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Health Profile
Los Medanos Community Healthcare District
District Health Profile - Year 2000
(Note: This District Health Profile is updated
annually to highlight health-related conditions and issues
within the Los Medanos Community Healthcare District as an
aid to policy-makers and the public. The public is invited
to review and participate in its preparation. The profile
relies primarily on data for Pittsburg/Bay Point zipcode 94565
or for Contra Costa County.)
DISTRICT DEMOGRAPHICS -- WHO WE ARE
(From the 1990 U.S. Census for zipcode 94565, unless otherwise
noted.)
Population: 63,949.
Households: 21,382.
Races, Ethnicity: white, 38,899; Hispanic
origins, 14,717; black, 10,467; Asian or Pacific Islander,
7,599; American Indian, 537; other race, 6,447. (Percentage
breakdowns from 1997 Claritas Demographic Data: white, 40.5%;
Latino, 28.3%; African-American, 16.8 %; Asian, 13.7 %,
Native American or other, .8%.)
Language Spoken at Home: (Top three for
persons 5 years and over) English only, 41,333; Spanish,
9,848; Tagalog, 2,969.
Gender: Female, 32,371; male, 31,570.
Age: Early childhood, 5 years old and
younger, 7,842 (12.26 percent); elderly, 65 years old and
older, 5,075 (7.94 percent); largest adult age group, ages
30-34, 7,187 (11.13 percent).
Income: Median household income in 1989,
$36,201.
DISTRICT COMMUNITIES -- WHERE
WE LIVE
(Percentages based on voter registration of
27,748 as of 10/27/99 in Los Medanos Community Healthcare
District. Voter numbers in parentheses.)
- Pittsburg, 73.24 percent (20,322); Bay Point, 22.33 percent
(6,197); Clayton, 1.94 percent (539); Clyde, 1.25 percent
(348); Antioch, 0.51 percent (142); Concord, 0.37 percent
(103); unspecified, 0.35 percent (97).
- Pittsburg/Bay Point total (zipcode 94565), 95.57 percent.
DISTRICT MORTALITY -- CAUSES OF
DEATH
(Data from Contra Costa Health Services web site
for zipcode 94565.)
Total in 1997 for Pittsburg/Bay Point residents, 407 deaths.
Causes of Pittsburg/Bay point deaths in 1997:
- Heart Disease, 106 deaths;
- Cancer, 90 deaths;
- Stroke, 39 deaths;
- Pneumonia and influenza, 20 deaths;
- Unintentional injuries, 20 deaths;
- Chronic obstructive pulmonary disease, 17 deaths;
- Homicide, 9 deaths;
- Suicide, 8 deaths;
- AIDS, 8 deaths;
- Diabetes mellitus, 7 deaths;
- Chronic liver disease and cirrhosis, 4 deaths;
- All other causes, 79 deaths.
DISTRICT DISEASE HOSPITALIZATION
RATES
(The data below, provided by the Contra Costa Chronic
Disease Organizing Project, shows rates per 100,000 population
of hospital discharges for seven chronic diseases of residents
in the Pittsburg/Bay Point zipcode in 1997, compared to Contra
Costa rates (in parentheses) for 1997.)
| |
Pittsburg/
Bay Point |
Contra Costa County |
| Heart disease |
1,117.13 |
(1,057.06) |
| Cerebrovascular |
309.23 |
(300.48) |
| Obstructive Pulmonary |
305.05 |
(239.73) |
| Malignant Neoplasm |
254.91 |
(396.33) |
| Diabetes Mellitus |
167.15 |
(105.06) |
| Asthma |
161.58 |
(117.78) |
| Liver Disease |
29.25 |
(44.3) |
- The rates of hospitalization for heart disease, obstructive
pulmonary disorders, diabetes mellitus and asthma were higher
in Pittsburg/Bay Point than in Contra Costa as a whole in
1997.
- The greatest number of chronic disease deaths of Pittsburg/Bay
Point residents were due to heart disease (602 deaths) and
cancer (500 deaths) from 1993-97.
RESPIRATORY AND LUNG DISORDERS
(The data below was supplied by the American Lung Association
of the East Bay.)
Prevalence and incidence of lung disease in Contra Costa
County, estimated in April, 1999 report:
| Chronic Lung Diseases |
Acute Lung Diseases |
| Lung cancer: 548 |
Acute Bronchitis: 43,836 |
| Emphysema: 6,188 |
Common Cold: 200,258 |
| Chronic Bronchitis: 48,324 |
Influenza: 357,919 |
| Adult asthma: 32,195 |
Pneumonia: 17,106 |
| Pediatric asthma: 17,166 |
|
- Total charges for asthma hospitalizations in Contra Costa
County from 1994-96, $22,329,657. Median cost per case,
$7,110. Average length of stay, 3.53 days. Total Contra
Costa cases for period, 3,082.
- Age-adjusted asthma hospitalizations for Pittsburg/Bay
Point residents from 1994-96, 323 discharges, tied with
Antioch for second highest in the county. Richmond was highest
at 326. Asthma hospitalization rate for Pittsburg/Bay Point
for period, 176 per 100,000 population.
