Onondaga County Community Health Assessment And .
Onondaga CountyCommunityHealth Assessmentand Improvement Plan2019-2021ongovhealthOnondaga CountyHealth Departmentongov.net/health · facebook.com/ongovhealthJ. Ryan McMahon, IICounty ExecutiveIndu Gupta, MD, MPHCommissioner of Health
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Onondaga County Community Health Assessment and Improvement Plan 2019-2021AuthorsBridget K. Volz, MPH, CAS, CPHEpidemiologistOnondaga County Health DepartmentRebecca Shultz, MPHDirector of Community HealthOnondaga County Health DepartmentIsabella BagliettoResearch Technician IOnondaga County Health DepartmentIndu Gupta, MD, MPH, MA, FACPCommissionerOnondaga County Health DepartmentSteering CommitteeOnondaga County Health DepartmentIndu Gupta, MD, MPH, MA, FACPRebecca Shultz, MPHBridget K. Volz, MPH, CAS, CPHIsabella BagliettoCrouse HealthBob AllenKris WaelderHealtheConnectionsRachel Kramer, ScD, MHSSt. Joseph’s HealthDeborah WelchMichelle A. Brown, MPABrandiss Pearson, MS, FNP-CUpstate University HospitalShawna Craigmile-Sciacca, LCSWCindy Jaconski, MPHStacey Keefe, MPAAcknowledgementsThe Steering Committee wishes to thank all agencies and individuals who supported the development of the2019 2021 Onondaga County Community Health Assessment and Improvement Plan.i
Onondaga County Community Health Assessment and Improvement Plan 2019-2021Participating Health Department and HospitalsOnondaga County Health DepartmentJohn H. Mulroy Civic Center421 Montgomery StreetSyracuse, NY 13202315.435.3648Crouse Health736 Irving AvenueSyracuse, NY 13210315.470.7111St. Joseph’s Health301 Prospect AvenueSyracuse, NY 132031.888.785.6371Upstate University Hospital750 E. Adams StreetSyracuse, NY 13210315.464.5540ii
Onondaga County Community Health Assessment and Improvement Plan 2019-2021Table of Contents1. Message from the Commissioner of Health . x2. Executive Summary . xi3. Introduction . 14. Community Health Assessment . 2What Creates Health and Well-Being a Public Health Framework. 3Key Concepts in Emerging Public Health Practice . 4Public Health 3.0 . 4Health Equity. 4Health Across the Lifespan. 6Health Across All Policies. 6Geographic Profile . 7Community Demographics. 8Determinants of Health.14Socioeconomic Determinants .15Environmental Determinants .23Policy Determinants .33Behavioral Determinants .36Access to Care.375. Health Status: Distribution of Disease and Illness .39Improve Health Status and Reduce Health Disparities .39Prevent Chronic Diseases .44Promote Well-Being and Prevent Mental and Substance Use Disorders .56Promote a Healthy and Safe Environment .63Promote Healthy Women, Infants, and Children.70Prevent Communicable Diseases .776. Community Assets and Resources .867. Community Engagement.968. Community Health Improvement Plan.98Priority Area 1: Prevent Chronic Diseases. 101Priority Area 2: Promote Well-Being and Prevent Mental and Substance Use Disorders. 1139. Appendices. 119iii
Onondaga County Community Health Assessment and Improvement Plan 2019-2021Appendices1. Community Health Assessment and Improvement Plan Methodology2. Community Engagement Summary3. Community Engagement Survey Health System Feedback4. County Health Rankings Model5. Onondaga County Community Health Improvement Plan Tracking and Revision Process6. Onondaga County Health Equity Coalition Member Agencies7. Onondaga County Drug Task Force Member Agencies8. Data Tables9. Data Technical Notes10. Map: People Living Below Poverty Level in the City of Syracuse, 2013-201711. United Way ALICE Report: Asset Limited Income Constrained Employed, Onondaga County12. Map: Elevated Blood Lead Levels among Tested Children, by Census Tract, Syracuse, 2018iv
