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Community Health Practice Essay

Community Description and Data Meaning Pueblo, Colorado, also known as “The Home with the Heroes”, was handed this proclamation in 93 by the Usa Congress, because of Pueblo having as many as four recipients of the “Medal of Honor” living here in the community. Pueblo dates back as far as 1842, and was known as “Fort Pueblo” (History of Pueblo).

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Over the years, Tribu became the “backbone” of Southern The state of colorado due to the ore mines which is also the greatest steel making city in the usa, thus also being known as the “Steel City”. Tribu has had an extended and colorful history and has had five distinct countries and territories that “held dominion” over the area. These five areas happen to be as follows: France, Mexico, Arizona, Spain, and of course, the United States of America. (History of Pueblo) Pueblo Region is two, 398 rectangular mile location and is located approximately 112 miles to the south of the point out capital of Denver, The state of colorado and about 100 kilometers north with the New Mexico border.

Pueblo is geographically located with the intersection with the Arkansas Water and Fountain Creek and it is approximately 4600 feet over sea level. Although surrounded by lots of mountain range such as the Rainy Mountains, the Sangre de Cristo Mountain range, Green Horn Mountains and Pikes Optimum Mountain, Tribu is very much wilderness land with annual precipitation being just approximately 12 inches. (Pueblo, Colorado, 2014). Pueblo Region has a property area of 2389 square feet and 9. 0 square miles of normal water. (City-Data Tribu County, COMPANY, 2012) Population/Economic Assesssment Pueblo’s population in respect to 2012’s census is 159, 063 which is a development rate of 3. 56% since 2000, and which ranking it 246th for the most populated city in the nation.

Tribu is made up of a very varied mix of people who have the majority getting white non-Hispanics at 56. 2% plus the Hispanics or perhaps “Latinos” comprising 39. 2% of the inhabitants. The remaining population is composed of African People in the usa 2 . 4%, Native Americans installment payments on your 9%, Hard anodized cookware 1% as well as the remaining installment payments on your 4% in the population are those that will be of two or more races (American Simple fact Finder). The average age of Pueblo’s population is approximately 39 years of age.

The total populace percentages of these 18 years and more youthful is twenty four. 5% and with these 65 years and old comprising 15. 3%. (United Stated Census Bureau, 2010) `As discussed earlier, Pueblo is among the nation’s best leaders in steel production, but the large “steel-market” crash of 1982 left Pueblo with a fairly weak economy since that time. In line with the 2010 census, the average total annual household cash flow in Nacion is approximately $38, 780, containing Pueblo County’s income rating far beneath Colorado’s normal income of $47, 510.

With this kind of a difference inside the average annual income, Pueblo has a high percentage of the population that is living below the Federal Poverty Level, making Pueblo’s overall low income rate may be the 2nd top in the point out of Co. The average household size is 2 . 47 persons. According to statistics from the American Truth Finder, Pueblo County features 18. 1% total population below the Federal government Poverty Level. Of that inhabitants, there are 21.

3% that are children 18 years and younger, those 18 years to sixty four years old is usually 17% and others over the age of sixty five are on the lookout for. 6% below the Federal Poverty Level (America Fact Person, 2012). With almost 20% of Nacion County’s human population being under the Federal Low income Level, it would stand to reason the increase in the number of individuals in Pueblo that be eligible for food rubber stamps and other open public assistance. According to the 2012 American Community Review, there were around total of 11, 976 households in Pueblo State that received food stamps. Of the homes that received food plastic stamps 45.

7% of them got children 18 years or perhaps younger and 23. 4% had at least one individual in the household that was 60 years or perhaps older. (United Stated Census Bureau, 2010) The joblessness rate in Pueblo Region is 9. 6% about 1% above the U. S. common; however , there have been a recent work growth of 1 ) 38% in Pueblo. Despite the more than average unemployment rate and high human population below the Federal Poverty Level, Pueblo County has a very low cost of living compared to the rest of the region. The cost of moving into Pueblo, CO is approximately 15. 3% lower than the U. S. normal with the typical housing expense of $96, 700.

Even with the lower cost of living in Pueblo State, there are still regarding 175 people who are homeless that are living on the pavements. With large international companies such as Vestas pewag, and Rocla Concrete Tie deciding on Pueblo, The state of colorado as new sites for his or her companies, lack of employment rates can lower which can only increase the economy and increase the populace. (Community Wellness Status Statement, 2011) Prior to the inception with the current Affordable Care Act, Pueblo State had roughly 30, 312 individuals that were on Medical planning.

This quantity has substantially increased as January you, 2014 as Colorado was obviously a state that select “Medicaid Expansion” to assist with aiding the health care costs and conformity of the Affordable Health Care Take action. According to Colorado Overall health Institute, Pueblo County has been doing an amazing job getting the “uninsured” children in public areas insurance programs. Pueblo Region recorded that 95. seven percent of children entitled to Medicaid/CHP+ is usually enrolled.

