Community Health Practice Essay

Community Description and Data Interpretation

Pueblo. Colorado. besides known as “The Home of the Heroes” . was given this announcement in 1993 by the United States Congress. due to Pueblo holding every bit many as four receivers of the “Medal of Honor” populating here in the community. Pueblo dates back every bit far as 1842. and was known as “Fort Pueblo” ( History of Pueblo ) . Over the old ages. Pueblo became the “backbone” of Southern Colorado due to the ore mines and is besides the largest steel bring forthing metropolis in the United States. therefore besides being referred to as the “Steel City” . Pueblo has had a long and colourful history and has had five different states and districts that “held dominion” over the country. These five countries are as follows: France. Mexico. Texas. Spain. and of class. the United States of America. ( History of Pueblo )

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Pueblo County is 2. 398 square mile country and is located about 112 stat mis south of the province capital of Denver. Colorado and about 100 stat mis north of the New Mexico boundary line. Pueblo is geographically located at the intersection of the Arkansas River and Fountain Creek and is about 4600 pess above sea degree. Although surrounded by tonss of mountains such as the Wet Mountains. the Sangre de Cristo Mountains. Green Horn Mountains and Pikes Peak Mountain. Pueblo is really much desert land with one-year precipitation being merely about 12 inches. ( Pueblo. Colorado. 2014 ) . Pueblo County has a land country of 2389 square pess and 9. 0 square stat mis of H2O. ( City-Data Pueblo County. CO. 2012 )

Population/Economic Assesssment

Pueblo’s population harmonizing to 2012’s nose count is 159. 063 which is a growing rate of 3. 56 % since 2000. and which rank it 246th for the most populated metropolis in the state. Pueblo is comprised of a really diverse mix of people with the bulk being white non-Hispanics at 56. 2 % and the Hispanics or “Latinos” consisting 39. 2 % of the population. The staying population is comprised of African Americans 2. 4 % . Native Americans 2. 9 % . Asiatic 1 % and the staying 2. 4 % of the population are those that are of two or more races ( American Fact Finder ) . The mean age of Pueblo’s population is about 39 old ages old. The entire population per centums of those 18 old ages and younger is 24. 5 % and with those 65 old ages and older consisting 15. 3 % . ( United Stated Census Bureau. 2010 ) `As mentioned before. Pueblo is one of the nation’s top leaders in steel production. but the immense “steel-market” clang of 1982 left Pueblo with a reasonably weak economic system since that clip.

Harmonizing to the 2010 nose count. the mean one-year family income in Pueblo is about $ 38. 780. which has Pueblo County’s income ranking far below Colorado’s mean income of $ 47. 510. With such a difference in the mean one-year income. Pueblo has a high per centum of the population that is populating below the Federal Poverty Level. doing Pueblo’s overall poorness rate is the second highest in the province of Colorado. The mean family size is 2. 47 people. Harmonizing to statistics from the American Fact Finder. Pueblo County has 18. 1 % entire population below the Federal Poverty Level. Of that population. there are 26. 3 % that are kids 18 old ages and younger. those 18 old ages to 64 old ages old is 17 % and those over the age of 65 are 9. 6 % below the Federal Poverty Level ( America Fact Finder. 2012 ) .

With about 20 % of Pueblo County’s population being below the Federal Poverty Level. it would stand to ground the addition in the figure of people in Pueblo that qualify for nutrient casts and other public aid. Harmonizing to the 2012 American Community Survey. there were an estimated sum of 11. 976 families in Pueblo County that received nutrient casts. Of the families that received nutrient casts 45. 7 % of them had kids 18 old ages or younger and 23. 4 % had at least one individual in the family that was 60 old ages or older. ( United Stated Census Bureau. 2010 )

