Huron County Community Health Profile

2014 Huron County Community Health Profile ` Prepared by: Eileen Unruh RN, MSN Samantha Fackler RN, MSN 11/1/2014

1 HURON COUNTY COMMUNITY HEALTH PROFILE TABLE OF CONTENTS INTRODUCTION.... 4 DEMOGRAPHICS... 6 HEALTHY CHILDREN AND YOUTH GOAL 1: IMPROVE PERINATAL HEALTH.... 8 OBJECTIVE A: REDUCE INFANT MORTALITY 8 1) NUMBER OF INFANT DEATHS PER 1,000 LIVE BIRTHS OBJECTIVE B: REDUCE LOW BIRTH WEIGHT 9 1) PERCENT OF INFANTS BORN WITH LOW BIRTH WEIGHT OBJECTIVE C: REDUCE SMOKING DURING PREGNANCY. 10 1) PERCENT OF WOMEN WHO SMOKED DURING PREGNANCY GOAL 2: INCREASE IMMUNIZATION LEVELS. 11 OBJECTIVE A: INCREASE THE NUMBER OF CHILDREN RECEIVING IMMUNIZATIONS.. 11 1) PERCENT OF CHILDREN 19 35 MONTHS WHO ARE FULLY IMMUNIZED GOAL 3: REDUCE CHILD ABUSE AND NEGLECT 12 OBJECTIVE A: REDUCE THE NUMBER OF VICTIMS OF SUBSTANTIATED CHILD. 12 ABUSE AND NEGLECT 1) RATE OF CONFIRMED VICTIMS OF ABUSE OR NEGLECT, AGED 0 17 GOAL 4: REDUCE CHILD AND ADOLESCENT DEATHS...13 OBJECTIVE A: REDUCE CHILD AND ADOLESCENT DEATHS..13 1) RATE OF DEATHS FOR CHILDREN AGED 1 19 YEARS GOAL 5: REDUCE THE USE OF ALCOHOL AND TOBACCO BY ADOLESCENTS.. 15 OBJECTIVE A: REDUCE CHILD AND ADOLESCENT DEATHS.. 15 1) PERCENT OF STUDENTS WHO HAVE EVER USED ALCOHOL 2) PERCENT OF STUDENTS WHO CONSUMED ALCOHOL IN THE 30 DAYS PRIOR TO THE SURVEY OBJECTIVE B: REDUCE THE USE OF TOBACCO 19 1) PERCENT OF STUDENTS WHO HAVE EVER SMOKED CIGARETTES 2) PERCENT OF STUDENTS WHO SMOKED CIGARETTES IN THE LAST 30 DAYS ACCESS TO HEALTH CARE GOAL 6: INCREASE ACCESS TO INFORMATION ABOUT RESOURCES AVAILABLE. 22 IN THE COMMUNITY SUMMARY OF AGENCIES/PROGRAMS ON WWW.THUMBRESOURCES.ORG IS NO LONGER AVAILABLE; CONTENT OF WEBSITE HAS CHANGED GOAL 7: DECREASE ECONOMIC BARRIERS TO HEALTH CARE... 23 OBJECTIVE A: REDUCE THE NUMBER OF PEOPLE LIVING BELOW THE POVERTY LINE 23 1) PERCENT OF PEOPLE LIVING BELOW THE POVERTY LINE

2 OBJECTIVE B: REDUCE THE NUMBER OF CHILDREN LIVING IN POVERTY...24 1) PERCENT OF CHILDREN (0 17) LIVING IN POVERTY OBJECTIVE C: INCREASE THE NUMBER OF PEOPLE WITH HEALTH INSURANCE 25 1) PERCENT OF POPULATION INSURED GOAL 8: INCREASE ACCESS TO PRIMARY CARE SERVICES.26 OBJECTIVE A: DECREASE PREVENTABLE HOSPITALIZATIONS 26 1) PERCENTAGE OF AMBULATORY CARE SENSITIVE HOSPITALIZATIONS OBJECTIVE B: INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS PER 100,000 PEOPLE.... 28 1) NUMBER OF PRIMARY CARE PHYSICIANS PER 100,000 OBJECTIVE C: INCREASE ADEQUATE PRENATAL CARE..29 1) PERCENT OF BIRTHS WITH LESS THAN ADEQUATE CARE OBJECTIVE D: INCREASE ACCESS TO DENTAL CARE...30 1) NUMBER OF DENTISTS PER 100,000 HEALTHY ADULTS GOAL 9: IMPROVE MENTAL HEALTH OF ADULTS 31 OBJECTIVE A: REDUCE DEATHS FROM SUICIDE. 31 1) NUMBER OF SUICIDE DEATHS PER 100,000 GOAL 10: REDUCE PREVENTABLE CHRONIC DISEASE DEATHS. 32 OBJECTIVE A: DECREASE DEATHS FROM HEART DISEASE.. 32 1) NUMBER OF DEATHS FROM HEART DISEASE PER 100,000 OBJECTIVE B: DECREASE DEATHS FROM CANCER. 33 1) NUMBER OF DEATHS FROM CANCER PER 100,000 OBJECTIVE C: DECREASE DEATHS FROM DIABETES.. 34 1) NUMBER OF DEATHS FROM DIABETES PER 100,000 OBJECTIVE D: DECREASE DEATHS FROM STROKE..35 1) NUMBER OF DEATHS FROM STROKE PER 100,000 GOAL 11: REDUCE THE TRANSMISSIOM OF HIV.. 36 OBJECTIVE A: REDUCE THE NUMBER OF HIV POSITIVE PEOPLE.. 36 1) NUMBER OF HIV POSITIVE PEOPLE OBJECTIVE B: REDUCE THE NUMBER OF PEOPLE WITH AIDS.. 37 1) NUMBER OF PEOPLE WITH AIDS (STAGE 3 HIV INFECTION) 2) RATE OF TOTAL (ALL STAGES) HIV INFECTION GOAL 12: REDUCE ABUSIVE PATTERNS OF ALCOHOL AND CIGARETTE USE AMONG ADULTS... 39 OBJECTIVE A: REDUCE ALCOHOL ABUSE.. 39 1) NUMBER OF ADULTS ARRESTED FOR DUI 2) RATE OF ADULTS ARRESTED FOR DUI OBJECTIVE B: INCREASE TREATMENT ADMISSIONS FOR SUBSTANCE ABUSE.. 41 1) NUMBER OF TREATMENT ADMISSIONS FOR SUBSTANCE ABUSE OBJECTIVE C: REDUCE CIGARETTE USE. 42 1) PERCENTAGE OF ADULTS WHO CURRENTLY SMOKE

