AREA PROFILE -- BOX BUTTE DEMOGRAPHIC DATA U.S. CENSUS ESTIMATES, 2004 BOX BUTTE - 11,388 NEBRASKA - 1,747,214 POPULATION BY AGE AND RACE/ETHNICITY BOX BUTTE NEBRASKA AGE PERCENT NATIVE NATIVE GROUP TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC 0-4 709 6.2 2 39 4 83 122,049 7.0 6,566 1,726 2,087 15,560 5-14 1,613 14.2 14 73 12 255 236,970 13.6 14,021 3,332 3,652 24,538 15-24 1,667 14.6 9 82 11 173 266,314 15.2 13,893 3,368 4,811 21,847 25-44 2,401 21.1 12 95 20 279 473,637 27.1 22,127 4,736 11,084 40,755 45-64 3,337 29.3 15 69 15 159 416,441 23.8 13,444 2,631 5,077 13,752 65-74 757 6.6 1 9 2 29 111,352 6.4 2,767 471 821 2,126 75-84 631 5.5 1 4 6 24 84,541 4.8 1,454 213 325 1,044 85+ 273 2.4 1 2 3 3 35,910 2.1 549 93 76 359 <18 3,057 26.8 20 148 21 414 446,083 25.5 24,698 6,261 7,104 47,141 65+ 1,661 14.6 3 15 11 56 231,803 13.3 4,770 777 1,222 3,529 POPULATION BY GENDER AND RACE/ETHNICITY BOX BUTTE NEBRASKA PERCENT NATIVE NATIVE GENDER TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC Men 5,717 50.2 21 175 36 514 863,628 49.4 37,128 8,068 13,719 65,048 Women 5,671 49.8 34 198 37 491 883,586 50.6 37,693 8,502 14,214 54,933 15-17 355 2 17 3 39 42,285 1,986 590 663 3,127 POPULATION BY RACE/ETHNICITY BOX BUTTE NEBRASKA RACE/ETHNICITY NUMBER PERCENT NUMBER PERCENT White 10,738 94.3 1,609,056 92.1 Black 55 0.5 74,821 4.3 Native American 373 3.3 16,570 0.9 Asian 73 0.6 27,933 1.6 Hispanic 1,005 8.8 119,981 6.9 Minority * 1,592 14.0 250,577 14.3 * Minority Population = Total Population - White, Not Hispanic Population HOUSEHOLDS BY TYPE, 2000 CENSUS BOX BUTTE NEBRASKA % OF % OF % OF % OF HOUSE- HOUSE- HOUSE- HOUSE- HOLDS HOLDS HOLDS HOLDS WITH NO WITH AT WITH NO WITH AT CHILDREN LEAST 1 CHILDREN LEAST 1 FAMILY TYPE <18 CHILD<18 <18 CHILD<18 Married couples 29.7 28.0 28.6 25.6 Male householders 0.8 2.1 1.3 2.0 Female householders 1.6 6.7 2.6 6.5 Male householder nonfamilies 14.7 0.5 15.2 0.3 Female householder nonfamilies 15.7 0.1 17.8 0.1 HOUSEHOLDS BY TYPE AND RACE/ETHNICITY, 2000 CENSUS % OF HOUSEHOLDS % OF HOUSEHOLDS Native Native Total White Black American Total White Black American Families 68.9 68.6 52.3 75.4 66.6 66.2 65.0 74.3 Married Couples 57.7 58.3 38.0 31.8 54.2 55.4 28.8 35.4 W/Children < 18 28.0 27.5 19.0 22.4 25.6 25.4 16.7 24.0 Single Parent Families 11.2 7.8 14.3 41.2 12.4 7.2 28.7 32.6 Male householder 2.9 2.8 0.0 13.0 3.3 3.0 5.4 8.8 W/Children < 18 2.1 1.9 0.0 11.8 2.0 1.8 3.6 6.7 Female Householder 8.3 7.5 14.3 30.6 9.1 7.8 30.8 30.1 W/Children < 18 6.7 5.9 14.3 29.4 6.5 5.4 25.1 25.9 Nonfamily households 31.0 31.3 47.6 24.7 33.4 33.7 34.9 25.7 % OF HOUSEHOLDS % OF HOUSEHOLDS Asian Hispanic Minority * Asian Hispanic Minority * Families 72.0 80.3 75.5 66.9 77.3 70.2 Married Couples 56.0 66.5 54.6 53.7 54.0 42.1 W/Children < 18 20.0 49.8 38.4 33.0 40.7 28.3 Single Parent Families 12.0 11.4 18.7 8.3 17.9 21.8 Male householder 8.0 3.6 5.2 4.5 9.6 7.1 W/Children < 18 8.0 2.0 4.2 2.2 6.3 4.6 Female Householder 8.0 10.2 15.7 8.7 13.7 21.0 W/Children < 18 4.0 9.4 