AREA PROFILE -- PANHANDLE DEMOGRAPHIC DATA U.S. CENSUS ESTIMATES, 2004 PANHANDLE - 87,917 NEBRASKA - 1,747,214 POPULATION BY AGE AND RACE/ETHNICITY PANHANDLE NEBRASKA AGE PERCENT NATIVE NATIVE GROUP TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC 0-4 5,325 6.1 26 251 31 997 122,049 7.0 6,566 1,726 2,087 15,560 5-14 11,257 12.8 75 474 72 1,980 236,970 13.6 14,021 3,332 3,652 24,538 15-24 13,500 15.4 106 450 82 1,796 266,314 15.2 13,893 3,368 4,811 21,847 25-44 19,810 22.5 80 599 144 2,509 473,637 27.1 22,127 4,736 11,084 40,755 45-64 22,853 26.0 40 342 90 1,584 416,441 23.8 13,444 2,631 5,077 13,752 65-74 7,144 8.1 6 69 37 363 111,352 6.4 2,767 471 821 2,126 75-84 5,673 6.5 4 31 48 222 84,541 4.8 1,454 213 325 1,044 85+ 2,355 2.7 6 14 15 57 35,910 2.1 549 93 76 359 <18 21,646 24.6 131 895 133 3,650 446,083 25.5 24,698 6,261 7,104 47,141 65+ 15,172 17.3 16 114 100 642 231,803 13.3 4,770 777 1,222 3,529 POPULATION BY GENDER AND RACE/ETHNICITY PANHANDLE NEBRASKA PERCENT NATIVE NATIVE GENDER TOTAL BLACK AMERICAN ASIAN HISPANIC TOTAL PERCENT BLACK AMERICAN ASIAN HISPANIC Men 42,754 48.6 202 1,064 251 4,726 863,628 49.4 37,128 8,068 13,719 65,048 Women 45,163 51.4 141 1,166 268 4,782 883,586 50.6 37,693 8,502 14,214 54,933 15-17 2,469 9 85 14 337 42,285 1,986 590 663 3,127 POPULATION BY RACE/ETHNICITY PANHANDLE NEBRASKA RACE/ETHNICITY NUMBER PERCENT NUMBER PERCENT White 84,091 95.6 1,609,056 92.1 Black 343 0.4 74,821 4.3 Native American 2,230 2.5 16,570 0.9 Asian 519 0.6 27,933 1.6 Hispanic 9,508 10.8 119,981 6.9 Minority * 12,801 14.6 250,577 14.3 * Minority Population = Total Population - White, Not Hispanic Population HOUSEHOLDS BY TYPE, 2000 CENSUS PANHANDLE 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 31.6 23.6 28.6 25.6 Male householders 1.0 2.2 1.3 2.0 Female householders 2.3 6.5 2.6 6.5 Male householder nonfamilies 14.2 0.4 15.2 0.3 Female householder nonfamilies 18.1 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 67.2 66.5 60.1 77.3 66.6 66.2 65.0 74.3 Married Couples 55.2 55.7 36.7 35.0 54.2 55.4 28.8 35.4 W/Children < 18 23.6 23.0 16.7 25.3 25.6 25.4 16.7 24.0 Single Parent Families 12.0 7.6 18.4 37.3 12.4 7.2 28.7 32.6 Male householder 3.2 2.9 6.7 7.9 3.3 3.0 5.4 8.8 W/Children < 18 2.2 1.9 6.7 6.3 2.0 1.8 3.6 6.7 Female Householder 8.8 7.9 16.7 34.4 9.1 7.8 30.8 30.1 W/Children < 18 6.5 5.7 11.7 31.0 6.5 5.4 25.1 25.9 Nonfamily households 32.8 33.4 40.0 22.8 33.4 33.7 34.9 25.7 % OF HOUSEHOLDS % OF HOUSEHOLDS Asian Hispanic Minority * Asian Hispanic Minority * Families 65.9 79.6 77.0 66.9 77.3 70.2 Married Couples 49.7 55.1 50.6 53.7 54.0 42.1 W/Children < 18 16.8 35.4 31.6 33.0 40.7 28.3 Single Parent Families 7.2 19.6 21.4 8.3 17.9 21.8 Male householder 6.0 7.5 7.3 4.5 9.6 7.1 W/Children < 18 1.2 5.4 5.3 2.2 6.3 4.6 Female Householder 10.2 17.0 19.1 8.7 13.7 21.0 W/Children < 18 6.0 14.2 16.1 6.1 11.6 17.2 Nonfamily households 34.1 20.5 23.1 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 PANHANDLE NEBRASKA Native Native Total White Black American Total White Black American Less than 9th grade 6.9 5.8 17.4 11.5 5.4 4.5 5.3 9.0 9th to 11th grade 9.7 9.1 14.0 18.9 8.0 7.3 16.0 15.1 High school diploma 32.7 33.2 26.7 40.7 31.3 31.8 31.2 33.7 Some college, no degree 26.0 26.4 26.7 19.8 24.3 24.5 27.4 26.1 Associate