               F
USUAL SOURCE OF CARE              77.0%           D

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             26.8%               F
POVERTY                           24.4%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 135
                osage county                              Osage County Community Partnership
                                                          Coalition Priorities
                                                          - Access to health care
                                                          - Senior living
OSAGE COUNTY                                              - Tobacco use prevention
(MEASURE; GRADE)
                                                          - Mental health
MORTALITY                                                 - Substance abuse prevention
INFANT (RATE PER 1,000)         8.8               D       - Physical fitness and nutrition
TOTAL (RATE PER 100,000)      820.3           C
                                                          About Us
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          The Osage County Community Partnership partnered with Turn-
HEART DISEASE                 230.6               D       ing Point this year. Prior to this, the coalitions worked closely
CANCER                        182.6           C           together though they were separate entities. The timing came
STROKE                         48.2           C           about for both the partnerships to start clean. This kept the
CHRONIC LOWER RESPIRATORY      54.6               D       initiatives going. Osage County performed a community needs
  DISEASE                                                 survey in 2003 from which they identified priorities and accom-
UNINTENTIONAL INJURY              49.1            D
                                                          plished their goals. A new county needs survey and senior liv-
DIABETES                          21.1    B
                                                          ing survey were conducted in 2008. The results led to new
INFLUENZA/PNEUMONIA               16.2    B
ALZHEIMER’S DISEASE               19.8    B               initiatives such as fitness and nutrition events, drug education,
NEPHRITIS (KIDNEY DISEASE)        13.9        C           and senior living.
SUICIDE                           13.8            D
                                                          Plants bloom and thrive in the warmth and light of a green-
DISEASE                                                   house. The Green House Project hopes to provide the same
DIABETES PREVALENCE            11.7%                  F
                                                          experience for the elderly, to be a place where the aged can
ASTHMA PREVALENCE               6.5% A
                                                          also bloom. Osage County is looking at the model Greenhouse
CANCER INCIDENCE              526.7                   F
 (RATE PER 100,000)                                       Project for an old but new way of looking at senior living.

RISK FACTORS & BEHAVIORS                                  The majority of Osage County residents are employed by small
FRUIT/VEGETABLE CONSUMPTION        8.8%               F   businesses, and in these settings employees have access to
NO PHYSICAL ACTIVITY              31.3%               F   fewer benefits than do the employees who work in larger com-
SMOKING                           23.4%           D
                                                          panies. That is why Make It Your Business is at the top of the
OBESITY                           31.6%               F
                                                          coalition’s priority list and has been very successful at getting
IMMUNIZATIONS < 3 YEARS           73.9%           D
SENIORS FLU VACCINATION           67.9%           D       started.
SENIORS PNEUMONIA VACCINATION     59.4%               F
                                                          Key Activities
LIMITED ACTIVITY DAYS (AVG)        4.2    B
POOR MENTAL HEALTH DAYS (AVG)      3.2        C
                                                          - Make It Your Business - summits, runs, bicycle events
POOR PHYSICAL HEALTH DAYS (AVG)    3.7    B                 and walks
GOOD OR BETTER HEALTH RATING      76.5%               F   - Walking for Sobriety
TEEN FERTILITY (RATE PER 1,000)   19.4        C           - Walkable Community - trail and park development
FIRST TRIMESTER PRENATAL CARE     75.5%           D       - SWAT (Students Working Against Tobacco) and 24/7 policies
LOW BIRTH WEIGHT                   8.2%       C
                                                          - Greenhouse Project
ADULT DENTAL VISITS               59.8%               F
                                                          - Red Ribbon events
USUAL SOURCE OF CARE              87.6%   B
                                                          - Walk to School Day - Safe Routes to School
SOCIOECONOMIC FACTORS                                     - Diabetes education throughout schools
NO INSURANCE COVERAGE             19.8%           D
POVERTY                           15.5%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 136
             ottawa county                                    Partners for Ottawa County Youth
                                                              Coalition Priorities
                                                              - Parenting/school attendance
                                                              - Mental health/school nurses
OTTAWA COUNTY                                                 - Recreation/afterschool programs
(MEASURE; GRADE)
                                                              About Us
MORTALITY
INFANT (RATE PER 1,000)         7.4               C           Partners for Ottawa County Youth (POCY) became part of the
TOTAL (RATE PER 100,000)     1029.3                       F   United Way July 2008. Picher, a town of about 1,600 residents,
                                                              was on the brink of extinction before the deadly tornado that
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              touched down in May 2008. Because the tornado took much
HEART DISEASE                 284.8                       F   needed time for recovery, classes were canceled for the rest of
CANCER                        227.2                       F   the school year. However, the school remained open until August,
STROKE                         69.3                       F   at which time the POCY participated in the Back to School Health
CHRONIC LOWER RESPIRATORY      56.6                   D       Fair. Booths provided lead testing, immunizations, dental, vi-
  DISEASE                                                     sion, hearing and safety awareness, and free school supplies.
UNINTENTIONAL INJURY              72.0                    F
DIABETES                          32.1                    F   The parenting subcommittee completed a long attendance
INFLUENZA/PNEUMONIA               24.5                D       project during their first year. The project, Attendance is the
ALZHEIMER’S DISEASE               14.6    A
                                                              Key, provided T-shirts as incentives, gift cards for excellent
NEPHRITIS (KIDNEY DISEASE)        21.6                D
                                                              attendance, and a detailed truck with stylish wheels, tinted
SUICIDE                           22.8                    F
                                                              windows, and a lowering kit as the grand prize. The parenting
DISEASE                                                       subcommittee started parenting classes for referrals from the
DIABETES PREVALENCE            11.8%                      F
                                                              court and the classes are held at the courthouse. The parent-
ASTHMA PREVALENCE              11.7%                      F
                                                              ing committee has full participation in the parenting classes
CANCER INCIDENCE              450.9               C
 (RATE PER 100,000)                                           and is starting a new teen parent class.

RISK FACTORS & BEHAVIORS                                      The mental health workgroup is focusing on local training for
FRUIT/VEGETABLE CONSUMPTION       20.4%               D       professionals. The health committee is helping with providing
NO PHYSICAL ACTIVITY              32.1%                   F   a school nurse at Wyandotte schools.
SMOKING                           31.0%                   F
OBESITY                           30.1%               D       Key Activities
IMMUNIZATIONS < 3 YEARS           85.7%       B               - Ottawa County Fair
SENIORS FLU VACCINATION           70.7%           C
                                                              - Red Ribbon Week
SENIORS PNEUMONIA VACCINATION     72.6%       B
                                                              - Lights for Life
LIMITED ACTIVITY DAYS (AVG)        7.0                    F
POOR MENTAL HEALTH DAYS (AVG)      4.4                    F
                                                              - Teenage pregnancy and underage drinking
POOR PHYSICAL HEALTH DAYS (AVG)    5.1                D       - 2M2L (2 Much 2 Lose) Camps
GOOD OR BETTER HEALTH RATING      74.0%                   F   - Attendance is the Key project
TEEN FERTILITY (RATE PER 1,000)   35.0                D       - Afterschool programs
FIRST TRIMESTER PRENATAL CARE     67.6%                   F   - Look Before You Leap
LOW BIRTH WEIGHT                   8.1%           C
                                                              - Back to School Fair
ADULT DENTAL VISITS               46.1%                   F
                                                              - After Prom activity
USUAL SOURCE OF CARE              73.5%               D
                                                              - Bearskin Health Fair
SOCIOECONOMIC FACTORS                                         - Alcohol and Abstinence Awareness
NO INSURANCE COVERAGE             26.1%                   F
                                                              - United Way Activities - Taste of Ottawa County
POVERTY                           18.9%                   F
                                                              - World No Tobacco Day



