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Home My WebLink AboutPUBLIC HEALTH UPDATE PRESENTATION 01.09.24Public Health Update Dr. Caitlin Pedati Virginia Beach Department of Public Health January 9, 2024 1 Public Health Update •Review of 2023 Priorities & Accomplishments •Respiratory Virus Season •Public Health Infrastructure & Workforce •Community Health Needs Assessment •Planning for 2024 Needs & Priorities •Questions 2 2023 Public Health Priorities •Developing structure and workforce •Providing community services based on needs •Enhanced communications and strengthened partnerships •Re-engaging on accreditation 3 2023 Public Health Priorities Developing structure and workforce Replaced clinic flooring at Pembroke office Completed 3rd floor cube space redesign Hired 7 key new infrastructure roles Added 2 city-supported laboratory FTEs Expanded Epidemiology Team to 6 total Completed In-Person All-staff Active Shooter Training Completed VisitABLE Training for all staff (to improve services and experiences for persons with disabilities) Engaged Transformative Leadership Services for leadership team alignment Enhanced communications and strengthened partnerships Virginia Beach MRC Recognized with the Governor’s Service Award Hired dedicated Public Relations/Communications Officer for VBDPH Providing community services based on needs Transitioned out of Title X to focus on STIs WIC returned to in-person services Supported VB tornado response and large community events Successful transition to commercialization process of COVID-19 vaccine (with Bridge Access) Collaborated to host multiple successful Back2School Clinics Completed Accelerator Plan for Social Determinants of Health (MCH focus) Started Aging in Place Pilot collaborative with VB Fire and EMS Kicked off 23/24 Community Health Needs Assessment Re-engaging on accreditation Started collaborative work with Public Health Accreditation Board (PHAB) expertise to understand requirements for initiating application Plan to hire PHAB coordinator role and initiate PHAB process 4 Public Health Update •Reviewing 2023 Priorities & Accomplishments •Respiratory Virus Season •Public Health Infrastructure & Workforce •Community Health Needs Assessment •Planning for 2024 Needs & Priorities •Questions 5 COVID-19 Update (Cases) 6 8 9 COVID 19 Update (Vaccinations) 10 Influenza •Seasonal influenza is commonly referred to as “the flu” •Contagious respiratory illness caused by viruses that infect the nose, throat, and lungs •Two main types of influenza viruses: A and B •Each type includes many different strains that tend to change from year to year •The flu spreads mainly from person to person by droplets from the nose or throat that are released when an infected person coughs or sneezes •Best way to prevent the flu is to get vaccinated every year 11 12 Public Health Update •Reviewing 2023 Priorities & Accomplishments •Respiratory Virus Season •Public Health Infrastructure & Workforce •Community Health Needs Assessment •Planning for 2024 Needs & Priorities •Questions 14 CDC Public Health Infrastructure Grant •One hundred seven (107) public health departments in all 50 states, Washington D.C., 8 territories/freely associated states, and 48 large localities (cities serving a population of 400,000 or more and counties serving a population of 2,000,000 or more based on the 2020 U.S. Census) received a total of $3.14 billion •Three national partners that will support the work of the 107 funded jurisdictions. These national partners received a total of $65 million on November 29, 2022 and are expected to receive a total of $145 million over the 5-year grant period Virginia Beach Department of Public Health: $6,667,581.00 over 5-year grant period 15 CDC Public Health Infrastructure Grant •Enhanced support for recruitment and retention (training, development opportunities, etc.) •Additional key roles to support foundational capabilities •Administrative •Communications •Response efforts •Community services support •Epi and Lab work •Re-engaging on accreditation efforts 16 CDC Public Health Infrastructure Grant •Expanded infrastructure & workforce support: •Hired:•Public Relations/Communications Officer (FTE)•Workforce Engagement Officer (FTE)•Lab supervisor (contractor)•Fiscal assistant (contractor)•Epidemiologist (contractor)•Community Care Coordinator (contractor)•Community Teams OSS (contractor) •Pending:•Program Evaluator/Accountant (FTE)•Deputy Emergency Planner (FTE)•HR onboarding coordinator (contractor)•Grant Accountant (contractor)•PHAB Coordinator (contractor) •Approved for Year 2:•EP&R OSS (contractor)•EP&R Logistics (contractor)•Community Care Coordinator (contractor)•Procurement specialist (contractor)•Storeroom specialist (contractor) 17 Public Health Update •Reviewing 2023 Priorities & Accomplishments •Respiratory Virus Season •Public Health Infrastructure & Workforce •Community Health Needs Assessment •Planning for 2024 Needs & Priorities •Questions 18 Community Health Needs Assessment 19 Community Health Needs Assessment (CHNA) •What is a CHNA? •What have we done in the past? •Where are we going with this CHNA? 20 What is a Community health needs assessment? •Identifies key health needs and issues through systematic, comprehensive data collection and analysis. •Proactively engages multisector partners and stakeholders across the community in identifying issues, understanding root causes, and finding solutions. •Prioritizes transparency in the process. •Translates data and understanding to action. 21 What have we done in the past? 22 •Conducted a CHNA – 2015/2016 •Community Health Improvement Plan (2017) ➢Priority Area 1. Access to Health Services ➢Priority Area 2. Healthy Behaviors ➢Priority Area 3. Mental Health ➢Priority Area 4. Healthy Aging ▪Making steps in implementation ▪And then… COVID Credit: Rawpixel.com Where are we going with this CHNA? Our goal is to: •Understand how the needs of the community have changed. •Build on what we have done. •Engage with the community to help lead the way. 23 Virginia Beach Community Health Data 24 Prepared by: Dr. Anna Feliberti, Epidemiologist, VBDPH Community Health Data 25 Virginia Beach Social Determinants of Health 2022 Compared to VA Estimate Virginia 2020 Estimate# Economic Stability In poverty (%) (All people in families)7.8 9.9 Children in poverty (%) (all people in families)10.5 13.0 Median Income ($)81,810 ~80615 Unemployment rate (%)4.3 4.6 Virginia Beach Social Determinants of Health 2022 Compared to VA Estimate Virginia 2020 Estimate# Education- Access and Quality HS diploma+ (Pop 25+ yrs old)94.5 ~90.8 Reading proficiency 3rd (VBCPS Students)62.5 ~57.0 Reading proficiency 8th (VBCPS Students)66.4 ~59.3 Math proficiency 3rd (VBCPS Students)62.2 ~56.3 Math proficiency 8th (VBCPS Students)65.3 ~52.1 Community Health Data 26 Virginia Beach Social Determinants of Health 2022 Compared to VA Estimate Virginia 2020 Estimate# Health Care Access and Quality With health coverage (%) (Total population)92.9 −92.1 With health care (%)- private 79.8 ~75.2 With health care (%)- public 27.6 30 Without health care coverage % (Total population)7.1 −7.9 Primary care provider (Per Person)1:1,350 ~1:1,320 Mental health providers (Per person)1:450 −1:450 Dentist (Per person)1:1,270 1:1,350 Mothers with Late or No Prenatal Care (%) (Total live births)2.9 4.6 Community Health Data 27 Virginia Beach Social Determinants of Health 2022 Compared to VA Estimate Virginia 2020 Estimate# Neighborhood and Built Environment Air pollution- Particulate Matter (%) (Population in neighborhoods with annual average PM2.5 concentration)6.7 Have computers with broadband access (%) (Total population)92.9 ~87.6 Rent burden >30% (%) Households renting 49.2 ~47.2Housing with potential lead risk (%) (Housing units)8.0 Food dessert neighborhoods (%) (Total population )7.1 Motor vehicle deaths (Rate per 100,000)6.0 11.5 Park access (%) (Population living within 10 min walk)64.2 Walkability score 32.1 Use public transportation to work (%) (Population 16+ years)0.8 3.4 No vehicles at home (%) (Households)4.3 6.0 Violent crime death (Rate per 100,000 population)152.4 207.0 Community Health Data 28 Virginia Beach Social Determinants of Health 2022 Compared to VA Estimate Virginia 2020 Estimate # Social and Community Context Foreign-born population (%) (Total population)9.3 12.5 Speak English Only (%) (Total population)87.8 ~83.5 Speak language other than English (%) (Total population)12.2 