Clay County Community Health Committee December 7, 2011 Present:

Bob Sellers, CCH Darla Hout, CCH Marie Headlee, CCH Brenda Streif, CCH Bridget Schnautz, Sherwin-Williams Lisa Cash, Country Financial Recorder: Gretchen Paule Agenda Item Presenter A. Casolari Discussion/Report Angela Casolari and Carrie Schroeder, BSN students, Southern Illinois University of Edwardsville, presented their semester project Clay County Healthy Living. They identified heart disease as the number one cause of death in Clay County since 2001 and chose to address three risk factors of heart disease poor nutrition, physical inactivity, and obesity. For each of these risk factors, the students obtained baseline data and introduced an intervention in targeted populations. Carrie focused on the population ages < 18 and Angela focused on the population ages 50+. Targeted population - ages <18: Surveyed Flora high and junior high school health classes. Most students eat only 0-2 servings of fruits/vegetables a day compared to the recommended 5 servings. Intervention: Facebook page Clay County Healthy Living provides weekly posts of healthy recipes, exercise tips, and nutrition education. There have been over 2,700 page views to date. Targeted population ages 50+: Surveyed cardiac rehab participants and factory workers. Most Clay County residents eat 0-2 servings of fruits/vegetables while cardiac rehab and factors workers eat an average of 3-4 servings per day. CCH cardiac rehab participants and factory workers show higher proportions of obesity compared to the state. Intervention: Health education on topics such as BMI, healthy nutrition, exercise tips, and blood pressure. Action Required Deena Mosbarger, Clay County Health Department Jeff Workman, CCHD Tammy Byers, CCHD Gretchen Paule, CCHD Randy Bukas, City of Flora Alex Haglund, Advocate Press Carrie Schroeder, BSN Student, SIU Edwardsville Angela Casolari, BSN Student, SIU Edwardsville Angela Wenthe, American Cancer Society

Special Presentation: Clay County Healthy Living

C. Schroeder

Continue to recognize and document successes in health improvement throughout the community.

Next semester, a kinesiology student from SIU Edwardsville will intern at the health department and continue these interventions.

Adoption of Mission Statement Community Health Survey

G. Paule G. Paule

Committee members were given a paper copy of the mission statement and guiding principles formulated during our Visioning meeting. Committee unanimously voted to adopt mission statement. On Tuesday, December 6th, Health Department staff collected surveys during the fish fry and North Clay/Clay City basketball game in Louisville. The night was very successful, collecting 86 surveys. Committee members turned in their surveys. Results of the survey will be presented at the next meeting.

Utilize mission statement throughout IPLAN process. Create vision statement after assessments. Contact Gretchen or Deena if you have additional surveys to turn in. Results of the survey will be presented at our next meeting.

Presentation: Community Health Status Assessment

G. Paule

Prior to the meeting, a draft of the Community Health Status Report was sent to Committee members to review. Todays presentation summarizes main points from the report and identifies current health trends. Demographics/Socioeconomic Characteristics: Historically, Clay County has a lower median household income, higher unemployment rate, and higher percent of people living in poverty compared to the state. Randy Bukas stated that the countys current unemployment rate has fallen to 11.2%. The percent of Clay County residents with a high school degree and bachelors degree increased significantly between 2000 and 2009. However, the county still falls behind the state in the proportion of residents with a bachelors degree or higher. General Health and Access to Care: Leading causes of death in 2008 were cancer, heart disease, and chronic lower respiratory disease. Clay County has higher mortality rates compared to the state. These figures are not age-adjusted and are expected to be higher in an older, aging population.

Begin to rank the top 3 health priorities.

Maternal and Child Health: Teen birth rate higher than state and national rates. Clay County teen mothers were significantly more likely to receive a high school diploma/GED compared to other teen mothers in the state. Deena stated that this was due to a program administered by the health department that provided teen moms with resources and support to continue their education. However, this program was recently eliminated by the Department of Human Services due to budget constraints. A higher percentage of expecting mothers receive adequate prenatal care yet are more likely to have low birth weight/preterm infants. Percent of Clay County mothers who smoke during pregnancy is much higher than the state. Chronic Disease: Clay County has higher cancer incidence rates but similar mortality rates compared to the state. This shows the success of early cancer detection programs. Because cancer is detected during its early stages, chances are better to treat the cancer and reduce mortality. County shows decline in percent of population with diabetes and smoking rates. Infectious Disease: Rates of sexually transmitted diseases lower than state rates. Our next meeting is scheduled for January 25, 2012 at Noon at the Clay County Health Department where we will complete the Community Themes and Strengths Assessment.

Next Meeting

G. Paule