The unemployment rate in Pueblo County is 9. 6 % about 1 % higher than the U. S. norm ; nevertheless. there has been a recent occupation growing of 1. 38 % in Pueblo. Even with the more than mean unemployment rate and high population below the Federal Poverty Level. Pueblo County has a really low cost of life compared to the remainder of the state. The cost of life in Pueblo. CO is about 15. 3 % lower than the U. S. norm with the average lodging cost of $ 96. 700. Even with the lower cost of life in Pueblo County. there are still about 175 persons that are stateless that are populating on the streets. With big international companies such as Vestas pewag. and Rocla Concrete Tie taking Pueblo. Colorado as new sites for their companies. unemployment rates will take down and this can merely hike the economic system and increase the population. ( Community Health Status Report. 2011 )

Before the origin of the current Affordable Care Act. Pueblo County had about 30. 312 persons that were on Medicaid. This figure has drastically increased since January 1. 2014 since Colorado was a province that chose “Medicaid Expansion” to help with helping the wellness attention costs and conformity of the Affordable Health Care Act. Harmonizing to Colorado Health Institute. Pueblo County has done an astonishing occupation acquiring the “uninsured” kids in public insurance plans. Pueblo County recorded that 95. 7 % of kids eligible for Medicaid/CHP+ is enrolled. Access to wellness attention is mostly affected by available and low-cost wellness insurance. Pueblo County was noted to hold a sum of 13. 6 % of the population in 2010 that were uninsured.

The sum of money that Pueblo County spent per capita on public wellness support took a important bead in 3 old ages from 2009 to 2011 of over $ 2. 00 per individual. Pueblo County besides has a big per centum ( 18. 8 % ) of persons that non merely are on Medicaid but are dually covered by Medicare. Dual coverage is based on income. wellness and disablement ; these persons are normally in really hapless wellness with chronic. complicated wellness jobs and/or mental issues. Even with the public wellness support. Pueblo County still has 17 % of the population that have unmet wellness demands because of fiscal restrictions. Hopefully with the new jurisprudence of the Affordable Care Act the per centum of “unmet” wellness demands will wholly decrease or at least significantly lessening.

Cultural Assessment

Pueblo. Colorado is a multi-cultural community with the bulk of the population of Hispanics. Italians and Slovenians that have occupied Pueblo for coevalss. The Latino civilization is the most outstanding in Pueblo. which can be seen in the architecture. art. festivals and museums which pays great testimonial to their Latino heritage. One of the largest pieces of the Latino civilization that is enjoyed by all in Pueblo is the nutrient. Pueblo holds one-year festivals and jubilations that display the alone culinary arts of the Latino civilization. the most outstanding culinary art being the “Pueblo Green Chili” .

Food of the Latino civilization and the wellness hazards may lend to the high figure of grownups that are fleshy or corpulent. Harmonizing to findings in the Pueblo Community Health Status Report of 2011. 23 % grownups over the age of 18 are overweight. With such a big Hispanic population comes a high per centum of the population that have familial temperament for Diabetes Mellitus Type 2. ( County Health Rankings and Road Maps. 2013 ) A big household unit which includes coevalss of “extended” household is a immense portion of the Latino civilization in Pueblo. The Latino population in Pueblo truly holds the materfamilias and/or patriarchs to a high regard. Although non about as prominent in Pueblo. the Italian civilization is a big portion of Pueblo’s civilization every bit good. Italian civilization is seen preponderantly in the culinary influences that paved the manner for the alone “Pueboloan” dishes. such as the Italian Sausage sandwich that you can happen at one of Pueblo’s oldest traditions. Pass Key Restaurant. ( Pueblo. Colorado. 2013 ) .

