2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...

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2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...
2020 Harvard
Community Health Needs

Our Mission:
Exceptional health care services
with a passion for making lives better.
2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...

Executive Summary …………………………………..…………..….....                   2
Methodology ………………………………………..……………..…....                       3
Demographic Profile
     Population …..………………………………………….……….....                    4
     Age, Gender and Race Distribution.……………………………….            6
     Economic Factors ……………………………………………….....                   7
     Education …………………………………………………………..                        10
Prevention Behaviors
     Accessibility ……………………………………………………….                      11
     Wellness …………………………………………………………...                        12
Symptoms and Predictors
     Tobacco Use ……………………………………………………….                        14
     Substance Abuse …………………………………………………...                    14
     Adolescent Substance Use………………………………………….                 15
     Overweight and Obesity ….…………………………………..........          16
Disease / Morbidity
     Chronic Conditions ………………………………………………..                   17
     Morbidity & Mortality …………………………………………….                  19
Prioritization of Health-Related Issues
     Perceptions of Health Issues and Factors…………………………..      20
     Perceptions of Unhealthy Behaviors …………..………………….         22
     Perceptions of Personal and Community Well-being …………….   23
     Perceptions of Community Leaders ……………………………….            24
     Community Resources …………………………………………...                   25
     Summary of Community Health Issues …………………………...          25
     Prioritization ……………………………………………………...                    25
2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...

Mercyhealth conducted a Community Health Needs Assessment (CHNA) in winter 2019 and spring 2020
designed to identify health and quality of life issues in the Harvard, Illinois community. This approach
identifies issues where there are opportunities for improvement in the health care delivery system, which
could improve patient care, preventive service utilization and
the overall health and quality of life in the community.                      Mercyhealth Hospital and
                                                                             Medical Center – Harvard
Results from this study can be used for strategic decision-
making purposes as they relate to the health needs of the
community and to ensure that programs and services closely
match the priorities and needs of the Harvard community.

In addition, this report has been prepared in compliance with
IRS Notice 2011-52 relating to community health needs
assessment (CHNA) required by Internal Revenue Code
Section 501-r-(3). It includes the following components:

•   Study Methodology: A detailed description as to how the
    study was conducted in order to identify key trends and
    needs in the community.

•   Community Analysis: A compilation of data from
    external sources on a wide variety of community health issues and trends.

•   Household Survey: A random survey of residents in Harvard; a link to the survey was also
    distributed by several organizations in the Harvard community.

•   Key Informant Interview: Selected community leaders in business, government, health care,
    nonprofit, and other community sectors were interviewed as to their views on the health of the
    community and how it can be improved.

•   Key Findings: A summary of the community analysis, household survey, and key informant
    interviews identifying trends and important health-related needs in the community as well as a
    prioritization of those issues.

2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...

Secondary Data
Mercyhealth analyzed demographic, socioeconomic and health-related data from a variety of publicly
available sources, including the Illinois Department of Public Health, the United States Census Bureau
and the Center for Disease Control’s and Prevention’s County Health Rankings. Within each section of
the report there are definitions, category importance, data and interpretations.
Primary Data Collection
In addition to secondary data sources, primary data was also collected. This section describes the
methods used to distribute, collect, verify and analyze primary survey data.
Survey Design: An initial review of publicly available health needs assessments was conducted to
evaluate and identify common themes and approaches to collecting the necessary data. Working with a
group designing a survey for another county, we adapted the survey to ensure all critical areas were being
addressed for our specific area. The survey was conducted in the 60033 area code, though individuals
working and spending recreational time in the Harvard area were also asked to participate. Versions of
both the online and paper survey were translated and distributed in Spanish. A copy of the survey is
available in APPENDIX A (English & Spanish).

To properly assess the perceived health needs of the community, the surveys included specific questions
to rate and assess:
   1.   Health issues in the community;
   2.   Unhealthy behaviors in the community;
   3.   Well-being;
   4.   Accessibility to health care; and
   5.   Healthy behaviors
Sample Size: We calculated sample size needed by using a standard formula based on the population size,
margin of error, confidence level and standard of deviation. Our calculation encompasses a 90%
confidence level, a +0.5 margin of error and a standard deviation of 0.5.
        Necessary Sample Size = (Z-score)2 X StdDev X (1-StdDev) / (margin of error)2
For this survey, the minimum sample size was 263 surveys. The data collection for this CHNA yielded a
total of 358 usable responses, exceeding the threshold of the desired 90% confidence interval.
Survey Distribution and Data Collection: Several distribution and collection techniques were used.
The primary technique was the acquisition of a mailing list and the distribution of surveys via the United
States Postal Service. The secondary technique used was creation of an online survey (English and
Spanish). The survey also included a bar-code allowing for access to the survey electronically via Survey
Monkey. A link to the survey in both Spanish and English was also included in the Mercyhealth Health
News on-line newsletter, the Mercyhealth McHenry Facebook page, and the Mercyhealth Wire. The final
distribution technique involved in-person distribution of surveys to the third grade class families of
Harvard’s Crosby Elementary School, various businesses, churches, and charitable organizations.

2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...


Population data characterize individuals residing in the Harvard community, providing an overview of
population growth trends. Population data are the foundation for analysis of data.

Total Population
Population in Harvard increased from 2000 to 2018 by 1,134 or 14%. However, the U.S. Census data and
population estimates indicate the population of Harvard has decreased by 6.9% between 2015 and 2018.
The total population for McHenry County has remained consistent.

                                Population Growth - Harvard, Illinois
                                          1990 - 2018 (Est)
                                                                                                   2015 (Est)
                                                                                                   2018 (Est)
   -            2,000           4,000           6,000             8,000            10,000    12,000
Source: U.S. Census Bureau, American Community Survey, 2000 and 2010, American Fact Finder, 2015 and 2018 Estimates

Citizenship of Harvard Population
All U.S. Citizens are considered U.S. nationals; however, there are some U.S. Nationals are considered
Noncitizens. Harvard’s population consists of 18% Noncitizens and 82% citizens.

