How Healthy Are We? - COBB COUNTY 2014 - Cobb & Douglas Public Health
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How Healthy Are We?
COBB COUNTY 2014
ANNUAL REPORT CARD
Introduction Established in 1920, Cobb and Douglas Public Health (CDPH) is a health district (District 3-1) serving two metropolitan counties in Georgia and a population of nearly 900,000. The core functions of public health are to inform, prevent and protect in order to assure the well-being of our community and our residents. With more than 30 distinct programs, we remain committed to our mission, which is: Cobb & Douglas Public Health, with our partners, promotes and protects the health and safety of the residents of Cobb and Douglas counties. We work to achieve healthy people in healthy communities by: Preventing epidemics and spread of disease Protecting against environmental hazards Preventing injuries Promoting and encouraging healthy behaviors Responding to disasters and assisting in community recovery Assuring the quality and accessibility of health care By excelling at our core responsibilities, we will achieve healthier lives and a healthier community. By 2020, Cobb & Douglas Public Health will be an acknowledged leader among health departments in the United States. In order to continuously improve our effectiveness and the health of our people and communities, we will work internally and with our community partners to: In order to continuously improve our effectiveness and the health of our people and communities, we will work internally and with our community partners to: • Demonstrate significant improvement on key health and safety indicators • Achieve operational excellence by exceeding local public health system performance expectations • Champion workforce enhancement To achieve these ambitious goals, we will engage, respect and value our staff and partners, thereby creating healthier lives and a healthier community.
Cobb and Douglas Public Health (CDPH) staff designed the How Healthy Are We? Annual
Highlights Report Card, Cobb County 2014 as a brief update to several more thorough Cobb County
Community Health Assessments completed from 2010-2012. Please visit www.cobb2020.
com for more information.
This health report card outlines the leading causes of death and infectious diseases. It presents trend and comparison data
for Cobb County residents, including leading causes of death, children’s health issues, infectious and chronic diseases, and
access to quality healthcare. The contents of this report represent information we use to assess our community’s current and
future health needs. We hope it provides you with valuable information regarding the health of the community in which we
live, work and play.
Below are highlights from the report:
POPULATION LEADING CAUSES
The population of Cobb County continues to These are the specific leading causes of illness, hospitalization and death in
moderately grow (4.5% from 2009-2013) and has the county:
a large percentage of youth.
Heart and vascular disease is the leading cause of death in Cobb County,
Sixty-two percent of the population is followed by other mental and behavioral disorders and lung cancers.
under the age of 45.
Infant Mortality is decreasing in Cobb County reflecting a national trend and
ACCESS TO CARE due to the work of many. Georgia has moved from 44th highest in the nation
Residents must have access to healthcare to 34th reflecting important improvements. There is a disparity in infant
(facilities and providers) in order to be healthy. mortality, however. Among the black population infant mortality is triple that
of the white population.
It is estimated that 18.6% of residents in Cobb
County lack health insurance. This is higher than Obesity due to poor nutritional habits and lack of physical activity are a major
the U.S. rates. factor in the leading causes of illness and death in Cobb County. In 2012,
58% of Cobb County adults reported being either overweight or obese. It is
Cobb County has approximately 181 physicians a significant public health concern for our community.
per 100,000 residents. This is lower than the
Georgia rate, creating an access to health care Georgia, like the rest of the Southeast, has some of the highest rates of
issue in the county. Sexually Transmitted Diseases (STDs) in the country. According to the CDC,
in 2012 Georgia was ranked 8th in the U.S. for Chlamydia, 5th in the U.S. for
Gonorrhea, and 1st in the U.S. for Primary and Secondary Syphilis. This is
also an issue that needs critical attention and solutions.
This document contains the most current verifiable information available
from federal, state and local sources. The data is prior to 2014 due to
collection and verification processes. This document contains the most current
verifiable information available and verification processes.
Population, by Race and Ethnicity,
Cobb County, 2009 and 2013
RACE 2009 2013 The total population of Cobb County has grown
since 2009.
WHITE 462,821 469,626 Cobb County’s population increased by 4.5% between
2009 and 2013. The racial and ethnic makeup of Cobb
BLACK/AFRICAN AMERICAN 173,317 191,823 County has remained the same since 2008.
ASIAN/PACIFIC ISLANDER 30,956 35,255
AMERICAN INDIAN/ALASKA NATIVE 3,256 3,575
ETHNICITY 2009 2013
NATIVE HAWAIIAN OR PACIFIC ISLANDER 538 471 HISPANIC 82,116 90,668
MULTIRACIAL 13,888 16,440 NON-HISPANIC 602,660 626,522
TOTAL 684,776 717,190 TOTAL 684,776 717,190
The largest age group in Cobb County is between 25 and
44 years old, with a population of 210,105 persons.