The Slovenian civilization is another influential portion of Pueblo’s civilization. The Slovenians migrated to Pueblo and settled here working in the steel industry. They introduced cultural and culinary traditions that are still really extremely practiced and portion of Pueblo’s civilization even today. For illustration. Potica is one of the most popular culinary dainties that is highly popular around the vacation season. but can be found and enjoyed all twelvemonth about. The Slovenian common people music and theater can besides be seen throughout Pueblo. ( History of Pueblo ) Catholicism is the prevailing faith in Pueblo and is a immense portion of the civilization. Approximately 68 % of Pueblo proclaims they are Catholic. In Pueblo’s civilization. adult females are the largest bulk of this population. although “Holy Orders” are the function of the work forces. ( Pueblo. Colorado. 2014 )

Genogram Interpretation

From my observation of informations. statistics and information gathered for Pueblo County’s Community appraisal. I have found that Pueblo County overall is a reasonably healthy community. The community is predominately white. non-Hispanic population with an addition of the Latino population in the past two old ages. The Median family income is $ 38. 780 and 16. 9 % family at or below poverty degree. The unemployment rate at 9. 6 % which is 1 % higher that the U. S. norm. With such fiscal troubles there were about 13. 760 persons that receive nutrient aid.

Pueblo is a multi-Cultural community dwelling of Hispanic. Italian & A ; Slovinian. All civilizations brought together with nutrient served at festivals and at eating houses. Pueblo is predominately Catholic faith at 68 % with adult females playing a big portion in Catholic & A ; Latino Culture. Large Hispanic population diagnosed with diabetes type II and fleshiness.

The offense rate is higher than the national norm. In 2006. Pueblo County had about 2. 4 spirits shops per 10. 000 people. Minor rates of imbibing increased with age. Methamphetamine usage in young person ( less than 10 per centum ) . but showed marks of addition between 2005 and 2007. The wellness factors and morbidity and mortality rates of Pueblo County are higher than the national benchmarks. Pueblo has 95 % of yearss with good air quality and imbibing H2O safety at 1 % .

Pueblo County has a disaster/ exigency direction readiness program every bit good as a chemical reserve exigency readiness plan for the Pueblo Chemical Depot. Pueblo operates in an all-hazards catastrophe program with Pueblo Health Department being the lead in the Emergency support map of Public Health.

Pueblo County. Colorado is overall a healthy community. However. the countries where betterments need to be made are finding a manner to go to to each individual’s reaction to negative life events. These events are doing a rise in orgy imbibing and the usage of Methedrine maltreatment. Creating and implementing a program to diminish the poorness degree and being able to inform and turn to entree and functional demands.

Neighborhood/Community Safety Assessment

Equally sad as it is to state. force in Pueblo County is a immense “health” job. Pueblo’s overall offense index as reported in 2006 was 6945 offenses which was higher than the national norm and encompasses “violent” and “property” offenses. Violent offenses consist of slaying. colza and aggravated assaults. Property offenses include burglary. theft. larceny. motor vehicle larceny. incendiarism. and hooliganism. In 2006. Pueblo had a reported sum of 628 violent offenses with dislocation as follows: Murders – 6 ; Rapes 49 ; Robberies – 170 ; Aggravated assaults – 403. Pueblo’s reported “property offenses are as follows: Burglary – 6317 ; Larceny/Thefts – 4409 ; Motor Vehicle Thefts – 455 and Arsen – 55. ( Pueblo Colorado Crime statistics and Data Resources. 2014 ) . Along with the high offense rates that fill Pueblo’s vicinities that have an consequence on the safety and wellness of the county are the big figure of spirits shops that fill them. In 2006. Pueblo County had about 2. 4 spirits shops per 10. 000 people. ( Community Health Status Report. 2011 )

With such a high denseness of spirits shops and entree to alcohol. it can besides lend or be a big relation to the economic and societal crumbling of the community and overall rate of offense. There are surveies that report that the “over-concentration of spirits shops increases the sensed deficiency of safety and bounds walkability in the community” . ( Community Health Status Report. 2011 ) . The inordinate ingestion of intoxicant besides leads to major wellness jobs. such as. cirrhosis of the liver. cardiovascular disease. malignant neoplastic disease. anaemia every bit good as the effects due to hurts sustained in auto accidents secondary to driving under the influence. Substance maltreatment. including intoxicant. is another public wellness concern in the Pueblo community. One of the biggest concerns of intoxicant maltreatment is that of “binge” imbibing among persons. Binge imbibing is a major index of substance maltreatment and is defined as “Consuming five or more alcoholic drinks in one juncture in the past month” . From 2007-2009. there were 14. 5 % of grownups in Pueblo that reported orgy imbibing. a rate that was good below the Healthy People 2020 aim. ( Community Health Status Report. 2011 ) . Harmonizing to the web site. Adolescent Drug Abuse. 90 % of intoxicant ingestion by those that are minor is in the signifier of “binge” imbibing. ( Teens and Addiction. 2014 ) .