Onondaga County Community Health Assessment and Improvement Plan 2019-2021List of FiguresFigure 1:Map of Onondaga County . 7Figure 2:Population distribution by age group, Onondaga County and Syracuse, 2013 – 2017 . 8Figure 3:Projected population, under 5 years and 65 years or older, Onondaga County, 2020 - 2040. 9Figure 4:Population by race, Onondaga County and Syracuse .10Figure 5:Place of birth for Onondaga County’s foreign-born populations .11Figure 6:Determinants of health .14Figure 7:Adults aged 25 years and older, with high school education or higher, by race, Onondaga Countyand Syracuse .16Figure 8:Adults aged 25 years and older, with Bachelor’s degree or higher, by race, Onondaga County andSyracuse .17Figure 9:Median income by race and ethnicity, Onondaga County .18Figure 10:Unemployment rate, by race, Onondaga County and Syracuse.20Figure 11:Means of transportation to work, Onondaga County and Syracuse .24Figure 12:Percentage of students eligible for free or reduced lunch, by school district, Onondaga County,2017-2018 .26Figure 13:Food deserts by census tract, Syracuse, 2015 .27Figure 14:Violent crimes and firearm related violent crimes per 100,000 population, Onondaga County andNYS excluding NYC, 2018 .28Figure 15:Age-adjusted homicide mortality rate per 100,000 population, Onondaga County and NYSexcluding NYC, 2007-2016 .29Figure 16:Assault-related hospitalization rate, by race, ethnicity, and income, Onondaga County, 2016 .29Figure 17:Impact of Climate Change on Health, Centers for Disease Control and Prevention .30Figure 18:Average summer temperatures, New York State, 1981-2016 . 31Figure 19:Heat Vulnerability Index, Onondaga County .32Figure 20:Percent of population without health insurance, by race, Onondaga County and Syracuse .38Figure 21:Percentage of premature death (before 65 years), by municipality, Onondaga County, 2013-2016 .40v
Onondaga County Community Health Assessment and Improvement Plan 2019-2021Figure 22:Life expectancy in Syracuse census tracts, 2015 .41Figure 23:Preventative hospitalizations per 10,000 adults aged 18 years and older, by race and ethnicity,Onondaga County, 2016 .42Figure 24:Percentage of adults reporting poor physical health 14 days in the last month, by census tract,Syracuse, 2016 .42Figure 25:Percentage of adults reporting poor mental health 14 days in the last month, by census tract,Syracuse, 2016 .43Figure 26:Physical activity and nutrition behaviors, Onondaga County, 2016.44Figure 27:Overweight and obesity rates among public school students, by grade level, Onondaga County,2016-2018 .45Figure 28:Overweight and obesity rates among public school students, Onondaga County, 2010-2018 .45Figure 29:Percentage of children and adolescents who are overweight or obese, by school district, OnondagaCounty, 2016-2018 .46Figure 30:Disparities in adult obesity, Onondaga County, 2016 .47Figure 31:Percentage of adults with obesity by census tract, Syracuse, 2016 .47Figure 32:Emergency department visit rate for hypertension, per 10,000 population, by race and ethnicity,Onondaga County, 2014-2016 .48Figure 33:Age-adjusted mortality rate for diseases of the heart, per 100,000 population, by race and ethnicity,Onondaga County, 2012-2016 .49Figure 34:Age-adjusted mortality rate due to stroke, per 100,000 population, by race and ethnicity, OnondagaCounty, Central NY, and NYS, 2014-2016 .50Figure 35:Age-adjusted emergency department visit and hospitalization rates due to diabetes, per 10,000aged 18 years, by race and ethnicity, Onondaga County 2014-2016 .51Figure 36:Age-adjusted mortality rate due to diabetes, per 100,000, by race and ethnicity, Onondaga County2014-2016 .51Figure 37:Disparities in smoking, Onondaga County, 2016 .52Figure 38:Cancer (all types) incidence and mortality rates, per 100,000, by race, Onondaga County, 20122016 .53Figure 39:Incidence and mortality rates for several cancer types, per 100,000, by race, Onondaga County2012-2016 .54Figure 40:Self-inflicted injury hospitalization rate per 10,000, by age, Onondaga County and NYS, 2016 .57vi
