Community Health Practice Essay

confederacy definition and Data recitationPueblo, atomic number 27, alike cognize as The Home of the Heroes, was given this annunciation in 1993 by the get together responsibilitys Congress, c al bingleable to Pueblo having as m each as quaternary recipients of the Medal of Honor donjon hither in the union. Pueblo dates back as farther most(prenominal) as 1842, and was known as fortify Pueblo (History of Pueblo). Over the age, Pueblo became the backbone of Southern conscientious objector overdue to the ore mines and is similarly the king-sizedst mark producing city in the United States, thus in any case cosmos referred to as the Steel urban center. Pueblo has had a long and colorful score and has had five different countries and territories that held dominion entirely over the ara. These five beas be as fol emits France, Mexico, Texas, Spain, and of course, the United States of America. (History of Pueblo)Pueblo County is 2,398 squ ar mile atomic number 18a and is laid round 112 miles south of the state keen of Denver, cobalt and or so 100 miles normality of the New Mexico border. Pueblo is geographic wholey hardened at the intersection of the Arkansas River and Fountain brook and is approximately 4600 feet above sea level. Although adjoin by lots of mountains much(prenominal) as the Wet Mountains, the Sangre de Cristo Mountains, Green Horn Mountains and Pikes bakshish Mountain, Pueblo is actually much desert prop up with annual precipitation world lone(prenominal)(prenominal) approximately 12 inches. (Pueblo, carbon monoxide gas, 2014). Pueblo County has a add ara of 2389 squargon feet and 9.0 squ be miles of piss supply. (City-Data Pueblo County, CO , 2012)Population/Economic AssesssmentPueblos race according to 2012s census is 159,063 which is a growth cast of 3.56% since 2000, and which rank it 246th for the most populated city in the nation. Pueblo is comprised of a very diverse mix of commonwealth wi th the volume being white non- Latinos at 56.2% and the Latinos or Latinos comprising 39.2% of the residential district. The rest state is comprised of Afri privy Americans 2.4%, Native Americans 2.9%, Asian 1% and the remaining 2.4% of the tribe be those that atomic number 18 of deuce or much races (American Fact Finder). The median(a) out age of Pueblos population is approximately 39 years dis dropd. The total population percentages of those 18 years and younger is 24.5% and with those 65 years and older comprising 15.3%. (United declared number Bureau, 2010) As mentioned before, Pueblo is one of the nations top leaders in steel production, merely the large steel-market crash of 1982 remaining Pueblo with a f send outly weak scrimping since that time. harmonise to the 2010 census, the ordinary annual base income in Pueblo is approximately $38,780, which has Pueblo Countys income be far downst imparts cobalts average income of $47,510. With much(prenomi nal) a expiration in the average annual income, Pueblo has a lofty percentage of the population that is existing down the stairs the matter scantness Level, making Pueblos boilers suit poverty pasture is the 2nd highest in the state of carbon monoxide. The average hoexercisinghold size is 2.47 volume. consort to statistics from the American Fact Finder, Pueblo County has 18.1% total population on a lower floor the Federal Poverty Level. Of that population, there are 26.3% that are children 18 years and younger, those 18 years to 64 years old is 17% and those over the age of 65 are 9.6% below the Federal Poverty Level (America Fact Finder, 2012).With almost 20% of Pueblo Countys population being below the Federal Poverty Level, it would stand to think the increase in the number of people in Pueblo that qualify for aliment stamps and otherwise mankind instigateance. According to the 2012 American fellowship written report, there were an estimated total of 11,976 ho practice sessionholds in Pueblo County that ask for food stamps. Of the households that received food stamps 45.7% of them had children 18 years or younger and 23.4% had at least one person in the household that was 60 years or older. (United Stated count Bureau, 2010)The unemployment rate in Pueblo County is 9.6% approximately 1% high than the U.S. average however, there has been a recent task growth of 1.38% in Pueblo. however with the more than average unemployment rate and high population below the Federal Poverty Level, Pueblo County has a very low cost of living compared to the rest of the nation. The cost of living in Pueblo, CO is approximately 15.3% lower than the U.S. average with the median housing cost of $96,700. Even with the lower cost of living in Pueblo County, there are still active 175 individuals that are homeless that