3 SAFE COMMUNITIES GOAL 13: DECREASE MOTOR VEHICLE CRASH DEATHS.. 43 OBJECTIVE A: REDUCE DEATHS FROM MOTOR VEHICLE CRASHES.. 43 1) NUMBER OF FATALITIES 2) FATALITY RATE GOAL 14: REDUCE THE OCCURRENCE OF DOMESTIC VIOLENCE.. 46 OBJECTIVE A: REDUCE THE NUMBER OF ASSAULTS ATRIBUTED TO DOMESTIC VIOLENCE.. 46 1) NUMBER OF VICTIMS OF DOMESTIC VIOLENCE 2) RATE OF DOMESTIC VIOLENCE HEALTHY ENVIRONMENT GOAL 15: REDUCE ASTHMA MORBIDITY. 48 OBJECTIVE A: REDUCE HOSPITAL VISITS DUE TO ASTHMA. 48 1) RATE OF PREVENTABLE HOSPITALIZATIONS DUE TO ASTHMA FOR PATIENTS OF ALL AGES GOAL 16: REDUCE CHILDHOOD LEAD POISONING.. 49 OBJECTIVE A: INCREASE THE NUMBER OF CHILDREN SCREENED FOR LEAD. 49 1) PERCENTAGE OF CHILDREN UNDER AGE 6 TESTED FOR LEAD OBJECTIVE B: DECREASE THE NUMBER OF CHILDREN WITH ELEVATED LEAD LEVELS 50 1) PERCENTAGE OF CHILDREN UNDER THE AGE OF 6 WITH ELEVATED LEAD LEVELS OBJECTIVE C: REDUCE THE NUMBER OF HOUSES BUILT BEFORE 1950 51 1) PERCENTAGE OF HOMES BUILT BEFORE 1950 REFERENCES. 52

4 Huron County Community Health Profile Introduction History and Development of the CHP The original Community Health Profile was an endeavor that was accomplished by the Community Health Assessment & Improvement (CHAI) Workgroup in 1999. Current Update by HCHD Since originally presented by the CHAI Workgroup in 1999, the review, assessment and update to the CHP for Huron County has since been maintained by the Huron County Health Department with update/revisions completed in 2003, 2009, 2012 and currently in 2014. Purpose of the CHP The purpose of the CHP is to assess the health status of the community and analyze state and federal research in order to identify the top priority goals to focus future strategic planning, funding and provision of care to address the top health care needs. Healthy People 2020 Healthy People is a set of goals and objectives with 10 year targets which are released by the Department of Health and Human Services each decade. They are designed to guide national health promotion and disease prevention efforts to improve the health of all the people in the United States. Thumb Rural Health Network (THRN) Established in 2006, the TRHN is a collaborative effort of six Community Hospitals and three County Public Health Departments which seek to improve comprehensive health services in Huron, Sanilac and Tuscola counties by exploring and facilitating innovative approaches with and among the network members.

5 The Michigan Behavioral Risk Factor Survey (MiBRFS) The MiBRFS is a telephone survey of the adult population of the State of Michigan that was conducted on behalf of the Michigan Department of Community Health (MDCH) by the Office for Survey Research in Michigan State University s Institute for Public Policy and Social Research. The Thumb Behavioral Risk Factor Survey (TBRFS) The TBRFS is a telephone survey of the adult population of Huron, Sanilac and Tuscola Counties. It has been completed every five years since 2003 on behalf of the Thumb Rural Health Network. The TBRFS is designed to parallel the MiBRFS in terms of the methodology, the questions asked, the sampling, the data processing and the analysis so that the results of the TBRFS could be compared or piggybacked onto the MiBRFS. The 2013 TBRFS will compare data (when applicable) to 2003 & 2008 BRFS results in order to identify trends.

6 Demographics 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Huron County Age Distribution 2003 2013 2003 2008 2013 65+ 55 64 45 54 35 44 25 34 18 24 Huron County Age Distribution 2003 2008 2013 18 24 7.4% 17.4% 8.1% 25 34 14.9% 4.2% 11.5% 35 44 18.9% 11.6% 14.2% 45 54 18.9% 24.3% 19.9% 55 64 14.5% 16.4% 19.1% 65+ 25.5% 26.1% 27.2%

7 100% Thumb Region Age Distribution 2003 2013 90% 80% 70% 60% 50% 40% 30% 20% 65+ 55 64 45 54 35 44 25 34 18 24 10% 0% 2003 2008 2013 Thumb Region Age Distribution 2003 2008 2013 18 24 11.2% 15.0% 9.5% 25 34 14.5% 10.8% 13.0% 35 44 18.8% 11.6% 15.5% 45 54 20.8% 26.0% 20.6% 55 64 13.9% 15.8% 18.3% 65+ 20.8% 21% 23.2%

8 Healthy Children and Youth Goal 1: Improve Perinatal Health Objective A Objective A: Reduce infant mortality* Infant mortality rate Huron a Michigan a National b Target c 2002 8.3 8.1 7.0 2003 8.2 6.9 2004 8.1 6.8 2005 8.0 6.9 2006 6.1 7.6 6.7 2007 6.0 7.8 6.8 2008 7.6 6.1 2009 7.6 6.4 2010 7.3 2011 6.4 7.1 HP 2020 c 6 *infant deaths /1000 live births Note: Data not available for Huron County for 2003 2005 and 2008 2010 due to <6 occurrences. a: Data obtained from: http://datacenter.kidscount.org/data MI/5/0 b: Data obtained from: http://datacenter.kidscount.org/data/tables/6051 infantmortality?loc=1&loct=1 detailed/1/any/false/133,38,35,18,17/any/12719 c: Healthy People 2020 target obtained from: http://healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=26 85899 9 Infant Mortality Rates for U.S, Michigan, & Huron County Infant mortality rate 8 7 6 5 4 Huron a Michigan a 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 National b