degree 7.2 7.4 15.1 3.3 7.3 7.5 5.9 7.4 Baccalaureate degree 12.7 13.2 0.0 4.2 16.5 17.0 10.5 6.2 Graduate or professional 4.9 5.0 0.0 1.6 7.3 7.4 3.6 2.6 degree Percent of persons 25 years and older PANHANDLE NEBRASKA Asian Hispanic Minority * Asian Hispanic Minority * Less than 9th grade 0.8 30.9 25.2 10.8 34.2 17.9 9th to 11th grade 7.7 21.0 19.0 11.9 19.2 16.3 High school diploma 28.5 23.6 26.0 17.1 21.3 25.5 Some college, no degree 19.9 16.2 18.2 13.3 13.9 20.1 Associate degree 7.3 3.4 4.2 5.4 2.9 4.8 Baccalaureate degree 26.0 3.8 5.4 21.8 5.9 10.0 Graduate or professional 9.8 1.1 1.9 19.8 2.7 5.5 degree * Minority Population = Total Population - White, Not Hispanic Population SOCIAL INDICATORS PER CAPITA INCOME, 2000 CENSUS PANHANDLE NEBRASKA $17,022 $19,613 MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES PANHANDLE NEBRASKA $33,007 $41,978 PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES PANHANDLE NEBRASKA 5-17 Years of Age 16.6 10.8 Total Population 13.8 10.0 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS * PANHANDLE NEBRASKA White 11.6 8.2 Black 46.6 27.4 Native American 50.3 33.0 Asian 16.3 12.8 Hispanic 29.0 20.4 * A '.' indicates the population estimate of the racial/ethnic group is zero. PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004 PANHANDLE NEBRASKA # UNEMPLOYED % OF WORKERS # UNEMPLOYED % OF WORKERS 1,895 4.0 39,368 4.0 HIGH SCHOOL DROPOUT RATE, 2003-2004 PANHANDLE NEBRASKA % of 7-12th Grade Member- ship Who Drop Out of School 1.5 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 PANHANDLE NEBRASKA # BIRTHS % OF 1ST BIRTHS* # BIRTHS % OF 1ST BIRTHS* Total 257 11.9 4,398 9.0 White 214 10.6 3,351 7.7 Black 0 0.0 653 24.4 Native American 42 42.9 232 36.9 Asian 1 3.8 39 2.9 Hispanic 75 23.6 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 PANHANDLE NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Total Arrests 4,959 56.4 94,648 54.2 Arrests for violent crimes * 76 0.9 1,596 0.9 Reported forcible rape offenses 5 0.1 195 0.1 Arrests for DUI 743 8.5 14,163 8.1 Drug law violation arrests 545 6.2 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 PANHANDLE NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Total Arrests 1,011 46.7 14,867 33.3 Arrests for violent crimes * 13 0.6 224 0.5 Arrests for DUI 34 1.6 348 0.8 Drug law violation arrests 71 3.3 1,150 2.6 *Violent crimes include: murder, forcible rape, robbery and aggravated assault. CHILD PROTECTION AND SAFETY, CY 2004 PANHANDLE NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Average number of children in out-of-home care * 360 16.2 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 PANHANDLE NEBRASKA Rate per 1,000 Children < Age 19 8.7 8.6 DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000 PANHANDLE NEBRASKA NUMBER RATE/1,000 NUMBER RATE/1,000 Number of Crisis Calls Received by Multi-County Agency 2,790 32.4 108,312 63.3 Total New Contacts for Multi-County Agency 586 6.8 24,249 14.2 PANHANDLE MULTI-COUNTY AREA ALSO INCLUDES: Panhandle minus Garden & Deuel Counties HEALTH STATUS LEADING CAUSES OF DEATH, 2000-2004 Age-Adjusted Death Rates per 100,000 Population NEBRASKA NEBRASKA NATIVE PANHANDLE NEBRASKA YEAR 2010 BLACK AMERICAN HISPANIC CAUSE OF DEATH DEATHS RATE DEATHS RATE OBJECTIVE RATE RATE RATE Heart