                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 137
           pawnee county                                  Pawnee County
                                                          Pawnee County’s performance on the health indicators pre-
                                                          sented in this document was mixed. While the county’s out-
                                                          comes were better than the state’s in some areas, prevalence
PAWNEE COUNTY                                             of disease and some risk factors were worse in the county.
(MEASURE; GRADE)
                                                          The rate of mortality from all causes was lower for Pawnee
MORTALITY
INFANT (RATE PER 1,000)         -                         County residents than for all Oklahomans. However, rates for
TOTAL (RATE PER 100,000)      922.7               D       some specific causes of death were quite high. As with some
                                                          other counties, unintentional injury was attributed as the third
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          leading cause of death in Pawnee County. Mortality rates for
HEART DISEASE                 246.5               D       cancer, diabetes and Alzheimer’s disease were also higher in
CANCER                        211.8                   F   the county.
STROKE                         54.7               D
CHRONIC LOWER RESPIRATORY      51.0               D       Prevalence of diabetes and asthma and incidence of cancer
  DISEASE                                                 were 20 to 30 percent higher in Pawnee County than in Okla-
UNINTENTIONAL INJURY              88.9                F   homa. Outcomes for risk factors and engaging in healthy be-
DIABETES                          32.2                F   haviors were generally poor for Pawnee County residents. Forty
INFLUENZA/PNEUMONIA               21.1        C           -four percent more of the county’s adult residents were smok-
ALZHEIMER’S DISEASE               37.6                F
                                                          ers and a larger proportion were not physically active com-
NEPHRITIS (KIDNEY DISEASE)         8.2    B
                                                          pared to adults across the state. County residents also experi-
SUICIDE                           12.4        C
                                                          enced more limited activity and poor health days and perceived
DISEASE                                                   their health to be poor compared to others in Oklahoma.
DIABETES PREVALENCE            12.2%                  F
ASTHMA PREVALENCE              10.6%                  F   Factors that may impact the county’s health status are socio-
CANCER INCIDENCE              607.9                   F   economic status and access to healthcare. A larger percentage
 (RATE PER 100,000)
                                                          of individuals were living in poverty in Pawnee County com-
RISK FACTORS & BEHAVIORS                                  pared to the state as a whole. However, only 10 percent of
FRUIT/VEGETABLE CONSUMPTION        -                      county adults were without health insurance and 15 percent
NO PHYSICAL ACTIVITY              32.8%               F   were without a personal health care provider. Outcomes for
SMOKING                           37.1%               F
                                                          these access to health care factors were slightly better in
OBESITY                           26.2%       C
                                                          Pawnee County than for the state.
IMMUNIZATIONS < 3 YEARS           75.0%           D
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -
LIMITED ACTIVITY DAYS (AVG)        7.3                F
POOR MENTAL HEALTH DAYS (AVG)      4.2                F
POOR PHYSICAL HEALTH DAYS (AVG)    5.7                F
GOOD OR BETTER HEALTH RATING      73.0%               F
TEEN FERTILITY (RATE PER 1,000)   25.0        C
FIRST TRIMESTER PRENATAL CARE     67.6%               F
LOW BIRTH WEIGHT                   7.7%       C
ADULT DENTAL VISITS               51.7%               F
USUAL SOURCE OF CARE              85.2%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             10.1%   B
POVERTY                           16.1%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 138
                payne county                              Payne County Turning Point
                                                          Coalition Priorities
                                                          - Tobacco prevention
                                                          - Physical fitness and nutrition
PAYNE COUNTY                                              - Substance abuse prevention
(MEASURE; GRADE)
                                                          About Us
MORTALITY
INFANT (RATE PER 1,000)         7.1           C           The main goal of this committee is to make Stillwater become
TOTAL (RATE PER 100,000)      741.2       B               Oklahoma’s Healthiest Community. The success of the coali-
                                                          tion has been dependent upon the community’s wide represen-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          tation in working subcommittees focusing on one area and
HEART DISEASE                 219.8           C           looking at collaborating with previous community projects.
CANCER                        165.6       B
                                                          For the Great American Smoke Out, the Breathe Easy Coalition
STROKE                         35.9       B
CHRONIC LOWER RESPIRATORY      43.4           C           set up tobacco education booths at local businesses. Stillwater
  DISEASE                                                 Medical Center and Cushing Regional Hospital were a few of
UNINTENTIONAL INJURY              46.1            D       the participating businesses. The coalition has published arti-
DIABETES                          18.7    B               cles in the Stillwater Living Magazine throughout the year fo-
INFLUENZA/PNEUMONIA               17.3    B               cused on tobacco awareness. The Breathe Easy Coalition also
ALZHEIMER’S DISEASE               27.2            D
                                                          participated in the county-wide career day, where they handed
NEPHRITIS (KIDNEY DISEASE)        10.8    B
                                                          out tobacco awareness education material to the youth. The
SUICIDE                            8.7    B
                                                          coalition has spoken with the Stillwater Parks and Recreation
DISEASE                                                   about banning all tobacco products in the parks and recrea-
DIABETES PREVALENCE             7.3%          C
                                                          tional areas. The Payne County Breathe Easy Coalition is
ASTHMA PREVALENCE              10.1%                  F
                                                          funded by the Oklahoma Tobacco Settlement Endowment Trust
CANCER INCIDENCE              441.5       B
 (RATE PER 100,000)                                       (TSET).

RISK FACTORS & BEHAVIORS                                  The Oklahoma State University (OSU) passed the Tobacco Free
FRUIT/VEGETABLE CONSUMPTION       12.2%               F   Law in July 2008. The law creates a safe, clean, and healthy
NO PHYSICAL ACTIVITY              22.3%       C           environment to make OSU a healthier campus.
SMOKING                           20.7%       C
OBESITY                           24.3%   B               Key Activities
IMMUNIZATIONS < 3 YEARS           75.0%           D       - Kick Butts Day
SENIORS FLU VACCINATION           73.6%       C
                                                          - Great American Smoke Out
SENIORS PNEUMONIA VACCINATION     67.1%       C
                                                          - Red Ribbon Week
LIMITED ACTIVITY DAYS (AVG)        4.2    B
POOR MENTAL HEALTH DAYS (AVG)      4.0            D
                                                          - Underage drinking prevention
POOR PHYSICAL HEALTH DAYS (AVG)    3.6    B               - Tobacco prevention
GOOD OR BETTER HEALTH RATING      80.8%           D       - SWAT (Students Working Against Tobacco) activities
TEEN FERTILITY (RATE PER 1,000)   23.1        C
FIRST TRIMESTER PRENATAL CARE     77.8%           D
LOW BIRTH WEIGHT                   6.2%   B
ADULT DENTAL VISITS               64.4%           D
USUAL SOURCE OF CARE              80.2%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             17.0%           D
POVERTY                           25.9%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 139
        pittsburg county                                      Pittsburg County Local Service Coalition
                                                              Coalition Priorities
                                                              - Tobacco control
                                                              - Teen pregnancy prevention
PITTSBURG COUNTY                                              - Community networking and information sharing
(MEASURE; GRADE)
                                                              - Youth education and empowerment
MORTALITY                                                     - Providing education, resources and services to families
INFANT (RATE PER 1,000)         7.6               C           - School readiness
TOTAL (RATE PER 100,000)      968.9                       F   - Alcohol tobacco and other drug prevention
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              About Us
HEART DISEASE                 282.8                       F   The Pittsburg County Local Service Coalition (LSC) is a large
CANCER                        203.4                   D       and diverse group of agencies, programs, businesses, organi-
STROKE                         51.7                   D       zations and individuals with the common goal of making Pitts-
CHRONIC LOWER RESPIRATORY      55.8                   D       burg County a healthier place to live. They have very active
  DISEASE                                                     committees including SETFOC (SouthEast Tobacco-Free Okla-
UNINTENTIONAL INJURY              69.8                    F
                                                              homa Coalition) and WAIT (Wanting Abstinence In Teens).
DIABETES                          16.7    A
INFLUENZA/PNEUMONIA               23.1                D       They are dedicated to providing their state recognized Family
ALZHEIMER’S DISEASE               34.9                    F
                                                              OutReach University classes twice a year to parents and com-
NEPHRITIS (KIDNEY DISEASE)        15.2            C
                                                              munity members. This project brings education and empower-
SUICIDE                           21.3                    F
                                                              ment on current topics and issues to the families and parents
DISEASE                                                       of the area at no cost. The coalition has also partnered with
DIABETES PREVALENCE            10.3%                      F
                                                              member agencies to provide such programs and projects as
ASTHMA PREVALENCE               7.8%          B
                                                              Smart Start, Strengthening Families, Systems of Care, and
CANCER INCIDENCE              464.5               C
 (RATE PER 100,000)                                           much more to Pittsburg County. LSC also works to provide op-
                                                              portunities, empowerment and resources to local youth. From
RISK FACTORS & BEHAVIORS
                                                              2 Much 2 Lose, SWAT (Students Working Against Tobacco), the
FRUIT/VEGETABLE CONSUMPTION       18.4%       D
                                                              Youth Advisory Board, and Camp PLEA, students have the
NO PHYSICAL ACTIVITY              32.7%         F
SMOKING                           27.3%         F             chance to take an active role in becoming educated and in-
OBESITY                           28.7%       D               volved in health related issues in their community.
IMMUNIZATIONS < 3 YEARS           83.3%   B
SENIORS FLU VACCINATION           76.6%   B                   The Local Service Coalition is ever growing their partnership
SENIORS PNEUMONIA VACCINATION     81.0% A                     and contribution to their community.
LIMITED ACTIVITY DAYS (AVG)        6.6          F
POOR MENTAL HEALTH DAYS (AVG)      4.4          F
                                                              Key Activities
POOR PHYSICAL HEALTH DAYS (AVG)    5.5          F             - Family Outreach University
GOOD OR BETTER HEALTH RATING      74.0%         F             - Alcohol Tobacco and Other Drugs (ATOD) prevention activities
TEEN FERTILITY (RATE PER 1,000)   32.6          F             - Strengthening families project
FIRST TRIMESTER PRENATAL CARE     73.5%         F             - PCFRD resource directory
LOW BIRTH WEIGHT                   8.9%     C
                                                              - Youth Advisory Board development
ADULT DENTAL VISITS               53.9%         F
                                                              - Smart Start
USUAL SOURCE OF CARE              70.1%         F
                                                              - Teen pregnancy prevention activities
SOCIOECONOMIC FACTORS                                         - Systems of Care program
NO INSURANCE COVERAGE             25.3%                   F
                                                              - Tobacco control activities
POVERTY                           18.1%                   F




