Riverside, County Candice Holbert-Velasquez

Hi, my name is Candice Holbert and I'm going to

be talking to you today about riverside county.

Riverside County is a very big county, is actually the

10th largest county in California and it covers 7300 square

miles and is home to more than 2.4 million ethnically

diverse residents.

It's a mix of rural, scenic beauty and technology advanced

cities was found in 18 70 by jOHn North as

a group of easterners who wish to establish a colony

dedicated to furthering education and culture.

It was built on land that was once a spanish

rancho as we can see where great mix of culture

here um, with a majority of our population being caucasian

and we do have a great number of american indians

that live here in riverside County.

And we're going to discuss those native americans later on

from my at risk population.

One of the main reasons I really love living in

riverside is that the age group is very close to

my age group and reflects my current family situation with

most of the people in Riverside County being between 25

and 64 years old and having families with kids.

Mhm, fortunately we do have a very well balanced medium

household income in Riverside County.

As you can see with ranging between 72,000 and 91,000

and all the races within Riverside County seemed to have

about equal equity in that household income.

We do have about 56,000 families that are under the

poverty line.

And of those, 56,000 families, 39,000 of them are families

with Children.

And according to the state of California, that's about 6.96%

of the families in riverside, Compared to 6.85% of the

families in California are living below the poverty line For

education attainment.

In Riverside County, we actually do have a lot of

educated people in this county.

Um, it looks like about 14% of them have attained

at least a bachelor's degree.

5% of them have master's degree or above and 1.2%

of them have at least a professional degree.

Um also, what's really important is we do have really

good school districts in Riverside County.

That's one of the reasons why I moved here with

you can see that 90% Of the high school graduates

actually graduate from high school.

Um, and compared to the healthy people, 2020 target that

was met by 87%.

Um, and the healthy people, 2030 target is supposed to

be at 90.7%.

So we're right on track with that graduation rate at

90.6% currently, mm as I mentioned before.

Um it's very diverse in riverside County.

We have a really good mix of agriculture and technological

advances, but when I grew up in riverside, most riverside

County had cows.

Actually grew up on a dairy for a little while.

My dad drove a milk truck for a bit.

And so um if you haven't been up to what

is now East Bill, which is in the North County,

um there is a very distinct odor.

A lot of the cows have now moved up two

places like Oxford and further up north in California.

But I grew up very much living in a rural

area where we had a lot of agriculture's and farmers.

Um you know, people grew their own food and we

cultivate it as you can see here.

This is a picture of natalia in the orange groves

that are just down the street from my house.

Um it's very beautiful.

It's one of the best smelling springs when you have

those orange blossoms come on and we also have a

great amount of um grapevines and we grow olives and

avocados here.

So I think we have a mix of tourism to

here in Temecula, which is a big thing um and

other parts of represent as well, with Pechanga Casino being

one of the biggest tourist spots.

We also have the wineries.

Um Our unemployment rate in riverside county is right at

6.99% with the state of California and being 5.76% and

these stats are just as current as 2020.

And so I think that might have a lot to

do with the covid um epidemic and Increasing our rates

of unemployment.

But as you can see here we have a pretty

good mix.

We have some white colour jobs.

About 52% of the population has a white color job,

and a lot of our population commutes to San Diego

Orange County.

We still have a huge farm industry which I really

love, I think it makes riverside county special because you

can kind of feel like you're getting out of the

city. Um and then some of our other jobs at

25% are gonna be blue collar jobs for our morbidity

and mortality.

You can see that cancer is one of the highest

um Morbidity that is affecting my population here in riverside

at one 137 people per 100,000 population are dying from

cancer. Um the rates actually have been going down, but

it's still one of the highest um causes of death

in riverside Um are healthy people.

Target for 2030 is 122 people per 100,000.

And let's hope that we meet that goal.

And we have some more health care access that makes

healthcare screening for cancer more efficient and Speedy so that

these people can get treatment.

Um some of the promising practices that Riverside County has

put into place to combat this to meet our healthy

people. 2030 goal is we do have a new screening

tool which is one on one education for breast cancer,

which is something I'm also going to talk about later

because that's a big issue in Riverside County.

Um We have some prevention and control methods that they

have um put into place that educates the providers and

screening and also educates the providers on how to provide

their patients with some interventions.

Um The recall system is a big deal because making

sure that patients come back for that second appointment or

that they're making their appointments on time and um they

have timely care is really important in cancer.

Um Also we have some promotional campaigns that are going

on here.

Um the Sheriff's department breast, they have all their uniforms

for breast cancer awareness month in october and they all

wear pink.

And I think that's really a special way for the

community to rally around a big concern in our community

and bring awareness and attention to it.

And also we have the 211 resources.

I'm going to list some of those later on, but

we do have a number of resources in Temecula and

in Riverside County that are supporting our breast cancer community.

So as far as chronic disease, one of the biggest

Ethnic groups that is hit by heart disease especially is

going to be the Native American population.