16.5 Food insecurity rate (%) (Total population)7.7 Child insecurity rate (%) (Total child population)11 Population in a food desert neighborhood (%) (Total population)7.6 Limited access to healthy food (%) (Population living more than 1/2 mile from nearest supermarket, supercenter, or large grocery store)57.6 Disability (%) (Total population)11.5 11.9 Veterans (%) (Total population)17.5 10.2 Under 18 (%) (Total population)22.2 ~22.1 Over 65 (%) (Total population)14.3 15.5 LEADING CAUSES OF DEATH Virginia Beach City/County 5 Leading Causes of Death^^,32 2020 Virginia Beach Estimate# Statistically different from VA Change since 2014 2020 Virginia Estimate# Malignant neoplasms (Cancers), Age-adjusted rate per 100,000 population 147.3 ↓146.9 (1) Diseases of heart, Age-adjusted rate per 100,000 population 142.7 ↑149.6 (2) Cerebrovascular diseases*1, Age-adjusted rate per 100,000 population 43.4 ↑39.0 (4) Unintentional injuries, Age-adjusted rate per 100,000 population 38.0 ↑46.7 (3) Chronic lower respiratory diseases*2, Age-adjusted rate per 100,000 population 27.9 ↓34.4 (5) COVID-19, Age-adjusted rate per 100,000 population (Rank)10.9 (10)↓19.2 (8) ^^Leading causes of death ordered by 2018-2020 period. Italicized rates indicate change in ranking from 2020 estimate. #Age-adjusted rates are 3-year estimates (2018-2020). ##Statistical significance calculated at the 95% confidence level. *1Cerebrovascular diseases include Stroke, carotid stenosis, vertebral stenosis, intracranial stenosis, aneurysms and vascular malformations; *2Chronic lower respiratory diseases include COPD, chronic bronchitis, emphysema, asthma; *3Nephritis, nephrotic syndrome, and nephrosis; *4Essential hypertension and hypertensive renal disease. Source- 32Multiple Cause of Death, 1999-2020- CDC Wonder Extract- NVSS Mortality Data- National Center for Health Statistics. Data accessed August 2023. CHIP ACTION PLAN DATA PRIORITIES (2017) ▪Access to Health Services ▪Uninsured (7.4%) ▪Health Opportunity Index (36% of CT in low or very low) ▪Healthy Behaviors ▪Diabetes screening (55.6%) ▪Taking high blood pressure medication (59.9%) ▪Access to physical activity opportunities (97%) ▪Cholesterol screening (88.1%) ▪Preventive services, 65+ yrs old 30 CHIP ACTION PLAN DATA PRIORITIES (2017) ▪Mental Health ▪Fatal Opioid overdose deaths (16.7/100,000) ▪Drug overdose ER visits (15.7/100,000) ▪Suicide deaths (14.8/100,000) ▪Ever been told have depressive disorder (17.8%) ▪Healthy Aging ▪Alzheimer’s deaths (26.0/100,000) (6th) ▪Unintentional injuries ((38.0/100,000) (4th) ▪Parkinson’s deaths (10.2/100,000) (12th) ▪Population 65 yrs and older with disability (32.5%) 31 Community Survey 32 Community Survey •HEALTHY CHARACTERISTICS •HEALTH ISSUES •ACCESS TO CARE •COVID/LONG COVID •DEMOGRAPHIC DATA 33 Community Survey HEALTHY CHARACTERISTICS Questions- Please identify what you think are the 3 most important HEALTHY CHARACTERISTICS that impact YOUR community. (Community is defined as the place where you live, work and play in Virginia Beach) Please identify what you think are the 3 most important HEALTHY CHARACTERISTICS that impact YOU. 34 •Living in a safe neighborhood •Low crime in neighborhood •Low gun violence in neighborhood •Low level of anger issues or abuse •Having good jobs available (pays well) •A good economy •Strong family life •Places to exercise (Physical activity) •Access to healthy foods (supermarket, farmer’s market, etc.) •Eating healthy and nutritious food •Able to get healthcare when needed •Able to get dental care when needed •Able to get mental health care when needed •Availability to quality health care (medical, dental or mental) •Enough household income •Good housing options •Good schools (academically strong) •Safe schools •Low deaths and disease rates •Safe sexual practices •Ability to get needed ‘vaccines’ for adults •Ability to get needed ‘vaccines’ for children •Safe driving practices (no texting while driving, speeding, etc.) •Other Community Survey HEALTH ISSUES Please identify what you think are the 3 most important HEALTH ISSUES that impact YOUR COMMUNITY. (Community is defined as the place where you live, work and play in Virginia Beach) Please identify what you think are the 3 most important HEALTH