Entry to health care is essentially affected by available and inexpensive health insurance. Poblado County was noted to possess a total of 13. 6% of the population in 2010 that were uninsured. The money that Tribu County spent per capita on public health funding took a significant drop in three years from 2009 to 2011 of over $2. 00 per person.

Tribu County even offers a large percentage (18. 8%) of individuals not only are on Medicaid tend to be dually have Medicare. Dual coverage is based on income, into the disability; they are usually in very poor well being with serious, complicated health issues and/or mental issues.

Despite having the public health funding, Nacion County keeps having 17% of the population that contain unmet wellness needs due to financial restrictions. Hopefully with all the new regulation of the Cost-effective Care Work the percentage of “unmet” health needs can completely diminish or at least drastically decrease. Social Assessment Nacion, Colorado can be described as multi-cultural community with the majority of the population of Hispanics, Italians and Slovenians that have filled Pueblo intended for generations.

The Hispanic tradition is the most prominent in Tribu, which can be observed in the structures, art, celebrations and museums which pays great tribute to their Mexican heritage. One of the largest bits of the Hispanic culture that is certainly enjoyed by simply all in Nacion is the food. Pueblo retains annual festivals and activities that screen the unique repas of the Mexican culture, one of the most prominent delicacies being the “Pueblo Green Chili”. Food of the Hispanic culture as well as the health risks may contribute to the high number of adults that are obese or overweight.

According to findings in the Pueblo Community Health Position Report of 2011, 23% adults over the age of 18 are overweight. With such a large Hispanic inhabitants comes a top percentage from the population that have genetic temperament for Diabetes Mellitus Type 2 . (County Health Rankings and Road Maps, 2013) A large relatives unit consisting of generations of “extended” is a huge area of the Hispanic traditions in Nacion. The Asian population in Pueblo seriously holds the matriarchs and patriarchs to a high respect.

Although not practically as prominent in Poblado, the German culture is known as a large element of Pueblo’s traditions as well. German culture is seen predominantly in the culinary impact on that opened the way for the initial “Pueboloan” dishes, such as the German Sausage sandwich that you can get at certainly one of Pueblo’s earliest traditions, Move Key Restaurant. (Pueblo, The state of colorado, 2013). The Slovenian culture is another important part of Pueblo’s culture. The Slovenians moved to Pueblo and satisfied here doing work in the metallic industry.

That they introduced ethnical and culinary traditions that are still extremely highly utilized and component to Pueblo’s lifestyle even today. For example , Potica is among the most well-liked culinary snacks that is popular around the christmas season, but are available and liked all year around. The Slovenian folk music and theatre can also be seen throughout Pueblo. (History of Pueblo) Catholicism is the main religion in Pueblo and it is a huge portion of the culture. Around 68% of Pueblo proclaims they are Catholic.

In Pueblo’s culture, ladies are the largest majority of this population, even though “Holy Orders” are the position of the males. (Pueblo, Co, 2014) Genogram Interpretation From my declaration of data, figures and data gathered intended for Pueblo County’s Community evaluation, I have found that Pueblo State overall can be described as fairly healthier community. The city is traditionally white, non-Hispanic population with an increase with the Hispanic populace in the past 2 yrs. The Median household cash flow is $38, 780 and 16. 9% household at or under poverty level. The lack of employment rate by 9. 6% which is 1% higher the fact that U. S i9000. average.

With such economical difficulties there were approximately 13, 760 individuals who receive food assistance, Poblado is a multi-Cultural community composed of Hispanic, Italian language & Slovinian. All ethnicities brought together with food offered at festivals and at restaurants. Pueblo is usually predominately Catholic religion by 68% with women playing a large part in Catholic & Asian Culture. Significant Hispanic inhabitants diagnosed with diabetes type II and obesity. The crime rate is usually higher than the national common.

In 2006, Nacion County acquired approximately 2 . 4 alcohol stores per 10, 500 people. Underage rates of drinking increased with grow older. Methamphetamine utilization in youth (less than 12 percent), but showed signs of increase between 2005 and 2007. The factors and morbidity and mortality prices of Tribu County happen to be higher than the national standards. Pueblo offers 95% of days with good air quality and moving water safety for 1%.

Pueblo County provides a disaster/ crisis management readiness plan in addition to a chemical amass emergency readiness program pertaining to the Nacion Chemical Website. Pueblo operates in an all-hazards disaster program with Tribu Health Office being the lead in the Emergency support function of Public Health. Tribu County, The state of colorado is total a healthy community. Nevertheless, areas where advancements need to be built are identifying a way to tackle each individual’s reaction to negative life events.