                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 140
        pontotoc county                                   Pontotoc County Turning Point and Systems of Care
                                                          Coalition Priorities
                                                          - Physical activity and nutrition
                                                          - Wrap Around services
PONTOTOC COUNTY                                           - Coalition expansion and development
(MEASURE; GRADE)
                                                          - Worksite wellness
MORTALITY                                                 - Alcohol, tobacco, and other drug prevention
INFANT (RATE PER 1,000)         8.3               D       - Mental health court establishment
TOTAL (RATE PER 100,000)      976.6                   F
                                                          About Us
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          Pontotoc County Turning Point is a young coalition that is work-
HEART DISEASE                 238.0               D       ing very hard to improve the health of their community. This
CANCER                        207.1               D       group recently merged with the Pontotoc County Systems of
STROKE                         81.3                   F   Care Project, which strengthened their membership and broad-
CHRONIC LOWER RESPIRATORY      48.6               D       ened their goals. They continue to expand their partnership
  DISEASE                                                 while expanding their involvement in the community and work-
UNINTENTIONAL INJURY              73.5                F
                                                          ing to bring needed resources to Pontotoc County.
DIABETES                          39.9                F
INFLUENZA/PNEUMONIA               45.3                F   The group has continued to hold monthly Walk This Weigh
ALZHEIMER’S DISEASE               16.8    B
                                                          events to encourage the community to get out and get moving.
NEPHRITIS (KIDNEY DISEASE)        13.7        C
                                                          Each month they have a different themed walk and provide
SUICIDE                           17.1                F
                                                          pedometers and other incentives to participants. They have not
DISEASE                                                   only established a regular community group that walks but
DIABETES PREVALENCE            10.5%                  F
                                                          have new community members attend walks as well.
ASTHMA PREVALENCE               9.8%              D
CANCER INCIDENCE              513.1                   F   The coalition has assisted with focus groups on the topic of
 (RATE PER 100,000)
                                                          worksite wellness. They are working with community busi-
RISK FACTORS & BEHAVIORS                                  nesses to improve their worksite wellness policies and part-
FRUIT/VEGETABLE CONSUMPTION       12.4%         F         nered with the Oklahoma State Department of Health to hold a
NO PHYSICAL ACTIVITY              29.2%         F         Make It Your Business training. Valley View Hospital in Ada
SMOKING                           33.3%         F
                                                          served as a pilot project for the Make It Your Business Toolkit.
OBESITY                           26.0%     C
IMMUNIZATIONS < 3 YEARS           85.2%   B               Pontotoc County Turning Point and Systems of Care are an
SENIORS FLU VACCINATION           81.8% A
                                                          active part of their community and are well on their way to im-
SENIORS PNEUMONIA VACCINATION     73.4% A
                                                          proving the health of the families and community members of
LIMITED ACTIVITY DAYS (AVG)        4.9      C
POOR MENTAL HEALTH DAYS (AVG)      3.8        D
                                                          their area.
POOR PHYSICAL HEALTH DAYS (AVG)    4.5      C
                                                          Key Activities
GOOD OR BETTER HEALTH RATING      74.6%         F
TEEN FERTILITY (RATE PER 1,000)   27.5        D
                                                          - Monthly Walk this Weigh
FIRST TRIMESTER PRENATAL CARE     79.1%       D           - Community and school education
LOW BIRTH WEIGHT                   8.8%     C             - Coalition building
ADULT DENTAL VISITS               56.5%         F         - Community mobilization
USUAL SOURCE OF CARE              76.1%       D           - Systems of Care/Wrap Around Services provided
SOCIOECONOMIC FACTORS                                     - Worksite Wellness initiative
NO INSURANCE COVERAGE             20.3%           D
POVERTY                           18.3%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 141
              pottawatomie                                Pottawatomie County Turning Point Coalitions

                     county                               Coalition Priorities
                                                          - Strengthen coalition and members
                                                          - Educate and empower the youth and community
POTTAWATOMIE COUNTY
(MEASURE; GRADE)                                          About Us
                                                          PATCH/TP - The Pottawatomie Turning Point Coalition joined
MORTALITY
INFANT (RATE PER 1,000)         7.3           C           forces with the PATCH coalition in June 2008. One main focus
TOTAL (RATE PER 100,000)      978.4                   F   of PATCH is tobacco use prevention, which is funded by the
                                                          Oklahoma Tobacco Settlement Endowment Trust (TSET). The
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          coalition also hosted its 2nd annual Girl Power conference.
HEART DISEASE                 259.9               D       This conference is focused on the middle school aged girls in
CANCER                        185.6           C           the surrounding Shawnee school districts. The girls are intro-
STROKE                         60.1                   F   duced to many activities including: leadership, arts, physical
CHRONIC LOWER RESPIRATORY      75.0                   F   activity, nutrition, bullying prevention, and confidence building.
  DISEASE
UNINTENTIONAL INJURY              58.6                F   SWAT - Students Working Against Tobacco was developed to
DIABETES                          34.1                F   empower and unite youth to resist against the big tobacco
INFLUENZA/PNEUMONIA               31.8                F   company lies. There are current SWAT teams at Shawnee,
ALZHEIMER’S DISEASE               20.5        C
                                                          Pleasant Grove, and McLoud High Schools
NEPHRITIS (KIDNEY DISEASE)        12.9        C
SUICIDE                           15.4            D       SABA - Shawnee Asset Building Alliance (SABA) is an Oklahoma
DISEASE                                                   Commission on Children and Youth partnership. The SABA coa-
DIABETES PREVALENCE             9.4%              D       lition has passed the Social Host Law and held town hall meet-
ASTHMA PREVALENCE               7.7%      B               ings focusing on underage drinking prevention. They have a
CANCER INCIDENCE              504.1                   F   Web site called www.minordetail.org, which lets community
 (RATE PER 100,000)
                                                          members know the law about serving alcohol to children under
RISK FACTORS & BEHAVIORS                                  the age of 21. On this Web site you can also report underage
FRUIT/VEGETABLE CONSUMPTION       15.5%               F   drinking in the Shawnee and surrounding communities. A
NO PHYSICAL ACTIVITY              29.7%               F   friendly reminder will be sent to the address reported, asking
SMOKING                           28.7%               F
                                                          the owner to obey this new law. SABA also hosts a Sports and
OBESITY                           29.8%           D
                                                          Art Camp for the surrounding community youth where kids are
IMMUNIZATIONS < 3 YEARS           78.3%       C
SENIORS FLU VACCINATION           76.5%   B               introduced to leadership skills, arts and crafts, music, and
SENIORS PNEUMONIA VACCINATION     70.7%   B               sports.
LIMITED ACTIVITY DAYS (AVG)        4.8        C
POOR MENTAL HEALTH DAYS (AVG)      4.7                F
                                                          Key Activities
POOR PHYSICAL HEALTH DAYS (AVG)    4.5        C           - Girl Power! Health Conference
GOOD OR BETTER HEALTH RATING      83.3%       C           - Social Host Ordinance
TEEN FERTILITY (RATE PER 1,000)   31.7            D       - www.minordetail.org (underage drinking prevention)
FIRST TRIMESTER PRENATAL CARE     81.1%       C           - Town Hall Meeting
LOW BIRTH WEIGHT                   7.2%   B
                                                          - Sports and Arts Camp
ADULT DENTAL VISITS               59.5%               F
                                                          - Youth Coalitions: SWAT (Students Working Against Tobacco),
USUAL SOURCE OF CARE              74.3%           D
                                                            2M2L (2 Much 2 Lose)
SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             20.9%               F
POVERTY                           18.6%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 142
                 pushmataha                               Pushmataha County Turning Point Coalition

                      county                              Coalition Priorities
                                                          - Community collaboration & awareness
                                                          - Economic development
PUSHMATAHA COUNTY                                         - Community & cultural development
(MEASURE; GRADE)
                                                          - Healthy living initiatives
MORTALITY                                                 - Prevention & education
INFANT (RATE PER 1,000)         7.3           C
TOTAL (RATE PER 100,000)     1039.7                   F   About Us
                                                          The Pushmataha County Turning Point Coalition (PCTPC) is very
LEADING CAUSES OF DEATH
                                                          dedicated to the health of all Pushmataha County residents.
(RATE PER 100,000)
HEART DISEASE                 363.4                   F
                                                          Pushmataha County is located in the far southeast corner of
CANCER                        248.1                   F   Oklahoma. It has four primary communities of which Antlers is
STROKE                         53.5               D       the county seat. In 1996, the PCTPC was formed as a result of
CHRONIC LOWER RESPIRATORY      55.5               D       a collaborative effort between community members who came
  DISEASE                                                 together to address risk behaviors among their youth following
UNINTENTIONAL INJURY              62.5                F
                                                          a Youth Risk Behavior Survey conducted in all county schools.
DIABETES                          26.8        C
                                                          It was then entitled the Teen Pregnancy Prevention TASK Force
INFLUENZA/PNEUMONIA               24.1            D
ALZHEIMER’S DISEASE               17.2    B
                                                          and later the Promoting Assets in Youth — PAYDAY Coalition.
NEPHRITIS (KIDNEY DISEASE)        20.9            D       The original purpose for the development of the coalition was
SUICIDE                           13.9            D       to serve as a steering committee and provide community-based
                                                          input for the county health department’s Teen Pregnancy Pre-
DISEASE
DIABETES PREVALENCE            10.0%              D       vention Program. Since that time, the coalition has adopted many
ASTHMA PREVALENCE               7.6%      B               roles toward mobilizing the community in addressing various
CANCER INCIDENCE              516.3                   F   health issues. The PCTPC presently consists of many community
 (RATE PER 100,000)                                       members who work together for a common purpose — to pro-
RISK FACTORS & BEHAVIORS                                  mote and sustain healthy lifestyles throughout the community.
FRUIT/VEGETABLE CONSUMPTION        -
                                                          Key Activities
NO PHYSICAL ACTIVITY              29.0%               F
SMOKING                           46.8%               F
                                                          - SWAT (Students Working Against Tobacco) recruitment
OBESITY                           32.8%               F   - Social Host Law
IMMUNIZATIONS < 3 YEARS           85.8%   B               - Community Walks
SENIORS FLU VACCINATION            -                      - Wrap Around Case Management
SENIORS PNEUMONIA VACCINATION      -                      - Abstinence education, domestic violence, underage drinking,
LIMITED ACTIVITY DAYS (AVG)        7.5                F
                                                            and bullying
POOR MENTAL HEALTH DAYS (AVG)      5.2                F
                                                          - Injury prevention & physical fitness - Bicycle Rodeo
POOR PHYSICAL HEALTH DAYS (AVG)    5.5                F
GOOD OR BETTER HEALTH RATING      68.6%               F
                                                          - Project S.P.I.T. Consortium
TEEN FERTILITY (RATE PER 1,000)   36.4                F   - Tobacco control activities & cessation
FIRST TRIMESTER PRENATAL CARE     76.6%           D       - Performing and visual arts programs
LOW BIRTH WEIGHT                   7.8%       C           - Development of recreation facilities
ADULT DENTAL VISITS               57.9%               F   - Literacy education & school readiness
USUAL SOURCE OF CARE              70.8%               F
                                                          - Media advocacy
SOCIOECONOMIC FACTORS                                     - Community Awareness booths
NO INSURANCE COVERAGE             22.1%               F   - 2M2L (2 Much 2 Lose) underage drinking prevention
POVERTY                           24.1%               F   - Storefront surveys
                                                          - Too Good for Drugs school curriculum