Approximately 62% of Cobb County’s population is
under the age of 45 years.
10% 24% Population by Age
Cobb County, 2012
0-17 YEARS OF AGE
26% 18-24 YEARS OF AGE
9% 25-44 YEARS OF AGE
45-64 YEARS OF AGE
65+ YEARS OF AGE
29%
*Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS)
Leading Causes of Death, Cobb County, 2008-2012:
Diseases of the Heart: The Number One
Leading Cause of Death in Cobb County, 2008 - 2012
Heart and Vascular Disease continues to be the number one leading cause of death in adults in
Cobb County, the state of Georgia and the United States. All other mental and behavioral disor-
ders (including Dementia, Schizophrenia and Bipolar disorder) was the second leading cause of
death in Cobb County between 2008 and 2012, followed by lung and related cancers, cerebro-
vascular disease and Chronic Obstructive Pulmonary Disease (COPD).
GA
GA
GA GA GA
Ischemic Heart and All Other Mental Malignant Neoplasms Cerebrovascular All COPD
Vascular Disease and Behavioral Disorders of the Trachea, Disease Except Asthma
(1,556) (1,184) Bronchus and Lung (876) (820)
(1,089)
The dashboard arrow indicates where Cobb County ranks compared to the State of Georgia.
*Source: Georgia Department of Public Health: Online Analytical Statistical Information System (OASIS)
CHILDREN’S HEALTH ISSUES
Infant Mortality
Cobb County Infant Mortality Rate Continues to Decline, 2008-2012
2008 2009 2010 2011 2012
UNITED STATES** 6.6 6.4 6.2 6.1 No data
WHITE 5.6 5.3 5.2 5.1 No data
BLACK 12.7 12.6 11.6 11.5 No data
GEORGIA*** 8.0 7.5 6.3 6.8 6.8
WHITE 7.3 6.5 5.7 5.8 5.3
BLACK 13.8 13.1 10.0 11.4 10.5
COBB COUNTY*** 6.7 6.9 5.6 5.4 4.9
WHITE 6.9 6.6 5.2 5.3 3.6
BLACK 12.7 14.2 9.4 10.3 9.2
Infant mortality rates for both blacks and whites are lower for Cobb County than
for the state of Georgia. The infant mortality rate in Cobb County is 28% lower
than the state as a whole. The rate of infant mortality among blacks in Cobb is
nearly triple that of whites and efforts should be directed towards lowering the
rate among this population in the county, as well as the state and nation.
Rate = Infant (CHILDREN’S HEALTH ISSUES
Percent of Children 2 Years of Age Fully Immunized, 2010-2013
Cobb and Douglas counties have a lower percentage of fully immunized children 2 years of age than Georgia.
YEAR COBB AND DOUGLAS GEORGIA
201 3 79% 85%
2012 83% 85%
201 1 86% 82%
2010 78% 76%
The results of the 2013 Georgia Immunization Study indicate that the District 3-1 immunization coverage estimates for
the 4:3:1:3:3:1:4* vaccination series is 85%. As of 2013, Cobb and Douglas counties have a 6% lower vaccination rate
among 2 year olds compared to the state of Georgia. The importance of immunizations does not stop at 2 years old.
Cobb & Douglas Public Health continues to stress the importance of childhood and adult vaccinations. Please visit
http://www.cdc.gov/vaccines/acip/ for further information.
*4:3:1:3:3:1:4 Immunizations coverage considered fully immunized (a child has received 4 DTaP, 3 Polio, 1 MMR, 3 Hib, 3 Hepatitis B, 1 Varicella, and 4 PCV vaccine doses),
were based on the childhood immunization and catch-up schedules recommended by the Advisory Committee on Immunization Practices.
Source: Georgia Department of Public Health, Georgia.
Childhood Obesity We are Facing a Youth Obesity Epidemic in Cobb County
Currently in America, one in three children is overweight or
obese. These numbers have tripled over the last 30 years,
and if this trend continues, one third of all children born
in the year 2000 or later will suffer from a chronic
obesity-related health problem.
The Georgia Student Health and Physical Education (S.H.A.P.E.)
Act was passed in 2009. Beginning in the 2011-2012 school year,
the law required each local school district to conduct an
annual fitness assessment program (FitGrams) for all students
in grades 1-12 enrolled in classes taught by certified physical
education teachers.
Students who fell within the healthy fitness zone scored
higher in math and reading, had fewer discipline referrals
and had better attendance.