14.5 6.1 11.6 17.2 Nonfamily households 28.0 19.6 24.4 33.1 22.6 29.9 * Minority Population = Total Population - White, Not Hispanic Population EDUCATIONAL ATTAINMENT BY RACE/ETHNICITY, 2000 CENSUS Percent of persons 25 years and older BOX BUTTE NEBRASKA Native Native Total White Black American Total White Black American Less than 9th grade 5.1 4.0 18.4 6.0 5.4 4.5 5.3 9.0 9th to 11th grade 6.8 6.4 0.0 12.1 8.0 7.3 16.0 15.1 High school diploma 37.5 37.7 10.5 53.0 31.3 31.8 31.2 33.7 Some college, no degree 28.9 29.3 44.7 18.8 24.3 24.5 27.4 26.1 Associate degree 6.5 6.6 26.3 3.4 7.3 7.5 5.9 7.4 Baccalaureate degree 11.6 12.2 0.0 4.0 16.5 17.0 10.5 6.2 Graduate or professional 3.6 3.8 0.0 2.7 7.3 7.4 3.6 2.6 degree Percent of persons 25 years and older BOX BUTTE NEBRASKA Asian Hispanic Minority * Asian Hispanic Minority * Less than 9th grade 0.0 37.4 25.4 10.8 34.2 17.9 9th to 11th grade 31.4 14.6 13.0 11.9 19.2 16.3 High school diploma 28.6 30.5 34.5 17.1 21.3 25.5 Some college, no degree 40.0 10.6 18.5 13.3 13.9 20.1 Associate degree 0.0 2.9 5.1 5.4 2.9 4.8 Baccalaureate degree 0.0 4.1 2.9 21.8 5.9 10.0 Graduate or professional 0.0 0.0 0.6 19.8 2.7 5.5 degree * Minority Population = Total Population - White, Not Hispanic Population SOCIAL INDICATORS PER CAPITA INCOME, 2000 CENSUS BOX BUTTE NEBRASKA $18,407 $19,613 MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES BOX BUTTE NEBRASKA $40,670 $41,978 PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES BOX BUTTE NEBRASKA 5-17 Years of Age 12.5 10.8 Total Population 11.1 10.0 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS * BOX BUTTE NEBRASKA White 8.3 8.2 Black 24.5 27.4 Native American 42.2 33.0 Asian 8.3 12.8 Hispanic 30.3 20.4 * A '.' indicates the population estimate of the racial/ethnic group is zero. PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004 BOX BUTTE NEBRASKA # UNEMPLOYED % OF WORKERS # UNEMPLOYED % OF WORKERS 282 4.9 39,368 4.0 HIGH SCHOOL DROPOUT RATE, 2003-2004 BOX BUTTE NEBRASKA % of 7-12th Grade Member- ship Who Drop Out of School 0.2 1.9 NEW FAMILIES AT RISK BY RACE/ETHNICITY, 2000-2004 First Births to Unmarried Women Under Age 20 with Less Than H.S. Education BOX BUTTE NEBRASKA # BIRTHS % OF 1ST BIRTHS* # BIRTHS % OF 1ST BIRTHS* Total 20 7.0 4,398 9.0 White 13 5.0 3,351 7.7 Black 0 . 653 24.4 Native American 7 35.0 232 36.9 Asian 0 . 39 2.9 Hispanic 2 8.7 1,034 19.3 * Percentage based on at least 6 first births. REPORTS AND/OR ARRESTS FOR VIOLENT CRIME, DUI AND OTHER DRUG CHARGES, 2004 BOX BUTTE NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Total Arrests 941 82.6 94,648 54.2 Arrests for violent crimes * 33 2.9 1,596 0.9 Reported forcible rape offenses . . 