AREA PROFILE -- DAWES DEMOGRAPHIC DATA U.S. CENSUS ESTIMATES, 2004 DAWES - 8,746 NEBRASKA - 1,747,214 POPULATION BY AGE AND RACE/ETHNICITY DAWES NEBRASKA AGE PERCENT NATIVE NATIVE GROUP TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC 0-4 462 5.3 4 31 4 16 122,049 7.0 6,566 1,726 2,087 15,560 5-14 879 10.1 14 60 4 38 236,970 13.6 14,021 3,332 3,652 24,538 15-24 2,078 23.8 52 71 6 81 266,314 15.2 13,893 3,368 4,811 21,847 25-44 2,113 24.2 17 82 10 57 473,637 27.1 22,127 4,736 11,084 40,755 45-64 1,875 21.4 4 46 7 28 416,441 23.8 13,444 2,631 5,077 13,752 65-74 640 7.3 0 17 2 5 111,352 6.4 2,767 471 821 2,126 75-84 483 5.5 0 3 2 7 84,541 4.8 1,454 213 325 1,044 85+ 216 2.5 0 5 0 0 35,910 2.1 549 93 76 359 <18 1,707 19.5 28 104 9 68 446,083 25.5 24,698 6,261 7,104 47,141 65+ 1,339 15.3 0 25 4 12 231,803 13.3 4,770 777 1,222 3,529 POPULATION BY GENDER AND RACE/ETHNICITY DAWES NEBRASKA PERCENT NATIVE NATIVE GENDER TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC Men 4,262 48.7 63 145 20 125 863,628 49.4 37,128 8,068 13,719 65,048 Women 4,484 51.3 28 170 15 107 883,586 50.6 37,693 8,502 14,214 54,933 15-17 158 3 4 0 5 42,285 1,986 590 663 3,127 POPULATION BY RACE/ETHNICITY DAWES NEBRASKA RACE/ETHNICITY NUMBER PERCENT NUMBER PERCENT White 8,215 93.9 1,609,056 92.1 Black 91 1.0 74,821 4.3 Native American 315 3.6 16,570 0.9 Asian 35 0.4 27,933 1.6 Hispanic 232 2.7 119,981 6.9 Minority * 727 8.3 250,577 14.3 * Minority Population = Total Population - White, Not Hispanic Population HOUSEHOLDS BY TYPE, 2000 CENSUS DAWES 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 28.9 19.6 28.6 25.6 Male householders 1.2 1.8 1.3 2.0 Female householders 2.1 5.8 2.6 6.5 Male householder nonfamilies 17.7 0.5 15.2 0.3 Female householder nonfamilies 22.4 0.0 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 59.4 58.9 57.2 68.3 66.6 66.2 65.0 74.3 Married Couples 48.5 49.0 42.9 29.1 54.2 55.4 28.8 35.4 W/Children < 18 19.6 19.4 28.6 17.7 25.6 25.4 16.7 24.0 Single Parent Families 10.9 6.9 14.3 31.6 12.4 7.2 28.7 32.6 Male householder 3.0 2.8 14.3 6.3 3.3 3.0 5.4 8.8 W/Children < 18 1.8 1.7 14.3 3.8 2.0 1.8 3.6 6.7 Female Householder 7.9 7.1 0.0 32.9 9.1 7.8 30.8 30.1 W/Children < 18 5.8 5.2 0.0 27.8 6.5 5.4 25.1 25.9 Nonfamily households 40.6 41.1 42.9 31.6 33.4 33.7 34.9 25.7 % OF HOUSEHOLDS % OF HOUSEHOLDS Asian Hispanic Minority * Asian Hispanic Minority * Families 55.0 66.7 68.1 66.9 77.3 70.2 Married Couples 30.0 45.1 38.2 53.7 54.0 42.1 W/Children < 18 25.0 27.5 22.7 33.0 40.7 28.3 Single Parent Families 10.0 17.6 22.7 8.3 17.9 21.8 Male householder 10.0 9.8 7.8 4.5 9.6 7.1 W/Children < 18 0.0 7.8 5.0 2.2 6.3 4.6 Female Householder 15.0 11.8 22.1 8.7 13.7 21.0 W/Children < 18 10.0 9.8 17.7 6.1 11.6 17.2 Nonfamily households 45.0 33.3 32.0 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 DAWES NEBRASKA Native Native Total White Black American Total White Black American Less than 9th grade 5.4 4.7 100.0 19.3 5.4 4.5 5.3 9.0 9th to 11th grade 7.7 7.3 0.0 17.5 8.0 7.3 16.0 15.1 High school diploma 26.1 26.4 0.0 19.3 31.3 31.8 31.2 33.7 Some college, no degree 25.4 25.6 0.0 22.8 24.3 24.5 27.4 26.1 Associate