In Pueblo County. minor rates of imbibing increased with age. bespeaking that adolescents are more likely to experiment or seek intoxicant around the ages of 16 or 17. ( Community Health Status Report. 2011 ) . In Pueblo County. Methedrine usage in young person ages 15-18 old ages was low ( less than 10 per centum ) . but showed marks of addition between 2005 and 2007 for the “15 or younger” class. Following national tendencies. consequences from 2009 indicate diminishing methamphetamine use across the board for all age groups. This may be in portion to successful bar intercessions. instruction runs about Methedrine usage. or inconsistent self-reporting ( Community Health Status Report. 2011 ) Housing. H2O quality. and air quality are factors that can be classified as the environmental quality/safety of Pueblo. County. “Homes” represent to most a topographic point of safety. security and shelter and because these factors are so of import they have the potency to assist or harm the wellness of the community.

The United Way Pueblo County rating in 2009 reported that Pueblo County had a big deficit of “low income” rental lodging. The estimated rental lodging in Pueblo County reported in 2009 was 32 % and place ownership was reported at 68 % . ( America Fact Finder. 2012 ) . Sewage is another factor that can potentially be a immense beginning of H2O taint. Waste H2O intervention workss in higher populated countries of Pueblo County are used to handle sewerage before being released back into the environment ; nevertheless. non all countries of Pueblo County are served by a intervention works. Pueblo County has about 16. 000 places that have infected systems and are non serviced by a waste H2O intervention works. Water Wellss can go contaminated due to improper infected system intervention. In Pueblo County. the bulk of its population the imbibing H2O comes from surface H2O. In some instances. the imbibing H2O may come from shallow surface beginnings or belowground Wellss. ( Community Health Status Report. 2011 ) .

The air quality in Pueblo is for the really good with the atom affair ( PM2. 5 ) being really low. Atom affair is defined by the EPA as the bantam atoms straight emitted into the air and atoms formed in the air by chemical transmutation of gaseous pollutants. ( United Stated Census Bureau. 2010 ) . Harmonizing to the Pueblo City-County Health Department’s Environmental Health Division. there were over 830 ailments in 2010 with the bulk of ailments which were 41 % of the entire ailments were about the lodging. ( City-Data Pueblo County. CO. 2012 ) . All in all the environmental Quality of Pueblo County is above norm. The wellness factors and morbidity and mortality rates of Pueblo County are in batch of instances higher than the national benchmarks.

Premature infant deceases in Pueblo County in 2009 were 8. 767. Malignant tumors rank foremost in Pueblo County for the taking casue of decease with bosom disease being 2nd taking cause of decease in Pueblo County. ( Community Health Status Report. 2011 ) Morbidity coverage of hapless or just wellness was 17 % Health factors in Pueblo County such as smoke was 23 % compared to the National benchmark of 13 % . adolescent birth rate was 63 % compared to National benchmark of 21 % . sexually familial diseases reported in Pueblo County was about 352 with the national benchmark of 92. ( County Health Rankings and Road Maps. 2013 ) .