9 Goal 1: Improve Perinatal Health Objective B Objective B: Reduce low birth weight* Percent of infants born with low birth weight Huron a Michigan a National b Target c 2003 6.1% 8.1% 7.9% 2004 6.4% 8.2% 8.1% 2005 7.4% 8.3% 8.2% 2006 7.3% 8.4% 8.3% 2007 7.7% 8.4% 8.2% 2008 7.4% 8.5% 8.2% 2009 7.0% 8.5% 8.2% 2010 7.7% 8.5% 8.1% 2011 8.3% 8.4% 8.1% 2012 8.5% 8.4% 8.0% HP 2020 c 7.8% *born weighing < 2500 grams a: Data obtained from: http://datacenter.kidscount.org/data MI/5/0 b: Data obtained from: http://datacenter.kidscount.org/data/tables/1657 low birthweight babies?loc=24&loct=5 detailed/5/3775,3822/true/868,867,133,38,35/any/13068 c: Healthy People 2020 target obtained from: http://healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=26 85899 9.0% 8.5% Low Birth Weight Infants for: Huron County, Michigan, and the U.S. 8.0% 7.5% 7.0% 6.5% 6.0% Huron a Michigan a National b Linear (Huron a) 5.5% 5.0% 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

10 Goal 1: Improve Perinatal Health Objective C Objective C: Reduce smoking during pregnancy* Percent of women who smoked during pregnancy Huron a Michigan a National b Target c 1997 21.8% 17.8% 1999 19.1% 16.6% 2000 18.3% 15.9% 2001 19.1% 15.5% 2002 21.7% 15.3% 2003 21.7% 14.9% 15% 2004 22.1% 14.4% 16% 2005 21.1% 14.0% 12% 2006 20.5% 13.8% 13% 2007 20.1% 14.1% 10% 2009 12 9% HP 2020 c 1.4% *Percent of women who smoked during their pregnancy a: Data obtained from: http://datacenter.kidscount.org/data MI/5/0 b: Data obtained from: http://datacenter.kidscount.org/data/tables/1655 births to motherswho smoked during pregnancy?loc=24&loct=5 detailed/5/any/false/18,17,16,15,14/any/3517,13073 c: Healthy People 2020 target obtained from: http://healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=26 85899 25.0% Percent of Women Who Smoked During Pregnancy 20.0% 15.0% 10.0% Huron a Michigan a National b 5.0% Linear (Huron a) 1997 1999 2000 2001 2002 2003 2004 2005 2006 2007 2009 12

11 Goal 2: Increase Immunization Levels Objective A Objective A: Increase number of children receiving immunizations* Percent of children 19 35 months who are fully immunized Huron a Michigan a National b Target b 2005 63.9% 74.1% 2006 68.7% 76.8% 2007 72.4% 72.9% 2008 56.3% 65.2% 2009 54.0% 60.9% 2010 75.0% 70.0% 56.6% 2011 76.5% 74.1% 68.5% 2012 77.0% 74.6% HP 2020 b 80% * Percent of children 19 35 months who are fully immunized a: Huron & Michigan 2011 and 2012 data obtained from: http://datacenter.kidscount.org/data/tables/1710 children ages 19 35 months withimmunizations 431331 detailed/2/any/false/868,867,133,38,35/any/3627,13128 b: Healthy People 2020 national and target data obtained from: http://healthypeople.gov/2020/data/searchresult.aspx Immunization Levels for Huron, Michigan, and the U.S. 80.0% 75.0% 70.0% 65.0% 60.0% 55.0% 50.0% 45.0% Huron a Michigan a National b Linear (Huron a) 40.0% 2005 2006 2007 2008 2009 2010 2011 2012

12 Goal 3: Reduce Child Abuse and Neglect Objective A Objective A: Reduce the number/rate of victims of substantiated child abuse and neglect * Rate of confirmed victims of abuse or neglect aged 0 17 Huron Michigan National Target 1990 6.9 10.4 1995 6.6 8.2 2000 8.6 10.4 2005 4.7 11.1 11 2008 2.9 12.0 10 2009 4.0 12.9 9 2010 9.3 13.8 9 2011 12.1 14.3 9 2012 11.1 14.6 9 HP 2020 8.5** * Rate of confirmed victims of abuse or neglect, ages 0 17 per 1,000 children. This includes victims of both fatal and nonfatal abuse/neglect. Note: this is the number of victims, not the number of incidents. Children who were mistreated on more than one occasion are only counted once. **Target rate for nonfatal child maltreatment (per 1,000 population, <18 years). Although this does not include fatal child maltreatment, the HP 2020 target rate for fatal child maltreatment is 2.1 per 100,000 children or.0021/1,000: if added to the nonfatal target rate, this does not significantly alter the target rate indicated above. Data obtained from: http://datacenter.kidscount.org/data/tables/1676 confirmed victims of abuse and orneglect ages 0 17?loc=24&loct=5 detailed/5/3775,3822/true/868,867,133,38,35/any/13162 20 Rate of Substantiated Child Abuse/Neglect for Huron, Michigan, and the U.S. 15 Huron 10 Michigan 5 National 0 Linear (Huron) 1990 1995 2000 2005 2008 2009 2010 2011 2012

13 Goal 4: Reduce Child and Adolescent Deaths Objective A Objective A: Reduce Child and Adolescent Deaths * Rate of deaths for children aged 1 19 years Huron a Michigan a National b Target 1999 57.1 35.3 2000 68.4 33.7 2001 54.8 32.6 2002 37.2 32.5 2003 22.9 31.6 2004 31.3 31.4 2005 32.3 31.1 32 2006 41.9 30.5 31 2007 35 29.7 31 2008 36.7 28.3 29 2009 28.4 27 2010 28.2 27.7 26 2011 28.1 27.7 HP 2020 N/A: No equivalent HP 2020 goal for this objective N/A * Data displayed is the rate of deaths: the number of deaths for ages 1 19 per 100,000 population. Using the rate allows comparison whereas using actual numbers of deaths does not. Note: For Huron County, rate data was not calculated for 2009. The actual number of deaths was 2. a: Data obtained from: http://datacenter.kidscount.org/data/tables/7236 child teendeaths ages 1 19?loc=24&loct=5C b: Data obtained from: http://datacenter.kidscount.org/data/tables/7243 child and teendeahttp://datacenter.kidscount.org/data/tables/7243 child and teen deathrate?loc=1&loct=1 detailed/1/any/false/any/any/14285,14286th rate?loc=1&loct=1