degree 7.1 7.2 0.0 0.0 7.3 7.5 5.9 7.4 Baccalaureate degree 17.9 18.1 0.0 21.1 16.5 17.0 10.5 6.2 Graduate or professional 10.5 10.8 0.0 0.0 7.3 7.4 3.6 2.6 degree Percent of persons 25 years and older DAWES NEBRASKA Asian Hispanic Minority * Asian Hispanic Minority * Less than 9th grade 0.0 14.3 20.9 10.8 34.2 17.9 9th to 11th grade 0.0 27.5 15.2 11.9 19.2 16.3 High school diploma 100.0 12.1 19.1 17.1 21.3 25.5 Some college, no degree 0.0 29.7 24.3 13.3 13.9 20.1 Associate degree 0.0 9.9 3.9 5.4 2.9 4.8 Baccalaureate degree 0.0 1.1 13.0 21.8 5.9 10.0 Graduate or professional 0.0 5.5 3.5 19.8 2.7 5.5 degree * Minority Population = Total Population - White, Not Hispanic Population SOCIAL INDICATORS PER CAPITA INCOME, 2000 CENSUS DAWES NEBRASKA $16,353 $19,613 MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES DAWES NEBRASKA $29,215 $41,978 PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES DAWES NEBRASKA 5-17 Years of Age 17.6 10.8 Total Population 17.5 10.0 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS * DAWES NEBRASKA White 17.4 8.2 Black 86.6 27.4 Native American 31.6 33.0 Asian 0.0 12.8 Hispanic 22.7 20.4 * A '.' indicates the population estimate of the racial/ethnic group is zero. PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004 DAWES NEBRASKA # UNEMPLOYED % OF WORKERS # UNEMPLOYED % OF WORKERS 188 4.1 39,368 4.0 HIGH SCHOOL DROPOUT RATE, 2003-2004 DAWES NEBRASKA % of 7-12th Grade Member- ship Who Drop Out of School 0.5 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 DAWES NEBRASKA # BIRTHS % OF 1ST BIRTHS* # BIRTHS % OF 1ST BIRTHS* Total 12 5.3 4,398 9.0 White 6 2.9 3,351 7.7 Black 0 . 653 24.4 Native American 6 50.0 232 36.9 Asian 0 . 39 2.9 Hispanic 0 . 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 DAWES NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Total Arrests 480 54.9 94,648 54.2 Arrests for violent crimes * 1 0.1 1,596 0.9 Reported forcible rape offenses . . 195 0.1 Arrests for DUI 53 6.1 14,163 8.1 Drug law violation arrests 26 3.0 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 DAWES NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Total Arrests 49 28.7 14,867 33.3 Arrests for violent crimes * 0 0.0 224 0.5 Arrests for DUI 0 0.0 348 0.8 Drug law violation arrests 3 1.8 1,150 2.6 *Violent crimes include: murder, forcible rape, robbery and aggravated assault. CHILD PROTECTION AND SAFETY, CY 2004 DAWES NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Average number of children in out-of-home care * 16 8.7 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 DAWES NEBRASKA Rate per 1,000 Children < Age 19 2.2 8.6 DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000 DAWES 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 DAWES MULTI-COUNTY AREA ALSO INCLUDES: Box Butte, Sheridan, Sioux HEALTH STATUS LEADING CAUSES OF DEATH, 2000-2004 Age-Adjusted Death Rates per 100,000 Population NEBRASKA NEBRASKA NATIVE DAWES NEBRASKA YEAR 2010 BLACK AMERICAN HISPANIC CAUSE OF DEATH DEATHS RATE DEATHS RATE OBJECTIVE RATE RATE RATE Heart Disease (#1) 127 227.5 20,262 205.1 -- 245.6 276.0 110.6 Cancer -- All Sites (#2) 89 168.0 16,798 182.0 