                                            Harvard Residents -
                                          Citizens and Noncitizens




                                 Source: US Census Bureau, ACS, Health Insurance Status &
                                             Type of Citizenship Status, 2018

2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...
Veteran Population
The veteran population in McHenry County makes up 6.7% of the population aged 18 and older. This is
slightly higher than the Illinois state rate of 6.2% but below the U.S. national rate of 7.7%.
Approximately three-fourths of the veteran population is 55 and older and nearly three-fifths are older
than age 65.

                                      Veteran Population by Age Group
                                                Harvard, IL

                                                                             18 to 34 years
                               22%                                           35 to 54 years
                                                                             55 to 64 years

                                               15%                           65 to 74 years
                                 38%                                         75 years and over

               Source: U.S. Census Bureau, 2017 American Community Survey (ACS), 1-Year Estimates

Disabled Population
According to Healthy People 2020, individuals with disabilities represent 18.7% (about 56.7 million
people) of the U.S. population. A diagnosis of impairment or disabling condition is capable of occurring
to any individual within the population at any point in their lives. Taking part in meaningful daily and
extracurricular activities adds growth, development, fulfillment and community contribution to the lives
of all individuals with or without disabilities. The U.S. Census Bureau estimates that the rate of disable
persons grew from 7.7% of the population in Harvard 2009 – 2013 to 9.4% in 2014 – 2018.

                                          % Harvard Population
                                       Estimated to have a Disability



                              Total               Under 18               18 to 64                65+
         2009-2013            7.7%                 2.6%                   6.3%                  29.1%
         2014-2018            9.4%                 3.0%                   7.1%                  32.2%

    Source: U.S. Census Bureau, ACS, Comparative Social Characteristics, 5-Year Estimates 2009-2013 and 2014-2018

2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...
Age, Gender and Race Distribution
Population data broken out by age, gender and race provide a foundation to analyze issues and trends
impacting demographic factors, including economic growth and the distribution of health care services.
Understanding the cultural diversity of communities is necessary when considering health care service
delivery systems and infrastructure.

The graph below shows that the percentage of individuals in Harvard in the age groups Under 18 and
18-24 decreased, while the age groups of 25-44, 45-64, and 65+ increased. The median age of Harvard
residents is 30.1 years, much lower than the McHenry County median age of 39.9.

                                  Age Distribution - Harvard, Illinois
                                           2010-2017 (Est.)
                               Under 18        18 - 24       25 - 44      45 - 64         65+
                       32.8%                 10.1%              28.7%                     18.5%        10.1%
                         35.7%                  10.2%              28.6%                    18.0%        7.5%
   2010                 35.3%                  7.6%              29.6%                     19.2%         8.3%
                             Median age of Harvard residents in 2017: 30.1 years

Source: U.S. Census Bureau, American Community Survey, 2011-2017 ACS 5-year Estimates

The gender distribution of Harvard residents has remained consistent with a slight decrease in the number
of male residents and increase in the female residents when comparing 2010 to 2017.

                 Gender Distribution                                     Gender Distribution
                    Harvard, IL                                             Harvard, IL
                        2010                                                 2017 (Est)

                                      Male                                                      Male
           49%       51%                                           47%          53%
                                      Female                                                    Female

                             Source: U.S. Census Bureau, 2010 Census and 2018 Estimates

2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...
Race & Ethnicity

Hispanic ethnicity is different than race. An individual identifying with a Hispanic/Latino ethnicity can
be White, Black, Asian, or some other combination of race categories. The Hispanic/Latino population
when viewed by racial categories is predominately White. The majority of Hispanic/Latino residents are
from Mexico (91%) followed by Puerto Rico (3%). The estimated ethnic distribution in Harvard has
changed considerably from 2010 to 2018. Hispanics/Latino ethnicity comprises approximately 49% of
the population, compared to 35% in 2010. In comparison, Harvard has a significantly larger
Hispanic/Latino population than McHenry County.

                   Race Distribution - Harvard, IL                                    Race Distribution -
                                                                                      McHenry County, IL
                                               2010    2009-2013       2014-2018        2009-2013       2014-2018
                                                           (Est.)          (Est.)           (Est.)          (Est.)
White                                        71.5%          76.0%           91.1%           91.5%           92.0%
Black or African American                      0.9%           0.1%           0.3%             1.3%           1.9%
American Indian and Alaska                     0.8%           0.0%           0.1%             0.1%           0.1%
Asian                                          0.7%           0.9%           0.1%             2.6%           2.9%
Other                                        22.9%          19.0%            6.5%             2.6%           1.1%
Two or more races                              3.0%           1.7%           1.9%             1.8%           2.1%
                        Ethnicity – Harvard, IL                                          Ethnicity –
                                                                                      McHenry County, IL
Hispanic or Latino (any race)                35.2%          50.3%           49.8%           12.1%           13.4%
         Source: U.S. Census Bureau, 2010 Census, 2015 and 2019, American Community Survey 5-Yr Estimates

Economic Factors

Median income divides households into two segments, with one-half of households earning more than the
median income and the other half earning less. Median income is considered a more reliable factor than
average income because it is not significantly impacted by unusually high- or low-income values.
The definition of poverty is “lacking sufficient income to meet one’s basic needs.” Therefore, poverty is
associated with numerous chronic social, health, education, and employment conditions.

2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...
Median Income Level
The median household income of Harvard, McHenry County and the State of Illinois residents has
increased an average of approximately 10.6% from 2010 to 2017. It is noted that Harvard’s median
household income is significantly lower than that of both McHenry County and the State of Illinois.

