COUNTY OF LOS ANGELES PUBLIC HEALTH Working For You
Annual Report 2012-2013COUNTY OF LOS ANGELES Public HealthWorking ForYou
Department of Public HealthMissionTo protect health,prevent disease,and promotethe health and well-beingof all personsin Los Angeles County
Working For YouTABLE OF CONTENTSMessage from the Director3Working for You Through the Years4Department of Public Health: At a Glance610 Key Public Health Actions7Programs and Services8Strategic Priorities10Public Health Centers11Map of Area Health Offices12PUBLIC HEALTH WORKING FOR YOUResponse to Hepatitis A Outbreak14Protecting LA County from Influenza16Ensuring the Safety of Homemade Foods Soldto the Public19Environmental Health Enhances Efficiency:Goes Electronic and Opens New Call Center20Powerhouse Fire Response: Public Health Acts to Maintain theHealth and Safety of the Responders and Public22Oral Health Program Ensures the High Quality of Dental Care24“Parks After Dark” Program Promotes Healthy Activity and Curbs Violence26Innovations in the Public Health Lab28Creative Partnership Streamlines Food Facility Construction at LAX30Annual Art Contest Raises Awareness of Childhood Lead Poisoning32Public Health Centers Score High on Patient Experience34Campaigns36Additional Accomplishments38Keeping LA Informed42Department and Employee Awards44Financials46COUNTY OF LOS ANGELES Public Health Annual Report 2012-2013
Los Angeles County Department of Public Health2012-2013 Annual ReportThis report covers the 2012-2013 fiscal year,or the period July 1, 2012, through June 30, 2013
Working For YouMESSAGE FROM THE DIRECTORDear Fellow Angelenos,The Los Angeles County Department of Public Health is committed to “Working for You,” thetheme of this year’s annual report. Highlighted throughout these pages you will find examplesof the many ways our dedicated staff works on your behalf to improve health in our great county.For instance, over the past year we strengthened the ability of communities to prepare for,and respond to, emergencies through our Community Resiliency Project. We opened a newcustomer call center at the Division of Environmental Health to process complaints and requestsmore efficiently. In June of last year, we were alerted of a foodborne illness caused by a frozenberry mix contaminated with hepatitis A. We swiftly organized a campaign to safely remove thisproduct from store shelves and provided residents with vaccine and immunoglobulin at severalof our clinics. Our actions prevented the spread of this viral illness. We also developed manynew public health outreach campaigns to educate the community about healthy living andeating, and safety. These initiatives and the work we do are making a positive difference in LACounty, based on the latest indicators of health improvement, which include increased longevity.As you may know, I have announced my intention to retire from county service to focus onteaching, research, and innovations that can make a difference in our health nationally as wellas locally. It has been my privilege to serve as your Director of Public Health and Health Officerthese past 16 years. I would like to thank the Board of Supervisors for its trust, guidance, andstrong support for our many public health initiatives to improve health in LA County. I would alsolike to thank our staff who, day in and day out, plan, educate, inspect, analyze, treat, innovate,and collaborate to transform life in the nation’s most populous county.Thank you for continuing to put your trust in the LA County Department of Public Health. Ourdedicated team will continue to work in our community—both visibly and behind the scenes—to ensure improved health for all in Los Angeles County.Jonathan E. Fielding, MD, MPHDirector and Health OfficerCOUNTY OF LOS ANGELES Public Health Annual Report 2012-20133
Working For YouWorking for YouThrough the YearsOver the past 16 years, under Dr. Fielding’s leadership, significant gains have been made in improvingthe health of Angelenos. Increased life expectancy, reduced infant mortality, and decreases in many ofthe leading causes of death (notably coronary heart disease, stroke, and lung cancer) reflect the importantwork of Public Health and its partners in educating LA County residents on how to reduce the risk ofcertain conditions and live healthier lifestyles.Death rateINCREASEDDECREASED77.8YEARS201081.5YEARS19%IN L A COUNT Y2001-2010 1998 Average life expectancy at birth13%IN THE US2001-2010Large decrease in the death ratefrom coronary heart diseaseGreat decrease in thedeath rate from strokeTHE #1 CAUSE OF DEATHTHE #2 CAUSE OF DEATH2001-2010Adult smokers decreasedDOWN35%2001-2010 37% DOWNYOUNG Adult smokers decreased(18 – 24 YEARS)1999-2011nearly 350,000 less adult smokers4DOWN45%1999-2011 28% DOWN50,000 less Young adult smokersCOUNTY OF LOS ANGELES Public Health Annual Report 2012-2013