147.0 255.2 201.9 117.8 Lung/Bronchus/Trachea 24 47.3 4,444 49.1 39.0 81.5 60.1 24.6 Breast (Female) 5 17.1 1,224 23.8 20.7 41.3 32.8 9.7 Prostate 11 49.6 943 25.7 25.9 48.8 18.5 9.3 Cerebrovascular (#3) 36 59.8 5,385 54.0 47.4 87.0 55.2 28.8 Unintentional Injuries (#4) 19 42.4 3,457 37.6 19.4 25.2 92.6 34.9 Motor Vehicle 13 31.5 1,469 16.6 12.0 9.7 43.8 17.4 Chronic Lung Disease (#5) 27 49.2 3,746 39.4 -- 39.2 54.7 12.4 Suicide 10 19.3 922 10.7 8.2 4.6 9.1 4.2 Homicide 1 2.8 259 3.0 2.0 20.3 11.9 6.6 Diabetes Related 47 90.4 6,933 72.6 25.0 162.8 260.9 109.3 Tobacco Related 76 145.5 12,886 137.2 -- 184.1 192.6 75.5 Alcohol Related 22 49.6 3,255 35.5 -- 41.9 137.3 41.2 Work Related Accidents 1 1.4 209 2.4 -- 0.4 0.9 2.5 All Causes 470 858.6 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 DAWES NEBRASKA Native Total Total Total Total Black American Hispanic Cancer Type # Cases Rate # Cases Rate Rate Rate Rate All Sites 198 414.9 42,194 474.2 474.5 393.6 292.3 Lung & Bronchus 26 52.3 5,572 62.7 93.3 62.7 39.3 Breast (Female) 31 130.4 6,278 131.8 102.2 56.9 57.2 Prostate 32 150.3 6,470 165.9 197.9 146.3 57.0 Colorectal 32 63.5 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 DAWES NEBRASKA PERCENT CONDITION/INJURY # DISCHARGES RATE # DISCHARGES RATE DIFFERENCE All Conditions/Injuries 1,158 6,152.00 359,031 9,837.00 -37.5 Pregnancy/Childbirth 344 1,960.00 89,507 2,465.00 -20.5 All Injuries 111 553.00 55,504 1,509.00 -63.4 Diabetes Related Diseases 123 600.00 46,921 1,277.00 -53.0 Heart Disease 78 341.00 37,934 1,014.00 -66.4 Digestive Diseases 137 719.0 29,464 808.0 -11.0 Musculoskeletal Diseases 41 185.0 23,783 659.0 -71.9 Psychosis/Mental Health 20 145.0 17,125 492.0 -70.5 Pneumonia 63 296.0 14,664 386.0 -23.3 Genitourinary Diseases 55 310.0 14,656 411.0 -24.6 Cancer 19 93.0 11,800 322.0 -71.1 Fractures 37 163.0 9,998 261.0 -37.5 Other Respiratory Diseases 39 233.0 9,145 246.0 -5.3 Tobacco Related Diseases 29 131.0 9,566 257.0 -49.0 Surgical/Medical Complications 6 27.0 8,506 236.0 -88.6 Cerebrovascular Disease 32 133.0 8,131 214.0 -37.9 COPD 49 269.0 7,578 208.0 29.3 Alcohol Related Diseases 9 56.0 2,405 67.0 -16.4 Leading Causes of Injury Falls 45 195.0 11,318 291.0 -33.0 MV Accidents 8 48.0 2,218 62.0 -22.6 Self-Inflicted 3 12.0 1,754 50.0 -76.0 Other Unintentional 5 20.0 1,215 33.0 -39.4 Poisoning 2 10.0 592 16.0 -37.5 Struck/Pierced by Object 2 11.0 609 17.0 -35.3 Overexertion . . 480 13.0 . Environmental 5 28.0 513 14.0 100.0 Assault 2 10.0 442 12.0 -16.7 LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004 DAWES NEBRASKA PERCENT PAYER TYPE DISCHARGES % DISCHARGES % DIFFERENCE Commercial 347 30.0 168,501 46.9 -36.0 Medicare 507 43.8 131,141 36.5 20.0 Medicaid 266 23.0 50,769 14.1 63.1 Self-Pay 10 0.9 3,460 1.0 -10.0 Other State/Federal 28 2.4 5,160 1.4 71.4 NOTE: Age adjusted rates are based on the 2000 U.S. census standard. INCIDENCE OF AIDS, 2000-2004 DAWES 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 DAWES NEBRASKA Rate Rate West Nile Virus (WNV) 22.2 112 Chronic Hepatitis C 44.5 64.2 TB 0.0 1.6 Note: Rates are per 100,000 Population. INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY DAWES 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 389.5 142.2 4318.2 923.1 0.0 896.9 424.4 193.7 2847.6 903.3 166.6 518.3 < 18 273.4 0.0 5833.3 555.6 0.0 1351.4 226.2 83.9 1616.4 383.6 67.7 125.0 > 17 209.6 58.7 3934.4 1121.5 0.0 519.5 455.9 207.6 3181.6 1086.7 163.3 667.2 STD TYPE Gonorrhea 22.3 0.0 454.5 61.5 0.0 0.0 65.8 19.1 1025.7 127.1 19.6 62.9 Chlamydia 322.8 142.2 3863.6 861.5 0.0 807.2 301.3 146.5 1695.1 722.6 131.0 413.7 Female 348.4 208.0 2666.7 828.4 0.0 952.4 433.6 223.1 2278.7 1163.2 198.0 666.3 Herpes 44.5 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 DAWES NEBRASKA Rate * # of Persons ** # of Persons ** Age 65-74 10% 64 11,135 Age 75-84 20% 97 16,908 Age 85+ 47% 102 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 DAWES NEBRASKA INFANT INFANT NEBRASKA YEAR 2010 RACE/ETHNICITY DEATHS RATE DEATHS RATE OBJECTIVE White 2 4.4 670 5.9 4.5 Black 0 0.0 121 16.9 4.5 Native American 0 0.0 31 14.4 4.5 Asian 0 0.0 10 3.5 4.5 Total 2 3.9 838 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 DAWES NEBRASKA OBJECTIVE WEIGHT NUMBER RATE NUMBER RATE RATE Very Low - All Births 11 21.6 1,611 12.7 9.0 Low - All Births 29 57.0 8,821 69.4 50.0 White 25 54.8 7,431 65.8 50.0 Black 0 0.0 897 125.1 50.0 Native American 4 90.9 145 67.2 50.0 Asian 0 0.0 221 77.7 50.0 Hispanic 0 0.0 976 62.0 50.0 Note: Rates are per 1,000 live births. NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003 DAWES NEBRASKA # of % of # of % of Infants Total Births Infants Total Births Infants with birth defects 7 1.4 4,534 3.6 TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004 DAWES NEBRASKA Age of Mother 10-17 15-17 10-17 15-17 NUMBER % NUMBER % NUMBER % NUMBER % All Births 8 1.6 8 1.6 3,715 2.9 3,583 2.8 White 5 1.1 5 1.1 2,792 2.5 2,718 2.4 Black 0 0.0 0 0.0 631 8.8 586 8.2 Native Amer 3 6.8 3 6.8 184 8.5 179 8.3 Asian 0 0.0 0 0.0 36 1.3 35 1.2 Hispanic 1 9.1 1 9.1 881 5.6 846 5.4 PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004 NUMBER OF CIGARETTES NEBRASKA YEAR 2010 SMOKED PER DAY DAWES NEBRASKA OBJECTIVE 1-10 13.0 10.4 -- 11-20 2.6 2.8 -- 21+ 0.4 0.6 -- Unknown 1.8 0.3 -- TOTAL 17.8 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 DAWES NEBRASKA OBJECTIVE White 82.6 84.7 90.0 Black 33.3 70.5 90.0 Native American 39.5 68.3 90.0 Asian 0.0 82.2 90.0 Total 78.8 83.2 90.0 Hispanic 81.8 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 DAWES 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 DAWES 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 DAWES 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 24 0.5 1.7 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 DAWES 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 7 1 100 12.7 607 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 DAWES NEBRASKA # w/High % # w/High % NEBRASKA YEAR 2010 LEAD LEVEL Blood Lead Tested Blood Lead Tested OBJECTIVE >9ug/dL 3 1.5 1846 3.3 0% (>9ug/dL) AVAILABILITY OF SERVICES HEALTH PROFESSIONALS IN PRACTICE, 2003 DAWES NEBRASKA # Persons # Persons # of Served per # of Served per PROFESSION Practitioners Practitioner Practitioners Practitioner General/Family Practice 5 1797 677 2569 Internal Medicine 0 . 