Catastrophe Appraisal

Pueblo has a Disaster Management Program which includes several support maps based on the exigency which includes the followers: transit. fires. wildfires. victim attention. hunt and deliverance. long-run recovery. HAZMAT. harm appraisal. inundations. mass human death. terrorist act. twisters and winter storms. The program’s end is to forestall or diminish the impact of natural or human caused catastrophes. There are besides extra support systems such as behavioural wellness response and an carnal wellness response program. The section staff and fire combatants are specially trained and ready to react to any major catastrophes that may happen. The bid staff members assist in the coordination of the catastrophe and exigency direction preparation exercisings in the local part. There are monthly meetings with the members and the Pueblo County Emergency Response Team ( PERT ) and with other local exigency reponse and support bureaus. ( Pueblo. Colorado. 2014 ) .

Pueblo besides operates and “All Hazards” catastrophe program that is designed to turn to the demands of the Pueblo Fire Department and the people of Pueblo in and efficient and effectual mode if a catastrophe occurs. It is besides serves as a addendum to the Pueblo County Emergency Operations Plan. ( Pueblo. Colorado. 2014 ) . The Pueblo Chemical Depot. a chemical arms storage site is located in Pueblo County. Mustard agents HD and HT are stored at the Pueblo Chemical Depot. The chemical reserve exigency readiness plan is the federally funded plan administered by the Department of Defense and the Federal Emergency Management Agency ( FEMA ) . The plan was placed to fix the local governments for a possible chemical arms incident. If such an incident occurs. Pueblo Chemical Depot will advise the Pueblo County Sheriff’s Communication Center in conformity between the understanding between Pueblo County and Pueblo Chemical Depot. ( Emergency Services Bureau. 2013 )

Due to the hot dry summers. a fire or wildfire often occurs and there is an exigency support system that is in topographic point. The undermentioned bureaus included are the Pueblo County Sheriff’s Office Emergency Services Bureau. Public Works. the Colorado State Patrol. the Colorado State Forest Service. US Forest Service. Colorado State Parks. American Medical Response. both local infirmaries – Parkview Medical Center and St Mary Corwin Hospital. The Emergency Support Function and Wildland Fire Incident Annex is at that place to vouch a right response from the legion bureaus involved for incorporating and snuff outing fires. This is an effectual system that was established to pull off the assorted resources and bureaus involved to contend structural and wild land fires in Pueblo County. ( Emergency Services Bureau. 2013 ) .

The Pueblo Activation Sequence establishes processs for the activation and operation of the Pueblo County Emergency Operations Center ( EOC ) . The EOC is activated to an awaited or existent response that involves more than one country or legal power and/or multiple response bureaus. This includes bureaus that respond to HazMat accidents. terrible conditions. implosion therapy. temblors. civil perturbations or terrorist act. ( Emergency Services Bureau. 2013 ) The Pueblo County Health Department leads the exigency support maps for Public Health and Medical Services. Their supporting bureaus are as follows: Local Hospitals. EMS. Behavioral Health Services. Emergency Service Bureau. Coroner. Agriculture. Education. Human Services. Law Enforcement Agencies. Military and Veteran Affairs. Public Safety. Regulatory Agencies. Transportation. Pueblo Community Health Center. American Red Cross. Salvation Army and COVOAD. This plan provides a response and recovery action related to the lifesaving conveyance. emptying. intervention of the injured. controlling of the spread taint. bar of taint of H2O and nutrient supplies and the temperament of any dead. ( Emergency Services Bureau. 2013 ) As you can see. Pueblo County is really good prepared with any type of natural. chemical. or human caused catastrophe.

Drumhead

From my observation of informations. statistics and information gathered for Pueblo County’s Community appraisal. I have found that Pueblo County overall is a reasonably healthy community. The community is predominately white. non-Hispanic population with an addition of the Latino population in the past two old ages. The air pollution in Pueblo County is below the national norm with 95 % of yearss with good air quality and merely 5 % with moderate air quality. An country that could utilize betterment would be to happen a manner to go to to the persons that make negative responses to traumatic or negative life events. These responses and events may play a immense factor in the rise of homicides that are taking topographic point in Pueblo County. The instruction of the public community about the exigency and catastrophe readiness plans through community outreach will assist to inform and develop functional demands for Pueblo.

Plants Cited
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