- Asthma, a chronic respiratory illness, is the leading
cause of school absences and hospital admissions for children
in California. Asthma affects an estimated 2.5 million Californians,
including half a million children. The rates have increased
75 percent in the last 15 years.
HEALTH TRENDS
(From Contra Costa County Epidemiology, Surveillance and
Health Data Unit.)
- Tuberculosis cases reported from 1993-98: Pittsburg, 57
cases; Bay Point, 8 cases; countywide total, 634 cases.
- People living with AIDS in Pittsburg, 70, deceased 102;
people living with AIDS in Bay Point, 19, deceased 43, as
of 7/12/99. Highest cumulative incidence of AIDS in Contra
Costa per 1,000 population: Richmond, 5; San Pablo, 4.4;
Pittsburg, 3.2.
- Reportable communicable diseases by Contra Costa region
for Jan.-June, 1999, top five in east county: Hepatitis
C (carrier), 221 cases; Hepatitis B (carrier) 30 cases;
campylobacter, 11 cases; tuberculosis, 9 cases; giardiasis
and Hepatitis A, 8 cases each.
DISTRICT CONDITIONS AND ISSUES
(Note: This section is a compilation of issues, conditions,
successes and shortcomings in health-related matters that
affect residents of the district. Although quick solutions
to problems may not be possible locally, their listing may
help shape future efforts. The public is invited to comment
and contribute during annual updates of the District Health
Profile. The items are listed by number for purposes of identification.
There is no ranking implied or intended. The data is from
the 1999 Contra Costa Collaborative Community Assessment prepared
by the Northern California Council for the Community, unless
otherwise noted.)
Item No. 1 - Physicians - East Contra
Costa has the lowest per capita rate of primary care physicians
in the county at 21 physicians per 100,000 people. The statewide
average is 67 primary care physicians per 100,000 people.
(Assessment Vol.1, Pages 277-78)
Item No. 2 - Infants - African American
infants in Contra Costa County are almost twice as likely
to die before their first birthday as infants in other groups.
(Assessment Executive Summary, Page 5)
Item No. 3 - Uninsured - Californians
are disproportionally more likely to be uninsured than other
Americans (18 percent in a west county study). The lack
of health coverage in California is most prevalent among
young adults, lower income families, Latinos, African Americans
and Asian Americans. (Assessment Executive Summary, Page
8)
Item No. 4 - Cancer - Breast cancer is
the leading form of cancer in Contra Costa County, nearly
half of all breast cancer cases are among women ages 60
and older, and 90 percent of Contra Costa County's prostate
cancer cases are among men over 60 years old, with significantly
higher rates for African Americans. (Assessment Executive
Summary, Page 10)
Item No. 5 - Abuse - Calls reporting possible
child abuse, neglect or abandonment in Contra Costa County
have increased 44 percent since 1990. Reports of elder abuse
in Contra Costa County have increased from 110 in 1990 to
514 in 1996. (Assessment Executive Summary, Page 8)
Item No. 6 - Asthma - While asthma can
occur at any age and has a higher mortality rate among older
persons, it more commonly first occurs in children and youth.
Asthma is a leading chronic childhood disease and the leading
cause of hospital admissions among children in California.
(Assessment Volume 1, Page 225)
Item No. 7 - Tobacco - Smoking took the
lives of 20.7 percent of the men (148 deaths) and 15.6 percent
of the women (93 deaths) who died in Pittsburg/Bay Point
from 1989-91. Smoking-attributable deaths account for 19
percent of all California deaths. According to the 1989
Surgeon General's report on tobacco, smoking accounted for
87 per cent of lung cancer deaths, 82 percent of chronic
obstructive pulmonary disease deaths, 21 percent of coronary
heart disease deaths and 18 percent of stroke deaths. (Assessment
Vol. 1, Page 258)
Item No. 8 - Heart/Cancer - In 1993-97,
African Americans living in Pittsburg/Bay Point had higher
rates of death from heart disease (24.93 per 100,000) and
cancer (22.19 per 100,000), than their white counterparts
(13.45 per 100,000, and 11.11 per 100,000 respectively).
Rates of deaths for Latino residents were similar to those
of white residents. (From Contra Cost Chronic Disease Organizing
Project data)
Item No. 9 - Aging - With aging of the
"baby boom" generation born just after World War
II, the number of older adults in five Bay Area counties
is projected to increase dramatically by the end of the
decade. The largest proportional increase in the age 55+
population is expected in Contra Costa County, forecast
to rise 103.8 percent from 1990 to 2010 (from 153,388 actual
in 1990 to 312,556 projected in 2010). The "old-old"
population age 85+ will increase by 237.2 percent, from
7,259 in 1990 to 24,446 projected in 2010. (From "Coming
of Age" 1997 Bay Area Regional Report demographic profile,
provided by the Contra Costa Area Agency on Aging)
Item No. 10 - Transportation - Lack of
transportation in Contra Costa County is reported to be
a deterrent to receiving adequate care, especially for elderly
and homebound people. (Assessment Executive Summary, Page
9)
Item No. 11 - Immunizations - The level
of early childhood immunizations in Contra Costa County
(65 percent) is higher than the statewide level (57 percent)
but still falls short of the Healthy People 2000 goal of
90 percent. (Assessment Executive Summary, Page 9)
Item No. 12 - Undocumented - Fear of deportation,
language barriers and cost prevent many undocumented individuals
from seeking physical and mental health care. Children of
immigrant families have fewer referral services, are less
likely to seek care, and are more likely to be uninsured.