These incidents are triggering a rise in binge ingesting and the use of methamphetamine mistreatment. Creating and implementing a strategy to decrease the poverty level and having the ability to inform and address gain access to and efficient needs. Neighborhood/Community Safety Evaluation As unhappy as it is to state, violence in Pueblo County is a huge “health” problem.

Pueblo’s overall criminal offense index since reported 5 years ago was 6945 crimes which has been higher than the national typical and encompasses “violent” and “property” criminal offenses. Violent offences consist of murder, rape and aggravated approaches. Property crimes include burglary, larceny, thievery, motor vehicle fraud, arson, and vandalism.

5 years ago, Pueblo had a reported total of 628 violent offences with break down as follows: Murders – 6; Rapes forty-nine; Robberies – 170; Aggravated assaults – 403. Pueblo’s reported “property crimes are as follows: Theft – 6317; Larceny/Thefts – 4409; Automobile Thefts – 455 and Arsen – 55. (Pueblo Colorado Criminal offenses statistics and Data Solutions, 2014). Along with the high crime rates that complete Pueblo’s areas that have an effect on the safety and health in the county are definitely the large number of alcohol stores that fill them.

In 2006, Nacion County experienced approximately 2 . 4 alcohol stores every 10, 000 people. (Community Health Position Report, 2011) With this sort of a high denseness of liquor stores and access to liquor, it can also lead or become a large relation to the monetary and sociable crumbling in the community and overall price of criminal offense. There are research that report that the “over-concentration of alcohol stores increases the perceived deficiency of safety and limits walkability in the community”. (Community Health Status Survey, 2011).

The excessive usage of liquor also brings about major medical problems, such as, cirrhosis of the hard working liver, cardiovascular disease, cancer, anemia in addition to the effects because of injuries continual in car accidents secondary to driving under the influence. Substance abuse, including alcoholic beverages, is another public health concern inside the Pueblo community. One of the biggest problems of irresponsible drinking is that of “binge” drinking amongst individuals. Excessive drinking is known as a major indicator of drug abuse and is understood to be “Consuming five or more alcohol drinks in one occasion before month”.

Via 2007-2009, there are 14. five per cent of adults in Poblado that reported binge drinking, a rate that was very well below the Healthy and balanced People 2020 objective. (Community Health Status Report, 2011). According to the website, Teen Substance abuse, 90% of alcohol consumption simply by those that will be underage is in the form of “binge” drinking. (Teens and Dependency, 2014). In Pueblo County, underage rates of having increased with age, demonstrating that teenagers may experiment or perhaps try alcohol around the ages of 16 or 17. (Community Overall health Status Survey, 2011).

In Pueblo Region, methamphetamine use in youth age range 15-18 years was low (less than 10 percent), but demonstrated signs of boost between 2005 and 3 years ago for the “15 or perhaps younger” category. Following countrywide trends, comes from 2009 indicate decreasing methamphetamine usage regardles of the model for all age groups.

This may be partly to successful prevention surgery, education promotions about methamphetamine use, or inconsistent self-reporting (Community Health Status Report, 2011) Real estate, water top quality, and air quality are factors that can be categorized as environmentally friendly quality/safety of Pueblo,  County. “Homes” symbolize to most a spot of protection, security and shelter also because these factors are so essential they have the potential to help or perhaps harm the health of the community. The United Method Pueblo State evaluation in 2009 reported that Pueblo Region had a large shortage of “low income” leasing housing. The estimated leasing housing in Pueblo State reported last year was 32% and possessing was reported at 68%. (America Fact Finder, 2012).

Sewage is another factor which could potentially be a huge source of water toxic contamination. Waste normal water treatment plants in bigger populated regions of Pueblo State are used to deal with sewage just before being released back in the environment; yet , not all regions of Pueblo Region are served by a treatment plant. Pueblo County offers approximately of sixteen, 000 homes that have septic systems and are not serviced by a waste water treatment plant. Water wells may become contaminated due to improper solid waste system treatment. In Pueblo County, the majority of its population the water comes from area water.

In some instances, the drinking water may come by shallow surface area sources or perhaps underground wells. (Community Health Status Report, 2011). Mid-air quality in Pueblo is made for the very great with the particle matter (PM2. 5) staying very low. Molecule matter can be defined by the EPA since the tiny particles straight emitted into the air and particles created in the air by simply chemical transformation of gaseous pollutants. (United Stated Census Bureau, 2010). According to the Tribu City-County Well being Department’s Environmental Health Division, there were above 830 grievances in 2010 with the majority of grievances which were 41% of the total complaints had been about the housing. (City-Data Pueblo State, CO, 2012).

All in all the environmental Quality of Pueblo Region is endowed. The health factors and morbidity and mortality rates of Pueblo County are in lot of instances higher than the national benchmarks. Premature toddler deaths in Pueblo Region in 2009 were 8, 767.