195 0.1 Arrests for DUI 120 10.5 14,163 8.1 Drug law violation arrests 62 5.4 10,898 6.2 *Violent crimes include: murder, forcible rape, robbery and aggravated assault. JUVENILE ARRESTS(<18) FOR VIOLENT CRIMES, DUI AND DRUG LAW VIOLATIONS, 2004 BOX BUTTE NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Total Arrests 213 69.7 14,867 33.3 Arrests for violent crimes * 6 2.0 224 0.5 Arrests for DUI 10 3.3 348 0.8 Drug law violation arrests 13 4.3 1,150 2.6 *Violent crimes include: murder, forcible rape, robbery and aggravated assault. CHILD PROTECTION AND SAFETY, CY 2004 BOX BUTTE NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Average number of children in out-of-home care * 14 4.4 7,160 15.9 *Children in temporary or permanent out-of home care (foster care, group homes or other residential care facilities). CHILDREN INVOLVED IN SUBSTANTIATED CASES OF ABUSE/NEGLECT, CY 2003 BOX BUTTE NEBRASKA Rate per 1,000 Children < Age 19 13.6 8.6 DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000 BOX BUTTE NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Number of Crisis Calls Received by Multi-County Agency 1,375 47.6 108,312 63.3 Total New Contacts for Multi-County Agency 394 13.6 24,249 14.2 BOX BUTTE MULTI-COUNTY AREA ALSO INCLUDES: Dawes, Sheridan, Sioux HEALTH STATUS LEADING CAUSES OF DEATH, 2000-2004 Age-Adjusted Death Rates per 100,000 Population NEBRASKA NEBRASKA NATIVE BOX BUTTE NEBRASKA YEAR 2010 BLACK AMERICAN HISPANIC CAUSE OF DEATH DEATHS RATE DEATHS RATE OBJECTIVE RATE RATE RATE Heart Disease (#1) 185 239.2 20,262 205.1 -- 245.6 276.0 110.6 Cancer -- All Sites (#2) 139 204.6 16,798 182.0 147.0 255.2 201.9 117.8 Lung/Bronchus/Trachea 44 65.6 4,444 49.1 39.0 81.5 60.1 24.6 Breast (Female) 8 21.7 1,224 23.8 20.7 41.3 32.8 9.7 Prostate 6 21.6 943 25.7 25.9 48.8 18.5 9.3 Cerebrovascular (#3) 48 62.2 5,385 54.0 47.4 87.0 55.2 28.8 Unintentional Injuries (#4) 32 54.6 3,457 37.6 19.4 25.2 92.6 34.9 Motor Vehicle 17 29.1 1,469 16.6 12.0 9.7 43.8 17.4 Chronic Lung Disease (#5) 30 41.5 3,746 39.4 -- 39.2 54.7 12.4 Suicide 8 12.7 922 10.7 8.2 4.6 9.1 4.2 Homicide 1 1.9 259 3.0 2.0 20.3 11.9 6.6 Diabetes Related 54 76.2 6,933 72.6 25.0 162.8 260.9 109.3 Tobacco Related 108 153.8 12,886 137.2 -- 184.1 192.6 75.5 Alcohol Related 27 42.1 3,255 35.5 -- 41.9 137.3 41.2 Work Related Accidents 3 5.9 209 2.4 -- 0.4 0.9 2.5 All Causes 634 879.3 75,953 789.1 -- 1,110.5 1,269.2 559.0 NOTE: Age adjusted rates are based on the 2000 U.S. census standard. CANCER INCIDENCE, 1999-2003 Age-Adjusted Incidence Rates per 100,000 Population BOX BUTTE NEBRASKA Native Total Total Total Total Black American Hispanic Cancer Type # Cases Rate # Cases Rate Rate Rate Rate All Sites 328 492.3 42,194 474.2 474.5 393.6 292.3 Lung & Bronchus 48 71.5 5,572 62.7 93.3 62.7 39.3 Breast (Female) 34 101.5 6,278 131.8 102.2 56.9 57.2 Prostate 67 229.6 6,470 165.9 197.9 146.3 57.0 Colorectal 38 56.0 5,366 59.1 61.9 47.7 44.5 NOTE: Age adjusted rates are based on the 2000 U.S. census standard. LEADING REASONS FOR HOSPITALIZATION (NEBRASKA OCCURRANCE ONLY), 2003-2004 Age-Adjusted Hospital Discharge Rates per 100,000 Population BOX BUTTE NEBRASKA PERCENT CONDITION/INJURY # DISCHARGES RATE # DISCHARGES RATE DIFFERENCE All Conditions/Injuries 2,545 10,732.00 359,031 9,837.00 9.1 Pregnancy/Childbirth 489 2,578.00 89,507 2,465.00 4.6 All Injuries 402 