(Assessment Executive Summary, Page 6)
Item No. 13 - Tuberculosis - In 1996,
44 percent (186) of tuberculosis cases in Contra Costa County
were from foreign-born residents. Of these foreign-born
cases, 37 percent (69) were from the Philippines and 15
percent (27) were from Mexico. From 1995-96, the most significant
increases in tuberculosis cases in the county were in African
American women, ages 18-25, and in children, ages 7-18,
in the west county. (Assessment Executive Summary, Page
6)
Item No. 14 - Men - African American men
suffer from rates of hospitalizations for cardiovascular
disease, strokes, hypertension, heart diseases and diabetes
that are significantly higher than state rates, and have
the highest rate of prostate cancer of all groups in Contra
Costa County. (Assessment Executive Summary, Page 6)
Item No. 15 - Latina - In California,
Latina women with breast cancer are more likely to be diagnosed
at a late-stage, regardless of socioeconomic status. Latina
teens (under age 20) had the highest number (397 of 1,070)
of teenage births in 1997 in Contra Costa County. This represents
37 percent of all births in this age group in the county.
(Assessment Executive Summary, Page 6)
Item No. 16 - Teens - Contra Costa teenagers
(ages 15-19) have a chlamydia infection rate over six times
higher than all other age groups. Homicide accounted for
30 percent of all deaths for adolescents/young adults (ages
15-24) and suicide accounted for 10 percent of the deaths
(18 of 184) in 1995-96 in the county. (Assessment Executive
Summary, Pages 9, 10)
Item No. 17 - Prenatal - Early, comprehensive
prenatal care can significantly reduce rates of infant and
maternal illness and death. Contra Costa County is experiencing
the adverse effects of having 16 percent of its pregnant
women begin prenatal care after their first trimester. (Assessment
Executive Summary, Page 11)
Item No. 18 - Alcohol, Drugs - A total
of 4,979 alcohol-related and 2,838 drug-related hospitalizations,
where alcohol or drugs was the principal diagnosis, were
recorded among Contra Costa County residents from 1991 to
1995. A total of 1,751 Contra Costans died as a result of
alcohol and 327 died due to drugs during the five-year span.
(Assessment Vol. 1, Pages 255, 257, 259)
Item No. 19 - Mental - In 1996, 1,244
hospitalizations of East Contra Costa residents received
a primary diagnosis of mental disorder. Mental disorder
hospitalizations accounted for 5.2 percent of the 22,887
hospitalizations of east county residents during the year.
(Assessment Vol. 1, Page 242)
Item No. 20 - Access - Contra Costa County
residents may find it difficult to access physical and mental
health services because of economic, service or social barriers
to care. Among these barriers are: lack of service in poor
communities, language and cultural barriers, immigrant status,
transportation, and lack of awareness of services. (Assessment
Executive Summary, Page 8)
Item No. 21 - Elderly - In 1996 and 1997
surveys of older Contra Costa County residents, the main
problem cited by respondents was transportation, followed
by "money to live on" and health care. Loneliness
and isolation and in-home support services were also cited.
(Assessment Vol. 1, Pages 52, 53)
Item No. 22 - Children - Nearly 13 percent
of California's children are
uninsured, despite the fact that, as a federal study suggests,
nearly 40 percent of the uninsured children qualify for
Medi-Cal. (Assessment Executive Summary, Page 9)
Item No. 23 - Preventable - When access
to health care is limited, medical conditions that are effectively
treated with timely and quality outpatient care can become
serious enough to warrant hospitalization. These ambulatory
care sensitive (ACS) conditions include preventable illnesses,
rapid onset conditions and chronic conditions. Of the 1996
hospitalizations of 90,782 Contra Costa residents, 7,805
or 8.6 percent were potentially preventable ACS conditions.
These preventable hospitalizations included primary diagnoses
of bacterial pneumonia (27 percent), congestive heart failure
(25 percent) asthma (13 percent) or chronic obstructive
pulmonary disease (13 percent). The rates of ACS hospitalizations
were disproportionately high in East Contra Costa (nearly
9 percent) and in West Contra Costa (10 percent). (Assessment
Vol. 1, Pages 281, 282)
Item No. 24 - Language - No community
resource exists to inform consumers about the language capabilities
of health care providers. (Assessment Vol. 1, Page 279)
Item No. 25 - Fragmentation - Services
may be duplicated or essential services may fall through
the cracks in the absence of a central registration system
or system to ensure that patient records will accompany
people who are seeing multiple providers. (Assessment Vol.
1, Page 281)
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