                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 143
    roger mills county                                   OUR Turning Point Coalition
                                                         Coalition Priorities
                                                         - Positive youth development
                                                         - Health and wellness
ROGER MILLS COUNTY                                       - ATOD (Alcohol, Tobacco and Other Drugs)
(MEASURE; GRADE)
                                                         About Us
MORTALITY
INFANT (RATE PER 1,000)         -                        There were three groups meeting regularly within Beckham and
TOTAL (RATE PER 100,000)      775.0          C           Roger Mills counties. These were Systems of Care, Western
                                                         Oklahoma Tobacco Control Coalition and the Sayre Resource
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                         Network. With guidance from the APRC, members from these
HEART DISEASE                 206.2          C           three groups met to discuss merging into one large coalition.
CANCER                        109.2      A               All parties involved agreed to this and the OUR Turning Point
STROKE                         47.9          C           Coalition covering Beckham – Roger Mills Counties was cre-
CHRONIC LOWER RESPIRATORY      41.8          C           ated. Through the Meth Prevention grant funded by Oklahoma
  DISEASE                                                Department of Mental Health and Substance Abuse, we imple-
UNINTENTIONAL INJURY              66.1               F
                                                         mented Creating Lasting Family Connections (CLFC) an evi-
DIABETES                          58.1               F
                                                         denced-based program. CLFC will increase awareness of the
INFLUENZA/PNEUMONIA                -
ALZHEIMER’S DISEASE                -                     significant dangers of meth use, interrupt the cycle of parents
NEPHRITIS (KIDNEY DISEASE)         -                     passing their habits on to their children, prevent initiation and
SUICIDE                            -                     help those who are seeking an intervention. The coalition has
DISEASE
                                                         also worked very hard with a design company in Oklahoma City
DIABETES PREVALENCE             7.8%         C           to develop a meth prevention campaign. OUR Turning Point
ASTHMA PREVALENCE               9.9%             D       Coalition covering Beckham – Roger Mills Counties is primed
CANCER INCIDENCE              468.0          C           and ready to aggressively address the very issues impacting
 (RATE PER 100,000)                                      resident’s health, specifically, tobacco use, underage drinking,
RISK FACTORS & BEHAVIORS                                 meth use and obesity.
FRUIT/VEGETABLE CONSUMPTION       10.2%         F
                                                         Key Activities
NO PHYSICAL ACTIVITY              35.9%         F
SMOKING                           24.5%       D          - Coalition planning and development
OBESITY                           35.3%         F        - Methamphetamine Prevention Project
IMMUNIZATIONS < 3 YEARS           81.8%     C            - SWAT (Students Working Against Tobacco) Team float
SENIORS FLU VACCINATION           65.0%         F          in Rodeo Parade
SENIORS PNEUMONIA VACCINATION     66.1%     C            - Community Assessment
LIMITED ACTIVITY DAYS (AVG)        3.1 A
                                                         - Promotion of tobacco free policies among cities and schools
POOR MENTAL HEALTH DAYS (AVG)      4.0        D
                                                         - Elk City Schools Participated in International Walk to School
POOR PHYSICAL HEALTH DAYS (AVG)    2.8 A
GOOD OR BETTER HEALTH RATING      81.4%       D            Day
TEEN FERTILITY (RATE PER 1,000)   23.8      C            - Development of Meth Prevention Media Campaign
FIRST TRIMESTER PRENATAL CARE     48.1%         F        - Extensive media coverage of local tobacco prevention efforts
LOW BIRTH WEIGHT                   5.1% A                - SWAT (Students Working Against Tobacco) Teams
ADULT DENTAL VISITS                -                       participated in Kick Butts events including Project 1200
USUAL SOURCE OF CARE              84.9%   B
                                                         - Advocated for local Social Host Ordinances
SOCIOECONOMIC FACTORS                                    - Hosted Town Hall meeting focused on Underage Drinking
NO INSURANCE COVERAGE             20.3           D       - Pursuing YMCA in Elk City
POVERTY                           12.0       C




                                                                2008 STATE OF THE STATE’S HEALTH REPORT l 144
               rogers county                              Rogers County Coalition
                                                          Coalition Priorities
                                                          - Child abuse and/or neglect
                                                          - Substance abuse
ROGERS COUNTY                                             - Behavioral health
(MEASURE; GRADE)
                                                          - Healthy lifestyle
MORTALITY                                                 - Quality of life
INFANT (RATE PER 1,000)         6.3           C
TOTAL (RATE PER 100,000)      900.1               D       About Us
                                                          The Rogers County Coalition is a collaborative community-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          based resource to address health and human service needs
HEART DISEASE                 258.9               D       of people in Rogers County, Oklahoma. The coalition became
CANCER                        179.9           C           a Turning Point partner this year. Their mission is to create a
STROKE                         59.2                   F   better future for families, youth and children.
CHRONIC LOWER RESPIRATORY      60.4                   F
  DISEASE                                                 The coalition provides leadership for action to address impor-
UNINTENTIONAL INJURY              59.9                F   tant issues of families in Rogers County. They bring interested
DIABETES                          30.0            D       groups, organizations and individuals together to address chal-
INFLUENZA/PNEUMONIA               18.5    B               lenges and link people with the help they need. The coalition
ALZHEIMER’S DISEASE               28.4            D
                                                          was formed in 2007, in partnership with Rogers County organi-
NEPHRITIS (KIDNEY DISEASE)        19.4            D
                                                          zations and interested individuals. Currently, they are working
SUICIDE                           12.1        C
                                                          on obtaining a 501(c)3 status. Recently, the coalition divided
DISEASE                                                   up into subcommittees to work on priorities, and are finishing
DIABETES PREVALENCE            10.6%                  F
                                                          up the Rogers County Health Survey.
ASTHMA PREVALENCE               9.0%              D
CANCER INCIDENCE              436.1       B               Key Activities
 (RATE PER 100,000)
                                                          - Relay for Life
RISK FACTORS & BEHAVIORS                                  - Respite Care program
FRUIT/VEGETABLE CONSUMPTION       14.6%               F   - Safe Kids Free Fair
NO PHYSICAL ACTIVITY              25.4%           D       - County survey indicating speech and language therapy
SMOKING                           26.8%               F
                                                            and child care as most needed services
OBESITY                           24.6%   B
                                                          - Community Health Survey
IMMUNIZATIONS < 3 YEARS           78.3%       C
SENIORS FLU VACCINATION           73.8%       C
SENIORS PNEUMONIA VACCINATION     66.1%       C
LIMITED ACTIVITY DAYS (AVG)        5.4            D
POOR MENTAL HEALTH DAYS (AVG)      3.4        C
POOR PHYSICAL HEALTH DAYS (AVG)    4.2        C
GOOD OR BETTER HEALTH RATING      82.5%           D
TEEN FERTILITY (RATE PER 1,000)   13.6    B
FIRST TRIMESTER PRENATAL CARE     83.1%       C
LOW BIRTH WEIGHT                   6.9%   B
ADULT DENTAL VISITS               61.2%               F
USUAL SOURCE OF CARE              82.2%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             17.1%           D
POVERTY                            8.0%   B