Malignant neoplasms rank 1st in Poblado County to get the leading casue of loss of life with heart disease being second leading reason for death in Pueblo Region. (Community Wellness Status Report, 2011) Morbidity reporting of poor or fair wellness was 17% Health factors in Nacion County including smoking was 23% in comparison to the National benchmark of 13%, teen delivery rate was 63% when compared with National benchmark of 21%, sexually sent diseases reported in Poblado County was approximately 352 with the countrywide benchmark of 92. (County Health Rankings and Road Maps, 2013). Devastation Assessment Tribu has a Disaster Management Plan which includes many support functions based on the emergency which include the following: transportation, fires, wildfires, victim treatment, search and rescue, long lasting recovery, hazmat, damage examination, floods, mass fatality, terrorism, tornadoes and winter storms.

The program’s goal should be to prevent or perhaps decrease the impact of normal or individual caused catastrophes. There are also added support devices such as behavioral health response and a creature health response plan. The department personnel and fireplace fighters are specially educated and ready to interact to any major disasters that may occur. The command workers assist in the coordination with the disaster and emergency administration training exercises in the local region.

There are month to month meetings with the members plus the Pueblo Region Emergency Response Team (PERT) and to local unexpected emergency reponse and support companies. (Pueblo, The state of colorado, 2014). Nacion also functions and “All Hazards” disaster plan designed to address the needs of the Pueblo Fireplace Department plus the people of Pueblo in and effective and effecient manner if a disaster arises. It is also serves as a supplement towards the Pueblo Region Emergency Functions Plan. (Pueblo, Colorado, 2014).

The Tribu Chemical Website, a chemical weapons storage area site is found in Pueblo County. Mustard agents HD and HT are stored at the Pueblo Substance Depot. The chemical stockpile emergency readiness program is the federally funded program implemented by the Section of Security and the Federal Emergency Administration Agency (FEMA).

The program was placed to get ready the local government bodies for a feasible chemical weapons incident. If such an occurrence occurs, Nacion Chemical Lager will notify the Tribu County Sheriff’s Communication Center in accordance involving the agreement between Pueblo County and Poblado Chemical Website. (Emergency Companies Bureau, 2013) Due to the hot dry summers, a fire or perhaps wildfire frequently occurs and there is an emergency support system that is in place. This agencies included are the Poblado County Sheriff’s Office Crisis Services Bureau, Public Works, the Co State Patrol, the Co State Forest Service, US Forest Assistance, Colorado Point out Parks, American Medical Response, both neighborhood hospitals – Parkview Medical Center and St Jane Corwin Medical center.

The Crisis Support Function and Wildland Fire Incident Annex is there to guarantee a proper response from your numerous companies involved to get containing and extinguishing fire. This is a powerful system that was established to control the various solutions and organizations involved to fight structural and untamed land fires in Pueblo County. (Emergency Services Bureau, 2013). The Pueblo Service Sequence determines procedures intended for the account activation and procedure of the Poblado County Urgent Operations Centre (EOC).

The EOC is usually activated to an anticipated or actual response that involves several area or perhaps jurisdiction and multiple response agencies. Including agencies that respond to HazMat accidents, extreme weather, water damage, earthquakes, municipal disturbances or perhaps terrorism. (Emergency Services Bureau, 2013) The Pueblo Region Health Section leads the emergency support functions to get Public Health and Medical Companies. Their promoting agencies will be as follows: Regional Hospitals, EMS, Behavioral Health Services, Emergency Service Bureau, Coroner, Farming, Education, Human being Services, Police Agencies, Military and Veteran Affairs, General public Safety, Regulatory Agencies, Travel, Pueblo Community Health Middle, American Crimson Cross, Salvation Army and COVOAD.

This system provides a response and restoration action related to the lifesaving transport, expulsion, treatment of the injured, handling of the distributed contamination, elimination of toxic contamination of normal water and food supplies plus the disposition of any useless. (Emergency Companies Bureau, 2013) As you can see, Nacion County is very well prepared with any type of normal, chemical, or perhaps human caused disaster. Overview From my own observation of data, statistics and information obtained for Tribu County’s Community assessment, I have found that Tribu County total is a reasonably healthy community. The community can be predominately white colored, non-Hispanic human population with a boost of the Hispanic population before two years.

Air pollution in Pueblo State is under the national common with 95% of days and nights with great air quality and only 5% with moderate air quality. An area that may use improvement would be to discover a way to attend towards the individuals that help to make negative responses to distressing or negative existence events. These responses and events may possibly play a massive factor in the rise of homicides which can be taking place in Pueblo Region.

The education of the public community about the emergency and disaster preparedness programs through community outreach will help to inform and develop functional needs for Pueblo.

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