1,549.00 55,504 1,509.00 2.7 Diabetes Related Diseases 475 1,789.00 46,921 1,277.00 40.1 Heart Disease 258 941.00 37,934 1,014.00 -7.2 Digestive Diseases 292 1165 29,464 808.0 44.2 Musculoskeletal Diseases 104 401.0 23,783 659.0 -39.2 Psychosis/Mental Health 67 283.0 17,125 492.0 -42.5 Pneumonia 173 707.0 14,664 386.0 83.2 Genitourinary Diseases 130 553.0 14,656 411.0 34.5 Cancer 52 203.0 11,800 322.0 -37.0 Fractures 57 200.0 9,998 261.0 -23.4 Other Respiratory Diseases 86 355.0 9,145 246.0 44.3 Tobacco Related Diseases 65 247.0 9,566 257.0 -3.9 Surgical/Medical Complications 39 155.0 8,506 236.0 -34.3 Cerebrovascular Disease 53 193.0 8,131 214.0 -9.8 COPD 79 319.0 7,578 208.0 53.4 Alcohol Related Diseases 31 121.0 2,405 67.0 80.6 Leading Causes of Injury Falls 85 293.0 11,318 291.0 0.7 MV Accidents 7 30.0 2,218 62.0 -51.6 Self-Inflicted 8 34.0 1,754 50.0 -32.0 Other Unintentional 13 49.0 1,215 33.0 48.5 Poisoning 7 34.0 592 16.0 112.5 Struck/Pierced by Object 5 24.0 609 17.0 41.2 Overexertion 6 28.0 480 13.0 115.4 Environmental 5 18.0 513 14.0 28.6 Assault 6 27.0 442 12.0 125.0 LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004 BOX BUTTE NEBRASKA PERCENT PAYER TYPE DISCHARGES % DISCHARGES % DIFFERENCE Commercial 689 27.1 168,501 46.9 -42.2 Medicare 1,259 49.5 131,141 36.5 35.6 Medicaid 524 20.6 50,769 14.1 46.1 Self-Pay 8 0.3 3,460 1.0 -70.0 Other State/Federal 65 2.6 5,160 1.4 85.7 NOTE: Age adjusted rates are based on the 2000 U.S. census standard. INCIDENCE OF AIDS, 2000-2004 BOX BUTTE NEBRASKA *Rate Rate 1.3 3.8 * County or HD rates are not available. The above rates are the rate per 100,000 population of the Service Area containing the county or HD. INCIDENCE OF RESOURCE INTENSIVE COMMUNICABLE DISEASES, 2003 BOX BUTTE NEBRASKA Rate Rate West Nile Virus (WNV) 110 112 Chronic Hepatitis C 16.9 64.2 TB 0.0 1.6 Note: Rates are per 100,000 Population. INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY BOX BUTTE NEBRASKA 2000-2004 2000-2004 2004 2004 Native His- 2004 2004 Native His- AGE GROUP Total White Black American Asian panic Total White Black American Asian panic All Ages 137.1 54.5 0.0 498.6 0.0 131.9 424.4 193.7 2847.6 903.3 166.6 518.3 < 18 31.6 34.2 0.0 0.0 0.0 0.0 226.2 83.9 1616.4 383.6 67.7 125.0 > 17 94.1 37.1 0.0 857.1 0.0 154.7 455.9 207.6 3181.6 1086.7 163.3 667.2 STD TYPE Gonorrhea 8.6 0.0 0.0 55.4 0.0 0.0 65.8 19.1 1025.7 127.1 19.6 62.9 Chlamydia 102.8 54.5 0.0 443.2 0.0 131.9 301.3 146.5 1695.1 722.6 131.0 413.7 Female 171.4 91.1 0.0 736.8 0.0 179.8 433.6 223.1 2278.7 1163.2 198.0 666.3 Herpes 25.7 0.0 0.0 0.0 0.0 0.0 42.0 18.6 82.7 18.7 7.3 23.5 Note: Rates are per 100,000 Population. ESTIMATED PREVALENCE OF DEMENTIA, 2004 BOX BUTTE NEBRASKA Rate * # of Persons ** # of Persons ** Age 65-74 10% 76 11,135 Age 75-84 20% 126 16,908 Age 85+ 47% 128 16,878 * Source: Prevalence estimates - Alzheimer's Association. ** Number of persons is the Alzheimer prevalence times the 2004 U.S. Census estimate. MATERNAL AND CHILD HEALTH AND WELL-BEING INFANT MORTALITY BY