WorkingWorkingForForYouYouLos Angeles County residents are living longer, healthier livesdue to the efforts of Public Health and our many partners.Prevented the spread of H1N1 flu virus2009200,000 vacCinations in 7 weeksState-of-the-Art Lab500,000 LAB TESTS PER YEARReduced communicable diseasethrough rapid ID of pathogensRestaurant grading ProgramFOODBORNE ILLNESS HOSPITALIZATIONS 13%DOWNIncreased emergency preparednessEARTHQUAKES,FIRES, FLOODS,PANDEMICSLaunched in 1998We are ready to respondNew public health clinicopens in south laHelped stop the increase ofchildHood obesityPROVIDESCLINICALSERVICES FORSTDs, TB &IMMUNIZATIONSBY PROMOTINGPHYSICAL ACTIVITY& HEALTHY MENUPLANNINGCOUNTY OF LOS ANGELES Public Health Annual Report 2012-20135
Working For YouDepartment of Public HealthAT A GLANCEPublic health services have been provided in the County of Los Angeles since the 1800s. The departmentwas founded in 1903 when the Board of Supervisors passed an ordinance for the provision of a countyhealth department. In 2006, the Los Angeles County Department of Public Health separated from theDepartment of Health Services and became its own freestanding department. 893mFY 2012-2013BUDGET0.2%AMERICAN398.6%AFRICAN AMERICANPROGRAMSINDIAN0.2%PACIFIC14ISLANDERhealth centers14%ASIAN9.9mLA COUNTY RESIDENTSnearlyLA FFLATINO200 LANGUAGES SPOKENCOUNTY OF LOS ANGELES Public HealthWorking For YouAdditional Facts About LA CountyAbout64,000 Square Miles. 88 Incorporated Cities.140 Unincorporated Areas. 2 Islands (Santa Catalina and San Clemente).COUNTY OF LOS ANGELES Public Health Annual Report 2012-2013
Working For YouDepartment of Public Health10 Key Public Health ActionsThe Los Angeles County Department of Public Health protects and improves the health of ourcommunity by performing these key actions:1. MonitorFinds health problems in the community.2. DiagnoseFinds what causes health problems.3. Inform, educate, and empowerTeaches people how to prevent disease and improve health.4. Mobilize Works with the community to find and solve health problems.5. Develop Makes rules and plans that help individual and community health.6. Enforce Makes sure rules are followed so that people are safe and theirhealth is protected.7.LinkHelps people gain access to the health care services they need.8. AssureMakes sure our employees are prepared to do their job well.9. EvaluateMakes sure our programs are working and doing a good job.10. ResearchStudies new ways to solve health problems.COUNTY OF LOS ANGELES Public Health Annual Report 2012-20137
Working For YouDepartment of Public HealthPrograms and ServicesThe Department of Public Health improvesthe lives of LA County residents through its39 programs, 14 public health centers, and fourArea Health Offices. Among the programs thatprovide the department’s most-utilized servicesare the following:Children’s Medical ServicesChildren’s Medical Services provides medical case management and physical and occupational therapy servicesto special health care needs children under 21 years of age,preventive screenings and well-child checkups to low-incomechildren throughout LA County, and care coordination tochildren detained in the LA County foster care system.Chronic Disease and Injury PreventionThe goal of this division is to prevent the occurrence andreduce the severity and consequences of chronic diseasesand injuries. To accomplish this, the division works withmultiple sectors, such as health care; federal, state, andlocal governments; city planning departments; transportation; schools and universities; law enforcement; and othercommunity partners to address the underlying causesof chronic diseases and injuries, including those relatedto the physical and social environments.Communicable Disease Controland PreventionCommunicable Disease Control and Prevention seeks toreduce the risk factors and disease burdens of preventablecommunicable diseases by promoting healthy behavior,conducting surveillance of diseases and risk factors,providing screening and enabling early detection, performinglaboratory analysis, and conducting communicable diseaseinvestigation and control measures.8Community Health ServicesCommunity Health Services provides clinical services,surveillance, and case management through fieldwork.Public health nurses, investigators, community workers,and other staff go into the field to follow up on patientsand clients to reduce the spread of communicable diseases,educate the community, and conduct health outreachactivities. In addition, the division operates 14 public healthclinics, which provide immunizations and medical treatmentfor tuberculosis and sexually transmitted diseases, witha focus on preventing the transmission of communicablediseases that can endanger the health of the community.Emergency Preparedness and ResponseThe Emergency Preparedness and Response Program’spurpose is to prepare for emergencies and minimizeadverse health effects caused by all hazards, such aspandemics, earthquakes, infectious disease, and otherpublic health threats through the development and exerciseof a comprehensive public health emergency preparednessresponse plan. This includes building