Um they are dying native Americans and blocks are dying

at younger ages compared to other racial ethnic groups, with

the native Americans accounting for only 11% of the total

population. This is a this is a high hi case

count. Um Native americans, some of the barriers that they

face is that the health care that they have the

access to um is not great in this picture here,

I'm showing you what the platonic healthcare clinic looks like.

So if you can imagine they have about three portables

um for healthcare, uh they all look exactly like this.

And this is where they would be conducting their screenings.

And as you can imagine, they don't have a state

of the art health care technology to screen and care

for their patients.

And so a lot of these patients would have to

leave the reservation to go and get health care outside.

Um but because of cultural differences, that is not something

that usually happens.

So, uh, I think the intervention here would be to

bring some of the better specialists to work on the

reservation. Bring that technology, bring those screening tools, bring that

education to the facilities here, invest some more money and

taking care of the population of very special native americans

that we have in our county.

As you can see that cancer is still a big

disease that both genders are dying from member Riverside County.

Um with females losing about 14,268 years and males 13,743

years. And they like to put the the amount of

years lost.

Um when they're looking at statistics to show that we

can actually give back more years to these people if

we were able to put some more preventative measures in

place. Heart disease is also a big thing for the

male population, Riverside County, as well as unintentional injury, which

I thought was really interesting.

And I have another slide about that because I I

thought that was interesting that unintentional injury was one of

the biggest causes of death in Riverside County.

Here are some stats.

Looking at health care services for primary care providers and

non physician primary care providers.

Out for every 100,000 people, there's only 43 primary care

providers and for 100,000 people there's only 50 for non

physician primary care providers.

So as you can see there's a great um disproportionate

amount of providers per the population and that might be

what's correlating to our poor outcomes when it comes to

cancer. So as I said before, an intentional injury is

actually the leading cause of death in um Riverside County.

And according to our healthy people goal, we are definitely

missing that.

Um they want that riverside is trying to meet that

healthy people goal by 47%.

Right now, we're at 82 of unintentional injuries and unintentional

injuries are going to be things like car accidents, um

you know, accidents in general, that helping people walking across

the street and getting hit by a car.

Um But I just thought it was super interesting that

82% of the death that happens in Riverside County is

by unintentional injury.

Um I think that could be related to drinking, it

could be related to, it says right here, some of

the causes are adults that are 65 years and older

and they might have vision difficulty and then they're driving

and then they cause accidents.

Um So motor vehicle and traffic collisions, some alcohol impaired

driving deaths.

Additionally, I think our area, because we are a commuting

area, we have a lot of different kinds of traffic

situations going on, freeway modifications happening and a lot of

construction. So I think that also contributes to some of

the motor vehicle accidents that we have happening here.

Um, and when I moved to Temecula, we only had

on my main street, we only had Like two or

three signals, and that was definitely 15 years ago.

And now there's just so many more people in Temecula

and there's just so many more cars on the road.

Originally, I just don't think some of the cities were

built to um support the infrastructure that we have now.

Uh, and the amount of people that we have now,

so I think that is also contributing to some of

the problems.

As you can also see, 54% of the people that

die in riverside County are from cancer, uh, with 35%

heart disease, 33% of COPD and 31% with strokes.

Now, I'd like to talk to you about some of

the at risk populations that are here in riverside county.

Um, actually, for a county, we do have a great

amount of native americans per capita than in other parts

of the country.

Um, and then also women with breast cancer is another

at risk population.

The Pechanga Indians, the band of Luciano Indians have been

in this area for about 10,000 years.

Uh, the original there, the original people of the Valley

of Testicular area and the evidence of their villages survives

today in some of the bedrock and stones and pottery

that you can find around the area now, something really

sad that I didn't know that had happened was called,

that there was a massacre in Temecula and that was

how to do with a lot of the indians.

Um They originally, when this land was granted to the

native americans, it was granted to them when the spanish

Conquistadors came here and they granted that Tonga indians this

land. But eventually there was an eviction of the tubercular

indians and what had happened was a group of Temecula

Valley ranchers petitioned the san Francisco district Court for permission

to Invicta to making the indians from their village.

When the judge agreed, a band of armed posse men

and the sheriff has Hunsicker from san Diego gathered all

of the native americans stuff into wagons and dumped everything

about three miles south, forcing the indians to follow the

wagons on foot while people threw rocks at them and

insulted them.

Now that land that they were all pushed you is

still where the tribe stands to D.

Um and it's very sad that they were put to

one section of the area.

But honestly they have maintained a lot of the rural

illness of this Temecula Valley and a lot of the

open land that we have.

So um, there is a large section back there that

used to be called Vale Ranch, which was a rancho

originally, but that actually is where the immaculate indians are

located now.

And this is where you can see this here on

the map.

Um, we're gonna look at a couple of pictures of

what the reservation looks like now, but here is a

nice, beautiful fancy casino that makes a whole lot of

money. And unfortunately that doesn't always trickle down to how

the actual native americans live.

So actually 1.12% of our population.

Riverside, County Candice Holbert-Velasquez

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