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County Project

Presentation of Cardiovascular Disease in Lincoln County, GA
by

Derrick Farmer

on 1 March 2011

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Transcript of County Project


Patrick Fannon, Derrick Farmer, Fiyin Fawole, Nasir Fahkri, Bert Finney, Joseph Duong Cardiovascular Disease Intervention Domains "Georgia's Freshwater Coast"
Founded February 20, 1796
Named for Revolutionary War hero General Benjamin Lincoln
Borders Elbert, Wilkes, McDuffie & Columbia Counties (and SC)
A rural county covering 257 square miles in the Central Savannah River Area
County Seat: Lincolnton, GA “Cardiovascular disease generally refers to conditions that involve narrowed or blocked blood vessels that can lead to a heart attack, chest pain (angina) or stroke. Other conditions, such as infections and conditions that affect your heart’s muscle, valves or beating rhythm, also are considered forms of heart disease.” - The Mayo Clinic Heart Health in Lincoln Co. Lincoln County You are here In 2006, 631,636 deaths were attributed to CV disease
The leading cause of death for both men and women (1 in every 4 deaths due to CV disease)
Predicted costs of CV disease in 2010: $316.4 billion. This includes the cost of health care, services, medication, and lost productivity Demographics Cost-effective
To be held by county health department, utilizes a wide array of available educational materials
Relatively easy to organize
Short-term results are measurable
Evidence of previous successes: the Stroke and Heart Attack Prevention Program (SHAPP) shows the success of patient education Socioeconomic Data "2009 Georgia Program and Data Summary: Cardiovascular Disease." Georgia Department of Community Health, 2009. Web. 2010. <http://health.state.ga.us/pdfs/epi/cdiee/CDIEE%20Data%20Summaries%202009/2009_CVD_Program_Data_Summary.pdf>.

"9 Myths about Heart Disease, the No. 1 Killer | Detroit Free Press | Freep.com." Detroit Free Press | Detroit News, Sports, Community, Entertainment, and Classifieds. Serving Detroit, Michigan | Freep.com. Web. 28 Feb. 2011. <http://www.freep.com/article/20110220/FEATURES08/102200410/9-myths-about-heart-disease-No-1-killer>.

"Annual Health Status Measures 2008." Healthy People 2000-2010. Web. <http://www.health.state.ga.us/pdfs/reports/DPH%20Health%20Status%20Measures%208.0.pdf>.

"Cadiovascular Health." Division of Public Health. Web. 28 Feb. 2011. <http://health.state.ga.us/programs/cardio/index.asp>.

"CDC - DHDSP - Educational Materials for Professionals." Centers for Disease Control and Prevention. Web. 28 Feb. 2011. <http://www.cdc.gov/dhdsp/materials_for_professionals.htm>.

"CDC - DHDSP - Fact Sheets - The Stroke and Heart Attack Prevention Program (SHAPP) Fact Sheet." Centers for Disease Control and Prevention. Web. 28 Feb. 2011. <http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_shapp.htm>.

"CDC - DHDSP - Heart Disease Facts." Centers for Disease Control and Prevention. Web. 28 Feb. 2011. <http://www.cdc.gov/heartdisease/facts.htm>.

"CDC SNAPS | Georgia: Lincoln." CDC Emergency Preparedness & Response Site. Web. 28 Feb. 2011. <http://www.bt.cdc.gov/snaps/data/13/13181.htm>.

"Chronic Disease Indicators." Web. <http://apps.nccd.cdc.gov/cdi/SearchResults.aspx?IndicatorIds=62,56,52,46,40,78,68,28,39,32&StateIds=11,46&StateNames=Georgia,United%20States&FromPage=HomePage>

"Coronary Artery Disease." Healthcare Center. Web. 28 Feb. 2011. <http://adam.about.net/reports/Coronary-artery-disease.htm>.

"County-by-County - Partner Up! for Public Health." Welcome to Partner Up! for Public Health. Web. 28 Feb. 2011. <http://www.togetherwecandobetter.com/articles/article/7471220/140683.htm>.

Division of Public Health. Web. 28 Feb. 2011. <http://health.state.ga.us/epi/cdiee/diabetes.asp>.

"Funding - Healthy People 2020." Healthy People 2020 - Improving the Health of Americans. Web. 28 Feb. 2011. <http://www.healthypeople.gov/2020/implementing/funding.aspx>.

Georgia Division of Public Health | OASIS. Web. 28 Feb. 2011. <http://oasis.state.ga.us/oasis/index.aspx>.