RACE/ETHNICITY, 2000-2004 BOX BUTTE NEBRASKA INFANT INFANT NEBRASKA YEAR 2010 RACE/ETHNICITY DEATHS RATE DEATHS RATE OBJECTIVE White 3 4.3 670 5.9 4.5 Black 0 0.0 121 16.9 4.5 Native American 1 20.8 31 14.4 4.5 Asian 0 0.0 10 3.5 4.5 Total 4 5.3 838 6.6 4.5 Hispanic 0 0.0 109 6.9 4.5 Note: Rates are per 1,000 live births. VERY LOW (<1500 GR) AND LOW (<2500 GR) BIRTH WEIGHT BY RACE/ETHNICITY, 2000-2004 NEBRASKA YEAR 2010 BOX BUTTE NEBRASKA OBJECTIVE WEIGHT NUMBER RATE NUMBER RATE RATE Very Low - All Births 6 7.9 1,611 12.7 9.0 Low - All Births 52 68.2 8,821 69.4 50.0 White 46 65.6 7,431 65.8 50.0 Black 0 0.0 897 125.1 50.0 Native American 5 104.2 145 67.2 50.0 Asian 1 500.0 221 77.7 50.0 Hispanic 1 12.1 976 62.0 50.0 Note: Rates are per 1,000 live births. NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003 BOX BUTTE NEBRASKA # of % of # of % of Infants Total Births Infants Total Births Infants with birth defects 21 2.7 4,534 3.6 TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004 BOX BUTTE NEBRASKA Age of Mother 10-17 15-17 10-17 15-17 NUMBER % NUMBER % NUMBER % NUMBER % All Births 20 2.6 18 2.4 3,715 2.9 3,583 2.8 White 18 2.6 16 2.3 2,792 2.5 2,718 2.4 Black 0 0.0 0 0.0 631 8.8 586 8.2 Native Amer 2 4.2 2 4.2 184 8.5 179 8.3 Asian 0 0.0 0 0.0 36 1.3 35 1.2 Hispanic 1 1.2 0 0.0 881 5.6 846 5.4 PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004 NUMBER OF CIGARETTES NEBRASKA YEAR 2010 SMOKED PER DAY BOX BUTTE NEBRASKA OBJECTIVE 1-10 17.2 10.4 -- 11-20 4.7 2.8 -- 21+ 0.1 0.6 -- Unknown 0.7 0.3 -- TOTAL 22.7 14.1 2.0 Note: These figures are based on pregnant women who have a live birth. PERCENT BEGINNING PRENATAL CARE IN THE FIRST TRIMESTER, 2000-2004 NEBRASKA YEAR 2010 RACE BOX BUTTE NEBRASKA OBJECTIVE White 88.7 84.7 90.0 Black 66.7 70.5 90.0 Native American 66.0 68.3 90.0 Asian 50.0 82.2 90.0 Total 86.8 83.2 90.0 Hispanic 81.7 69.3 90.0 Note: These figures are based on pregnant women who have a live birth. CHILDREN AGED 19-35 MONTHS UP-TO-DATE ON IMMUNIZATIONS, July 2003 - June 2004 NEBRASKA BOX BUTTE NEBRASKA CURRENT OBJECTIVE % of children receiving County-level data 4 DTP/3 Polio/1 Measles- not avaliable 82.4% 90% Containing Vaccine/3 Hib/ 3 Hepatitis B RISK FACTOR PREVALENCE BRFSS RISK FACTOR PREVALENCE ESTIMATES (ADULTS AGE 18 OR OLDER), 2000-2004 BOX BUTTE NEBRASKA NEBRASKA * % WITH % WITH YEAR 2010 RISK FACTOR (N) BEHAVIOR (N) BEHAVIOR OBJECTIVE Obese (body mass index 30 or higher) 2,253 22.8 23,583 22.4 15% No leisure-time physical activity 2,375 26.2 24,965 25.0 15% Currently smoke cigarettes 2,372 22.0 24,932 21.1 12% Chronic drinking 60+/Mo Men - 30+/Mo Women 2,144 2.4 21,579 4.8 -- No health insurance 2,370 14.9 24,932 11.9 0% Could not see physician in past 12 months due to cost 1,884 11.6 16,873 8.4 4% Mammogram in past two years (Ages 40+) 839 64.3 6,913 75.5 75% Immunization rates (65+) Flu shot past 12 months 710 66.1 6,210 71.5 90% Pneumonia immunization 703 58.2 6,123 63.2 90% General health good to excellent (self-reported) 2,369 83.7 24,924 87.4 -- Ten