            $90,000                     Median Household Income
                                    2010                           2015                           2017
     Harvard                       $45,991                        $45,689                        $52,585
     McHenry County                $76,482                        $77,222                        $82,230
     Illinois                      $55,735                        $57,574                        $61,229
Source: U.S. Census Bureau, American Community Survey, Selected Economic Characteristics, 2010, 2015, and 2017

Harvard’s most recent unemployment rate is currently at 8.4%, compared to 3.8% for McHenry County
and 4.8% for the State of Illinois.
                16.0%                        Unemployment Rate
                            2010          2011         2012         2013         2014         2015         2017
      Harvard               9.3%         13.5%        12.3%        13.9%        12.0%        10.7%         8.4%
      McHenry County        7.6%         8.8%         9.8%         10.3%        9.5%         8.0%          3.8%
      Illinois              8.6%         9.3%         9.9%         10.5%        10.0%        9.1%          4.8%
      U.S.                  9.6%         9.0%         8.8%         7.5%         9.2%         8.3%          4.1%

Source: U.S. Census Bureau, American Community Survey, Selected Economic Characteristics, 2010-2017

2020 Harvard Community Health Needs Assessment - Our Mission: Exceptional health care services with a passion for making lives better - Mercy ...
Families in Poverty

Poverty has a significant impact on the development of children and youth. In Harvard, the percentage of
families living in poverty between 2015 and 2017 has decreased by 14.8%. The overall poverty rate in
Harvard is 5.7% higher than the McHenry County poverty rate of 6.1%. The percentage of children in
poverty within Harvard is higher than

                                    Poverty Status in the Past 12 Months





                         Harvard                       McHenry County                      State of Illinois
        2010             22.7%                             6.2%                                 12.6%
        2015             26.6%                             7.9%                                 14.3%
        2019             13.2%                             5.9%                                 12.1%
Source: U.S. Census Bureau, 2013-2019, Small Area Income and Poverty Estimates (SAIPE), 2010, 2015, and 2019

               % of Children in Poverty                                   % of Children in Poverty
30.0%               under 5 Years                             25.00%            5-17 Years
            24.8%                                                        19.90%
25.0%                                                         20.00%                                           17.50%
                                               19.5%                                            15.70%
20.0%                              17.7%
15.0%                                                                                9.70%
10.0%                  6.9%
          Harvard McHenry          Illinois     U.S.                    Harvard McHenry Illinois                US
                   County                                                        County
 Source: US Census Bureau, ACS,                               Source: US Census Bureau, ACS, 2018

Source: U.S. Census Bureau's American Community Survey, Age by Ratio of Income to Poverty Level in the Past 12 Months
(Universe: Population for whom poverty status is determined), 2014 to 2018 1-Year Estimates, Table C17024

Research suggests that the higher the level of educational attainment and the more successful one is in
school, the better one’s health will be and the greater likelihood of making healthy lifestyle choices.
Accordingly, an increase in years of education is strongly related to an individual’s propensity to earn a
higher salary, obtain better employment and foster multidimensional success in life.

Harvard has a higher rate of residents graduating high school than both McHenry County and the State of
Illinois. Conversely, Harvard has fewer residents with a college degree than both McHenry County and
the State of Illinois.
              40.0%                          Educational Attainment (Ages 25+)
                                      Some High        High         Some                               Graduate or
                         Less than                                            Associate's   Bachelor's
                                      School, No      School      College, No                          Professional
                         9th Grade                                             Degree        Degree
                                       Diploma       Graduate       Degree                               Degree
     Harvard               16.0%        15.4%         35.5%         18.0%       5.1%          6.1%        3.8%
     McHenry County        2.9%         4.3%          26.5%         24.2%       8.9%         22.1%        11.1%
     Illinois              5.2%         6.3%          26.3%         20.9%       7.9%         20.5%        13.0%
Source: U.S. Census Bureau, American Community Survey, Educational Attainment, 2017



The availability of health care services is critical. As such, health care accessibility must address both the
associated financial costs and the supply and demand of medical services.

Insurance Coverage
Information gathered from the County Health Rankings and the U.S. Department of Health and Human
Services show McHenry County residents possess health care coverage at a higher rate than the national
average. The overall trend shows the uninsured rate dropping significantly from 2013 to 2017, most
likely due to the passage and implementation of the Affordable Care Act in 2010.

                                      % of Harvard Residents -
                                     With and Without Insurance
                           Harvard         McHenry County             Illinois       US
     100.0%                  95.2%     93.2%       91.3%
      20.0%                                                     13.8%                           8.7%
                                                                            4.8%      6.8%
                           With Health Insurance                      Without Health Insurance
     Source: US Census Bureau, ACS, 2017

Insured community survey respondents indicated that 98.2% were able to see health care providers that
accept their insurance and 88.6% had seen a health care provider they consider their regular provider
within the past 12 months.

Access to Care
Harvard is unique in the fact that it is a small community, and there are a wide variety of health care
services available. According to the 2019 County Health Rankings, access to care data from 2016,
residents of McHenry County have 1 primary care physician per every 1,940 residents, 1 mental health
provider per every 570 residents, and 1 dentist per every 1,650 residents. All three ratios listed for
Harvard are higher than the state ratios. In the CHNA survey, respondents were asked a series of
questions in regard to accessing various types of health services ranging from providers that accept the
respondents’ health insurance to mental health services.

The CHNA survey respondents were asked, “Was there a time when you needed care but were not able to
get it?” Access to various types of health care was assessed, including primary care provided by a
physician (patients presented to ED or Urgent Care instead), dental care, mental health services, drug and
alcohol treatment and medications.

Unable to Access Care
 40.0%                         37.9%
 15.0%         12.0%                             12.1%                                              12.1%
  5.0%                                                                              2.0%
              Physician     Medical Care        Dentist       Mental Health Alcohol/ Drug        Medications
                                       Source: 2020 Harvard CHNA Survey

Medical Care
Respondents selected “can’t afford to pay for a doctor’s visit” and “feel like I don’t need one” as the top
reasons they don’t have a primary physician or seek medical care. When asked why they don’t have
health insurance, “too expensive” and “not qualified for medical assistance” were listed as the primary
reasons. Access to health care is greatly diminished when residents are uninsured and lack a primary care
Dental Care
Respondents selected “can’t afford to pay for a dental visit” and “feel like I don’t need one” as primary
reasons they don’t have a regular dental provider. When asked why they don’t have dental insurance,
“too expensive” and “feel like you don’t need dental insurance” were selected as the primary reasons.
Mental Health
14.5% of respondents reported that in the past 12 months, they or someone in their household needed to
see a mental health professional but could not.
Alcohol/Drug Treatment
2.0% of respondents reported that in the past 12 months, they or someone in their household needed drug
or alcohol treatment but could not access it.
12.1% of respondents reported that in the past 12 months, they or someone in their household needed
medications but could not get them. The primary reason selected was “too expensive” and the secondary
reason was the “specific medication I needed was not available.”