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 145
       seminole county                                  Seminole County
                                                        Seminole County’s performance on the health indicators pre-
                                                        sented in this document was mixed. While the county’s out-
                                                        comes were better than the state’s in some areas, mortality
SEMINOLE COUNTY                                         and some risk factors were worse in the county.
(MEASURE; GRADE)
                                                        The rate of mortality from all causes was approximately 13
MORTALITY
INFANT (RATE PER 1,000)         9.5             D       percent higher for Seminole County residents than for all Okla-
TOTAL (RATE PER 100,000)     1076.1                 F   homans, and infant mortality was also higher. Unintentional
                                                        injury was the third leading cause of death in Seminole County,
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                        and suicide rates were almost twice the state’s suicide rate.
HEART DISEASE                 318.3                 F   Only deaths attributable to stroke occurred at a lower rate in
CANCER                        218.9                 F   the county than in Oklahoma.
STROKE                         45.3         C
CHRONIC LOWER RESPIRATORY      65.3                 F   Prevalence of asthma was almost 70 percent higher in Semi-
  DISEASE                                               nole County than in Oklahoma. Alternatively, diabetes was not
UNINTENTIONAL INJURY              80.3              F   as common in the county.
DIABETES                          52.0              F
INFLUENZA/PNEUMONIA               26.7              F   More Seminole County adults consumed five daily servings of
ALZHEIMER’S DISEASE               28.1          D       fruits and vegetables and participated in some type of physical
NEPHRITIS (KIDNEY DISEASE)        18.8          D       activity within the past month.
SUICIDE                           25.1              F
                                                        However, 42 percent more county than state adults were also
DISEASE
                                                        current smokers, and more Seminole County adults perceived
DIABETES PREVALENCE             7.4%        C
ASTHMA PREVALENCE              14.5%                F
                                                        their health to be poor.
CANCER INCIDENCE              477.0             D
                                                        Factors that may impact the county’s health status are socio-
 (RATE PER 100,000)
                                                        economic status and access to healthcare. Seventy-three per-
RISK FACTORS & BEHAVIORS                                cent more individuals were living in poverty in Seminole County
FRUIT/VEGETABLE CONSUMPTION       18.5%       D
                                                        compared to the state as a whole. Many county residents were
NO PHYSICAL ACTIVITY              28.4%       D
                                                        without health insurance and even more were without a per-
SMOKING                           36.7%         F
OBESITY                           27.6%     C
                                                        sonal health care provider compared to adults across the
IMMUNIZATIONS < 3 YEARS           78.5%     C           state.
SENIORS FLU VACCINATION           79.9% A
SENIORS PNEUMONIA VACCINATION     69.7%   B
LIMITED ACTIVITY DAYS (AVG)        4.3    B
POOR MENTAL HEALTH DAYS (AVG)      3.9        D
POOR PHYSICAL HEALTH DAYS (AVG)    4.0      C
GOOD OR BETTER HEALTH RATING      72.3%         F
TEEN FERTILITY (RATE PER 1,000)   37.7          F
FIRST TRIMESTER PRENATAL CARE     76.6%       D
LOW BIRTH WEIGHT                   8.4%     C
ADULT DENTAL VISITS               42.3%         F
USUAL SOURCE OF CARE              64.5%         F

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             30.9%             F
POVERTY                           24.2%             F




                                                               2008 STATE OF THE STATE’S HEALTH REPORT l 146
      sequoyah county                                     Sequoyah County Turning Point Activities
                                                          Sequoyah County’s performance on some of the health indica-
                                                          tors presented in this document was better than the state’s
                                                          performance. Overall, though, the county performed relatively
SEQUOYAH COUNTY                                           poorly compared to Oklahoma as a whole.
(MEASURE; GRADE)
                                                          The rate of mortality from all causes was slightly higher for Se-
MORTALITY
INFANT (RATE PER 1,000)         7.6           C           quoyah County residents than for all Oklahomans, while infant
TOTAL (RATE PER 100,000)      993.3                   F   mortality was less. Only deaths attributable to influenza/
                                                          pneumonia and suicide occurred at lower rates in the county
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          than in Oklahoma.
HEART DISEASE                 262.6                   F
                                                          Prevalence of asthma was significantly higher in Sequoyah
CANCER                        222.5                   F
                                                          County than Oklahoma, as was incidence of cancer. Alterna-
STROKE                         78.6                   F
CHRONIC LOWER RESPIRATORY      59.5                   F   tively, diabetes occurred less frequently.
  DISEASE
                                                          A larger proportion of Sequoyah County adults engaged in un-
UNINTENTIONAL INJURY              67.4                F
DIABETES                          35.9                F   healthy behaviors and exhibited risk factors compared to Okla-
INFLUENZA/PNEUMONIA               20.5        C           homa adults. Fewer county residents were physically active
ALZHEIMER’S DISEASE               30.0            D       and consumed five daily servings of fruits and vegetables,
NEPHRITIS (KIDNEY DISEASE)        17.2            D       while more county residents were obese and were smokers.
SUICIDE                           11.3        C           County residents experienced more limited activity and poor
DISEASE                                                   health days, and a larger proportion perceived their health to
DIABETES PREVALENCE             9.5%              D       be poor.
ASTHMA PREVALENCE              12.0%                  F
CANCER INCIDENCE              501.5                   F   Factors that may impact the county’s health status are socio-
 (RATE PER 100,000)                                       economic status and access to healthcare. Forty-seven percent
                                                          more individuals were living in poverty in Sequoyah County
RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION       14.3%               F   compared to the state as a whole. One in four county residents
NO PHYSICAL ACTIVITY              36.0%               F   were without health insurance and did not have a personal
SMOKING                           28.0%               F   health care provider. Rates for these access to health care
OBESITY                           31.0%               F   factors were slightly worse for the county compared to the
IMMUNIZATIONS < 3 YEARS           77.3%           D       state.
SENIORS FLU VACCINATION           74.6%   B
SENIORS PNEUMONIA VACCINATION     64.5%           D
LIMITED ACTIVITY DAYS (AVG)        7.6                F
POOR MENTAL HEALTH DAYS (AVG)      5.3                F
POOR PHYSICAL HEALTH DAYS (AVG)    6.4                F
GOOD OR BETTER HEALTH RATING      70.5%               F
TEEN FERTILITY (RATE PER 1,000)   30.7            D
FIRST TRIMESTER PRENATAL CARE     66.3%               F
LOW BIRTH WEIGHT                   8.6%       C
ADULT DENTAL VISITS               51.2%               F
USUAL SOURCE OF CARE              76.8%           D

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             25.2%               F
POVERTY                           20.6%               F