are living on the streets. With greathearted world-wide companies such as Vestas pewag, and Rocla Concrete hold fast choosing Pueb lo, Colorado as new sites for their companies, unemployment rate ordain lower and this can only boost the economy and increase the population. ( residential area vigorousness post brood, 2011)Before the inception of the rate of flow Affordable cope Act, Pueblo County had approximately 30,312 individuals that were on Medicaid. This number has drastic each(prenominal)y increased since January 1, 2014 since Colorado was a state that chose Medicaid Expansion to assist with aiding the wellness care costs and contour of the Affordable wellness Care Act. According to Colorado wellness Institute, Pueblo County has done an awing job getting the uninsured children in popular insurance plans. Pueblo County recorded that 95.7% of children suitable for Medicaid/CHP+ is enrolled. Access to wellness care is largely affected by available and inexpensive health insurance. Pueblo County was noted to hold in a total of 13.6% of the population in 2010 that were uninsured.The measuring of money that Pueblo County spent per capita on public health funding took a earthshaking drop in 3 years from 2009 to 2011 of over $2.00 per person. Pueblo County also has a large percentage (18.8%) of individuals that not only are on Medicaid but are dually cover by Medicare. Dual coverage is establish on income, health and disability these individuals are usually in very lamentable health with chronic, complicated health problems and/or mental issues. Even with the public health funding, Pueblo County still has 17% of the population that cook unmet health inevitably be character of financial limitations. hopefully with the new law of the Affordable Care Act the percentage of unmet health inquires will completely diminish or at least significantly drop. heathenish AssessmentPueblo, Colorado is a multi-cultural club with the studyity of the population of Hispanics, Italians and Slovenians that have sedulous Pueblo for generations. The Hispanic burnish is the most crowing in Pueblo, which can be seen in the architecture, art, festivals and museums which pays great tribute to their Hispanic heritage. one(a) of the largest pieces of the Hispanic polish that is enjoyed by all in Pueblo is the food. Pueblo holds annual festivals and celebrations that display the unmatched cuisines of the Hispanic stopping point, the most prominent cuisine being the Pueblo Green Chili. nutrition of the Hispanic culture and the health risks whitethorn contribute to the high number of adults that are overweight or obese. According to findings in the Pueblo Community wellness side Report of 2011, 23% adults over the age of 18 are overweight. With such a large Hispanic population comes a high percentage of the population that have patrimonial disposition for Diabetes Mellitus Type 2. (County health Rankings and passage Maps, 2013) A large family unit which includes generations of elongated family is a coarse part of the Hispanic culture in Pueblo. The Hispanic pop ulation in Pueblo really holds the matriarchs and/or patriarchs to a high respect. Although not nearly as prominent in Pueblo, the Italian culture is a large part of Pueblos culture as well. Italian culture is seen predominately in the culinary influences that paved the way for the unique Pueboloan dishes, such as the Italian Sausage sandwich that you can find at one of Pueblos oldest traditions, Pass Key Restaurant. (Pueblo, Colorado, 2013).The Slovenian culture is other influential part of Pueblos culture. The Slovenians migrated to Pueblo and settled here working in the steel industry. They introduced cultural and culinary traditions that are still very highly near and part of Pueblos culture make up today. For example, Potica is one of the most popular culinary treats that is extremely popular around the holiday season, but can be put in and enjoyed all year around. The Slovenian folk music and theatre can also be seen throughout Pueblo. (History of Pueblo) Catholicism i s the predominant religion in Pueblo and is a gigantic part of the culture. Approximately 68% of Pueblo proclaims they are Catholic. In Pueblos culture, women are the largest majority of this population, although Holy Orders are the role of the men. (Pueblo, Colorado, 2014)Genogram InterpretationFrom my placard of data, statistics and information gathered for Pueblo Countys Community assessment, I have form that Pueblo County general is a fairly profound community. The community is predominately white, non-Hispanic population with an increase of the Hispanic population in the past both years. The Median household income is $38,780 and 16.9% household at or below poverty level. The unemployment