Preventative health care measures, including a routine well-visit, obtaining a flu shot, living a healthy
lifestyle and getting screenings for diseases are essential to fighting morbidity and mortality while
reducing health care costs.

Frequency of Checkups
The Centers for Disease Control and Prevention reports that regular health exams and tests can help find
problems before they start. These checkups can also help identify problems early, when chances for
treatment and cure are better. By getting the appropriate health services, screenings, and treatments,
individuals are taking steps to improve their chances for living a longer, healthier life. The Illinois
Behavioral Risk Factor Surveillance System’s (IBRFSS) 2017 data shows that an average of 70% of
Collar County residents - which includes northern Illinois residents from five counties DuPage, Kane,
Lake, McHenry, and Will - had a checkup within the past 12 months, which is consistent with the State of
Illinois’s health care utilization rate of 70%. No recent information was available for Harvard.

Regular Health Care Provider
Research suggests that individuals with a regular or established health care provider are more likely to
seek preventive care and less likely to use emergency services for care. This saves both resources and
funds in the health care system overall. In 2017, 82.6% of Collar County residents had a regular health
care provider, compared to 81.9% for the State of Illinois (IBRFSS, 2017). No recent information was
available for Harvard.

Preventive measures, including immunizations and vaccinations, greatly impact the overall health and
well-being of a community. Data available from the 2017 IBRFSS shows that 38.3% of Collar County
residents received a flu shot within the past 12 months, compared to 37.5% at the State level, and 38.7%
had received a pneumonia vaccination, compared to 38.1% for the State of Illinois. No recent information
was available for Harvard.

Immunizations are a critical step in protecting those that are most vulnerable to illness – infants and
young children, the elderly, and those with chronic conditions and weakened immune systems (CDC,
2019). The Illinois State Board of Education reports the protection rate averages for the Harvard
Community School District are overall above 98.1%.

                   Harvard Immunization Status of School-Age Children
      Immunization                                            Average % Rate of Immunization
      Polio                                                                                 99.1%
      Invasive Meningococcal Disease                                                        98.5%
      Varicella/Chickenpox                                                                  99.1%
      Invasive Pneumococcal Disease                                                         98.7%
      Haemophilus Influenza Type B (Hib)                                                    98.7%
      Hepatitis B                                                                           99.4%
      Measles, Mumps & Rubella                                                              98.8%
      Tetanus, Diphtheria and Acellular Pertussis                                           98.9%
      Diphtheria, Pertussis, Tetanus (DTP/DTaP/Td)                                                98.1%
                     Source: Illinois State Board of Education, School Year Immunization Status


Tobacco Use
An analysis of the leading indicators regarding morbidity and mortality must be conducted in order to
properly allocate health care resources. This allows health care organizations to more effectively target
affected populations. Research suggests tobacco use causes a wide variety of adverse medical conditions.

In 2016, the County Health Rankings reported 15% of adults (18+) in McHenry County use tobacco
products. This is lower than the Illinois and United States rates; however, all of the rates are higher than
the Healthy People 2020 goal of 12%. No recent information was available for Harvard.

                               % of Adults Smoking Cigarettes
                               McHenry County, IL                Illinois         United States
                   McHenry County, IL                      Illinois                     United States
                   Source: Centers for Disease Control and Prevention; County Health Rankings 2016

According to the CDC, smoking remains the leading cause of preventable death and leads to disease,
disability and harms nearly every organ of the body. Tobacco use continues to decline in the US, but
remains high in certain populations. Those at risk for increased exposure to and use of tobacco are those
with low levels of education, males, young adults, those living in the South and Midwest, LGBT
individuals, individuals living below the poverty level, disabled people and certain races and ethnicities.

Substance Abuse

Excessive alcohol use impairs decision-making, often leading to adverse consequences and outcomes.
Excessive alcohol use/binge drinking directly contributes to a number of short- and long-term health risks.
Short-term health risks include injuries such as automobile accidents, falls and other avoidable bodily
injuries. Violence and risky sexual behaviors are also short-term health risks associated with binge
drinking. Long-term health risks include cancers, heart disease, high blood pressure, mental health
problems, social problems and alcoholism (CDC, 2017).

A 2016 CDC study shows 23% of adults in McHenry County report binge drinking and heavy alcohol
consumption, higher than both the state of Illinois rate (21%) and national rate (17%). No recent
information was available for Harvard.

Adult Tobacco Use and Binge Drinking
        25%                                                   21%
                                                                              17% 18%
        20%                                       16%
                        15%                                                                        Tobacco

        10%                                                                                        Excessive

                  McHenry County                  Illinois                  National
                  Source: Centers for Disease Control and Prevention; County Health Rankings 2016

Adolescent Substance Use

Substance use in young people may impact their academic achievements, which lead to employment
challenges and also places them at risk for developing substance disorders and other related health

The 2018 Illinois Youth Survey reports show that 29% of the 10th and 12th grade students surveyed in
Illinois admitted to participating in a binge drinking session (5 or more drinks of alcohol at one occasion)
in the past 2 weeks. McHenry County students reported a slightly lower percentage rate of 27%, for 10th
and 12th grade students participating in binge drinking within the last 2 weeks. However, the reported use
of alcohol and any tobacco or vaping products in the past year for 10th and 12th grade students was higher
in McHenry County than the rates reported for the overall state of Illinois. No recent information was
available for Harvard.

                                            McHenry County
                70%           Substances Used by Grade in the Last 12 Months
                                                                                                   Any other
                         Alcohol                      Cigarettes     Inhalants      Marijuana       Illicit
                                       or Vaping
           10th Grade      42%            26%                4%         2%             20%             3%
           12th Grade      59%            38%                8%         2%             33%             6%

                   Source: Illinois Youth Survey (2018) by Illinois Center for Prevention Research &
                      Development and Illinois Department of Human Services, McHenry County

Overweight and Obesity

Nationally, obesity is a significant problem. Overweight and obese individuals have a greater risk and
occurrence of health issues due to the increased stress on their bodies caused by excess weight.
Medical costs to treat weight related health issues are staggering and put a financial crunch on state and
federal health care monies.

