A Community Health Epidemiology Study with Community Diagnosis HGT Community Health Practicum/HAT1 Erika J. Schnell, R.N. 11/05/2012 Western Governor’s University
Abstract The following is an assessment of an Eastern Washington Community known as Chelan/Douglas Counties which will lead to a community diagnosis. This community diagnosis is based on publicly available statistical data gathered using the concepts of epidemiology of birth rates and leading causes of death and assessing the communities determinants of health from the websites of the Chelan/Douglas County Department of Health, the Washington State Department of Health, the World Health Organization, the Federal Centers for Disease Control and the Federal U.S. Census of 2010. Composed data will be assessed for the health status of the community and compiled into a genogram which will then be interpreted and the final outcome will be a diagnosis of a healthcare need for the community.
Community Description & Epidemiological Data What makes a Community? Communities are the composition of individuals and families, with specific and blended ethnic backgrounds and cultures; they share the fields of available employment, unemployment rates and its economic and social impacts. The overall average median income and educational status all affect communities. Communities share inherent health risks related to socioeconomic and environmental hazards and consequently they share common health problems. The Eastern Washington community of Chelan/Douglas Counties includes the cities and towns of: Cashmere, Chelan, Dryden, East Wenatchee, Leavenworth, Lake Wenatchee, Malaga, Manson, Peshastin, Plain, Rock Island, Waterville, and Wenatchee.
Community Diagnosis The two counties sit nestled against the eastern rim of the Cascade Mountain range and are separated by the Columbia River. They share a diverse geographic area from densely treed forest to high mountain desert territory. The area is fertile and has irrigated lands for vast production of multiple crops of fruits, vegetables and nuts. The local economy is supported mostly through agriculture and tourism. That being said roughly one-third of Chelan/Douglas Counties employment is in agriculture which is seasonal, leaving many individuals and families without employment and health insurance for at least part of the year. The World Health Organization (WHO) uses Determinants of health to assess geographical regions around the World to best advocate for their health needs. These are listed below: Determinants of Health as put forth by the WHO. “• The health of individuals and communities are, to a large extent, affected by a combination of many factors. 1. Income and social status – Higher income and social status are linked to better health. 2. Education – Low education levels are linked with poor health, more stress and lower selfconfidence. 3. Physical Environment – Safe water and clean air, healthy workplaces, safe houses, communities and roads all contribute to good health. 4. Employment and working conditions – People in employment are healthier, particularly those who have more control over their working conditions. 5. Social support networks – Greater support from families, friends and communities is linked to better health. 6. Culture – Customs and traditions, and the beliefs of the family and community all affect health.
Community Diagnosis 7. Genetics – Inheritance plays a part in determining lifespan, healthiness and the likelihood of developing certain illness. 8. Personal Behavior and coping skills – Balanced eating, keeping active, smoking, drinking, and how we deal with life’s stresses and challenges all affect health. 9. Health Services – Access and use of services that prevent and treat disease influence health. 10. Gender – Men and Women suffer from different types of diseases at different ages.” (WHO, 2012) The Chelan/Douglas Counties population total...