227 7662 Pediatrics 0 . 162 10736 OB/Gynecology 0 . 143 12163 Psychiatry 0 . 140 12424 Physician Assistant 4 2246 445 3909 Nurse Practitioner 0 . 329 5287 Licensed Practical Nurse 36 250 6337 274 Dentist 6 1498 1084 1605 Registered Nurse 52 173 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 35 5 15729 1023 Black . 0 166 15 Native American . 0 54 5 Asian . 0 117 43 Hispanic 1 0 183 25 Other Race/Ethnicity/Unknown . 0 85 4 FEDERAL SHORTAGE AREA DESIGNATIONS, 2003 DAWES NEBRASKA HPSA Part Part MUA/MUP No Part EMERGENCY SERVICES, 2003 SERVICE DAWES NEBRASKA Ambulance services 2 394 AVAILABILITY OF TRANSPORATION, 1998 PUBLIC TRANSPORTATION AVAILABLE IN DAWES ? YES . COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN DAWES : Belmont, Chadron, Crawford, Glen, Marsland, Whitney SERVICE UTILIZATION DATA MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003 DAWES NEBRASKA TOTAL PERSONS % OF TOTAL PERSONS % OF ELIGIBLE(#) ELIGIBLES ELIGIBLE(#) ELIGIBLES Medicaid 1,365 100.0 205,498 100.0 Aged 112 8.2 18,449 9.0 Blind & Disabled 141 10.3 26,534 12.9 ADC Children 945 69.2 134,743 65.6 ADC Adults 167 12.2 25,772 12.5 DAWES NEBRASKA TOTAL % OF TOTAL TOTAL % OF TOTAL DOLLARS MEDICAID DOLLARS MEDICAID ($000) DOLLARS ($000) DOLLARS Medicaid $5,070 100.0 $1,280,005 100.0 Aged 1,467 30.8 353,582 29.4 Blind & Disabled 1,427 30.0 432,011 36.0 ADC Children 1,411 29.6 319,452 26.6 ADC Adults 457 9.6 95,724 8.0 MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003 DAWES NEBRASKA TOTAL % OF TOTAL TOTAL % OF TOTAL DOLLARS MEDICAID DOLLARS MEDICAID ($000) DOLLARS ($000) DOLLARS All Medicaid $5,070 100.0 $1,280,005 100.0 Medicaid Fee-for-Service 3,640 71.8 970,707 75.8 Hospital--Inpatient 907 17.9 257,282 20.1 Hospital--Outpatient 444 8.8 75,892 5.9 ICF Mentally Retarded 95 1.9 50,253 3.9 Nursing Facility 848 16.7 271,975 21.2 Physician 451 8.9 100,083 7.8 Dental 166 3.3 33,337 2.6 Prescribed Drugs 728 14.4 181,885 14.2 Other Medicaid (Includes Capitated Payments) 1,430 28.2 309,298 24.2 UTILIZATION OF SERVICES BY PROGRAM, FY 2004 DAWES NEBRASKA AVERAGE AVERAGE AVERAGE AVERAGE MONTHLY PAYMENT MONTHLY PAYMENT PARTICIPANTS ($) PARTICIPANTS ($) Aid to Dependent 66 $377.97* 12,237 $353.16* Children (ADC) Food Stamp Program 774 $77.40** 111,435 $79.42** * Average payment per family. ** Average payment per person. NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS SERVICE PROVIDED DAWES NEBRASKA WIC, UNDUPLICATED PERSONS SERVED, 2004 Pregnant women seen 42 4,527 Breastfeeding clients seen 50 5,609 Postpartum women seen 49 10,951 Infants seen 60 9,521 Children seen 245 39,835 Native Native Total WIC clients Total Black Am Asian Hispanic Total Black Am Asian Hispanic seen in 2004 446 7 73 10 18 70,449 7,664 1,316 1,296 20,674 Reproductive health, 2004 814 42,421 NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004 DAWES NEBRASKA Nursing Home and Hospital Long-Term Care Facilities Number of licensed beds 105 17,130 Occupancy rate 62.9 82.7 Persons Aged 65 and Older Living in Nursing Homes or Hospital Long-Term Care Facilities Number 54 12,710 Percent of population 4.1 5.5 aged 65 and older