According to a 2018 study by the State of Obesity Project, Illinois now has the 24th highest adult obesity
rate in the United States. McHenry county ranks lower in the percentage of overweight and obese people
in both the state of Illinois and the nation. In McHenry County, the percentage of obese adults between
2014 and 2016 increased by 4.0%. The McHenry County percentage of obese adults is 3.6% higher than
the percentage of obese adults in Illinois, which is 29.0%.

                                  % Adults Obese (BMI >30.0) by Year,
       35.0%                                 2004 - 2016                                               32.6%

       30.0%                                                                                             29.0%

                  23.9%                                                                                  28.3%

                 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
                                   McHenry County            Illinois       United States

Source: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion.


Chronic Conditions

Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability
in the United States, which are also leading drivers of the nation’s $3.5 trillion in annual health care costs.
Lack of adequate health care for these conditions can lead to recurrent hospital and physician visits, an
increase in overall health issues and an increase in health care costs.

Heart Disease
Heart disease is the leading cause of death in the United States, causing about 1 in 4 deaths (CDC, 2019).
Hypertension (high blood pressure), high cholesterol and smoking are considered major risk factors for
developing heart disease. Additionally, there are numerous additional health conditions that occur as a
consequence of cardiovascular disease, atherosclerosis, cardiac arrhythmia, myocardial infarction, stroke,
carotid artery disease and renal dysfunction or failure.
McHenry County percentage rates of Medicare Beneficiaries with High Blood Pressure and High
Cholesterol remain slightly below the state and county rates.

                               Source: Centers for Medicare and Medicaid Services, 2017

Cancer is the second leading cause of death in the U.S., only exceeded by heart disease. There are
numerous types of cancer, each having their own symptoms, cure rates and methods for treatment.
                                Cancer Incidence Rates – McHenry County
                     Males                                                           Females
Type                              Cases      Rate*                          Type                  Cases        Rate*
Prostate                             869     101.8             Breast (invasive)                        1233   137.2
Lung & Bronchus                      450       63.1            Lung & Bronchus                           509    59.3
Colon & Rectum                       353       47.2            Uterus                                    280    29.1
Bladder                              269       39.1            Colon & Rectum                            311    35.4
Kidney & Renal Pelvis                179       21.7            Kidney & Renal Pelvis                     104    11.9
All Cancers Combined              3,671      478.7             All Cancers Combined                 3,890      444.5
                                   *Age adjusted incidence rate per 100,000 population
                    Source: Illinois Department of Public Health, Illinois Cancer Registry, 2012-2016
In a study published in December 2019, JAMA Network, CDC researchers examined the percentage of
people living with diagnosed and undiagnosed diabetes in Hispanic and non-Hispanic Asian
subpopulations. The study results show the percentage of adults living with diagnosed or undiagnosed
diabetes in the U.S. is 22% in Hispanics, 20% in non-Hispanic blacks, 19% for non-Hispanic Asians and
12% for non-Hispanic whites. This study is significant based on the U.S. progressively becoming a more
diverse nation, as Hispanics and non-Hispanic Asians collectively now account for 23% of the U.S.
population and are expected to account for 38% by 2060, according to Census data.

From 2012 through 2015, the McHenry County percentage rate of adults with diabetes diagnosis
remained slightly above the state and national rates. However, in 2016 McHenry County’s rate of 10.1%
decreased slightly below the state rate of 10.4%, but remains above the U.S. rate of 9.4%.

                                                Adults 18+ Diagnosed with Diabetes
              Crude Rate Percentage






                                             2012        2013             2014                2015     2016
        United States                         9.1         9.3              9.1                 9.6      9.4
        Illinois                              9.4         9.8             10.1                 9.9     10.4
        McHenry County                        9.5        10.1             10.5                10.3     10.1
Note: Crude Rate = Count / Population * 100,000
Source: United States Diabetes Surveillance System, Division of Diabetes Translation, CDC, 2012-2016

Morbidity & Mortality

The morbidity and mortality measures describe the progression and severity of a given health event and
provide useful data to learn about risk factors of diseases. The leading causes of death in the McHenry
County Community include cancer, heart disease and accidents.

                                        Leading Causes of Death
                                        McHenry County in 2017
                                            Cause                             Crude Rate
                     Cancer                                                              147.4
                     Heart Disease                                                       156.2
                     Accidents                                                            59.8
                     Stroke                                                               36.2
                     Chronic Lower Respiratory Diseases                                   34.9
                     Diabetes Mellitus                                                    24.6
                     Alzheimer's Disease                                                  23.9
                     Kidney Disease                                                       12.3
                     Intentional Self-Harm                                                12.3
                     Sepsis                                                               11.6
                                    Note: Crude Rate = Count / Population * 100,000
           Source: Illinois Department of Public Health (IDPH), Leading Cause of Death for McHenry in 2017


The CHNA is an in-depth study of the community that will allow us to identify the most critical health
needs that specifically impact the Harvard community. To fully explore those needs, we collect and
consider community perceptions of health issues, unhealthy behaviors and issues related to well-being.
By combining community perception with the data outlined previously within this assessment, and taking
community resources into account, we can strategically plan and prioritize the most vital health concerns
in the community.

Perceptions of Community Health Issues and Factors

Survey participants were asked to rate the overall health of the Harvard community. Based on survey
responses, 54.8% rated Harvard as “somewhat healthy,” while 28.8% rated Harvard as “healthy.”

                              Harvard Community Health Rankings


                  5.5%                                             9.5%

              Very healthy       Healthy        Somewhat         Unhealthy         Very
                                                 healthy                         unhealthy
                                Source: 2020 Harvard CHNA Survey Response Data

The CHNA also asked survey participants, “What do you think are the five factors that make a healthy
community?” Access to health care was the primary answer chosen by 14.9% of respondents.
Low crime/safe neighborhoods, good jobs and a healthy economy, good schools, and good place to raise
children followed closely.

                             What Makes Harvard a Healthy Community
                                         Top 5 Factors
                         8.6%                            Access to health care
                                        14.9%            Low crime/safe neighborhoods
                                                         Good jobs and a healthy economy

                                      12.6%              Good schools
                                                         Good place to raise children

                                Source: 2020 Harvard CHNA Survey Response Data

Community perceptions of health problems may vary from the actual health issues in the area.
The CHNA survey asked participants to choose the top five health problems in their community based on
a list of 23 options. Participants ranked obesity as the top health problem with drug and alcohol abuse
directly following.