14 80 Rate of Child and Adolescent Deaths for Huron County, the State of Michigan, and the U.S. 70 60 50 40 30 20 10 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Death Rate Huron a Michigan a National b Linear (Huron a)

15 Goal 5: Reduce the use of Alcohol and Tobacco by Adolescents Objective A Objective A: Reduce the use of alcohol Related HP 2020 objective: Increase the proportion of High school seniors never using alcoholic beverages to 30.5% (1) Percent of students who have ever used alcohol Huron [a] Michigan [b] Target 1997 81.9% 1998 69% 1999 81.7% 2000 62% 2001 77.4% 2002 61% 2003 75.9% 2004 58% 2005 72.6% 2007 72.2% 2008 46.8% 2009 68.8% 2010 43.1% 2011 63.8% 2012 36.1% 2013 60.2% 2014 57.3% HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective Note: 1998 2004 Huron County data includes adolescents from 7th 12th grades, 2008 2014 Huron County data includes adolescents from 7th, 9th and 11th grades [a] 1998 2004 data obtained from Thumb Area 2008 Health Status Data Monitoring Report (aka "TRHN Data Book"), pg. 43; 2008, '10, & '14 data retrieved from: https://mdoe.state.mi.us/schoolhealthsurveys/miphyreport/countyreport.aspx [b] Data obtained from: http://www.michigan.gov/documents/mde/2013mih_trend_report_459009_7.pdf

16 90% Percent of Students Who Have Ever Used Alcohol: Huron County & Michigan 80% 70% 60% 50% 40% 30% Huron [a] Michigan [b] 20% 10% 0% 1997 1998 1999 2000 2001 2002 2003 2004 2005 2007 2008 2009 2010 2011 2012 2013 2014

17 Goal 5: Reduce the use of Alcohol and Tobacco by Adolescents Objective A Objective A: Reduce the use of alcohol (2) Percent of students who consumed alcohol in the last 30 days Huron [a] Michigan [b] Target 1997 50.5% 1998 51% 1999 48.5% 2000 43% 2001 46.2% 2002 42% 2003 44.0% 2004 40% 2005 38.1% 2007 42.8% 2008 23.7% 2009 37.0% 2010 33.5% 2011 30.5% 2012 21.0% 2013 28.3% 2014 22.4% HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective Note: 1998 2004 Huron County data includes adolescents from 7th 12th grades, 2008 2014 Huron County data includes adolescents from 7th, 9th and 11th grades [a] 1998 2004 data obtained from Thumb Area 2008 Health Status Data Monitoring Report (aka "TRHN Data Book"), pg. 43; 2008, '10, & '14 data retrieved from: https://mdoe.state.mi.us/schoolhealthsurveys/miphyreport/countyreport.aspx [b] Data obtained from: http://www.michigan.gov/documents/mde/2013mih_trend_report_459009_7.pdf

18 60% Percent of students who consumed alcohol in the last 30 days 50% 40% 30% 20% 10% Huron [a] Michigan [b] 0% 1997 1998 1999 2000 2001 2002 2003 2004 2005 2007 2008 2009 2010 2011 2012 2013 2014

19 Goal 5: Reduce the use of Alcohol and Tobacco by Adolescents Objective B Objective B: Reduce the use of Tobacco (1) Percent of students who have ever smoked cigarettes* Huron [a] Michigan [b] Target 1997 75.0% 1998 50% 1999 72.2% 2000 45% 2001 63.5% 2002 44% 2003 60.2% 2004 28% 2005 52.4% 2007 51.2% 2008 23.5% 2009 46.0% 2010 21.4% 2011 41.1% 2012 17.3% 2013 35.8% 2014 28.0% HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective * For Michigan, data indicates students who ever took even one puff of a cigarette. For Huron County, data indicates students who ever smoked a whole cigarette. If data is used for comparison, this should be considered. Note: 1998 2004 Huron County data includes adolescents from 7th 12th grades, 2008 2014 Huron County data includes adolescents from 7th, 9th and 11th grades [a] 1998 2004 data obtained from Thumb Area 2008 Health Status Data Monitoring Report (aka "TRHN Data Book"), pg. 43; 2008, '10, & '14 data retrieved from: https://mdoe.state.mi.us/schoolhealthsurveys/miphyreport/countyreport.aspx [b] Data obtained from: http://www.michigan.gov/documents/mde/2013mih_trend_report_459009_7.pdf

20 80% Percent of students who have ever smoked cigarettes 70% 60% 50% 40% 30% Huron [a] Michigan [b] 20% 10% 0% 1997 1998 1999 2000 2001 2002 2003 2004 2005 2007 2008 2009 2010 2011 2012 2013 2014

21 Goal 5: Reduce the use of Alcohol and Tobacco by Adolescents Objective B Objective B: Reduce the use of Tobacco (2) Percent of students who smoked cigarettes in the last 30 days Huron [a] Michigan [b] 1997 38.2% 1998 38% 1999 34.1% 2000 31% 2001 25.7% 2002 26% 2003 22.6% 2004 23% 2005 17.0% 2007 18.0% 2008 13.0% 2009 18.8% 2010 14.6% 2011 14.0% 2012 10.0% 2013 11.8% 2014 8.5% Target [c] HP 2020 16% Note: 1998 2004 Huron County data includes adolescents from 7th 12th grades, 2008 2014 Huron County data includes adolescents from 7th, 9th and 11th grades [a] 1998 2004 data obtained from Thumb Area 2008 Health Status Data Monitoring Report (aka "TRHN Data Book"), pg. 43; 2008, '10, & '14 data retrieved from: https://mdoe.state.mi.us/schoolhealthsurveys/miphyreport/countyreport.aspx [b] Data obtained from: http://www.michigan.gov/documents/mde/2013mih_trend_report_459009_7.pdf [c] Target obtained from: http://healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=41

22 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Percent of students who smoked cigarettes in the last 30 days 1997 1998 1999 2000 2001 2002 2003 2004 2005 2007 2008 2009 2010 2011 2012 2013 2014 Huron [a] Michigan [b] Access to Health Care Goal 6: Increase access to information about resources available in the community Objective A: Increase agency awareness summary of agencies/programs on www.thumbresources.org. Data for this goal/objective is no longer available: the purpose and content of the website has changed.

