2004 The Health of Olmsted County C

The Health of
Olmsted County
2004
H
R
COMMUNITY
EALTH
EPORT
CARD
Table Of Contents
Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Table of Contents, Introduction, Demographics, Terms and Indicators
Health Status Indicators
Leading Causes of Death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
All Ages, Due to Unintended Injury
Lifestyle Choices Contributing to Premature Illness & Death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Overweight, Tobacco Use, Alcohol Use
Pregnancy and Birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Low Birth Weight, Infant Mortality, Early Prenatal Care, Smoking during Pregnancy
Mental Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Youth Self Esteem, Suicide
Poverty and Violence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Children and Adults 65+ living in Poverty, Child Maltreatment
Teen Sexual Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Sexually Active, Sexually Active and Use Birth Control
Teen Pregnancy and Birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Preschool Immunizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Gastrointestinal Illnesses, HIV Infection, Sexually Transmitted Diseases, Tuberculosis
Environmental Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Air Quality, Drinking and Surface Water Quality, Foodborne Disease Outbreaks
Data Sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Introduction
Dear Citizens of Olmsted County:
Olmsted County Public Health Services is pleased to release the 2004 Community Health Report Card,
providing a picture of the health and well-being of Olmsted County residents. This second edition of the
report card is designed to follow the national Healthy People 2010 Report, which is grounded in science,
built through consensus, and designed to measure progress on health indicators.
The purpose of the report card is to: Inform people about the current health status of our residents using
key health indicators; Provide information for policy development; and Provide a benchmark to measure
progress and improvement in health status.
Public health issues cover a broad scope - pregnancy and birth, immunizations, mental health,
environmental conditions, and health care access, to name a few. We hope these local health indicators
enhance your understanding of Olmsted County's overall health status.
This report used the most current data available at the time of printing. Not all indicators of the
community's health are measured locally, thus certain key information is not indicated in this report. Lack of
consistent reliable data about the local community should not minimize the importance of an issue and its
impact on health and quality of life.
Sincerely,
Mary Wellik, Director
Olmsted County Public Health
Page 2
County Demographics
According to the 2000 U.S. Census, the resident population of Olmsted County was 124,277, making it the
8th largest county in the state of Minnesota. Sixty-nine percent of the population lives in the city of
Rochester. The median age of Olmsted County residents was 35 years in 2000. Residents under age 18
made up 27% of the population, while those aged 65 years and older made up 11% of the population. The
population is 51% female.
Rochester and Olmsted County have seen significant increases in populations of ethnic minorities in recent
years. Minorities (races other than White and/or Hispanic-Latino persons) now make up almost 11% of
Olmsted County's total population.
Despite a relatively high median household income, inequalities in income and education still exist.
Generally, population groups that suffer the worst health status also have the highest poverty rates and the
least education. Disparities are associated with higher amounts of illness and death, including heart
disease, diabetes, obesity, elevated blood lead levels, and low birth weights. Higher incomes permit
increased access to medical care, enable people to afford better housing and live in safer neighborhoods,
and increase the opportunities to engage in healthy behaviors.
Terms and Indicators
Olmsted County Public Health Services used the national consensus indicators as a basis for selecting
community level indicators for this Report. Priority in selecting the final indicators was given to measures
for which data are readily available and that are commonly used in public health. The indicators are
intended to ensure data comparability and provide a broad indication of the general health status of our
community at a point in time.
Throughout the report, we have tried to use rates and percentages as much as possible to describe our
community, and then compare those findings with the state. No matter how accurate the data seems to be,
the level of health, disease, or health perceptions present in Olmsted County can never be entirely known.
It is also important to keep in mind demographics and socioeconomic factors as they can significantly
impact one's health.
The following rating key is used periodically in this report card, and provides a quick reference as to the
health status of our community for each of the indicators selected. The ratings were assigned based on
positive or negative trends over time and/or increases or decreases in risk exposures. When available,
national or state goals are included as a reference point to show the gap between where we are and where
we would like to get. Please note: not all indicators have a corresponding state or national goal, and some
of the selected indicators have not been assigned a rating because the data represents a point in time and
not a trend over time.