community disasterresilience to strengthen response and recovery.Environmental HealthThe Environmental Health Division promotes health andquality of life by identifying, preventing, and controllingharmful environmental factors. Among its responsibilities,it conducts inspections of retail food facilities, residentialhousing, potable water supplies, and on-site wastewatersystems, and it monitors ocean water quality. It alsoresponds to environmental emergencies associated withearthquakes, wildfires, flooding and other natural hazards,chemical releases, and radiological incidents. In addition,it is leading efforts to reduce the health impacts of climatechange while promoting the development of healthy,sustainable, and resilient communities. To help assure asecure water future for the region, the department ispromoting industrial wastewater recycling, residentialgray water systems, and rainwater capture and reuse.COUNTY OF LOS ANGELES Public Health Annual Report 2012-2013
Working For YouThe Department of Public Health’s activities include direct medical services for immunizations,tuberculosis, and sexually transmitted diseases; disease surveillance and outbreak control;health inspections; emergency preparedness and response; and initiatives to prevent chronicdisease and injury.Health Assessment and EpidemiologyMaternal, Child, and Adolescent HealthThe Office of Health Assessment and Epidemiology ensuresthe availability of comprehensive health data on the LosAngeles County population for public health assessment,policy development, and program planning and evaluation.It oversees the development and implementation of theLA County Health Survey, a periodic, population-basedtelephone survey that collects data from a representativesample of LA County residents on health conditions,health behaviors, and health care access and utilizationof services. It is also responsible for the collection andprocessing of birth and death data.Maternal, Child, and Adolescent Health is responsiblefor planning, implementing, and evaluating services thataddress the health priorities and primary needs of infants,children and adolescents, mothers, and their familiesin LA County through ongoing assessment, policydevelopment, and quality assurance. Its staff is composedof a multidisciplinary team of physicians, public healthnurses, policy analysts, administrators, nutritionists,health educators, social workers, epidemiologists, andsupport staff.Health Facilities InspectionThe Substance Abuse Prevention and Control Programstrives to reduce the community and individual effectsof alcohol and other drug abuse through evidence-basedprograms and policy advocacy. It administers contractswith more than 300 community-based agencies and directlyoperates the Antelope Valley Rehabilitation Center, whichoffers a wide array of prevention, intervention, treatment,and recovery services for LA County residents.Health Facilities Inspection is responsible for the licensingand certification of the nearly 2,000 hospitals, long-termcare facilities, and other health care facilities and ancillaryhealth care services in LA County. Inspections evaluatecompliance and document findings. This program alsoresponds to citizen complaints regarding health facilitiesor providers.HIV and Sexually TransmittedDisease ServicesThe Division of HIV and STD Programs is responsible forcoordinating the department’s response to STD and HIVinfections in Los Angeles County. As part of its charge, thedivision manages federal, state, and local funds designedto support epidemiologic and disease surveillance systems,prevention and disease control efforts, coordinated careand treatment services, field investigation, programmonitoring, and evaluation. The division’s coordinatedresponse relies heavily on partnerships with public partners,including a network of public health clinics and schooldistricts, as well as with a diverse array of private-sector,community-based organizations.Substance Abuse Prevention and ControlWomen’s HealthThe Office of Women’s Health promotes and improvesthe health, well-being, and access to culturally responsive,comprehensive health services for women in Los AngelesCounty. It does this through community and countycollaborations, education on key women’s health issues,and the promotion of evidence-based programs andpolicies. Through its multilingual Women’s HealthHotline, the Office of Women’s Health assists uninsuredand low-income women with appointments, information,and referrals.COUNTY OF LOS ANGELES Public Health Annual Report 2012-20139
Working For YouDepartment of Public HealthStrategic PrioritiesFollowing its Strategic Plan for 2013-2017, the Department of Public Healthis guided by the following priorities:HEALTHY AND SAFE COMMUNITY ENVIRONMENTSSupport and develop neighborhoods and institutions that supporthealthy lifestyles.PREVENTIVE HEALTH CAREImprove the availability, use, and integration of prevention-focused,evidence-based health care services.EMPOWERED HEALTH CONSUMERSSupport individuals in making informed choices about their health.HEALTH EQUITYSupport each person in Los Angeles County in attaining his or her fullhealth potential regardless of socially determined circumstances.PUBLIC HEALTH PROTECTIONPrevent, detect, and respond to health threats.IMPROVED INFRASTRUCTUREStrengthen the Department of Public Health to remain a high-performingand innovative organization.10COUNTY OF LOS ANGELES Public Health Annual Report 2012-2013