23 Goal 7: Decrease economic barriers to health care Objective A Objective A: Reduce the number of people living below the poverty line Percent of people living below the poverty line Huron (a) Michigan (a) Target 1997 12.0% 11.5% 1999 10.3% 9.9% 2001 11.2% 9.8% 2003 10.8% 11.0% 2005 11.7% 13.1% 2007 12.7% 13.9% 2009 15.4% 16.1% 2011 14.4% 17.5% HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective (a) Data retrieved from: http://datacenter.kidscount.org/data/tables/1765 poverty all ages saipe?loc=24&loct=2 detailed/5/3775,3822/false/867,133,38,35,18/any/13136 20.0% Percent of people living below the poverty line 15.0% 10.0% 5.0% Huron (a) Michigan (a) 0.0% 1997 1999 2001 2003 2005 2007 2009 2011

24 Goal 7: Decrease economic barriers to health care Objective B Objective B: Reduce the number of children living in poverty Percent of children (0 17) living in poverty Huron Michigan Target 1997 17.6% 18.0% 1999 14.2% 14.2% 2001 15.3% 13.4% 2003 15.5% 15.0% 2005 15.7% 18.3% 2007 18.0% 19.3% 2009 21.6% 22.2% 2011 22.8% 24.6% 2012 23% 23% 2013 23% 25% 2014 24% 25% HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective 1997 2009 Data retrieved from: http://datacenter.kidscount.org/data/tables/1692 poverty children ages 0 17 saipe?loc=24&loct=5 detailed/5/3775,3822/true/867/any/13134 2012 '14 Data retrieved from: http://www.countyhealthrankings.org/app/michigan 30.0% Percent of children (0 17) living in poverty 25.0% 20.0% 15.0% 10.0% Huron Michigan 5.0% 0.0% 1997 1999 2001 2003 2005 2007 2009 2011 2012 2013 2014

25 Goal 7: Decrease economic barriers to health care Objective C Objective C: Increase the number of people with health insurance Percent of population insured Target Huron (a) Michigan (a) National (b) (b) 2006 86.9% 87.7% 83.0% 2007 86.2% 87.9% 83.4% 2008 85.9% 87.6% 83.2% 2009 85.8% 86.1% 82.5% 2010 84.4% 85.7% 81.8% 2011 85.3% 86.4% 82.8% 2012 85.6% 86.6% 83.1% 2013 84% 86% 2014 85% 86% HP 2020 100% (a) 2006 12 data retrieved from: http://www.census.gov/did/www/sahie/data/interactive/ view=data&utilbtn=pdf&ylb=0&stlb=23&alb=0&slb=0&ilb=0&rlb=0&countycbselected=true&insu redrbg=pu_&multiyearselected=false&multiyearalertflag=false (b) 2006 12 data and target retrieved from: http://healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=1 * 2013 14 data retrieved from: http://www.countyhealthrankings.org/app/michigan 90.0% Percent of population insured 88.0% 86.0% 84.0% 82.0% 80.0% Huron (a) Michigan (a) National (b) 78.0% 2006 2007 2008 2009 2010 2011 2012 2013 2014

26 Goal 8: Increase access to primary care services Objective A Objective A: Decrease preventable [ambulatory care sensitive] hospitalizations* Percentage of ambulatory care sensitive hospitalizations Huron (a) Michigan (a) Target 1999 22.3% 19.0% 2000 21.3% 18.7% 2001 20.3% 18.9% 2002 21.2% 19.4% 2003 19.1% 19.4% 2004 20.2% 19.5% 2005 20.8% 20.1% 2006 20.7% 19.8% 2007 20.7% 20.0% 2008 23.0% 20.4% 2009 21.5% 20.5% 2010 20.8% 20.5% 2011 21.5% 20.6% 2012 24.2% 20.2% HP 2020 N/A: No equivalent HP 2020 goal for this objective N/A Notes: Ambulatory Care Sensitive Hospitalizations are hospitalizations for conditions where timely and effective ambulatory care can decrease hospitalizations by preventing the onset of an illness or condition, controlling an acute episode of an illness or managing a chronic disease or condition. Hospitalizations are inpatient hospital stays as measured by stays that were completed during the specified year. The number of hospitalizations is often greater than the number of persons hospitalized since some persons are hospitalized more than once during a year. Percent of all hospitalizations that were categorized as ambulatory care sensitive hospitalizations for the specified year. Source: Michigan Resident Inpatient Files, Division for Vital Records and Health Statistics, Michigan Department of Community Health Last Updated: 03/17/2014 (a) Data & notes retrieved from: http://www.mdch.state.mi.us/pha/osr/chi/hosp/trends/trends/counties/pht32.html

27 25.0% Percentage of ambulatory care sensitive hospitaliations 24.0% 23.0% 22.0% 21.0% 20.0% 19.0% Huron (a) Michigan (a) Linear (Huron (a)) 18.0% 17.0% 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

28 Goal 8: Increase access to primary care services Objective B Objective B: Increase the number of primary care physicians per 100,000 Related HP 2020 goal: Increase the number of practicing primary care providers Number of primary care physicians per 100,000 Huron Michigan Target 2008 43 2010 45 90 2011 49 89 2012 49 89 2013 61 79 2014 58 79 HP 2020 * HP 2020 goal does not list a target value N/A* 2008 '10 Data obtained from: http://www.healthindicators.gov/indicators/primary care providers per 100000_25/Profile 2011 '14 data obtained from: http://www.countyhealthrankings.org Note: for ease of comparison, County Health Ranking data was converted from a ratio of residents: physician to physicians per 100,000 population 100 Number of primary care physicians per 100,000 80 60 40 Huron Michigan 20 0 2008 2010 2011 2012 2013 2014

29 Goal 8: Increase access to primary care services Objective C Objective C: Increase adequate prenatal care Percent of births with less than adequate care Huron Michigan Target 1997 21.80% 24.00% 1999 19.9% 24.4% 2001 18.7% 24.0% 2003 16.4% 21.7% 2005 13.1% 21.9% 2007 12.3% 22.5% 2009 21.7% 29.5% 2011 19.5% 29.4% HP 2020 23.4%* Data retrieved from: http://datacenter.kidscount.org/data MI/5/27/28 * Target value calculated from HP 2020 objective MICH 10.2 "Increase the proportion of pregnant women who receive early and adequate prenatal care" to 77.6% 35.00% 30.00% 25.00% Percent of births with less than adequate care 20.00% 15.00% 10.00% 5.00% 0.00% 1997 1999 2001 2003 2005 2007 2009 2011 Huron Michigan