or more days in past 30 days health not good Physical health 2,073 11.6 20,236 9.7 -- Mental health 2,072 11.1 20,276 9.5 -- * Note: With the exception of Sarpy, county percentages are the Health District percentage containing the county. Douglas and Lancaster counties are their own Health District YOUTH RISK BEHAVIORS, GRADES 9-12, 2003 NEBRASKA YEAR 2010 NEBRASKA U.S. OBJECTIVE Smoking at least once in past 30 days 24% 35% 15% Drank alcohol on at least 1 of past 30 days 47% 50% -- Binge drinking (5+ drinks on an occasion) in past 30 days 32% 32% 25% Drinking and driving in past 30 days 21% 13% 10% Riding in a motor vehicle with someone who has been drinking alcohol (past 30 days) 39% 33% 30% Ever used marijuana in lifetime 35% 49% -- Used marijuana in past 30 days 18% 27% 5% Ever used cocaine (any form) in lifetime 7% 10% -- Ever used inhalants (sniffed glue, breathed contents of aerosol spray cans, inhaled paints/sprays to get high) in lifetime 12% 15% -- RACIAL/ETHNIC RISK FACTOR PREVALENCE ESTIMATES, AGES 18 & OLDER, 2000-2004 State-Level Data Only African Native Asian Hispanic Risk Factor American American American American White Obese (BMI 30 or higher) 34 39 11 24 23 No leisure-time physical activity 34 29 25 44 25 Currently smoke cigarettes 27 44 20 18 23 General health good to excellent 77 76 89 73 86 No health insurance 20 27 14 45 11 Could not afford to see physician 17 21 13 17 9 ENVIRONMENTAL DATA NITRATE LEVELS IN COMMUNITY WATER SYSTEMS, 2000-2004 BOX BUTTE NEBRASKA % OF % OF # OF COMM POP AVERAGE # OF COMM POP AVERAGE COMMNTY DRINKING NITRATE COMMNTY DRINKING NITRATE NEBRASKA YEAR 2010 SYSTEMS >10 PPM LEVEL* SYSTEMS >10 PPM LEVEL* OBJECTIVE < 1% who drink 8 0.0 2.8 1351 1.0 3.0 water >10 ppm * Weighted average. Weight is the number served by the water system. FLUORIDE LEVELS IN COMMUNITY WATER SYSTEMS, 2004 BOX BUTTE NEBRASKA % OF % OF SYSTEMS COMM POP SYSTEMS COMM POP # OF WITH COMMTY % DRINKING # OF WITH COMMTY % DRINKING COMMNTY FLUORIDE OF 2000 FLUORIDE COMMNTY FLUORIDE OF 2000 FLUORIDE SYSTEMS .75-1 PPM CENSUS .75-1 PPM SYSTEMS .75-1 PPM CENSUS .75-1 PPM 2 2 94.8 100 607 97 81.1 67.5 Nebraska Year 2010 Objective: at least 80% of people served by community water systems receive optimal levels of fluoride (.75-1 ppm). HIGH BLOOD LEAD LEVELS IN CHILDREN UNDER AGE 6, 2002-2004 BOX BUTTE NEBRASKA # w/High % # w/High % NEBRASKA YEAR 2010 LEAD LEVEL Blood Lead Tested Blood Lead Tested OBJECTIVE >9ug/dL 3 0.8 1846 3.3 0% (>9ug/dL) AVAILABILITY OF SERVICES HEALTH PROFESSIONALS IN PRACTICE, 2003 BOX BUTTE NEBRASKA # Persons # Persons # of Served per # of Served per PROFESSION Practitioners Practitioner Practitioners Practitioner General/Family Practice 3 3890 677 2569 Internal Medicine 1 11669 227 7662 Pediatrics 1 11669 162 10736 OB/Gynecology 0 . 143 12163 Psychiatry 0 . 