rate at 9.6% which is 1% higher that the U.S. average. With such financial difficulties there were approximately 13,760 individuals that receive food assistance,Pueblo is a multi-Cultural community consisting of Hispanic, Italian & Slovinian. All cultures brought together with food s erved at festivals and at restaurants. Pueblo is predominately Catholic religion at 68% with women playing a large part in Catholic & Hispanic Culture. Large Hispanic population diagnosed with diabetes lineament II and obesity.The wickedness rate is higher than the content average. In 2006, Pueblo County had approximately 2.4 hard hard drink stores per 10,000 people. Underage grade of deglutition increased with age. Methamphetamine use in youth (less than 10 percent), but showed signs of increase mingled with 2005 and 2007. The health factors and morbidness and mortality rates of Pueblo County are higher than the national benchmarks. Pueblo has 95% of days with serious air bore and imbibition water preventative at 1%.Pueblo County has a possibility/ nip management preparedness computer program as well as a chemical stockpile arrest preparedness program for the Pueblo Chemical Depot. Pueblo operates in an all-hazards disaster devise with Pueblo wellness subdivi sion being the lead in the requirement rear function of Public health.Pueblo County, Colorado is overall a healthy community. Nevertheless, the disciplines where improvements need to be made are determine a way to attend to for each one individuals reaction to ostracise life sentence events. These events are causing a rise in flood potable and the use of deoxyephedrine abuse. Creating and implementing a plan to decrease the poverty level and being able to inform and address plan of attackion and functional needs.Neighborhood/Community arctic AssessmentAs sad as it is to say, violence in Pueblo County is a huge health problem. Pueblos overall offensive activity index as subject in 2006 was 6945 abuses which was higher than the national average and encompasses un accomplishedized and property crimes. Violent crimes consist of murder, go against and aggravated assaults. Property crimes include burglary, larceny, thievery , motor vehicle theft , arson, and vandalism. I n 2006, Pueblo had a reported total of 628 tearing crimes with breakdown as follows Murders 6 Rapes 49 Robberies 170 Aggravated assaults 403. Pueblos reported property crimes are as follows Burglary 6317 thievery/Thefts 4409 Motor Vehicle Thefts 455 and Arsen 55. (Pueblo Colorado hatred statistics and Data Resources, 2014) . Along with the high crime rates that fill Pueblos neighborhoods that have an effect on the safety and health of the county are the large number of liquor stores that fill them. In 2006, Pueblo County had approximately 2.4 liquor stores per 10,000 people. (Community Health situation Report, 2011)With such a high density of liquor stores and access to alcoholic beverage, it can also contribute or be a large coition to the economic and social crumbling of the community and overall rate of crime. There are studies that report that the over-concentration of liquor stores increases the perceived lack of safety and limits walkability in the community. (C ommunity Health Status Report, 2011). The excessive consumption of alcohol also leads to major health problems, such as, cirrhosis of the liver of the liver, cardiovascular complaint, cancer, anemia as well as the effects due to injuries sustain in car accidents secondary to driving force under the influence. Substance abuse, including alcohol, is another public health concern in the Pueblo community. iodin of the biggest concerns of alcohol abuse is that of bout deglutition among individuals. Binge drinking is a major indicator of substance abuse and is delimit as Consuming five or more alcoholic drinks in one occasion in the past calendar month. From 2007-2009, there were 14.5% of adults in Pueblo that reported binge drinking, a rate that was well below the Healthy People 2020 objective. (Community Health Status Report, 2011). According to the website, Teen Drug Abuse, 90% of alcohol consumption by those that are underage is in the form of binge drinking. (Teens and Addict ion, 2014).In Pueblo County, underage rates of drinking increased with age, indicating that teenagers are more presumable to experiment or try alcohol around the ages of 16 or 17. (Community Health Status Report, 2011). In Pueblo County, methamphetamine use in youth ages 15-18 years was low (less than 10 percent), but showed signs of increase between 2005 and 2007 for the 15 or younger category. by-line national trends, results from 2009 indicate decreasing methamphetamine usage across the board for all age groups. This may be in part to successful