Movement in wrong direction
No movement or significant change
Movement in right direction
Page 3
Leading Causes of Death
Leading Causes of Death, all ages,
Olmsted County1 2000
Leading Causes of Death Due to
Unintended Injuries, Olmsted County1 2000
12%
25%
5%
22%
38%
9%
6%
5%
6%
36%
36%
Heart Disease
Stroke
Chronic Resp. Disease
Falls
Poisoning
Cancer
Unintended Injury
Other
Motor Vehicle
Other
Suffocation
The leading causes of death are now associated with chronic diseases and not infectious diseases. Cancer and heart
disease now account for nearly 47% of all deaths in Olmsted County, and are associated with lifestyle and individual
behaviors. Promoting good nutritional habits and adequate physical activity will help decrease chronic diseases.
Unintentional injuries account for 5% of the total deaths and falls are now the leading cause of death due to injuries.
Falls disproportionately affect young children and older adults. Increased awareness of potential hazards, improved
motor skills and balance, along with continued safety precautions can reduce injuries and death due to falls.
Lifestyle Choices Contributing to Premature Illness & Death
Overweight Adults2
70
60
55
56
55
55
58
58
50
percent
40
40%
30
20
10
0
1999
Color Key
Page 4
2000
2002
The prevalence of overweight is defined as a Body Mass
Index (BMI) greater than or equal to 25 for men and
women. Overweight for all ages has increased
dramatically all across the country over the past decade.
Behaviors established in childhood such as poor eating
patterns and lack of physical activity, become more
difficult to change with age. A 1999 CardioVision 2020
survey provided local data regarding adult nutritional and
daily physical activity habits, however it has not been
repeated. There are no other data available at the local
level to assess these behaviors. Addressing the issue of
overweight will take a comprehensive and aggressive
approach from schools, businesses, medical
professionals and environmental planners.
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
Goal
Tobacco Use & Exposure
Weekly Cigarette Use by
12th Graders3
40
40
30
30
20
17
17
percent
percent
Weekly Cigarette Use by
9th Graders3
20
16
13
10
10
10%
20
31
28
26
28
24
21
15%
10
0
0
1995
1998
2001
1995
1998
2001
Tobacco use among youth has decreased or stayed level for the past several years, due in large part to the targeted
funds for tobacco prevention initiatives across the state following the tobacco settlement in 1998. The optimal strategy is
a comprehensive approach involving smoke-free environments, evidence-based prevention curriculum, reduced youth
access and youth led - adult guided activities. Targeted tobacco prevention funding has been substantially reduced, and
youth smoking rates may rise again in the future as a result.
Current Adult Cigarette Use2
Percent of Smoke Free Food and
Beverage Establishments4
35
100
23
23
20
20
20
22
75
22
15
15%
10
percent
percent
25
85
84
30
80%
67
50
33
25
16
15
5
0
0
1992
1998
2002
1999
2002
Smoke-Free
2003
Not Smoke-free
The adult smoking rate has been relatively stable for the past several years. Young adults represent the largest
percentage of smokers, and increased emphasis will be needed to reach out to this group to prevent them from starting,
and/or to help stop the addiction cycle quickly. Exposure to tobacco smoke is limited because of state restrictions and
the passage of a county Smoke Free Restaurant ordinance in 2001. The ordinance does not restrict smoking in bars,
defined as 50% or more of net sales from the sale of liquor.
Color Key
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Page 5
Alcohol Use
Acute/Binge Alcohol Use by
9th Graders3
Acute/Binge Alcohol Use by
12th Graders3
40
40
30
30
17
percent
32
32
34
32
33
20
13
16
13
percent
20
20
29
10
20
10
5%
0
0
1995
1998
1995
2001
1998
2001
Alcohol is the most commonly used drug by youth as well as adults. In fact, nearly 63% of our 12th grade students
report having drank alcohol in the last twelve months. Alcohol use, especially binge drinking (five or more alcoholic
drinks on one or more occasions), affects nearly every part of the body and is directly related to lower academic
performance, dropping out of college, high-risk and early sexual activity, violent behavior, and death and injury from
alcohol-related car crashes.