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 147
        stephens county                                   Stephens County
                                                          Stephens County’s performance on the health indicators pre-
                                                          sented in this document was similar, if not generally better,
                                                          than that of the state. There were a few areas that are in need
STEPHENS COUNTY                                           of improvement, however.
(MEASURE; GRADE)
                                                          The rate of mortality from all causes was slightly higher for
MORTALITY
INFANT (RATE PER 1,000)         8.4               D       Stephens County residents than for all Oklahomans, and the
TOTAL (RATE PER 100,000)      974.5                   F   rate of infant mortality was about the same. The most notable
                                                          aspect of the leading causes of death is that the rate of mortal-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          ity attributed to heart disease was 30 percent higher in
HEART DISEASE                 342.0                   F   Stephens County than in the state.
CANCER                        195.9               D
                                                          Prevalence of asthma was 43 percent higher in Stephens
STROKE                         66.1                   F
CHRONIC LOWER RESPIRATORY      49.4               D       County than in Oklahoma. While incidence of cancer was also
  DISEASE                                                 higher in the county, diabetes was not as common.
UNINTENTIONAL INJURY              55.8                F
DIABETES                          26.2        C           Outcomes for risk factors and health behaviors were relatively
INFLUENZA/PNEUMONIA               18.7        C           good among Stephens County residents. Smoking was much
ALZHEIMER’S DISEASE               18.5    B               less prevalent in the county than across the state, and more
NEPHRITIS (KIDNEY DISEASE)        12.7        C           adults were consuming five daily servings of fruits and vegeta-
SUICIDE                           11.1        C           bles. Rates of obesity and immunizations were similar to the
DISEASE                                                   state’s rates. Alternatively, rates of physical activity were lower,
DIABETES PREVALENCE             9.6%              D       and more county residents perceived their health to be poor
ASTHMA PREVALENCE              12.3%                  F   compared to individuals in Oklahoma.
CANCER INCIDENCE              503.3                   F
 (RATE PER 100,000)                                       Factors that may impact the county’s health status are socio-
                                                          economic status and access to healthcare. More individuals
RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION       18.3%       D           were living in poverty in Stephens County compared to the
NO PHYSICAL ACTIVITY              34.4%         F         state as a whole. The rate of uninsured adults was similar be-
SMOKING                           18.7%     C             tween county and state, and a larger proportion of county
OBESITY                           29.1%       D           adults had a personal health care provider compared to adults
IMMUNIZATIONS < 3 YEARS           80.2%     C             across the state.
SENIORS FLU VACCINATION           75.7%   B
SENIORS PNEUMONIA VACCINATION     76.4% A
LIMITED ACTIVITY DAYS (AVG)        5.0      C
POOR MENTAL HEALTH DAYS (AVG)      3.2      C
POOR PHYSICAL HEALTH DAYS (AVG)    3.7    B
GOOD OR BETTER HEALTH RATING      77.4%         F
TEEN FERTILITY (RATE PER 1,000)   22.2      C
FIRST TRIMESTER PRENATAL CARE     74.2%         F
LOW BIRTH WEIGHT                   6.6%   B
ADULT DENTAL VISITS               63.0%       D
USUAL SOURCE OF CARE              85.8%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             20.5%           D
POVERTY                           15.9%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 148
                   texas county                               Texas County Coalition
                                                              Coalition Priorities
                                                              - Youth shelter
                                                              - Physical activity/nutrition
TEXAS COUNTY                                                  - Childhood obesity
(MEASURE; GRADE)
                                                              - Mental health services
MORTALITY
INFANT (RATE PER 1,000)         5.7           B               About Us
TOTAL (RATE PER 100,000)      819.2               C           Texas County Turning Point Partnership, located in the heart of
                                                              the Oklahoma Panhandle, is a diverse partnership with a de-
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              sire to give the people of Texas County every opportunity to be
HEART DISEASE                 272.6                       F   healthy, productive citizens. Texas County’s partnership was
CANCER                        140.1       A                   one of the three originally funded partnerships when they re-
STROKE                         33.1       A                   ceived a grant from the W.K. Kellogg and Robert Wood Johnson
CHRONIC LOWER RESPIRATORY      50.6                   D       Foundation. Since 1998, they have been actively participating
  DISEASE                                                     in many different projects.
UNINTENTIONAL INJURY              62.8                    F
DIABETES                          37.3                    F   This past year has been a year of changes with Texas County
INFLUENZA/PNEUMONIA               25.4                D       Turning Point and the Texas County Oklahoma Commission on
ALZHEIMER’S DISEASE               15.6        B
                                                              Children and Youth Board combining into Texas County Coali-
NEPHRITIS (KIDNEY DISEASE)        25.4                    F
                                                              tion. This has been a win-win for both organizations. A strategic
SUICIDE                            -
                                                              plan has recently been completed and three sub-committees
DISEASE                                                       have been formed: the Comprehensive Health Task Force, the
DIABETES PREVALENCE             3.5% A
                                                              Recreational and Educational Task Force, and the Projects
ASTHMA PREVALENCE               6.4% A
                                                              Committee. This allows the coalition to continue implementing
CANCER INCIDENCE              405.8 A
 (RATE PER 100,000)                                           previously successful projects while addressing other concerns
                                                              as well.
RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION        -                          One of the best projects Texas County Coalition sponsors is the
NO PHYSICAL ACTIVITY              27.6%               D       Children’s Health Fair in July. The fair brings many children’s
SMOKING                           22.2%               D
                                                              services to one location before school starts. More than 225
OBESITY                           24.0%  B
                                                              children participated in this event in 2008.
IMMUNIZATIONS < 3 YEARS           82.5%  B
SENIORS FLU VACCINATION           74.2%  B
                                                              Key Activities
SENIORS PNEUMONIA VACCINATION     64.1%               D
                                                              - Monthly partnership meetings to address partnership
LIMITED ACTIVITY DAYS (AVG)        3.0 A
POOR MENTAL HEALTH DAYS (AVG)      1.7 A
                                                                initiatives
POOR PHYSICAL HEALTH DAYS (AVG)    2.6 A                      - Walk this Weigh
GOOD OR BETTER HEALTH RATING      88.0%  B                    - Collected donations for Write Stuff program
TEEN FERTILITY (RATE PER 1,000)   50.0                    F   - 5th annual Children’s Health Fair
FIRST TRIMESTER PRENATAL CARE     60.9%                   F   - Give a Kid a Smile Day
LOW BIRTH WEIGHT                   7.1%  B
                                                              - Encouraged businesses to apply for Certified Healthy
ADULT DENTAL VISITS               61.6%                   F
                                                                Business Certification
USUAL SOURCE OF CARE              70.4%                   F
                                                              - Special meeting with State Director of DHS, state legislators,
SOCIOECONOMIC FACTORS                                           and city officials to discuss creating a youth shelter
NO INSURANCE COVERAGE             31.8%                   F
POVERTY                           13.3%           C




                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 149
             tillman county                                   Tillman County Youth and Community Coalition
                                                              Coalition Priorities
                                                              - Community mobilization
                                                              - Youth empowerment
TILLMAN COUNTY                                                - Partnership development
(MEASURE; GRADE)
                                                              - Tobacco use prevention
MORTALITY
INFANT (RATE PER 1,000)        10.4                       F   About Us
TOTAL (RATE PER 100,000)     1016.9                       F   Tillman County Youth and Community Coalition was formed in
                                                              2007. They have spent much of their time identifying key
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              stakeholders in the community, discussing the strengths of the
HEART DISEASE                 229.2                   D       community and the potential barriers to their efforts.
CANCER                        300.6                       F
                                                              One of their initial successes is the partnership between
STROKE                         45.8               C
CHRONIC LOWER RESPIRATORY      53.8                   D       Tillman, Harmon and Greer counties in their efforts to address
  DISEASE                                                     tobacco use within the three county areas through a five-year
UNINTENTIONAL INJURY           63.7                       F   grant awarded by the Tobacco Settlement Endowment Trust
DIABETES                      101.0                       F   (TSET).
INFLUENZA/PNEUMONIA             -
ALZHEIMER’S DISEASE            13.7       A                   Additionally, coalition members are presenting information to
NEPHRITIS (KIDNEY DISEASE)     17.8                   D       students at the Alternative School regarding healthy choices,
SUICIDE                         -                             drug prevention, and other life skills. SWAT (Students Working
DISEASE                                                       Against Tobacco) and 2M2L (2 Much 2 Lose) Teams are being
DIABETES PREVALENCE            14.5%                      F   formed at the Alternative School.
ASTHMA PREVALENCE              16.7%                      F
CANCER INCIDENCE              457.4               C           Key Activities
 (RATE PER 100,000)                                           - Partnership planning and development
                                                              - Members presented to Alternative School several times
RISK FACTORS & BEHAVIORS
FRUIT/VEGETABLE CONSUMPTION        -                            on issues such as teen pregnancy prevention, dangers
NO PHYSICAL ACTIVITY              28.3%               D         of substances abuse and positive choices
SMOKING                           31.8%                   F   - Identifying resources to continue local PSI (Postponing
OBESITY                           31.5%                   F     Sexual Involvement) curriculum
IMMUNIZATIONS < 3 YEARS           78.4%           C
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -
LIMITED ACTIVITY DAYS (AVG)        4.0        B
POOR MENTAL HEALTH DAYS (AVG)      6.1                    F
POOR PHYSICAL HEALTH DAYS (AVG)    5.6                    F
GOOD OR BETTER HEALTH RATING      77.9%                   F
TEEN FERTILITY (RATE PER 1,000)   46.6                    F
FIRST TRIMESTER PRENATAL CARE     82.2%           C
LOW BIRTH WEIGHT                   8.1%           C
ADULT DENTAL VISITS               50.4%                   F
USUAL SOURCE OF CARE              74.9%               D

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             16.6%               D
POVERTY                           23.5%                   F




                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 150
                   tulsa county                           Pathways to Health & Westside Community Coalitions
                                                          Westside Community Coalition Priorities
                                                          - Promote the health and safety of West Tulsa residents
                                                          - Foster cross-generational investment in the community
TULSA COUNTY                                                (west Tulsa)
(MEASURE; GRADE)
                                                          - Provide support for the continuum of care for substance
MORTALITY                                                   abuse prevention, treatment and aftercare
INFANT (RATE PER 1,000)         8.0               D
TOTAL (RATE PER 100,000)      927.9               D       Pathways to Health Coalition Priorities
                                                          - Measure improvement in the community’s health and quality
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                            of life
HEART DISEASE                 252.4               D       - Increased visibility of public health within the community
CANCER                        191.8           C           - Community advocates for public health and the local public
STROKE                         58.6                   F     health system
CHRONIC LOWER RESPIRATORY      58.7                   F   - Ability to effectively anticipate and manage change
  DISEASE                                                 - And stronger public health infrastructure, partnerships
UNINTENTIONAL INJURY              54.9            D
                                                            and leadership
DIABETES                          27.3            D
INFLUENZA/PNEUMONIA               22.1        C           About Us
ALZHEIMER’S DISEASE               29.7            D
                                                          The mission of the Westside Community Coalition (WCC) is to
NEPHRITIS (KIDNEY DISEASE)        13.9        C
                                                          enhance the well-being of our population by working collabora-
SUICIDE                           15.0            D
                                                          tively with the community to conduct and evaluate educational,
DISEASE                                                   informational and service efforts in and around west Tulsa.
DIABETES PREVALENCE             8.2%          C
                                                          They are currently putting an action plan together.
ASTHMA PREVALENCE               7.0%      B
CANCER INCIDENCE              508.2                   F   Pathways to Health will help improve the quality of life for each
 (RATE PER 100,000)
                                                          resident of Tulsa County by encouraging and building partner-
RISK FACTORS & BEHAVIORS                                  ships and developing public health advocates in every
FRUIT/VEGETABLE CONSUMPTION       15.4%               F   neighborhood. They are using the MAPP process: Mobilizing for
NO PHYSICAL ACTIVITY              25.9%           D       Action through Planning and Partnership, a community tool for
SMOKING                           22.5%           D
                                                          health improvement.
OBESITY                           24.1%   B
IMMUNIZATIONS < 3 YEARS           77.4%           D       Westside Key Activities
SENIORS FLU VACCINATION           77.2%   B
                                                          - Bridges out of poverty
SENIORS PNEUMONIA VACCINATION     69.5%   B
                                                          - Food resource guide
LIMITED ACTIVITY DAYS (AVG)        4.6        C
POOR MENTAL HEALTH DAYS (AVG)      3.6        C           Pathways Key Activities
POOR PHYSICAL HEALTH DAYS (AVG)    3.6    B
                                                          - Community Town Hall meetings
GOOD OR BETTER HEALTH RATING      84.8%       C
TEEN FERTILITY (RATE PER 1,000)   31.2            D
                                                          - Health Inequities campaign
FIRST TRIMESTER PRENATAL CARE     69.0%               F
LOW BIRTH WEIGHT                   8.2%       C
ADULT DENTAL VISITS               64.5%           D
USUAL SOURCE OF CARE              80.0%       C