Onondaga County Community Health Assessment and Improvement Plan 2019-2021Figure 41:Suicide Morality Rate per 100,000, by age, Onondaga County and NYS, 2014-2016 .57Figure 42:Age-adjusted emergency department and hospitalization rates due to substance use, per 10,000 byage, Onondaga County, NYS, 2014-2016 .59Figure 43:Emergency department visit rate due to opioid overdoses per 100,000 population, OnondagaCounty and NYS excluding NYC, 2018 .60Figure 44:Hospitalization rate due to opioid overdoses per 100,000 population, Onondaga County and NYSexcluding NYC, 2018 .60Figure 45:Unintended opioid-related deaths, Onondaga County, 2012-2018 .61Figure 46:Mortality rate due to opioid overdoses, per 100,000, Onondaga County and NYS excluding NYC,2018 .61Figure 47:Newborns with neonatal withdrawal syndrome and/or affected by maternal use of drugs ofaddiction (per 10,000 newborn discharges), Onondaga County, Central New York, and NYS, 2016 .62Figure 48:Average annual concentration of fine particulate matter (PM2.5), Onondaga County, 2008-2017 .64Figure 49:Number of days with ozone concentration above National Ambient Air Quality Standard,Onondaga County, 2007-2016 .65Figure 50:Emergency department visit rate for Asthma, per 10,000, by age, Onondaga County and NYS, 2016 .66Figure 51:Hospitalization rate for Asthma, per 10,000, by age, Onondaga County and NYS, 2016 .66Figure 52:Percentage of tested children with blood lead levels of 5µg/dL, Onondaga County and Syracuse,2012-2018 .67Figure 53:Percentage of unintended pregnancy among live births, by race, ethnicity, and Medicaid-status,Onondaga County .70Figure 54:The percentage of total births that were to females aged 15-19 years, 3- year rolling average,Onondaga County and NYS excluding NYC, 2007-2016 .71Figure 55:Prenatal care indicators, Onondaga County, 2014-2016 .72Figure 56:Self-reported illegal drug use in pregnancy, Syracuse and Onondaga County, 2008-2018 .73Figure 57:Preterm births and low birth weight births by race and ethnicity, Onondaga County, 2014-2016 .74Figure 58:Infant mortality by race, 3-year rolling average, Syracuse and Onondaga County, 2011-2018 .75Figure 59:Percentage
Onondaga County Community Health Assessment and Improvement Plan 2019-2021 ii Participating Health Department and Hospitals Onondaga County Health Department John H. Mulroy Civic Center 421 Montgomery Street Syracuse, NY 13202 315.435.3648 Crouse Health 736 Irving Avenue Syracuse, N
St. Joseph’s primary service area covers Onondaga and Oswego counties, accounting for approximately 80% of inpatient admissions to St. Joseph’s Health Hospital combined. This CHNA will focus specifically on Onondaga County, NY. St. Joseph’s Health is located in the City of Syracuse, NY, which is located within Onondaga County.
ONONDAGA COUNTY PLANNING BOARD Onondaga County Planning Board Meeting Date:November 17, 2021 OCPB Case # S-21-75 General Municipal Law Section 239-n allows the County Planning Board to review the approval of subdivisions and the site is located within 500 feet of Harbor Brook, a county-owned drainage channel; and
Onondaga County Senior Transportation Services by Area *Funded by Onondaga County Office for Aging pg. 3 Revised: July 29, 2021 Area - City and County Agency/Program Address Phone Day & Hrs. Fee Area Notes America's Medical Transportation 130 Reed Avenue Syracuse, NY 13217 299-4471 Mon. - Sat. 5:00 am - 7:00 pm City/one-way: 28.00;
EPIC and Home Energy Assistance Program (HEAP) IT-214 Form/ Property Tax Reduction . NY Connects of Onondaga County 315-435-1400 Revised August 2021 10 Senior Dining Sites. NY Connects of Onondaga County 315-435-1400 Revised August 2021
76 Canton Street Baldwinsville, NY 13027 . EPIC and Home Energy Assistance Program (HEAP) . The Senior Nutrition Program, funded by the Administration of Community Living, New York State Office for Aging and Onondaga County Office for Aging, provides city and county residents age 60 and over, with nutritious meals that meet .
Onondaga County Health Department (OCHD) is providing recommendations for safe opening of schools in fall 2021 based on the Center for Disease Control (CDC) Guidance published on August 5, 2021. 1. We ask school administrators to make policy decisions based on the facts outlined in the following guidance. Summary Recommendations:
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