Acute/Binge Alcohol Use by
Adults (18 Yrs. +)2
25
21
20
17
16
18
21
18
percent
15
10
6%
5
0
1999
Color Key
Page 6
2000
2002
Minnesota has one of the highest rates of adult alcohol
use in the nation. Olmsted County ranks 7th in the state
for alcohol-related motor vehicle injuries and fatalities.
Binge drinking continues to increase, as does the
percentage of adults who chronically use alcohol. Binge
drinking seriously impairs physical, motor and
coordination skills necessary to function safely, and longterm drinking contributes to several chronic diseases.
Strategies to reduce alcohol use must include changing
the social acceptance and tolerance of excessive
alcohol use.
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Pregnancy & Birth
5-Year Infant Death Rate
(per 1,000 births)1
10
10
8
8
6
4
3.9
4.4
5.2
4.9 4.6
4.6
3.5%
2
rate per 1,000
percent
Percent of Low Birth Weight
(single births only)1
0
6.8
7.4
6.6
6.4
5.4
6
5.7
5.0
4
2
0
2000
2001
2002
88-92
87-92
93-97
98-02
Infants born at low birth weights weigh less than 2500 grams (5 lbs 8 oz). They have higher rates of health problems,
developmental delays, and risk of death than babies born at higher weights. To increase the chances of a normal weight
infant women need early and ongoing prenatal care, good nutrition, and must refrain from smoking and drinking. The
Minnesota 2004 Goal for infant death is a rate of 5.0 per 1,000 live births or fewer. Since the early 1970's, the infant
death rates have decreased by over 50% for both Olmsted County and the state.
Percent of Prenatal Care
Received In 1st Trimester1
100
80
80
84
87
86
100
90%
92
88
91
89
92
89
99%
80
60
percent
percent
88
88
Percent of Women Who Did Not Smoke
During Pregnancy1
40
20
60
40
20
0
0
1998
2001
2002
1999
2000
2001
Prenatal heath care received in the first 3 months of pregnancy for assessments, risk screening, health education, and
referrals to community resources help prevent problems in the unborn baby and mother. The percent of women who
access prenatal care is nearing the Minnesota 2004 Goal of 90%. Cigarette smoking is a leading cause of low birth
weight and has been linked to prematurity and infant death. Smoking prevention and cessation education is critical to
the health of baby and mom.
Color Key
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Page 7
Mental Health
9th Grade Females Who Usually Feel
Good About Themselves3
100
100%
78
78
79
80
78
100
87
78
89
90
90
100%
87
87
80
60
60
percent
percent
80
9th Grade Males Who Usually Feel
Good About Themselves3
40
20
40
20
0
0
1995
1998
2001
1995
1998
2001
Mental health is critical to a person's well being and self-esteem is a key factor in adolescent health. Along with
everything else they deal with, adolescents face issues about how they see themselves and how their peers see
them. In Olmsted County, 9th grade females report feeling good about themselves less often compared to males.
Adolescents who have low self-esteem or who feel that their lives are meaningless are at a greater risk for
depression, alcohol and drug use, and suicidal thoughts and/or behaviors.
Suicide Rates (per 100,000)
Aggregated Data, 1998-20021
Olmsted County
Age group
#
Rate
Minnesota
#
Rate
10 -- 14
2
4.2
30
1.6
15 -- 19
2
4.5
170
9.8
20 -- 24
5
13.7
237
14.8
25 -- 34
4
4.4
383
11.6
35 -- 44
19
17.8
530
13
45 -- 54
9
10.8
437
13.3
55 -- 64
3
6
196
9.6
over 65
9
13.6
328
11.1
Totals
53
8.6
2311
9.7
In 2000, suicide was the tenth leading cause of death in
Olmsted County and in Minnesota. Suicidal behavior is
complex. Some risk factors vary with age, gender and
ethnic group. Although suicide first emerges as a health
threat in the teen years, rates of completed suicide are
higher among adults 20 years and older. Data from 19982002, indicates the 35-44 age group had the highest rate
in Olmsted County and was considerably higher than the
state.