                          Top 5 Harvard Community Health Problems
                                             Obesity                      15.7%
                                        Drug Abuse                        10.6%
                                    Alcohol Abuse                          8.8%
                                        Mental Health                      7.6%
                                          Diabetes                         7.2%
                                Source: 2020 Harvard CHNA Survey Response Data

Cancer was ranked 7th and high blood pressure and heart disease/stroke were ranked 8th and 10th by
survey respondents. However, these risk factors contribute to the top three leading causes of death in
McHenry County (Morbidity & Mortality Chart, page 18).

                      Perception of Health Issues - Harvard, IL 2020
                          Drug abuse
                      Alcohol abuse
                       Mental health
          Substance abuse disorders
                 High blood pressure
                     Aging problems
            Heart disease and stroke
                  Domestic violence
                     Teen pregnancy
                    Dental problems
                       Lung disease
       Sexually transmitted diseases
                 Rape/sexual assault
                        Gun injuries
                         Infant death
                                        0%              5%        10%             15%          20%
    Source: 2020 Harvard CHNA Survey Response Data

Perceptions of Unhealthy Behaviors

Respondents were asked to choose the top five most concerning risky behaviors in Harvard. They were
given a list with eighteen choices. Alcohol abuse was ranked number one, closely followed by drug
abuse. Drunk driving, poor eating habits and lack of exercise rounded out the bottom three with very
close numbers. These responses directly tie into the responses received for the perception of the top five
community health problems.

                                      Top 5 Unhealthy Behaviors
                                     Alcohol Abuse                         13.7%
                                       Drug Abuse                          12.7%
                                   Poor Eating Habits                      10.9%
                                    Lack of Exercise                       10.1%
                             Not Receiving Medical Care                    9.1%
                                        Source: 2020 Harvard CHNA Survey

                                    Unhealthy Behavior Rankings
                                    Alcohol abuse
                                       Drug abuse
                                 Poor eating habits
                                  Lack of exercise
                       Not receiving medical care
                                    Drunk Driving
                                      Tobacco use
                           Dropping out of school
                Not seeking preventive dental care
             Not getting “shots” to prevent disease
                                        Unsafe sex
          Not using seat belts or child safety seats
                         Not seeking prenatal care
                                   Unlocked guns
                           Not using bike helmets
                                                       0% 2% 4% 6% 8% 10% 12% 14% 16%

          Source: 2020 Harvard CHNA Survey Response Data

Perceptions of Personal and Community Well-Being
Residing in a safe community with adequate housing, food and health care resources plays a large role in
personal and community well-being. Survey participants were asked questions regarding their
perceptions of personal health, household concerns and community environment.
Participants were asked, “How would you rate your own personal health?” Over half of the survey
participants chose “healthy,” while more than 30% chose “somewhat healthy.”

                                                 Havard Community
                                   52.1%       Personal Health Rankings


                                                                  3.7%           0.3%

               Very healthy       Healthy       Somewhat        Unhealthy         Very
                                                 healthy                        unhealthy
            Source: 2020 Harvard CHNA Survey Response Data

Participants were asked about household health problems or concerns. Participants ranked
exercising/fitness as the top household health concern with eating well/nutrition and managing weight
directly following.

                                Top 5 Household Health Concerns
                      Exercising/fitness                                 12.4%
                      Eating well/nutrition                              11.5%
                      Managing weight                                    10.5%
                      Stress management                                  8.7%
                      Access to safe, affordable places to exercise      7.5%
                                      Source: 2020 Harvard CHNA Survey

The health of the environment directly impacts the health and well-being of the community.
Survey respondents were asked to choose their top five concerning environmental issues from a list of 22
options. Lack of sidewalks/walking paths ranked number one.

                    Top 5 Harvard Community Environmental Concerns
      Lack of bike lanes/bike paths                                       7.2%
     Mosquito/tick carried diseases                                        7.4%
      Unsafe neighborhoods/crime                                              8.0%
      Trash or litter in public areas                                          8.2%
  Lack of sidewalks/walking paths                                                               12.2%

                                    0.0%      2.0%     4.0%     6.0%      8.0%      10.0%   12.0%   14.0%

Source: 2020 Harvard CHNA Survey

Community Leader Health Perceptions

A key informant survey was conducted among leaders in the Harvard community. Eighteen stakeholders
were contacted ranging from school leaders, business owners, religious leaders, city officials, community
program leaders to police and fire officials. Nine leaders agreed to participate in our survey. The purpose
of surveying this specific group of individuals was to gather insight from those members of the
community that are directly involved in the care and well-being of the community and its residents.
Key informants were asked several subjective questions. Answers varied based on the participant’s
occupation/role in the community. Though there were large variances in answers, four barriers emerged
repeatedly among respondent responses, which include access to transportation, lack of employment
opportunities, low income and language barriers.
When asked to rate the overall health and quality of life in Harvard over the past three years, over two-
thirds of respondents agree that the health and quality of life has stayed the same or improved, which they
attributed to the critical access hospital and new initiatives made by the new mayor and other new
community leaders within the school district.

                                           Health & Quality of Life
                                            Over the Past 3 Years

                                        22%         22%            Improved

                                                                   Stayed the Same


                                   Source: 2020 Harvard CHNA Key Informant Survey
Community Resources
Several respondents shared their appreciation for the health care services made available to the Harvard
Community through Mercyhealth Hospital and Medical Center – Harvard and clinics. CHNA key
informant survey participants were also asked their opinion about the most critical health and quality of
life issues within the community. Community leaders shared their opinions of what critical health issues
the community has experienced and desired health care services that would improve the health and quality
of life in Harvard. Women’s health care services, urgent care, mental health, and drug and substance
abuse treatment were the top critical health care needs and services mentioned.