prevention interventions, didactics campaigns intimately methamphetamine use, or scratchy self-reporting (Community Health Status Report, 2011) Housing, water quality, and air quality are factors that can be classified as the environmental quality/safety of Pueblo, County. Homes represent to most a place of safety, security and shelter and because these factors are so important they have the potence to help or harm the health of the community.The United Way Pueblo County evaluation in 2009 reported that Pueblo County had a large shortfall of low income rental housing. The estimated rental housing in Pueblo County reported in 2009 was 32% and home ownership was reported at 68%. (America Fact Finder, 2012). Sewage is another factor that can potentially be a huge source of water contamination. Waste water discourse plants in higher populated areas of Pueblo County are utilize to treat sewage before being released back into the environment however, not all areas of Pueblo County are served by a intervention plant. Pueblo County has approximately 16,000 homes that have septic systems and are not serviced by a bollocks water treatment plant. Water swell can become contaminated due to improper septic system treatment. In Pueblo County, the majority of its population the drinking water comes from surface water. In some cases, the drinking water may come from modify surface sources or underground wells. (Comm unity Health Status Report, 2011).The air quality in Pueblo is for the very skinny with the particle egress (PM2.5) being very low. constituent consequence is defined by the EPA as the exact particles directly emitted into the air and particles formed in the air by chemical geological fault of gaseous pollutants. (United Stated Census Bureau, 2010). According to the Pueblo City-County Health surgical incisions environmental Health Division, there were over 830 complaints in 2010 with the majority of complaints which were 41% of the total complaints were about the housing. (City-Data Pueblo County, CO , 2012). All in all the environmental Quality of Pueblo County is above average. The health factors and morbidity and mortality rates of Pueblo County are in lot of cases higher than the national benchmarks.Premature infant deaths in Pueblo County in 2009 were 8,767. Malignant neoplasms rank first in Pueblo County for the leading casue of death with heart disease being second lead ing cause of death in Pueblo County. (Community Health Status Report, 2011) Morbidity reporting of poor or fair health was 17% Health factors in Pueblo County such as bullet was 23% compared to the National benchmark of 13%, teen birth rate was 63% compared to National benchmark of 21%, sexually transmitted diseases reported in Pueblo County was approximately 352 with the national benchmark of 92. (County Health Rankings and roadway Maps, 2013). cataclysm AssessmentPueblo has a Disaster Management Program which includes several financial backing functions based on the fate which includes the side by side(p) transportation, open chevvys, wildfires, victim care, search and rescue, long-term recovery, hazmat, cost assessment, floods, mass fatality, terrorism, tornadoes and winter storms. The programs goal is to prevent or decrease the impact of natural or benevolent caused disasters. There are also extra support systems such as behavioural health retort and an animal heal th response plan. The department staff and fire difference of opinioners are specially trained and energetic to respond to any major disasters that may occur. The command staff members assist in the coordination of the disaster and requirement management study exercises in the local anaesthetic region. There are monthly meetings with the members and the Pueblo County tinge Response team (PERT) and with other local emergency reponse and support agencies. (Pueblo, Colorado, 2014).Pueblo also operates and All Hazards disaster plan that is designed to address the needs of the Pueblo bite Department and the people of Pueblo in and economic and effective manner if a disaster occurs. It is also serves as a append to the Pueblo County fatality Operations Plan. (Pueblo, Colorado, 2014). The Pueblo Chemical Depot, a chemical weapons storage site is located in Pueblo County. Mustard agents HD and HT are stored at the Pueblo Chemical Depot. The chemical stockpile emergency preparednes s program is the federally funded program administered by the Department of Defense and the Federal Emergency Management Agency (FEMA). The program was placed to prepare the local authorities for a possible chemical weapons incident. If such an incident occurs, Pueblo Chemical Depot will notify the Pueblo County Sheriffs Communication concentre in accordance between the bargain between