MN 2004 Goal = 8.3
Color Key
Page 8
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Poverty & Violence
Percent of Children (0-18 years)
Living In Poverty 5
14
Percent of Adults (65 years +)
Living In Poverty 6
14
12.4
12
12
10
7.9
8
9.5
10
6.7
percent
percent
9.2
12.1
10.7
6
8.2
8
6
4
4
2
2
0
0
1990
1990
2000
2000
Poverty contributes to health problems. The young and the old are especially vulnerable to poverty. The percentage of
the over 65 population living in poverty in Olmsted County exceeds the state level. Poverty often results in poor
nutrition, compromised child development, inadequate housing, lack of transportation, and a lack of basic health care.
Maltreatment Rate (per 1,000)
For Children 0-18 years7,8
12
10
9.6
8.4
8
rate per 100,000
9.2
6.7
7.6
5.9
6
6.2
4
2
0
1998
Color Key
2000
2002
Despite a slight rise in the maltreatment rate between
2000 and 2002, there has been a significant drop since
1998. Abused children are at greater risk for injury, poor
health, and emotional-behavioral problems. Society
suffers an economic burden, whether it is from increased
health care costs, mental health services, additional
educational services, social services, or correctional
services. Providing family-centered support services to
parents as they begin their families helps provide the
parenting education and support needed to alleviate
family stress.
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Page 9
Teen Sexual Behaviors
12th Grade Males
Ever Sexually Active 3
Sexually Active 12th Grade Males Who
Always Use Birth Control 3
100
100
80
61
56
60
46 49
46 48
50%
40
20
percent
percent
80
60
57
61
65%
60
40
0
1992
1998
2001
1992
12th Grade Females
Ever Sexually Active3
1998
2001
Sexually Active 12th Grade Females Who
Always Use Birth Control 3
100
100
80
80
52
60
48 51
48 50
50%
40
percent
percent
55
20
0
60
62
60
20
67
63
69
65
68 69
65%
60
40
20
0
0
1992
1998
2001
1992
1998
2001
The percentage of adolescents reporting that they have had sexual intercourse continues to decline. These percentages
have been declining for both 9th and 12th graders since 1989, and are very encouraging. Communication between
partners about sexually transmitted disease protection has increased considerably since 1992. Females report always
using birth control more than males, however the percentages are still much lower than desired. Young women who are
at greatest risk need a greater concentration of effort and resources to prevent unintended pregnancies. Pregnancy
prevention efforts must include increased education and include young men, as well as reducing risk taking behaviors
and promotion of self-esteem, good decision-making, and family support.
Color Key
Page 10
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Teen Pregnancy & Birth
3-Year Pregnancy Rates (per 1,000)
15-19 years1
50
40
50
44
37
3-Year Birth Rates (per 1,000)
15-19 years1
41
35
40
37
40
30
Rate
Rate
30
20
29
24
29
24
25
28
20
10
10
0
0
97-99
99-01
97-99
00-02
99-01
00-02
Teen mothers and their children face many difficulties such as poverty, less education, and unstable employment.
Children have increased risk of abuse and neglect, health and social problems. Teens are less likely to become
pregnant when they have success in school and connection with caring adults. Pregnancy prevention efforts should be
early and focused on young men and women at risk for sexual behaviors leading to pregnancy.
Preschool Immunizations
Immunizations Received On Schedule
at 20 Months of Age9
100
percent
80
81
70
66
60
46
90%
75
55
40
20
0
92-93
Color Key
96-97
00-01
00-02
In school years 1992-93, 1996-97 and 2000-01, the
immunization records of nearly every kindergarten student
in Minnesota were reviewed to determine immunization
levels at critical ages. Olmsted County kindergarteners
have had the state's highest immunization levels at the
critical age of 20 months in each of these surveys. Not
coincidentally, the County has also had very low rates of
vaccine-preventable diseases. Immunizations for children
and adults are vital to protecting a community as mobile
and diverse as ours and it is important to receive those
vaccinations at the appropriate time for maximum
effectiveness. New recommendations now include annual
influenza vaccinations for all children aged 6-23 months.