*Source: Cobb2020 FitGrams data, 2012CHILDREN’S HEALTH ISSUES
Leading Causes of Death in Youth
Motor Vehicle Crashes were the Number One Leading Cause of Death among Youth in Cobb County, 2008-2012
Rank 1-4 years 5-9 Years 10-14 Years 15-19 Years
1 Congenital Septicemia Leukemia Motor Vehicle Crashes
Malformations,
Deformations and
Chromosomal Abnormalities
2 Motor Vehicle Crashes Accidental All Other Diseases Intentional Self-Harm
Drowning and of the Nervous System (Suicide)
Submersion
3 Leukemia All Other Diseases Congenital Malformations, Assault (Homicide)
of the Nervous System Deformations and
Chromosomal Abnormalities
4 All Other Diseases Motor Vehicle Crashes Intentional Self-Harm Accidental Poisoning
of the Nervous System (Suicide) and Exposure to
Noxious Substances
5 Accidental Malignant Neoplasms of Diabetes Mellitus All Other Diseases
Drowning and Meninges, Brain and of the Nervous System
Submersion Other Parts of the
Cenral Nervous System
Motor vehicle crashes continue to be the leading cause of death among youth in Cobb County and the state
of Georgia. Between 2008 and 2012 motor vehicle crashes accounted for 28% of deaths among youth in Cobb
County. Suicide was the second leading cause of death in youth in Cobb County followed by homicide.
*Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS) Community Health Needs Assessment DashboardCHRONIC DISEASES
Obesity Body Mass Index* of Adults, Cobb County, 2012
0.1%
Underweight Normal Weight Overweight Obese
In 2012, 58% of adults in Cobb County reported being either overweight or obese.
The highest percentage of obesity in Cobb and Douglas counties is among the 28.5%
black population at 45.8%. 22% of Cobb County adults reported being obese, 6% 35.1%
less than the 2011 average for the state of Georgia..
*Body Mass Index is a number calculated from a person’s weight and height. A BMI greater than 18.5
and less than 25 is considered healthy.
36.2%
*Source: Douglas County MAPP Survey Report, A.L. Burruss Institute of Public Service and Research, 2011-2012;
The Georgia Behavioral Risk Factor Surveillance Survey Report, 2012
1.10%
Smoking in Adults, Cobb County, 2012 Tobacco
Yes No Don’t Know/Refused
11.80% Approximately 12% of adults in Cobb County smoke, 9% below the 2011 state
average for Georgia. Those that reported tobacco use in Cobb County tended
to be male, have less education and have less income.
0.208
87.10%
*Source: Cobb County MAPP Survey Report, A.L. Burress Institute of Public Service and Research, 2011-2012; The Geor-
gia Behavioral Risk Factor Surveillance Report, 2012.CHRONIC DISEASES
Heart Disease
Percent of Adults Who Have Had a Heart Attack, 2011
TOTAL MALE FEMALE WHITE BLACK 18-44 45-64 65+
COBB & 4.1% 3.2% 4.8% 4.7% 6.0% 3.2% 2.6% 12.2%
DOUGLAS
GEORGIA 4.4% 5.2% 3.6% 5.2% 3.1% 0.9% 5.8% 13.8%
In 2011, approximately 4.1% of adults suffered a heart attack in Cobb and Douglas counties. This rate is lower
than the Georgia average; however, heart attacks are still a major concern in Cobb County. In Cobb and Douglas
counties a higher percentage of the black population and 18-44 year old population reported having a heart
attack compared to the Georgia average.
*Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS)
Behavioral Risk Factor Surveillance System
Age–Adjusted Death Rates* Due to Cardiovascular Disease, 2008-2012
Georgia Cobb
270 County
267.8 262.6 252.1
202.5 242.5 233.3
214.8 211.7 207.1
194.8
135 176.8
67.5
0
2008 2009 2010 2011 2012
After adjusting for age in order to make Cobb County comparable to the state of Georgia, Cobb County
had a lower death rate for cardiovascular disease. Cardiovascular disease, however, is the leading cause of
death in Cobb County.
Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS) Morbidity/Mortality Web Query Tool
*Rate = the number of cases per 100,000 population. Age adjusting rates is a way to make fairer comparisons between populations with different age distributions.CHRONIC DISEASES
Diabetes Adults Living with Diabetes, 2011
TOTAL MALE FEMALE WHITE BLACK 18-44 45-64 65+
COBB & 8.2% 7.8% 8.6% 8.6% 10.4% 3.9% 9.1% 23.5%
DOUGLAS
GEORGIA 10.2% 9.8% 10.5% 10.1% 11.8% 2.8% 14.8% 25.9%
In 2011, 10.2% of adults in Georgia had ever been diagnosed with diabetes. This is slightly higher than the U.S. prevalence* of
9.5%. Cobb and Douglas counties have a combined prevalence slightly lower than the state prevalence.