"Georgia." Research!America. Web. 28 Feb. 2011. <http://www.researchamerica.org/georgia>. Bibliography (1 of 2) Lincoln County Public Health is located in Lincolnton
Two full time staff members Special Thanks
Dr. Dolen
Dr. Perry
Darren Mays, MPH, PhD
Brenda Golsby, RN General Information Cardiovascular Disease in the U.S.
- The Facts Why Cardiovascular Disease? Leading cause of death in Lincoln County
In the highest 25% of Georgia counties for CV disease-related deaths
Death rates due to CVD in Lincoln County are on average 59% higher than the state average (HP 2020 objective: Increase overall CV health in the U.S. population)
The percentage of obese adults in Lincoln County is 30.5% (HP 2020 target 15%) Social & Health Indicators
for Cardiovascular Disease (1 of 2) Smoking
Lack of physical activity
Poor eating habits
Obesity
High blood pressure
High cholesterol
Diabetes Social & Health Indicators (2 of 2) Community Resources A Community "Heart" Health Fair Objectives Challenges Access to care: no hospitals, no trauma centers, no vascular clinics
No fitness centers
Access to health education
Funding
Few healthy shopping options Participant Evaluation Integral to improving cardiovascular health
Lincoln County ranks 145th of 159 counties in Georgia for access to care
25.6% of residents under the age of 65 are uninsured
Only 1 physician per 4090 residents (AHS-3, 5, 6 and 7) Why Access to Care? Blood pressure and cholesterol screening: Secondary intervention
Blood pressure screening by MCG students/ qualified volunteers
Blood drawn by paid staff at Lincoln County Health Department and sent to a private lab Health Fair Educational video: short video to educate on the causes and dangers of heart disease, "American Heart Association Heart Hub for Patients"
Educational Brochure
Primary Interventions Health Fair Risk measurement: Secondary interventions
American Heart Association’s “Heart Attack Risk Assessment” Health Fair Continuing medical care
Referring patients to doctors outside of Lincolnton
Lincoln County typically refers patients to: Medlink in Wilkes County, Christ Community Clinic in Augusta and MCG Resident Continuity of Care Clinic Health Fair Getting the word out:
Announcements in churches, community non-profit groups
Flyers in Bell’s grocery store, other downtown businesses
Lincolnton Theater Marquee
The Lincoln Journal, a community newspaper Health Fair Gauging patient education provides soft indicators of the program's overall success
“Soft indicators” recognize progress towards a “hard” outcome Health Fair: Measuring Success Health Fair: Funding Healthy People Action Project Purpose, up to $35,000
Potential sponsors: Alpha Diagnostic International, up to $1,500
Lincoln County non-profit organizations Sustainability
Changing behavior Project Limitations Short-term
Increase education and awareness of cardiovascular disease (HP 2020 HDS-16,17)
Increase the proportion of adults who have had their blood pressure and cholesterol measured within the past two years (HP 2020 HDS-5,6)
Educate residents of Lincoln County on where they can receive regular primary care (HP 2020 AHS-6) Objectives Long-term
Increase the overall cardiovascular health in Lincoln County (HP 2020 HDS-1-3)
Increase the proportion of persons with a usual primary care provider (HP 2020 AHS-3-7) Health And Fitness - Tips and Articles for Men and Women. Web. 28 Feb. 2011. <http://www.health-fitness.com.au/>.

"Health Fair Planning Guide." Family and Consumer Sciences, Texas AgriLife Extension Service. Web. 28 Feb. 2011. <http://fcs.tamu.edu/health/health_fair_planning_guide/index.php>.

"Healthy People 2020 Action Project: Request for Proposal." Web. <http://www.healthypeople.gov/2020/implementing/funding.pdf>.

"Heart Attack Risk Assessment." Www.heart.org. Web. 28 Feb. 2011.
<http://www.heart.org/HEARTORG/Conditions/HeartAttack/HeartAttackToolsResourcesHeart-Attack-Risk-Assessment_UCM_303944_Article.jsp>.

"Heart Disease and Stroke - Healthy People." Healthy People 2020 - Improving the Health of Americans. Web. 28 Feb. 2011. <http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=21>.

"Lincoln County, Georgia Detailed Profile - Houses, Real Estate, Cost of Living, Wages, Work, Agriculture, Ancestries, and More." Stats about All US Cities - Real Estate, Relocation Info, House Prices, Home Value Estimator, Recent Sales, Cost of Living, Crime, Race, Income, Photos, Education, Maps, Weather, Houses, Schools, Neighborhoods, and More. Web. 28 Feb. 2011. <http://www.city-data.com/county/Lincoln_County-GA.html>.

Lincoln County Georgia Government. Web. 28 Feb. 2011. <http://www.lincolncountyga.com/>.

"Lincolnton, Georgia GA Community Profile / Lincoln County, GA Data." Georgia Gazetteer: City Profiles, Physical & Cultural Features. Web. 28 Feb. 2011. <http://georgia.hometownlocator.com/ga/lincoln/lincolnton.cfm>.

"Nonprofit Organization Lookup." Melissa Data Contact Data Quality and Enrichment Solutions. Web. 28 Feb. 2011. <http://www.melissadata.com/Lookups/np.asp?zip=30817>.

Organique Gal - Creative Writing, Whole Food Recipes, Natural Weight Loss, and an Eco-friendly Natural Family Life. Web. 28 Feb. 2011. <http://organiquegal.com/>.

Other State and Local Funding Resources. U.S. Department of Housing and Urban Development. Web. <http://www.hud.gov/local/shared/working/r4/fbci/localfundingga.cfm?state=ga>.

"SCDHEC: Best Chance Network." S.C. Department of Health & Environmental Control. Web. 28 Feb. 2011. <http://www.scdhec.gov/health/chcdp/cancer/bcn.htm>.

"The Stroke and Heart Attack Prevention Program." Web. <http://www.cdc.gov/DHDSP/data_statistics/fact_sheets/docs/fs_shapp.pdf>.

"What Is a Heart Attack?" National Heart, Lung and Blood Institute. Web. 28 Feb. 2011. <http://www.nhlbi.nih.gov/health/dci/Diseases/HeartAttack/HeartAttack_WhatIs.html>.

"Women and Cardiovascular Diseases - Statistics." Web. <http://www.americanheart.org/downloadable/heart/1260905040318FS10WM10.pdf>. Bibliography (2 of 2)
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