140 12424 Physician Assistant 6 1945 445 3909 Nurse Practitioner 1 11669 329 5287 Licensed Practical Nurse 94 124 6337 274 Dentist 5 2334 1084 1605 Registered Nurse 80 146 18257 95 Note: Persons served was calculated using 2003 census estimates. RN's (2002) & Primary Care Physicians (2004) by Race/Ethnicity # RN's # Primary Care Physicians # RN's # Primary Care Physicians White 64 5 15729 1023 Black 1 0 166 15 Native American . 0 54 5 Asian . 0 117 43 Hispanic 2 0 183 25 Other Race/Ethnicity/Unknown . 0 85 4 FEDERAL SHORTAGE AREA DESIGNATIONS, 2003 BOX BUTTE NEBRASKA HPSA Part Part MUA/MUP No Part EMERGENCY SERVICES, 2003 SERVICE BOX BUTTE NEBRASKA Ambulance services 3 394 AVAILABILITY OF TRANSPORATION, 1998 PUBLIC TRANSPORTATION AVAILABLE IN BOX BUTTE ? YES . COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN BOX BUTTE : Alliance, Hemingford SERVICE UTILIZATION DATA MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003 BOX BUTTE NEBRASKA TOTAL PERSONS % OF TOTAL PERSONS % OF ELIGIBLE(#) ELIGIBLES ELIGIBLE(#) ELIGIBLES Medicaid 1,743 100.0 205,498 100.0 Aged 195 11.2 18,449 9.0 Blind & Disabled 168 9.6 26,534 12.9 ADC Children 1,108 63.6 134,743 65.6 ADC Adults 272 15.6 25,772 12.5 BOX BUTTE NEBRASKA TOTAL % OF TOTAL TOTAL % OF TOTAL DOLLARS MEDICAID DOLLARS MEDICAID ($000) DOLLARS ($000) DOLLARS Medicaid $9,215 100.0 $1,280,005 100.0 Aged 3,198 37.0 353,582 29.4 Blind & Disabled 1,795 20.8 432,011 36.0 ADC Children 2,579 29.9 319,452 26.6 ADC Adults 1,065 12.3 95,724 8.0 MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003 BOX BUTTE NEBRASKA TOTAL % OF TOTAL TOTAL % OF TOTAL DOLLARS MEDICAID DOLLARS MEDICAID ($000) DOLLARS ($000) DOLLARS All Medicaid $9,215 100.0 $1,280,005 100.0 Medicaid Fee-for-Service 7,733 83.9 970,707 75.8 Hospital--Inpatient 1,491 16.2 257,282 20.1 Hospital--Outpatient 1,525 16.6 75,892 5.9 ICF Mentally Retarded 108 1.2 50,253 3.9 Nursing Facility 2,269 24.6 271,975 21.2 Physician 700 7.6 100,083 7.8 Dental 368 4.0 33,337 2.6 Prescribed Drugs 1,271 13.8 181,885 14.2 Other Medicaid (Includes Capitated Payments) 1,482 16.1 309,298 24.2 UTILIZATION OF SERVICES BY PROGRAM, FY 2004 BOX BUTTE NEBRASKA AVERAGE AVERAGE AVERAGE AVERAGE MONTHLY PAYMENT MONTHLY PAYMENT PARTICIPANTS ($) PARTICIPANTS ($) Aid to Dependent 117 $375.77* 12,237 $353.16* Children (ADC) Food Stamp Program 1,102 $81.07** 111,435 $79.42** * Average payment per family. ** Average payment per person. NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS SERVICE PROVIDED BOX BUTTE NEBRASKA WIC, UNDUPLICATED PERSONS SERVED, 2004 Pregnant women seen 32 4,527 Breastfeeding clients seen 31 5,609 Postpartum women seen 92 10,951 Infants seen 76 9,521 Children seen 368 39,835 Native Native Total WIC clients Total Black Am Asian Hispanic Total Black Am Asian Hispanic seen in 2004 599 9 90 0 141 70,449 7,664 1,316 1,296 20,674 Reproductive health, 2004 17 42,421 NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004 BOX BUTTE NEBRASKA Nursing Home and Hospital Long-Term Care Facilities Number of licensed beds 163 17,130 Occupancy rate 83.3 82.7 Persons Aged 65 and Older Living in Nursing Homes or Hospital Long-Term Care Facilities Number 130 12,710 Percent of population 7.4 5.5 aged 65 and older