ISSUES that impact YOU. 35 •Aging issues (such as Alzheimer’s disease, hearing loss, memory loss or arthritis •Cancer(s) •Chronic pain (pain) •Low level of anger issues or abuse •Dental health problems •Diabetes •Heart disease or heart attack •HIV/AIDS •Infectious diseases such as hepatitis, TB, etc. •Infectious diseases such as flu, pneumonia, COVID-19 •Lung disease or breathing issues such as asthma, COPD •Drug overdose •Mental health issues such as depression, anxiety, suicide •Substance abuse •Alcohol abuse •Obesity •Sexually transmitted infections such as syphilis, herpes, chlamydia or other •Stroke •Access to prenatal care •Infant deaths •High blood pressure •Long COVID •Care for baby and mother •Other Community Survey HEALTH ISSUES Overall, would you say that YOUR physical health is (Community is defined as the place where you live, work and play in Virginia Beach) Overall, would you say that YOUR mental health is 36 •Excellent •Very good •Good •Average •Poor Community Survey ACCESS TO CARE When YOU are not feeling well, where do YOU usually (most often) go to receive care? (Community is defined as the place where you live, work and play in Virginia Beach) In the past 12 months, has there been a time when YOU wanted or needed (services) to see a healthcare provider but were unable to due to: 37 •ER •Call 911 •Urgent care center/provider •General practitioner/family doctor •Pharmacist for health advice •Pharmacist for medication only •Health Department •Other health professional (chiropractor, acupuncturist, etc.) •Counselor or mental health provider •Call 988 (Mental Health Hotline) •Other (please specify) •Do not see a medical professional •Cost (Could not afford care) •Transportation •No available appointments •Can’t get time off work •Didn’t know where to go •Childcare coverage •Language barriers •Did not have insurance •Other (Please specify) •Did not need care Community Survey LONG COVID/COVID Have you had COVID-19 Have you tested positive for COVID-19 How would you describe YOUR coronavirus (COVID-19) symptoms when they are at their worst? Did YOU have any symptoms lasting 3 months or longer that you did not have prior to having coronavirus or COVID-19? Have these symptoms made it harder to do your day-to- day activities? 38 •Tiredness [or fatigue] •Difficulty thinking, concentrating, forgetfulness •Memory problems (sometimes referred to as “brain fog”) •Difficulty breathing or shortness of breath (had trouble breathing) •Joint or muscle pain (pain in your bones or muscles) •Fast-breathing or pounding heart (heart palpitations) •Chest pain •Dizziness on standing (Felt dizzy when tried to stand) •Menstrual changes (changes to your cycle) •Changes to taste/smell (Could not smell or taste) •Inability to exercise (Could not exercise) •I had no symptoms •I had mild symptoms •I had moderate symptoms •I had severe symptoms Community Survey DEMOGRAPHIC DATA (Community is defined as the place where you live, work and play in Virginia Beach) 39 •Zip code/Neighborhood live in •Age •Hispanic •Race •People living with you •Children in home/Age of children •Language spoken at home •Gender •Education level •Transportation to appointments/services •Income CHNA Process Moving Forward •Look out for release of our Community Survey – please complete! •Community Advisory Board continues to meet •Evaluate survey results in ~ 2 months •Incorporate primary health data updates into a report •Provide report/information back to our community •Identify priorities for Community Health Improvement Plan 40 Public Health Update •Reviewing 2023 Priorities & Accomplishments •Respiratory Virus Season •Public Health Infrastructure & Workforce •Community Health Needs Assessment •Planning for 2024 Needs & Priorities •Questions 41 2024 Public Health Priorities •Complete the 2024 Community Health Needs Assessment •To support community service needs as indicated (e.g., respiratory viruses, opioid overdoses, sexually-transmitted infections, mental health, etc.) •To move into the Community Health Improvement Process •Expand public health worker engagement and development efforts •Create plan to optimize working space for better service delivery •Formally Initiate Accreditation Process 42 Questions? 43