30 Goal 8: Increase access to primary care services Objective D Objective D: Increase access to dental care Number of Dentists per 100,000 Huron Michigan Target 1996 43 66 2006 44 56 2008 40 2013 39 63 2014 43 66 HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective 1996 2008 data obtained from the Huron County Community Health Profile (updated July 2012). 2013 '14 data retrieved from http://www.countyhealthrankings.org Note: for ease of comparison, County Health Ranking data was converted from a ratio of # residents per physician to the ratio of physicians per 100,000 population. 70 Number of Dentists per 100,000 60 50 40 30 20 Huron Michigan 10 0 1996 2006 2008 2013 2014

31 Healthy Adults Goal 9: Improve mental health of adults Objective A Objective A: Reduce deaths from suicide Number of suicide deaths per 100,000 (a) Michigan Huron (b) (b) Target 2001 14.8 10.0 2002 15.2 10.4 2003 14.3 10.5 2004 12.9 10.6 2005 * 10.6 2006 10.8 11.0 2007 13.8 11.0 2008 15.4 11.3 2009 16.8 11.4 2010 18.5 11.9 2011 17.3 12.0 2012 16.5 12.4 HP 2020 N/A N/A: No equivalent HP 2020 goal for this objective * An asterisk indicates that data does not meet standards of reliability or precision. (a) Data represents 5 year moving averages for a five year period ending with the year displayed, i.e. 2001 data is the average of 1997 2001 data. (b) Data retrieved from: http://www.mdch.state.mi.us/pha/osr/chi/profiles/frame.html 20 18 16 14 12 10 8 6 4 2 0 2001 Number of suicide deaths per 100,000 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Huron (b) Michigan (b)

32 Goal 10: Reduce Preventable Chronic Disease Deaths Objective A Objective A: Decrease Deaths from heart disease (Number of deaths per 100,000 population) Number of deaths from heart disease per 100,000 (age adjusted)* Huron Michigan Target 2001 284.4 284.1 2002 264.3 276.1 2003 251.3 266.2 2004 246.3 255.3 2005 231.3 246.6 2006 215.9 237.0 2007 204.2 230.7 2008 200.0 224.0 2009 206.6 216.3 2010 198.9 209.7 2011 191.2 203.3 2012 181.0 200.9 HP 2020 103.4 * Data represents 3 year moving averages for a three year period ending with the year displayed, i.e. 2001 data is the average of 1999 2001 data. Data retrieved from: http://www.mdch.state.mi.us/pha/osr/chi/cri/frame.html HP 2020 target obtained from: http://www.healthypeople.gov/2020/topics objectives/topic/heart disease andstroke/objectives 325 275 225 175 125 75 Deaths from Heart Disease per 100,000 population 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 HP 2020 Huron Michigan Target Linear (Huron)

33 Goal 10: Reduce Preventable Chronic Disease Deaths Objective B Objective B: Decrease Deaths from cancer (Number of deaths per 100,000 population) Number of deaths from cancer per 100,000 (age adjusted)* Huron Michigan Target 2001 189.3 202.1 2002 196.0 200.1 2003 189.7 196.7 2004 203.5 194.0 2005 193.0 192.0 2006 183.5 191.2 2007 168.7 189.5 2008 166.5 186.7 2009 177.1 183.8 2010 186.4 182.6 2011 190.4 180.3 2012 185.0 178.1 HP 2020 161.4 * Data represents 3 year moving averages for a three year period ending with the year displayed, i.e. 2001 data is the average of 1999 2001 data. Data retrieved from: http://www.mdch.state.mi.us/pha/osr/chi/cri/frame.html HP 2020 target obtained from: http://www.healthypeople.gov/2020/topics objectives/topic/cancer/objectives Number of deaths from cancer per 100,000 Population 210 190 170 150 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 HP 2020 Huron Michigan Target Linear (Huron)

34 Goal 10: Reduce Preventable Chronic Disease Deaths Objective C Objective C: Decrease Deaths from diabetes (Number of deaths per 100,000 population) Number of deaths from diabetes per 100,000 (age adjusted)* Huron Michigan Target 2001 32.2 26.9 2002 35.4 27.2 2003 37.1 26.8 2004 31.5 27.5 2005 21.8 27.4 2006 17.5 27.6 2007 18.1 26.7 2008 22.6 26.0 2009 26.5 25.2 2010 26.6 24.4 2011 29.3 24.1 2012 25.8 23.7 HP 2020 66.6 * Data represents 3 year moving averages for a three year period ending with the year displayed, i.e. 2001 data is the average of 1999 2001 data. Data retrieved from: http://www.mdch.state.mi.us/pha/osr/chi/cri/frame.html HP 2020 target obtained from: http://www.healthypeople.gov/2020/topics objectives/topic/diabetes/objectives 70 60 50 40 30 20 10 0 Number of deaths from diabetes per 100,000 Population 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 HP 2020 Huron Michigan Target Linear (Huron)

35 Goal 10: Reduce Preventable Chronic Disease Deaths Objective D Objective D: Decrease deaths from stroke (Number of deaths per 100,000 population) Number of deaths from stroke per 100,000 (age adjusted)* Huron Michigan Target 2001 67.7 61.0 2002 59.2 59.1 2003 63.1 56.8 2004 65.2 54.7 2005 59.7 51.5 2006 50.0 48.5 2007 47.6 45.5 2008 47.4 43.4 2009 43.6 41.6 2010 39.2 40.4 2011 36.6 39.2 2012 34.7 38.4 HP 2020 34.8 * Data represents 3 year moving averages for a three year period ending with the year displayed, i.e. 2001 data is the average of 1999 2001 data. Data retrieved from: http://www.mdch.state.mi.us/pha/osr/chi/cri/frame.html HP 2020 target obtained from: http://www.healthypeople.gov/2020/topics objectives/topic/heart disease andstroke/objectives 80 Number of deaths from stroke per 100,000 Population 60 40 20 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 HP 2020 Huron Michigan Target Linear (Huron)