Disease (#1) 1,377 213.4 20,262 205.1 -- 245.6 276.0 110.6 Cancer -- All Sites (#2) 1,045 177.7 16,798 182.0 147.0 255.2 201.9 117.8 Lung/Bronchus/Trachea 269 46.3 4,444 49.1 39.0 81.5 60.1 24.6 Breast (Female) 65 20.9 1,224 23.8 20.7 41.3 32.8 9.7 Prostate 62 25.0 943 25.7 25.9 48.8 18.5 9.3 Cerebrovascular (#3) 356 53.9 5,385 54.0 47.4 87.0 55.2 28.8 Unintentional Injuries (#4) 259 51.6 3,457 37.6 19.4 25.2 92.6 34.9 Motor Vehicle 128 27.8 1,469 16.6 12.0 9.7 43.8 17.4 Chronic Lung Disease (#5) 319 51.0 3,746 39.4 -- 39.2 54.7 12.4 Suicide 68 15.4 922 10.7 8.2 4.6 9.1 4.2 Homicide 9 2.2 259 3.0 2.0 20.3 11.9 6.6 Diabetes Related 492 79.5 6,933 72.6 25.0 162.8 260.9 109.3 Tobacco Related 898 148.0 12,886 137.2 -- 184.1 192.6 75.5 Alcohol Related 240 45.8 3,255 35.5 -- 41.9 137.3 41.2 Work Related Accidents 21 4.4 209 2.4 -- 0.4 0.9 2.5 All Causes 5,235 857.8 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 PANHANDLE NEBRASKA Native Total Total Total Total Black American Hispanic Cancer Type # Cases Rate # Cases Rate Rate Rate Rate All Sites 2,579 463.4 42,194 474.2 474.5 393.6 292.3 Lung & Bronchus 315 55.0 5,572 62.7 93.3 62.7 39.3 Breast (Female) 341 119.3 6,278 131.8 102.2 56.9 57.2 Prostate 496 194.6 6,470 165.9 197.9 146.3 57.0 Colorectal 312 53.2 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 PANHANDLE NEBRASKA PERCENT CONDITION/INJURY # DISCHARGES RATE # DISCHARGES RATE DIFFERENCE All Conditions/Injuries 13,818 6,963.00 359,031 9,837.00 -29.2 Pregnancy/Childbirth 2,754 1,715.00 89,507 2,465.00 -30.4 All Injuries 1,677 776.00 55,504 1,509.00 -48.6 Diabetes Related Diseases 2,022 907.00 46,921 1,277.00 -29.0 Heart Disease 1,297 543.00 37,934 1,014.00 -46.4 Digestive Diseases 1,609 776.0 29,464 808.0 -4.0 Musculoskeletal Diseases 554 246.0 23,783 659.0 -62.7 Psychosis/Mental Health 316 177.0 17,125 492.0 -64.0 Pneumonia 820 383.0 14,664 386.0 -0.8 Genitourinary Diseases 656 342.0 14,656 411.0 -16.8 Cancer 397 176.0 11,800 322.0 -45.3 Fractures 389 162.0 9,998 261.0 -37.9 Other Respiratory Diseases 433 230.0 9,145 246.0 -6.5 Tobacco Related Diseases 454 196.0 9,566 257.0 -23.7 Surgical/Medical Complications 230 115.0 8,506 236.0 -51.3 Cerebrovascular Disease 314 127.0 8,131 214.0 -40.7 COPD 445 210.0 7,578 208.0 1.0 Alcohol Related Diseases 130 63.0 2,405 67.0 -6.0 Leading Causes of Injury Falls 455 182.0 11,318 291.0 -37.5 MV Accidents 46 24.0 2,218 62.0 -61.3 Self-Inflicted 42 25.0 1,754 50.0 -50.0 Other Unintentional 32 14.0 1,215 33.0 -57.6 Poisoning 31 17.0 592 16.0 6.3 Struck/Pierced by Object 19 11.0 609 17.0 -35.3 Overexertion 20 11.0 480 13.0 -15.4 Environmental 20 10.0 513 14.0 -28.6 Assault 13 7.0 442 12.0 -41.7 LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004 PANHANDLE NEBRASKA PERCENT PAYER TYPE DISCHARGES % DISCHARGES % DIFFERENCE Commercial 3,131 22.7 168,501 46.9 -51.6 Medicare 7,262 52.6 131,141 36.5 44.1 Medicaid 3,086 22.3 50,769 14.1 58.2 Self-Pay 69 0.5 3,460 1.0 -50.0 Other State/Federal 270 2.0 5,160 1.4 42.9 NOTE: Age adjusted rates are based on the 2000 U.S. census standard. INCIDENCE OF AIDS, 2000-2004 PANHANDLE 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 PANHANDLE NEBRASKA Rate Rate West Nile Virus (WNV) 134 112 Chronic Hepatitis C 34.7 64.2 TB 2.2 1.6 Note: Rates are per 100,000 