Adults aged > 65 years, women in their second or third
trimester, and persons with chronic conditions should also
consider having annual influenza vaccinations.
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Page 11
Infectious Diseases
Infectious Gastrointestinal Disease
3-Year Case Rates (per 100,000)1
50
46.6
40.5
37.9
40
36.9
31.8
28.1
30
6.8
‘00-’02
30
22.4
‘97-’99
Salmonellosis
Salm
onellosis
20.1
‘94-’96
‘00-’02
Campylobacteriosis
Cam
phylobacteriosis
13.1
‘97-’99
‘94-’96
13.4
0
12.3
15.1
20.3
21
10
19.2
28
19
20
20.2
rate per 100,000
34.1
‘97-’99
‘94-’96
‘00-’02
Giardiasis
27.4
25
rate per 100,000
20
15
11.6
10
8.8
10
7.9
5
5
4.2
0
‘94-’96
4.1
‘97-’99
E-Coli 0157:H7
2.7
‘00-’02
0.9
1.0
‘94-’96
4.1
3.6
‘97-’99
‘00-’02
Cryptosporidiosis
Olmsted County has had higher rates of infectious gastrointestinal diseases than most other counties in the state for
many years, but there is evidence of decline in those rates. Salmonellosis and Campylobacteriosis are common
diseases in cattle, poultry and some pets. E. coli 0157:H7 has been usually associated with eating undercooked ground
beef. Humans get these diseases when they eat or drink something contaminated with stool from a sick animal or
human. Most outbreaks of Giardiasis involve childcare settings. Several swimming pool outbreaks of Cryptosporidiosis
in 1998 contributed to high rates in that 3 year period.
Color Key
Page 12
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
HIV Infection and STD’S
HIV and Selected STD
3-Year Case Rates (per 100,000)
180
8
150
6.1
‘94-’96
‘97-’99
rate per 100,000
rate per 100,00
0
‘00-’02
14.6
14.9
‘97-’99
‘94-’96
Syphilis
HIV Infection
at first diagnosis
16
145.1
‘00-’02
30
56.2
‘97-’99
60
51.8
1.4
‘94-’96
0.5
135.8
1.7
2
2.5
63.4
3.7
2.4
90
176.7
4.1
6.4
5.9
6.3
120
4
0
132.6
7
6
155.4
144.8
‘00-’02
‘94-’96
Gonorrhea
‘97-’99
‘00-’02
Chlamydia
HIV/AIDS, syphilis and gonorrhea rates have remained low compared to Minnesota rates for nearly a decade.
Chlamydia is the most commonly reported sexually transmitted bacterial infection in Minnesota and the United States.
Although the three-year case rates of Chlamydia in Olmsted County were lower than Minnesota from 1997 to 2002, the
actual numbers of cases were still unacceptably high. Raising public awareness, improving prevention education, and
increasing screenings and testings can reduce the number of STD's.
Tuberculosis
Active Tuberculosis
3-Year Case Rates (per 100,000)1
12
10.8
10
rate per 100,000
10
8
6
4
3.8
3.1
3.7
4.5
2
0
94-96
97-99
00-02
Olmsted County has higher rates (number of cases per 100,000 population) of active tuberculosis than most counties in
Minnesota. More than 90% of these cases are in persons who recently lived or worked in countries where tuberculosis
is very common. These cases have usually been diagnosed very early in the course of the disease and there is little
evidence of community transmission.
Color Key
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Page 13
Environmental Conditions
Air Quality
Percent of 1 & 2 Family Homes
Tested for Radon, Olmsted County 20034
Of the 7% of homes
tested, 49% had
elevated levels of
radon.
7%
93%
Homes tested for Radon
Radon is the second leading cause of lung cancer deaths
in the US, accounting for an estimated 15,000 lung
cancer deaths each year. Olmsted County is in a region
of Minnesota designated as a "High Radon Potential
Zone." About half of the radon tests done in the county
exceed the EPA's action level of 4pCi/L. Residents can
test radon levels in their home with a simple low-cost test
kit available from Public Health and take steps to reduce
the long-term risk of exposure.