36 Goal 11: Reduce the transmission of HIV Objective A Objective A: Reduce the number of HIV positive people Related Healthy People 2020 goal: Reduce new HIV infections Number of HIV positive people (non stage 3 HIV infection) Huron Michigan Target 2005 0 5956 2006 0 5999 2007 1 6244 2008 2 6423 2009 2 6606 2010 2 6791 2011 2 6935 2012 2 7115 2013 3 7255 2014 2 7319 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Data retrieved from: http://www.michigan.gov/mdch/0,4612,7 132 2944_5320 35962,00.html 4 3 3 2 2 1 1 0 Number of HIV positive people (non stage 3 HIV infection) in Huron County 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Huron

37 Goal 11: Reduce the transmission of HIV Objective B Objective B: Reduce the number of people with AIDS (Stage 3 HIV infection) 1) Number of people with AIDS (Stage 3 HIV infection) Huron Michigan Target 2005 2 5976 2006 2 6415 2007 2 6904 2008 2 7371 2009 2 7581 2010 2 7990 2011 2 8065 2012 4 7881 2013 4 8041 2014 5 8337 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Data retrieved from: http://www.michigan.gov/mdch/0,4612,7 132 2944_5320 35962,00.html 6 Number of people with AIDS (Stage 3 HIV infection)in Huron County 5 4 3 2 Huron 1 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

38 Goal 11: Reduce the transmission of HIV Objective B 2) Rate of total (all stages) HIV infection Huron Michigan Target 2005 * 165 2006 * 163 2007 9 130 2008 12 137 2009 12 141 2010 12 148 2011 12 150 2012 18 152 2013 21 155 2014 22 158 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Rate= number of people per 100,000 population *Prevalence rates of <10 are unreliable and therefore not reported cell left blank. Data retrieved from: Note: The data year displayed in the tables above indicates the year the data was reported. For 2006 and prior, the rate of HIV infection was estimated. After 2006, rates are reported rates rather than estimates. 180 160 140 120 100 80 60 40 20 0 Rate of HIV Infection 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Huron Michigan

39 Goal 12: Reduce abusive patterns of alcohol and cigarette use among adults Objective A Objective A: reduce alcohol abuse [as determined by the number of arrests for driving under the influence (DUI) of alcohol] Related Healthy People 2020 goal: Decrease the rate of alcohol impaired driving (.08+ blood alcohol content [BAC]) fatalities 1) Number of adults arrested for DUI Huron Michigan Target 2001 242 50,469 2002 278 50,533 2003 207 49,131 2004 205 47,221 2005 181 47,275 2006 183 46,085 2007 154 42,141 2008 160 39,994 2009 159 39,632 2010 187 36,984 2011 142 31,962 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal 300 Number of adults arrested for DUI 250 200 150 100 Huron 50 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

40 Goal 12: Reduce abusive patterns of alcohol and cigarette use among adults Objective A Objective A: reduce alcohol abuse [as determined by the number of arrests for driving under the influence (DUI) of alcohol] 2) Rate* of adults arrested for DUI Huron Michigan Target 2001 874 682 2002 994 678 2003 756 655 2004 750 626 2005 667 624 2006 680 608 2007 583 556 2008 620 528 2009 621 523 2010 711 490 2011 538 422 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal *Rate = number of people per 100,000 population Data retrieved from: http://ojjdp.gov/ojstatbb/ezaucr/asp/ucr_display.asp 1200 Rate of adults arrested for DUI 1000 800 600 400 Huron Michigan 200 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

41 Goal 12: Reduce abusive patterns of alcohol and cigarette use among adults Objective B Objective B: Increase treatment admissions for substance abuse Related HP 2020 goal: Increase the number of admissions to substance abuse treatment for injection drug use Number of treatment admissions for substance abuse Huron Michigan Target 2007 182 69,944 2008 163 68,591 2009 180 69,832 2010 162 65,029 2011 126 66,347 2012 143 62,293 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal County/state Data retrieved from: http://www.michigan.gov/mdch/0,4612,7 132 2941_4871_45835_48569 15628,00.html 190 180 170 160 150 140 130 120 110 100 Number of treatment admissions for substance abuse 2007 2008 2009 2010 2011 2012 Huron Linear (Huron)

42 Goal 12: Reduce abusive patterns of alcohol and cigarette use among adults Objective C Objective C: reduce cigarette use Percentage of Adults Who Currently Smoke Huron (a) Thumb region (a) Michigan (b) 2003 22.0% 23.8% 25.8% 2008 18.0% 20.0% 20.2% 2013 25.1% 26.0% 21.4% Target HP 2020 12% (a) Data obtained from the 2003, 2008, and 2013 Thumb Behavioral Risk Factor Surveys (b) Data retrieved from: http://www.michigan.gov/mdch/0,4612,7 132 2945_5104_5279_39424_39426 134606,00.html [c] Healthy People 2020 Target obtained from: http://www.healthypeople.gov/2020/topics objectives/topic/tobacco use/objectives Percentage of Adults Who Currently Smoke 29.0% 27.0% 25.0% 23.0% 21.0% 19.0% Huron (a) Thumb region (a) Michigan (b) 17.0% 15.0% 2003 2008 2013

43 Safe Communities Goal 13: Decrease motor vehicle crash deaths Objective A Objective A: Reduce deaths from motor vehicle crashes Number of fatalities Huron Michigan Target 2000 7 1382 2001 3 1328 2002 9 1277 2003 5 1283 2004 5 1159 2005 7 1129 2006 4 1086 2007 3 1087 2008 2 980 2009 2 872 2010 4 942 2011 5 889 2012 2 938 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Number of Traffic Fatalities in Huron County 10 9 8 7 6 5 4 3 2 1 0 Huron Linear (Huron) 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