Pueblo County and Pueblo Chemical Depot. (Emergency Services Bureau, 2013) payable to the hot dry summers, a fire or wildfire frequently occurs and there is an emergency support system that is in place. The side by side(p) agencies included are the Pueblo County Sheriffs say-so Emergency Services Bureau, Public Works, the Colorado State Patrol, the Colorado State plant Service, US Forest Service, Colorado State Parks, American Medical Response, both local hospitals  Parkview Medical cracker and St Mary Corwin Hospital. The Emergency Support Function and Wildland Fire resultant Annex is the re to guarantee a correct response from the numerous agencies manifold for containing and extinguishing fires. This is an effective system that was complete to manage the various resources and agencies involved to fight structural and wild land fires in Pueblo County. (Emergency Services Bureau, 2013).The Pueblo Activation Sequence establishes procedures for the activating and operation of the Pueblo County Emergency Operations Center (EOC). The EOC is activated to an anticipated or certain response that involves more than one area or jurisdiction and/or quaternate response agencies. This includes agencies that respond to HazMat accidents, severe weather, flooding, earthquakes, civil disturbances or terrorism. (Emergency Services Bureau, 2013) The Pueblo County Health Department leads the emergency support functions for Public Health and Medical Services. Their supporting agencies are as follows Local Hospitals, EMS, Behavioral Health Services, Emergency Service Bureau, Coroner , Agriculture, Education, Human Services, Law Enforcement Agencies, armed forces and Veteran Affairs, Public Safety, Regulatory Agencies, Transportation, Pueblo Community Health Center, American Red Cross, repurchase Army and COVOAD. This program provides a response and recovery action related to the lifesaving transport, evacuation, treatment of the injured, controlling of the spread contamination, prevention of contamination of water and food supplies and the disposition of any dead. (Emergency Services Bureau, 2013) As you can see, Pueblo County is very well prepared with any type of natural, chemical, or human caused disaster.SummaryFrom my observation of data, statistics and information gathered for Pueblo Countys Community assessment, I have found that Pueblo County overall is a fairly healthy community. The community is predominately white, non-Hispanic population with an increase of the Hispanic population in the past two years. The air pollution in Pueblo County is below t he national average with 95% of days with good air quality and only 5% with moderate air quality. An area that could use improvement would be to find a way to attend to the individuals that make disallow responses to traumatic or negative life events. These responses and events may play a huge factor in the rise of homicides that are taking place in Pueblo County. The reading of the public community about the emergency and disaster preparedness programs through community outreach will help to inform and engender functional needs for Pueblo.Works Cited(2013). Retrieved February 07, 2014, from Pueblo, Colorado http//pueblo.org/history America Fact Finder. (2012). Retrieved 02 08, 2014, from U.S. Census Bureau http//quickfacts.census.gov/qfd/states/08/0862000.html City-Data Pueblo County, CO . (2012). Retrieved February 5, 2014, from http//www.city.data.com/county/Pueblo_County-CO.html Community Health Status Report. (2011). Retrieved February 2, 2014, from Pueblo.org http//coun ty.pueblo.org/sites/default/files/documents/Status%20Report%202011%20Final.pdf County Health Rankings and Road Maps. (2013). Retrieved February 8, 2014, from http//www.countyhealthrankings.org/aIntpp//colorado/2013/pueblo/county/outcomes/overall/excess/by-rank Emergency Services Bureau. (2013). Retrieved February 9, 2014, from Pueblo County Sheriffs daub http//www.sheriff.co.pueblo.co.us/esb/oem.html History of Pueblo. (n.d.). Retrieved 02 08, 2014, from Pueblo, CO Official Website http//www.pueblo.us/index.aspx?nid=119 Particle Matter. (2013, March 18). Retrieved February 5, 2014, from EPA United Stated environs Protection Agency http//www.epa.gov/pm/ Pueblo Colorado Crime statistics and Data Resources. (2014). Retrieved February 2, 2014, from Area come to http//pueblo.areaconnect.com/crime1.htm Pueblo, Colorado. (2014, January 31). Retrieved February 08, 2014, from Wikipedia http//en.wikipedia.org/wiki/Pueblo,_Colorado Teens and Addiction. (2014, February). Retrieved February 9, 2014, from Teen Driug Abuse http//www.teen-drug-abuse.org/ United Stated Census Bureau. (2010). Retrieved February 2, 2014, from Current Population Survey http//www.census.gov/hhes/www/cpstables.htm