*Prevalence = the number of cases of a disease/ condition in a population at a given time.
*Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS) Behavioral Risk Factor Surveillance
System, The Georgia Behavioral Risk factor Surveillance System Report, 2012
Prevalence of Adults Living with Asthma, 2011
Asthma
TOTAL MALE FEMALE WHITE BLACK 18-44 45-64 65+
COBB & 6.6% 2.6% 9.7% 7.1% 7.8% 7.7% 4.6% 7.4%
DOUGLAS
GEORGIA 9.6% 7.5% 11.6% 9.8% 10.9% 10% 9.2% 9.3%
Cobb and Douglas counties have a lower prevalence of asthma compared to the state of Georgia, which has
a prevalence of 9.6%.
*Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS) Behavioral Risk Factor Sur-
veillance System, The Georgia Behavioral Risk Factor Surveillance Report, 2012CHRONIC DISEASES
Stroke Percent of Adults Who have had a Stroke, 2011
WHITE
4 4 MALE
FEMALE WHITE TOTAL FEMALE 3.9%
3.5%
3.3% 3.3% 3.4% 3.3%
3 3 BLACK
TOTAL
BLACK 2.8%
2.5%
2 2.3% 2
MALE
1.6%
1 1
0 0
COBB AND DOUGLAS GEORGIA
The occurrence of stroke within Cobb and Douglas counties was less than Georgia in 2011.
Females and Whites, however, were more likely to have a stroke within Cobb and Douglas
counties compared to other populations.
*Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS)
Behavioral Risk Factor Surveillance System, The Georgia Behavioral Risk Factor Surveillance Report, 2012INFECTIOUS DISEASES
STD RANKINGS PERTUSSIS
Georgia, like the rest of the Southeast, has some of the
highest rates of Sexually Transmitted Diseases (STDs) in the
country. According to the CDC, in 2012 Georgia was ranked: Reported Pertussis Cases in
Cobb County and Georgia, 2008-2012
8th Highest 2008 2009 2010 2011 2012
in the U.S. for chlamydia with a rate of 534 per 100,000
COBB 20 42 22 25 65
5th Highest COUNTY
in the U.S. for gonorrhea with a rate of 156.1 per 100,000
GEORGIA 116 230 247 180 330
1st
in the U.S. for primary and secondary syphilis
with a rate of 9.5 per 100,000
Incidence Rates* of Pertussis are
Increasing in Cobb County
Pertussis rates have increased significantly in Cobb County in
recent years; nearly triple the rate for the state of Georgia in 2012.
Pertussis is a vaccine preventable disease. Cobb & Douglas Public
Health recommends vaccinations to all age groups.
SYPHILLIS
COBB
10 DOUGLAS
Sexually Transmitted Diseases GEORGIA
Primary and Secondary Syphilis, 2008-2012
7.5
COBB GEORGIA COBB GEORGIA
CASES CASES RATES RATES
5
2008 74 912 10.9 9.6
2009 68 954 9.9 9.9
2.5
2010 50 778 7.2 8
2011 53 860 7.6 8.8
0 2008 2009 2010 2011 2012
2012 57 935 8.1 9.4
*Rate = the number of cases per 100,000 population.
**Source: Centers for Disease Control and Prevention, Sexually Transmitted Disease
Surveillance 2011, Atlanta: U.S. Department of Health and Human Services, 2012
Cobb County has averaged about 60 cases of primary and *Rate = the number of cases per 100,000 population.
secondary syphilis per year since 2008. Source: Georgia Department of Public Health, Acute Disease Epidemiology SectionACCESS TO HEALTH SERVICES
Insurance Coverage
In the 2011-2012 Cobb County MAPP Survey Report, 15% Cobb County has approximately the same percentage of
of participants reported having to forgo a doctor’s visit in uninsured individuals compared to the state of Georgia, but
the past year due to cost. Those who reported having a higher percentage of uninsured individuals compared to
to delay care tended to be female, non-White, Hispanic, the U.S. as a whole.
have less income and less education. The opposite was
true for people who were 65 years old or older. Percent of the Population without Insurance Coverage, 2013
Cobb County 18.6%
Georgia 18.8%
United States 14.6%
*Source: Cobb County MAPP Survey Report, A.L. Burruss Institute of Public Service and Research, 2011-2012 Source: American Community Survey, 2013
Physicians to Population Ratio Emergency Room Visits, Cobb County 2008-2012
In Cobb County, the ratio of residents to Unintentional injuries, not including falls, were the number one reason for emer-
physicians was 551 to 1, 13% worse than the gency room visits in Cobb County between 2008 and 2012, with 95,084 cases
Georgia ratio (489 to 1).This contributes to the total. The rate of emergency room visits for all other unintentional injuries in
access to health care issue in the county. Cobb County falls below the rate for the state of Georgia..