44 Goal 13: Decrease motor vehicle crash deaths Objective A Objective A: Reduce deaths from motor vehicle crashes Fatality rate (per 100,00 population) Huron Michigan National Target 2000 19.43 13.88 14.87 2001 8.42 13.27 14.81 2002 25.52 12.72 14.95 2003 14.32 12.74 14.78 2004 14.49 11.49 14.63 2005 20.55 11.19 14.72 2006 11.89 10.77 14.31 2007 9.03 10.81 13.7 2008 5.97 9.85 12.31 2009 6.01 8.81 11.05 2010 12.1 9.54 10.67 2011 15.29 9.00 10.42 2012 6.16 9.49 10.69 HP 2020 12.4 2000 07 rate calculated using fatality and census data from 2 sites: http://www fars.nhtsa.dot.gov/states/statescrashesandallvictims.aspx and http://www.michigan.gov/cgi/0,4548,7 158 54534 238995,00.html 2008 12 County data retrieved from: http://www fars.nhtsa.dot.gov/states/statescrashesandallvictims.aspx State data retrieved from: http://www nrd.nhtsa.dot.gov/departments/nrd 30/ncsa/STSI/26_MI/2012/26_MI_2012.PDF National data retrieved from: http://www fars.nhtsa.dot.gov/main/index.aspx Healthy People 2020 target retrieved from: http://healthypeople.gov/2020/data/searchresult.aspx?topicid=24&topic=injury and Violence Prevention&objective=IVP 13.1&anchor=6681

45 30 Traffic Fatality Rate (per 100,000 population) 25 20 15 10 Huron Michigan National Linear (Huron) 5 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

46 Goal 14: Reduce the occurrence of domestic violence Objective A Objective A: reduce the number of assaults attributed to domestic violence Healthy People 2020 topic, "Injury and Violence Prevention" includes multiple related objectives Number of victims of domestic violence Huron Michigan Target 2004 106 54,258 2005 237 105,775 2006 250 100,958 2007 169 101,388 2008 183 99,790 2009 192 103,331 2010 159 101,171 2011 226 95,024 2012 206 94,891 2013 143 93,572 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal Objective A: reduce the number of assaults attributed to domestic violence Rate* of domestic violence Huron Michigan Target 2004 302.7 539.6 2005 683.2 1,052.4 2006 727.5 1,006.0 2007 496.6 1,013.7 2008 546.2 1,003.2 2009 577.1 1,043.6 2010 480.9 1,024.2 2011 691.0 962.1 2012 634.6 960.1 2013 443.8 945.6 HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal *Rate = number of victims per 100,000 population Data retrieved from: http://www.michigan.gov/msp/0,4643,7 123 1645_3501_4621 332107,00.html

47 1200 Rate of domestic violence 1000 800 600 400 Huron Michigan Linear (Huron) 200 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

48 Healthy Adults Goal 15: Reduce asthma morbidity Objective A Objective A: Reduce hospital visits due to asthma Related Healthy People 2020 goal: Reduce hospitalizations for asthma Rate* of preventable hospitalizations due to asthma for patients of all ages Huron Michigan Target 2001 05 11.9 12.0 2006 11.7 14.7 2007 11 11.3 15.8 2012 10.2 13.7 HP 2020 15.7 * Rate = number of preventable hospitalizations per 10,000 population 2001 05 and 2006 data obtained from the Thumb Area Community Health Data Book, March 2009. 2007 11 and 2012 data retrieved from: http://www.mdch.state.mi.us/pha/osr/chi/hosp/frame.html Healthy People 2020 age specific target ranges obtained from: http://www.healthypeople.gov/2020/topics objectives/topic/respiratory diseases/objectives 18 16 14 12 10 8 6 4 2 0 Rate of preventable hospitalizations due to asthma for patients of all ages 2001 05 2006 2007 11 2012 Huron Michigan

49 Goal 16: Reduce childhood lead poisoning Objective A Objective A: Increase the number of children screened for lead Percentage of children under age 6 tested for lead Huron Michigan Target 2005 (a) 11.1% 14.9% 2006 (a) 16.6% 17.4% 2007 (a) * 16.9% 2008 (b) 24.4% 17.7% 2009 (a) * 15.1% 2010 (b) 26.8% 21.0% 2011 (b) 28.0% 21.1% 2012 (b) 24.5% 20.7% HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal * Data not available 30.0% Percentage of children under age 6 tested for lead 25.0% 20.0% 15.0% 10.0% Huron Michigan 5.0% 0.0% 2005 (a) 2006 (a) 2007 (a) 2008 (b) 2009 (a) 2010 (b) 2011 (b) 2012 (b)

50 Goal 16: Reduce childhood lead poisoning Objective B Objective B: Decrease children with elevated lead levels (> 10ug/dL) HP 2020 objective: Eliminate elevated blood lead levels (> 10ug/dL) in children Percentage of children under the age of 6 with elevated lead levels (> 10ug/dL) Huron Michigan Target 2005 (a) 0.7% 2.8% 2006 (a) 0.3% 1.8% 2007 (a) * 1.5% 2008 (b) 0.0% 1.2% 2009 (a) * 0.6% 2010 (b) 0.4% 0.8% 2011 (b) 0.0% 0.6% 2012 (b) 0.0% 0.5% HP 2020 0.0% * Data not available HP 2020 Target obtained from: http://www.healthypeople.gov/2020/topics objectives/topic/environmentalhealth/objectives 3.0% Percentage of children under the age of 6 with elevated lead levels (> 10ug/dL) 2.5% 2.0% 1.5% 1.0% Huron Michigan 0.5% 0.0% 2005 (a) 2006 (a) 2007 (a) 2008 (b) 2009 (a) 2010 (b) 2011 (b) 2012 (b)

51 Goal 16: Reduce childhood lead poisoning Objective C Objective C: reduce the number of houses built before 1950 Related Healthy People 2020 goals: i) Increase the proportion of persons living in pre 1978 housing that has been tested for the presence of lead based paint or related hazards. ii) Reduce the number of U.S. homes that are found to have lead based paint or related hazards Percentage of homes built before 1950 Huron Michigan Target 2000 (a) 33.5% 26.7% 2010 (b) 33.5% 27.0% 2011 (b) 31.8% 24.7% 2012 (b) 31.8% 24.7% HP 2020 N/A N/A: No equivalent Healthy People 2020 Goal (a) Data retrieved from: http://www.cdc.gov/nceh/lead/data/state/midata.htm (b) Data retrieved from: http://www.michigan.gov/documents/mdch/1129_02_01_09_264227_7.pdf 40.0% Percentage of homes built before 1950 35.0% 30.0% 25.0% 20.0% 15.0% Huron Michigan 10.0% 5.0% 0.0% 2000 (a) 2010 (b) 2011 (b) 2012 (b)

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