Population. INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY PANHANDLE 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 267.4 94.0 1491.7 568.3 39.2 384.4 424.4 193.7 2847.6 903.3 166.6 518.3 < 18 80.9 24.1 1280.0 148.0 0.0 198.3 226.2 83.9 1616.4 383.6 67.7 125.0 > 17 217.3 73.1 1538.5 778.0 47.4 408.4 455.9 207.6 3181.6 1086.7 163.3 667.2 STD TYPE Gonorrhea 9.0 2.4 165.7 63.1 0.0 11.6 65.8 19.1 1025.7 127.1 19.6 62.9 Chlamydia 204.5 91.7 1270.7 496.2 39.2 363.6 301.3 146.5 1695.1 722.6 131.0 413.7 Female 306.5 146.4 794.7 797.2 76.6 573.9 433.6 223.1 2278.7 1163.2 198.0 666.3 Herpes 48.3 0.0 55.2 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 PANHANDLE NEBRASKA Rate * # of Persons ** # of Persons ** Age 65-74 10% 714 11,135 Age 75-84 20% 1,135 16,908 Age 85+ 47% 1,107 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 PANHANDLE NEBRASKA INFANT INFANT NEBRASKA YEAR 2010 RACE/ETHNICITY DEATHS RATE DEATHS RATE OBJECTIVE White 32 6.0 670 5.9 4.5 Black 0 0.0 121 16.9 4.5 Native American 5 15.3 31 14.4 4.5 Asian 0 0.0 10 3.5 4.5 Total 37 6.5 838 6.6 4.5 Hispanic 6 6.0 109 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 PANHANDLE NEBRASKA OBJECTIVE WEIGHT NUMBER RATE NUMBER RATE RATE Very Low - All Births 56 9.8 1,611 12.7 9.0 Low - All Births 423 74.2 8,821 69.4 50.0 White 384 72.5 7,431 65.8 50.0 Black 2 111.1 897 125.1 50.0 Native American 33 101.2 145 67.2 50.0 Asian 4 95.2 221 77.7 50.0 Hispanic 74 74.5 976 62.0 50.0 Note: Rates are per 1,000 live births. NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003 PANHANDLE NEBRASKA # of % of # of % of Infants Total Births Infants Total Births Infants with birth defects 181 3.2 4,534 3.6 TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004 PANHANDLE NEBRASKA Age of Mother 10-17 15-17 10-17 15-17 NUMBER % NUMBER % NUMBER % NUMBER % All Births 219 3.8 211 3.7 3,715 2.9 3,583 2.8 White 196 3.7 189 3.6 2,792 2.5 2,718 2.4 Black 0 0.0 0 0.0 631 8.8 586 8.2 Native Amer 23 7.1 22 6.8 184 8.5 179 8.3 Asian 0 0.0 0 0.0 36 1.3 35 1.2 Hispanic 82 8.3 78 7.9 881 5.6 846 5.4 PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004 NUMBER OF CIGARETTES NEBRASKA YEAR 2010 SMOKED PER DAY PANHANDLE NEBRASKA OBJECTIVE 1-10 13.3 10.4 -- 11-20 2.8 2.8 -- 21+ 0.2 0.6 -- Unknown 0.8 0.3 -- TOTAL 17.1 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 PANHANDLE NEBRASKA OBJECTIVE White 81.8 84.7 90.0 Black 55.6 70.5 90.0 Native American 58.3 68.3 90.0 Asian 82.9 82.2 90.0 Total 80.3 83.2 90.0 Hispanic 71.6 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 PANHANDLE 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 PANHANDLE 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 PANHANDLE 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 126 0.1 4.6 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 PANHANDLE 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 43 12 78.5 36.8 607 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 PANHANDLE NEBRASKA # w/High % # w/High % NEBRASKA YEAR 2010 LEAD LEVEL Blood Lead Tested Blood Lead Tested OBJECTIVE >9ug/dL 28 1.3 1846 3.3 0% (>9ug/dL) AVAILABILITY OF SERVICES HEALTH PROFESSIONALS IN PRACTICE, 2003 PANHANDLE NEBRASKA # Persons # Persons # of Served per # of Served per PROFESSION Practitioners Practitioner Practitioners