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             18.6%           D
POVERTY                           14.2%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 151
         wagoner county                                    Wagoner Family Service Council
                                                           Coalition Priorities
                                                           - Increase awareness of community services
                                                           - Advocate for utilization of health services
WAGONER COUNTY                                             - Tobacco prevention
(MEASURE; GRADE)
                                                           - Financial literacy
MORTALITY                                                  - Develop educational activities and programs for youth
INFANT (RATE PER 1,000)         5.4        B                 and families
TOTAL (RATE PER 100,000)      894.8                D       - Provide financial and economic information for families
LEADING CAUSES OF DEATH                                    - Promote safety
(RATE PER 100,000)                                         - Physical fitness and nutrition
HEART DISEASE                 244.5                D
CANCER                        189.3            C           About Us
STROKE                         58.7                    F   The Wagoner Family Service Council (WFSC) hosted their sec-
CHRONIC LOWER RESPIRATORY      61.9                    F   ond annual WAYUP youth conference for ages 13–18 in July
  DISEASE                                                  2008. They added a mock trial to the conference, knowing that
UNINTENTIONAL INJURY              46.8             D
                                                           youth who are exposed to law-related education programs are
DIABETES                          36.7                 F
                                                           less likely to participate in delinquent activities. This allowed
INFLUENZA/PNEUMONIA               20.4         C
ALZHEIMER’S DISEASE               32.8                 F   Wagoner youth to understand consequences for youthful of-
NEPHRITIS (KIDNEY DISEASE)         7.1     B               fenders. The participants were able to analyze a real scenario,
SUICIDE                           11.7         C           present information, and make appropriate choices of conse-
DISEASE
                                                           quences.
DIABETES PREVALENCE            11.5%                   F
                                                           WFSC was in their first year of the tobacco prevention grant
ASTHMA PREVALENCE               7.3%  B
                                                           and hit the ground running participating in several local events.
CANCER INCIDENCE              269.9 A
 (RATE PER 100,000)                                        WFSC partnered with the Relay for Life adding I Will Survive
                                                           walk and education for youth at the event as well as tobacco
RISK FACTORS & BEHAVIORS
                                                           prevention activities including youth pledging to be tobacco
FRUIT/VEGETABLE CONSUMPTION       11.6%                F
                                                           free. Even though rain was falling during the event, Wagoner
NO PHYSICAL ACTIVITY              29.6 %               F
SMOKING                           25.8%                F   County was able to fundraise over the goal and set a record of
OBESITY                           31.8%                F   $100,000 for the American Cancer Society.
IMMUNIZATIONS < 3 YEARS           70.2%                F
SENIORS FLU VACCINATION           76.9%    B               WFSC is currently working on a community health opinion sur-
SENIORS PNEUMONIA VACCINATION     70.4%    B               vey in order to help identify gaps of needs in the community.
LIMITED ACTIVITY DAYS (AVG)        4.2     B               The health committee is performing a youth survey and focus
POOR MENTAL HEALTH DAYS (AVG)      4.7                 F   groups to address substance abuse issues.
POOR PHYSICAL HEALTH DAYS (AVG)    4.0         C
GOOD OR BETTER HEALTH RATING      80.8%            D       Key Activities
TEEN FERTILITY (RATE PER 1,000)   16.2     B               - Wagoner Family Fun Day
FIRST TRIMESTER PRENATAL CARE     76.6%            D       - WAYUP youth conference
LOW BIRTH WEIGHT                   8.1%        C
                                                           - Wagoner Back to School Health Fair
ADULT DENTAL VISITS               53.1%                F
                                                           - Fishing Derby in Wagoner
USUAL SOURCE OF CARE              84.1%    B
                                                           - Patriotic Days in Coweta
SOCIOECONOMIC FACTORS                                      - Summer Fest
NO INSURANCE COVERAGE             18.2%            D
                                                           - Relay for Life
POVERTY                           10.7%        C
                                                           - Great American Smokeout
                                                           - Red Ribbon Week

                                                                  2008 STATE OF THE STATE’S HEALTH REPORT l 152
 washington county                                        Washington County Wellness Initiative
                                                          Coalition Priorities
                                                          - Mental health
                                                          - Transportation (poverty & access to health care)
WASHINGTON COUNTY                                         - Adult preventative care
(MEASURE; GRADE)
                                                          - Child/adolescent preventative care
MORTALITY                                                 - Access to health care
INFANT (RATE PER 1,000)         7.7           C
TOTAL (RATE PER 100,000)      841.7           C           About Us
                                                          The Washington County Wellness Initiative (WCWI) has been
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          steadfast in their efforts to connect uninsured and medically
HEART DISEASE                 210.1           C           indigent people to health care services and health insurance and
CANCER                        170.1       B               has assisted in outreach, coordinating and integrating care, and
STROKE                         54.1               D       helping clients use limited resources efficiently. The WCWI devel-
CHRONIC LOWER RESPIRATORY      57.0                   F   oped a health care access survey that has offered new insights
  DISEASE                                                 about the community and the challenges they face. The mental
UNINTENTIONAL INJURY              47.2            D
                                                          health workgroup created the counseling project, making possi-
DIABETES                          25.6        C
                                                          ble short-term counseling and psychological evaluation for
INFLUENZA/PNEUMONIA               21.3        C
ALZHEIMER’S DISEASE               30.6            D       adults who are unable to receive services due to financial restric-
NEPHRITIS (KIDNEY DISEASE)         8.9    B               tions. Youth Leadership is modeled after the Chamber of Com-
SUICIDE                           23.0                F   merce Adult Leadership classes and is designed to get 8th-9th
DISEASE
                                                          graders ready for high school requirements of leadership and
DIABETES PREVALENCE            11.6%                  F   volunteer hours for college. WCWI was one of the coalitions cho-
ASTHMA PREVALENCE              10.5%              D       sen for the Cherokee Nation Anti-Drug Network Grant, address-
CANCER INCIDENCE              477.6                   F   ing underage and childhood drinking prevention and reduction.
 (RATE PER 100,000)                                       The poverty alleviation coalition set its long-term goals by ad-
RISK FACTORS & BEHAVIORS                                  dressing policy issues that impact individuals in poverty such as
FRUIT/VEGETABLE CONSUMPTION       18.5%           D       interest rates, felonies, and housing, replicating the pilot project
NO PHYSICAL ACTIVITY              28.6%               F   with other businesses/organizations within the community. The
SMOKING                           24.7%               F   community identified their concern with transportation and came
OBESITY                           23.3%   B               together to form the Transportation Coalition. Fixed routes were
IMMUNIZATIONS < 3 YEARS           81.8%       C
                                                          developed, realistic budgets were made, and the coalition re-
SENIORS FLU VACCINATION           80.0% A
SENIORS PNEUMONIA VACCINATION     73.5% A
                                                          ceived a Venture Grant and hired a consultant to put all the
LIMITED ACTIVITY DAYS (AVG)        6.1            D       pieces together. Currently, the project is in the process of obtain-
POOR MENTAL HEALTH DAYS (AVG)      3.7            D       ing sponsors and assessing future sustainability.
POOR PHYSICAL HEALTH DAYS (AVG)    4.7            D
GOOD OR BETTER HEALTH RATING      83.7%       C           Key Activities
TEEN FERTILITY (RATE PER 1,000)   21.1        C           - Walk this Weigh trail development
FIRST TRIMESTER PRENATAL CARE     85.2%       C           - Diabetes Management program
LOW BIRTH WEIGHT                   7.5%   B               - Poverty simulation
ADULT DENTAL VISITS               64.0%           D       - Family Life symposium
USUAL SOURCE OF CARE              85.8%   B
                                                          - Corporate wellness
SOCIOECONOMIC FACTORS                                     - Body Healthy
NO INSURANCE COVERAGE             17.0%           D       - Auto Repair project
POVERTY                           13.2%       C           - Mental Health Workshops
                                                          - Youth Leadership