Homes not tested
Ambient Air Quality by Community, 200310
300
272
261
191
number of days
200
165
102
90
100
161
118
2
10
St. Cloud
Rochester
3
13
0
Duluth
Good
Moderate
Tw in Cities
Unhealthy for sensitive groups
Outdoor air quality is rated using an index developed by the U.S. EPA. Rochester's air is typically rated Good or
Moderate, but there were 10 days during 2003 when it was rated Unhealthy for Sensitive Groups. These include the
elderly, and those with respiratory diseases such as asthma and emphysema. Air quality is a regional problem because
polluted air masses can travel long distances. Air pollution comes from multiple sources including motor exhaust, power
plants, heating systems, and wind blown soils.
Color Key
Page 14
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Water Quality
Stream Assessments
Completed as of 200311
Drinking Water Supplies Tested
in Olmsted County, 200311
100
100
100
78
80
80
percent
percent
60
40
20
100
100
60
40
40
13
20
8
8
0
0
Private Wells
Tested
tested
Olmsted
Streams sampled
Public Wells
Meets standards
standards
meets
Minnesota
Impaired
Public wells serve urban areas and are tested at least once each year for common contaminants. In 2003, all of the
public water supplies in Olmsted County were found to meet state drinking water standards. About 8% of the 6,500
private wells in the County were tested in 2003. Of these, 78% met the state standards for nitrate and coliform bacteria
(two contaminants that may be found in drinking water supplies). It is recommended that families with private wells have
their water tested annually. As of 2003, 70 of the 500 miles of streams and rivers in Olmsted County have been
assessed and compared to surface water quality standards. So far, all of the assessed waters fail to meet state
standards. Consequently, the Minnesota Pollution Control Agency has categorized all of the assessed streams in the
County as "Impaired Water" (those which pose risks to human health, aquatic life, and are not suited for water based
recreation).
Foodborne Disease Outbreaks
100
94
80
60
number
Foodborne
Disease Outbreaks
Investigated by
County,
1998-20024
48
40
21
21
20
17
15
11
7
0
in
ep
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n
He
y
se
m
Ra
a
ok
n
A
ed
st
m
l
O
ta
ko
Da
n
to
ng
i
h
as
W
is
ou
L
.
St
t
ot
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Counties
Nationally, there is an estimated 76 million cases of foodborne disease, resulting in more than 325,000 hospitalizations
and 5000 deaths each year. Olmsted County averages about 4 foodborne outbreaks each year (an outbreak is when 2
or more people become ill after eating a meal with no other common exposures that could explain their illness). While
most foodborne disease is not reported, a higher proportion may be identified in Olmsted County due to the strong
healthcare presence and active reporting by the public and restaurant managers.
Color Key
Movement in wrong direction
No movement or significant change
Movement in right direction
Olmsted County
Minnesota
US or MN Goal
Page 15
Data Sources
1.
Minnesota Department of Health, Center for Health Statistics
2.
Minnesota Behavioral Risk Factor Surveillance System
3.
Minnesota Student Survey
4.
Olmsted County Public Health Services Environmental Health Database
5.
Minnesota Planning Department, 2002 Minnesota Children's Report Card
6.
US Census Bureau
7.
Minnesota Department of Human Services
8.
Olmsted County Community Services
9.
Minnesota Department of Health, Retrospective Kindergarten Survey
10.
Minnesota Pollution Control Agency
11.
Olmsted County Environmental Resource Services Database
For More Information
If you would like additional information, or to schedule a presentation for your group or
organization about this report card, please contact:
Kari Etrheim
Olmsted County Public Health Services
2100 Campus Drive SE
Rochester, MN 55904
507-285-8370
Etrheim.kari@co.olmsted.mn.us
To view an electronic copy of this and other documents, visit our web site:
www.olmstedcounty.com/publichealth
P U B L I C H E A LT H S E RV I C E S
“Bringing people together to create a healthy future
for Olmsted County”