Unintentional Injuries: Number One Reason for Emergency Room Visits,
2008 – 2012
GA GA
Ratio of Persons to Physicians, 2010 GA
551
489
All Other Falls Diseases of the
Unintentional Injury (57,900) Musculoskeletal System
(95,084) and Connective Tissue
(52,685)
GA GA
Cobb County Georgia
All Other Diseases of the Motor Vehicle Crashes
Genitourinary System (28,770)
(52,462)
*Source: UGA Georgia County Guide *Source: Georgia Department of Public Health, Online Analytical Statistical Information System (OASIS) Community Health
Needs Assessment DashboardSeeking a Solution CDPH facilitated the 2011 launch of Cobb2020 - a partnership of community organizations and individuals dedicated to promoting healthy lifestyles and the delivery of essential health services in Cobb County. Together, through a strategic process called Mobilizing Action through Planning and Partnerships (MAPP), Cobb2020 has assessed the current health status of the County and is developing a Health Improvement Plan that will help create significant changes in building a healthier community. The overall goal of Cobb2020 is to implement strategic changes throughout Cobb County over the next five years that build a foundation for reducing and preventing chronic disease such as diabetes, stroke, heart disease and cancer by promoting healthy lifestyles and better access to health and prevention services for the community. Cobb 2020 has identified the following focus areas: • Improving Access to Primary Health Care • Improving Healthy Lifestyles – Through Proper Nutrition – Access to Physical Activity – Reducing the Use Of Alcohol and Other Drugs Please visit Cobb2020.come or CobbandDouglasPublicHealth.org for more information on our health status, community improvement plan and current partnership activities.
Board of Health Members
Cobb Public Health
Dr. Dan Stephens, Chairman
Acworth Public Health Center South Cobb Public Health Center
4489 Acworth Industrial Drive 875 Six Flags Drive Dr. W. Wyman Pilcher, III, Vice-Chair
Acworth, Ga. 30101 Austell, Ga. 30168 Dr. Emily Lembeck
Phone: (770) 974-3330 Phone: (678) 385-1360
Fax (770) 966-9192 Fax: (678) 385-1376 Mr. Tim Lee
East Cobb Public Health Center Lake Park Public Health Center Mr. Chris Ragsdale
4938 Lower Roswell Road 1955 Lake Park Drive, Suite 300
Marietta, Ga. 30068 Smyrna, GA 30080-8855
Ms. Judi Snelson
Phone: (678) 784-2180 Phone: (770) 514-2357 Dr. James M. Tallman
Fax: (678) 784-2198 Fax: (770) 432-1774
Marietta Public Health Center Cobb County Environmental Health
1650 County Services Pkwy. 3830 South Cobb Drive, Suite 102
Marietta, Ga. 30008 Smyrna, Ga. 30080
Phone: (770) 514-2300 Phone: (770) 435-7815
Fax: (770) 514-2363 Fax: (770) 431-7410 Cobb Health Futures Foundation
Smyrna Public Health Center
3830 South Cobb Drive, Suite 200
Smyrna, Ga. 30080
Phone: (770) 438-5105 The Cobb Health Futures Foundation is a 501(c)3
Fax: (770) 319-8245 philanthropic arm of public health in Cobb County.
Incorporated in 1994, the foundation’s purpose is to
Important Websites and Numbers support the mission it shares with Cobb & Douglas
Cobb & Douglas Public Health: Public Health, which is, with our partners, to
http://www.cobbanddouglaspublichealth.org/ promote and protect the health and safety of the
Cobb 2020: residents of our county. Cobb Health Futures has
http://cobb2020.com/ selected to focus its 2014 fundraising efforts on:
Georgia Department of Public Health:
http://dph.georgia.gov/ Babies Can’t Wait
Centers for Disease Control & Prevention: Perinatal Case Management
http://www.cdc.gov/
Children’s Medical Services
Georgia Poison Center:
404-616-9000 (inside metro Atlanta)
or 1-800-222-1222 (outside metro Atlanta)
For more information about the foundation or any of the programs it supports, call (770) 514-2325,
email jan.heidrich-rice@dph.ga.gov, or visit www.cobbhealthfutures.org.CDPH-CHR_121214
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