                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 153
           washita county                                 Custer - Washita Health Action Team
                                                          Coalition Priorities
                                                          “Creating partnerships to educate, support, and empower
                                                           communities to promote healthy lifestyles.”
WASHITA COUNTY
(MEASURE; GRADE)                                          About Us
                                                          Custer — Washita Health Action Team (C-WHAT) began meeting
MORTALITY
INFANT (RATE PER 1,000)         6.5           C           as one group in 2006. C-WHAT is a combination of Custer-
TOTAL (RATE PER 100,000)      847.2               D       Washita Systems of Care, Project Pickett Fences, and the Com-
                                                          munity Coalition. Although all three movements had different
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          goals, they all had the same vision: to strengthen the commu-
HEART DISEASE                 235.0               D       nity. Together the coalitions have grown by leaps and bounds
CANCER                        188.4           C           to include several other agencies and persons not previously
STROKE                         50.3               D       connected to any of these groups. Coalition members have
CHRONIC LOWER RESPIRATORY      42.7           C           developed plans to improve the health of Custer and Washita
  DISEASE                                                 counties. Many of the strategies are focused on children and
UNINTENTIONAL INJURY              61.0                F
                                                          infrastructure. Due to the high rates of meth use in Washita
DIABETES                          22.4        C
                                                          County, C-WHAT in partnership with the City of Cordell received
INFLUENZA/PNEUMONIA               16.3    B
ALZHEIMER’S DISEASE               19.3    B               a three-year Meth Prevention grant through the Department of
NEPHRITIS (KIDNEY DISEASE)        16.0        C           Mental Health and Substance Abuse Services for Washita
SUICIDE                           16.8                F   County. After a long assessment process, the coalition decided
DISEASE
                                                          to implement the “Too Good for Drugs” curricula in all Washita
DIABETES PREVALENCE             5.7%      B               County schools.
ASTHMA PREVALENCE              10.6%                  F
                                                          Key Activities
CANCER INCIDENCE              483.5               D
 (RATE PER 100,000)                                       - Compliance Checks throughout each county
                                                          - Educated City Council and Community on Social Host
RISK FACTORS & BEHAVIORS
                                                            Ordinance
FRUIT/VEGETABLE CONSUMPTION        -
                                                          - Assessment and Implementation of the Meth Grant which
NO PHYSICAL ACTIVITY              26.6%       D
SMOKING                           24.9%         F           was funded by Department of Mental Health and Substance
OBESITY                           27.8%       D             Abuse Services
IMMUNIZATIONS < 3 YEARS           79.2%     C             - C-WHAT members went door-to-door to over 9,000 homes
SENIORS FLU VACCINATION            -                        to educate on Social Host Ordinance and Hotline Number
SENIORS PNEUMONIA VACCINATION      -                        to report Underage Drinking in Clinton and Weatherford
LIMITED ACTIVITY DAYS (AVG)        7.3          F
                                                          - Media campaign for Meth Prevention grant
POOR MENTAL HEALTH DAYS (AVG)      4.7          F
                                                          - Action Plans developed from Custer County and Washita
POOR PHYSICAL HEALTH DAYS (AVG)    4.5      C
GOOD OR BETTER HEALTH RATING      80.3%       D             County Youth Listening Conferences
TEEN FERTILITY (RATE PER 1,000)   24.1      C             - Driving force in effort to bring Big Brothers Big Sisters to
FIRST TRIMESTER PRENATAL CARE     61.8%         F           Custer County
LOW BIRTH WEIGHT                   5.9% A
ADULT DENTAL VISITS               68.1%         F
USUAL SOURCE OF CARE              85.7%   B

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             23.5%               F
POVERTY                           15.7%           D




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 154
               woods county                                   Woods County Coalition
                                                              Coalition Priorities
                                                              - Underage drinking
                                                              - Healthy lifestyles
WOODS COUNTY
(MEASURE; GRADE)                                              About Us
                                                              Woods County Coalition is currently in their second year as a
MORTALITY
INFANT (RATE PER 1,000)         -                             growing and developing coalition. Alva, the home of Northwest-
TOTAL (RATE PER 100,000)      777.2               C           ern Oklahoma State University, has some of the same health
                                                              concerns as other college towns, including underage drinking.
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                              Earlier this year Alva City Council passed a social host ordi-
HEART DISEASE                 251.0                   D       nance for their community. The coalition also held a Town Hall
CANCER                        132.2       A                   meeting on the topic last spring. In addition to underage drink-
STROKE                         76.6                       F   ing, the coalition is focusing on healthy lifestyles from child-
CHRONIC LOWER RESPIRATORY      56.2                   D       hood through adulthood. A community assessment and school
  DISEASE                                                     survey has been administered. The coalition evaluated the best
UNINTENTIONAL INJURY              42.2            C
                                                              way to address these health concerns in their community.
DIABETES                          16.1    A
                                                              Woods County Coalition is currently wrapping up their first Walk
INFLUENZA/PNEUMONIA               36.6                    F
ALZHEIMER’S DISEASE               14.1    A                   this Weigh event. This coalition is so successful because each
NEPHRITIS (KIDNEY DISEASE)        22.4                    F   member is committed and uses their individual talents to make
SUICIDE                            -                          the group better.
DISEASE                                                       Key Activities
DIABETES PREVALENCE             -
                                                              - Town Hall Meeting on underage drinking
ASTHMA PREVALENCE               9.0%                  D
                                                              - Women’s Health Week luncheon
CANCER INCIDENCE              411.8 A
 (RATE PER 100,000)                                           - Promoted Social Host Ordinance at Alva City Council meeting
                                                              - Met with Assistant DA to discuss coalition and underage
RISK FACTORS & BEHAVIORS
                                                                drinking concerns
FRUIT/VEGETABLE CONSUMPTION        -
                                                              - Developed month-long Walk this Weigh event
NO PHYSICAL ACTIVITY              35.5%                   F
SMOKING                           24.3%               D
OBESITY                           17.9%   A
IMMUNIZATIONS < 3 YEARS           90.1%   A
SENIORS FLU VACCINATION            -
SENIORS PNEUMONIA VACCINATION      -
LIMITED ACTIVITY DAYS (AVG)        3.8        B
POOR MENTAL HEALTH DAYS (AVG)      4.2                    F
POOR PHYSICAL HEALTH DAYS (AVG)    5.7                    F
GOOD OR BETTER HEALTH RATING      73.5%                   F
TEEN FERTILITY (RATE PER 1,000)    7.0    A
FIRST TRIMESTER PRENATAL CARE     71.8%                   F
LOW BIRTH WEIGHT                   5.4%   A
ADULT DENTAL VISITS               63.1%               D
USUAL SOURCE OF CARE              89.5%   A

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             13.0            C
POVERTY                           16.3                D




                                                                     2008 STATE OF THE STATE’S HEALTH REPORT l 155
     woodward county                                      Woodward Area Coalition
                                                          Coalition Priorities
                                                          - Substance abuse prevention
                                                          - Physical activity
WOODWARD COUNTY                                           - Youth activities
(MEASURE; GRADE)
                                                          - Strengthening families
MORTALITY
INFANT (RATE PER 1,000)         9.3               D       About Us
TOTAL (RATE PER 100,000)      853.9               D       Woodward Area Coalition is a diverse group of individuals from
                                                          many different sectors of the community. After undergoing a
LEADING CAUSES OF DEATH
(RATE PER 100,000)
                                                          few changes in the last couple of years as a coalition, they are
HEART DISEASE                 256.9               D       learning what works best for them. As the coalition works col-
CANCER                        176.4           C           laboratively to best meet the needs of the community, they
STROKE                         38.9       B               continue implementing projects that over the years have
CHRONIC LOWER RESPIRATORY      49.6               D       proven successful. One such project is Girl Power! It is held
  DISEASE                                                 every year in the spring for 5th and 6th grade girls. The coali-
UNINTENTIONAL INJURY              63.8                F
                                                          tion creates a positive environment that encourages girls to
DIABETES                          38.6                F
                                                          be all they can be. Many topics are addressed and promote
INFLUENZA/PNEUMONIA               20.2        C
ALZHEIMER’S DISEASE               15.3    B               healthy decisions now and in the future. Walk this Weigh and
NEPHRITIS (KIDNEY DISEASE)         8.9    B               the Family Fun Fair are other successful events that are well
SUICIDE                           13.4            D       established in the community.
DISEASE                                                   Based on coalition and community assessments, a new pro-
DIABETES PREVALENCE             9.4%              D
                                                          gram called Parents as Mentors is in the developmental stage.
ASTHMA PREVALENCE               4.1% A
                                                          It will provide a model for parents who may need extra support
CANCER INCIDENCE              490.6               D
 (RATE PER 100,000)                                       in parenting skills.

RISK FACTORS & BEHAVIORS                                  Key Activities
FRUIT/VEGETABLE CONSUMPTION       15.8%         F         - Monthly meetings and recruiting committee members
NO PHYSICAL ACTIVITY              30.3%         F         - Walk this Weigh Woodward
SMOKING                           27.9%         F
                                                          - Family Fun Fair in August
OBESITY                           33.2%         F
                                                          - Girl Power! event for 5th and 6th grade girls
IMMUNIZATIONS < 3 YEARS           81.5%     C
SENIORS FLU VACCINATION           72.1%     C             - 2M2L (2 Much 2 Lose) Club at the Woodward School
SENIORS PNEUMONIA VACCINATION     74.5% A                 - Parents as Mentors program
LIMITED ACTIVITY DAYS (AVG)        3.8    B
POOR MENTAL HEALTH DAYS (AVG)      3.3      C
POOR PHYSICAL HEALTH DAYS (AVG)    3.3    B
GOOD OR BETTER HEALTH RATING      86.2%   B
TEEN FERTILITY (RATE PER 1,000)   26.9        D
FIRST TRIMESTER PRENATAL CARE     70.5%         F
LOW BIRTH WEIGHT                   7.7%     C
ADULT DENTAL VISITS               55.7%         F
USUAL SOURCE OF CARE              74.4%       D

SOCIOECONOMIC FACTORS
NO INSURANCE COVERAGE             22.9%               F
POVERTY                           12.5%       C




                                                                 2008 STATE OF THE STATE’S HEALTH REPORT l 156

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:6
posted:8/20/2011
language:English
pages:77