Practitioner General/Family Practice 33 2697 677 2569 Internal Medicine 11 8091 227 7662 Pediatrics 4 22251 162 10736 OB/Gynecology 5 17801 143 12163 Psychiatry 4 22251 140 12424 Physician Assistant 34 2618 445 3909 Nurse Practitioner 12 7417 329 5287 Licensed Practical Nurse 509 175 6337 274 Dentist 45 1978 1084 1605 Registered Nurse 791 113 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 583 40 15729 1023 Black 1 0 166 15 Native American 1 1 54 5 Asian 2 1 117 43 Hispanic 17 1 183 25 Other Race/Ethnicity/Unknown 4 0 85 4 FEDERAL SHORTAGE AREA DESIGNATIONS, 2003 PANHANDLE NEBRASKA HPSA Part Part MUA/MUP Part Part EMERGENCY SERVICES, 2003 SERVICE PANHANDLE NEBRASKA Ambulance services 31 394 AVAILABILITY OF TRANSPORATION, 1998 PUBLIC TRANSPORTATION AVAILABLE IN PANHANDLE ? YES . COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN PANHANDLE : Panhandle HD Cities SERVICE UTILIZATION DATA MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003 PANHANDLE NEBRASKA TOTAL PERSONS % OF TOTAL PERSONS % OF ELIGIBLE(#) ELIGIBLES ELIGIBLE(#) ELIGIBLES Medicaid 14,216 100.0 205,498 100.0 Aged 1,404 9.9 18,449 9.0 Blind & Disabled 1,720 12.1 26,534 12.9 ADC Children 9,445 66.4 134,743 65.6 ADC Adults 1,647 11.6 25,772 12.5 PANHANDLE NEBRASKA TOTAL % OF TOTAL TOTAL % OF TOTAL DOLLARS MEDICAID DOLLARS MEDICAID ($000) DOLLARS ($000) DOLLARS Medicaid $69,209 100.0 $1,280,005 100.0 Aged 20,858 32.0 353,582 29.4 Blind & Disabled 19,834 30.4 432,011 36.0 ADC Children 18,037 27.7 319,452 26.6 ADC Adults 6,425 9.9 95,724 8.0 MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003 PANHANDLE NEBRASKA TOTAL % OF TOTAL TOTAL % OF TOTAL DOLLARS MEDICAID DOLLARS MEDICAID ($000) DOLLARS ($000) DOLLARS All Medicaid $69,209 100.0 $1,280,005 100.0 Medicaid Fee-for-Service 55,190 79.7 970,707 75.8 Hospital--Inpatient 10,968 15.8 257,282 20.1 Hospital--Outpatient 8,608 12.4 75,892 5.9 ICF Mentally Retarded 893 1.3 50,253 3.9 Nursing Facility 13,910 20.1 271,975 21.2 Physician 6,682 9.7 100,083 7.8 Dental 2,380 3.4 33,337 2.6 Prescribed Drugs 11,748 17.0 181,885 14.2 Other Medicaid (Includes Capitated Payments) 14,020 20.3 309,298 24.2 UTILIZATION OF SERVICES BY PROGRAM, FY 2004 PANHANDLE NEBRASKA AVERAGE AVERAGE AVERAGE AVERAGE MONTHLY PAYMENT MONTHLY PAYMENT PARTICIPANTS ($) PARTICIPANTS ($) Aid to Dependent 667 $369.09* 12,237 $353.16* Children (ADC) Food Stamp Program 7,997 $72.86** 111,435 $79.42** * Average payment per family. ** Average payment per person. NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS SERVICE PROVIDED PANHANDLE NEBRASKA WIC, UNDUPLICATED PERSONS SERVED, 2004 Pregnant women seen 284 4,527 Breastfeeding clients seen 285 5,609 Postpartum women seen 744 10,951 Infants seen 532 9,521 Children seen 2,539 39,835 Native Native Total WIC clients Total Black Am Asian Hispanic Total Black Am Asian Hispanic seen in 2004 4,386 30 408 27 1,350 70,449 7,664 1,316 1,296 20,674 Reproductive health, 2004 2,709 42,421 NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004 PANHANDLE NEBRASKA Nursing Home and Hospital Long-Term Care Facilities Number of licensed beds 1,115 17,130 Occupancy rate 82.1 82.7 Persons Aged 65 and Older Living in Nursing Homes or Hospital Long-Term Care Facilities Number 875 12,710 Percent of population 5.7 5.5 aged 65 and older