                             Desired Health care Services in Harvard
                    Dental Services                    6%
                     Mental Health                                    12%
                       Urgent Care                                                   18%
                 Veteran Healthcare                    6%
                  Cancer Treatment                     6%
        Drug and Substance Abuse                                                     18%
        Woman's Health/Maternity                                                                    24%
                        Senior Care                                   12%

                                Source: 2020 Harvard CHNA Key Informant Survey

Summary of Key Findings - Community Health Issues
A thorough analysis of the data in this document was used to identify the most important health-related
issues in the community.
§    Poverty and unemployment rates in Harvard continue to exceed the county and state averages.
§    Education achievement greater than high school for Harvard residents is below county and state rates.
§    The median household income of Harvard residents is lower than both the county and state.
§    Nearly half of the Harvard population identifies as Hispanic or Latino.
§    The portion of McHenry County residents with diabetes is greater than the state and national rates.
§    Compared to state and national average, McHenry County has a higher rate of obesity.
§    Excessive alcohol consumption by McHenry County residents is higher than state and national rates.
§    Obesity, physical activity and access to safe exercise locations are concerns for residents of Harvard.
Mercyhealth reviewed and prioritized the health needs of the Harvard community. They are as follows:
1.   Prevention and General Wellness (i.e. Obesity, Diabetes, Heart Disease, & Stroke)
2.   Physical Activity & Nutrition
3.   Senior Care and Services
4.   Poverty
5.   Mental Health
6.   Alcohol & Drugs



                 Characteristics of Survey Respondents

                   Survey Respondent Age
                21.8%                21.2%



18-24       25-39        40-54      55-64        65-74       75 or
                                        Source: 2020 Harvard CHNA Survey

                        Survey Respondent Gender
          0.0%           0.3%                Male

                                             Trans Male

                                             Trans Female

                                             Gender Nonconforming

        79.3%                                No Response

                                            Source: 2020 Havard CHNA Survey

Survey Respondent Race/Ethnicity

                    0.6%        0.8%
             3.1%                                         White (Non-Hispanic)
      5.9%                             0.8%

                                                          American Indian/Alaska Native

                                                          Black/African American


                                                          Two or more races

                                                          Source: 2020 Harvard CHNA Survey

                           Survey Respondent Education
                                                  21%                     22%
                                                              20%                     19%




      Less than     Some High     High         Some     Associate's Bachelor's   Graduate
        High          School     School       College    Degree      Degree       Degree
                                                          Source: 2020 Harvard CHNA Survey

Survey Respondent Household (HH) Size


People in      People in     People in   People in      People in    People in
 HH-1           HH-2          HH-3        HH-4           HH-5        HH-6 or

                                                      Source: 2020 Harvard CHNA Survey

                Survey Respondents Household Income

                           18.5%                            18.8%


              10.5%                                                     10.8%


 Under      $15,000 - $25,000 - $45,000 - $65,000 - $95,000 -          Over
$14,999      $24,999   $44,999   $64,999   $94,999 $134,999          $135,000

                                                     Source: 2020 Harvard CHNA Survey

                       McHenry County Community Health Resources
Facility Name                       Type of Service                             City
Mercyhealth Hospital and Medical
Center                              Critical access and stroke hospital         Harvard
Mercyhealth Care Center             Inpatient rehabilitation                    Harvard
Northwestern Medicine
Woodstock Hospital                  Full-service hospital                       Woodstock
                                    Family medicine; pediatrics; diabetes
                                    center; occupational health and wellness;
Mercyhealth Harvard South           and gastroenterology                        Harvard
                                    Cardiology; gastroenterology;
                                    general surgery; pulmonology; sleep
                                    medicine, urology, ophthalmology; heart
Mercyhealth Hospital Clinic         and vascular; podiatry                      Harvard
                                    Diabetes self-management and education
Mercyhealth Diabetes Center         programs                                    Harvard, Woodstock
                                    Physical therapy; occupational
Mercyhealth Rehabilitation Center   therapy                                     Harvard
                                    Sleep testing; sleep apnea treatment;
Mercyhealth Sleep Center            sleep disorders                             Harvard and Walworth
Mercyhealth Pain Center             Pain management                             Harvard
                                                                                Harvard, McHenry, and
Mercyhealth Eye Center              Vision services                             Woodstock
                                    Echocardiography laboratory, a nuclear
                                    medicine laboratory, a stress laboratory,
Mercyhealth Heart and Vascular      halter monitoring and an event analysis     Harvard, McHenry, and
Center                              system                                      Woodstock
Mercyhealth at Home/Home            Home health, medical equipment &
Medical Equipment and Supplies      supplies                                    Harvard
Mercyhealth Cardiac and
Pulmonology Rehabilitation          Physical therapy                            Harvard
                                    Wound care and dressing changes;
                                    IV therapy; medication administration;
                                    transfusion services; catheter care;
Mercyhealth Harvard Treatment       port care; PICC line care; phlebotomy;
Coordination Center                 caregiver and patient education             Harvard
                                    Internal, family, pediatrics, and sleep
Mercyhealth Algonquin               medicine; pulmonology; lab                  Algonquin
Mercyhealth Crystal Lake
Chiropractic                        Chiropractic; massage therapy               Crystal Lake
                                    Audiology; allergy/immunology;
                                    diabetes care; family medicine; lab;
                                    otolaryngology; pediatrics;
Mercyhealth Crystal Lake East       pulmonology; weight management              Crystal Lake
                                    Family medicine; gastroenterology; lab;
                                    OB/GYN; orthopedic surgery;
Mercyhealth Crystal Lake South      pediatrics; podiatry; radiology             Crystal Lake