Working For YouDepartment of Public HealthPublic Health CentersThe Department of Public Health operates 14 health centers in LA County that provide free and low-cost servicesto those with no insurance or regular health care provider. Services provided focus on population-healthinterventions, such as immunizations and communicable disease testing and treatment.Antelope ValleyNorth Hollywood335-B East Avenue K-6Lancaster, CA 93535(661) 723-45265300 Tujunga AvenueNorth Hollywood, CA 91601(818) 766-3982PacoimaCentral13300 Van Nuys BoulevardPacoima, CA 91331(818) 896-1903241 N. Figueroa StreetLos Angeles, CA 90012(213) 240-8204Curtis R. TuckerPomona123 W. Manchester BoulevardInglewood, CA 90301(310) 419-5325750 S. Park AvenuePomona, CA 91766(909) 868-0235GlendaleRuth Temple501 N. Glendale AvenueGlendale, CA 91206(818) 500-57503834 S. Western AvenueLos Angeles, CA 90062(323) 730-3507Simms/MannHollywood/Wilshire2509 Pico Boulevard, Room 325Santa Monica, CA 90405(310) 998-32035205 Melrose AvenueLos Angeles, CA 90038(323) 769-7800Martin Luther King, Jr.Center for Public HealthTorrance711 Del Amo BoulevardTorrance, CA 90502(310) 354-230011833 S. Wilmington AvenueLos Angeles, CA 90059(323) 568-8100WhittierMonrovia7643 S. Painter AvenueWhittier, CA 90602(562) 464-5350330 W. Maple AvenueMonrovia, CA 91016(626) 256-1600COUNTY OF LOS ANGELES Public Health Annual Report 2012-201311
Working For YouDepartment of Public HealthArea health officesLos Angeles County spans more than 4,000 square miles. Due to its large size, it has been divided intofour geographic regions known as Area Health Offices. These offices align with the county’s eight ServicePlanning Areas (SPAs). Creating these distinct areas allows the Department of Public Health to developand provide more targeted public health and clinical services according to the specific health needs of theresidents in these local communities.Area Health OfficesAntelope Valley (SPA 1)San Fernando Valley (SPA 2)LancasterServing the communities ofAntelope, Santa Clarita, SanFernando and Crescenta valleysQuartzHillSan Gabriel Valley (SPA 3)Metro (SPA 4)Littlerock1Serving the communities ofHollywood, Downtown Los Angeles,and San Gabriel ValleyVal VerdeSanta ClaritaWest (SPA 5)South (SPA 6)Serving the communities ofSouth Central Los Angeles,West Los Angeles, and theSanta Monica Bay regionSan Fernando2CalabasasMalibu3BurbankGlendaleLos AngelesEast (SPA 7)South Bay (SPA 8)Serving the communitiesof the Gateway Cities,East Los Angeles, andthe South BayPasadenaArcadiaLos AngelesWestAlhambraBeverly HollywoodLosHillsEl s12LakeLos CerritosLong BeachCOUNTY OF LOS ANGELES Public Health Annual Report 2012-2013AzusaSan DimasPomonaDiamond Bar
COUNTY OF LOS ANGELES Public HealthWorking ForYou
Working For YouResponse toHepatitis A OutbreakDepartmentwide CoordinatedResponse: We opened many of our publichealth clinics on the weekends to providehepatitis A vaccinations.By acting swiftly, the LA County Department of PublicHealth conducted a successful response to the hepatitis Aoutbreak, preventing additional cases of the disease andhelping to further protect the health of our community.14COUNTY OF LOS ANGELES Public Health Annual Report 2012-2013
Working For YouOn May 31, 2013, the Los Angeles CountyDepartment of Public Health was alerted ofa multistate outbreak of hepatitis A, possiblyrelated to a frozen food product.This call set in motion an emergencyresponse that pulled in many of the department’sprograms, such as Acute Communicable Disease Control,Community Health Services, Public Health Pharmacy, Environmental Health, External Relations and Communications,Immunization Program, and the Public Health Laboratory.Using the Incident Command System (a standardizedapproach to manage emergencies effectively, efficiently,and in a coordinated manner), Public Health activated itscommand center, or Department Operations Center (DOC).Among the key decisions made in the DOC was to openseven of the department’s 14 public health clinics over theweekend to provide triage and vaccinations for those inthe community who may have ingested the tainted product.Staff moved quickly in deciding which clinics to open for theweekend and lined up work crews to provide these serv
Department of Public Health: At a Glance 6 10 Key Public Health Actions 7 Programs and Services 8 Strategic Priorities 10 Public Health Centers 11 . Los Angeles County Department of Public Health 2012-2013 Annual Report This report covers the 2012-2013 fiscal year, or the per
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