Mercyhealth Crystal Lake
OB/GYN                              OB/GYN                                      Crystal Lake
Mercyhealth Northwest Women's
Group                               OB/GYN; women's health services             Lake in the Hills
Mercyhealth Richmond                Family medicine; senior care; lab           Richmond
                                    Cardiology; dermatology; family
                                    medicine; gastroenterology; general
                                    surgery; OB/GYN; hand surgery,
                                    imaging services; internal medicine; lab;
                                    massage therapy; neurology; nutrition;
                                    occupational health & medicine;
                                    occupational therapy; orthopedic
                                    surgery; pediatrics; physical therapy;
                                    plastic & cosmetic surgery; radiology;
                                    podiatry; pulmonology; rheumatology;
Mercyhealth Woodstock               weight management; pharmacy                 Woodstock
Mercyhealth Memory Center           Memory loss services                        Woodstock
Mercyhealth Orthotics and
Prosthetics Center                  Orthotics & prosthetic services             Woodstock
                                    Internal medicine; family practice;
                                    cardiology; psychology; chiropractic;
Northwestern Physician Care         endocrinology; OB/GYN                       Woodstock
                                                                                Algonquin; Fox Lake;
Northwestern Physician Care         Family practice                             Spring Grove
Northwestern Aesthetic Plastic &
Reconstructive Surgery Institute    Plastic & Reconstructive Surgery            Crystal Lake
Northwestern - Orthopedics          Orthopedics; imaging                        Crystal Lake
                                    Internal medicine; pediatrics; OB;
                                    endocrinology; psychology;
                                    rheumatology; psychiatry; occupational
Northwestern Physician Care         health                                      Crystal Lake
Northwestern Physician Care -
Surgical Associates                 Surgery                                     Crystal Lake
Northwestern Physician Care -
Gavers                              Cardiology; surgery                         Crystal Lake
Northwestern Physician Care         Internal medicine; psychology               Crystal Lake
Northwestern Physician Care         Neurology                                   Crystal Lake
Northwestern - Medical Office       Family practice; internal medicine;
Building 1                          neurology; OB; pediatrics; psychology       Huntley
Northwestern - Medical Office
Building 2                          Endocrinology; rheumatology                 Huntley
Northwestern Back and Spine         Back; spine                                 Huntley and McHenry
Northwestern Physician Care         Cardiology; chiropractic; orthopedics       Huntley
Northwestern Heart Failure Clinic   Heart failure                               Huntley
                                    Internal medicine; psychology;
Northwestern Physician Care         hospitalist; pediatrics; OB; cardiology     McHenry
Northwestern Health Center          Medical imaging                             McHenry

Northwestern Rehabilitation &
Sports Medicine Clinic              Rehab; sports medicine                      McHenry
Urgent/Immediate Care
Mercyhealth Urgent Care            Urgent Care                               McHenry; Woodstock
Advocate Clinic at Walgreens       Immediate Care                            Crystal Lake
                                                                             McHenry; Crystal Lake;
Northwestern Health Center         Immediate Care                            Huntley
Mental Health/Alcohol &
Substance Abuse
Community Health Partnership       Mental health counseling                  Harvard
Pioneer Center for Human           Community based human services
Services                           including residential behavioral health   McHenry County
Transformation Behavioral Health   Counseling; therapy                       Woodstock
                                   Counseling; therapy; psychological
Proactive Behavioral Services      services                                  Algonquin
                                   Counseling; therapy; psychological
Family Alliance, Inc.              services                                  Woodstock; Huntley
Northwestern Medicine Behavioral
Health Services and Crisis         Counseling; therapy; psychological        Crystal Lake; Huntley;
Services                           services; substance abuse treatment       Woodstock
Centegra Outpatient Behavioral     Counseling; therapy; psychological
Health                             services; substance abuse treatment       Woodstock
                                   Counseling; therapy; psychological
LodeStone Center                   services                                  Woodstock and McHenry
                                   Counseling; therapy; psychological
The Mathers Clinic                 services; substance abuse treatment       Crystal Lake; Woodstock
                                   Counseling; therapy; psychological
Horizons Behavioral Health         services                                  Crystal Lake
                                   Counseling; therapy; psychological
Professional Consultants, Inc.     services                                  Crystal Lake
                                   Counseling; therapy; psychological
Caryil Counseling                  services                                  Cary
NewLife Counseling Center          Counseling; therapy                       Crystal Lake
Woodstock Community Health
Center                             Psychiatry                                Woodstock
                                   Counseling; therapy; psychological        Lake in the Hills;
Portrait Health Centers            services; substance abuse treatment       McHenry
The Tabor Therapy Group, Inc.      Counseling; therapy                       McHenry
                                   Counseling; therapy; psychological
Rosecrance                         services; substance abuse treatment       McHenry and Crystal Lake
Innovative Psychology Counseling   Counseling; therapy; psychological
Services, Inc.                     services                                  McHenry
Western Lake Counseling            Counseling; substance abuse treatment     Fox Lake
                                   Counseling; therapy; psychological
Cherry Hill                        services; substance abuse treatment       McHenry
NextStep Intensive Outpatient
Program                            Substance abuse treatment                 Crystal Lake

                                   Mental health and substance abuse
McHenry VA Outpatient Clinic       treatment                                 McHenry

Senior Services
                                    Long-term skilled nursing care;
Mercyhealth Harvard Care Center     respite care, rehabilitation            Harvard
                                    Programs, services and social
Harvard Community Senior Center     activities for seniors                  Harvard
Shepherd Premier Senior Living of
Harvard                             Retirement home                         Harvard
Sunset Senior Apartments            Independent Senior Living               Harvard
Sunrise                             Assisted living                         Crystal Lake
                                    Long-term skilled nursing care;
Valley Hi Nursing Home              respite care                            Woodstock
                                    Long-term skilled nursing care;
Crossroads Care Center              respite care, rehab                     Woodstock
                                    Long-term skilled nursing care;
Alden Terrace                       respite care, rehab                     McHenry
Fox Point                           Assisted living; independent living     McHenry
                                    Long-term skilled nursing care;
Fox Point Manor                     respite care                            McHenry
Crystal Pines Rehabilitation &      Long-term skilled nursing care;
Health Care Center                  respite care, rehab                     Crystal Lake
                                    Long-term skilled nursing care;
Hearthstone Communities and         respite care, rehab; assisted living;
Manor                               independent living                      Woodstock
Bickford                            Assisted living                         Crystal Lake
McHenry Villa                       Assisted living                         McHenry
Heritage Woods                      Assisted living                         McHenry
The Springs                         Rehabilitation Center                   Crystal Lake
                                    Long-term skilled nursing care;
Florence Nursing Home               respite care                            Marengo
Heritage Woods                      Assisted living                         Huntley
Eastgate Manor                      Assisted living                         Algonquin
Three Oaks                          Assisted living                         Cary
                                    Programs, services and social
Senior Services Associates          activities for seniors                  Crystal Lake; McHenry
                                                                            Crystal Lake; McHenry;
                                    Programs, services and social           Huntley;
Senior Care Volunteer Network       activities for seniors                  Marengo

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